MO Back HOTELLER A6 cc 120 la EV A The WILLIAM L. CLEMENTS LIBRARY University of Michigan Gift of The Clements Library Associates 2 A COMO (212V nalolio 28 IN ers ÍZ Den 12 CAVAN no V Ob WHAT WOMEN SHOULD KNOW. SYNOPSIS OF THE BOOK. In times past it has been gravely questioned whether women should be allowed to learn the alphabet. That privilege having been conceded them, it becomes possible for one possessed with a strong imagination to look forward to the time when certain knowledge, the absence of which is continually productive of seri- ous physical and moral errors, shall be deemed alike permissible, if not desirable, Women need a thorough acquaintanceship with the organs and functions of lies, in order that they may guard against disease and suffering in themselves, and that they may bring forth healthy children. They need, too, a thorough knowledge of the good and evil of the world, so that they may guide their children safely through the perils which beset their youth and early man- nood and womanhood, even as a skillful pilot needs to know all the rocks and shallows of the stream that he may steer his ship clear of them. This book tells women simply what they ought to know, and without knowing which they cannot perfectly fulfill their womanly destiny. Its language is plain and direct, yet marked by no impropriety, and is such as one modest woman can use in addressing another. It is in its hygienic and general character quite up to the advanced ideas of the day. It begins with the physical development of the girl into womanhood, and points out all the dangers which attend it and mistakes which may be committed. It treats of love in its various phases, and fearlessly attacks immorality in every form. It discusses marriage in all its bearings, denounces criminal abortion, attacking it and pointing out its remedy from a standpoint never directly assumed by any other author; it refers to children and to inheritance, and argues at some length the theories concerning the production of the sexes at will. It enumerates the trials of the young wife, and shows how a false state of society and a false system of education have augmented them. It treats of pregnancy and delivery and the management of the new-born babe with a care and minute- ness not to be found in any other book of its class-a care and minuteness which will make it invaluable to the young wife and mother. One chapter is devoted to an infant's dress, telling how it should be made, and giving a full list of articles of infants' wardrobe, quantity of material required, estimated cost and accurate directions for making. Another chapter is devoted to diseases of infants, suggest- ng simple remedies which will usually prove efficacious. The concluding chap. er treats of the moral responsibilities of motherhood, and the author tries to impress upon her readers the exalted position of the mother, and that it is second lo none in honor or importance. There are two classes who may take exceptions to this book. The first class is somposed of those who ignore on principle many of the subjects which are treated in its pages, and who seem to believe that by shutting their eyes to the evils in the world they do away with them, or at least shift the responsibility from their own shoulders. This class should be reminded that the evils are, and will continue to be until that day comes when all good women shall take cognizance of them, and bring their influence to bear in every possible direction to lessen then. The second class embraces the evil-minded and the impure-hearted, who are ready to misconstrue purity itself whenever possible. For the benefit of all such may be applied to this book the famous motto, literally rendered from the French: * Shame shall be to him who thinks evil of it.” What Women Should Know. A WOMAN'S BOOK ABOUT WOMEN. CONTAINING "PRACTICAL INFORMATION FOR WIVES AND MOTHERS. BY MRS. E. B. DUFFEY, Author of "NO SEX IN EDUCATION," "THE RELATION OF THE SEXES," etc., etc. PHILADELPHIA : FIRESIDE PUBLISHING COMPANY, 20 NORTH SEVENTH STREET, 1882. Entered according to Act of Congress, in the year 1881, by FIRESIDE PUBLISHING CO., In the office of the Librarian of Congress, at Washington. TO THE WIVES AND MOTHERS OF AMERICA, IN THE HOPE THAT IT MAY ENLIGHTEN THEM WHEN IGNORANT . CHEER THEM WHEN DESPONDENT, AND ENCOURAGE THEM TO ENDURE BRAVELY AND WISELY THE TRIALS INCIDENT TO THEIR SEX; AND THAT IT MAY ESPECIALLY AID AND INSPIRE THEM TO BECOME TRUER AND NOBLER WO- MEN, PHYSICALLY, MENTALLY AND MORALLY, AND MORE WORTHY REPRESENTATIVES OF THE AGE IN WHICH WE LIVE, This Book is respectfully Dedicated BY THE AUTHOR. PREFACE. I NEVER expected to write a book of this charac ter. If any one had foretold the fact three days be- fore the work was actually commenced, I should have indignantly denied the possibility. I had even grave doubts of the propriety of such books, for I feared that the motive which led to their perusal was often a bad rather than a good one. But a short conversation on certain subjects with a friend set me to thinking one day. From thinking I went to writing. And from that writing this book has gradually developed, first in doubt and hesitancy, and then, as I progressed, and the urgent need of such a work was made plainer and plainer to me, with full faith and courage. During its writing, I have fully realized what 1 only partially comprehended before the utter, la- mentable ignorance of women as a class on cei ain 8 PREFACE. subjects of vital importance to them. And no books which I have yet seen seem fully adapted to enlighten this ignorance. Their authors take for granted too much knowledge on the part of the reader, in the first place; they omit many things as too trivial, in the second; and in the third, being of the masculine sex, they are by no means infallible in such matters. As questioner after questioner has come to me for needed knowledge during the writing of this book, all unknowing of the task upon which I was engaged, and I have answered them singly, I have become convinced that what I could thus impart to individual women with the desire of benefiting them, I might with equal propriety say to women in the aggregate with the same purity of motive, and with a like bene- ficial result. If any turn to this book with motives other than pure and honest ones, I hope they will not discover the mistake they have made in thinking to gratify an evil curiosity until they have read far enough to find something especially suited to them, the reading of which will do them good. CONTENTS. INTRODUCTION PAGH 17 CHAPTER I. PHYSICAL AND MENTAL DIFFERENCES IN THE SEXES...... CHAPTER II. THE APPROACH OF PUBERTY... . . . . . . . . . . CHAPTER III. PUBERTY CHAPTER IV. LOVE IN ITS PHYSICAL AND MORAL PHASES.. CHAPTER V. WHEN AND WHOM SHALL WOMEN MARRY. CHAPTER VI. COURTSHIP AND ENGAGEMENT..... CHAPTER VII. MARRIAGE AND THE FAMILY... CHAPTER VIII. TRIALS OF THE YOUNG WIFE..... 139 CONTENTS. CHAPTER IX. CHILD-BEARING... 149 CHAPTER X. THE DISORDERS OF PREGNANCY AND THEIR REMEDIES.... 158 CHAPTER XI. THE DISORDERS OF PREGNANCY AND THEIR REMEDIES.- (Continued)... .......... 179 .............. . . . . . . . . . . . CHAPTER XII. DELIVERY 195 CHAPTER XIII. THE SICK ROOM........ 221 CHAPTER XIV. CAN A WOMAN SMOKE ?... 237 CHAPTER XV. GENERAL DISEASES OF WOMEN.... 255 CHAPTER XVI. MANAGEMENT OF AN INFANT. 271 CHAPTER XVII. THE DRESS OF AN INFANT.......... 285 CHAPTER XVIII. DISEASES OF INFANTS.... 298 CHAPTER XIX. THE MORAL RESPONSIBILITIES OF MOTHERHOOD......... 315 INDEX OF SUBJECTS. ABDOMEN, enlargement of, 151. Bath, manner of taking a, 38. soreness in lower part of, 224. objections to night, 35. Abdominal supporter, 259. proper time for a, 35. bad effects of con- shower, 36. stant use of, 260. snow, 37. Abortion, causes of, 154. Bathing, 35. dangers of, 155. during pregnancy, 192. flooding in, 155. Bed, making the sick woman's, 230. or miscarriage, 153. prepared for delivery, 195. necessity for physician in, 156. what kind shall be used in con signs of threatened, 156. finenient, 196. to prevent recurrence of, 157. Bed-pan, necessity for a, 222. Acquaintance, best mode of forming, 91. Beds, feather, 196. Activity of body and mind essential to Bedstead, proper, 197. a healthy pregnancy, 245. Best years of a woman's life, 206. Advantages in daily association of the Bibs and aprons, 297. sexes, 92. Bites and stings of insects, 308. Advertising or answering advertise Blanket, 293. ments, 104. Blunders of medical authorities, 199. After-birth, expulsion of, 214. Boarding-house life, evils of, 115. aids in, 214. Boarding-school life, 55. Afternoon of life, the, 254. Bony structure, differences in, 22 After-pains, 213. Bowels of infant, attention to, 284. duration of, 213. evacuation of, on second day, 223, remedy for, 213. how to keep open without medi: Anesthetics in midwifery, 219. cine, 222 Appetite a tolerably safe guide, 170. Boy beaux, 59. A reminiscence, 68. Breasts, enlargement of the, 150. Arnica, the value of, 307. Bridal tours, 113. Avoid quack medicines, 45. Burns and scalds, 307. Avoid secresy, 104. Can a natural state be called a state of BABE, general management of a, 278. invalidism, 43. improper feeding of a, 279. Care and watchfulness, necessity for, 28. “longings” of the, 280. Carminatives and soothing syrups, 277. oper-air exercise for a, 283. Cellular system, 24. shall the mother nurse her, 274. Change of life, symptoms of, 268. sleep with its mother, shall the, treatment for disease 281. incident to, 269. true kindness to a, 279. Chapped hands, cure for, 37. Babe's first bath, 271. Chastity to be equally desired in both toilet, 271. men and women, 81. Bad counsel and its results, 145. Child upon birth, attention to the, 211. Bandage for lying-in women, 215. Child-bed, possibility of mitigating the correct manner of putting on, pains of, 147. Child-love, 62. Band, flannel, 289. Children, desirability of, 121. upon an infant, how ing to re- do not necessarily inherit ill- tain, 282. health from parents, 87. Barrecoa' 289. Chlorosis or green-sickness, 42. 217. 11 12 INDEX OF SUBJECTS. 222. Chlorosis, avoidance of, 49. Diet for three days after confinement, results of, 48. symptoms of, 48. of a lying-in woman, 222. treatment of, 49. Diphtheria, 306. Cleanliness, 225. Dismal forebodings, 143. Close confinement during pregnancy, Doctor, time to send for a, 201. bad effects of, 241. no, absolutely necessary, 203. Clothing at parties and balls, change of, Doctors, are they necessary in delivery? 231. 97 improper and insufficient, 39. Domestic duties, time of release from, proper method of making a 110. girl's, 40, Dress, 39. Co-education of the sexes, advantages day, 292. of, 56. made with embroidered edging in Cold feet, 36. front, 296. Colic and acidity of the stomach, 277. made with insertion in front, 295, cure for, 300. made with tucked front, 294, gripes, or, 300. for winter, 39. Conception, 119. Duty of a husband to assist his wife, 160. a safe preventivo to, 134. erroneous belief concern EARACHE, 307. ing, 120. Early retiring, 38. Confinement, change of diet after, 235. Early rising, 37. feelings after a first, 147. “Eating for two," 170. preparations for, 195. Education of girls, tendency of the, 141, in bed, injurious effects of Efficient temperance law, 127. too long, 233. Enforced child-bearing, 130. Consent of parents, 105. Engaged couple, proper degree of famil- Constipation, 185. iarity between an, 98. Convulsions, 313. Engagements, advantages of short, 100. Costiveness, 301. are they absolutely bind- Course to be pursued by parents, 32. ing, 100. Courtship, 91. behavior during long, a woman's opportunities in, 100. 94. Escape, no way of, 146. should imply, what, 91. Evening visits, 92. Cows' milk for a babe, 276. desirability of employe Cramps, 179. ment during, 92. Criminal abortion, 124. Evil habits, means of cure of, 57. circumstances which of excited and ungratified curiosity may extenuate, 31. 124. Excessive sensual gratification, 118. how to check, 126. Exerciso, 33. Croup, 302. Eyes, use of, during convalescence, 232. common, 303. treatment of, 303. FAILURE of babe to make water, 277. membranous, 304. Fainting after delivery, 215. during pregnancy, 181. DANGER of too hard work, 34. False bosoms, 42. Deductions which girls draw from obser- Family, destruction of the, 109. vation, 141. personal experience with a Divery before the proper time, 153. 278. how long ought a woman to protection of the, 109. remain in bed after, 232. Fatherhood and motherhood, obligations descent of the womb before, 193. of, 315. number of attendants during, Female physicians, 201. 199. Feminine capacity unfairly deci rule for calculating time of, 152. Feminine intuitions, 26. personal preparations for, 198. First sitting up, 233. Development of disease, 28. Fissure of the anus, 264. Diapers, 293. symptoms of, 264. Diarrhoea, 300. treatment of, 285. Diet after third day, 228. Flooding, 214. INDEX OF SUBJECTS. Foeticide, accessory to the crime of, 127. INCONTINENCE of urine, 187. Food, 33. Inconvenience of women and men being after delivery, 219. both equally entitled to "pop the artificial, for the babe, 273. question,” 94. for the new-born babe, 273. Infant, sleep of an, 283. unnecessary during labor, 218. Infant's clothing, looseness necessary in upon the sick woman, do not an, 285. force, 220. length of an, 286. For better, for worse," 132. warmth of an, 287, Form, observable difference in, 24. daily bath, 282. Friend, lack of a wise and judicious, 144. dresses, general directions con Friendship, Platonic, 105. cerning, 294. purity of boy and girl, 61. dress, shortening an, 297. Fruit diet, 171. first clothing, 197. in the place of medicine, 172. sleeping-room, temperature of Fumigation, 231. 282. slumber, aids to, 283. GATHERED breast, 227. wardrobe, 287. causes of, 227. winter clothing, 297. symptoms of, 227. Inherited traits, 317. Generation, gravo importance of the Intuitions, 83. act of, 121. feminine, 26. “Generous fellow," the, 78. Is man undeveloped woman, 25. Girlhood, influence of, 61. Is woman undeveloped man, 25 Going to work too soon, 233. Ivy poisoning, 308. dangers of, 234. Grinding pains, 199. JOB'S comforters, 142. no bearing down during the, 205. KISSES, a woman's, 97 Gripes or colic, 300. LABOR, condition of bowels at commenco HAIR during confinement, 198. ment of, 198. Have those in ill-health a right to first stage of, 195. marry? 87. pains, false, 189. Healthy pregnancy, activity of body position in bed during, 20 and mind essential to, 245. second stage of, 199. Heartburn, 187. support to the back during, 208. Height, comparative of the two sexes, 22. proper presentation in, 210. Hernia or rupture, 298. third stage of, 205. cure for groin, 299. duration of, 206. navel, 299. to hasten a tedious, 201. tight clothing a cause of, 286. voiding of urine during, 205. Riccoughs, 300. Late hours, 95. Home, the, 109. Law-makers, culpability of, 126. construction of the, 112. Leucorrhoea or whites, 261. deserters from the, 110. Light and air, 231. significance of the word, 110. Limitation of offspring, wrong methods treasures of the, 111. of, 133. keeping woman, the, 244. Lochial discharges, 223. Homeless, the, 111. duration of, 224. Hooping-cough, 311. untimely checking Husband, disadvantages of too great of, 224. superiority of age in the, 75. Lola Montez, anecdote of, 237. and wife, relative ages of, 74. Longing, example of ungratified, 175. Husband's consolations, a, 143. Longings, 174. demands, just cause for a class of, to be gratified, 175. refusal of a, 117. rule regarding, 178. Husbands, responsibility of, 129. Love, a boyish, the best safeguard to Hysteria, 49. youth, 62. during pregnancy, 182. and passion, 63. how to avoid, 183. first, 65. in the pregnant woman, purity of, 66. remedy for, 182. reciprocity of, 87 14 INDEX OF SUBJECTS. Love, first, does not interfere with sub- | Monstrual flow, first appearance of the, sequent more lasting affec- 44. tions, 69. frequency of appear transientness of, 67. ance and length of at first sight, 102. duration of, 46. not always serious periods, irregularity of the or lasting, 103. first, 45. free, 109. Menstruation a painless function, 43. manoeuvres of, 94. causes of inconvenience power of, 63. in, 44. true, 64. apparent delay in, 45. uses of, 64. profuse, 46. without passion, 63. scanty, 47. Lying-in room, necessities of the, 197. Midwife, requisites of a competent, 2014 ventilation of the, 198. Milk fever and how to check it, 225. flow of, 225. MALE associates, 59. regulating the, 229. physicians in lying-in chamber, superabundance of, 226. 202. Miseries of the sick-room, 148. Man, prudent and industrious, 78. “Model mother, the," 317. Marital privileges, abuse of, 116. Moderate drinker, the, 85. rights, 129. Morning-sickness, remedies for, 166. Marks, 190. similarity of, to gea- Marriage, 112. sickness, 161. by advertisement, 154. Motherhood, a perfect, 320. day, the, 101. the sacredness of, 320. evil effects upon men of too Mothers, capabilities of, 240. early, 74. culpability of, 41. evil effects upon women of do girls look forward to be- too early, 74. cominy? 140. intellectual retrogression af- indifference or false delicacy ter, 253. of, 29. intellectual retrogression af- theory vs. practice of Ameri ter, inexcusable, 253. can, 28. does it contract a woman's Mother's duties in sickness, a, 298. sphere? 253. mode of training, 52. of the old with the young, respousibility, a, 319. 76. watchfulness over her own pecuniary considerations in, children, a, 52. 77. Mother, the, a proper medium of com- perfect happiness in, 82. munication, 29, proper age for, 72. Muscular system, 23. physical relations of, with a profligate, 112. NAVEL cord, care necessary in tying the, moral objections to, with a 212. profligate, 80. cutting the, 212. physical objections to, 79. separation of the, 272. a sacrament, 113. to avoid suffocation by the, 211. aulages, hasty, 103. Nausea, 150. second, 89. aggravated by the sight of food, Material for infant's wardrobe, with 159. (stimated cost, 293, considered a favorable symptoms Maternal influences, 318. of pregnancy, 163. instinct, the, 139. description of, 162. Measles, 310. exercise a prevention of, 167. treatment of, 311. may be relieved, 162. Medical students, reputation of, 202. or morning-sickness, 158. Menopause, or change of life, 266. Neglected babies, 252. Wenses, cessation of the, 149. Nervous system, 23. suppression of the, 47. Night-dress, 291. Menstrual flow, erroneous idea concern Nubility, 72. ing the character of Nurse a babe, how often to, 218. the, 46. 7 Nursing-bottle, 276. INDEX OF SUBJECTS. 16 Nursing of a babe, circumstances for- Pregnant women, no need of greatly en bidding further, 273. larged size in, 179. must they be strict OFFSPRING, in what manner shall they housekeepers ? 240. be limited ? 133. limitation of, 132. Preparations for the coming change, 32. Out-door work, advantage of, 168. Presentation, face, 210. · foot, 208. « Out of her sphere," 160. of the child determined Over-exertion, how to decide what is, 24. without examination, PALPITATION of the heart, 182. 194. Parable of the ten talents, 242. right and wrong, 203. Passion without love, 64. Presents, 107. Patent braces and abdominal supporters, Prevention better than cure, 42. 260, Producing the sexes at will, 133. Permanent disposition of patient in Production of the sexes, false theories bed, 217. concerning Perineum, protection of the, ens. the, 135. Personal experience, 249. latest theory Petticoat, flannel, 289. in regard Physician is necessary, cases when, 210. to, 135. Piles, 263. personal opi- during pregnancy, 186. nions con may be avoided, how, 187. cerning, 136. precaution against, 208. evidence of remedies for, 263. science in treatment of, 187. regard to, Plain speaking, necessity for, 53, 136. Platonic friendships, 105. Profligate and virtuous, how to decide Plethora and nausea can both bo between the, 83. aroided, 163. Prolapsus uteri, frequent cause of, 235. dangers of, 163. prevalence of, 234. Population, quality, not quantity, of, 133. Proper mating of taste and intellect, 86. Potter's clay, 273. degree of familiarity between an Pregnancy, amount of sleep required engaged couple, 98. in, 169. Propriety vs. possibility, 246. activity of body and mind Protracted visits, embarrassment of essential to a healthy, 245. young lady during, 95. appearance of the navel in, Pruritus, 185. 151. Puberty, age at which it is reached, 31. condition of blood in, 166. mental signs of the approach duration of, 152, 195. of, 32. flatulence mistaken for, 151. physical signs of the apprrach healthful, 167. of, 31. indolent feeling during, 169. Publishers, responsibility 125 is it a state of disease or of health ? 165. QUACK medicines, avoid, 45. not a state of disability, 212. danger of, 126. other symptoms of, 151. Quickening, 150. perfect health requisite in, period of, 150. 165. sensations of, 150. perverted appetite during, Quiet, need of, 218. 174. Quinsy, 307. sometimes a cure for affec- tions of the womb, 261. REASONS for exercise and diet prescribed, symptoms of, 149. various pains accompany- Recollections, 60. ing, 188. Rectum and anus, diseases of, 262. Pregnant woman, diet of a, 170. Reformed drunkard, the, 84. a business life pecu- | Reformed rake, the, 79. liarly suited to, 243. Reformation necessary before marriage can she endure pro- 85. longed mental la- Religion, 86. bor? 242. Responsibilities of young girls, 97. 173. 16 INDEX OF SUBJECTS, Teething, 312. Temperament, 86. Thrush or sore mouth, 302. Too little confidence in nature, 16. Toothache, 184. Traits of character, 86. Trousseaux, 102. Use of malt liquors by nursing mothes, 274. VACCINATION, 308. Varicose or bursted veins, 179. Violation of nature's laws, 241. Visits among children, necessity of dig countenancing, which extend over the night, 51. Rest, need of, 220. Results of unrestrained intercourse bo- tween the sexes, 58. Retirement, when shall a pregnant woman seek, 245. Robe, 292. Romping desirable, 34. Rule for deciding a man's moral charac- ter, 84. SALIVATION during pregnancy, 188. Scarlet fever, 309. treatment of, 310. Scars left by the ova, 119. Secret bad habits, consideration of, im- portant to mothers, 50. early acquisition of, 51. results of improper associations, 51. what course shall a mnother take with her daughter in regard to? 53. Seducer, guilt of the, 128. Self-abuse, treatment for, 54. Sexes, the two, 21. undue familiarity between the, 26. Shall husband and wife sleep together? 118. Shirt, linen, 291. “ Show," the, 195. Sick-chamber, admission of husband to, 218. room, appearance of the, 230. quiet in the, 229. Skin, the, 24. Skirts, cotton, 290. Skirt, embroidered, 291. tucked, 290. Sleep, advantages of abundant and un- disturbed, 220. Snuffling, 299. Soce mouth, thrush or, 302. @ore nipples, 228. to prevent, 193. throat, 306. Stays, evils of, 40. Sterile husbands, 124. Sterility, 121. causes of, 122. cure of, 123 Stimulants, 219. Stomach, wind on the, 300. Strength, how a nursing mother should obtain, 275. the woman the best judge of her own, 232. Summer complaint, 313. Swelled feet, 179. - TAKING a pain," 203. Teach purity and morality, 58. WALK, learning to, 284. Was it not murder ? 130. Wasted old age, 267. Weaning, 280. Weed in the breast, 226. Wet-nurse, suitable, 276. When shall certain information be in- parted? 30. Whites, leucorrhoea or, 261. Why sentiment is introduced, 70. Wife, disadvantages of superior age in the, 75. an invalid, 88. regarded in the light of a nurse, a, should not be, 88. to be contemned, 83. to be envied, 82- Womanhood, disadvantages and corres- ponding advantages of, 26. Woman more than mother, 316. Woman older than man at the same age, 75. or mother, which is greatest, 315, “ Woman who dares, the," 93. Women not without consciences, 127. should decide their own capa- bilities, 239. should not marry confirmed in- valids, 87. Womb, contraction of the, 215. description of the, 255. falling or displacement of the 255. falling of the causes of, 256 mode of treat ment of, 258. symptoms of, 257. sometimes incura- ble, 259. ulceration of the, 261. various displacements of the, 256. Wrapper, print, 292. YOUNG wives do not always wish for children, 142 INTRODUCTION. THE writer of this book-a book designed for women exclusively—is a woman, a wife and a mother. These facts alone, with the experiences they involve, seem to give her qualifications for the work she has undertaken superior, in many respects, to those possessed by any man, professional or otherwise. She has passed through all or nearly all the experi- ences possible to a woman in the exercise of the mater- nal functions passed through them with thought and watchfulness, taking careful note of everything, in an earnest endeavor to acquire a knowledge that might be of benefit both to herself and to others of her sex. She has felt, observed, reflected and studied. The conclusions arrived at are so different, in some respects, from those recorded by the majority of writers on the subjects indicated, that, impressed as she is with their absolute correctness, she has fel it her duty, in a measure, to make them public. The larger class of writers in regard to womanly 2 17 * 18 INTRODUCTION. functions, capabilities and incapabilities, have been men. From Michelet, who regards the normal state of womanhood as one of pretty and useless invalidism, to the unnumbered hosts of English and American authors and essayists, they all set up before us & purely ideal creation, eliminated from their masculine brains, and differing as widely from the reality as- well, say, as man from woman. Michelet's idea of the invalidism and mental and physical incapacity of woman, however absurd and ridiculous it may appear in his statement of it, is, after all, the masculine idea, and is present in essence, at least, in most masculine writings. Even social and political questions in which the interests of women are involved cannot be discussed without this [assumed] invalidism being thrown at our heads. We are expected to relapse into silence and submis- sion at the slightest hint of it, partly overcome by modesty, and partly by the [equally assumed] unan- swerableness of the charge. Men have had their say. It is but fitting now that a woman should have hers, especially as the woman who assumes to speak does so with an authority man cannot venture to claim. But another-and, I hope, my strongest-motive for writing is the desire to bring some message of relief INTRODUCTION. 19 to suffering womanhood—to womanhood suffering un- necessarily through ignorance and the perverted teachings of others. . This has been called, and not without reason," the woman's century.” Women are striving to do, and claiming the right to do, many things that have here- tofore been considered entirely beyond their physical and mental capabilities. Even the most reluctant conservatism is gradually yielding, not so much to the force of their arguments as to the convincing power of their acts, which speak louder than words. It is not my purpose, in this book, to indulge in any discussion in regard to women's right to enter any field of labor they may see fit to select. My aim is, rather, while making this a complete handbook of general knowledge for women concerning all the special physical functions of their sex, to try to find what bearing these functions, and the duties resulting from their exercise, have upon the ambitions and desires of the representative women of to-day. One fact all candid women will admit, that their sex now labors under physical disabilities which, if no means be discovered for their removal, must prove an effectual bar to any general prosecution of the plans devised for woman by those who are seeking to ameliorate her condition. Mentally, too, as well as 20 INTRODUCTION. physically, our women and girls fall far below the standard they should reach. To tell the truth, when I think over all their shortcomings, I am ashamed of them. Now, please do not set this down as an especial disparagement of my sex. No doubt were I to give an equal amount of thought and considera- tion to the failings of men, I should be equally ashamed. But it is women of whom and to whom I am now talking, and men may go unmolested for the present. However, when I see the frivolity and narrow- mindedness so often exhibited by women; when so many evidences of their general ill-health meet my observation on every side; it does not seem strange to me that conservatism, as regarding the widening of “woman's sphere,” should find so many champions, and such apparently strong arguments upon which to base its objections. It is only when these champions insist upon making this weakness of mind and body constitutional-something inherent in the sex—that I become exasperated. And this exasperation, so long belt, so frequently provoked to activity, I may give as an additional and by no means slight motive to the writing of the present book. WHAT WOMEN SHOULD KNOW. CHAPTER I. PHYSICAL AND MENTAL DIFFERENCES IN THE SEXES THE Two SEXES.