THE SIGNS AND SYMPTOMS OF LABOR.

1. Although the majority of patients, a day or two before the labor

comes on, are more bright and cheerful, some few are more anxious,

fanciful, fidgety and reckless.

2. A few days, sometimes a few hours, before labor commences,

the child "falls" as it is called; that is to say, there is a

subsidence--a dropping--of the womb lower down the abdomen. This

is the reason why she feels lighter and more comfortable, and more

inclined to take exercise, and why she can breathe more freely.

3. The only inconvenience of the dropping of the womb is, that the

womb presses more on the bladder, and sometimes causes an irritability

of that organ, inducing a frequent desire to make water. The wearing

the obstetric belt, as so particularly enjoined in previous pages,

will greatly mitigate this inconvenience.

4. The subsidence--the dropping--of the womb may then be considered

one of the earliest of the precursory symptoms of child-birth, and as

the herald of the coming event.

5. She has, at this time, an increased moisture of the vagina--the

passage leading to the womb--and of the external parts. She has, at

length, slight pains, and then she has a "show," as it is called;

which is the coming away of a mucous plug which, during pregnancy, had

hermetically sealed up the mouth of the womb. The "show" is generally

tinged with a little blood. When a "show" takes place, she may rest

assured that labor has actually commenced. One of the early symptoms

of labor is a frequent desire to relieve the bladder.

6. She ought not, on any account, unless it be ordered by the medical

man, to take any stimulant as a remedy for the shivering. In case of

shivering or chills, a cup either of hot lea or of hot gruel will be

the best remedy for the shivering; and an extra blanket or two

should be thrown over her, and be well tucked around her, in order to

thoroughly exclude the air from the body. The extra clothing, as soon

as she is warm and perspiring, should be gradually removed, as she

ought not to be kept very hot, or it will weaken her, and will thus

retard her labor.

7. She must not, on any account, force down--as her female friends

or as a "pottering" old nurse may advise--to "grinding pains"; if sue

does, it will rather retard than forward her labor. 8. During this

stage, she had better walk about or sit down, and not confine herself

to bed; indeed, there is no necessity for her, unless she particularly

desire it, to remain in her chamber.

9. After an uncertain length of time, the pains alter in character.

From being "grinding" they become "bearing down," and more regular and

frequent, and the skin becomes both hot and perspiring. These may be

considered the true labor-pains. The patient ought to bear in mind

then that "true labor-pains" are situated in the back, and loins; they

come on at regular intervals, rise gradually up to a certain pitch of

intensity, and abate as gradually; it is a dull, heavy, deep sort of

pain, producing occasionally a low moan from the patient; not sharp or

twinging, which would elicit a very different expression of suffering

from her.

10. Labor--and truly it maybe called, "labor." The fiat has gone forth

that in "sorrow thou shalt bring forth children." Young, in his "Night

Thoughts," beautifully expresses the common lot of women to suffer:

"'Tis the common lot;

in this shape, or in that, has fate entailed

The mother's throes on all of women born,

Not more the children than sure heirs of pain."

[Illustration]

[Illustration: LOVE OF HOME.]

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Searchlights on Health: The Science of Eugenics · 第 149 / 321 题