patient against this occurrence: in most cases it will be sufficient to
keep the room moderately cool, and ensure a due degree of ventilation; but
where the uterus has shown a disposition to relax, we know of nothing
which guards the patient so effectually against hæmorrhage after labour,
and enables us to leave her with so much confidence, as putting the child
to her breast. The sympathetic connexion between the breast and the uterus
is now well known; nor are there any means so certain of producing
permanent uterine contraction as this natural act: it is a duty which
nature instinctively prompts the mother to perform, not only for the
preservation of her child, but for the safety of herself. We, therefore,
make it a rule, whenever the patient intends to suckle her child (a duty
which is performed more frequently now than it was a few years ago,) to
have it put to the breast before quitting the house: the first excitement
of the mother's feelings towards her offspring is a favourable moment for
the performance of this act, the erectile tissue of the nipple becomes
turgid, the child takes the breast with ease, and the effect upon the
uterus is not less certain than complete; even if the child sucks fairly
well for only five minutes we feel satisfied, for we cannot call to mind a
single case of hæmorrhage after the effects of this operation.
_Lactation._ When the wet clothing has been removed, and fresh linen
substituted, the patient should be left to enjoy perfect quiet both of
body and mind, in order that she may have some sleep, for "the refreshment
of sleep seems to be the most powerful natural means of inducing full
contraction of the uterus."[72] After this, the child should be placed at
her side, in order that it may enjoy the warmth of her body, and make
another trial of taking the breast. That new-born animals are not able to
maintain a sufficient degree of warmth, is seen by the care with which a
bird shelters her young beneath her wings, and by the manner in which
kittens, puppies, &c. crawl close to the mother's abdomen to enjoy that
degree of heat which of themselves they are unable to produce. Dr. Edwards
has shown that the animal heat of a new-born infant is several degrees
below that of the adult: the mother's breast is, therefore, the natural
place for it, where it can not only enjoy the necessary warmth, but take
that nourishment which has been destined for its support at this early
period. A child is capable of sucking the moment it is born; indeed, we
would say, better at this moment than later, for the power of instinct in
it is fully as great as in other animals; whereas, if not put to the
breast soon after birth, but fed instead, it quickly loses it. A vigorous
healthy child immediately seeks its mother's breast, and if it does not
find it, sucks at every thing which touches its mouth, even its own little
hand or finger when presented to it: so strong is this instinct, that, on
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