THE PSYCHIC STATE IN PREGNANCY.

The Relationship of Maternal and Sexual Emotion--Conception and Loss of

Virginity--The Anciently Accepted Signs of This Condition--The Pervading

Effects of Pregnancy on the Organism--Pigmentation--The Blood and

Circulation--The Thyroid--Changes in the Nervous System--The Vomiting of

Pregnancy--The Longings of Pregnant Women--Maternal Impressions--Evidence

for and Against Their Validity--The Question Still Open--Imperfection of

Our Knowledge--The Significance of Pregnancy.

In analyzing the sexual impulse I have so far deliberately kept out of

view the maternal instinct. This is necessary, for the maternal instinct

is specific and distinct; it is directed to an aim which, however

intimately associated it may be with that of the sexual impulse proper,

can by no means be confounded with it. Yet the emotion of love, as it has

finally developed in the world, is not purely of sexual origin; it is

partly sexual, but it is also partly parental.[169]

In so far as it is parental it is certainly mainly maternal. There is a

drawing by Bronzino in the Louvre of a woman's head gazing tenderly down

at some invisible object; is it her child or her lover? Doubtless her

child, yet the expression is equally adequate to the emotion evoked by a

lover. If we were here specifically dealing with the emotion of love as a

complex whole, and not with the psychology of the sexual impulse, it would

certainly be necessary to discuss the maternal instinct and its associated

emotions. In any case it seems desirable to touch on the psychic state of

pregnancy, for we are here concerned not only with emotions very closely

connected with the sexual emotions in the narrower sense, but we here at

last approach that state which it is the object of the whole sexual

process to achieve.

In civilized life a period of weeks, months, even years, may elapse

between the establishment of sexual relations and the occurrence of

conception. Under primitive conditions the loss of the virginal condition

practically involves the pregnant condition, so that under primitive

conditions very little allowance is made for the state, so common among

civilized peoples, of the woman who is no longer a virgin, yet not about

to become a mother.

There is some interest in noting the signs of loss of virginity

chiefly relied upon by ancient authors. In doing this it is

convenient to follow mainly the full summary of authorities given

by Schurig in his _Barthenologia_ early in the eighteenth

century. The ancient custom, known in classic times, of measuring

the neck the day after marriage was frequently practiced to

ascertain if a girl was or was not a virgin. There were various

ways of doing this. One was to measure with a thread the

circumference of the bride's neck before she went to bed on the

bridal night. If in the morning the same thread would not go

around her neck it was a sure sign that she had lost her

virginity during the night; if not, she was still a virgin or had

been deflowered at an earlier period. Catullus alluded to this

custom, which still exists, or existed until lately, in the south

of France. It is perfectly sound, for it rests on the intimate

response by congestion of the thyroid gland to sexual excitement.

(_Parthenologia_, p. 283; Biérent, _La Puberté_, p. 150; Havelock

Ellis, _Man and Woman_, fourth edition, p. 267.)

Some say, Schurig tells us, that the voice, which in the virgin

is shrill, becomes rougher and deeper after the first coitus. He

quotes Riolan's statement that it is certain that the voice of

those who indulge in venery is changed. On that account the

ancients bound down the penis of their singers, and Martial said

that those who wish to preserve their voices should avoid coitus.

Democritus who one day had greeted a girl as "maiden" on the

following day addressed her as "woman," while in the same way it

is said that Albertus Magnus, observing from his study a girl

going for wine for her master, knew that she had had sexual

intercourse by the way because on her return her voice had become

deeper. Here, again, the ancient belief has a solid basis, for

the voice and the larynx are really affected by sexual

conditions. (_Parthenologia_, p. 286; Marro, _La Puberté_, p.

303; Havelock Ellis, op. cit., pp. 271, 289.)

Others, again, Schurig proceeds, have judged that the goaty smell

given out in the armpits during the venereal act is also no

uncertain sign of defloration, such odor being perceptible in

those who use much venery, and not seldom in harlots and the

newly married, while, as Hippocrates said, it is not perceived in

boys and girls. (_Parthenologia_, p. 286; cf. the previous volume

of these _Studies_, "Sexual Selection in Man," p. 64.)

In virgins, Schurig remarks, the pubic hair is said to be long

and not twisted, while in women accustomed to coitus it is

crisper. But it is only after long and repeated coitus, some

authors add, that the pubic hairs become crisp. Some recent

observers, it may be remarked, have noted a connection between

sexual excitation and the condition of the pubic hair in women.

(Cf. the present volume, _ante_ p. 127.)

A sign to which the old authors often attached much importance

was furnished by the urinary stream. In the _De Secretis

Mulierum_, wrongly attributed to Albertus Magnus, it is laid down

that "the virgin urinates higher than the woman." Riolan, in his

_Anthropographia_, discussing the ability of virgins to ejaculate

urine to a height, states that Scaliger had observed women who

were virgins emit urine in a high jet against a wall, but that

married women could seldom do this. Bouaciolus also stated that

the urine of virgins is emitted in a small stream to a distance

with an acute hissing sound. (_Parthenologia_, p. 281.) A

folk-lore belief in the reality of this influence is evidenced by

the Picardy _conte_ referred to already (_ante_, p. 53), "La

Princesse qui pisse au dessus les Meules." There is no doubt a

tendency for the various stresses of sexual life to produce an

influence in this direction, though they act far too slowly and

uncertainly to be a reliable index to the presence or the absence

of virginity.

Another common ancient test of virginity by urination rests on a

psychic basis, and appears in a variety of forms which are really

all reducible to the same principle. Thus we are told in _De

Secretis Mulierum_ that to ascertain if a girl is seduced she

should be given to eat of powdered crocus flowers, and if she has

been seduced she immediately urinates. We are here concerned with

auto-suggestion, and it may well be believed that with nervous

and credulous girls this test often revealed the truth.

A further test of virginity discussed by Schurig is the presence

of modesty of countenance. If a woman blushes her virtue is safe.

In this way girls who have themselves had experience of the

marriage bed are said to detect the virgin. The virgin's eyes are

cast down and almost motionless, while she who has known a man

has eyes that are bright and quick. But this sign is equivocal,

says Schurig, for girls are different, and can simulate the

modesty they do not feel. Yet this indication also rests on a

fundamentally sound psychological basis. (See "The Evolution of

Modesty," in the first volume of these _Studies_.)

