Femina, A Work for Every Woman — John Stuart Mill — John Shaqi
Femina, A Work for Every Woman
John Stuart Mill · en
When, in six weeks to three months after confinement, the womb has not
returned to its previous healthy size, weight and state, or if the
enlargement of the womb incident to pregnancy lasts longer than already
specified, we have the disease termed subinvolution. It generally
becomes complicated with inflammation of either the cavity of the womb
or of its entire substance, and often the inflammation extends to all
the other organs and tissues in the pelvis.
Indiscretion in getting up too soon may cause this state of affairs.
Taking cold and excessive exertion should be guarded against.
A mother who has just been delivered must gradually feel her way as to
how much and what she may or can do without jeopardizing her recovery.
Pains in the pelvis, back, and thighs, or a heavy, dragging sensation
after getting up, indicate a subinvolution. These symptoms should
be attended to, because the longer they last the more obstinate the
disease becomes.
Lying on the back after confinement for ten or twelve days is not only
injurious but an unnecessary hardship for every mother. It is one of
the most fruitful causes of an abnormal position or falling back of the
womb, and very often this excites diseases which greatly complicate the
improper location of the organ.
Retroversion and retroflexion of the womb will be considered more
minutely later on. It is generally caused by this common error of
nurses and physicians, who allow the delivered woman to lie and
often insist on her lying on the back. Thus the womb gradually sinks
backwards, instead of falling forwards, where it belongs: see Plate IV.
Women will not generally feel that anything is wrong until some time
after they are up and around. The first few weeks or months after
confinement, persons are inclined to attribute their weakness, pains in
the back or thighs, and other disagreeable sensations, to the natural
consequences of what they have gone through. But after weeks roll
into months, and their former strength and health do not return, then
they seek the advice of a doctor, who will disclose to them the cause
of their suffering. This can be avoided every time by changing the
positions of lying, from one side to the other, and from the back to
the stomach for a change; then naturally the womb will gradually resume
its normal position, which is inclined forward and rests with its body
over and on the bladder. All of these displacements should receive
early and prompt attention.
Antiseptic precautions. Only a few years ago this phrase was entirely
unknown. It originated with the modern antiseptic treatment of wounds,
and from the domain of surgery it has been transplanted into the
department of obstetrics, in which the application of antiseptic
principles has achieved the most brilliant triumphs. From this
conception has sprung the germ theory of disease, which is now, beyond
doubt, an established fact.