The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed: Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of MedicineHollick, Frederick
Science
The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed: Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of Medicine
Hollick, Frederick
Chloroform; Gynecology; Indian Territory; Midwifery; Obstetrics; Pregnancy
It appears that this discharge is essential to health, and great
attention should therefore be bestowed on the patient, if it be too
small, or cease too soon, or too suddenly. In most cases it ceases
naturally during the _milk fever_, and of course its disappearance then
need not excite alarm. Sometimes also, it does not attain its full
quantity till some days after its commencement. If however, it remains
small past the _third_ day, or does not appear when the milk fever
is over, means should be taken for increasing it. The best means for
this purpose are _warm poultices_ and _fomentations_ over the abdomen,
and injections in the rectum of simple warm water. Some practitioners
advise _two drachms of powdered Camphor_ to be sprinkled on each
poultice, and probably it is an excellent addition. Occasionally the
lochia is very offensive, and in that case a simple cleansing injection
may be frequently used of thin starch, or Chammomile tea.
During the whole period of the Lochia in fact, even in ordinary
cases, the female will be all the more comfortable, and better, for
an occasional injection, and frequent washing. This is very much
neglected, though it never ought to be so. The only care required is
not to expose her to cold, which is quite unnecessary.
_The Milk Fever._--About the second or third day there usually
commences a peculiar temporary excitement in the system, called
the _milk fever_, which requires to be described because it may be
confounded with something more serious. It is generally ushered in by
headache, flushed face, and a hot dry skin; the pulse beats slowly, and
the breasts become hard, while the veins upon them appear very full. In
a short time however, the pulse becomes quicker, a perspiration breaks
out, and the breasts become still larger and fuller, so that the female
can scarcely bring her arms to her body. These symptoms last about a
day, or two days at most, and seldom become much aggravated.
Occasionally the milk fever is preceded by a slight chill, or by a
furred tongue, or sick stomach, but not very frequently.
The precise causes of this temporary fever are unknown, though probably
it is connected with the full establishment of the secretion of milk,
and hence its name. It is seldom very severe in those who nurse, and
frequently does not appear at all. During its continuance, and for some
time after, the female must carefully avoid exposure to cold, and keep
herself quiet; her diet should also be rather restricted, and light and
unstimulating. An occasional seidlitz powder may also be of service, or
a simple injection.
_Making the Bed._--It is not customary to disturb the female, for the
purpose of making her bed, till the milk fever is passed; or, if that
does not appear, till the tenth or twelfth day; and then it should be
done with care, and so as not to expose her unnecessarily.
Public-domain text, read in full here on John Shaqi.
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