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
The alteration in the color of the areola, or circle round the nipple,
is a sign much relied upon by some, but is frequently a deceptive one,
merely from want of close observation. I have known many females,
though frequently mothers, whose breasts always retained the bright
rosy color they had previous to marriage; and I have known young
unmarried females with the breasts quite dark. The peculiar hue that
arises from pregnancy however, is different from anything I ever saw in
non-pregnant females; and, though not always to be met with, is, in my
opinion, an infallible sign when present. The celebrated John Hunter
regarded this sign as an unmistakeable one, and he gave a remarkable
instance of it in his lectures. In making a _post mortem_ examination
of the body of a young female, he observed this peculiar color, and
at once proclaimed her pregnant, _though the hymen was unbroken_.
On dissection he was found to be correct--she was four months
advanced. If this sign were constant, pregnancy could nearly always be
ascertained, but frequently it does not appear. The peculiar color must
be seen to be recognized, as it cannot be accurately described; perhaps
the nearest approach to it is the shell of a fresh _ripe chestnut_, but
it is much darker in some than in others. The dark circle is nearly
always more elevated than the rest of the breast, as may be seen by
taking a profile view.
[Illustration: PLATE XIII.
_View of the Breast about the Fourth Month._--_a. a._ The Breast.--_b._
The Nipple.--_c._ The Areola, or part which becomes brown; it is
elevated above the rest of the Breast, as may be seen.--_d. d._ The
little Tubercles.]
Most frequently the breasts do not swell, nor the areola change color,
nor the tubercles appear, till about the fourth month, and frequently
much later.
All these changes in the breast are also liable to become more or less
permanent, after the first pregnancy, so that they are of much less
service, and less to be depended upon, in all succeeding ones. They
also remain, with most females, during nursing, and are therefore not
available in those who conceive while they are nursing. On the whole
however, these signs, especially in those not previously pregnant,
may be pretty confidently relied upon, and will seldom deceive an
experienced observer.
_The secretion of milk_ is, by most persons, considered a positive sign
of pregnancy, but it is not so, for it sometimes takes place in young
girls merely from the establishment of puberty, and in some females
it always occurs at each monthly period, though they have never been
pregnant. Instances have been known of women nursing other people's
children though they had never conceived themselves.
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