—“So God made man in his own image, in the image of God created he him; male and female created he them.” No disrespect to the revered chronicle is intended in taking from it a text, as it were, for my discourse. Humanity, thus created male and female, presents, in each of the two parts of which it is composed, distinct characteristics, distinct func- tions and distinct capabilities, both mental and physical. Whether these distinctive features or differ- ences are to be accepted as proof positive that the work of the two sexes in the world should be totally different; whether both should perform the same work, only independently and in a different manner; or whether they should be mutually helpful in the same labor,-I will leave for others to discuss. My sole aim now is to impart to those who need it 22 DIFFERENCES IN THE SEXES. plain and practical advice based upon experience and common sense. If now and then I temporarily turn aside from the straight path I have marked out for myself into the domain of theory and speculation, it is from a sincere conviction that I am justified by facts in doing so. And now let us, first of all, ex- amine into the physical points of difference between the sexes. COMPARATIVE HEIGHT OF THE TWO SEXES.—The average stature of woman is less than that of man. The average height of mankind varies in different countries and different races. Even inhabitants in different sections of the same country show different averages of height. Nevertheless, the relative stature of the two sexes remains about the same. DIFFERENCES IN THE BONY STRUCTURE.—The whole osseous structure of woman is more delicate and less extended than that of man. The skull is smaller, and the bones of the cranium thinner and more pliant. The ribs of woman join more nearly at right angles with the spine, and are broader and flatter than in man. The thorax is consequently shorter and its upper part larger. The sternum is shorter and flatter, and the clavicles crookeder and shorter. The angles of the bones in general are less projecting, and their articulations or connections better concealed. The most noticeable difference, however, in the bony structure of the two sexes is observable in the pelvis. That of man is constructed simply to subserve the purposes of strength and mo- NERVOUS SYSTEM. 23 tion; that of woman, in addition to this, is destined to become the first cradle of the yet unborn babe, and finally to allow the safe transit of the child through its basė. Its diameters, therefore, are broader. This larger and broader pelvis gives a greater breadth to the hips. MUSCULAR SYSTEM.—While the muscular system of woman is not so marked or so well developed as that of man, it possesses greater mobility, delicacy and sensibility. Thus a woman is compensated by her quickness and dexterity for her lack of strength. NERVOUS SYSTEM.—The nervous system is more refined and delicate in woman than in man. This fact renders it liable to diseases and complications of diseases of which men have no experience. On the other hand, this disadvantage is compensated for by its extreme sensibility and susceptibility to impres- sions, giving to woman not only a greater capacity for pain, but a greater capacity for pleasure also. This extreme sensitiveness to suffering bestowed upon the half of humanity which is destined by nature to suffer the most would seem unjust, were it not coun- terbalanced by a power of endurance far exceeding that of the other sex. In denying woman this, as many writers do, the greatest injustice is done her. For, notwithstanding her extreme nervous sensibility, how bravely, patiently and almost uncomplainingly does woman bear the pains and sufferings of child- bed !-pains and sufferings of which men can form but the remotest idea. 24 DIFFERENCES IN THE SEXES. SANGUINIFEROUS SYSTEM.-In woman the circula- tion of the blood is carried on with more rapidity, but with less force, than in man. The arteries are smaller, more easily urged into action, and this action is more easily subdued. The veins are more strongly marked upon the surface of the body, are fuller and more disposed to become varicose. CELLULAR SYSTEM.—The cellular system of wo- man differs decidedly from that of man. It is more abundant, more flexible and better supplied with moisture. It surrounds the frame more completely, especially about the joints, and gives a roundness and softness of outline to woman which is lacking in man. THE SKIN.—The texture of the skin is much finer, more elastic, more transparent and more sensitive in woman than in man. Thus we often find women whose sense of touch is far superior to that of men. They seem to literally see in the dark, not with their visual organs, but with the ends of their fingers. A man, if he wishes to find anything at night, takes a lamp to aid him in his search, while a woman in the same case will be likely to go in the dark, and deter- mine the whereabouts of the object of her search by the use of her fingers alone. OBSERVABLE DIFFERENCE IN FORM.-A man, standing erect, is like an inverted cone, his feet repre- senting the apex and his shoulders the base. A well- developed man will present the greatest breadth of body across the shoulders, his hips will be small, his • IS MAN UNDEVELOPED WOMAN? 2F limbs showing muscular development. A woman's shoulders are narrow, her bust full, her hips broad; and even if her limbs are more or less developed muscularly, this development is hidden by the cellular tissue which fills all hollows and rounds all angles. Is WOMAN UNDEVELOPED MAN?—It has been suggested by some who have claimed to give the matter consideration that woman is undeveloped man Such a theory is absurd upon its very face. A woman's physical organs are more complex, her func- tions and capabilities more numerous and more varie l. She is subject to greater extremes of pain and of joy. Is MAN UNDEVELOPED WOMAN?-If I were to argue from these points, I might rather contend that man was undeveloped woman. And such a declara- tion would have some show of reason from the well- known facts that if a woman, through the exigencies of disease, is obliged to have her ovaries removed the physical features which essentially constitute her womanhood-she becomes gradually more masculine in appearance and character, her voice assumes a gruffer tone, and even traces of a beard become some- times discernible. On the other hand, an emasculated man does not become feminine in his nature. His physical development increases, while he loses all the softening and humanizing characteristics which are the best and noblest traits of manhood. He becomes, in fact, a splendid brute. In both cases it must be deterioration, though the theorists to which I have referred would have to declare, to be consistent with 26 DIFFERENCES IN THE SEXES. their theories, that in suffering this physical mutila- tion a woman became more perfectly developed. BOTH THEORIES INCORRECT.—But these theories --the one which I have quoted and the one which I suppose myself to advance—are both equally erro- neous. Neither man nor woman is the duplicate of the other, superiorly or inferiorly developed. They are each halves of a perfect whole. Their very differ- ences, while they render either sex incapable of com- parison with the other, contribute to constitute perfec- tion when they are united. DISADVANTAGES AND CORRESPONDING ADVAN- TAGES OF WOMANHOOD.—What a woman lacks in strength she makes up in adroitness, skill and deli- cacy of touch. What disadvantages she suffers from over-sensibility of organization are atoned for by greater powers of endurance. Her brain is smaller, but its tissues are finer. FEMININE INTUITIONS.—If a woman cannot reason as directly and logically as a man (and that is one of the grave charges brought against her), she reaches as certain a conclusion far sooner by means of her intui- tions, and having reached that conclusion, she turns about and begins to reason backward toward the starting-point, astonishing the man by meeting him halfway, going in a direction the exact opposite of *his own. This intuition is a wonderful faculty. It leads a woman to make her statement first and study out the why and wherefore afterward. This may not seem a logical proceeding to men, but as women FEMININE INTUITIONS. 27 constitute fully one-half the human race, I do not know that the other, an interested half, is capable of giving an unbiased decision in this matter. It is as though two men were engaged in a lawsuit, and one of them should elect himself umpire and decide the caso for them both. The best and wisest of the other bex are ready to give our intuitions all the considera- tion we claim for them, and to acknowledge that the reasonings of even a wise man possess little authority or claim for credence until they are supported by the intuitions of a good and wise woman. The masculine process of reasoning is the sum in arithmetic; the feminine is the proving of that sum by working it backward. Thus, in its mental processes, as in its physical organization, each sex becomes the comple- ment of the other. CHAPTER II. THE APPROACH OF PUBERTY. NECESSITY FOR CARE AND WATCHFULNESS.- The period at which puberty—or the time when a girl passes from childhood into womanhood—is reached is one of the most important in woman's life. Upon her health, as then established, depends all her future physical well- or ill-being. DEVELOPMENT OF DISEASE.—It is a period at which any latent seeds of disease are most liable to be developed. If the girl is known to have any consti- tutional or inherited tendencies toward special dis- eases, extra precautions should now be taken to guard against them. Consumption is one of the evils to be dreaded. If there is any taint of insanity, it is now exceedingly liable to show itself. Spinal disease may now be developed, and render its victim a life-long invalid. It is a time when guardians cannot be too watchful, and when the girl herself should be sup- plied with all needful information, that, through ignor- ance, she may commit no fatal error. THEORY vs. PRACTICE OF AMERICAN MOTHERS. — Though we in America have theoretically reached a point on this question somewhat in advance of that 28 A PROPER MEDIUM OF COMMUNICATION. 29 arrived at by French and Italian mothers—who believe that innocence is compatible only with absolute ignor- ance, and whose every effort in the rearing of their daughters is directed toward bringing them to the arms of their future husbands totally uninformed regarding the mysteries of nature-still, in practice most of us are scarcely more sensible than they. INDIFFERENCE OR FALSE DELICACY OF MOTHERS. --We supp'- our daughters to acquire this know- ledge somehow, but, yielding to a false delicacy or criminal indifference, where or by what means we never inquire. The result is that young girls gain much unnecessary knowledge, while that which is absolutely essential to their health and well-being they are often ignorant of. THE MOTHER A PROPER MEDIUM OF COMMUNI- CATION.-A mother should never leave to chance or to the communications of young associates the impart- ing of this knowledge, which so closely concerns the girl's future welfare. If she has maintained that intimacy of relationship which should exist between mother and daughter, and which, if it does not exist, must be due to some grave error of the mother, she will not find her task a difficult one. If she believes it impossible to approach the subject naturally and properly with her daughter, there are always good books within reach which she can safely place in that daughter's hands, knowing that within them she will find all necessary information, and that, reading them with her mother's sanction, the daughter will escape 30 THE APPROACH OF PUBERTY. that prurient curiosity which a secret reading would be sure to engender. WHEN SHOULD CERTAIN INFORMATION BE Iv- PARTED ?—For my own part, I am exceedingly radical on this point. I can hardly expect the majority of parents to agree with me, yet I am thus far perfectly satisfied with the results of my course. In a family of children I would have no mysteries. There should be no fables of babies brought by doctors or nurses, or being found under cabbage-leaves. While chil- dren should be taught there were certain subjects not proper for general or frivolous conversation, I would still have these subjects explained and understood, and, when it seemed desirable or necessary, plainly and freely discussed before or with them. A carefully- trained daughter will see nothing to excite merriment when the sufferings and perils of maternity are described properly to her, and there could be no greater check upon the levity of less carefully edu- cated, though perhaps not really evil-minded, com- panions, when they sought to impart knowledge—not necessarily improper knowledge, but knowledge im- properly obtained—than for this daughter to say, “I know all that: my mother told me.” It robs the whole subject at once of that pleasant secresy and impropriety which to some minds attends stolen knɔwledge. Besides, a daughter thus well informed cannot fail to have a greater love and reverence for that mother, who, to give her life, has suffered so much PHYSICAL SIGNS OF ITS APPROACH. 31 EVIL OF EXCITED AND UNGRATIFIED CURIOSITY, -It is a natural yet unduly excited curiosity, rather than sensuality, which is the stumbling-block in the way of most young girls, even leading to their moral ruin. Such curiosity is, I believe, most effectually stifled by the course I have recommended above. AGE AT WHICH PUBERTY IS REACHED.—The age at which puberty is reached varies in individuals, in races and in climates. In warm climates girls develop into womanhood sooner than in cold ones. In our own climate, and in the white race, girls usually reach this period somewhere between thirteen and fifteen years of age. I have known of cases even two years earlier, and others two years later, but fourteen may be set down as the average age. PHYSICAL SIGNS OF THE APPROACH OF PUBERTY. --The signs of the approach of this period are easily recognized. The young girl has nearly reached the stature of womanhood, having perhaps grown very rapidly during the previous year or two. If she is tall, she most probably gives the impression of nothing but height, and is not inaptly described by her friends as a “bean-pole.” Though her bust begins to fill out, her form still lacks that roundness and softness of outline which a few years will add to it. Her appetite is capricious. If she is subject to close con finement or hard study, it will tell upon her as at no other period. She does not feel either strong or well, though she does not complain of actual sickness, The inconsiderate will probably call her lazy. 32 THE APPROACH OF PUBERTY. MENTAL SIGNS OF ITS APPROACH.—The mental signs are no less marked than the physical. The young girl, who may heretofore have been ordinarily placid and even in temper, suddenly develops an unwonted petulance and fretfulness. She is subject to fits of nervous depression for which she cannot her- self account; and she is equally subject to spells of nervous exaltation or excitability. She becomes moody, and desires to be frequently alone. She exhibits various phases of mawkish sentimentality, that would perhaps be amusing and ridiculous, were they not to be set down as inevitable symptoms of the coming change. COURSE TO BE PURSUED BY PARENTS.—Her parents and friends should bear with her patiently and indulgently, and have no fears that her freaks and whims will become permanent characteristics. Let her vagaries of temper and demeanor be checked with gentleness and consideration. Of all things, avoid ridicule. She is particularly sensitive at this period, and her melancholies and unhappinesses, as groundless as they may appear to others, all seem to her to have a substantial basis. PREPARATIONS FOR THE COMING CHANGE.—The only preparations which can be made for the coming change are to take special care of the general health, and to guard the mind from everything which can unduly excite or depress it. Physical or mental stimulation, from whatever cause, is of all things to be most carefully avoided. EXERCISE. 33 FOOD.-The food must be most nutritious, yet not stimulating. Milk, butter and eggs are all desirable and even necessary articles of diet for the young girl. Meat should be moderately partaken of, but not in excess. Tea and coffee should both be avoided, as should also rich and highly-spiced food, sweets and pickles. Fruit and vegetables are always desirable articles of diet, but they are not enough of themselves alone, as they do not contain sufficient nutritive prop- erties. The girl's system needs nourishing and sustaining now more than at any other period. If she exhibits any morbid appetites—and girls at this critical age frequently develop strange fancies for chalk and slate-pencils, and sometimes vinegar-a wise mother will regard these as indications of certain wants in the girl's system which are thus being sup- plied. Instead of forbidding the indulgence of these appetites, and then thinking no more about the matter, she will endeavor to find out what it is her daughter requires, and then at once supply it in the more appro- priate form of food. Thus the need of bran bread, and of food in which phosphates are largely present, is indicated by a morbid craving for chalk; and the free use of fruit and vegetables will correct the unnatural, or, rather, unusual, desire for acids. EXERCISE.—Plentiful exercise in the open air is of the utmost importance. Some mothers see no necessity for this, and say that if their daughters perform their proper dare of the household labor, they will get all the exercise they need. I would not 34 THE APPROACH OF PUBERTY. have the young girl excluded from participation in domestic duties. Such a participation may prove beneficial to her health now, and equally important as regards a proper knowledge of the probable duties of her future life. DANGER OF TOO HARD WORK.—But work is not exercise, and the girl who is kept so busily employed in kitchen and chamber that she has neither time nor disposition for romps in the open air is made to work too hard. And there is most certainly such a thing as making a girl work too hard at this age. There are many things which seem trifling for a healthful, well-developed woman to do, which are exceedingly hard and hurtful to the undeveloped girl. Lifting, stooping, carrying heavy weights, too prolonged exer- tion in any one direction, are all exceedingly injurious. Some girls, of course, can naturally do more than others; and if a girl be weak, hard labor will take away from, rather than add to, the little strength she has. ROMPING DESIRABLE. I would, at this period, allow a girl to be as “ tomboyish" as her inclinations lead her to be. I have little patience with calis- thenics, gymnastics, the use of the dumb-bells and other feminine substitutes for exercise which so many persons recommend. I have still less with those people who constantly check a young girl in her every effort to give natural play to her muscles by telling her that she is almost a woman now, and it is very improper and unlady-like for her to be so rude. I OBJECTION TO NIGHT BATHING. 35 hold that the very fact that at this age she seems more prone to romping than at any other is positive proof that nature requires this means to develop her into healthy womanhood: therefore, it is perfectly proper. Let her ride, drive, row, swim, run, climb fences, and even trees, if she has a mind to. She is only laying the foundation for future good health. BATHING.—As frequent bathing is an essential for the enjoyment of perfect health for any human being, so is it especially desirable at this age. PROPER TIME FOR A BATH.—The middle of the forenoon is usually recommended as the best time for taking a bath; but this recommendation is given with the frequent narrow-sightedness of physicians, who, spending their whole time in taking care of the health of other people, forget that these people have anything else to do besides looking after it themselves. A suggestion of this sort, to be of any avail, must be one that can be easily followed. You may, tell people that they must bathe daily at ten o'clock in the morn- ing, but very few will have time or inclination to obey the direction. Most girls have something to do besides thinking about their health, and we must try to reconcile these apparently conflicting duties. The best time for bathing, to my mind, because the most convenient and the one most likely to be used, is that upon rising and before dressing in the morning. OBJECTION TO NIGHT BATHING.—A cold bath at night excites and stimulates the system too much, and is apt to interfere with sleep. 36 THE APPROACH OF PUBERTY. MANNER OF TAKING A BATH.—Not quoi than five minutes need be spent in these morning abiations, a brief plunge in the bath-tub, followed by brisk rub- bing, will be found agreeable and desirable. When there is no bath-tub, a common hand-basin filled with water is all that is needed. The water is best cold, if the system can bear it. If not, it may be tepid, but it is best to try and gradually reduce the temper- ature. Winter and summer this bath should be con- tinued; and when one becomes accustomed to it, even ice-cold water will not be objected to in the severest weather. The bathing should be as rapid as possible, and can be done with the hand alone or with a sponge or rag. I am inclined to believe the friction of the hand preferable. The rubbing with the towel in drying should be brisk, and sufficient to bring a glow to the skin. The clothing should be put on immedi- ately afterward. Any one who has made a trial of these daily morning baths will be loth to relinquish them. SHOWER BATHS.-Some people may derive benefit from shower baths, but from my own experience I cannot recommend them. They produce too great a shock for a nervous or sensitive organization, and I think them especially inappropriate for a young girl just approaching womanhood. COLD FEET.—Girls as they approach puberty are frequently subject to cold feet. The exception I would make in favor of night bathing is in bathing EARLY RISING. 37 the feet. If the feet are plunged into cold water just before going to bed, immediately withdrawn and briskly rubbed with a coarse towel, the trouble of cold feet at night will in all probability soon disap- pear. This is, besides, an excellent remedy for sleep- lessness. The reaction from the cold bath, in draw- ing the blood to the feet, consequently draws it away from the brain, and that quiet is induced which is necessary to peaceful and beneficial sleep. SNOW BATÁS.-Few people know the luxury of a snow bath, for to one whose system is inured to the use of cold water in the daily morning bath it is indeed a luxury. And here let me tell a secret to young girls: There is no cosmetic to be obtained at the druggist's so potent in its effects and so harmless in its results as snow. The requisites for a snow bath are a basin of snow and a piece of castile soap. Wash thoroughly hands, arms, face and neck with the snow and soap. Every impurity of the skin which water sometimes fails to remove in cold weather will dis- appear under their united influence. . CURE FOR CHAPPED HANDS.-Snow and soap are a sure remedy for chapped hands, removing all the roughness and soreness, and leaving the skin soft, white and pure as a baby's. I have seen this remedy tried with perfect success in most aggravated cases. EARLY RISING.—I plead guilty to being an earnest and honest opponent, on principle, to early rising. Those who desire to rise early, and who find they feel better for it, are welcome to do so. But I maintain 38 THE APPROACH OF PUBERTY. that a loss of necessary sleep is no gain to the indi vidual. And he or she who would rise with the birds of a summer morning certainly loses necessary rest, unless he or she retires with or before the chickens at night. EARLY RETIRING.—If people would talk about * early retiring” instead of “early rising,” then I might possibly agree with them. No person, until he or she has fully reached man's or woman's estate, should, except on the rarest occasions, be out of bed after nine o'clock in the evening--ten o'clock is late enough for any one but the veriest owl; and if these hours are observed, the rising will take care of itself. TIME NECESSARY FOR SLEEP.—Some people whose physical system is developed, rather than their ner- vous or mental one, may find seven hours' sleep amply sufficient for their needs. I knew one old gentleman who, finding five hours all that he required. or could obtain, insisted that no one else needed any more, and that we were all a race of sluggards, to go to bed before eleven or twelve or lie there later than four or five. But each individual must be a judge of his or her own needs. For the young girl, espe- cially at this critical period of her life, I think a large amount of sleep is required. Her nerves are not necessarily deranged, but she is in a condition when they will easily become so; and plenty of sound, healthful sleep is the best preventive against this dan- ger. This, too, is a time when the brain is more IMPROPER AND INSUFFICIENT CLOTHING. 39 easily excited to unhealthful activity, and prolonged sleep is the only remedy for this trouble and antidote to its evil effects. There should be imperatively no late night hours, nor should there be allowed any lingering in bed in the morning after the soundness of sleep is broken. In ordinary cases nine hours is not too much time out of the twenty-four for a girl to devote to sleep. If she says she needs and uses ten, do not dispute the fact or deny her the privilege; only try that the extra hour shall be added in the evening rather than in the morning. DRESS.—I feel almost discouraged before even beginning the discussion of the subject of dress; for after so many have spoken earnestly and yet vainly, I know how little anything I may say will be heeded. Still, it is one of the most important things to be con- sidered in the case of a young girl. DRESS FOR WINTER.-Her dress should be amply warm and comfortable for winter. There should be under-clothing of flannel or merino. The stockings should be wool, and the shoes thick-soled, solid and stout. (Is there any use in entering a protest against too high heels ?) IMPROPER AND INSUFFICIENT CLOTHING AT PAR- TIES AND BALLS.—No exigency of dinner or evening entertainment should ever sanction a mother, espe- cially at this critical period, in sending a daughter out into inclement weather, and afterward into ill-venti- lated and ill-heated rooms, clad in garments which from their scantiness are hardly appropriate for sum- THE APPROACH OF PUBERTY. mer. Bare neck and arms have been sufficient in many a case to send a young girl to her grave. PROPER METHOD OF MAKING A GIRL'S CLOTH- ING.—I have nothing to say about the material or special fashioning of a girl's clothing. These matters mothers must decide, bringing to their aid good natural common sense and that judgment which it is to be hoped) years of experience have endowed them with. True, I have my opinions, but I will not and chest must be worn loosely. To secure this, let everything be fastened with buttons. If hooks and eyes can be used, it is a very good sign that the cloth- ing is too tight. The mother should see that as her daughter's form develops there is no binding about the breast. There should be ample breathing-room, and ample room for development. There should be no weight depending from the hips. Waists and straps should carry the burden to the shoulders, or, what is better, distribute it evenly to all the muscles of the body. EVILS OF STAYS.