Morning sickness usually appears during the first few weeks after
conception, and continues until the third or fourth month; in some cases
it continues throughout pregnancy; in a few it does not begin till much
later, and in many it does not appear at all. It scarcely deserves to be
called a disease of pregnancy, for it frequently appears as a salutary
effort of nature to relieve a cause of much gastric irritation, and,
unless it proceeds to a very exhausting degree, must rather be looked upon
as a favourable symptom, as it tends to prevent the formation of too much
blood, which is so frequent a cause of abortion during the early months.
(Hamilton, _on Female Complaints_.) Hence, therefore, experience verifies
the correctness of the old proverb, that a "sick pregnancy is a safe one."
The ejected matter on these occasions, when there is but little or no food
upon the stomach, consists of a glairy ropy mucus, sometimes mixed with a
considerable quantity of intensely sour fluid, containing a large
proportion of muriatic and acetic acid: in some cases more or less bile is
vomited.
The treatment of morning sickness will depend in great measure on the
severity of the attack: where it is slight, the patient may assist its
operation with a little warm water, or chamomile tea: after which the
bowels should be briskly opened by a saline laxative, as for instance, a
seidlitz powder, sulphate and carbonate of magnesia, &c.: small doses do
more harm than good, as, from their slow and ineffective action, they
rather tend to increase the irritation and aggravate the symptoms. In
severe cases, especially where the pulse is excited, a small bleeding may
be used with much advantage, but in most instances the usual treatment of
gastric derangement, as it occurs in the unimpregnated state, produces
most relief. The bowels should be first opened in the way already
mentioned, after which a combination of Pil. Hydrarg. and Extr. Hyosc. or
Extr. Humuli, is to be given at night, and a vegetable tonic during the
day.
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