In his _Syllepsilogia_ (Section V, cap. I-II), published in 1731,

Schurig discusses further the anciently recognized signs of

pregnancy. The real or imaginary signs of pregnancy sought by

various primitive peoples of the past and present are brought

together by Ploss and Bartels, _Das Weib_, bd. i, Chapter XXVII.

Both physically and psychically the occurrence of pregnancy is, however, a

distinct event. It marks the beginning of a continuous physical process,

which cannot fail to manifest psychic reactions. A great center of vital

activity--practically a new center, for only the germinal form of it in

menstruation had previously existed--has appeared and affects the whole

organism. "From the moment that the embryo takes possession of the woman,"

Robert Barnes puts it, "every drop of blood, every fiber, every organ, is

affected."[170]

A woman artist once observed to Dr. Stratz, that as the final aim of a

woman is to become a mother and pregnancy is thus her blossoming time, a

beautiful woman ought to be most beautiful when she is pregnant. That is

so, Stratz replied, if her moment of greatest physical perfection

corresponds with the early months of pregnancy, for with the beginning of

pregnancy metabolism is increased, the color of the skin becomes more

lively and delicate, the breasts firmer.[171] Pregnancy may, indeed, often

become visible soon after conception by the brighter eye, the livelier

glance, resulting from greater vascular activity, though later, with the

increase of strain, the face may tend to become somewhat thin and

distorted. The hair, Barnes states, assumes a new vigor, even though it

may have been falling out before. The temperature rises; the weight

increases, even apart from the growth of the foetus. The efflorescence of

pregnancy shows itself, as in the blossoming and fecundated flower, by

increased pigmentation.[172] The nipples with their areolæ, and the

mid-line of the belly, become darker; brown flecks (lentigo) tend to

appear on the forehead, neck, arms, and body; while striæ--at first

blue-red, then a brilliant white--appear on the belly and thighs, though

these are scarcely normal, for they are not seen in women with very

elastic skins and are rare among peasants and savages.[173] The whole

carriage of the woman tends to become changed with the development of the

mighty seed of man planted within her; it simulates the carriage of pride

with the arched back and protruded abdomen.[174] The pregnant woman has

been lifted above the level of ordinary humanity to become the casket of

an inestimable jewel.

It is in the blood and the circulation that the earliest of the most

prominent symptoms of pregnancy are to be found. The ever increasing

development of this new focus of vascular activity involves an increased

vascular activity in the whole organism. This activity is present almost

from the first--a few days after the impregnation of the ovum--in the

breasts, and quickly becomes obvious to inspection and palpation. Before a

quite passive organ, the breast now rapidly increases in activity of

circulation and in size, while certain characteristic changes begin to

take place around the nipples.[175] As a result of the additional work

imposed upon it the heart tends to become slightly hypertrophied in order

to meet the additional strain; there may be some dilatation also.[176]

The recent investigations of Stengel and Stanton tend to show

that the increase of the heart's work during pregnancy is less

considerable than has generally been supposed, and that beyond

some enlargement and dilatation of the right ventricle there is

not usually any hypertrophy of the heart.

The total quantity of blood is raised. While increased in quantity, the

blood appears on the whole to be somewhat depreciated in quality, though

on this point there are considerable differences of opinion. Thus, as

regards hæmoglobin, some investigators have found that the old idea as to

the poverty of hæmoglobin in pregnancy is quite unfounded; a few have even

found that the hæmoglobin is increased. Most authorities have found the

red cells diminished, though some only slightly, while the white cells,

and also the fibrin, are increased. But toward the end of pregnancy there

is a tendency, perhaps due to the establishment of compensation, for the

blood to revert to the normal condition.[177]

It would appear probable, however, that the vascular phenomena of

pregnancy are not altogether so simple as the above statement would imply.

The activity of various glands at this time--well illustrated by the

marked salivation which sometimes occurs--indicates that other modifying

forces are at work, and it has been suggested that the changes in the

maternal circulation during pregnancy may best be explained by the theory

that there are two opposing kinds of secretion poured into the blood in

unusual degree during pregnancy: one contracting the vessels, the other

dilating them, one or the other sometimes gaining the upper hand.

Suprarenal extract, when administered, has a vaso-constricting influence,

and thyroid extract a vasodilating influence; it may be surmised that

within the body these glands perform similar functions.[178]

The important part played by the thyroid gland is indicated by its marked

activity at the very beginning of pregnancy. We may probably associate the

general tendency to vasodilatation during early pregnancy with the

tendency to goitre; Freund found an increase of the thyroid in 45 per

cent. of 50 cases. The thyroid belongs to the same class of ductless

glands as the ovary, and, as Bland Sutton and others have insisted, the

analogies between the thyroid and the ovary are very numerous and

significant. It may be added that in recent years Armand Gautier has noted

the importance of the thyroid in elaborating nucleo-proteids containing

arsenic and iodine, which are poured into the circulation during

menstruation and pregnancy. The whole metabolism of the body is indeed

affected, and during the latter part of pregnancy study of the ingesta and

egesta has shown that a storage of nitrogen and even of water is taking

place.[179] The woman, as Pinard puts it, forms the child out of her own

flesh, not merely out of her food; the individual is being sacrificed to

the species.

The changes in the nervous system of the pregnant woman correspond to

those in the vascular system. There is the same increase of activity, a

heightening of tension. Bruno Wolff, from experiments on bitches,

concluded that the central nervous system in women is probably more easily

excited in the pregnant than in the non-pregnant state, though he was not

prepared to call this cerebral excitability "specific."[180] Direct

observations on pregnant women have shown, without doubt, a heightened

nervous irritability. Reflex action generally is increased. Neumann

investigated the knee-jerk in 500 women during pregnancy, labor, and the

puerperium, and in a large number found that there was a progressive

exaggeration with the advance of pregnancy, little or no change being

observed in the early months; sometimes when no change was observed during

pregnancy the knee-jerk still increased during labor, reaching its maximum

at the moment of the expulsion of the foetus; the return to the normal

condition took place gradually during the puerperium. Tridandani found in

pregnant women that though the superficial reflexes, with the exception of

the abdominal, were diminished, the deep and tendon reflexes were markedly

increased, especially that of the knee, these changes being more marked in

primiparæ than in multiparæ, and more pronounced as pregnancy advanced,

the normal condition returning with ten days after labor. Electrical

excitability was sensibly diminished.[181]

One of the first signs of high nervous tension is vomiting. As is well

known, this phenomenon commonly appears early in pregnancy, and it is by

many considered entirely physiological. Barnes regards it as a kind of

safety valve, a regulating function, letting off excessive tension and

maintaining equilibrium.[182] Vomiting is, however, a convulsion, and is

thus the simplest form of a kind of manifestation--to which the heightened

nervous tension of pregnancy easily lends itself--that finds its extreme

pathological form in eclampsia. In this connection it is of interest to

point out that the pregnant woman here manifests in the highest degree a

tendency which is marked in women generally, for the female sex, apart

altogether from pregnancy, is specially liable to convulsive

phenomena.[183]

There is some slight difference of opinion among authorities as

to the precise nature and causation of the sickness of pregnancy.

