=Bleeding=, or a sudden increase in the size of the uterus with a rapid pulse or general symptoms of shock, may be the symptoms of hemorrhage caused by placenta prævia or premature separation of a normally implanted placenta; upon the appearance of any one of these signs the patient should be put to bed and kept absolutely quiet. To sum up, we find that the following symptoms may be forerunners of serious complications, and therefore should be watched for and reported to the doctor immediately upon their discovery: 1. Persistent or severe vomiting. 2. Persistent or severe headache. 3. Dizziness. 4. Disturbed vision or the appearance of black spots before the eyes. 5. Puffiness under the eyes, or elsewhere about the face. 6. Swelling of the feet, ankles or hands. 7. Sharp pains, particularly in the epigastric region. 8. Prolonged failure to feel fetal movements after they have once been felt. 9. Cessation of the fetal heartbeat, or a marked change in its rate or rhythm. 10. Bleeding, or a bloody discharge. 11. Pain in the lumbar region, followed by cramp-like pains in the abdomen, before the expected date of confinement. 12. Albumen in the urine. 13. High, or increasing blood pressure. 14. Unwarranted mental depression, anxiety or apprehension. These are generally accepted as the cardinal danger signs of pregnancy, any one of which, alone or in combination with one or more of the others, is of significance and should be reported to the doctor at once. When all is said and done, our wish for the expectant mother is for little more than that she shall live a normal, wholesome life; that she shall be willing, and also be able to weave into her every day life the principles of personal hygiene which every one should adopt; that she shall be carefully watched for complications throughout the entire period of pregnancy, and that these complications shall be speedily treated. Adoption of personal hygiene, then, and prevention of complications by their early detection and treatment—these we want for every woman who is looking forward to motherhood. For lack of these things there are sick and blind and maimed babies and invalid women; there are lonely, motherless children and bereaved mothers in every corner of our land. CHAPTER VII MENTAL HYGIENE OF THE EXPECTANT MOTHER It is only once in a long time that the obstetrical nurse has a patient who is suffering from such a marked mental disturbance that her condition is diagnosed and treated as a psychosis. But more often than not she has a patient who is secretly suffering a good deal of mental stress and pain, which is not recognized and not treated.