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
A generation ago physicians were accustomed to see their obstetrical
patients only at the time of labor. No preliminary examination was
thought necessary, and after the delivery visits were not made unless
the family became alarmed and requested them. When thus asked to come
back the physician sometimes found that an infection had developed;
occasionally the breasts were giving trouble, or some other
difficulty in the care of the mother or of the infant was baffling
the nurse. It is now recognized that the medical attendant should not
wait for the appearance of untoward symptoms. Although the strict
observance of the various precautions which I have already emphasized
should lead and usually do lead to an uneventful convalescence, it is
none the less true that the danger of infection and of other
immediate complication has not passed until several weeks after
delivery. For this reason and also because skillful guidance of the
mother at this time will prevent unwelcome sequels in the later years
of life, physicians now extend their watchfulness beyond the hour of
birth. The number of visits ordinarily required is not large. In each
case, to be sure, the circumstances will determine the number; but,
as a rule, ten visits, if properly distributed, will be sufficient.
During the month succeeding delivery these visits should be made in
about this order: a daily visit for the first five days, subsequently
one upon the seventh, the tenth, the fourteenth, the twenty-first,
and the twenty-eighth day.
At the conclusion of labor there begins a series of changes which are
the reverse of those incident to pregnancy, and which restore the
body to its original condition. Six weeks are generally required for
these alterations. They should leave the mother in _perfect_
health, but traces of pregnancy are not entirely effaced; even in the
absence of outward evidence, if a woman has ever given birth to a
child a thorough internal examination will disclose the fact.
The initial steps in these restorative processes are taken most
promptly and effectively when patients remain in bed. The traditional
custom of doing so has given to the first few weeks following
delivery the popular name, "the Lying-in Period." To these weeks
physicians usually apply the technical term _puerperium_, the
child's period, a designation which brings to mind the secretion of
milk which, though not a retrogressive change, is, nevertheless, one
of the most distinctive results of childbirth.
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