A capricious appetite is another of the peculiarities of pregnancy, a
longing for unnatural food, so that some women will enjoy eating such
things as chalk, slate pencils, and similar indigestible stuff; this
I have always considered a form of hysteria, that is, a functional
derangement of the nervous system, for which I gave ten grains of
bromide of sodium three times a day, with the best results; others
again became passionately fond of sour salads, or strong condiments
like mustard, Worcestershire sauce, and salt fish, while others again
long for fruits.
Salivation of the mouth is another very unpleasant symptom which annoys
some women when they are pregnant, for they will secrete such enormous
quantities of saliva, that they cannot help drooling from the mouth
when they speak. In salivation of pregnancy the gums do not become
sore as in the salivation from mercury; in the former the irritation
is confined to the salivary glands alone. The wonderful sympathy that
exists between remotely situated organs of the body is here strikingly
illustrated between the sexual organs and the salivary glands in both
sexes. In mumps also, which is an inflammation of the salivary gland,
it is not unusual for the testes in the male and the mammæ in the
female to become swollen and painful, and as soon as this swelling
takes place, the inflammation of the salivary gland disappears.
The breasts become enlarged and otherwise altered in pregnancy, the
enlargement is accompanied with more or less sharply shooting pain,
they also become harder and are more movable than otherwise. The nipple
becomes more prominent and painfully sensitive, the veins that run
from the breast become distended so that they can be readily traced by
the eye. The presence of milk in the mammæ is another sign, but that,
too, is only presumptive, because the secretion of milk takes place in
other conditions than that of pregnancy; even the newly-born infant
has sometimes milk in its breasts, and milk has been recognized in the
breasts of some males and not infrequently in those of young virgins.
Pigmentation or the deposit of coloring matter in pregnancy has long
been observed as a prominent symptom and when taken together with
other signs it is worthy of careful consideration, but here, too,
we encounter the obstacle to anything of a positive nature, for
discoloration is also met with in females who are suffering from pelvic
diseases and who are not pregnant. Areola is the technical name of that
peculiar circle which immediately surrounds the nipple. In a healthy
virgin this circle is characterized by a beautiful rose-tinted blush,
but under the influence of disease, even in the virgin the circle
becomes more or less discolored. When pregnancy has occurred the areola
around the nipple becomes darker and darker; other parts of the body
become similarly discolored, this occurs on the abdomen and perineum.