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
At any period of lactation there may be an overproduction of milk. In
this event the breasts are likely to become distended, hard, and very
tender. Most frequently "caked breasts," as this condition is called,
develop a few days after delivery, when the secretion of milk is just
beginning, for at first the secretion is more plentiful than need be.
Generally twenty-four hours later there is an adjustment between the
supply of nourishment and the natural demands of the infant.
Occasionally a longer interval elapses before the breast is
completely emptied at each nursing.
Formerly it was customary, whenever the breasts became tense and
uncomfortable, to express an excess of milk by means of massage; but
this mode of treatment lost favor as soon as physicians realized that
massage stimulated the glands to greater activity. Drawing the milk
with a breast-pump has a somewhat similar though less potent
influence, and, because pumping often affords relief when the breasts
are distended, there is rarely any objection to it. In the light of
modern experience, however, most physicians prefer to avoid
manipulation of the breast so far as possible, and generally resort
to other measures to relieve the mother's discomfort. Thus most
patients are made comfortable if an appropriate bandage is used to
transfer the weight of the breasts from the arm-pits and the front of
the chest to the bones of the shoulder-girdle. It may be necessary
also in some cases to swathe the breasts in warm cloths; in others
cold applications are more acceptable; the choice between these
methods will vary with the time of year, and usually may be left to
the patient herself. Now and then medicine will be employed to
relieve the pain, but the administration of drugs to diminish the
production of milk is inadvisable. It is never very long before the
amount of milk becomes adjusted to the infant's wants, and then
distention disappears spontaneously. No artifice can bring about the
adjustment as ideally as nature does.
During the later months of lactation the liability of the breasts to
over-filling is slight, provided the infant empties them regularly
and completely. Nevertheless, so long as a mother is nursing her
child she must be careful to keep the breasts in a healthful
condition. They require support, yet must not be compressed. And they
should be covered with clothing which will adequately protect them
from sudden changes of temperature. This latter precaution, perhaps,
requires more emphasis than formerly, on account of the present
popularity of motoring; for the chill which one experiences when
driving fast may have a very unpleasant effect upon a nursing mother
unless her breasts are carefully protected. Occasionally fever and
neuralgic pains in the breasts are caused by motoring, or by exposure
to the air-current from an electric fan playing directly upon them.
But even under these circumstances an abscess need not be feared
unless the nipples are sore.
Public-domain text, read in full here on John Shaqi.
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