—There must be no Corset Worn. Aside from the evils of tight lacing, toward which there is always a temptation when stays are worn, the stays are in every way injurious. The bones which stiffen them press against the tender tissues of the growing bust, not only preventing its full development, but laying the foundation for future troubles when the girl shall become a woman and a mother. They press against the heart and retard its CULPABILITY OF MOTHERS. 41 functions, leading to various complications of that organ which sometimes result in death. They weaken the stomach, the bowels and the lungs by checking their action, so that chronic dyspepsia, constipation and consumption may result directly and solely from their use. They are frequently an active agent in liver complaint, hindering the free action of those organs whose duty it is to secrete and dispense bile. They weaken the muscles of the entire chest, so that in time they become a necessity, and without them the girl feels as if she were “falling to pieces.” She gets to actually believe that God and nature were not competent to create her in perfection, but that she needs a supplemental skeleton worn on the outside to complete her. The tendency of stays is to compress the internal organs and push them downward, and then there results a long train of evils, known as “female complaints," which unmarried women ought to be ashamed to confess to, but which are frightfully prevalent among them. CULPABILITY OF MOTHERS.-A woman who has these facts brought before her, and who still, for fashion's sake, persists in putting her young daughter into stays, is unworthy to be a mother. I some- times think the law ought to take cognizance of such cases, and punish them as a crime only less in degree than murder. It is not actually depriving another of life, but it is to a certainty rendering that life miserable, and the sufferer incompetent to the complete and easy performance of the duties assigned her. 42 THE APPROACH OF PUBERTY. FALSE BOSOMS.— A mother should discountenance in her daughter the use of cotton to give the appear- ance of a full development of the breasts. Not only is it a most clumsy device which never for one mo- ment causes art to be mistaken for nature, but it is also an injurious practice. The cotton heats and debilitates the mammary glands, while its weight and pressure prevent their full growth and expansion. If nature has really been niggardly, and her work seems to need supplementing, there are false busts to be obtained at the stores, light and airy in construc- tion, which can be worn with perfect safety, and which far better counterfeit nature. It should be borne in mind, however, that, though girls of foreign birth or extraction frequently possess busts of extreme fullness, this is not a characteristic of an American girl; that slenderness of form and delicacy of outline, rather than voluptuous development, are her attributes; and that she who simulates the full and rounded bosom of the matron lays herself open to the possible charge of vulgarity. PREVENTION BETTER THAN CURE.— I have always believed prevention better than cure. And the mother who, in the care of her daughter, sees that the direc- tions I have given are faithfully carried out, may feel tolerable confidence that that daughter will be usher- ed into womanhood safely, and subject to none of the distressing complaints which so often render a wo- man's life one of misery and uselessness. CHAPTER III. PUBERTY. CAN A NATURAL STATE BE CALLED A STATE OF INVALIDLYM ?-I have just been glancing at a modern American book, bearing the name of a well-known physician, and treating of the functions and diseases of women, and I have shut it in disgust on finding the same idea which Michelet has so sentimentally elaborated--namely, that woman's natural state is that of invalidism, and that all her peculiar natural functions are unavoidably attended with pain, incon- venience and disability. Speaking of a woman's monthly periods, this physician says: “More or less pain, more or less prostration and general disturbance, at these epochs are universal and inevitable.” At the first glance I feel that, as a physician, he ought to know better. But on second thoughts I consider that, as a physician, he only knows of the cases of sickness and suffering, for those who do not suffer of course do not need his assistance. But there never was a greater mistake-a mistake which underlies all the others regarding woman's abilities and disabilities. MENSTRUATION A PAINLESS FUNCTION.—A Wo- man in complete health should menstruate with per- 43 44 PUBERTY. fect freedom from pain, and with the least possible inconvenience. She will not even feel prostrated. The only difference at such periods is that she is more liable to weariness and prostration from over- exertion. This freedom from suffering is not rare. Menstruation is not a disease, nor should it reduce to a state of even slight temporary invalidism. When all the organs are in health and work in harmony, it will not do so. That it frequently does, I admit; but in these cases there is disarrangement. It is not the result of natural law. CAUSES OF INCONVENIENCE.— When any incon- venience is felt, it may be depended upon that there is either inherited or organic difficulty, or that im- proper habits and modes of life and dress, for which the woman herself, her mother or society is respon- sible, lead to these deplorable results. When one reflects how many false theories are imposed upon women by custom and fashion and notions of pro- priety, it is not to be wondered at that many women do suffer somewat, and some women exceedingly, at such periods. But i repeat it—it is not the ordering of nature; and the fact that those who are sterile, and those who are subject to miscarriage, suffer most, bears me out in my belief. These two classes are both removed from a natural condition of health. FIRST APPEARANCE OF THE MENSTRUAL Flow. When proper precautions have been observed, and when there is no organic or inherited difficulty, the girl will, at the right period, be it sooner or later, THE FIRST MENSTRUAL PERIODS. 45 become subject to the menstrual discharge. This is frequently preceded for some weeks or months by a slight colorless flow, which is an evidence that nature is about her work. There is nothing in this discharge to occasion alarm or require medical treatment. APPARENT DELAY IN ITS APPEARANCE.—Eveu if there should be delay in the appearance of the menses after a girl has reached an age when she may naturally look for them, and when all the symptoms of their approach have been detected, there is still no occasion for uneasiness so long as her health re- mains unimpaired. AVOID QUACK MEDICINES.—If the mother cannot suppress her anxiety, let her lay the facts of the case before her family physician, and then repose the utmost confidence in him when he reiterates the state- ment I make here, that medical treatment is unneces- sary. Let her by no means have recourse to the patent medicines the advertisements of which meet our eye in nearly all the public prints. Their use will most probably consign her daughter to a life of suffering, if they do not seal her death-warrant. Too LITTLE CONFIDENCE IN NATURE.--We are all more or less inclined to have too little confidence in nature, and to place too great faith in the power of drugs. The truth is that nature is fully compe- tent to carry out her own plans in all cases when obstructions are not placed in her way. IRREGULARITY OF THE FIRST MENSTRUAL PE- RIODS.—The first menstrual discharge may or may 46 PUBERTY. not be slight, and frequently, it is several months before the second makes its appearance. If the girl's health remains undisturbed, subject only to the ner- vous and mental fluctuations which are natural to her age, there is no occasion for alarm. After the second or third period, regularity will probably be established. ERRONEOUS IDEA CONCERNING THE CHARACTER OF THE MENSTRUAL FLOW.—A notion prevails among ignorant people—one of the traditions handed down from a less enlightened age—that this discharge carries away the bad blood from the system. This is entirely erroneous. It is the same blood as that which courses through the veins, thinned and altered slightly in character by the mucous discharges of the passages through which it flows. If its flow is arrested, serious consequences will ensue; not because the blood retained poisons the system, but because the system becomes deranged in consequence of the sus- pension of one of the acts of nature. FREQUENCY OF ITS APPEARANCE AND LENGTH OF DURATION.—Regularity is the main thing in this discharge. Its time of duration and its time of inter- val may and do differ in individuals. It should last from two to six days, and it may come at intervals of from three to six weeks, though four is the general rule. So long as there is no irregularity, no inconve- nience is felt nor the general health impaired, there is no reason to consider that anything is wrong. PROFUSE MENSTRUATION.—Some women are in- clined to menstruate too freely. To judge whether SUPPRESSION OF THE MENSES. 47 this is actually the case, it is necessary to inquire whether they suffer weakness, debility and pain from the discharge, and whether there is any sign of clots. Pure menstrual blood differs from venous blood in that it never clots. When clots are discovered, some thing is wrong. A simply profuse discharge is, how. ever, not necessarily a bad sign. It is in the nature of some women to menstruate more freely than others, and to check this disposition would do serious harm. When, however, there is no doubt that the menstru- ation is too profuse, the girl must abstain as much as possible from exercise at these periods, avoid all stimulating food and drink, and if practicable lie in a recumbent position a portion of each day while the flow continues. If this course of conduct does not produce the desired result, let a physician be consulted, and on no account take medicine without his prescrip- tion. SCANTY MENSTRUATION.—There is in scanty as in profuse menstruation no fixed standard. "The only way is to judge by effects. If, in conjunction with a scanty flow, there be pain, fullness, oppression, headache and other disagreeable symptoms, it is well to try the effects of a more active life before having recourse to medicine. This trouble results most often from sedentary employments. Medicine should only be taken under the guidance of a doctor. SUPPRESSION OF THE MENSES.—The menses are liable to be suppressed by any sudden physical or mental excitement. Exposure to cold will check 48 PUBERTY. them. Some women cannot take a cold bath at such times with impunity. Wetting the feet is sufficient with others to entirely stop the menstrual flow. When this happens, the girl should redouble her efforts in the care of her general health, and should indulge in open-air exercise more freely than usual. As the time approaches for her next monthly period, she had better put her feet in warm water for a short time, drink some warm herb-tea, such as rue or tansy, and go to bed. If these simple remedies fail, a doc- tor's advice is necessary, and no drugs should be taken unauthorized by him. Again I would say, avoid patent medicines. CHLOROSIS OR GREEN SICKNESS.—Chlorosis or green sickness is a disease to which young women are subject. It is called a female disease, though the feminine organs are not especially involved. It is a nervous disease, and the irregularities which consti- tute an important part of its symptoms are the result rather than the cause. All the organs of the body are more or less involved, and their action interfered with. SYMPTOMS OF CHLOROSIS.—Its symptoms are lassi- tude, low spirits, capricious appetite, irregularity and perhaps scantiness in the monthly periods, and a pale complexion with a greenish tinge, from which the disease takes its name. RESULTS OF CHLOROSIS.—Its results are impover- ishment of the blood, nervous prostration, confirmed invalidism, and possibly consumption. HYSTERIA. TREATMENT OF CHLOROSIS.—The attendance of a physician is absolutely necessary, but, aside from this, there is much that parents can do. The best thing in this disorder is change of air and scene. Sea- air and sea-bathing may prove highly beneficial. Free exercise in the open air, nutritious diet, pleasant surroundings, and occupation sufficient to keep both mind and hands busy, yet sufficiently varied not to tire, are all important adjuncts toward a cure. THE AVOIDANCE OF CHLOROSIS.—However, as prevention is better than cure, it is well to consider how green sickness may be avoided. This disease is almost always the result of too close confinement, prolonged sedentary employment, innutritious diet, improper dress, late hours, unnatural excitements and general bad habits, so that a course of life the reverse of all this is the proper one to pursue in order to avoid the disease. HYSTERIA.-Hysteria is also an affection of the who has been favored with a judicious and conscien- tious mother, who has been allowed to indulge in ne stimulating food and beverages; who has never been permitted the dissipation of late hours and exciting romances; who is not over-worked or too closely con- fined, and who has plenty of healthful and pleasant occupation, will seldom, if ever, be subject to this trouble. My cure for this is the same as for all other cise, diet and occupation. To relieve its immediate 50 PUBERTY. attacks a piece of assafoetida, the size of a small pea, is excellent. Tincture of Valerian is also a useful and more agreeable remedy. The dose is from half a tea- spoonful to a teaspoonful, taken with more or less frequency, as the necessities of the disease seem to indicate. Huxham's Tincture of Bark, and Tincture of Valerian, are excellent to tone up the system and restore neryous and muscular strength. A teaspoon- ful is a dose. If these mild remedies do not effect a cure, the patient should receive the attention of a competent physician, before the disease becomes a con- firmed habit and serious results follow; as by its con- tinuance the patient may become a life-long invalid or imbecile. SECRET BAD HABITS.—Not long since the public was startled by a book which gave a frightful view of vice in our country, and especially of the preva lence of self-abuse among the young of both sexes. I cannot believe that one-half this book states is true, though the author may have been conscientious in his statements. Being a physician, he was cognizant of a :mrge number of sufferers from this cause, and he did not stop to draw a comparison between these and the till larger number whom he had no reason to sup- pose subject to this sin. At least I hope, for the reputation of humanity, that such was the case. ? CONSIDERATION OF THIS SUBJECT IMPORTANT TO MOTHERS.—This is a delicate subject to approach, and it is only the absolute obligation I feel under to mall the attention of mothers to it that persuades me VISITS AMONG CHILDREN. 51 to mention it at all. As a woman and a mother I feel it my duty to sound a note of warning. EARLY ACQUISITION OF SECRET BAD HABITS. Secret bad habits are frequently contracted very early in life, while the young child has but the dimmest consciousness of right and wrong in such matters, and at this period it is the mother who is at least partially responsible. It is often the result of want of cleanliness about the private parts. Uncleanness produces itching and irritation, in relieving which these habits are frequently acquired. THEIR ACQUISITION THE RESULT OF IMPROPER ASSOCIATIONS.—Again, the acquisition of these hab- its is often the result of improper associations, espe- cially during sleeping-hours. No mother should on any account permit her child to sleep with any young companion or servant. The rule seems a rigid one, but it should be imperatively obeyed. A single night may undo the results of years of watchfulness. NECESSITY FOR DISCOUNTENANCING VISITS AMONG CHILDREN WHICH EXTEND OVER THE NIGHT.-It is frequently the custom for children to spend the night at each others' dwellings for the mere pleasure of companionship. This should never be permitted ; and if any young person is forced by circumstances to become a temporary inmate of the house, he or she should be assigned a separate sleeping-apartment. Such universal suspicion may seem cruel in the extreme, but I know that children otherwise well- behaved and possessing excellent traits of character 52 PUBERTY. and disposition are yet subject to this failing. I do not bestow any great share of blame upon them, for they have but the faintest consciousness of the moral sin of which they are guilty, and none whatever of the physical evils which result from their wrong- doing. If there is fault anywhere, it lies with those through whose culpable carelessness they have had opportunity to acquire evil habits. Nor should a child be put to sleep with a servant, no matter how much confidence one may have in her. Probably nine chances out of ten in either case children would escape contamination, but there is the tenth chance, and it is the mother's duty to avoid all possibility of evil results. A MOTHER'S WATCHFULNESS OVER HER OWN CHILDREN.—A mother cannot be too watchful over her own children, even should she have no occasion for suspicion. But this watchfulness must never show itself; for, if guilty, the child will be cautious to conceal its practices; and if not guilty, it will be cruel to wound its sensibilities. MODE OF TRAINING IN THIS RESPECT.—A mother need seldom or never, except in undoubted cases of secret vice, refer to the subject in the teaching and training of her children. She should teach them habits of cleanliness in regard to those parts, a negli- gence of which is often alone sufficient to engender this vice in children. She should teach them a proper modesty, not only in regard to others, but of them- selves toward their own bodies; and this teaching, WHAT IT IS NECESSARY TO SAY. 53 properly impressed upon their minds, will be a strong safeguard against this and many other evils. WHAT COURSE SHALL A MOTHER TAKE WITH HER DAUGHTER IN REGARD TO SUCH MATTERS ?- What shall a mother say to a daughter whom she suspects of being addicted to secret evil habits ? Nothing, until she is certain beyond mistake; for it would be the height of cruelty to wound the feelings of an innocent girl by hinting at any doubt of her guiltlessness in this respect. But when there is no longer room for doubt, the mother must do more than give general instruction and exert watchfulness, though neither of these should be omitted. NECESSITY OF PLAIN. SPEAKING.–The mother must speak, and speak plainly. If the relations between mother and daughter are as confidential as they ought to be (and if they are not it may safely be set down as the mother's fault), it will not be a difficult task. But, difficult or not, it is no less a duty. There must be no harsh words; all that is said must be actuated by the spirit of kindness. Let the daughter see that she is regarded with pity rather than with anger. WHAT IT IS NECESSARY TO SAY.—All the func- tions of her sex, and the physical relations which the two sexes bear toward each other, must be clearly explained to her. No matter if she seems already to have a knowledge of these things. If she hears them repeated seriously and reverently by her mother, she will, no doubt, learn much of importance of which 5* 54 PUBERTY she has heretofore been ignorant, and the whole matter will assume a sacredness in her eyes with which she never before dreamed of investing it in the levity with which she has discussed it with her young com- panions. She must be particularly impressed with the sacredness of these things, and of the sacredness of her own body. She must be shown how a persist- ence in secret vice will undermine her health, prostrate her nervous system, weaken her mental powers and degrade her morally. She must be told that, to a certain degree, it will render her unfit to fulfill the functions of her sex, to which fulfillment, in the course of nature, she will probably be called. She must be reminded what her own feelings will be, should she ever become the wife of an honorable and virtuous man, in remembering that there is one act or series of acts in her life which she can never confess to him except with burning shame. Her full con- fidence must be invited and secured, and the mother must offer to be her aid in the correction of her evil habit. It should seem to be regarded more as a dis- ease than as a crime. If all efforts fail in effecting a cure, then, still in the spirit of kindness and pity, the girl should be told that a physician will have to be consulted to devise a means of cure. If she have any shame left, this threat, offered not as a threat, however, ought to be sufficient. TREATMENT FOR SELF-ABUSE.-Frequent bath- ings in both cold and warm water of the private parts may give some slight aid toward overcoming the BOARDING-SCHOOL LIFE.. 55 habit of self-abuse. A tepid sitz bath at the moment of temptation would no doubt do good. The diet should be of the plainest kind, and all spices and stimulants, of whatever nature, should be absolutely forbidden. Sedentary employments should be aban- doned as much as possible, and active labor substi- tuted in their stead. The girl should be forbidden all reading of an imaginative character. She should be left alone as little as possible during the day, and some responsible person should sleep with her at night. If with all these cautions the habit seems uncontrollable, medical advice should be sought. It of the generative organs which requires medical or surgical treatment. If so serious measures as these do not seem necessary, an application of caustic might be made to the affected parts, which would effectually prevent their being touched. against the curriculum and the mode of instruction in most of our female seminaries and boarding- schools, I should still firmly refuse to send a daughter to one of them, for this reason, if no other, that I believe-nay, I know—that the moral atmosphere of such schools is always more or less vitiated. It is not the fault of the instructors or of the faculty. It is so in spite of them. In the close contact which necessarily exists between the pupils, a very small proportion of evil-disposed and morally-debased girls is sufficient to corrupt the whole at the impressionable 56 PUBERTY. age at which girls attend these schools. The dor- mitory system-or, what is little better, the huddling of several girls in a single sleeping-apartment—is suffi- cient to destroy all personal modesty; and when this is gone, the bulwark of the girl's innocence is broken down. It is in these institutions that secret vice flourishes to a degree scarcely to be believed. Occa- sionally facts become public; parents are alarmed; and the innocent and guilty are alike reproached and covered with shame. Miss Catherine E. Beecher, herself for many years a teacher in such an institu- tion, was among the first to speak earnest words of warning on this subject; but though she discovered the evil, she did not comprehend the cause. It is the false system which is to blame. ADVANTAGES OF CO-EDUCATION OF THE SEXES. — There is no doubt that the two sexes exert a restrain- ing and an elevating influence upon each other, and where they are mingled in educational institutions on the same terms of freedom and equality as in the home, there the standard of morality will be found to be the highest. This I would dare to say on my own authority and as a result of my own observation, but happily for those who might not be inclined to accept me as a competent judge, this fact is borne out by the experience, in some cases of many years, of numerous educational institutions of different grades. Any approach to a monastic or conventual life is, except in peculiar cases, unfortunate if not positively evil in its influences. It is exactly the opposite of MEANS OF CURE OF EVIL HABITS. 57 the family. If God had intended such a life to be led by his creatures, he would have made whole families, whole communities even, of one sex alone. We all know the moral status of even our most noted colleges, and we ought also to know that, in a different way, of course, but still equally bad, is that of a female boarding-school. MEANS OF CURE OF EVIL HABITS.—There is one course that may of itself be sufficient to effect a cure for secret vice in a girl approaching womanhood. It may seem a strange one to many, but I speak with perfect confidence in the truth of what I say when I give the advice. There will no harm result, even if its effects are not as beneficial as expected. Let the young girl who is upon the threshold of womanhood, with the instincts of her sex already beginning to develop themselves, be thrown into the frequent (if constant so much the better) companionship of young persons of the other sex of good character, so far as character may be said to be established so early in life. Each will have a beneficial effect upon the other. The girl will, from her respect for the other sex, conceive a higher idea of womanhood and a greater respect for herself. The restraints which the presence of her male companions impose will remain in effect in their absence, and habits which she has heretofore considered as mere venial offences will suddenly assume a more serious magnitude. Self- consciousness of guilt will be always present, and the chances are two to one that the vice will be dropped. CHAPTER IV. LOVE IN ITS PHYSICAL AND MORAL PHASES. RESULTS OF UNRESTRAINED INTERCOURSE BE- TWEEN THE SEXES.—The concluding paragraph of my last chapter leads directly to the subject of the opening paragraph of this—the results of unrestrained intercourse between the sexes as each is approaching or has reached nubility. We have already taken a long step in advance of most European nations, inas- much as we allow a far greater freedom of intercourse between the sexes; and the more thoughtful and more liberal in this country are gradually becoming con- vinced that every remaining bar of restraint which is taken down tends more certainly to purity of thought and act. Perhaps the reason of this is based upon the well-known fact that if you impress any one with the thought that you place unlimited confidence in him, he is far more likely to prove himself worthy of this confidence, than though he should feel that he is regarded with suspicion and watchfulness. TEACH PURITY AND MORALITY.—My most earnest word of advice to mothers is, let your earliest inculcations and the whole tenor of your instructions 68 BOY-BEAUX, 59 to, and your example before, your sons and daughters be in favor of a life of purity in thought, word and deed; and then, after that, trust them. If they fail you then, be sure they would all the more surely have failed you if you had let them see that you regarded MALE ASSOCIATES.—A girl should not merely be permitted, but be encouraged, to have companions of the other sex; and the only check which the parents should exercise in this regard is to see that these companions are proper ones, with characters unblem- ished. BoY-BEAUX.—This is what Fanny Fern says on the subject of boy-beaux. I came across the passage in her new book after having finished the writing of this chapter, and it so entirely coincided with my own views that I marked it for insertion here: “Do I approve of boy-beaux, madam? Why not? Don't every rosebud draw its humming-bird? Did not God make them both for this harmless, innocent delight? You had your boy-beaux, madam: I had mine by the score. Only teach your daughter to love you well enough to conceal nothing, however minute, from you; only show her that you have a heart and don't want to pluck out hers, and, my word for it, no harm will come of her boy-beaux.' It is your repres- sion that does the mischief-your ignoring your own youth and hers. The child who has leave to pluck the apple often leaves it untasted, undesired, upon the tree.” 60 LOVE IN ITS PHYSICAL AND MORAL PHASES. RECOLLECTIONS.