Barnes, Horrocks and others regard it as physiological; but many

consider it pathological; this is, for instance, the opinion of

Giles. Graily Hewitt attributed it to flexion of the gravid

uterus, Kaltenbach to hysteria, and Zaborsky terms it a neurosis.

Whitridge Williams considers that it may be (1) reflex, or (2)

neurotic (when it is allied to hysteria and amenable to

suggestion), or (3) toxæmic. It really appears to lie on the

borderland between healthy and diseased manifestations. It is

said to be unknown to farmers and veterinary surgeons. It appears

to be little known among savages; it is comparatively infrequent

among women of the lower social classes, and, as Giles has found,

women who habitually menstruate in a painless and normal manner

suffer comparatively little from the sickness of pregnancy.

We owe a valuable study of the sickness of pregnancy to Giles,

who analyzed the records of 300 cases. He concluded that about

one-third of the pregnant women were free from sickness

throughout pregnancy, 45 per cent. were free during the first

three months. When sickness occurred it began in 70 per cent. of

cases in the first month, and was most frequent during the second

month. The duration varied from a few days to all through.

Between the ages of 20 and 25 sickness was least frequent, and

there was less sickness in the third than in any other pregnancy.

(This corresponds with the conclusion of Matthews Duncan that 25

is the most favorable age for pregnancy.) To some extent in

agreement with Guéniot, Giles believes that the vomiting of

pregnancy is "one form of manifestation of the high nervous

irritability of pregnancy." This high nervous tension may

overflow into other channels, into the vascular and excretory

system, causing eclampsia; into the muscular system, causing

chorea, or, expending itself in the brain, give rise to hysteria

when mild or insanity when severe. But the vagi form a very ready

channel for such overflow, and hence the frequency of sickness in

pregnancy. There are thus three main factors in the causation of

this phenomenon: (1) An increased nervous irritability; (2) a

local source of irritation; (3) a ready efferent channel for

nervous energy. (Arthur Giles, "Observations on the Etiology of

the Sickness of Pregnancy," _Transactions Obstetrical Society of

London_, vol. xxv, 1894.)

Martin, who regards the phenomenon as normal, points out that

when nausea and vomiting are absent or suddenly cease there is

often reason to suspect something wrong, especially the death of

the embryo. He also remarks that women who suffer from large

varicose veins are seldom troubled by the nausea of pregnancy.

(J.M.H. Martin, "The Vomiting of Pregnancy," _British Medical

Journal_, December 10, 1904.) These observations may be connected

with those of Evans (_American Gynæcological and Obstetrical

Journal_, January, 1900), who attributes primary importance to

the undoubtedly active factor of the irritation set up by the

uterus, more especially the rhythmic uterine contractions;

stimulation of the breasts produces active uterine contractions,

and Evans found that examination of the breasts sufficed to bring

on a severe attack of vomiting, while on another occasion this

was produced by a vaginal examination. Evans believes that the

purpose of these contractions is to facilitate the circulation of

the blood through the large venous sinuses, the surcharging of

the relatively stagnant pools with effete blood producing the

irritation which leads to rhythmic contractions.

It is on the basis of the increased vascular and glandular activity and

the heightened nervous tension that the special psychic phenomena of

pregnancy develop. The best known, and perhaps the most characteristic of

these manifestations, is that known as "longings." By this term is meant

more or less irresistible desires for some special food or drink, which

may be digestible or indigestible, sometimes a substance which the woman

ordinarily likes, such as fruit, and occasionally one which, under

ordinary circumstances, she dislikes, as in one case known to me of a

young country woman who, when bearing her child, was always longing for

tobacco and never happy except when she could get a pipe to smoke,

although under ordinary circumstances, like other young women of her

class, she was without any desire to smoke. Occasionally the longings lead

to actions which are more unscrupulous than is common in the case of the

same person at other times; thus in one case known to me a young woman,

pregnant with her first child, insisted to her sister's horror on entering

a strawberry field and eating a quantity of fruit. These "longings" in

their extreme form may properly be considered as neurasthenic obsessions,

but in their simple and less pronounced forms they may well be normal and

healthy.

The old medical authors abound in narratives describing the

longings of pregnant women for natural and unnatural foods. This

affection was commonly called _pica_, sometimes _citra_ or

_malatia_. Schurig, whose works are a comprehensive treasure

house of ancient medical lore, devotes a long chapter (cap. II)

of his _Chylologia_, published in 1725, to pica as manifested

mainly, though not exclusively, in pregnant women. Some women, he

tells us, have been compelled to eat all sorts of earthy

substances, of which sand seems the most common, and one Italian

woman when pregnant ate several pounds of sand with much

satisfaction, following it up with a draught of her own urine.

Lime, mud, chalk, charcoal, cinders, pitch are also the desired

substances in other cases detailed. One pregnant woman must eat

bread fresh from the oven in very large quantities, and a certain

noble matron ate 140 sweet cakes in one day and night. Wheat and

various kinds of corn as well as of vegetables were the foods

desired by many longing women. One woman was responsible for 20

pounds of pepper, another ate ginger in large quantities, a third

kept mace under her pillow; cinnamon, salt, emulsion of almonds,

treacle, mushrooms were desired by others. Cherries were longed

for by one, and another ate 30 or 40 lemons in one night. Various

kinds of fish--mullet, oysters, crabs, live eels, etc.--are

mentioned, while other women have found delectation in lizards,

frogs, spiders and flies, even scorpions, lice and fleas. A

pregnant woman, aged 33, of sanguine temperament, ate a live fowl

completely with intense satisfaction. Skin, wool, cotton, thread,

linen, blotting paper have been desired, as well as more

repulsive substances, such as nasal mucus and feces (eaten with

bread). Vinegar, ice, and snow occur in other cases. One woman

stilled a desire for human flesh by biting the nates of children

or the arms of men. Metals are also swallowed, such as iron,

silver, etc. One pregnant woman wished to throw eggs in her

husband's face, and another to have her husband throw eggs in her

face.

