In these cases we are often warned that congestion of the uterine vessels
is present, by pain and throbbing, and sense of fulness in the groins;
leeches applied to these parts give much relief, and frequently render
venesection unnecessary. Tight lacing ought to be strictly prohibited in
all cases of pregnancy, particularly where there is a disposition to
plethora: among other bad effects, it prevents the proper development of
the breasts, the nipples are pressed so flat as to be nearly useless, the
child being unable to get sufficient hold of them: this may in some degree
be avoided, by putting thick ivory rings upon the breasts, and thus
shielding the nipples from injurious pressure. It will, however, be much
better to have the dress made loosely, to allow for the development of the
breasts, which takes place during pregnancy; for there can be little
doubt, that irritation of these glands is very liable to be followed by a
corresponding state in the uterus.
The common but erroneous notion that it is necessary to take an extra
quantity of nourishment for the support of the child as well as of the
mother must be strenuously opposed. Nature contradicts it in the most
striking manner; for, by the nausea and sickness which most women
experience during the first half of their pregnancy, she raises an
effectual obstacle to any error of this kind. "It certainly cannot be
intended for any other purpose, since it is not only almost universal, but
highly important when it occurs, as it would seem to add much to the
security of the foetus; for it is a remark as familiar as it is well
grounded, that _very sick women rarely miscarry_; while on the contrary,
women of very full habits are disposed to abortion, if exempt from this
severe, but as it would seem, important process." (Dewees, _on Children_,
§ 45.)
Where the case has become one of habitual abortion, the patient's only
chance will be by living separate from her husband for twelve or more
months: the uterus, not being exposed to any sexual excitement during this
period, becomes less irritable, and it gradually loses the disposition
which it has acquired of expelling its contents prematurely. In such a
case, when pregnancy has again commenced, it requires to be watched most
narrowly; every possible source of irritation must be removed by the
strictest attention to diet and regimen, and the patient must make up her
mind to be entirely subservient to the rules laid down by her medical
attendant. Although the chances are against her escaping without premature
expulsion, still we are not to despair, experience showing that cases
every now and then occur where the patient has gone the full term of
pregnancy in safety, in spite of repeated previous abortions. Dr. Young of
Edinburgh, in his lectures on midwifery, describes a case where the
patient actually miscarried thirteen times, and yet bore a living child
the fourteenth time.
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