The sexual life of woman in its physiological, pathological and hygienic aspectsKisch, E. Heinrich (Enoch Heinrich)
Science
The sexual life of woman in its physiological, pathological and hygienic aspects
Kisch, E. Heinrich (Enoch Heinrich)
Gynecology; Menstruation; Women -- Diseases
The processes of pregnancy make a deep impression on woman’s entire
nervous system, and more especially on her mental functions. This is
especially noticeable in the case of primiparæ. The fact is easily
understood, for a woman is filled with expectation and anxiety
concerning the unknown event, the complete revolution in her
organization, the powerful impressions on her physical ego, the
formation of a new being within her womb. How many joyful hopes, how
many distressing fears, are connected with that which is about to take
place, with the act of creation within her bosom; what changeful
glimpses into the future, on the one hand the gladness, on the other the
terror, of motherhood; often, also, the anxious doubts as to the
probable sex of the newcomer. Consider, too, the stormy sensations
experienced by a woman who, unmarried, has become pregnant contrary to
her desires and expectations, especially one in a poverty-stricken
condition—consider the agonizing thoughts in such a case regarding the
consequences of giving birth to a child. It is only to be expected that
in pregnant women in general there will almost always be increased
irritability of the nervous system combined with a tendency to the rapid
variation of emotional states. _Neumann_ found, in almost all the
pregnant women he examined in respect to the point, that there was an
increase of the knee-jerks, as a manifestation of the general increase
of nervous irritability. Nor does this change depend upon mental
influences exclusively; there are other factors, such as the reflex
processes aroused by the enlargement of the uterus, and also the changes
in the composition of the blood which occur during pregnancy, and cannot
fail to have an influence on the nutrition of the brain. Finally, also,
the deposit of carbonate of lime on the inner surfaces of the cranial
bones (the parietal and frontal bones) which occurs during pregnancy,
may be regarded as having some casual connection with the changes in the
nervous system; and, again many authors assume that the cerebral
circulation is influenced by the formation of the placental circulation.
The pathological consequences of pregnancy, as far as they affect the
nervous system, take the form of neuralgia and of peripheral neuritis of
various nerves, of chorea, of disturbances of the sense organs, and of
actual psychoses.
Peripheral neuritis in pregnant women affects chiefly the lower
extremities, but has been observed in the arms also; it is characterized
by muscular wasting with reaction of degeneration, by trophic
disturbances, and by disorders of sensation. A cure may ensue even
during the pregnancy, but in other cases the illness persists until
after parturition and on into the puerperium. To the same cause
_Windscheid_ assigns the paræsthesias of pregnancy, burning, prickling,
and numb sensations of the finger-tips, less commonly of the toe-tips;
these sensations are continuous, not paroxysmal, and cause very great
suffering.
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