The Prospective Mother, a Handbook for Women During PregnancySlemons, J. Morris (Josiah Morris)
Science
The Prospective Mother, a Handbook for Women During Pregnancy
Slemons, J. Morris (Josiah Morris)
Obstetrics; Pregnancy
Since, as everyone admits, delivery occurs with conspicuous
regularity about the end of the fortieth week of pregnancy, and
pregnancy corresponds, therefore, to ten menstrual cycles, some have
been led to believe that labor and menstruation have a common basis.
The truth of this supposition, however, must be doubtful until we
know the cause of menstruation. Yet it is a matter of common
observation that the uterus becomes unusually irritable about the
time when the tenth menstrual period would be due. Strong purgatives
administered with other drugs on or after the calculated date
frequently bring about delivery, whereas previous attempts of this
kind prove unsuccessful. To account for this peculiar irritability of
the uterus about the fortieth-week of pregnancy, microscopical
changes in its tissues have been suggested but sought in vain. Nor
will the distention of the organ explain it.
A great many theories have been offered to explain the causation of
labor, but they have now only an historical interest. To-day we are
just beginning to learn the correct methods of studying the problem.
The experience of ages has firmly established the fact that the fetus
is expelled when ready to enter the world, or as we say, when it has
become mature. But how does the fetus assert its maturity? There is
the kernel of the matter; that is the real problem, a problem for the
solution of which, happily, we possess better facilities than have
heretofore existed. One solution that has been suggested assumes that
the fetus loses ultimately its power to assimilate the nourishment
provided through the mother's blood. In consequence, it is argued,
the material which previously enabled the fetus to grow now collects--
in the maternal circulation, stimulating the womb to contract.
A part of this explanation, namely, that the material which
stimulates the muscle fibers, whatever it may be, is a chemical
substance and that it circulates in the mother's blood, is almost
certainly true. There are, however, very weighty reasons for
believing that this substance has not the character of food. A more
plausible supposition is that the fetus produces this material in the
course of its natural living processes, and the substance would
accordingly be a waste-product.
THE COURSE OF LABOR.--The current view that labor begins in the early
evening and generally ends during the night is incorrect. This
impression has grown out of the fact that the whole process
frequently consumes twelve hours and must in such an event include
some part of the night. Statistical evidence indicates that almost as
many births occur at one hour of the twenty-four as another; to be
precise, only five per cent. more children are born between 6 P.M.
and 6 A.M. than between 6 A.M. and 6 P.M.
Public-domain text, read in full here on John Shaqi.
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