period by adhering to a rigid
program of prevention during her fifth pregnancy. Two weeks before the
third month arrived she discontinued her teaching and went to bed. She
remained there four weeks, thus running over into the middle of the
following month. Gradually, she resumed her duties of teaching,
carried her precious bundle of life to full term, and is now the proud
and happy mother of a splendid baby girl.
Should abortion seem imminent, from one-eighth to one-fourth of a
grain of morphine sulphate will greatly reduce all uterine
contractions, and this, with the general quieting effect on the whole
system, will usually suffice to prevent an abortion. The patient
should quietly remain in bed from three days to one week.
If the abortion takes place--if a clot accompanied by hemorrhage is
passed--save everything, lie in bed very quietly and send for your
physician at once; and when he does arrive, be content if he does not
make an internal examination at once, for if he should there is more
or less danger of infection. And I repeat--throw nothing away--burn
nothing up, save everything that passes until your physician has
carefully examined it.
SUDDEN ABDOMINAL PAIN
Sudden or severe pains in the abdomen should be reported at once to
your physician, while you should immediately go to bed and quietly
remain there until you receive further instruction from your doctor
when he calls.
In the later stages of pregnancy any appearance of blood should
likewise be noted and reported without delay. These symptoms may not
always be serious, but they are also associated with grave
complications, and should, therefore, be given prompt attention.
MISCARRIAGE
Abortion is a term used to designate the loss of the embryo prior to
or at the third month. Miscarriage applies to the expulsion of the
fetus or emptying of the uterus after the third month. It is possible
for a miscarriage to occur anytime during the interim between the
fourth and ninth months. After the uneventful passing of the third
month, if an accident threatens, we instruct the mother to remain
quietly in bed three to five days at the calendar date comparable with
each menstrual period; and as she approaches the seventh month, we
adjure her to be unusually careful and prudent.
The causes of miscarriages are many: Disease of the embryo, imperfect
fetal development, some constitutional disease of the mother, a faulty
position of the uterus, or it may
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