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DISEASES OF CHILDBED.
DISEASES OF CHILDBED:
Child-birth is to be regarded as a natural process, not as a
disease ; and so the phenomena which necessarily follow contain
ordinarily no element of disease and require no further interference
than has been already indicated in the preceding pages. There
may be some local difficulty in the breasts during the establishment
of activity in these organs; there may be some spasmodic pain in
the abdomen during the first few days, constituting the so-called
after-pains; there may be some soreness at the orifice of the
vagina from unimportant lacerations and abrasions. But aside
from these there should be no marked symptoms ; there should be
observed no fever, pain nor soreness ; after four or five days the
secretion of milk is established ; after two weeks the lochial discharge has ceased and any soreness about the genital organs that
may have existed has disappeared ; and after six or eight weeks
the womb has returned almost to the size that it had before impregnation ; and the woman should be as well in every regard as she
was before assuming the duties of maternity. While such is the
natural course of events, yet many instances present serious interruptions and ultimately fail in restoring the woman to a condition
natural and proper for maternity. The number of women who
suffer from ills originating in the genital organs is almost as great
as the number of women who have borne children ; and the majority of these, at least, date their difficulties from confinement.
The diseases that can be traced directly or indirectly to childbirth may be properly considered in two categories - the acute
diseases that follow immediately upon confinement and the chronic
affections, which may first become manifest some months or years
subsequently. Chief among the former stands Childbed Fever.
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