meat sparingly to obviate any
unnecessary tax being placed upon the kidneys. The use of fruit and
green vegetables to supplement the milk and eggs is urged. It has been
found advisable at such times to give small meals frequently rather
than the regular meal three times a day. The feeling of "fullness"
which often occurs during the last two or three months of gestation
makes it more comfortable for the pregnant woman to eat less at a time
and oftener. If, for example, she be given a glass of rich milk or a
nutrient beverage, either of enforced malted milk, albumenized orange
juice, buttermilk, zoolak, or koumiss, at about eleven o'clock in the
morning and again about four o'clock in the afternoon, she will have
taken sufficient nourishment to meet the new requirements without
taxing her digestion or imposing extra work upon the kidneys.
~Abnormal Symptoms.~--The chief point to keep in mind is any abnormal
symptom which may develop. The chief of these is albumen in the urine.
The urine must be examined frequently and measures taken immediately
to overcome albuminuria should it occur. It is wise, as has already
been stated, to restrict the meat in the diet, and in cases where
albumen is found in the urine even when the meats are restricted, it
may be necessary to place the patient upon a milk diet for a time
until the urine clears up.
~Supplementary Feeding.~--Cereals, especially the whole cereals, must
be used liberally. Gruels made with milk are often found valuable
additions to the dietary. The prospective mother must be urged to take
a regular amount of gentle exercise, not to become over-tired, or
excited, to eat sparingly at night, and to drink plenty of water. She
must avoid becoming constipated by eating plenty of green vegetables
and fruit.
~Sample Diet Sheets.~--The following dietary is suggested: Breakfast
should consist of thoroughly cooked cereals, wheatena, cream of wheat,
malt breakfast food, cracked wheat, rolled or cracked oats, served
with cream or sugar or both, whole wheat bread, muffins, or biscuits,
with butter, raw or stewed fruit, coffee, tea or cocoa with milk.
Luncheon may consist of milk or vegetable soups, eggs in any form,
boiled potatoes, sweet potatoes, string beans, greens, or any green
vegetables, simple desserts such as custards, rice or tapioca
puddings, bread pudding, etc., milk, tea, cocoa, buttermilk, zoolak or
koumiss as beverages. For dinner, if albuminuria is not present, a
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