(c) Start the day not with tea, but with the juice of two or three oranges squeezed into a tumbler.
If she does these things a normal woman may go through the whole nine months without experiencing one single moment of nausea, as many a woman has done.
A retardation of the action of the bowels or constipation is very frequent, and is a cause of many other ill-effects. A right diet such as I advise, adding for this purpose honey and brown bread, does much to prevent it; if it exists in spite of this, take suitable bending exercises (see also page [72]), even a warm hydrostatic douche (using a douche-can with a little common salt in the water), but do not take regular drugs or “aperients.”
Another of the very frequent experiences of the mother who is carrying a child, particularly towards the later months, is the enlargement of the veins of the legs and ankles and the formation of varicose veins. These may become very serious if neglected, and even if the woman is being doctored, unless, at the same time, she regularly follows the proper healthy method of dieting and living. In addition to the dieting and clothing described above, which will make her almost certain to be immune from varicose veins, she should take warm comfortable sitz baths every evening, and she should lie down for at least half an hour or an hour in the middle of the day or early evening with her feet raised a few inches above the level of her head.
One of the most serious difficulties, felt even by those who avoid all other drawbacks, is sleeplessness, particularly in the last month or two when the activities of the child may be very disturbing. In this, much depends on the position in which the child is lying, and sometimes the position of the child can be improved by massage and manipulation by a trained midwife or doctor. Something also can be done by the mother herself through her mental attitude and hand touch on the child, and also by taking hot sitz baths nightly before going to bed. Still more, however, is accomplished by right diet, clothes, exercise and happiness (see also Chapter [XII]).
The habit of taking aspirin regularly or in large quantities, which too many women indulge in if sleepless during this time, is extremely bad both for the child and for the mother. Drugs of any sort should not be appealed to. If it is possible during these later months, sleep will be much more refreshing, and the advantage will be very great both to the coming child and the mother, if her bed can be arranged on a verandah or out of doors, but it must not be forgotten that towards the end of the period the expectant mother ought not to be out of ear-shot of someone.
Now to consider the second group of disabilities; those entirely the result of artificial outlook and condition. Among these must be classed the inability to walk any distance or to take part in active work of any sort. This is partly imposed by the hesitation of a woman to be seen at this time, and particularly to face the vulgar and leering attitude of the general public, and it is partly also due to the general heaviness or strain on the muscles or to the presence of varicose veins. If these have, by the methods just described, been almost or entirely avoided, she will find that her natural activity is much less reduced than it would otherwise be. To walk a mile or two, or even three miles the day before or even the day of the birth is not at all beyond what can be expected from an ordinary healthy woman who lives as she should.
The necessity perpetually to be fussing, to be taking tonics or drugs or medicines, to be thinking only of herself and never of any general or greater theme, is also eliminated when the general health is improved, and any mental or bodily activity which the mother can indulge in without a sense of strain is advantageous to the child as well as to herself.
The highly nervous condition and overstrained state of so many modern women during this time is due entirely to the artificial social lives, involving late hours, which they try to lead. The mother-to-be should give up almost all social engagements which keep her out of bed after 9 o’clock. Sleep, fresh air, exercise under the healthiest natural conditions she can command, coupled with the right diet, will secure her health and strength throughout the time.
The difficulties, however, about which help is most needed are the first group, those nature-imposed and inevitable difficulties which the woman has to face, and which, without instruction in the things she might do to mitigate them, often lead her to suffer intensely, though needlessly, and tend to have life-long effects on her health and appearance. Simple and sometimes obvious precautions are required, and yet these are almost unknown to the generality of advisers to whom the prospective mother can turn.