anemic, a good iron preparation may prove
useful.

=Pernicious Vomiting.= The vomiting of pregnancy sometimes becomes so
severe and uncontrollable that it has been given the name pernicious.
The patient is unable to retain any kind of food, not even liquids,
vomits almost incessantly, and may become very much run down and
exhausted. The vomited matter may contain blood. For this condition a
competent physician must be consulted, for in some cases the patient's
life may be in danger and an abortion has to be performed.

=Capricious Appetite.= A capricious appetite is very common in
pregnancy. The capriciousness may express itself in four different
directions: (1) The patient may lose her appetite, almost altogether,
partaking only of very little food, and that with effort. This
condition of loss of appetite is called anorexia. (2) The patient may
develop an enormous appetite--what we call bulimia--eating several
times as much as she does ordinarily. (3) She may develop an aversion
towards certain articles of food. Thus many women develop an aversion
towards meat, the mere sight of or talk about meat causing in them a
sensation of nausea. (4) She may show a craving for the most peculiar
articles of food and for articles which are not food at all. The
craving for sour pickles or sour cabbage is well-known; but some women
will eat chalk, sand, and even more peculiar things (for the chalk
there may be a reason: the system needs an extra amount of lime and
chalk is carbonate of lime).

=Constipation.= Constipation is very common among women in the
non-pregnant condition; but in the pregnant it is much more common and
much more aggravated. Constipation must be guarded against, but the
measures must be of a mild nature. If we can relieve the constipation
by dietary measures alone, so much the better. The dietary measures
should consist in eating plenty of fruit--prunes, apples, figs, dates,
etc., and coarse bread and bran. Constipating articles, such as cheese
or coffee, should be eliminated. Where dietary measures alone are
insufficient, the patient should take an enema--a rectal
injection--twice or three times a week. The enema should consist of
about 8 ounces (half a pint) of cold or lukewarm water containing a
pinch of salt, and should be retained about ten minutes. Instead of
water, we may advise an occasional enema of two to four drams of
glycerin. Or instead of a glycerin enema, a glycerin suppository may
be used. If