The Female Physician: Containing all the diseases incident to that sex, in virgins, wives, and widows; together with their causes and symptoms, their degrees of danger, and respective methods of prevention and cure: to which is added, the whole art of new improv'd midwifery; comprehending the necessary qualifications of a midwife, and particular directions for laying women, in all cases of difficult and preternatural births; together with the diet and regimen of both the mother and child.Maubray, John
Science
The Female Physician: Containing all the diseases incident to that sex, in virgins, wives, and widows; together with their causes and symptoms, their degrees of danger, and respective methods of prevention and cure: to which is added, the whole art of new improv'd midwifery; comprehending the necessary qualifications of a midwife, and particular directions for laying women, in all cases of difficult and preternatural births; together with the diet and regimen of both the mother and child.
Maubray, John
Midwifery -- Early works to 1800; Obstetrics -- Early works to 1800
WE are in this place only to consider the _Acute Distempers_ of the
_Puerperial Woman_, because the Time of _lying-in_ is not of such a long
_Continuance_ as to admit of _Chronick Diseases_: And these _Acute
Ones_, in short, which they are most commonly subject to, are continual
FEVERS, (Either, 1. _Essential_, that is, FEVERS proceeding first from
the BLOOD; or, 2. _Symptomatick_ FEVERS, that is, such as follow upon
the internal _Inflammations_, which often attend the _Child-Bed-Woman_;)
as also _Frenzies_, _Watchings_, _Lethargies_, _Convulsions_,
_Epilepsies_, &c.—
BUT more especially there is _one_ particular kind of FEVER, which
invades almost all labouring _Women_ the third or fourth Day after the
_BIRTH_, and is commonly call’d the _MILK-FEVER_; because about that
time, the _MILK_ begins to generate more plentifully in the BREASTS,
taking its _Rise_ from the Motion and Agitation of the BLOOD, which
converts it from the WOMB to the BREASTS. This _Distemper_, resolving
itself about the ninth Day by SWEAT, is of no dangerous _Consequence_;
provided the _PATIENT_ observes a good and proper DIET, and duly
prevents all _Cold_, that might readily stop the SWEAT, and carefully
preserves the MILK from _coagulating_ or _putrefying_ in her BREASTS,
whence the _Symptomatick FEVERS_ commonly arise: Wherefore, I say, this
_MILK-FEVER_, being of the extended _Ephemerick_ Sort, and ceasing of
itself, requires no great _Cure_.
ONLY in this _Case_, it is a vulgar _Error_ among the _good Women_, that
because this _FEVER_ lasts only four or five Days at most, coming on
about the fourth, and ending about the ninth Day after the _BIRTH_, they
take all _Fevers_ in this time, for the _MILK-FEVER_; and consequently
thro’ this _Mistake_, neglecting, or not regarding duly the true
_Condition_, the PATIENT is very often endanger’d: Which _Mistake_, that
they may for the future diligently avoid, I shall subjoin here some
certain SIGNS of _Distinction_ in due Course. But previously——
THE _Causes_ of all _FEVERS_ incident to the _Child-Bed-Woman_, are
either the _Suppression_ of the LOCHIA in whole or in part; or the
vitious _Quality_ of the _Humours_ accumulated in _Gestation_, and
exasperated in the BIRTH; or a vitious irregular _DIET_ in the time of
_lying-in_; or the cold AIR, or any such _Accident_ by bad Management,
may readily convert the _MILK-FEVER_ into a putrid and dangerous _one_;
as a latent _CACOCHYMY_ may also easily dispose it to _Corruption_.
THE true _DIAGNOSTICKS_, in my Opinion, are as follow, _viz._ FIRST, the
_MILK-FEVER_ is known from hence, that it always begins about the
_Fourth Day_, when the _BREASTS_ begin to fill with _MILK_; and then the
_LOCHIA_ flowing regularly, the _Woman_ finds a certain _Gravity_ or
Weight in her _Back_ and _Shoulders_.
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