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 patients generally feel well during the lying-in period they
are apt to object to remaining in bed two weeks. Most of them
acquiesce as soon as they understand the organic changes in progress
and appreciate the lasting benefits of a temporary forbearance, but a
few must be made to realize that very serious penalties may be
attached to undue haste. For the latter it might be better if the
alarming consequences of getting up too early--discomfort,
hemorrhage, and collapse--occurred more frequently than they do. As
it happens, the ill-effects of such indiscretion are not usually felt
immediately; when too late the lesson is learned that many of the
operations upon women in the later years of life are dependent on
imprudent conduct just after the first child was born.
THE FINAL EXAMINATION.--Looking to complete restoration of the
woman's health, the modern management of obstetrical cases breaks
decisively with tradition at three points. An utter disregard of
precaution has given way to very careful preparations before and at
the time of labor; definite rules for the management of the lying-in
period are carried out under the supervision of the physician; and
finally, prompted by the same impulse, the physician examines his
obstetrical patients before discharging them. Satisfactory conditions
are generally found; if they are, it is a great comfort to be assured
of the fact; and if not, timely treatment of the abnormality may
readily correct it; with delay, on the other hand, treatment often
becomes more formidable.
The end of the fourth week of the lying-in period proves a convenient
time for this examination. As yet the restorative changes in the
reproductive organs have not been completed, but one may definitely
say by this time whether or not they will culminate in a satisfactory
manner. Besides, making the examination while the changes are in
progress sometimes enables the physician to treat approaching
complications before they actually develop. Thus, when the pelvic
floor has not regained its strength sufficiently, the patient will be
advised to forego the liberty in moving about ordinarily granted at
this time. When the womb inclines to an improper position, a
temporary support may be introduced to hold it where it belongs;
later, upon removing the device, the womb usually retains a good
position. Again, there are conditions which a douche will relieve,
and still others benefited by medicinal treatment. If an abnormality
is recognized which cannot at once be treated to the best advantage,
arrangements will be made for such prompt treatment that the woman
will not become an invalid. Instead of placing obstacles in the way,
patients should rather insist upon this examination, for it is
important in guarding their future health.
Public-domain text, read in full here on John Shaqi.
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