=Diet.=—Diet should be regulated and consist of light, nutritious and
predigested foods. Milk should be prepared in various ways palatable to
the patient. Wine and fruits and vegetables in season may be included.
For malnutritious patients, malt and beef extracts may be added.
Starches prepared in fat, and rich pastries should be avoided.
=Elimination.=—The bowels must move regularly, and laxatives may be
given if necessary. Alkalies should be given before bedtime, and
effervescent powders in the morning. Enemata should not be resorted to
unless absolutely necessary, as the sudden expulsion of the contents
may produce abortion. The kidneys may be regulated by giving simple
diuretics; plenty of pure water is the best. The condition of the
kidneys is a most important factor in pregnancy. The urine should be
clear and of sufficient quantity. Meats should be eaten but sparingly,
as they over-produce albumin.
=Baths.=—Daily bathing in tepid water is very essential to encourage
the elimination through the skin and to promote cleanliness. A cold
sponge is stimulating and very agreeable to some patients.
=Exercise.=—Exercise should be moderate. Light work about the home may
be encouraged, care being had to avoid over-lifting, over-reaching,
etc. Walking should be insisted upon, to maintain correct carriage and
posture of the body. Outdoor enjoyments may be had if indulged in with
discretion. Tiredness may be overcome by the patient lying down on an
incline, the head lower than the body, thereby relieving all tension
of the muscles and nerves. Any recumbent position for comfort is
beneficial.
=Breasts and Nipples.=—Plenty of room should be given to permit full
growth and to encourage the nipples to prominence. Their inversion or
depression may be remedied by massage and manipulation. No alcohol
or other strongly astringent washes should be used. The nipples must
not be hardened, but should be kept soft and pliable; cocoa-butter or
other healing ointments may be applied. Cracks and fissures not only
render nursing difficult or impossible, but may lead to mastitis and
subsequent abscess formations. There should be perfect cleanliness, to
promote pure secretion and prevent sepsis.
=Pelvic Organs.=—Pelvic organs do not, under normal conditions, require
douches. The normal vagina cleanses itself, and a hot douche may induce
abortion.