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
In treating agalaxy, therefore, the first thing is to ascertain if
there be no deformity or disease in either mother or child, which
prevents proper nursing. If there be nothing of the kind, it must
next be ascertained whether the mother has any excessive secretion
elsewhere, such as diarrhœa, great flow of urine, or heavy sweats; if
she have, these must be corrected. It must next be seen if she takes
sufficient nourishment, and of a proper kind for her stomach and
bowels. Sometimes a little spiced wine is excellent, or some porter,
with white meats, and arrow-root milk. If she be of a full habit,
however, and makes much blood, the contrary course must be pursued, and
the diet be made low and unstimulating, while the bowels are kept free
and the skin in good action.
In many cases when the nipple is small, it may be much enlarged by
titillation, just before the child is put to it, after which the
suction will increase it still more.
If the female be advanced in life, or very weak, or if she becomes
pregnant, it may be better to procure a nurse than to attempt to
stimulate the flow at all. The appearance of the menses need not
occasion a suspension of nursing, unless it evidently deranges the
secretion of the milk, or affects the health of the mother; in either
of which cases the child should be weaned at once.
_Engorgement of the Breasts._--The breasts are liable to become
swollen, or engorged, from colds, blows, hard nursing from the child,
over feeding, and from soreness or excoriations preventing them being
fully emptied. This state may occur at any time, but is most frequent
a few days after delivery. In general there is no danger from it,
unless it be very bad or continues too long; it may then inflame and
discharge, or become permanently hardened. To prevent such accidents
the breasts should always be sufficiently emptied, either by the child
or by artificial means, and every precaution should be used against
cold or violence. Constipation must also be guarded against, and the
diet and drink must be carefully observed, so that it be not too
feeding, or too stimulating. Warm fomentations or poultices may also be
used when the breasts are painful, and a Dover's Powder may be given at
night, after bathing the feet in warm water, to promote perspiration.
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