—Some of the most pleasant recol- lections of my own life concern my boyish friends: I never once dreamed of calling them beaux. There was little thought of sex between us. We were not lovers, we were simply friends—comrades is the better word. If I was in love with any of them, I must have been with them all, for they all stood nearly equal in my regards, which were certainly strong and sincere. To this day I always recall the livi: o among them with feelings of deeper interest than I do my acquaintances of later years, mingled wit) a half regret that circumstances and propriety each forbid a resumption of our old familiar terms of intercourse; while the memory of the dead is peculiarly sacred to me. There was one, a young and ambitious law student and embryo politician, who used to hasten, as soon as office hours were over, to read to me column after column of the Daily Congressional Globe; and I, an ardent young politician of sixteen, listened with intensest interest to the longest speeches, and knew every prominent man of every party by name and political history. I had full faith in the future of my friend, and was satisfied in my own mind that nothing less dignified than a seat in Congress awaited him. Ah, well! As he grew older his enthusiasm cooled, his ambition, I dare say, died out, and he is to-day the editor of a tolerably prosperous country newspaper, where perhaps, after all, he exerts as great an influence as he might have done in Congress. Another, a poet, of whom I still believe the world INFLUENCE OF GIRLHOOD. 61 would have heard if Providence had not ordered otherwise, used to lend me books of poetry and read me Emerson. When he died my heart was nearly broken, though if he had lived I should never have felt the least desire to become his wife. I might go on and specify all, to the number of half a dozen at least, if I thought the recountal would interest the reader. I had friends, too, of my own sex, who were just as dear to me, but I am not now speaking of girl friendships. PURITY OF GIRL AND BOY FRIENDSHIPS.—In all our intercourse, which was of the most unrestricted character, I cannot recall a word or act of “love- making," or of anything tending toward impropriety. Kisses certainly never passed between us. They were unthought of on my side; and if not equally un- thought of on theirs, these youths must have exerted rare powers of self-restraint. I know that associa- tion with them helped to develop that which is best intellectually, morally and emotionally in me; and I hope that my influence over them was, if not equally marked, at least beneficial. The wine of life coursed in our veins sufficiently for exhilaration, but not with sufficient rapidity to cause the slightest intoxication of the senses. INFLUENCE OF GIRLHOOD.—There is a power in healthy, well-developed girlhood sufficient almost for the regeneration of the world. This seems a strong expression; but when we reflect that it is at the plastic period of youth that characters are formed 62 LOVE IN ITS PHYSICAL AND MORAL PHASES. and habits settled for life, and that womanly influence over the other sex at this age is almost unlimited, the expression is not so exaggerated, after all. But this regeneration will never take place until young women themselves become fully conscious of their power and feel its responsibility. CHILD-LOVE.—I think one of the most beautiful things Mrs. Stowe has ever written is to be found in the opening chapters of “My Wife and I,” in which Harry Henderson describes his child-love. It is not every one probably who has had a like experience, but those who have look back upon it as among their pleasantest memories. There are those who in their wisdom frown upon such manifestations of youthful precocity, as they consider it, and believe it to be their duty to check a growing intimacy between two children of opposite sexes by the means of ridi- cule and, if need be, of command. But there is nothing more unwise, nothing more unjust. Its out- growth is in the innocence of paradise; the ridicule that checks it compels the poor children to eat of the tree of knowledge, opens their eyes to good and evil, and henceforth they are ashamed. A. BOYISH LOVE THE BEST SAFEGUARD TO YOUTH -I believe there can be no surer safeguard for a boy through the perilous years of youth than the love given to and received from a little innocent girl, or even a succession of girls. It will keep him from all manner of evil, and will incite him to his best endeavors in all that is noble and commendable. LOVE WITHOUT PASSION. 63 POWER OF LOVE.-The strongest motive-power in the world is the attraction between the sexes. It even exceeds the desire for gain, because in most cases this latter desire is born of a still stronger one to win or retain love or to gratify passion. LOVE AND PASSION.—I have put the words love and passion in the same sentence, as though I con- sidered their meaning nearly identical. I am very far from doing this, but there is a sliding scale between them where one becomes blended in the other, so that, differing as widely as they do, it is sometimes difficult to draw the dividing-line. Pas- sion is the base earthly body devoid of soul. Love is that body vivified and glorified by a beautiful angelic spirit. LOVE WITHOUT PASSION.-I believe there can be a strong, abiding love, deeper and more powerful than friendship, in which little or no passion enters. This is no doubt rare between the two sexes, and when felt at all is usually felt by women, and resem- bles, though it differs from, maternal affection. The love of many good women is something akin to this, and of this fact Miss Mulock seems cognizant when in "A Life for a Life,” she makes her heroine say, “I have thought that in all women's deepest loves, be they ever so full of reverence, there enters some- times much of the motherly element, even as on this day I felt as if I were somehow or other in charge of Max, and a great deal older than he.” An instinctive knowledge of the possibility of such a love must have 64 LOVE IN ITS PHYSICAL AND MORAL PHASES. possessed us, and was rather grotesquely expressed, when I and my girlish associates used to denominate, in conversation among ourselves, our young masculine friends as our “grandchildren.” I believe some of “grandmothers.” PASSION WITHOUT LOVE.—There is something which passes for love, but which is simply passion without affection—a brute passion which seeks only selfish physical gratification. It seems unjust to call this passion, even. It is simply lust. The victims of this lust are wretched, broken-hearted wives com- pelled to bear large families of children, and subject to all sorts of unkindnesses and brutal treatment- wives whose condition is worse than slavery. TRUE LOVE.—Love in its truest, purest, highest form is that of strong, unselfish affection blended with desire—an honorable desire implanted by nature in the breasts of men and women, and which is only to be condemned when it is perverted and seeks gratifi- cation in forbidden ways. Such a love, culminating in marriage, is approved by God and man. And such a love, looking forward to marriage as affording free- dom to the affections and gratification to the instincts, is also commendable, and its possession to be desired by all men and women. USES OF LOVE.—Its primary use is, through the instincts which accompany it, the perpetuation of the human race. But its uses are higher than that. By FIRST LOVE 65 vidual, and brings out all that is best within him or her. I read lately, though I cannot now recall where, that love instead of being blind is clear-sighted. It opens the eyes of the lover and makes him see in the object of his affections those beautiful traits of mind and soul which ordinary mortals do not discern, but which God sees in all of us. Love is the beautifier, the glorifier, the redeemer. When it is pure and true, it unites two souls in bonds of happiness which never chafe, and which become stronger as time passes and the passions become chastened and subdued. FIRST LOVE.-In speaking of first love I do not, after all, refer to those childish affections which I have described, but to those attractions of members of the opposite sexes who have reached an age to experience the emotions and instincts to which com- bined we give the name of love. After the period of puberty is reached we see the evidence of the growing capability for such a love in the upheaval of the emotional nature of the young girl. She is no longer calm in manner, even in disposition and matter-of- fact in her modes of thinking. Whether she has ever been allowed to read novels or not, life suddenly becomes a romance and herself the heroine. She is liable to sudden mental disturbances; she surprises and, perhaps, amuses us with ridiculous bursts of enthusiasm or sentimentalism. The girl somehow has lost herself. She feels herself in depths that she cannot fathom, and she seeks vainly on every side for aid that shall bring her safely to shore, or for a 6 * 66. LOVE IN ITS PHYSICAL AND MORAL PHASES. beacon-light that shall at least show her where she is. But she can never go back to the innocence and placidity of childhood. She is in a new world, and there is only one safe place for her in it—it is the same with man-harbored safely in the affectionate care of one of the other sex. She does not know this; still instinct is telling her so all the same, and she sometimes dreams dreams. And if some day she fancies she has found that harbor, do not judge her harshly. Even smile kindly upon her as you recall the days of your own youth. This is part of the lesson of life. PURITY OF FIRST LOVE.—It is the most unjust and cruel of all judgments to consider that the young girl and boy who fancy themselves in love are drawn thereto by a superabundance of animal passion. I believe, if there is anything pure in this world, it is the first boyish and girlish affection which is com- monly denominated "puppy love.” It differs from the placid likings of childhood, inasmuch as there is an instinctive consciousness of sex, but it is in all respects reverential and pure. It is the very exalta- tion of sentiment. Goethe, who might be styled master of arts in all affairs relating to love, for ho was subject to its influence from early youth, thus speaks of these youthful passions, in referring to Gretchen, the lovely inn-maiden who won his affec- tions: “The first love motions of ai uncorrupted youth take an entirely spiritual direction. Nature seems to wish that one sex shall become through the RECIPROCITY OF FIRST LOVES. 67 other sensuously aware of the good and the beautiful. And so to me through the beholding of this girl, and my love for her, was opened a new world of the beautiful and the excellent.” TRANSIENTNESS OF FIRST LOVE.—It is not always best-indeed, it is seldom best—that these early loves should be perpetuated until the proper age for mar- riage is reached. For the objects of these boyish and girlish caprices are not always all that they should be, regarded as husband or wife. Besides, time may develop traits of character and disposition which shall make them still less desirable. But be content to let the future take care of itself. These affections are not generally lasting. Time and absence work won- ders. If, however, there are no reasonable objections to the future union of the two youthful lovers, I can- not see why their love should not be encouraged until at last it is consummated in marriage. It must be pleasant for such a married couple to look back upon the past, and be able to date their affection from the days of early youth. RECIPROCITY OF FIRST LOVES.—These first loves are not always reciprocal. They do not need to be so in order to be beneficial. I know a love which I felt in my early girlhood was not so. I worshiped reverentially, at a distance, and was frightened lest any one, most of all the object of my adoration, should even guess of it. I looked forward to no future. I was simply content with the presence of the one who inspired me; more than content if he gave me a 8 LOVE IN ITS PHYSICAL AND MORAL PHASES. passing word. He went out of my sight, and my feelings, of course, weakened and died out, though not the remembrance of those feelings which I cherish even yet. And that young man who, when my eyes were opened, I beheld as a commonplace individual possessing ordinary intelligence and good looks, will always have a kindly place in my memory. A REMINISCENCE.—On the other hand a young lad of seventeen or thereabouts, fresh from the country, once took it into his head to fall in love with me when I was a girl of fifteen or sixteen. No one could be more respectful or deferential. “He never told his love,” but he looked it and acted it. He haunted me like a shadow at all available times and places. Of course I was not blind; and feeling no reciprocal affection, his conduct was simply disagreeable. If I had possessed even the slightest tendency toward coquetry, I never could have had the heart to prac- tice it on one so simple-minded and so much in earnest as he. I knew that in a short time he was to go away, and I would probably never see him again; so I concluded, as long as no overt word or act of his brought matters to a crisis, I would let things take their course unmolested. The last evening came; he was prompt as usual at his post, and when I set out for home, he wended his silent way, as was often his custom, beside me through the streets until we reached the corner where our paths diverged. He had never ventured to go farther than this with me, and even now he turned with his customary “Good-evening.' FIRST LOVE AND SUBSEQUENT AFFECTIONS. 64 A sudden pang of compassion seized me. I fully comprehended, though I did not reciprocate, his feet- ings. On the impulse of the moment I paused and said to him, “You are not going without bidding me good-bye, are you ?" by which I meant a hand-shake ing and a formal leave-taking. But he, interpreting my words in the manner his wishes had been probably leading him, turned with a grateful, “I did not think you would let me," and kissed my cheek. How that kiss burned! I said nothing, for I felt that my unconsidered words had provoked it. I waited until the corner separated us, and then I rubbed the spot again and again. But it seemed as though I could not take the impression away. If I was disgusted with him before, I hated him now, though never was a kiss more reverential in its love pressed upon a maiden's cheek. When, a few months afterward, I heard that he had died with consumption, I was heartless enough in my thoughtless youth to be glad. Years after, when I had learned to reflect, as I thought of the matter, I did not regret that kiss. It did me no real harm, and it may have been a precious memory to the poor lad as he lay upon his deathbed; for, ephemeral as these youthful passions usually are, this one probably lasted him to the end of his brief life. FIRST LOVE DOES NOT INTERFERE WITH SUBSE- QUENT MORE LASTING AFFECTIONS.—There is noth- ing incompatible between this first love and maturer, more lasting affections. Either husband or wife may 70 LOVE IN ITS PHYSICAL AND MORAL PHASES. confess to such a youthful passion with calm, clear, steadfast eyes, feeling that the other has been robbed of nothing which was his or her due, and that the one who makes such confession will be cherished none the less. WHY SENTIMENT IS INTRODUCED.—Certain matter- of-fact people may wonder, perhaps, why I have de- voted so much space to the discussion of a sentiment which is regarded by, so many as absurd. My apology is this: When passing into womanhood, more than at any other period, a girl's physical, moral and emo- tional natures are so intimately connected—one bears so forcibly upon another—that it is impossible to treat of one without considering all. And any one who would bring up a girl to healthy, well-developed womanhood must be content to let her pass through all the maladies of youth, just as in childhood measles and other childish disorders must run their course if once they are contracted. DANGER OF SUPPRESSION.—Any suppression of these moral disorders of youth, if so you choose to consider them, will be as surely attended with evil results as is the suppression of the physical disorders of an earlier period. They must run their course; and if confidence is freely given and freely returned between parent and child, they are more likely to prove beneficial than otherwise to both the physical and moral systems. Many a young girl's life has been wrecked by the contrary course. If of a deli- cate, sensitive organization, she has pined away and been laid in an early grave; or, if of a ruder, coarser, THE EXPERIENCE SAFE AND BENEFICIAL. 71 more sensual nature, she has rebelled and been morally lost, by parents regarding these affections in too serious a light, and bringing strict authority to bear in an attempt to check them. THE EXPERIENCE SAFE AND BENEFICIAL.-Do not be alarmed, over-anxious mother. There are fewer pitfalls in the path which nature has laid out than in any of the side paths into which you would force your daughter. She will make none the less noble woman, none the less true wife, for an indul- gence in these little “ foolishnesses," as you choose to term them; and she will be all the better mother for having experience to date from in dealing with daughters of her own. If a daughter passes from youth to womanhood without experiencing these emo- tions, you may have cause for self-congratulation that you have been saved anxiety; but if she does not, there is no cause for regret: a wise and sympathizing mother is able to steer her successfully over all shoals. The young, though just come into the inheritance of desire and passion, can be more safely trusted (if fully trusted) than many to whom the inheritance bas become a common and a less valued thing. CHAPTER V. WHEN AND WHOM SHALL WOMEN MARRY. NUBILITY.—Nubility is that condition in the life ing become perfected, their characters formed and their minds somewhat matured, they may with pro- priety contemplate marriage. PROPER AGE FOR MARRIAGE.This condition, it seems to me, is reached at an age varying, in indi- viduals and accurding to temperament, from twenty- three to twenty-eight in men, and from twenty to twenty-five in pomen. Neither man nor woman ought, save in my reptional cases, to think of marrying earlier. Here, however, I may confess to privately holding somewhat irreconcilable theories regarding the proper time of marriage for the two sexes. I would have men marry early, women late. But--and here it is that I do not ind my theories to work well together- I would not have a man marry a woman older than himself. Women, I hold, do not, before their twenty-fifth year, reach their full physical completeness and capacity for endurance. Not till then may they be PROPER AGE FOR MARRIAGE. 73 truly called women. Then, if they are ever to do so, they will have attained that mental poise befitting the matron, and that moral consciousness which enables them to take a proper view of their responsibilities. Men, as I have said, I would have marry early- say at twenty-three. And why? Simply because men, while they insist upon unsuspicioned chastity in the very spring of their manhood, bring to their innocent brides the sweet offering of a virtuous past. I would have no pure woman wedded to a man who was not wholly and perfectly manly—that is, virtuous. I claim it to be her right and her duty to exact, from one who is to be her husband, that purity which he most assuredly will, and, if he himself be pure, may very properly, exact from her. relates directly to the proper time for their marriage- the learned and philosophic Hufeland, one of the most eminent German physicians of the last gener- ation, says with much force: “At present we hear a great deal about strength and strong men; but I will believe nothing of it as long as I see that they have not strength enough to subdue their passions; for that is the only cause of triumph as well as the only sign of mental strength: and chastity is the school in which youth ought to be exercised to form themselves for becoming strong men.” Were men sufficiently strong to pass through this school with all the honors, then I would not have 74 WHEN AND WHOM SHALL WOMEN MARRY. them marry early, and it would be easy for me to reconcile my theories. A fully-developed man of twenty-eight might marry an equally fully-developed woman of twenty-five. Neither would marry at an age one could call too early, while the union thus formed would almost certainly prove a permanent and happy one. EVIL EFFECTS UPON WOMEN OF Too EARLY MARRIAGE.—A wife too young soon loses health and strength and sinks into a premature grave, or drags out a miserable existence, the worn, weary and dis- heartened mother of too large a family. Or, on the other hand, her too early marriage may result in sterility. EVIL EFFECTS UPON MEN.—Nor are the results of too early marriage less disastrous for men. They are prematurely burdened with constantly-increasing family cares. They are liable to lose heart and hope. Health, nay, even life itself, is endangered; consump- tion being in far too many instances brought on by premature participation in the sensual pleasures of wedlock. RELATIVE AGES OF HUSBAND AND WIFE.-In ordinary cases a man should not be less than three nor more than seven years older than his wife. Cir- cumstances may sometimes justify a slight deviation from this rule. To ensure in marriage the best chances of happiness, there should be that similarity of tastes and interests which, as a general thing, can oply result from equality in age. SUPERIORITY OF AGE IN THE HUSBAND. 75 A WOMAN OLDER THAN MAN AT THE SAME AGE. --A woman, it must be remembered here, is three years older than a man of the same actual age as her- self. From the cradle to the grave a woman lives in six years what a man lives in seven. Thus, a girl of six and a boy of seven are equally advanced physi- cally and mentally, and should be set down as of equal years. A girl reaches her full physical develop- ment at least two years sooner than a boy. In fact, a girl of fifteen is generally more nearly a woman than a boy of seventeen is a man. The woman of twenty- five is the physical and mental equal of a man of twenty-eight; and a man of seventy, if he has not been prodigal of his health, usually retains as much will be seen, in order that they may be equally matched in physical and mental attainments, a wo- man's actual age should number a few years the less. DISADVANTAGES OF SUPERIOR AGE IN THE WIFE. --If the wife's age is the greatest at the outset, she disadvantage is constantly increased, not only in the ordinary course of nature, which decrees that women shall live faster than men, but by family cares which usually add materially to a woman's age, whether they ought to or not; until some day she is aroused to the fact that she is an old woman, while her husband is still comparatively a young man.. DISADVANTAGES OF Too GREAT SUPERIORITY OF AGE IN THE HUSBAND.-The marriage of a young 76 WHEN AND WHOM SHALL WOMEN MARRY. girl with a man of middle age seems to me most inade visable. There are moral objections to such a match, inasmuch as the girl brings all her purity and youth to the arms of one who, if he be not an exceptional individual, is already jaded and worn with dissipation, She barters the pure gold of her affections and her chastity for dross. There is still another reason for sbjecting to such a marriage. I have seen such anions and noted the result. A middle-aged man can never remember that his wife is still in her youth, and entitled to all the pleasures and considerations which properly belong to that period of life. He feels, rather than reasons, that a suitable wife for him should evince the dignity and demureness of de- m'anor and dress which come naturally to a middle- aged woman. So he suppresses the youthful impulses and desires. And we shortly have the spectacle of a young woman feeling and acting as though she had already reached middle life. Then afterward, as years roll on, and she becomes truly the middle-aged matron, she has become, also, in everything but actual physical appearance, an old woman. She may not herself be conscious of the fact; but she has been cheated out of just as many years as there is difference between her own and her husband's age—the hest years of her life, too. MARKIAGE OF THE OLD WITH THE YOUNG.--It seems as though it ought to be unnecessary to mention the abhorrence with which all right-minded people should regard the marriage of the young of either PECUNIARY CONSIDERATIONS. 77 sex with the old of the other. There is something utterly repugnant to good morality and good taste in such an union. It can certainly never be brought about through motives of mutual affection. And the young girl who would enter into the bonds of már- than the prostitute. The latter debases herself alone; the former not only debases herself, but degrades the ordinance of marriage. In marriages of convenience between those of similar ages, there is still the possi- bility that assimilation of tastes and feelings may take that, after all, they shall become married in heart as well as in outward bond. But in the case of the marriage of the young with the old there is no possi- bility of this final result, for there can never be any harmony of tastes, any unison of ideas, any oneness of purpose, all which go to constitute marriage, be- tween them. OUGHT PECUNIARY CONSIDERATIONS TO HAVE ANY WEIGHT IN DETERMINING A CHOICE IN MAR- RIAGE?—The question here arises, How far is a young woman justified in considering the pecuniary circum- stances of her future husband ? I am not one of those who believe that in love affairs pecuniary matters ought to be entirely ignored. I never could understand why it is regarded as commendable in a man to desire money, and seek to obtain it in all honorable ways, and seemingly to shape all the ends and aims of life to that purpose, while, on the other 7 * 78. WHEN AND WHOM SHALL WOMEN MARRY. hand, it is considered so reprehensible for a woman in the most important event of her life the one event which decides all her after comfort and happi- ness—to give one thought to the pecuniary view of the matter. The needs of the two sexes which money can supply are so nearly identical, that I cannot see why money is not just as important and as necessary to one as to the other. I know the want of it is quite as severely felt by a woman as by a man. In certain crises of her life its absence entails more suffer- ing upon her than a man can possibly feel. A PRUDENT AND INDUSTRIOUS MAN.-A young man when he arrives at a marriageable age, if he has been industrious and prudent, ought not to be penni- less. He ought, without being guilty of parsimony, to have accumulated sufficient savings to give him a fair start in life; and if he has not done so, it is prob- ably because he has been idle, extravagant or dissi- pated, in which case he does not present the qualifica- tions necessary in a good husband. THE “GENEROUS FELLOW.”—The generous fellow who spends with a lavish hand wherever he goes, and who is always ready either to lend or borrow, makes a fine figure in society, and is usually exceedingly popular with people of both sexes and all ages. But I know of no one worse calculated to fulfill the duties and obligations of a husband. His wife and family will find to their sorrow that it is they who must suffer for his generosity, and that, while he is lavish abroad, they must be pinched at home. OBJECTION TO A PROFLIGATE. GOOD HABITS MORE DESIRABLE THAN WEALTH, -I certainly do not regard riches as undesirable in making a matrimonial connection, but I consider of far more importance those habits which lead to a reasonable and honorable accumulation of property, Riches may take wings and fly away, hut habits once thoroughly established never forsake one. 'THE "REFORMED RAKE.”