Femina, A Work for Every Woman — John Stuart Mill — John Shaqi
Femina, A Work for Every Woman
John Stuart Mill · en
The diet of the pregnant female should be made a special study for
upon the regimen of food not only depends her immediate comfort, but
its ultimate effect on the process of parturition is equally marked.
I do not agree with the opinion, laid down by some of the highest
authorities, that “as far as eating and drinking is concerned, the
pregnant woman may continue her accustomed diet.” I believe that there
is a diet peculiarly adapted to the pregnant woman and very beneficial
to her if she lives up to it. Stimulants of every kind are not good;
wine, beer, whisky and even strong coffee and tea, as well as highly
seasoned food, salty or sour salads should not be eaten.
How very often does it happen that a very strong, muscular, robust,
healthy young woman, who, during her entire period of gestation, was
in the best of health and spirits, and from whom, from all appearances
one may predict that she will have an “easy time” in her confinement,
quite the opposite occurs. And why as a matter of fact and experience
is this not so, is indeed an interesting inquiry. I believe that the
answer to this question can be made so plain and reasonable, that a
mere statement of a few simple facts will make it apparent.
The process of delivery, presupposes the contraction of the uterus and
the descent of the child down into the pelvic canal and its further
passage through the floor of the pelvis.
The pelvic floor (see page 228) forms the bottom of the pelvic canal
through which the child must be forced. The vagina is the opening
through this floor, and this is composed of the muscles and membranes
of the vagina, the skin, two layers of fascea, the triangular ligaments
of the bladder and a group of interlacing muscles. In the birth of
the child all these tissues are forced to relax to such an extent,
that the vaginal canal (or the vagina) will be sufficiently widened or
dilated to allow the child to pass through into the world. A moment’s
reflection will at once make clear, that in a strong muscular person,
the resistance to the necessary dilatation will become correspondingly
great, because the muscles are so strong and tense. I have attended
some women where the muscles under the excitement of labor pains felt
as tense and hard, as though they were made of strong india rubber.
It is apparent that the muscular resistance that is offered by these
strong, tense muscles, clearly obstructs and delays the passage or
birth of the child and it makes the strongest labor pains of no avail.
And experience teaches, that the progress of labor is slow and the
delivery generally prolonged until the pains and physical suffering of
many hours, exhaust and relax the muscular resistance so that the child
is allowed to pass. If the above truths were generally understood and
generally recognized they might be guarded against by a proper dietetic
regulation, and thus an infinite amount of suffering could be avoided.