The first and most obvious inmost change that affects her is that felt in the muscles below the waist, particularly those which run vertically, and which support, by their elasticity and strength, the whole front of the body. As the months pass and the child and its attendant tissues grow, there is a slowly increasing strain on these muscles. As the enlargement proceeds the skin will also stretch, and the under-skin and tissues beneath it are finally stretched almost to breaking-point, stretched sometimes so that they do break apart and leave ultimate permanent little scars under the skin of the mother. Few apparently know, but all should know, that this can be almost entirely avoided (by fortunate women entirely avoided), if the skin and tissues immediately below it are kept supple by daily rubbing with olive oil from the fifth month. Perhaps from the fourth month once a week, and certainly from the fifth month daily, the mother should rub the lower part of her body and her breasts with a little olive oil. This will not only have a soothing effect upon the skin, but will assist its elasticity in such a way that she may return to her virgin condition without leaving those tell-tale scars which so often mark a woman, and which many, even highly trained maternity nurses and doctors, seem to think are inevitable. Such scars are not inevitable, and this very simple precaution, coupled with exercise, will frequently be sufficient safeguard for the woman who desires to avoid them altogether.

The same internal growth which enlarges the muscles and strains the skin will also sometimes press apart the two main vertical muscles in such a way that there is a tendency for inner tissues to project, and for the last month or two this may be very uncomfortable without in any way being dangerous. It is then advisable to wear a small stiff pad over this and fasten it in place with a narrow, soft elastic band. The use of a localized plaster very often strains the skin and leaves scars or makes it sore. It is wise to have the small hard central bandage wherever there is a tendency to localized projection as will be self-evident to anyone who experiences it.

The natural darkening of the colour of the skin when it is strained and stretched as it must be is very displeasing to the eye and, particularly to a young girl whose beautiful body has been her delight, may be a cause of great distress and self-repugnance. It is well that she should be helped over this most anxious time of self-detestation by the reliable assurance that it is only a temporary phase, and that if she keeps in good health, and rubs herself with pure oil for two or three months after birth as well as before, the skin will be entirely freed from any stained or discoloured appearance, and will return to its normal condition.

As the months pass, the actual physical weight of the body will increase, gradually becoming a greater burden, so that long distance walking and any acute activity such as running or tennis-playing must become impossible. Nevertheless if the diet and mode of living suggested above is followed out this will be very much less embarrassing than is usually experienced.

Many forms of support or maternity corsets are advertised or medically recommended to assist supporting the weight at such times, but, unless the woman has any actual slipping of the position of the organs or any deformity, she is very much better not to take such proffered assistance for they will form a broken reed, and, as one knows, “the broken reed pierces the hand.” It is much better for her to strengthen her own muscles by slow and careful exercise, bending forward until she touches the ground or as nearly touches the ground as possible; also lying on her back on the ground and rising without touching the floor with her hands and arms; also slowly raising the feet forward above the head while lying on the back, and then allowing them to drop slowly to the ground, this last exercise being very strengthening to the central muscles of the body wall (detailed accounts of other useful exercises will be found in Dr. Alice Stockham’s Tokology). So long as there is no strain upon her, she should exercise throughout the whole of the time. She would then not need any artificial support, and would be much better without it.

I have never seen it elsewhere clearly stated, but I have discovered that one very important reason against corsets is that, however well shaped and loose they may be, they tend to touch and exert some slight pressure on the soft tissues at the back of the waist; they must do so, merely to remain upon the body without dropping off, and this amount of pressure is sufficient to induce morning sickness (see p. [88]) for the following among other reasons. As the womb grows in the centre of the body it pushes aside and to the back the many yards of soft tubular alimentary canal which normally lie coiled in the front of the body, and, if there is no constriction or pressure, these tend to find room for themselves round the waist line and to the back, so that there appears what seems almost like a coil or roll of fat round the waist. This disposition is very advantageous, however, and should not be interfered with in the way any corset must interfere, and it greatly reduces the ungainly frontal size and helps to keep the body better balanced (see p. [91]).

At first the breasts will become firmer and larger and will support themselves more readily than at any time, but later on their shape somewhat changes and they tend to fall. They should then have carefully slung and properly arranged supports looped over the shoulder. Neglect of this often results in the final and lifelong loss of the beauty of the bosom, and it is indeed a cruel thing that the average doctor or nurse appears not to be capable of giving any useful advice on this point, so that hundreds of thousands of women have not only lost their beauty, but have been told that it is an inevitable and natural result of having borne a child. That it is well-nigh inevitable under modern unaided conditions, may be true. With proper support, proper massage and treatment afterwards, the ugly breasts need not have been, and need not be.

A thing which often distresses girls, but which however unsightly it is while present is a temporary and passing phenomenon, is the sudden appearance of freckles, even large patches of brown colouring matter, on the skin during the time the baby is forming. So far as I am aware nothing can be done to prevent it, and if as sometimes happens these brown patches even appear on the face, it is a misfortune which must be endured as stoically as possible, encouraged with the knowledge that it will entirely pass.

Another curious thing I know one woman experienced, and about which I am awaiting further evidence, was the apparent transplantation by the child in the mother of the strong black body hairs of the father. The result was that during the later months of carrying and for a few months after birth, the mother’s lower limbs and forearms had a thick growth of masculine-like hair, which nearly all fell off within six months after the birth.

The tendency that the coming child has to extract nutriment from the mother’s tissues often results in the loss or temporary spoiling of two of her beauties, the beauty of her nails and the beauty of her hair. These are apt to suffer unless she is warned in time and protects them. The injury to them probably depends on the withdrawal of the proper quantity of fat from the tissues. It is, therefore, advisable for the mother-to-be to rub her nails and hair with some suitable natural oil. Refined paraffin, almond oil or castor oil for the hair are by far the best, and for the nails some animal grease such as lanoline, or perhaps simple vaseline. Expensive concoctions, very much advertised and claiming wonderful properties, generally owe anything which they may contain to these ingredients, but more frequently contain little or nothing of any value, and are often harmful.