—We are often told that “a reformed rake makes the best husband, and many really believe this. But if there were no other objec- tion to this theory, there is the important one that it is difficult to tell when a rake is really reformed. What passes for reformation may be only a temporary satiety or physical exhaustion. A man given to dis- sipation at one period of his life is rarely perfectly free from the liability to relapses. Indeed, I would sooner look for an abandoned woman, the same chances being given her that are extended to a man under like circumstances, to arrive at a thorough and permanent reformation and make a faithful and de- sirable wife, than I would for a male profligate to become a reformed man and a good husband. She who, confiding in the truth of the adage I have quoted above, gives her hand to such a man, may live to shed bitter tears over her folly. PHYSICAL OBJECTION TO MARRIAGE WITH A PROFLIGATE.—Then there is a physical reason why the mating of the pure with the impure should never take place. A young man who has led a wild, dissi- pated life may have contracted the worst and most 80 WHEN AND WHOM SHALL WOMEN MARRY. loathsome of diseases. This disease may be in abey- ance at the time of his marriage, but it is liable at any time to show itself, and his wife is almost certain of contracting it by contagion. If she escape, it is iable to assume an active form in his children, and scrofula, consumption and other dreadful diseases sicians that it is not infrequent that women apply to them for remedies for complaints in themselves and their children the character of which the women themselves have no suspicion of, but which are at once recognized as belonging to a class at once terrible and ineradicable. Yet this fearful punishment they must bear for the double sin of placing a light esti- upon their own chastity. This is a grievous sin indeed; but society, by constantly preaching that “a man may do with impunity what a woman cannot," does not teach young girls that it is a sin. . A man cannot do wrong with impunity, nor can a woman forgive him with impunity, as we may daily see. The sin is certain to react upon him in some manner, and her forgiveness—a forgiveness which places a trifling estimate upon the offence—will be repented of long and bitterly. MORAL OBJECTION TO MARRIAGE WITH A PRO- FLIGATE.—There is a moral objection to such unions. A young girl under the influence of love may think she can overlook or forgive the antenuptial sins of her husband, so that he be true to her in future. (I COMMON OBJECTION. 81 heard a prospective wife say this very thing once; and when, after she had been married some years, I heard she had to share her husband's affections and his means with his mistress, I had not one particle of pity or sympathy for her.) But if the elements of a pure and noble womanhood exist in her character, a time will surely come when she will bitterly regret that she cannot look back upon her husband's past as irreproachable; that she cannot reverence him as being and having been in all things her ideal of per- fect manhood; that she cannot hold him up to her children as a model for imitation. To her children even more than to herself does a woman owe that her husband and their father should be pure and without physical or moral blemish. CHASTITY TO BE EQUALLY DESIRED IN BOTH SEXES.—A man demands absolute chastity in a wife, and a woman should be no less strict in her demands. If she is not, it is a sure sign that there is a flaw somewhere in her own moral character, and that it is not virtue she prizes for virtue’s self, but rather for the estimate the world puts upon it. If she barters her own purity for impurity, she places no value upon that purity, and commits a crime against herself and against morality in general. COMMON OBJECTION TO SUCH SCRUPULOUSNESS IN WOMEN.—“But if women were thus particular, they would very few of them get married.” Possibly some of the present generation would have to go husbandless; but we have the testimony of myriads 82 WHEN AND WHOM SHALL WOMEN MARRY. WHEN AND WHOM SHALL WOMEN MARRY. of unhappy wives that a bad husband is far worse than none. But marriage is a necessity as much with men as with women, and they only take their present license because it is allowed them. The mass of young men would soon raise themselves to the required standard of excellence if they were certain that only by so doing could they find wives among good and worthy girls. Besides, it were better to remain unmarried than that good should mate with evil. The white can never make the black clean, while the black, brought into close contact with the white, is almost sure to contaminate it. A good woman married to a bad man will have a hard struggle with herself if she does not deteriorate, and sink somewhat nearer her husband's level. PERFECT HAPPINESS IN MARRIAGE.—I can imag- ine no greater happiness—the very crown of marriage --than when chastity is united with chastity in its bonds. I do not speak of its physical aspects, though, where there is no semi-satiety with sensual pleasures to mate with virginity, certainly much might be said. But what can so perfect and consummate marriage and strengthen its bonds, as the certain assurance that each belongs wholly to the other, and that there is no one in the world who has a prior claim ? A WIFE TO BE ENVIED.-A woman who possesses this assurance would not barter it for any other advan- tage in the world. She looks down from supreme heights of happiness in pity, and perhaps even con- tempt, upon those wives who are not thus fortunate. INTUITIONS. 83 A husband's ante-nuptial purity is as dear to the wife as is the wife's to the husband, only those who have not found it do not realize what they have lost. A WIFE TO BE CONTEMNED.—But if the wife who is secure in the integrity of her husband's moral character is so much to be envied, and the woman who has for her husband a “reformed rake” to be pitied, with what feelings shall we regard the wife who, after marriage, seems to consider her husband's ante-nuptial amours something of which to boast? to his wife, in any other spirit than that of the hum- blest contrition, must be a man who holds womanhood and wifehood in slight honor. And the wife who could hear a boastful confession with patience, and ing to her husband's honor and credit, must be lost to all sense of decency. HOW IS A YOUNG WOMAN TO DECIDE BETWEEN THE PROFLIGATE AND THE VIRTUOUS OF THE OTHER Sex ?-If a young man is notoriously “fast," a girl cannot well shut her eyes to the fact. Even the characters of those who are only moderately given to dissipation she can easily learn from her father or brothers, or from her married lady friends. INTUITIONS.--But there is a safer guide even than depending upon others for information. A girl will find this guide in her own instincts. If she possesses delicacy and purity of feeling, she will intuitively know a young man's exact moral status as soon as 84 WHEN AND WHOM SHALL WOMEN MARRY. she forms his acquaintance. She may not be able to tell how she knows this, but the knowledge is hers, nevertheless, and it is well if she makes a proper use of it. RULE FOR DECIDING A MAN'S MORAL CHA- RACTER.—There is a rule which I have for years found almost certain in its workings. When I see a young man (or an old one, either) particularly scrupu- lous in regard to the deportment of women; seeing evil in people and things when no evil was intended; objecting to innocent phrases because an evil imagina- tion might discover a bad meaning in them; over- scrupulous in his own demeanor (in public) toward the women of his own station with whom he asso- other sex, whatever the purity of their lives, whom he considers beneath him; in fact, dyed to the very heart's core with the spirit of prurient prudery (thanks to Charles Reade for this telling phrase !); I know just exactly where to place him. Generally a single one of these evidences is enough to establish his character in my mind. He either is or has been a profligate. It is the vicious who so readily descry the appearance of evil where the innocent are blind. I have known such men, and I always like to keep them at a distance. A husband of this character will prescribe the broadest latitude for himself, while the most innocent acts of his wife will be continually regarded with jealousy and suspicion. THE REFORMED DRUNKARD.-Few girls, it is to THE MODERATE DRINKER. 85 be hoped, are so lost to all sense of moral obligations as knowingly to enter into marriage with a confirmed drunkard. There are many, doubtless, who marry drinking men hoping to effect their reformation; but such reformation is rarely effected; and when it is accomplished, it is usually at the price of years of suffering such as no man has a right to impose upon a woman, or a woman upon herself. There may be something heroic in a young woman deliberately sacrificing herself for the redemption of her husband, but it is far from being commendable. First, her efforts will probably be all in vain, and she will have made a deliberate sacrifice of her life for no purpose whatever. And then there are her children. No woman has a right to give to her children a drunkard for a father. There is the twofold evil of their suffer- ing by inheritance of his propensities and resulting infirmities, and the unhappiness and mortification which must always be theirs with such a father. REFORMATION NECESSARY BEFORE MARRIAGE.- The man who has not the necessary will and strength of purpose to reform his dissipated habits before he asks a good woman to be his wife is not likely to reform afterward, nor is he worthy of such a wife. A woman accepting such a man, under the most favorable circumstances, even, will pay a sufficient penalty for her daring, in the dreadful apprehension which will always haunt her lest he return to his evil courses. THE MODERATE DRINKER. I think, however, I 86 WHEN AND WHOM SHALL WOMEN MARRY. should prefer to see a girl wedded to a reformed drunkard rather than to a moderate drinker. The one, having reached the bottom of the hill, is making an earnest effort, which with a good woman's help may be a successful one, to regain the top. The other is going blindly, carelessly, yet surely, the downward course, and no voice can arouse him to a sense of his danger until it is too late for him to attempt to turn back with any certainty of success. Moderate drink- ing will sap the foundations of a home, rob it of its means, destroy its happiness and entail sorrow and disease and perverted appetites upon children almost as surely as drunkenness. PROPER MATING OF TASTE AND INTELLECT.-In selecting a companion in marriage, if the highest hap- piness is to be obtained, the tastes should harmonize and intellectual endowments reach as nearly as possi- ble the same standpoint. RELIGION.-In matters of religion, too, it is well that there should not be too great a difference of opinion and feeling. TEMPERAMENT.—In temperament it is better that there be a decided contrast, both for their own and their children's sakes. Thus a cool, deliberate disposi- tion will be a constant check upon a quick and pas- sionate one; an active and energetic character will incite to exertion one who is slow or inclined to in- dolence. TRAITS OF CHARACTER.-Impulsiveness should be mated by deliberation ; extravagance by prudence, MARRIAGE WITH INVALIDS. 87 and so on. If like mates with like, the predominant trait is almost certain to be transmitted intensified to the children, and even a good trait of character or disposition may become a bad one if carried to excess. HAVE THOSE IN ILL-HEALTH A RIGHT TO MARRY? --It is a mooted question whether those in ill-health have a right to marry, and thus run the risk of entail- ing their diseases upon their children. Those who are afflicted with diseases which are likely to prove hereditary, such as scrofula or consumption, had cer- tainly best remain unmarried. But there is one fact in favor of the marriage of those in ill-health-mar- riage is itself a great curative, and those who, previous to entering its bonds, are feeble and sickly, frequently undergo great physical improvement afterward. CHILDREN DO NOT NECESSARILY INHERIT ILL- HEALTH FROM PARENTS.--The maladies of parents are not necessarily repeated in their children, if the proper precautions are observed to guard against them. The children are probably more liable to these maladies than to others; but with care they need never be developed. It is one of the characteristics of nature to resist disease; and if she is properly aided, it may be finally overcome. WOMEN SHOULD NOT MARRY CONFIRMED IN- VALIDS.-Still, I would not advise a woman to marry a man the state of whose health promised her a pre- carious livelihood. She cannot, in justice to herself and her probable family, undertake to be housekeeper and provider both. Many women, when the situation 88 WHEN AND WHOM SHALL WOMEN MARRY. is forced upon them, do this, and do it nobly and well, and to such I give all honor. But I have only pity and blame to bestow upon one who deliberately takes such a responsibility upon herself in her marriage. A WIFE SHOULD NOT BE REGARDED IN THE LIGHT OF A NURSE.—Again, there is nothing that so exasperates me as to hear some one say of a man in ill-health: “He ought to get married; he needs a wife to take care of and nurse him.” Every woman has a right to a husband in the full possession of health and his physical and mental powers; and in the state of marriage she finds duties enough to occupy her time and make a sufficient draft upon her strength and endurance, without being burdened with an in- valid. If such a duty devolves upon her after mar- riage, let her fulfill it patiently and scrupulously; but no young girl is justified in accepting in marriage such a care. If an invalid stands in need of a nurse, let him hire one and pay her wages, not expecting her to assume, in addition to these duties, those of maternity. Or, if he shrinks from hired attendance, let him look to his mother—who it is more than half likely is responsible for his invalidism by a false mode of training during childhood—for the nursing and sympathy he needs. AN INVALID WIFE.—A man with an invalid wife is sincerely an object of pity, if her health has failed her since her marriage. If she was a confirmed in- valid at the time of marriage, or even gave promise of being so, they are both to blame; he for taking SECOND MARRIAGES. 89 nach a burden upon himself, and she for consenting that he should do it. The man will naturally tire of being tied to a sickly and no doubt fretful life-com- panion; she will suffer from real or fancied neglect, feelings. She is liable, if she have a family, to leave them early motherless; and there is no sadder sight- rounded by a brood of little ones with no wife to help him in the care of them. It is no wonder that men in such a predicament hasten to take second wives, finding perhaps to their sorrow, when it is too late to repent, that they have made a jump out of the frying-pau into the fire. SECOND MARRIAGES.—This leads me directly to the subject of second marriages, though I had not purposed to touch upon them. I do not object upon principlc to second marriages, but I believe they ought to be entered into with more deliberation and forethought than they usually are. In first marriages the parties have only themselves and their own happi- ness to consult. A widow and a widower, if they have children, have no right to contemplate a second matrimonial engagement without considering the in- terests of these children. Children have rights in this respect. They have a right to a home beneath their father's or mother's roof; and the parent who sets them adrift at the instigation of a second mar- riage partner forfeits all claim to filial regard. Again, children have a right to be happy in their home, and 8 * 90 WHEN AND WHOM SHALL WOMEN MARRY. no parent is justified in introducing a member into the family circle who, by being distasteful to the inmates already there, mars that happiness. I know it is generally conceded by writers on the subject that men and women have a right to consult their own happiness in the matter of their second husbands and wives, and that it is the duty of children to submit and be resigned. Yet it is the happiness of chil- dren, not as judged by the interested parties, but decided by themselves, that should be first considered in case of a contemplated second marriage. In brief, a man or woman having children should never marry a second time without asking and obtaining the consent of these children. If this is withheld, no matter with what apparent unreason, so long as the children, in right of their youth, have a home beneath the parental roof, the marriage should never take place. Children are sometimes justified in marrying without the consent of parents, because the real happiness of parents is not involved in the matter except relatively through their children. But on the other hand, a second marriage, so long as the children remain at home, is, to say the least, quite as important to them as it is to the parties contracting ito CHAPTER VI. COURTSHIP AND ENGAGEMENT. COURTSHIP.-Having settled whom a young girl may and whom she may not marry, we come to the subject of courtship. It is the usual custom, when a young man is paying attention” to a young woman, to think that when he calls they must invariably be unreasonable hour at night; and that, if he deserts her after courtship is tolerably far advanced, he is doing her great injustice. WHAT COURTSHIP SHOULD IMPLY.—Now, court- ship, as it is termed, should imply nothing more than an opportunity for thorough acquaintanceship between the two parties. BEST MODE OF FORMING ACQUAINTANCESHIP.- This acquaintanceship is best formed in every-day life, in the midst of friends and companions. A more thorough knowledge of one's character can be thus obtained than by years of “courtship,” during which the parties are shut up in a dimly-lighted parlor, the young man and young woman both in their best apparel and on their best behavior. Such a course, however prolonged, will lead to no clearer knowledge 92 COURTSHIP AND ENGAGEMENT. of each other's characters than there was at the out- set. ADVANTAGES IN DAILY ASSOCIATION OF THE SEXES.—I wish that the two sexes could mingle on terms of more intimate relationship in schools and colleges and in places of employment, if for no other formation of more judicious marriages. The divorce court would not have so much to do if such oppor- people who are mutually attracted meet each other in every-day places, in the common relations of life, where they are their natural selves. I would have the young man see his lady-love surrounded by her family, and if the thing were possible, I do not think it would come amiss for her to see him under like circumstances. EVENING VISITS.—I do not object to evening visits, and to the young people seeing each other alone occasionally, but I would have the occasion seem accidental rather than forced. I would have them feel that they are liable to interruptions, and that they have no right to consider themselves injured by such interruptions. DESIRABILITY OF EMPLOYMENT DURING SUCH VISITS.—I would, moreover, have the young lady employed. She must be idle, indeed, if she have no plain sewing, no embroidery, no tatting, no knitting, to keep her fingers busy. Let her have something to do, if it is but the making of her own undergarments. THE “WOMAN WHO DARES." 93 It is only a false modesty that would forbid it. I have such a horror of idleness that if I had any idea that my suggestion would be heeded, I should propose that the visitor bring his knitting also. The next best thing is to bring a book or periodical, for, let the conversation of the young couple be ever so entertain- ing, it can scarcely be so profitable that a half hour or so of good reading will come amiss. THE “WOMAN WHO DARES.”—I am not an ad- mirer of the woman who dares;" I think it is a man's part to seek, a woman's to be sought. I think, too, women would rue the day when the obligation of asking the important question was transferred to them. I believe, as a general rule, women have more delicacy in concealing the unsuccessful affairs of men than men would have in their places. I can recall a young man who once professed his belief that it was as proper and right for a woman to ask a man to marry her as for the man to do the asking. Acting on this avowed belief of his, a young woman did actually propose to him, and he refused, as of course he had a perfect right to do in the reversal of the circumstances. But that was not the end of it. Whenever this girl's name was mentioned, he told the fact of her proposal-not exactly boastfully, nor as something actually to her discredit, but with a motive which I can scarcely understand, still less describe, and of which he was probably unconscious himself. No woman would have been guilty of so gross an indiscretion. 94 COURTSHIP AND ENGAGEMENT. A WOMAN'S OPPORTUNITIES IN COURTSHIP.- Besides, it is not true that women have not equal chances with men in the matrimonial fair. A woman certainly would not wish to seek where such seeking was undesired; and even the most modest woman knows how to express her slight preferences in a way sufficient to encourage any one who is in the least attracted to her. In fact, I have heard men assert that so great is the vanity of man a woman may marry whom she chooses by simply seeming to bestow her preference, if she does not do it in a way so bold and open as to create disgust. INCONVENIENCE OF MEN AND WOMEN BEING EQUALLY ENTITLED TO “POP THE QUESTION.”— This inconvenience is easily demonstrated. Suppose two young people are in love with each other. There is nothing to prevent their union except that the necessary words have not been spoken. If it was the man's duty alone to speak them, he would soon find the requisite courage, and the affair would be settled. But he waits, hoping that the woman will take the initiative. She in her turn cannot quite con- quer her embarrassment, and trusts him to broach the subject. So time passes on without any progress being made, and at last they find themselves the one a disappointed old bachelor, the other an old maid, all because it was not definitely understood which was to ask and which to answer. MANEUVRES OF LOVE.-If any one were to lay est the plan of a matrimonial campaign, with all its EMBARRASSMENT OF THE YOUNG LADY. 95 advancings and retreatings, its seeming boldness at one moment and its shyness at another, the whole thing would be pronounced absurd. But it is a cam- paign of nature's own planning, and has been prac- ticed ever since the world began. Very likely Adam and Eve first played it in the garden of Eden before they became man and wife. Those few exceptional people who boast that they were guilty of no such foolishness in their days of courtship are to be pitied rather than admired, as they have missed the most exquisite happiness of life. The happiness of a for- tunate marriage may be greater, but it is quieter and calmer and less ecstatic. And one who would enjoy all that life holds for him or her, and to which he or she is entitled in right of humanity, must feel both. LATE HOURS.—One word in regard to the late hours which young men seem to consider themselves privileged to keep when they are paying their ad- dresses to young women. I am sure if they knew the inconvenience and the real embarrassment result- ing from their tardy evening departures, there would be a reformation in the matter. It is safe to say that not one girl in ten is pleased with these late visits. and the keeping of such late hours seriously interferes with the proper discharge of them. EMBARRASSMENT OF THE YOUNG LADY AT SUCH hour of ten approaches, would be only too glad if her admirer would take his leave; and every minute after 96 COURTSHIP AND ENGAGEMENT. that hour is one of misery. Still, if she is sensitive as to hurting her visitor's feelings, she tries to be as entertaining as ever. Even when he at last rises to leave, she may faintly protest, not because she desires his stay prolonged by any means, but as a kind of xelf-inflicted penance, conscious that she has been wishing for his departure so long. The next morning she makes her appearance at the breakfast-table, drowsy, miserable and self-conscious, knowing she will be an object of merriment to one portion of the family, and of black looks, if not of actual upbraid- ing, to the other. And she, poor girl! is not to blame. Perhaps she ought to tell her visitor plainly that his company is undesirable after a certain hour. But few girls have the moral courage to do this, and some young men would take mortal offence at it. It is certainly unjust to reprimand the girl. The best way would be for one of the parents to intimate to the young man himself, plainly yet kindly, their wishes in this matter, when, if he is a man of sense, and a desirable associate for their daughter, there will be no difficulty in future. It is better to come the oftener if he really craves so much the society of the lady whom he desires to make his wife. If she have a corresponding regard for him, she will be foolish enough to be always glad to see him, and take it as a compliment that he neglects others for her. UNDUE FAMILIARITY BETWEEN THE SEXES. Much has been written concerning undue familiarity between the sons, and there cannot be too urgent RESPONSIBILITIES OF YOUNG GIRLS. 97 caution given to young girls on this matter. They should consider themselves sacred from the touch, even, of the other sex; and most young men who have a due regard for virtuous womanhood will respect this sacredness upon the merest intimation of such a desire upon the girl's part. Yet such is the laxity of society in this particular, that a young girl is frequently placed in a difficult position. Kisses are often freely proffered and freely accepted between the sexes, and the girl who refuses them is too often set down as a coquette or a prude. This refusal is in many cases considered as a mere challenge to take a kiss unasked. When this is the case, it is better to submit quietly and passively, than to keep up any prolonged resistance, but it is well, if possible, to make the giver feel that he has incurred displeasure. A WOMAN'S KISSES.—I would have a girl in no Case give a kiss except to her betrothed, and to be c'iary of such caresses even to him. If a girl cannot r fuse a kiss without placing herself in an awkward f edicament (as for instance in games in which kisses a) the forfeit), let her be entirely passive in the nitter. RESPONSIBILITIES OF YOUNG GIRLS.—Now, all tl s is not for the sole purpose of preserving men's frture wives for them pure and chaste, but to protect the purity of men themselves. Young girls do not know, but I sometimes think they ought to know, that the passions of men are much stronger and more easily inflamed than their own. A levity of behavior, 98 COURTSHIP AND ENGAGEMENT. thoughtlessly and—inasmuch as she does not know the consequences—innocently pursued by a young girl, has excited the passions of her male companion almost beyond his control, so that, though he has given no evidence of it in her presence, he may have gone from her side directly to the arms of a fallen woman. This is a difficult subject to discuss, and one through a false modesty seldom or never ap- proached. But girls ought to be made aware of their responsibilities in this matter. Many a young girl would undoubtedly stand aghast if the ruin she may have thus wrought were brought home to her. So let young girls be very careful, and feel that they have not only their own moral safety, but that of their companions of the other sex, in their keeping. PROPER DEGREE OF FAMILIA RITÝ BETWEEN AN ENGAGED COUPLE.—There is a difference of opinion in regard to the degree of familiarity which should. exist between an engaged couple. I think, if the engagement is to be a short one, with scarcely a possi- bility of rupture, no harm can come of relaxing somewhat the discipline which is imposed on the non- wed; especially as half the enjoyment of the betrothal comes from the privileges which are usually Bccorded to it—the tender hand-pressings, the freely- bestowed kisses and the half-yielded caresses. ? NECESSITY OF CAUTION.—But girls must be care- ful even here, both for their own safety and that of their affianced husbands. If these familiarities are allowed to drift into improprieties, there are some NECESSITY OF CAUTION. 