B. G. Jefferis

“ Neuralgic toothache during pregnancy is, at any rate, extremely common, and often has to be endured. It is generally thought not best to have teeth extracted during pregnancy, as the shock to the nervous system has sometimes caused miscarriage. To wash out the mouth morning and night with cold or lukewarm water and salt is often of use. If the teeth are decayed, consult a good dentist in the early stages of pregnancy, and have the offending teeth properly dressed. Good dentists, in the present state of the science, extract very few teeth, but save them. ”

“ As with constipation, so with piles, its frequent result, fruit diet, exercise, and sitz-bath regimen will do much to prevent the trouble. Frequent local applications of a cold compress, and even of ice, and tepid water injections, are of great service. Walking or standing aggravate this complaint. Lying down alleviates it. Dr. Shaw says, "There is nothing in the world that will produce so great relief in piles as fasting. If the fit is severe, live a whole day, or even two, if necessary, upon pure soft cold water alone. ”

“ The acid producing the heartburn is frequently much increased by an overloaded stomach. An abstemious diet ought to be strictly observed. Great attention should be paid to the quality of the food. Greens, pastry, hot buttered toast, melted butter, and everything that is rich and gross, ought to be carefully avoided. Either a teaspoonful of heavy calcined magnesia, or half a teaspoonful of carbonate of soda—the former to be preferred if there be constipation—should occasionally be taken in a wine-glassful of warm water. ”

“ COSTIVE STATE OF THE BOWELS.—A costive state of the bowels is common in pregnancy; a mild laxative is therefore occasionally necessary. The mildest must be selected, as a strong purgative is highly improper, and even dangerous. Calomel and all other preparations of mercury are to be especially avoided, as a mercurial medicine is apt to weaken the system, and sometimes even to produce a miscarriage. ”

“ A plain, light diet with plenty of acid fruits, avoiding fats and sweets, will ameliorate or remove it. Don't force the appetite. Let hunger demand food. In the morning the sensitiveness of the stomach may be relieved by taking before rising a cup of hot water, hot milk, hot lemonade, rice or barley water, selecting according to preference. ”

“ The veins are frequently much enlarged and distended, causing the legs to be greatly swollen and very painful, preventing the patient from taking proper walking exercise. Swollen legs are owing to the pressure of the womb upon the blood-vessels above. Women who have had large families are more liable than others to varicose veins. If a lady marry late in life, or if she be very heavy in pregnancy carrying the child low down she is more likely to have distention of the veins. ”

“ PALPITATION OF THE HEART.—To be prevented by healthy living and calm, good humor. Lying down will often gradually relieve it, so will a compress wet with water, as hot as can be borne, placed over the heart and renewed as often as it gets cool. ”

“ WIND IN THE STOMACH AND BOWELS.—This is a frequent reason why a pregnant lady cannot sleep at night. The two most frequent causes of flatulence are, first, the want of walking exercise during the day, and second, the eating of a hearty meal just before going to bed at night. ”

“ SLEEPLESSNESS.—Most likely to be caused by incorrect living, and to be prevented and cured by the opposite. A glass or two of cold water drank deliberately on going to bed often helps one to go to sleep ”

“ It is not often dangerous. Lay the patient in an easy posture, the head rather low than high, and where cool air may blow across the face; loosen the dress if tight; sprinkle cold water on the face and hands. ”