When there is a natural desire to bear down with a pain, the second or expulsive stage has begun. Then you may administer your anæsthetic, giving as described above.
Often this stage is very short and easily borne, as the patient can note the progress made, and sees the end nearer. A recent patient who had had two children before, felt very little discomfort during the first stage, and recognizing the beginning of the second, remarked at the first pain, “That was not very hard, but think how many more there must be.” The next pain came, and she had hardly time to reach the bed, before the little one was ushered into existence. The chances are that if your dress has been hygienic, your exercise what it should have been, your baths kept up faithfully, that you will be one of those who will be surprised at the ease of your labor.
The second stage terminates with the birth of the child. A rest follows this of from a quarter to a half an hour, when follows the expulsion of the placenta, or afterbirth, which is the third stage.
A word here as to the best method of tying the placentic cord. A fancy obtains among a few physicians that the cord need not be tied, if the child is not severed from the mother until the cord has ceased to pulsate. However this may be, I am sure you will feel more secure if the cord is well tied. The latest and most approved method and one which is surest to prevent hemorrhage, is this. Tie the placentic cord at a distance of about three inches from the body of the child, sever it just beyond the place where it is tied, then fold it back and with the same thread tie the placentic cord again an inch from the child, leaving the loop of cord as it is, until it dries and falls off. The fold and double tie make assurance doubly sure as far as hemorrhage is concerned.
The rest which follows the close of labor, rest of body and mind, can be understood only when experienced, no words can explain it. The labor is over, all that has been told you of terror and danger has not been yours, and the pain is all forgotten in the joy that a child is born, is yours, and you hug it to your heart for very joy. Cherish it, dear mother, rejoice in it, and train it to become a truly great child of a noble mother.
CHAPTER XVII.
SURROUNDINGS AND AFTER-CARE OF THE MOTHER.
Maternity Should Have the Largest and Brightest Room in the House.—It is Her Coronation Room.—Simplicity of Labor with Healthy Women.—Science Has Reduced Risk to the Minimum.—The Exaltation of Motherhood.—The Rest after Labor.—How to Prepare a Bed for the Parturient.—Deliverance of Mother from Friends and Visitors.—Sanitary Pads.—Regular Nursing.—Undisturbed Sleep.—No Binder Necessary for Mother.—The Care of the Breasts.—Diet.—Sitting Up.—Six or Eight Weeks Needed to Regain Normal Condition.—The Use of the Douche.—Sore Nipples.—The Bearing of Children not to be Dreaded.—The Joy of Motherhood.