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
_Cramps in the Legs_.--There are nerves as well as blood vessels
that the pregnant uterus may press upon, and pressure of this kind
may cause pain. At times the pain is definitely localized at the
point where the nerve is pressed upon; under these circumstances the
discomfort is felt in the lower part of the back. On the other hand,
the pain may be referred to the point where the nerve ends. In this
way is explained not only pain in the leg but also those sensations
of numbness and tingling which prospective mothers not infrequently
complain of. The presence of these pressure symptoms is usually
limited to the last few weeks of pregnancy. They often begin about
the time the child's head enters the bony canal through which it is
ultimately born; engagement of the head, as this is called, occurs
simultaneously with the dropping of the waist-line, that is, about
two or three weeks before delivery. From the time the head is engaged
all the pressure symptoms become somewhat more intense.
From the very nature of their causation, it is clear that cramps in
the legs are difficult to treat. The recumbent posture lessens the
discomfort, and, if in addition the hips are elevated, absolute
comfort will occasionally be secured. Whether or not the
administration of medicine is advisable must be determined by the
physician who has the opportunity to see the patient. The birth of
the child, of course, removes the cause of the pressure and
permanently relieves this discomfort.
_Shortness of Breath_.--Besides the ailments caused by the
downward pressure of the pregnant uterus, there are also symptoms due
to its upward growth. Thus shortness of breath is regularly noted
toward the end of pregnancy, and, as has already been mentioned, it
is one of the reasons for exercising leisurely.
Unlike the other pressure symptoms, shortness of breath is ordinarily
aggravated by the recumbent posture, for lying flat on the back
increases the compression of the chest. At night, which is frequently
the time when difficulty in breathing is most pronounced, the patient
may, if necessary, sleep propped up in bed. For this purpose an
appliance called a back-rest may be used, but an extra pillow under
the head and shoulders is usually sufficient.
LEUCORRHEA.--The meaning of the white discharge from the vagina known
as leucorrhea is variable: at times it indicates the existence of an
ailment requiring treatment, and at other times it does not. To be on
the safe side, therefore, anyone who is troubled by leucorrhea should
obtain her physician's opinion as to its significance.
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