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
Whenever a soft swelling appears over that portion of the scalp which
was foremost during the birth, the curiosity of the family is
aroused; but the swelling is harmless and subsides quickly. It
originates for the same reason that a finger swells if too tight a
ring is worn, which, as everyone knows, is because of interference
with the circulation. Just as the swelling of the finger disappears
when the constriction is removed, so the swelling of the scalp
subsides shortly after the child is born. Usually no trace of it can
be found the next day; but even when more persistent it will always
vanish after a short time.
For the child the most notable result of labor relates to the
revolutionary changes in its mode of existence. Up to the time of
birth the fetus received nourishment by way of the placenta, but
after separation from the mother another source of food must be
found. The health of the tissues, perpetually in need of oxygen,
requires that the lungs act very promptly. Contact with the air,
which is cooler than the previous environment of the child, irritates
the nerve-endings in the skin; in response to the sensation thus
produced breathing is established automatically. Whenever the
temperature stimulus proves insufficient, physicians employ a
stronger one, spanking the child until it cries lustily. Crying not
only expands the lungs, but also has a favorable influence upon
needful alterations in the fetal circulation.
The lungs, since they must from this time on provide oxygen for the
infant, need to receive more blood than formerly. The vessels leading
toward them must be widely opened, and structures which previously
diverted the blood-stream to the navel must be closed. The intricate
shifting of forces which produces the change cannot be understood
without a knowledge of anatomy; it will suffice for us to know that
the blood is drawn into the vessels of the lungs with each
inspiration. Other changes also occur. On account of some of these,
namely, certain alterations in the blood current through the heart,
physicians once taught that newly born infants should always be laid
upon the right side. Except in very unusual cases, that precaution is
now regarded as unnecessary.
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