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
The physician will always select the proper calisthenics, but the
following "movements" generally prove satisfactory. To exercise the
muscles at the front of the abdomen one leg after the other is raised
and lowered; as this is being done the knee will be bent (flexed) at
first, but later the leg may be held straight (extended). Other
muscles come into play when the feet are alternately brought together
and separated as widely as possible. A third movement which exercises
the muscles at the side of the abdomen consists in raising the
shoulders from the bed and twisting the trunk so that the weight of
the chest rests now on the right, now on the left elbow. When these
movements can be performed fifteen or twenty minutes without fatigue
more vigorous exercises may be adopted. For example, the buttocks,
together with the lower part of the back, are raised off the bed,
while the shoulders, elbows, and the heels remain stationary. A day
or so before getting up the patient should practice alternately
raising herself from the recumbent to the sitting posture and
returning to the above position without assistance from the arms.
The value of bandaging the abdomen immediately after delivery as a
means of strengthening the abdominal muscles is questionable; though
physicians agree to the advantages of a supporter after patients are
out of bed. We constantly see perfect restoration of these muscles
without the early use of a binder; in fact, women who have employed
it throughout the lying-in period do not secure an efficient
abdominal wall more frequently than others who began its use two
weeks after they were delivered. Even those physicians who advocate
an early application of the binder concede that it works harm in
certain cases and do not recommend it indiscriminately.
Those who postpone for a fortnight the use of the binder will escape
the tendency it has to cause displacements. By this time the
involution will have advanced so far that the womb lies within the
pelvic cavity, where it is surrounded by the hip bones, which protect
it from external forces that otherwise would influence its position.
When permitted to get up patients ought to use a binder, because it
counteracts the feeling of "falling to pieces" of which some complain
when the abdominal walls are not comfortably supported. But there is
no evidence to show that a binder plays any part in restoring the
figure. When, in spite of ample rest, the abdominal muscles fail to
recover completely, we have no better way of strengthening them than
by use of calisthenics or massage.
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