In the next chapter of the same work Schurig describes cases of

acute antipathy which may arise under the same circumstances

(cap. III, "De Nausea seu Antipathia certorum ciborum"). The list

includes bread, meat, fowls, fish, eels (a very common

repulsion), crabs, milk, butter (very often), cheese (often),

honey, sugar, salt, eggs, caviar, sulphur, apples (especially

their odor), strawberries, mulberries, cinnamon, mace, capers,

pepper, onions, mustard, beetroot, rice, mint, absinthe, roses

(many pages are devoted to this antipathy), lilies, elder

flowers, musk (which sometimes caused vomiting), amber, coffee,

opiates, olive oil, vinegar, cats, frogs, spiders, wasps, swords.

More recently Gould and Pyle (_Anomalies and Curiosities of

Medicine_, p. 80) have briefly summarized some of the ancient and

modern records concerning the longings of pregnant women.

Various theories are put forward concerning the causation of the longings

of pregnant women, but none of these seems to furnish by itself a complete

and adequate explanation of all cases. Thus it is said that the craving is

the expression of a natural instinct, the system of the pregnant woman

really requiring the food she longs for. It is quite probable that this is

so in many cases, but it is obviously not so in the majority of cases,

even when we confine ourselves to the longings for fairly natural foods,

while we know so little of the special needs of the organism during

pregnancy that the theory in any case is insusceptible of clear

demonstration.

Allied to this theory is the explanation that the longings are for things

that counteract the tendency to nausea and sickness. Giles, however, in

his valuable statistical study of the longings of a series of 300 pregnant

women, has shown that the percentage of women with longings is exactly the

same (33 per cent.) among women who had suffered at some time during

pregnancy from sickness as among the women who had not so suffered.

Moreover, Giles found that the period of sickness frequently bore no

relation to the time when there were cravings, and the patient often had

cravings after the sickness had ceased.

According to another theory these longings are mainly a matter of

auto-suggestion. The pregnant woman has received the tradition of such

longings, persuades herself that she has such a longing, and then becomes

convinced that, according to a popular belief, it will be bad for the

child if the longing is not gratified. Giles considers that this process

of auto-suggestion takes place "in a certain number, perhaps even in the

majority of cases."[184]

The Duchess d'Abrantès, the wife of Marshal Junot, in her

_Mémoires_ gives an amusing account of how in her first pregnancy

a longing was apparently imposed upon her by the anxious

solicitude of her own and her husband's relations. Though

suffering from constant nausea and sickness, she had no longings.

One day at dinner after the pregnancy had gone on for some months

her mother suddenly put down her fork, exclaiming: "I have never

asked you what longing you have!" She replied with truth that she

had none, her days and her nights being occupied with suffering.

"No _envie!_" said the mother, "such a thing was never heard of.

I must speak to your mother-in-law." The two old ladies consulted

anxiously and explained to the young mother how an unsatisfied

longing might produce a monstrous child, and the husband also now

began to ask her every day what she longed for. Her

sister-in-law, moreover, brought her all sorts of stories of

children born with appalling mother's marks due to this cause.

She became frightened and began to wonder what she most wanted,

but could think of nothing. At last, when eating a pastille

flavored with pineapple, it occurred to her that pineapple is an

excellent fruit, and one, moreover, which she had never seen, for

at that time it was extremely rare. Thereupon she began to long

for pineapple, and all the more when she was told that at that

season they could not be obtained. She now began to feel that she

must have pineapple or die, and her husband ran all over Paris,

vainly offering twenty louis for a pineapple. At last he

succeeded in obtaining one through the kindness of Mme.

Bonaparte, and drove home furiously just as his wife, always

talking of pineapples, had gone to bed. He entered the room with

the pineapple, to the great satisfaction of the Duchess's mother.

(In one of her own pregnancies, it appears, she longed in vain

for cherries in January, and the child was born with a mark on

her body resembling a cherry--in scientific terminology, a

_nævus_.) The Duchess effusively thanked her husband and wished

to eat of the fruit immediately, but her husband stopped her and

said that Corvisart, the famous physician, had told him that she

must on no account touch it at night, as it was extremely

indigestible. She promised not to do so, and spent the night in

caressing the pineapple. In the morning the husband came and cut

up the fruit, presenting it to her in a porcelain bowl. Suddenly,

however, there was a revulsion of feeling; she felt that she

could not possibly eat pineapple; persuasion was useless; the

fruit had to be taken away and the windows opened, for the very

smell of it had become odious. The Duchess adds that henceforth,

throughout her life, though still liking the flavor, she was only

able to eat pineapple by doing a sort of violence to herself.

(_Mémories de la Duchesse d'Abrantès_, vol. iii, Chapter VIII.)

It should be added that, in old age, the Duchess d'Abrantès

appears to have become insane.

The influence of suggestion must certainly be accepted as, at all events,

increasing and emphasizing the tendency to longings. It can scarcely,

however, be regarded as a radical and adequate explanation of the

phenomenon generally. If it is a matter of auto-suggestion due to a

tradition, then we should expect to find longings most frequent and most

pronounced in multiparous women, who are best acquainted with the

tradition and best able to experience all that is expected of a pregnant

woman. But, as a matter of fact, the women who have borne most children

are precisely those who are least likely to be affected by the longings

which tradition demands they should manifest. Giles has shown that

longings occur much more frequently in the first than in any subsequent

pregnancy; there is a regular decrease with the increase in number of

pregnancies until in women with ten or more children the longings scarcely

occur at all.

We must probably regard longings as based on a physiological and psychic

tendency which is of universal extension and almost or quite normal. They

are known throughout Europe and were known to the medical writers of

antiquity. Old Indian as well as old Jewish physicians recognized them.