99 men who can never forgive them. This is the cruelest injustice of all. If a man has been guilty of per- suading his affianced into improprieties, it ought to be the strongest reason for their marriage; whether she has been mutually carried away with him under the loving him too much, he is equally bound to her, He has been at least equally guilty with her, and it is cruelty intensified to leave her to bear alone the heavy punishment which the world does not inflict upon him. It is not likely she will make the less true and faithful wife for this indiscretion. In the eyes of God she is his wife already, for God's laws were made before man's laws, and marriage consists in the exchange of vows of love and fidelity between a man and a woman, and a physical consummation of these vows. The legal form does not make the marriage, it only recognizes it. If there were no such thing as laws, marriage would exist all the same. Miss Muloch, now Mrs. Craik, one of the noblest of what I say. She makes one of her heroines dis- card the man to whom she is engaged, upon learning that he has seduced a girl in humble station. She tells him that he is married to this girl in the eyes of God, and that she would be equally guilty with him if she were to become his wife. The man at first protests, but finally accepts the situation and marries his humble victim. But I repeat, let girls beware that they place themselves in no such equivocal posi- 100 COURTSHIP AND ENGAGEMENT. tion. Let their future husbands be ever so generous and just, it is an act of which they will repent all their lives, and which they will feel no after excel- lence can ever quite atone for. BEHAVIOR DURING LONG ENGAGEMENTS.—If the engagement is to be a long one, the utmost circum- spection of behavior is desirable; for long engage- ments are notoriously uncertain ones. And it cannot be a pleasant reflection for a young woman, after the rupture of an engagement from any cause whatever, that there exists a man who will never be her hus- band, but who has been allowed the privilege of familiarity with her person only less than that ac- corded to a husband. ADVANTAGES OF SHORT ENGAGEMENTS.--I be- lieve it is better, when circumstances will permit, to make engagements short, and thus avoid all chances of temptation. An engagement should not be entered into without due deliberation, but when once con- tracted it ought to be considered as a prelude to early marriage. ARE ENGAGEMENTS ABSOLUTELY BINDING ?-I do not regard an engagement as absolutely binding. It ought to be considered as a kind of brief probation, during which either party can for good cause with- draw without blame. Marriage is irrevocable, but an engagement is not so. Should either party dis- cover any reason why it ought to be ruptured, great injustice would be done the other to let it pass unmen- tioned. A bitter yet brief sorrow is better than a THE MARRIAGE DAY. 101 lifetime of unhappiness. I cannot imagine why any one should wish to force another into a bond which had become repugnant. Still, no one should break off an engagement until fully convinced that its con- tinuance, ending in marriage, would result in lasting unhappiness to one or both of the parties. PRESENTS.—It is not uncommon for gentlemen to make presents to their lady friends, and often these presents are of the most heterogeneous character. A trifling present such as a bouquet of flowers, a book or a periodical may be proffered and received with perfect propriety. But any lady of delicacy will hesitate before she becomes indebted to her friends of the other sex for numerous or costly presents. In the first place, it is too great a tax upon a young man of moderate means; and in the second, it places the lady under embarrassing obligations. Even be- tween a betrothed couple presents should be few in number and trifling in value. If the engagement for any cause is broken off, it is very embarrassing to be obliged to return these gifts of affection, while it would be still more embarrassing to retain them. THE MARRIAGE DAY.—It has been wisely left for the woman to decide the exact day of her marriage. This day should be fixed by her at a date about equi- distant between her monthly periods—say the tenth or twelfth day thereafter. The reason for this is that the consummation of marriage is frequently attended with inconvenience, and even physical prostration, and it is well that the newly-made wife should have time 923 102 COURTSHIP AND ENGAGEMENT. to recover from this before there is a probability of ker being overtaken by new physical experiences. As at this period she is less liable to conceive than at any other, she will escape the inconveniences of pregnancy until her system has had time to recu- perate. Besides, no woman lately passed from the condition, feelings, ideas, and perhaps prejudices, of girlhood, however much she may look forward to being a mother, but would prefer to be a wife alone for a short time at least, if it were only that she might give her friends no opportunity, on the birth of her first child, of counting off on their fingers the exact time which has elapsed since her marriage, and finding it “nine months to a day,” or even a fraction less, as frequently happens in a first confinement. TROUSSEAUX.—It is no doubt commendable in a young bride to desire to become a pecuniary burden to her husband at as remote a period as possible. Still, rather than worry and flurry, and wear her strength and energies out during the few weeks pre- vious to her marriage, when she ought to be keeping herself calm and her health undisturbed, it would be well to remember that the State of Matrimony is within the borders of civilization, and that there are still drygoods stores and dressmakers within the reach of those who have entered its limits. LOVE AT FIRST SIGHT.--Sober, matter-of-fact peo- ple laugh at the idea of love at first sight; and it certainly seems absurd; for love is, after all, a matter of growth. Yet there are cases on record where the HASTY MARRIAGES. attraction has been so strong on the first interview as to lapse at once into earnest love, resulting in happy marriage. I do not feel, therefore, like declaring my utter disbelief in such a thing. I can now recall to mind the case of a man who, having for a number of years remained true to his early love for a girl who was forced by her parents to refuse him, passed through a room in which was a woman who im- pressed him so strongly and so favorably in the casual glance he gave her that he felt certain she was to be his wife. This feeling never forsook him. He was not convinced of its incorrectness, even when, after acquaintance, she refused him. The result was that he finally actually married her, and after many years of married life his love was as strong as ever, and he professed himself a firm believer in the theory of love at first sight. LOVE AT FIRST SIGHT NOT ALWAYS A SERIOUS OR LASTING IMPRESSION.-However, I should not advise my readers, especially the younger portion of them, to trust too implicitly to this impulse. It is apt to disappear as quickly as it comes, if no fuel be added to its flame. It would be well to try it by time, and to apply the various other tests which are proper in affairs of love and marriage, before taking an irrevocable step. of hasty marriages. In such cases it is almost in- variably “marry in haste and repent at leisure.” ADVERTISING, OR ANSWERING ADVERTISEMENTS 104 COURTSHIP AND ENGAGEMENT. ASKING FOR ACQUAINTANCESHIP OF THE OTHER SEx.—No young girl of any modesty or decency will attempt to form the acquaintance of a person of the other sex through the medium of the advertis- ing columns of a public newspaper. There is every opportunity for deception, and the girl who thus vio- lates propriety offers herself a ready victim to deceit. Such a thing is not allowable even in the way of jest. A man may be already so bad that nothing can make him worse; but a woman cannot engage in such doubtful games without injury to her delicacy and morality. MARRIAGE BY ADVERTISEMENT.—As for mar- riages by advertisement and correspondence without previous personal acquaintance, I have no words suffi- ciently strong with which to condemn them. They are immodest and indiscreet on the woman's part; they are rash if not dishonest on the man's, for it is so easy for a rogue or profligate to conceal his real character in such a veiled courtship. I have had one or two such marriages come to my knowledge, and most unhappy ones they were. Separation and ap- plication to the divorce court are their usual results. AVOID SECRESY.—No secresy should be tolerated in love affairs. Of course I do not allude to that harmless secresy which may be observed concerning the exact progress of the love affairs of a young couple who imagine that because they tell nothing all the world is blind. A man and woman may not care to announce the exact day of their engagement, PLATONIC FRIENDSHIPS. 100 thinking that the fact concerns themselves alone; but they should feel no need of blushing and denying it should the world become cognizant of it. When there seems to be such need, there must be something radi- cally wrong. An honest love is a bold love which has no cause to be ashamed, and an honest marriage may be proclaimed before all the world. CONSENT OF PAPENTS.-It is always best and wisest to obtain the consent of parents in love affairs. But if the parties have reached the age of discretion, they are themselves the best judges as to what concerns their own happiness. So that, even if consent is with- held, a couple cannot be considered utterly blamable who, after waiting a suitable period in order that objections may be withdrawn, still proceed to mar- riage. Fortunately, the days of the “stern parent" have passed away with the old school of romance, and parents are not apt to raise objections unreasonably. Therefore it is well to give them due consideration, and allow time to prove whether they are well or ill founded. It is perfectly proper for parents to attempt to prevent their young daughter from marrying at too early an age, and she is guilty of gross misdemeanor if she does not respect their wishes. “PLATONIC FRIENDSHIPS.”—In a chapter devoted to “courtship and engagement” the discussion of this subject may seem out of place. But I must say a few words, and I know of no other portion of my book where it will fit in more appropriately. All young girls are firm believers in the possibility of “Platonic 106 COURTSHIP AND ENGAGEMENT. friendships.” Even as friendship after friendship of this sort proves illusive, they still cling to the idea and its possible realization. I do not know what heard them expressed; but I do know that these “friends” have a most inconvenient way of turning out to be lovers in disguise, and striking consternation to the hearts of their young lady acquaintances. Still, woman as I am, advanced to middle life, I plead guilty to cherishing the ideal and believing its real- ization possible; for it is too beautiful not to be true. · But girls had best be on their guard; for the innocent acts of what they consider a free and unreserved friendship may be set down against them as deliber- ate coquetries. I will give a page from my own experience which may serve the double purpose of amusement and instruction. A young lady friend and myself, in our younger days, were discussing this very subject, expressing our beliefs in the possibilities of such a friendship, and mourning the perversity of young men who did not We were, however, so we declared, each in the pos- session of one tried and true friend, who could be safely trusted to abstain from all sentiment and love- making. I had kept up an unremitting correspond- ence with mine for two years, more or less, and his letters were always such as I might safely and unhesi- tatingly show to the world. My friend also main- tained her intercourse with her acquaintance by means PLATONIC FRIENDSHIPS. 107 of letters, which were equally free from anything objectionable, as we considered sentiment. We were both a little suspicious of each other's “friend,” but quite sure of our own. Finally we made a compact, in order each to fully convince the other, that the next letters that arrived from these parties should be handed unopened for a first reading to the lady for whom they were not intended. My letter came first, and, true to my promise, I handed it to my friend, while I busied myself with other missives which reached me by the same mail. I noticed that she seemed very much amused in its reading; but I did not think much about it, as my correspondent was an odd genius in his way, and sometimes wrote singular though perfectly proper letters. When she had finished, she handed it to me without a word. What was my amazement to find that the opening paragraph contained a declaration, and there were four foolscap pages of sentiment, whiclı my lady friend had read through to the very last word! I wrote him but one more letter after that, in which I intimated plainly but kindly that I thought ing that she had not been quite true to her promise in giving me a first reading. But as she had received the letter the night before, she thought I would not insist upon her waiting until she saw me before it was opened. I took the open sheet and glanced at it, and 108 COURTSHIP AND ENGAGEMENT. found that it, too, commenced with a declaration; but the letter ended abruptly in the middle of the page and in the midst of a sentence. The young man had evidently made more than one attempt at letter-writing before he had succeeded to his satisfac- tion, and then, in his perturbation of mind, had folded and mailed the wrong sheet! The proper letter came a mail or two after. It is needless to say that on the subject of “Platonic friendships” we were both silenced if not convinced. CHAPTER VII. MARRIAGE AND THE FAMILY PROTECTION OF THE FAMILY.—The one institu- tion most sacred in all the world is the family; and the abiding-place, the retreat, the altar of the family is the home. To protect the family and to preserve the inviolability of the home, all governments, from the earliest ages, have been instituted. THE DESTRUCTION OF THE FAMILY.—Whoever destroys the family and desecrates the hearth-stone uproots government and upheaves society from its very foundations, tearing down so effectually that there is no hope of rebuilding. FREE LOVE.—Of the practical workings of the system of “free love" we may see illustrations every day in the police and criminal records. We find special illustrations in a recent notorious murder case on the Pacific shore, and in a still more recent and more notorious one in New York City. THE HOME.—The first object, not only of govern- ment, but of each individual, should be to hedge about the home with every means of protection, and to make it the centre of all contentment and peace. Society should be the outgrowth of the home, which 10 109 110 MARRIAGE AND THE FAMILY. latter should contribute to it from its overflow of happiness. DESERTERS FROM THE HOME.—In those families where society and the public are put first, by either husband or wife, the natural order of things is sub- verted. As long as there are pressing home duties for either the one or the other, their call should be loud enough to drown all voices from the outer world. A man's duties to his family are as obligatory as those of a woman. A husband and father who, to enter into public life, deserts his home and compels the wife and mother to bear his burdens in addition to her own, is just as culpable as the woman who leaves her baby unrocked and her husband's stockings un mended. He is a shirker, and his wife must stagger under double responsibilities. TIME OF RELEASE FROM DOMESTIC DUTIES.- There comes a time in the life of both hasband and wife, when their minds have matured and their ex- periences have fitted them for more extended labor. And this time is when, in the natural order of things, home cares have relaxed, and both are equally ready for the work of the world. Then whatever their hands find to do let them do with all their might, and let them, as far as possible, work in unison, remembering that those whom God hath joined together no man should put asunder. SIGNIFICANCE OF THE WORD HOME.—I do not accept the common definition of the word home, which, if put into plain, brief language, would read, THE HOMELESS. 111 A prison-house for women. It has to me a broader, world within a world. It is the central point of the universe around which all things revolve. It is the treasure-house of the affections, the one serenely bright spot in all the world, toward which its absent. members always look with hope and anticipation. It is the shrine to which all the trophies of victories won in the world are brought with pride and triumph, and where the victor receives the sympathy and congratu- lation of the circle dearest to him, and is recrowned with laurels which retain perennial freshness when the wreath accorded by the public has faded and is forgotten. A prophet may be little honored in his own country; but a man and woman are never so great a hero and heroine as in their domestic circle. If they are worthy of respect and reverence, they are never anywhere else so much respected and revered ; and they are never anywhere else so much loved, whether, alas! they are worthy of it or not. TREASURES OF THE HOME.—It is as they may be beautiful or useful in our homes, that all earthly things are valuable or valueless. Here are garnered up whatever treasures the world offers to the indus- here rich experiences; here sometimes sorrows too sacred for the common eye to see. THE HOMELESS.— All homes are not true homes. Few are as perfect as they might be. Many are not homes at all. They are only places where food and 112 MARRIAGE AND THE FAMILY. shelter may be obtained, and where the individual members feel privileged to be themselves at their worst. The occupants of such homes are more to be is recorded : “The author of 'Home, Sweet Home.' He never had a home.” The latter had a concep- tion of what home ought to be. They, pitiful beg- gars upon the cold charity of the outer world! have neither the home itself, nor its ideal within their hearts. God pity the homeless ! CONSTRUCTION OF THE HOME.—Marriage lays the foundations of the home; the children build the walls; and the structure is strengthened and stayed by conjugal, parental and filial love, and roofed over by mutual forbearance and self-sacrifice. MARRIAGE.—“A pure life from the day we become other; a frank and open communion from that day to the wedding; a loyalty, purity and patience ming- ling with our love from that day onward, and this true expression of our perfect trust from beyond the grave,—these are the things that go to a true wedding, a true home and a blessed home life.” These are the concluding words of Robert Collyer's sermon on “Marriage”-a sermon so true, so beautiful, so ad- mirable in every respect, that I wish I might give the whole of it here. PHYSICAL RELATIONS OF MARRIAGE.—Marriage brings a man and woman into the closest physical relations. These relations, if rightly regarded and BRIDAL TOURS. 113 properly sustained, are conducive to happiness, health and longevity. When they are perverted and abused, and their true aims overlooked, they are the cause cf physical and mental wretchedness and moral deterior- ation. MARRIAGE A SACRAMENT.-A pure marriage, in which affection is the ruling power and passion is curbed and held in control-in which the thought of self is kept secondary—is a true sacrament, blessing the participants. A marriage in which passion, un- guided by reason, degenerates into lust, is a sacrament desecrated, a blessing turned to a curse. BRIDAL TOURS.—Every newly-married couple, no matter how limited their means, feel obliged, if they would maintain their position in society, to take a bridal tour. As bridal tours were first instituted- for the purpose of taking the young couple away, at the commencement of the new physical and moral experiences which they must undergo, from prying eyes, unpleasant and impertinent remarks and unwise interference, and allowing them time to adjust them- selves in their new relations—they were certainly not objectionable. To accomplish these desirable ends, quiet and retirement in semi-solitude seem most ne- cessary, where they shall be thrown exclusively into each other's society, and have opportunity to become better acquainted with each other's characters. Such a plan as this may not be wise in all respects, but it has at least a show of reasonableness which is utterly lacking in a fashionable bridal tour. In the conven- 10 * 114 MARRIAGE AND THE FAMILY. tional tour, instead of retiring from the public gaze, they set out for the most crowded places; instead of seeking to avoid observation, they court it by a disa play of unmistakable bridal trappings; instead of seeking to learn each other's characters more fully by indulging in each other's society under the most favorable auspices, the exigencies of travel and sight- seeing, with the weariness which these entail, and the nervous and physical excitement incident to the event which they are celebrating, frequently call out only their most unfavorable traits, and leave them at the conclusion of their journey. less pleased with each other than when they set out. Then the expense involved in a fashionable bridal trip would go far toward furnishing a house and providing a home for those who, from a fancied want of means, are obliged to take refuge, for a more or less extended period, in I think the prettiest description of a bridal tour I ever read is in Miss Alcott's “Little Women,” where Margaret and John, after the wedding day is over, walk in the gloaming side by side along the narrow path which leads from the home of the bride's parents to the little house which is to be their own home in future. That is the best, the most sensible bridal tour which takes the young people, in whatever fashion, directly to the spot which is to be their home, and consecrates that spot from the very marriage day with all the sweet memories which belong to and bless a happy marriage. EVILS OF BOARDING-HOUSE LIFE. bridal tours brings us naturally to the consideration of the future home of the young couple. It is the great evil of the present state of society that young ignorant of domestic duties, and perhaps does not care to correct that ignorance. The husband, used to all the orderliness and luxuries of a long-established household, shrinks from meeting the failure and pos- sible discomfort which may await him in a house of his own. Both perhaps wish to live in a style un- suited to their means, and find they can do this better and with less care in a boarding-house than in a private establishment. But this will be found a great mistake when considered from the proper point of view. Boarding-house life is at best a poor substitute for the quiet and retirement of home. It is leading this life that we find idle, frivolous women-women who “want no more rights” lest they should bring with them new duties—women who sneer at temperance and all the earnest questions of the day—women who have no higher aim than to dress fashionably and ex- travagantly and to be admired. It is in boarding- houses that our scandal and divorce cases are matured —where husbands learn to be neglectful and wives unloving and unfaithful. There is one common parlor for dress and show and flirtation, for gossip and mis- chief-making, but no chance for any of that quiet home-life which develops the affections and brings 116 MARRIAGE AND THE FAMILY. out into strong relief all the manly and womanly traits of the character. Everybody needs a home, and a boarding-house is not in any sense a home. Let the young couple be content to begin humbly if they must, but let them by all means isolate themselves from the cutside world, so that the home shall be something distinct and apart from it-an altar dearer and more sacred than it is possible to erect within the precincts of the hotel or the boarding-house. Those families themselves. TEST OF VIRGINITY.--It is popularly believed that the husband receives proof upon the consummation of his marriage of the previous chastity of his wife. If he obtains this evidence it is safe to accept it as con- clusive, though rare exceptional cases are to be met with in which the evidence counts for nothing. If, on the other hand, the proof is wanting, it is most unjust and cruel, on the strength of this alone, to riage. It is not uncommon for accidents, which may occur at any time, and which may even date back to birth itself, to destroy this evidence; or it may never have existed. ABUSE OF MARITAL PRIVILEGES.—One is often led to wonder if a large class of men are not simply brutes, in all that concerns the physical relations of marriage. Women do not readily make confidentia complaints to other women against their husbands, JUST CAUSES FOR REFUSAL. 118 So that when a word -- an incompleted sentence smothered before it is fully uttered—is spoken, it must be wrung from the lips by extreme marital brutality. That women, many women, so suffer at the hands of husbands, brutal in this respect, though kind in all others, does not admit of doubt. Disin- clination, weariness, ill-health, none of these things will excuse a woman from a participation in the marital act, when her husband's inclinations lead him to require it of her. Strange that, while the law rec- ognizes rape as a crime punishable by severe penalties, there is no recognition whatever of a married woman's right to control over her own person. I do not know that the most brutal conduct in this respect, if there was no other reason for complaint, would be considered by the courts as a sufficient cause for divorce. Yet any one can readily imagine that it is possible for a - man of a strong sensual nature, who places no curb upon his appetites, to render the life of a delicate, pure-minded woman intolerable to the last degree. As mutual affection is the heavenly bond of marriage, so mutual pleasure should alone sanction its earthly bond. Love should be prepared to give as well as to receive—to be self-denying when self-denial is re- quired of it. I cannot believe that a wife who sees her husband thus considerate will be unreasonable in her refusals. JUST CAUSES FOR REFUSAL OF A HUSBAND'S DE- MANDS.—There are certain times and circumstances when a woman is perfectly justified in refusing her 118 . MAJ RIAGE AND THE FAMILY. husband's demands. These are, during her monthly periods; for or e month after confinement; for three months after riiscarriage; during convalescence from any ordinary s`ckness, while the woman is still weak and debilitated ; in case of any uterine difficulty which renders cohabitation painful and of course injurious ; if there is any sufficient reason for limiting the number and after menstruation; when the husband is in a stimulants or opiates; and when there is knowledge of unfaithfulness on his part. In the latter case, if the woman have true respect for herself, she will make her refusal absolute and final. fication of sexual passion, though beneficial if indulged in moderately, will, if carried to excess, prove highly injurious, and may possibly result in lost energies and prostrated health. If the husband has not sufficient self-control, the wife is justified in limiting him to the bounds of temperance and prudence, not only for her own comfort and convenience, but for her husband's good. SHALL HUSBAND AND WIFE SLEEP TOGETHER ? Certainly, if they both wish it. If either or both partics do not desire it, or if they have reason to suppuse that the health of either suffers in-consequence (and I have known such cases), or if the husband canlı ot properly control his amorous propensities, they be' 'better by all means occupy separate beds. If the SCARS LEFT BY THE O' 4. 119 last reason is the one causing this sep: raticu, they had better occupy different apartments, w.th a luck on the communicating door, the key in the wife's possession. CONCEPTION.