The Physical Life of Woman: Advice to the Maiden, Wife and MotherNapheys, George H. (George Henry)
Science
The Physical Life of Woman: Advice to the Maiden, Wife and Mother
Napheys, George H. (George Henry)
Women -- Health and hygiene
The mother is more liable to suffer under diseases of the womb after
long than after short labors. The child for some time after birth is
more liable to disease and death, in proportion as the labor has been
longer in its duration. First labors are longer in duration than
subsequent ones, and in a proportionate degree more complicated and
dangerous to mother and child. Male births are longer in duration than
female births, and in a proportionate degree more complicated and
dangerous to mother and child.
Many tedious confinements, however, are happily terminated without the
slightest injury to mother or child. Whenever the labor has been
unusually prolonged, unusual care and caution should be exercised in the
treatment of the mother and infant for many weeks after the event.
One of the most distressing affections to which women are exposed from
childbirth is
PUERPERAL MANIA.
This is a variety of insanity which attacks some women shortly after
childbirth, or at the period of weaning a child. The period of attack is
uncertain, as it may manifest itself first in a very few days, or not
for some months after the confinement. Its duration is likewise very
variable. In most instances a few weeks restore the patient to herself;
but there are many cases where judicious treatment for months is
required, and there are a few where the mental alienation is permanent,
and the wife and mother is never restored to her sanity.
The question has been much discussed, Whether such a condition is to be
imputed to a hereditary tendency to insanity in the family, and also
whether a mother who has had such an attack is liable to transmit to
her children, male or female, any greater liability to mental disease.
We are well aware what deep importance the answers to these inquiries
have to many a parent; and in forming our replies, we are guided not
only by our own experience, but by the recorded opinion of those members
of our profession who have given the subject close and earnest
attention. To the first query, the reply must be made that in one-half,
or nearly one-half, of the cases of this variety of insanity there is
traceable a hereditary tendency to aberration of mind. Usually one or
more of the direct progenitors, or of the near relatives of the patient,
will be found to have manifested unmistakable marks of unsoundness of
mind. In the remaining one-half cases no such tendency can be traced,
and in these it must be presumed that the mania is a purely local and
temporary disorder of the brain. The incurable cases are usually found
in the first class of patients, as we might naturally expect.
The likelihood of the children, in turn, inheriting any such
predisposition, depends on the answer to the inquiry we first put. If
the mania itself is the appearance of a family malady, then the chances
are that it will pass downward with other transmissible qualities. But
if the mania arise from causes which are transitory, then there is no
ground for alarm.
Public-domain text, read in full here on John Shaqi.
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