They have been noted among many savage races to-day: among the Indians of

North and South America, among the peoples of the Nile and the Soudan, in

the Malay archipelago.[185] In Europe they are most common among the

women of the people, living simple and natural lives.[186]

The true normal relationship of the longings of pregnancy is with the

impulsive and often irresistible longings for food delicacies which are

apt to overcome children, and in girls often persist or revive through

adolescence and even beyond. Such sudden fits of greediness belong to

those kind of normal psychic manifestations which are on the verge of the

abnormal into which they occasionally pass. They may occur, however, in

healthy, well-bred, and well-behaved children who, under the stress of the

sudden craving, will, without compunction and apparently without

reflection, steal the food they long for or even steal from their parents

the money to buy it. The food thus seized by a well-nigh irresistible

craving is nearly always a fruit. Fruit is usually doled out to children

in small quantities as a luxury, but we are descended from primitive human

peoples and still more remote ape-like ancestors, by whom fruit was in its

season eaten copiously, and it is not surprising that when that season

comes round the child, more sensitive than the adult to primitive

influences, should sometimes experience the impulse of its ancestors with

overwhelming intensity, all the more so if, as is probable, the craving is

to some extent the expression of a physiological need.

Sanford Bell, who has investigated the food impulses of children

in America, finds that girls have a greater number of likes and

dislikes in foods than boys of the same age, though at the same

time they have less dislikes to some foods than boys. The

proclivity for sweets and fruits shows itself as soon as a child

begins to eat solids. The chief fruits liked are oranges,

bananas, apples, peaches, and pears. This strong preference for

fruits lasts till the age of 13 or 14, though relatively weaker

from 10 to 13. In girls, however, Bell notes the significant fact

from our present point of view that at mid-adolescence there is a

revived taste for sweets and fruits. He believes that the growth

of children in taste in foods recapitulates the experience of the

race. (S. Bell, "An Introductory Study of the Psychology of

Foods." _Pedagogical Seminary_, March, 1904.)

The heightened nervous impressionability of pregnancy would appear to

arouse into activity those primitive impulses which are liable to occur in

childhood and in the unmarried girl continue to the nubile age. It is a

significant fact that the longings of pregnant women are mainly for fruit,

and notably for so wholesome a fruit as the apple, which may very well

have a beneficial effect on the system of the pregnant woman. Giles, in

his tabulation of the foods longed for by 300 pregnant women, found that

the fruit group was by far the largest, furnishing 79 cases; apples were

far away at the head, occurring in 34 cases out of the 99 who had

longings, while oranges followed at a distance (with 13 cases), and in the

vegetable group tomatoes came first (with 6 cases). Several women declared

"I could have lived on apples," "I was eating apples all day," "I used to

sit up in bed eating apples."[187] Pregnant women appear seldom to long

for the possession of objects outside the edible class, and it seems

doubtful whether they have any special tendency to kleptomania. Pinard has

pointed out that neither Lasègue nor Lunier, in their studies of

kleptomania, have mentioned a single shop robbery committed by a pregnant

woman.[188] Brouardel has indeed found such cases, but the object stolen

was usually a food.

A further significant fact connecting the longings of pregnant women with

the longings of children is to be found in the fact that they occur mainly

in young women. We have, indeed, no tabulation of the ages of pregnant

women who have manifested longings, but Giles has clearly shown that these

chiefly occur in primiparæ, and steadily and rapidly decrease in each

successive pregnancy. This fact, otherwise somewhat difficult of

explanation, is natural if we look upon the longings of pregnancy as a

revival of those of childhood. It certainly indicates also that we can by

no means regard these longings as exclusively the expression of a

physiological craving, for in that case they would be liable to occur in

any pregnancy unless, indeed, it is argued that with each successive

pregnancy the woman becomes less sensitive to her own physiological state.

There has been a frequent tendency, more especially among

primitive peoples, to regard a pregnant woman's longings as

something sacred and to be indulged, all the more, no doubt, as

they are usually of a simple and harmless character. In the Black

Forest, according to Ploss and Bartels, a pregnant woman may go

freely into other people's gardens and take fruit, provided she

eats it on the spot, and very similar privileges are accorded to

her elsewhere. Old English opinion, as reflected, for instance,

in Ben Jonson's plays (as Dr. Harriet C.B. Alexander has pointed

out), regards the pregnant woman as not responsible for her

longings, and Kiernan remarks ("Kleptomania and Collectivism,"

_Alienist and Neurologist_, November, 1902) that this is in "a

most natural and just view." In France at the Revolution a law of

the 28th Germinal, in the year III, to some extent admitted the

irresponsibility of the pregnant woman generally,--following the

classic precedent, by which a woman could not be brought before a

court of justice so long as she was pregnant,--but the Napoleonic

code, never tender to women, abrogated this. Pinard does not

consider that the longings of pregnant women are irresistible,

and, consequently, regards the pregnant woman as responsible.

This is probably the view most widely held. In any case these

longings seldom come up for medico-legal consideration.

The phenomena of the longings of pregnancy are linked to the much more

obscure and dubious phenomena of the influence of maternal impressions on

the child within the womb. It is true, indeed, that there is no real

connection whatever between these two groups of manifestations, but they

have been so widely and for so long closely associated in the popular mind

that it is convenient to pass directly from one to the other. The same

name is sometimes given to the two manifestations; thus in France a

pregnant longing is an _envie_, while a mother's mark on the child is also

called an _envie_, because it is supposed to be due to the mother's

unsatisfied longing.

The conception of a "maternal impression" (the German _Versehen_) rests on

the belief that a powerful mental influence working on the mother's mind

may produce an impression, either general or definite, on the child she is

carrying. It makes a great deal of difference whether the effect of the

impression on the child is general, or definite and circumscribed. It is

not difficult to believe that a general effect--even, as Sir Arthur

Mitchell first gave good reason for believing, idiocy--may be produced on

the child by strong and prolonged emotional influence working on the

mother, because such general influence may be transmitted through a

deteriorated blood-stream. But it is impossible at present to understand

how a definite and limited influence working on the mother could produce a

definite and limited effect on the child, for there are no channels of

nervous communications for the passage of such influences. Our difficulty

in conceiving of the process must, however, be put aside if the fact

itself can be demonstrated by convincing evidence.

In order to illustrate the nature of maternal impressions, I will

summarize a few cases which I have collected from the best

medical periodical literature during the past fifteen years. I

have exercised no selection and in no way guarantee the

authenticity of the alleged facts or the alleged explanation.

They are merely examples to illustrate a class of cases published

from time to time by medical observers in medical journals of

high repute.

Early in pregnancy a woman found her pet rabbit killed by a cat

which had gnawed off the two forepaws, leaving ragged stumps; she

was for a long time constantly thinking of this. Her child was

born with deformed feet, one foot with only two toes, the other

three, the os calcis in both feet being either absent or little

developed. (G.B. Beale, Tottenham, _Lancet_, May 4, 1889).