—The manner in which conception takes place has long been a matter of dispute among physiologists, and many theories, some tolerably plau- sible, others absurd, have been advanced in different ages of the world. It is probably something which can never be entirely understood; but certain facts have already been elicited by the experiments of modern science, and still others may yet be discovered. It is established that from the ovarics of a woman capable of bearing children a minute ovum or egg escapes at regular intervals—usually once in four weeks-during the period of the menstrual flow. This ovum passes slowly down into the womb through the Fallopian tube, which connects the ovary with the womb, and thence out. It is believed that if before its expulsion from the womb it comes in contact with the male element it becomes impregnated, remains in the womb and develops into a living embryo. SCARS LEFT BY THE OVA.—Each ovum as it bursts from the ovary leaves a scar behind it, which, how- ever, if the ovum is not impregnated soon disappears. If conception takes place, the scar remains; so that the lasting scars upon the ovaries correspond with the number of times a woman has conceived. This latter fact is something that puzzles physiologists, and has led them to think it possible that impregnation of the oyum takes place before it leaves the ovary. Demon- 120 MARRIAGE AND THE FAMILY. strable facts, however, testify against this belief. I know comparatively little of either physiology or anatomy, so I offer my theory regarding these scars with due hesitation and modesty ; but may it not be possible that, when the regularity of the ejection of the ova from the ovary is uninterrupted, each suc- and that in case of conception and the consequent rest of the ovaries for a greater or less period—usually through pregnancy and suckling—the last scar, re- maining undisturbed, has time to assume a permanent form? ERRONEOUS BELIEF CONCERNING CONCEPTION.- It is a belief entertained by a majority of people even yet, and one upon which our laws are based and judicial decisions rendered, that conception cannot take place unless both be willing parties to the con- jugal act, and participate in its pleasure. Modern science has proved the fallacy of this. French phy- sicians have, by a series of audacious experiments, the nature of which it is not necessary to describe here, demonstrated beyond a shadow of doubt that not only is mutual pleasure in cohabitation unnecessary, but that conception may actually take place while the totally unconscious. They have proved even more than this, but this is sufficient. Thus the decision which declares an alleged rape to be nothing more than seduction, because the union proved fruitful, may be cruelly unjust. DESIRABILITY OF CHILDREN. 121 GRAVE IMPORTANCE OF THE ACT OF GENERA- TION.–Of the exact manner of conception there is little known, nor probably will there ever be any greater knowledge. It is known, or at least believed, however, that the moment of generation is one of unparalleled importance to the welfare of the future being. Dr. Hufeland, an eminent German writer, says: “In my opinion, it is of the utmost importance that this moment (the moment of sexual union) should be confined to a period when the sensation of collected powers, ardent passion, and a mind cheerful and free from care, invite to it on both sides." Yet how almost invariably is this, the most important act of life, so considered from its possible consequences, par- ticipated in thoughtlessly, and in improper and un- worthy physical and mental states ! STERILITY.—When married women do not become mothers, they are said to be sterile or barren. This condition is not uncommon among women, and is frequently the cause of much unhappiness; for while many women regret their ability to bear children, those who have no children exhibit almost a morbid longing for them. DESIRABILITY OF CHILDREN.—It is certainly fai better that a married pair should become parents than that they should live childless. A life unblessed with children is a selfish life. However pleasant and con- venient it may be in youth and middle age, it is un- satisfactory at the end. The desire for and love of offspring are instincts implanted by nature, and men 11 122 MARRIAGE AND THE FAMILY. and women are all the more easily reconciled to old age, with its declining powers, and at last to death, in the consciousness that they are represented in their children who will live after them, and who may accomplish, perhaps, what they have failed to do. A life into which no child-love has ever entered is apt to become contracted, selfish and hard. The little ones teach us charity, patience and kindness. In the care of them we receive our own best educa- tion. Therefore, those wives who fail to become mothers may well consider themselves unfortunate, and are justified in asking anxiously if there is any CAUSES OF STERILITY.—The causes of sterility are numerous. It is well known that the families of the rich are, on an average, much smaller than those of the poor. The reason of this is that idleness and luxurious living act as a check upon child-bearing. A woman leading such a life is not so apt to conceive as, or if she does conceive she is more apt to miscarry than, those who live in accordance with the laws of nature. On the other hand, an active life and a plain, spare diet are conducive to fecundity. And thus children become the poor man's only riches. Displacement of the womb is also a frequent cause ?of childlessness. When barrenness results from this or from similar causes, it may almost always be known by the pain and prostration which attend the monthly period. This is, of course, remediable, and the ad- CURE OF STERILITY. 123 vice and assistance of a physician should be sought at once. Debility may prevent conception or cause miscar- riage. So also will too frequent sexual intercourse or too intense passion at such times. Again, a woman may be capable of conception, but so liable to miscarry that she will never go her full time. so early a period in pregnancy that the woman may never suspect the true state of the case, and imagine herself sterile. When a liability to miscarry is known, or even suspected, a physician should be consulted who may be able to devise means to prevent it, or at least render it less likely in future. The husband should absent himself from his wife's bed for three months after a miscarriage if he would diminish the chances of its repetition. These are some of the remediable causes of sterility. There are other causes unnecessary. CURE OF STERILITY.—A childless wife who desires to become a mother should, therefore, live sparingly, in Julge in abundant exercise (unless her childlessness is the result of miscarriages, when, in certain cases, she had best preserve quiet), subject herself to no undue excitements nor partake of stimulants. If there are local diseases, they should be attended to, and her general health should be brought to its highest standard. Sexual pleasures should be but moderately indulged in. An entire change of air and 124 MARRIAGE AND THE FAMILY. scene, with a temporary absence, more or less pro- longed, from her husband, will often prove beneficial. STERILE HUSBANDS.—It is, however, a mistake to place the blame of unfruitfulness in marriage invari- ably upon the wife. Some men are sterile as well as some women, although their general health may be good and their powers unimpaired by excesses. Then, again, “reformed rakes” have not infrequently lost their virility through antenuptial excesses. In this case it is the husband who requires medical and hygienic treatment. Such a state of affairs is plainly though somewhat coarsely illustrated in Charles Reade’s recent novel, “ A Terrible Temptation.” CRIMINAL ABORTION.—A few years since I read an excellent little pamphlet by a well-known phy- sician, entitled “The Serpent in the Dove's Nest," and treating of criminal abortion. (The same gentle- man published shortly after a companion pamphlet for men, entitled “Is it I ?” equally excellent and equally deserving of attention.) This pamphlet treated of the prevalence of criminal abortion in America; and the author's earnest protests against it ought to have been productive of the best results. CIRCUMSTANCES WHICH MAY EXTENUATE CRIMI- NAL ABORTION.—Yet-there are sometimes, I think, extenuating circumstances in the commission of this crime; though I would not by any means justify the deed. The first to be considered of these circum- stances is the ignorance of women on all points con- cerning it. The almost universal belief among wo- RESPONSIBILITY OF PUBLISHERS. 125 men—even intelligent women—is that the life of a child does not begin until quickening is felt, and that to produce abortion before that time is not to destroy life, but simply to remove a physical obstruction. No one having sufficient authority has ever taught them any better; and the assertion of a mere woman like themselves they are not likely to regard. Again, very few are aware of the grave dangers threatening health, and even life, attending abortion. They believe that it occasions only temporary incon- venience, from which they recover far sooner than from an ordinary confinement. Thus, after an abor- tion is accomplished, they are almost certain, by a hasty and imprudent convalescence, to bring on cer- tain diseases which by a more careful course they might possibly escape. RESPONSIBILITY OF PUBLISHERS.—Women should not be considered alone to blame in the matter of criminal abortions. Editors may enter their protests against this crime in whole columns of moral indigna- tion, but so long as they are ready, for pay, to publish advertisements of remedies for “ female irregularities,” “warranted to remove obstructions of whatever na- ture with perfect safety,” editors will talk in vain. Nor can they shirk the responsibility that rests upon them. The publisher who inserts in his sheet any advertisement whatever, of such a character, is re- sponsible in a degree for all the misfortune and criminality which the publication of such an adver- tisement occasions. 11 MARRIAGE AND THE FAMILY. DANGER OF QUACK MEDICINES.—There are no - female irregularities which can safely be medically treated by any one but a regular physician. These patent medicines are invariably harmful. Even in the class of diseases for which they are nominally intended, the chances are very great that they will produce confirmed invalidism instead of health. CULPABILITY OF Law-MAKERS.—Nor are our law-makers less culpable, when they punish only the man or woman found guilty of producing criminal abortion, and permit these advertisements to circulate through the land without any legal responsibility upon either advertiser, publisher or seller. How To CHECK THE CRIME OF WILLFUL ABOR- TION.—In only one way can this crime be checked, so far as women themselves are concerned. It is by the diffusion of knowledge. Let women be made thoroughly conversant with the physiological bearings of pregnancy. Impress upon them beyond the possi- bility of a doubt that life exists in the embryo from the moment of conception, and that this life is almost as distinct from that of the mother as when the babe has entered the world and draws sustenance from her breasts. Her pelvis is only the primary cradle which holds it, and her womb the covering which enwraps and protects it until it has reached a period of de- velopment which qualifies it to lead a more exposed life. It is her child from the very first, and she is a mother in reality from the earliest period of its existe ence. AN EFFICIENT TEMPERANCE LAW. 127 WOMEN NOT WITHOUT CONSCIENCES.-Women may be frivolous and thoughtless, even unreasoning and unreasonable sometimes; but they have con- sciences. When they realize that willful abortion is nothing less than murder, as surely as though they murdered the babe that lies in their arms, they will shrink with horror from its commission. ACCESSORY TO THE CRIME OF FETICIDE.-There is almost always an accessory to this crime, which the world usually does not remember. I mean the hus- band or the seducer of the woman who commits it. When the woman is unmarried, and she resorts to the act to hide her shame, she ought to be regarded with pity as well as with blame. She is driven to a state of desperation and distraction which man can never realize, and which so nearly approaches insanity, that a broad charity might readily pronounce it such, with far more justice, in fact, than in many murder cases where such a verdict has been returned. A remedy has never been devised to check this crime under these circumstances, and never will be, until one which I will presently recommend shall be tried. I am a woman, and, no doubt, see things in a different light from men; but I am none the less convinced not only of the efficacy, but of the justice, of my plan. AN EFFICIENT TEMPERANCE LAW.—Three years ago, writing incidentally in a magazine article of the evils of intemperance, I declared it as my conviction that the only effectual bar to drunkenness would be to make the liquor-seller pecuniarily responsible for 128 MARRIAGE AND THE FAMILY. any evils resulting from his business. I thought myself radical and singular in such an assertion; but to-day the most effective temperance law ever known is based upon this very principle. This law is now in active operation in several of our States. It derives its singular efficiency from the fact that it places the weapons of defence against liquor-selling in the hands of the greatest sufferers from it—the injured wives of drunken husbands. Thus the absolute truth of my impressions has been verified. GUÍLT OF THE SEDUCER.—I would see this same principle applied in the case of criminal abortion, especially when it follows seduction. We may not be able to mould public opinion, but we can make laws. In an unmarried woman there is but one cause which operates to the commission of this crime, and that is the fear of disgrace. Thus, when she has been found guilty of foeticide or infanticide, her seducer should be held equally guilty and suffer an equal punishment with her. The crime may have been committed without his knowledge or in spite of his urgent pro- test; nevertheless, his guilt should be unquestioned, as it was possible for him in two ways to prevent its commission: first, by abstaining from the act of seduc- tion; secondly, having been guilty of that act, by subsequent marriage averting that shame which drives the woman to such an extremity. If there is any difference between them, he is the greater culprit of the two; in addition to his participation in the guilt of the murder, he deliberately dooms a human being, MARITAL RIGHTS. 129 whose greatest fault was a misplaced confidence in him, to the depths of suffering, shame and despair, and frequently to moral ruin. RESPONSIBILITY OF HUSBANDS.—A husband may be guiltless of either knowledge of or consent to such a crime. Nevertheless, he should not be held entirely irresponsible. I have already referred parenthetically to a little pamphlet addressed to husbands, entitled “Is it I?” This pamphlet treats of the degree of guilt incurred by husbands, by a display of selfishness and sensuality in their marital relations. “MARITAL RIGHTS.”—I have been surprised and astonished to find, not only among men, but among prudence and consideration deemed necessary in a and the woman who would question them or attempt to limit them is considered exceedingly blamable. Thus I have seen innocent and suffering wives made morally responsible for the unfaithfulness of their husbands, when that unfaithfulness ought to have been set down as gross selfishness tending to beastly sensuality. Neither his own sex nor the other seems to regard a man as bound by any law of morality or self-restraint. In his capacity of husband he con- siders himself entitled to gratify his passions at what- ever cost to a suffering wife. If this gratification threatens and actually results in the death of his victim, it is regarded as unfortunate, but something for which he should not be blamed. 130 MARRIAGE AND THE FAMILY. WAS IT NOT MURDER ?-A case in point: There was a woman who had to undergo a terrible surgical operation for the removal of an uterine tumor. The operating surgeons assured the husband, himself a physician, that a subsequent pregnancy would be exceedingly dangerous and probably fatal. But this man, in all other respects a model husband, felt him- self under no obligation to self-restraint. In course of time the woman became pregnant, and the sur- geons' predictions were verified. To-day that hus- band is living with his second wife, as honored and as respected a member of society as though his first wife's death did not lie at his door. ENFORCED CHILD-BEARING.–Again, how often do we see men, whose wives can meet the perils of confinement only at the greatest risk to life and health, compel them to bear children until their health succumbs, and they either sink into helpless, hopeless invalidism, or escape into the grave as the only place where there is certain rest from child-bear- ing! I was once told of such a woman--a woman still young in years—who had already borne ten chil- dren, only to endure the additional suffering of having them taken away from her by death, one after another, while they were yet infants. Every successive con- finement her physician warned her must be the last, as there was imminent danger that, her health already broken, life itself would give way. But she is still dragging a feeble existence. Surrounded by the evi- dences of immense wealth-being denied nothing that ENFORCED CHILD-BEARING. 131 money can buy—she yet knows nothing of physical comfort. Her husband prides himself on his marital fidelity to his wife. “How much better,” said my informer, who, by the way, was a woman of the world, with exceedingly lax notions as to the moral obligations of men—“how much better it would be if her husband would get a mistress, and so allow his wife a chance to recover her health, and know something of enjoyment in life !” My wifely instincts were aroused at this. “Any- thing but that!" I replied. “But how much better if he would cease being a brute, and learn that to be a true and affectionate husband involves sometimes self-denial in the place of unreasoning gratification of the passions !" Some women are so physically constituted, or so suffer from confirmed ill-health, that the whole period of gestation is one of intense discomfort, and child- bearing an almost insupportable misery. Such wo- men, if no means of prevention are resorted to, must live at least one-third of their lives in a state of hope- less suffering. When we regard such a woman, and consider how these sufferings are forced upon her, we need not greatly wonder that she sometimes, in her ignorance of the guilt incurred, and the risks to health and life run, seeks to avoid these miseries by a short cut through the door of abortion. There is no use in saying to such a woman that if she were not willing to endure the penalties of matrimony she ought never to have entered within its bonds. Few unmarried 132 MARRIAGE AND THE FAMILY. women know the full extent of these penalties; none of them know what will be their degree in their own individual cases. There is no man who would be willing that his future wife should make a trial of that state, before entering into it permanently. “FOR BETTER, FOR WORSE.”—Marriage is some thing irrevocable, in which husband and wife are bound together for better or for worse. It is hardly fair that the “better” should always be on the one side, the “worse” on the other. Husbands should feel themselves called upon to bear the incidental disadvantages of marriage equally with their wives; and if these disadvantages include restraint of the passions, the obligation is in no way relaxed, and infidelity no less a sin. LIMITATION OF OFFSPRING.—Let physicians and moralists say what they will, and let us all admit that large families of children are even desirable when the circumstances are favorable, there are still circum- stances which justify-not only that, but actually demand—a limitation of the number of offspring. A woman's health should be an important consideration in this matter. Surely, if there is any personal ques- tion which an individual has a right to decide, the woman should have a voice in the matter of child- bearing. She has to endure the pains, penalties and responsibilities, both before and afterward, and she can best judge of her fitness and her powers of endur- ance. Yet she should not decide in the negative without grave reasons for such a decision; but when WRONG METHODS OF LIMITATION. 133 she has made this decision, it is the extreme of cruelty for her husband to force child-bearing upon her. QUALITY OF POPULATION, NOT QUANTITY.–Our population is not in such a state of depletion that mere numbers are an object. We have plenty of people now, such as they are. · We could do with fewer births if the children born promised better physical development, and were better educated and better trained morally. A woman overburdened and broken down by excessive child-bearing can never give birth to as healthy children, nor can she devote as much time to their mental and moral training, as she ought to do. IN WHAT MANNER SHALL THE NUMBER OF CHIL- DREN BE LIMITED ?—But how this evil of too large families is to be avoided is a question asked by many, especially suffering wives. They ask their physician during the pains and terrors of delivery, and they are answered flippantly, if not indelicately. WRONG METHODS OF LIMITATION.—Those who are careful newspaper readers know that means for accomplishing this end are widely advertised. But these advertised means may be one and all set down as highly deleterious to health and morals. Clearly, abortion is not the proper method. Incompleted sexual intercourse, so frequently re- sorted to for this purpose, is considered a perfectly barmless method. But there never was a more erro- neous idea. Its effects upon the husband are precisely. the same as self-abuse. To the wife, if she be in any 12 134 MARRIAGE AND THE FAMILY. degree an active participant of the passion of the moment, the results may be even more serious, includ- ing among them inflammation and grave affections of the uterine system, such as tumors, ulcers and the like, It is unnecessary to explain in these pages why this is so, though it is easily explicable. Scarcely less injurious in its results, and at the same time not by any means certain, is the use of cold-water injec- tions to prevent conception. A SAFE PREVENTIVE TO CONCEPTION.—There is one means perfectly harmless and perfectly safe as far as any evil results may follow-a means which will not only secure the end, but the employment of which will in all probability prove beneficial to both hus- band and wife. It is a means which neither violates physical laws nor involves moral degradation. It is, in brief, moderation in the indulgence of sexual desire. In each month there is a period varying from four to eight days in duration, during which most women are incapable of conception. This period begins about the tenth or twelfth day after the cessa- tion of the menses, and ends the fourth or sixth day before their next appearance. Previous to this tenth or twelfth day, the ovum, which is discharged from the ovary at each monthly period, may still be in the passages or the womb, and become impregnated upon sexual intercourse. If intercourse be indulged in shortly before the monthly flow, it is possible for the male element to retain life until it meets with and impregnates the ovary. This I believe to be a toler PRODUCTION OF THE SEXES. 135 ably general though not universal rule. Women who are exceptions to this general rule must accept the inevitable, if their health is equal to continued child- bearing. When their health will not allow of in- creased family cares, then, I repeat, forbearance and self-denial become the duty of their husbands. Thus it will be seen that temperance and self-denial are the only means by which this oftentimes most desirable end can be attained in an honorable and unobjection- able manner. If there are any other proper means, I am ignorant of them. PRODUCING THE SEXES AT WILL.—It has always been greatly desired that there might be certain means discovered by which the sexes could be pro- duced at will. Various theories have been devised, but none of them have yet fully borne the test of trial. FALSE THEORIES CONCERNING THE PRODUCTION OF THE SEXES.—One of the most common beliefs among uninformed people is that a preponderance of either sex among the children of a family denotes superior vitality and stronger passion in the parent of that sex. It is scarcely necessary to say that this belief has not one single foundation in fact. Another theory which perhaps may have a single grain of truth in it, but scarcely more, is that superior vitality on the part of the father will be productive of daughters; on the part of the mother, of sons. LATEST THEORY IN REGARD TO THE PRODUCTION THE SEXES.-The latest theory, and the one most 136 MARRIAGE AND THE FAMILY. commonly accepted by enlightened medical and scien- tific men, is stated as follows in the Philadelphia Medical and Surgical Reporter of February 8, 1868: “Whenever intercourse has taken place in from two to six days after the cessation of the menses, girls have been produced; and whenever intercourse has taken place in from nine to twelve days after the cessation of the menses, boys have been produced.” A writer in the London Lancet declares that “in the human female conception in the first half of the time between menstrual periods produces female off- spring, and male in the latter. When a female has gone beyond the time she calculated upon, it will generally turn out to be a boy.” EVIDENCE OF SCIENCE IN REGARD TO THE PRO- DUCTION OF THE SEXES.—This theory is founded on well-established facts in the vegetable and animal kingdoms. Botanists and gardeners know that in trees and plants which are bi-sexual the earliest and most vigorous shoots produce female blossoms; the latest, developed when the tree is declining in vigor, male blossoms. A similar fact concerning the propa- gation of the sexes has been discovered by cattle- and poultry-breeders. As a proof in support of this theory reference is made in particular to poultry, the earliest laid eggs of which, it is stated, produce hens, those toward the end of the laying season, cocks. PERSONAL OPINIONS CONCERNING THE THEORY OF PRODUCTION OF THE SEXES.— I know it will appear like presumption in me to differ from the most PERSONAL OPINIONS. 137 advanced scientific and medical authorities of the day; nevertheless, I do differ somewhat, in so far that I believe they have grasped only half a truth, and do not yet comprehend it in its complete significance. First, my experience and observation as far as they go, in cases where there was sufficient temperance in the marital relations to ascertain the exact period of conception without possibility of doubt, seem to dis- prove this theory in almost every instance. Thus much for facts, as I am conversant with them. My reasoning is as follows: One ovum, only, passes from the ovaries at each monthly period. If this ovum, impregnated at an early date, produces a female child, and, at a later date, a male child, then we must admit a change of sex in the same ovum, which seems scarcely likely. Again, referring to the facts which have been discovered in poultry breeding, we find that no egg changes its sex by a change in the time of its fecundation. Those first laid will hatch female chickens, those laid toward the last, when the hen's productive powers are on the wane, will hatch male chickens. Those eggs which would have produced bens display, when broken, a yolk of a deep rich vrange in color. Those which would have produced cocks display the yolks deteriorated in color to a pale sulphur tint. Each egg retains its sex as long as it is capable of being hatched. The daily egg of the hen represents the monthly ovum of the woman. Now, is it not safe to infer that, as nature requires the most vigorous and favorable conditions for the 12 * 138 MARRIAGE AND THE FAMILY. propagation of female plants and animals, she will pursue the same course in regard to the human race ? As a result of this inference, may we not believe that the sexes result from special conditions rather than from special times ? Not only does the female sex require superior vigor and vitality in order to sustain the heavier physical burdens which are laid upon it; but that it does possess this superior vigor and vitality is clearly proven by statistics which show that while there are more male children born in the proportion of about one hundred and six male to one hundred female), so more of the male sex succumb to disease during infancy. Therefore, when age, health, moral habits and temperance in the marital relations com- bine--or when there are a sufficient number of these to make a favorable balance—the children of the parents possessing this combination will be pre- dominantly daughters. Where, from any lack of these advantages, there is an adverse balance, sons may be expected. I offer my theory for what it is worth, believing that it is at least deserving of con- sideration. NOTE TO SECOND EDITION.