The recurrence, moreover, of pregnancy in the lactescent female may
render the milk of a bad quality, and will invariably lessen its
quantity. Mr. Burns asserts that in these cases the milk 'does not
become hurtful,' but in this opinion I must beg leave to differ from
him; since I have repeatedly seen it, from this cause, palpably altered
in appearance, and have observed diarrhœa and great debility produced
in the children who were suckled with it.
An almost universally received opinion among females, and, indeed, one
very frequently entertained by members of the medical profession, is,
that while a woman continues to nurse her infant she will not again
become pregnant; but this, as a general proposition, is unquestionably
erroneous; it is even doubtful whether such opinion will hold good in a
majority of instances. The continuance of lactation will very generally,
it is true, tend to prevent the recurrence of the periodical phenomenon;
yet, nevertheless, it will not in every instance prevent pregnancy[B].
Should, however, a woman with an infant at the breast again become
pregnant, (a circumstance that very frequently occurs, and of which,
from the _general though not invariable_ absence of those criteria by
which this fact is accustomed to be recognised, she is not aware until
it has made some progress,) one of two things will usually take place;
either she will miscarry, or her milk will become impoverished in
quality and diminished in quantity. Nor is this wonderful:--it was not
intended by Nature that the processes of pregnancy and lactation should
go on simultaneously, but, on the contrary, that the one should commence
when the other had terminated; and experience sufficiently proves that
they will not proceed well together: the reason of which, as it appears
to me, may be easily given. During pregnancy, and particularly during
its latter periods, the vessels of the womb gradually enlarge, and a
much greater quantity of blood than usual is determined to that organ
for the increase and perfection of the embryo and its appendages; which,
after delivery, becomes transferred to the breasts to supply the
material for the secretion of the milk: but if, during pregnancy,
lactation be also persevered in, the blood becomes directed at the same
time to two different parts of the body, somewhat remote from each
other, namely, to the womb, and to the breasts; hence, neither is likely
to receive its due proportion of this vital fluid, and, consequently,
the functions of one or the other, or both, are liable to become impeded
or suspended. If the breasts continue to receive a sufficient quantity
of blood, the secretion of milk goes on properly, but the womb is
deprived of its necessary supply; the embryo, in consequence, languishes
and dies, and, becoming an extraneous body, is thrown off, producing
abortion; while, on the other hand, should the womb still obtain its due
proportion of blood, the breasts are robbed of it, and the secretion of
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