Three months and a half before birth of the child the father, a

glazier, fell through the roof of a hothouse, severely cutting

his right arm, so that he was lying in the infirmary for a long

time, and it was doubtful whether the hand could be saved. The

child was healthy, but on the flexor surface of the radial side

of the right forearm just above the wrist--the same spot as the

father's injury--there was a nævus the size of a sixpence. (W.

Russell, Paisley, _Lancet_, May 11, 1889.)

At the beginning of pregnancy a woman was greatly scared by being

kicked over by a frightened cow she was milking; she hung on to

the animal's teats, but thought she would be trampled to death,

and was ill and nervous for weeks afterwards. The child was a

monster, with a fleshy substance--seeming to be prolonged from

the spinal cord and to represent the brain--projecting from the

floor of the skull. Both doctor and nurse were struck by the

resemblance to a cow's teats before they knew the woman's story,

and this was told by the woman immediately after delivery and

before she knew to what she had given birth. (A. Ross Paterson,

Reversby, Lincolnshire, _Lancet_, September 29, 1889.)

During the second month of pregnancy the mother was terrified by

a bullock as she was returning from market. The child reached

full term and was a well-developed male, stillborn. Its head

"exactly resembled a miniature cow's head;" the occipital bone

was absent, the parietals only slightly developed, the eyes were

placed at the top of the frontal bone, which was quite flat, with

each of its superior angles twisted into a rudimentary horn.

(J.T. Hislop, Tavistock, Devon, _Lancet_, November 1, 1890.)

When four months pregnant the mother, a multipara of 30, was

startled by a black and white collie dog suddenly pushing against

her and rushing out when she opened the door. This preyed on her

mind, and she felt sure her child would be marked. The whole of

the child's right thigh was encircled by a shining black mole,

studded with white hairs; there was another mole on the spine of

the left scapula. (C.F. Williamson, Horley, Surrey, _Lancet_,

October 11, 1890.)

A lady in comfortable circumstances, aged 24, not markedly

emotional, with one child, in all respects healthy, early in her

pregnancy saw a man begging whose arms and legs were "all doubled

up." This gave her a shock, but she hoped no ill effects would

follow. The child was an encephalous monster, with the

extremities rigidly flexed and the fingers clenched, the feet

almost sole to sole. In the next pregnancy she frequently passed

a man who was a partial cripple, but she was not unduly

depressed; the child was a counterpart of the last, except that

the head was normal. The next child was strong and well formed.

(C.W. Chapman, London, _Lancet_, October 18, 1890.)

When the pregnant mother was working in a hayfield her husband

threw at her a young hare he had found in the hay; it struck her

on the cheek and neck. Her daughter has on the left cheek an

oblong patch of soft dark hair, in color and character clearly

resembling the fur of a very young hare. (A. Mackay, Port Appin,

N.B., _Lancet_, December 19, 1891. The writer records also four

other cases which have happened in his experience.)

When the mother was pregnant her husband had to attend to a sow

who could not give birth to her pigs; he bled her freely, cutting

a notch out of both ears. His wife insisted on seeing the sow.

The helix of each ear of her child at birth was gone, for nearly

or quite half an inch, as if cut purposely. (R.P. Roons, _Medical

World_, 1894.)

A lady when pregnant was much interested in a story in which one

of the characters had a supernumerary digit, and this often

recurred to her mind. Her baby had a supernumerary digit on one

hand. (J. Jenkyns, Aberdeen, _British Medical Journal_, March 2,

1895. The writer also records another case.)

When pregnant the mother saw in the forest a new-born fawn which

was a double monstrosity. Her child was a similar double

monstrosity (_cephalothora copagus_). (Hartmann, _Münchener

Medicinisches Wochenschrift_, No. 9, 1895.)

A well developed woman of 30, who had ten children in twelve

years, in the third month of her tenth pregnancy saw a child run

over by a street car, which crushed the upper and back part of

its head. Her own child was anencephalic and acranial, with

entire absence of vault of skull. (F.A. Stahl, _American Journal

of Obstetrics_, April, 1896.)

A healthy woman with no skin blemish had during her third

pregnancy a violent appetite for sunfish. During or after the

fourth month her husband, as a surprise, brought her some sunfish

alive, placing them in a pail of water in the porch. She stumbled

against the pail and the shock caused the fish to flap over the

pail and come in violent contact with her leg. The cold wriggling

fish produced a nervous shock, but she attached no importance to

this. The child (a girl) had at birth a mark of bronze pigment

resembling a fish with the head uppermost (photograph given) on

the corresponding part of the same leg. Daughter's health good;

throughout life she has had a strong craving for sunfish, which

she has sometimes eaten till she has vomited from repletion.

(C.F. Gardiner, Colorado Springs, _American Journal Obstetrics_,

February, 1898.)

The next case occurred in a bitch. A thoroughbred fox terrier

bitch strayed and was discovered a day or two later with her

right foreleg broken. The limb was set under chloroform with the

help of Röntgen rays, and the dog made a good recovery. Several

weeks later she gave birth to a puppy with a right foreleg that

was ill-developed and minus the paw. (J. Booth, Cork, _British

Medical Journal_, September 16, 1899.)

Four months before the birth of her child a woman with four

healthy children and no history of deformity in the family fell

and cut her left wrist severely against a broken bowl; she had a

great fright and shock. Her child, otherwise perfect, was born

without left hand and wrist, the stump of arm terminating at

lower end of radius and ulna. (G. Ainslie Johnston, Ambleside,

_British Medical Journal_, April 18, 1903.)

