28. Liver-Spots.—These, on the face, must probably be endured, as no trustworthy way of driving them off is known.
29. Jaundice.—See the doctor.
30. Pain on the Right Side.—This is liable to occur from about the fifth to the eighth month, and is attributed to the pressure of the enlarging womb upon the liver. Proper living is most likely to alleviate it. Wearing a wet girdle in daytime or a wet compress at night, sitz-baths, and friction with the wet hand may also be tried. If the pain is severe a mustard poultice may be used. Exercise should be carefully moderated if found to increase the pain. If there is fever and inflammation with it, consult a physician. It is usually not dangerous, but uncomfortable only.
31. 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.
32. Fainting.—Most likely to be caused by "quickening," or else by tight dress, bad air, over-exertion, or other unhealthy living. 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.
33. 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; so does bathing the face and hands and the feet in cold water. A short nap in the latter part of the forenoon can sometimes be had, and is of use. Such a nap ought not to be too long, or it leaves a heavy feeling; it should be sought with the mind in a calm state, in a well-ventilated though darkened room, and with the clothing removed, as at night. A similar nap in the afternoon is not so good, but is better than nothing. The tepid sitz-bath on going to bed will often produce sleep, and so will gentle percussion given by an attendant with palms of the hand over the back for a few minutes on retiring. To secure sound sleep do not read, write or severely tax the mind in the evening.
