To guard against taking cold is one of the maxims, that the pregnant
woman should heed, especially during the last half of gestation when
the prominence of the abdomen shortens the skirts in front and removes
them off from the limbs. Flannel drawers properly adapted to the limbs
and worn underneath the muslin ones affords the best protection that
can be adopted, and it replaces cumbersome skirts. Sudden extreme
variations of temperature should also be avoided, like going from an
overheated apartment into the cold outside air, or into another cold
chilly room. In making these changes, one should gradually cool off,
and then by putting on additional clothing, wraps or shawls, the danger
of taking cold may be removed. Hot coffee or tea or hot alcoholic
beverages are equally as dangerous as overheated apartments, for
anything which stimulates the circulation of the blood in an inordinate
degree is liable to produce a congestion of the placenta, and thus
incite an abortion; hence fevers of all kinds are known to have brought
about an expulsion of the fetus. On the whole, either very hot or very
cold temperatures are to be avoided, for instance, prolonged staying
in cold weather or lengthened exposure to the rays of the sun should
be prudently guarded against by the pregnant female. Of course this is
not to be construed as meaning, that she should not partake of exercise
in the open fresh air—far from it, but the exercise shall not be
forced or driven, it shall at all times be voluntary and passive, so
that when a tired feeling comes on, she can rest and refresh herself.
The best time for these little walks is in the morning and evening
in the summer season and in the middle of the day in cold weather. A
rough, uneven walk should be avoided because she may stumble; jolting
in either street cars or wagon is equally pernicious. A great deal of
stair climbing is injurious, and when it becomes necessary it must be
done slowly; running the sewing machine has caused many miscarriages.
Avoid running, jumping, riding on horseback, and lifting heavy weights,
hanging laundried clothes on lines, in fact everything that can strain
the muscles, bear down, increase the intra-abdominal pressure and
excite the nervous system.