The belief in the reality of the transference of strong mental or physical

impressions on the mother into physical changes in the child she is

bearing is very ancient and widespread. Most writers on the subject begin

with the book of Genesis and the astute device of Jacob in influencing the

color of his lambs by mental impressions on his ewes. But the belief

exists among even more primitive people than the early Hebrews, and in all

parts of the world.[189] Among the Greeks there is a trace of the belief

in Hippocrates, the first of the world's great physicians, while Soranus,

the most famous of ancient gynæcologists, states the matter in the most

precise manner, with instances in proof. The belief continued to persist

unquestioned throughout the Middle Ages. The first author who denied the

influence of maternal impressions altogether appears to have been the

famous anatomist, Realdus Columbus, who was a professor at Padua, Pisa,

and Rome at the beginning of the sixteenth century. In the same century,

however, another and not less famous Neapolitan, Della Porta, for the

first time formulated a definite theory of maternal impressions. A little

later, early in the seventeenth century, a philosophic physician at Padua,

Fortunatus Licetus, took up an intermediate position which still finds,

perhaps reasonably, a great many adherents. He recognized that a very

frequent cause of malformation in the child is to be found in morbid

antenatal conditions, but at the same time was not prepared to deny

absolutely and in every case the influence of maternal impression on such

conditions. Malebranche, the Platonic philosopher, allowed the greatest

extension to the power of the maternal imagination. In the eighteenth

century, however, the new spirit of free inquiry, of radical criticism,

and unfettered logic, led to a sceptical attitude toward this ancient

belief then flourishing vigorously.[190] In 1727, a few years after

Malebranche's death, James Blondel, a physician of extreme acuteness, who

had been born in Paris, was educated at Leyden, and practiced in London,

published the first methodical and thorough attack on the doctrine of

maternal impressions, _The Strength of Imagination of Pregnant Women

Examined_, and exercised his great ability in ridiculing it. Haller,

Roederer, and Sömmering followed in the steps of Blondel, and were either

sceptical or hostile to the ancient belief. Blumenbach, however, admitted

the influence of maternal impressions. Erasmus Darwin, as well as Goethe

in his _Wahlverwandtschaften_, even accepted the influence of paternal

impressions on the child. By the beginning of the nineteenth century the

majority of physicians were inclined to relegate maternal impressions to

the region of superstition. Yet the exceptions were of notable importance.

Burdach, when all deductions were made, still found it necessary to retain

the belief in maternal impressions, and Von Baer, the founder of

embryology, also accepted it, supported by a case, occurring in his own

sister, which he was able to investigate before the child's birth. L.W.T.

Bischoff, also, while submitting the doctrine to acute criticism, found it

impossible to reject maternal impressions absolutely, and he remarked that

the number of adherents to the doctrine was showing a tendency to increase

rather than diminish. Johannes Müller, the founder of modern physiology in

Germany, declared himself against it, and his influence long prevailed;

Valentin, Rudolf Wagner, and Emil du Bois-Reymond were on the same side.

On the other hand various eminent gynæcologists--Litzmann, Roth, Hennig,

etc.--have argued in favor of the reality of maternal impressions.[191]

The long conflict of opinion which has taken place over this opinion has

still left the matter unsettled. The acutest critics of the ancient

belief constantly conclude the discussion with an expression of doubt and

uncertainty. Even if the majority of authorities are inclined to reject

maternal impressions, the scientific eminence of those who accept them

makes a decisive opinion difficult. The arguments against such influence

are perfectly sound: (1) it is a primitive belief of unscientific origin;

(2) it is impossible to conceive how such influence can operate since

there is no nervous connection between mother and child; (3) comparatively

few cases have been submitted to severe critical investigation; (4) it is

absurd to ascribe developmental defects to influences which arise long

after the foetus had assumed its definite shape[192]; (5) in any case the

phenomenon must be rare, for William Hunter could not find a coincidence

between maternal impressions and foetal marks through a period of several

years, and Bischoff found no case in 11,000 deliveries. These statements

embody the whole of the argument against maternal impressions, yet it is

clear that they do not settle the matter. Edgar, in a manual of obstetrics

which is widely regarded as a standard work, states that this is "yet a

mooted question."[193] Ballantyne, again, in a discussion of this

influence at the Edinburgh Obstetrical Society, summarizing the result of

a year's inquiry, concluded that it is still "_sub judice_."[194] In a

subsequent discussion of the question he has somewhat modified his

opinion, and is inclined to deny that definite impressions on the pregnant

woman's mind can cause similar defects in the foetus; they are "accidental

coincidences," but he adds that a few of the cases are difficult to

explain away. At the same time he fully believes that prolonged and

strongly marked mental states of the mother may affect the development of

the foetus in her uterus, causing vascular and nutritive disturbances,

irregularities of development, and idiocy.[195]

Whether and in how far mental impressions on the mother can

produce definite mental and emotional disposition in the child is

a special aspect of the question to which scarcely any inquiry

has been devoted. So distinguished a biologist as Mr. A.W.

Wallace has, however, called attention to this point, bringing

forward evidence on the question and emphasizing the need of

further investigation. "Such transmission of mental influence,"

he remarks, "will hardly be held to be impossible or even very

improbable," (A.W. Wallace, "Prenatal Influences on Character,"

_Nature_, August 24, 1893.)

It has already been pointed out that a large number of cases of foetal

deformities, supposed to be due to maternal impressions, cannot possibly

be so caused because the impression took place at a period when the

development of the foetus must already have been decided. In this

connection, however, it must be noted that Dabney has observed a

relationship between the time of supposed mental impressions and the

nature of the actual defect which is of considerable significance as an

argument in favor of the influence of mental impressions. He tabulated 90

carefully reported cases from recent medical literature, and found that 21

of them were concerned with defects of structure of the lips and palate.

In all but 2 of these 21 the defect was referred to an impression

occurring within the first three months of pregnancy. This is an important

point as showing that the assigned cause really falls within a period when

a defect of development actually could produce the observed result,

although the person reporting the cases was in many instances manifestly

ignorant of the details of embryology and teratology. There was no such

preponderance of early impressions among the defects of skin and hair

which might well, so far as development is concerned, have been caused at

a later period; here, in 7 out of 15 cases, it was distinctly stated that

the impression was made later than the fourth month.[196]

It would seem, on the whole, that while the influence of maternal

impressions in producing definite effects on the child within the womb has

by no means been positively demonstrated, we are not entitled to reject it

with any positive assurance. Even if we accept it, however, it must

remain, for the present, an inexplicable fact; the _modus operandi_ we can

scarcely even guess at. General influences from the mother on the child we

can easily conceive of as conveyed by the mother's blood; we can even

suppose that the modified blood might act specifically on one particular

kind of tissue. We can, again, as suggested by Féré, very well believe

that the maternal emotions act upon the womb and produce various kinds and

degrees of pressure on the child within, so that the apparently active

movements of the foetus may be really consecutive on unconscious maternal

excitations.[197] We may also believe that, as suggested by John Thomson,

there are slight incoördinations _in utero_, a kind of developmental

neurosis, produced by some slight lack of harmony of whatever origin, and

leading to the production of malformations.[198] We know, finally, that,

as Féré and others have repeatedly demonstrated during recent years by

experiments on chickens, etc., very subtle agents, even odors, may

profoundly affect embryonic development and produce deformity. But how the

mother's psychic disposition can, apart from heredity, affect specifically

the physical conformation or even the psychic disposition of the child

within her womb must remain for the present an insoluble mystery, even if

we feel disposed to conclude that in some cases such action seems to be

indicated.

In comprehending such a connection, however at present

undemonstrated, it may well be borne in mind that the

relationship of the mother to the child within her womb is of a

uniquely intimate character. It is of interest in this

connection to quote some remarks by an able psychologist, Dr.

Henry Rutgers Marshall; the remarks are not less interesting for

being brought forward without any connection with the question of

maternal impressions: "It is true that, so far as we know, the

nervous system of the embryo never has a direct connection with

the nervous system of the mother: nevertheless, as there is a

reciprocity of reaction between the physical body of the mother

and its embryonic parasite, the relation of the embryonic nervous

system to the nervous system of the mother is not very far

removed from the relation of the pre-eminent part of the nervous

system of a man to some minor nervous system within his body

which is to a marked extent dissociated from the whole neural

mass.

"Correspondingly, then, and within the consciousness of the

mother, there develops a new little minor consciousness which,

although but lightly integrated with the mass of her

consciousness, nevertheless has its part in her consciousness

taken as a whole, much as the psychic correspondents of the

action of the nerve which govern the secretions of the glands of

the body have their part in her consciousness taken as a whole.

"It is very much as if the optic ganglia developed fully in

themselves, without any closer connection with the rest of the

brain than existed at their first appearance. They would form a

little complex nervous system almost but not quite apart from the

brain system; and it would be difficult to deny them a

consciousness of their own; which would indeed form part of the

whole consciousness of the individual, but which would be in a

manner self-dependent." It must, if this is so, be said that

before birth, on the psychic side, the embryo's activities "form

part of a complex consciousness which is that of the mother and

embryo together." "Without subscribing to the strange stories of

telepathy, of the solemn apparition of a person somewhere at the

moment of his death a thousand miles away, of the unquiet ghost

haunting the scenes of its bygone hopes and endeavors, one may

ask" (with the author of the address in medicine at the Leicester

gathering of the British Medical Association, _British Medical

Journal_, July 29, 1905) "whether two brains cannot be so tuned

in sympathy as to transmit and receive a subtile transfusion of

mind without mediation of sense. Considering what is implied by

the human brain with its countless millions of cells, its

complexities of minute structure, its innumerable chemical

compositions, and the condensed forces in its microscopic and

ultramicroscopic elements--the whole a sort of microcosm of

cosmic forces to which no conceivable compound of electric

batteries is comparable; considering, again, that from an

electric station waves of energy radiate through the viewless air

to be caught up by a fit receiver a thousand miles distant, it is

not inconceivable that the human brain may send off still more

subtile waves to be accepted and interpreted by the fitly tuned

receiving brain. Is it, after all, mere fancy that a mental

atmosphere or effluence emanates from one person to affect

another, either soothing sympathetically or irritating

antipathically?" These remarks (like Dr. Marshall's) were made

without reference to maternal impressions, but it may be pointed

out that under no conceivable circumstance could we find a brain

in so virginal and receptive a state as is the child's in the

womb.

On the whole we see that pregnancy induces a psychic state which is at

once, in healthy persons, one of full development and vigor, and at the

same time one which, especially in individuals who are slightly abnormal,

is apt to involve a state of strained or overstrained nervous tension and

to evoke various manifestations which are in many respects still

imperfectly understood. Even the specifically sexual emotions tend to be

heightened, more especially during the earlier period of pregnancy. In 24

cases of pregnancy in which the point was investigated by Harry Campbell,

sexual feeling was decidedly increased in 8, in one case (of a woman aged

31 who had had four children) being indeed only present during pregnancy,

when it was considerable; in only 7 cases was there diminution or

disappearance of sexual feeling.[199] Pregnancy may produce mental

depression;[200] but on the other hand it frequently leads to a change of

the most favorable character in the mental and general well-being. Some

women indeed are only well during pregnancy. It is remarkable that some

women who habitually suffer from various nervous troubles--neuralgias,

gastralgia, headache, insomnia--are only free from them at this moment.

This "paradox of gestation," as Vinay has termed it, is specially marked

in the hysterical and those suffering from slight nervous disorders, but

it is by no means universal, so that although it is possible, Vinay

states, to confirm the opinion of the ancients as to the beneficial

action of marriage on hysteria, that is only true of slight cases and

scarcely enables us to counsel marriage in hysteria.[201] Even a woman's

intelligence is sometimes heightened by pregnancy, and Tarnier, as quoted

by Vinay, knew many women whose intelligence, habitually somewhat obtuse,

has only risen to the normal level during pregnancy.[202] The pregnant

woman has reached the climax of womanhood; she has attained to that state

toward which the periodically recurring menstrual wave has been drifting

her at regular intervals throughout her sexual life[203]; she has achieved

that function for which her body has been constructed, and her mental and

emotional disposition adapted, through countless ages.

And yet, as we have seen, our ignorance of the changes effected by the

occurrence of this supremely important event--even on the physical

side--still remains profound. Pregnancy, even for us, the critical and

unprejudiced children of a civilized age, still remains, as for the

children of more primitive ages, a mystery. Conception itself is a mystery

for the primitive man, and may be produced by all sorts of subtle ways

apart from sexual connection, even by smelling a flower.[204] The pregnant

woman was surrounded by ceremonies, by reverence and fear, often shut up

in a place apart.[205] Her presence, her exhalations, were of extreme

potency; even in some parts of Europe to-day, as in the Walloon districts

of Belgium, a pregnant woman must not kiss a child for her breath is

dangerous, or urinate on plants for she will kill them.[206] The mystery

has somewhat changed its form; it still remains. The future of the race is

bound up with our efforts to fathom the mystery of pregnancy. "The early

days of human life," it has been truly said, "are entirely one with the

mother. On her manner of life--eating, drinking, sleeping, and

thinking--what greatness may not hang?"[207] Schopenhauer observed, with

misapplied horror, that there is nothing a woman is less modest about than

the state of pregnancy, while Weininger exclaims: "Never yet has a

pregnant woman given expression in any form--poem, memoirs, or

gynæcological monograph--to her sensations or feelings."[208] Yet when we

contemplate the mystery of pregnancy and all that it involves, how trivial

all such considerations become! We are here lifted into a region where our

highest intelligence can only lead us to adoration, for we are gazing at a

process in which the operations of Nature become one with the divine task

of Creation.

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