-In the March number of the American Naturalist, Mrs. Mary Treat has an article on “Controlling Sex in Butterflies.” This lady made experiments during the summer of 1872 with the larvæ of certain butterflies and moths, by which means she discovered that arrested development in the larva state produced males, complete development females. I think these facts coincide with my theory " that the sexes result from special conditions rather than from special times.” I never met Mrs. Treat nor heard of her experiments until after the first edition of my hook was printed. CHAPTER VIII. TRIALS OF THE YOUNG WIFE. THE “MATERNAL INSTINCT.”- We are taught that in the female nature the love of and desire for offspring are early developed and become ruling mo- tives in ordering the girl's life. We are told how the little girl takes naturally to the doll, and nurses it and pets it as a mother does her child. Those who tell us this, see dolls in the hands of young girls, but do not watch to see what is done with them. In the mimic life of their plays, children represent what they know of the world. The little girl who, from her own experience, knows only of babyhood, naturally makes a baby of her doll. So also will the little boy, if you give him one. As the little girl grows older and her experience of the world widens, her dolls are made to play more varied parts. They represent almost invariably grown-up men and women, who get married, keep house, go journeys, and die; or it may be they enact the plot of some recently read story. They live existences totally distinct from their young owners, who are miniature overruling provi- dences, directing and controlling their movements. Such, at least, I believe to be the state of the case, 139 140 TRIALS OF THE YOUNG WIFE. judging from my own experience and observation, both of which have been somewhat extended. Do GIRLS LOOK FORWARD, TO BECOMING MOTH- ERS ?-As the young girl approaches womanhood the maternal feeling still remains undeveloped. I can recall but two out of a wide circle of girlish acquainta ances who, in the intimacy of friendship and in the candor of their hearts, acknowledged that they looked forward to motherhood with any degree of compla- cency. The two to whom I refer confessed that they hoped if they were ever married they would have large families of children. One of these girls, not- withstanding the apparent development of the mater- nal instinct, did not possess it in sufficient strength to impel her to matrimony, although good opportu- nities were not wanting. She is now on the wrong side of thirty, leading a contented and happy single life, without so much as a cat, dog or bird to utilize her wasted maternal instincts. No doubt many, in consternation, will declare that this apparent lack of the maternal instinct is both unnatural and shameful, and will cry out against the degeneracy of American girls. But it is not degen- eracy; it is the natural state of things. Girlhood is not the period of life in which it is necessary that the • maternal instinct should be developed. Wifehood should come before motherhood. It is sufficient that instinct leads young women to assume the duties of the former without thinking greatly about the latter. DEDUCTIONS WHICH GIRLS DRAW. 141 TENDENCY OF THE EDUCATION OF GIRLS.—More- over, the whole tendency of the education of girls aside from a few platitudes about their being the future mothers of the nation, addressed to them on stated ceremonial occasions—is against the idea that motherhood is desirable, or that it is their duty to fit themselves for it. They are usually excused if not excluded from the study of physiology, particularly in the special parts of it which they most need to know; books which might be of use to them are kept out of their sight; mothers are silent; and certain knowledge which is of the utmost importance is withheld on the score of its impropriety. Still further, if it were the desire and intention of those who have control over them to unfit them physically for the duties of maternity, their dress from infancy up could not be better devised than it is to accom- plish that purpose. DEDUCTIONS WHICH GIRLS DRAW FROM OBSER- VATION.—Meanwhile, girls are neither blind nor deaf. They see the physical suffering and wretchedness, the weariness and never-ending toil of the mother. They see the young wife lose her beauty, youth and spright- liness in the nursery, and come forth, after a few years' seclusion, a wan, worn, faded, listless woman, dwarfed. in intellect and old before her time. They do not know how much of this suffering can be avoided; how much of this toil is needless; and that this loss of youth and vitality is unnecessary. How few wo- men do! They do not know—they cannot know-of TRIALS OF THE YOUNG WIFE. undoubted fact that as yet there have been aroused no maternal beatings in their own hearts, it is no wonder that so many young wives are unwilling mothers. YOUNG WIVES DO NOT ALWAYS WISH FOR CHIL- DREN.—The young girl marries, and is expected to assume the gravest and most important duties and functions of life with a knowledge almost equaled by that of a baby, and a thoughtlessness such as might attend the preparations for a ball. As she takes upon herself the vows of a wife, the thought of children assumes the form of an undefined dread, of a possibly impending evil, which she confidently be- lieves she shall, after all, in some inscrutable manner escape. A pretty little innocent baby of a wife and mother once told me with delightful naiveté that on her marriage night she prayed as earnestly as ever she could that she might never have any children, but in less than a year her baby was born, and from that fact she concluded that there was no use in praying. JOB'S COMFORTERS. Of course the young wife's hopes prove delusive. It is not long before she finds herself in a condition soon to become a mother. If she has any fears and terrors at the prospect, they are in no way lessened by every woman to whom she reveals her condition exclaiming, “I am so sorry for you! Now your trouble begins. If I were in your place, I should feel like jumping into the river." A HUSBAND'S CONSOLATIONS. 143 There is not one woman in ten who has any more consoling remarks than these to offer on such an occasion. DISMAL FOREBODINGS.—I pity the young wife most sincerely at this period; for it is the most pitiful of her whole existence. She is forced to turn her back on the life she has hitherto led, with all its well- known pleasures and compensations; while suddenly all the brightness vanishes which had made the future so attractive. She sees before her an entirely new life, about which she knows nothing—about which she hears nothing but lamentations; on whose thresh- old she experiences unparalleled wretchedness; and to fully enter which she knows she must pass through the gateway of pain down to the very portal of death. It is all darkness, and she gropes weariedly without a guide to direct her to the light. A HUSBAND'S CONSOLATIONS.—It is not unlikely her husband seems heartless, though I believe this apparent heartlessness should often be set down to thoughtlessness and ignorance. He sees his wife despondent at what he knows to be the common lot of women. He cannot realize her sufferings nor enter into her feelings. “What else did she look for? Didn't she expect to have children when she married ? She isn't suffering any more than other women have to; so what is the use of making a fuss? It is all in the course of nature.” In short, he agrees with the man (or was it a woman ?) who thought that eels ought to get used to being skinned. This is poor 144 TRIALS OF THE YOUNG WIFE. comfort to the suffering, perhaps terror-stricken, girl, and it wounds deeply; for where she looks for sym- pathy and help, she finds what seems to her unfeel- ing heartlessness. She certainly did not look forward to having children when she married, for she thought nothing at all about it; and if every woman in the universe were suffering the same as she, it would not make her individual distress the less intense. LACK OF A WISE AND JUDICIOUS FRIEND.--There is no kind woman to take the frightened, ailing girl sympathizingly in her arms and tell her that she has no cause for sorrow and regret; to talk to her sensi- bly and wisely about the means of mitigating or altogether avoiding her physical sufferings; to tell her of the mother-love that will spring up in her heart when the time shall come for its exercise-a love which shall so far surpass all others that the pains which precede it will seem light-a love now budding and ready to burst into bloom if it were not chilled and kept back by untoward circumstances; to from a wise motherhood; to paint the beauty of the family institution, and the delight to be found in a full family circle bound together by ties of affection; to describe the loneliness and desolation of a house which has never echoed to the voices and footsteps of children, and in which the husband and wife sit like monarchs without subjects; to depict in glowing lan- guage a perfect home filled with healthful, well- developed children and presided over by wise and BAD COUNSEL AND ITS RESULTS. 145 loving parents; and to impress upon her mind that upon herself rests a large measure of the responsibility whether her home shall be such as this; for such as she wills it she can make it. There is no one to talk thus until cheerfulness, and hope, and courage shall have taken the place of despondency; and then to indicate how much the fulfillment of this bright pic- ture depends upon herself at the present time; how, if she would have loving children, she must love them even before their birth; how, if she would have them happy and peaceful and quiet, giving no trouble as babies, and developing good dispositions as they grow older, she must keep herself serene and hopeful and even-tempered now; to assure her that there must be no repining, unless she wants a fretful babe; that there must be no giving way to selfish, passionate or morbid impulses, unless she wishes to see the trait reflected afterward in the character of her child; and to impress upon her that this course of conduct is doubly a duty, inasmuch as it will result in her pres- ent happiness, while at the same time she is holding in her absolute keeping, for a short period, the cha- racter, the happiness—in brief, the whole future of a human being BAD COUNSEL AND ITS RESULTS.—What young wife was ever talked to in this manner? What young wife, previous to the birth of her first child, has any opportunity for searching out these truths for herself? From the first her condition is pitied by women, and her ill-feelings under-estimated by men. 13 K 146 TRIALS OF THE YOUNG WIFE. She has drugs recommended to her to cure the nausea which is one of the earliest symptoms of pregnancy. She is told that she must eat when her stomach loathes food; not only that she must eat, but that she must eat more than usual of strong, hearty food, “ to keep up her strength,” and “ to supply nutriment for two.” She must not lift; she must not run; in fact, must deprive herself of all her usual modes of exer- cisé, for fear of untoward results. She is taught that every passing whim must be gratified at a cost of whatever inconvenience to others. Presently it is hinted that it is no longer proper for her to appear in public, so she stays at home a close prisoner, only venturing out at long intervals when necessity com- pels. From being a prisoner to the house, she is likely to become a prisoner to her room. If she goes up and down a flight of stairs once during the day, it will be an event worth mentioning. If circumstances oblige her to engage in household occupations and there are probably more working wives than idle ones —she goes about them with great difficulty and pain, grasping at support when it is within reach, and suffering torments of which the spectators have no suspicion. Her personal appearance certainly be- comes such that one cannot wonder at her hesitation at making a public display of herself. 7 No WAY OF ESCAPE.—So the last day comes sound, bringing with it a sense of helplessness and dread such as no one who has not experienced it can know anything about. “If there was only any way MITIGATING THE PAINS OF CHILD-BED. 147 of escape !” is the constant tenor of her thoughts. But the circle of pain closes around her. "A VERY BAD TIME.”—She has a “very bad time,” and possibly the attendant physician finds it necessary to make use of instruments. She comes back to life from almost the very jaws of death to remain a close prisoner in her room, if not in her bed, for weeks. At last she issues forth—because no injunction of either friend or physician can longer keep her there—pale and tottering, suffering weak- ness that nearly bows her to the earth, and pains in the back and elsewhere almost too acute to be borne. Have I painted the picture in too vivid colors for truth ? Ask any young wife about her first experi- ence, and see if she does not verify my statements. FEELINGS AFTER A FIRST CONFINEMENT.—The agony of my own first confinement I shall never forget. For years afterward I could not hear of a friend or acquaintance as being in a condition liable to pass through a similar experience without a shudder, and a thought that I would rather hear of her impending execution, in which case the suffering could not possibly be more intense, and would cere tainly be far briefer. POSSIBILITY OF MITIGATING THE PAINS OF CHILD-BED.—I have since learned that, though it is probably natural that there should be more or less pain at child-birth, this pain may be so mitigated in various ways as to be looked forward to with little dread. 148 TRIALS OF THE YOUNG WIFE. MISERIES OF THE SICK-ROOM.—I have not den scribed the prolonged tortures of the sick-bed; the head that aches to bursting as soon as it touches the pillow, and yet is so weak that it cannot be lifted from it more than a moment at a time. I have as yet said nothing about the nauseous medicines and their dreadful results; the sickening invalid messes that one is expected to eat; the dread and dislike of the monthly nurse; the worry of having all one's pre- conceived ideas and intentions regarding the dress and management of one's babe set aside by those who, by virtue of their superior years, set up for superior wisdom. Elderly people certainly ought to be wise, but it does not follow that they always are. Besides, a mother has certain rights which should be in violable, even though she be but young. Then there is some- times the seeming neglect of a thoughtless husband, who, finding a sick-room a tiresome place, and having no comprehension of the yearning of his forlorn young wife for his care and companionship, vi its her but seldom, and then only for short periods. CHAPTER IX. CHILD-BEARING. SYMPTOMS OF PREGNANCY.—The woman who is already a mother is seldom in any doubt about her condition when she becomes pregnant. There are certain signs and feelings, peculiar to herself, perhaps, which she cannot mistake. But the young wife, lack- ing this experience, may not always know whether she be pregnant or not. CESSATION OF THE MENSES.—The first symptom of pregnancy is generally a cessation of the menses. In rare instances these may continue for a month or two after pregnancy has taken place. In still rarer cases they may continue through the whole period until delivery. The menses may disappear without any sign whatever; or they may seem to attempt to come on with all the usual symptoms, and with per- haps more than ordinary pain. Before they have made their appearance the woman will, perhaps, be seized with a severe chill. The non-appearance of her monthly courses she will be very apt to attribute to the chill, and will very naturally be led to resort to simple measures in order to restore the suspended menses. 13 % 149 150 CHILD-BEARING. NAUSEA.--A few days will probably undeceive her. She will soon be seized with that nausea called morning sickness, which is the usual accompaniment of pregnancy. It is possible that this nausea may have been already felt; or it may still delay in mak. ing its appearance for a few weeks. ENLARGEMENT OF THE BREASTS.—The next symp- toms will probably be darting pains through, and enlargement of, the breasts. These symptoms are not always present. Sometimes there is little change and no unpleasant sensations in the breasts during the whole period of gestation. The nipples and the circle around them become darker, the former more enlarged and more prominent, and little excrescences will pre- sent themselves on the surface of both. QUICKENING.–The next probable symptom in the course of nature is quickening, the word by which we distinguish the first perceptible motion of the embryo. PERIOD OF QUICKENING.—Physicians calculate the time of quickening—that is, the time when motion is first felt—to be about the middle of the period of gestation, though they allow that it may occur a few weeks either earlier or later. There is, indeed, no definite time. It is sometimes felt at the end of three months and again it has been delayed until the sixth month. SENSATIONS OF QUICKENING.—The first motion felt is described by medical authorities as a fluttering like that of a bird. This is not so. The first motion which may be felt is so slight as to be passed unnoticed SYMPTOMS OF PREGNANCY. 151 by the one feeling it for the first time. It is like a gentle tap, perhaps occurring but once, or, it may be, repeated at short intervals. The "fluttering” motion only comes after the foetus has acquired considerable strength and muscular power. ENLARGEMENT OF THE ABDOMEN.–At or about the beginning of the fourth month the womb rises above the rim of the pelvis, and then there begins a perceptible enlargement of the abdomen. There is no mistaking the form and feeling of the enlarged womb. The hand pressed upon the abdomen en- counters a hard unyielding object which cannot be grasped. An accumulation of fat can be readily detected, as it can be grasped in the hand and its actual thickness measured. FLATULENCE MISTAKEN FOR PREGNANCY.There have been cases reported in which flatulence has been mistaken for pregnancy. Flatulency will cause the abdomen to be at one time hard and drum-like, and at another soft and yielding. In pregnancy it is invariably hard, solid and firm to the touch. APPEARANCE OF THE NAVEL IN PREGNANCY. In the early stages of pregnancy the navel is slightly depressed. As the pregnancy advances it gradually OTHER SYMPTOMS OF PREGNANCY.—There are other accompaniments of pregnancy which may or may not be present. These are cramps, swelled feet, varicose veins, fainting fits, hysteria, longings, tooth- ache and moth or blotches on the face. 152 CHILD-BIRTH. THESE SYMPTOMS TO BE CONSIDERF - 16 Dis- ORDERS.—Some women may experience only a portion of these last-mentioned symptoms; others may have them all; while still others may be entirely free from them. I believe these should all be considered as diseases or evidences of disorder which, in a perfect state of health, will never show themselves. DURATION OF PREGNANCY.—The usual duration of pregnancy is about two hundred and eighty days. Delivery may sometimes occur a few days earlier or a few days or weeks later. I have known of its being delayed until the three hundredth day after concep- tion. The child in this case weighed nearly eleven pounds, and presented, not only in size, but in strength and use of faculties, the appearance of a month-old babe. So it was not retarded development which delayed his birth. The laws of France recog- nize a child as legitimate whose birth dates within three hundred days from the death or absence of the husband. It does not deny the possibility of the time being longer, but allows it to be a matter for litigation. Physicians give what they consider well- attested cases of births not taking place until some weeks even after this period; but these cases are exceedingly rare. RULE FOR CALCULATING TIME OF DELIVERY.- The best and safest rule for calculating a confinement is to count thirty-nine weeks from the time of the last menstrual flow. It will commonly take place at the end of the thirty-ninth or fortieth week. ABORTION, OR MISCARRIAGE. 153 DELIVERY BEFORE THE PROPER TIME.---If de livery takes place before the thirty-ninth week, it is called premature. If at less than the eighth month, it is miscarriage. A prematurely delivered child is not so liable to live as one who goes its full term, though it is not uncommon for seven months' children to survive. Life is even possible when delivery takes place at the end of six months, though such cases are rare. I know a woman now full-grown and fully-de- veloped who was born at six months. She was so exceedingly small at birth that a finger-ring would easily pass over her arm up to her shoulder. She was too small to be dressed, and lay wrapped in cotton wool until she had completed the third month of her life, or what would have been the full term of de- livery. Up to this period she took as food but a single drop of milk at a time. After this period she became in size and appearance like an ordinary new- born infant, and was dressed and fed as such. I have never personally known of a case of birth at an earlier date than this, but I have read of a man who was born at five months and lived to reach an extreme and healthy old age. When birth takes place at but a short period before the proper time, it is considered the same as regular delivery, though its dangers are somewhat increased. ABORTION, OR MISCARRIAGE.—Abortion, or mis- carriage, is usually attended with far more dangers than regular delivery. It is possible that abortion 154 CHILD-BIRTH. may occur at the end of the first or second month with little inconvenience to or even without the know- ledge of the woman. There will be a profuse and prolonged menstrual flow, with some slight appearance of clots, which occasion little surprise and no alarm. Nevertheless, though the immediate trouble is slight, the occurrence should be considered disastrous in the extreme. For, abortion having once occurred, it is likely to occur again at the same period, and the woman may never be able to complete her full term. CAUSES OF ABORTION.—The causes of abortion are manifold. They may be either of a physical or a mental nature. A woman who, previous to marriage, has been injudicious in her habits of living and dress- ing, and who has thus failed to establish the menstrual flow with regularity and freedom from pain, is more liable to miscarriage than one whose physical health is perfect. Too severe physical exertion, running, lifting, sud- den and excessive joy or sorrow—all of which a healthy woman ought to endure in perfect safety- will be sufficient to bring on abortion. A fall or blow sometimes produces the same result. Women of strong passions, and those who indulge too frequently in marital pleasures, are more liable to abortions than others. Sometimes the same effect is produced by a like character and course of conduct on the husband's part, when the wife herself is blame- less. Excessive straining at stool, or severe and prolonged FLOODING IN ABORTION. 155 coughing, will occasionally produce the like result in those who are predisposed to this difficulty. A too idle and luxurious life, and one too laborious, are about equally capable of causing abortion. DANGERS OF ABORTION.—The dangers of abortion are greater far than those of mature delivery. There is the danger that the whole of the foetus or the after- birth may not pass away. A small portion remaining in the womb may bring much suffering, and even death, to the woman. Then, as nature is not ready for the act of delivery, she has made no preparations for it. The placenta or after-birth is connected with the womb by means of numerous minute blood vessels. When the term of gestation is complete, these sepa- rate of themselves from their points of adhesion, and the loss of blood is small. But in abortion these are forcibly torn away, leaving a myriad bleeding aper- tures; and thus severe and dangerous flooding is likely to ensue. FLOODING IN ABORTION.-Flooding is indeed the greatest danger attending abortion. The patient is liable to it for weeks, and even months, after she thinks she has recovered her health and strength For this reason she ought to retain her bed longer than after delivery at full term, in order to give the ruptured membranes time to heal. Upon the first symptoms of flooding the patient should lie down with the hips raised, and preserve the utmost quiet, and external applications of cold water should be made until the flooding is checked. If it does not 156 CHILD-BIRTH. show signs of stopping, a doctor should be at once sent for, or the patient may bleed to death. NECESSITY FOR A PHYSICIAN IN ABORTION.---The presence of a physician is far more necessary in case of an abortion than in a regular delivery. The latter is an act of nature; and if there be nothing abnormal in the case, a woman of ordinary intelligence is per- fectly competent to see it safely through. But abor- tion is not a natural act, and no one but an experi- enced physician can foresee and provide for its dangers. SIGNS OF THREATENED ABORTION.—The first sign of a threatened abortion is generally a flow of blood. As soon as this appears the patient must take to her bed and remain quiet. It is possible that this symptom may pass away without any unfavorable result. If, however, the flow of blood increases, and there are pains similar to labor pains, a doctor must be sent for. He will ascertain whether the foetus be alive or dead. All information which the woman can give in regard to any circumstance which might possibly result in the death of the unborn child ought to be fully communicated. If the child is living, it is still possible, by the employment of proper means, to avert the abortion. But if it be dead, there is but one inevitable result, and it is the physician's busi- ness to make this as speedy and as safe as possible. Abortion will usually take place at about the ninth day after the death of the foetus, though there are cases on record where the dead foetus has been retained TO PREVENT RECURRENCE OF ABORTION. 157 for months before its expulsion. It is imperatively necessary that all the discharges of the patient and all the clotho used about her person should be sub- jected to the inspection of the physician, as he alone is qualified to judge of the nature of these discharges, and to know when the abortion is complete. An attendant may mistake a simple clot of blood as a portion of the after-birth or of the decomposed foetus, and from this mistake serious consequences may ensue. To PREVENT RECURRENCE OF ABORTION.—As it is greatly to be desired that abortion should not become a habit, which it has a tendency to do, every means should be taken to prevent it. First of all, the for three months after its occurrence, that she may fully recovered from the shock to her physical system, which even the most painless abortion proves to be. Then, when the woman becomes again pregnant, sexual intercourse should not be indulged in until after the time at which abortion took place on the previous occasion. The cause of that abortion, if it was ascertained, should be carefully avoided, and the woman should, besides, be careful of all her habits of life, living plainly and sparingly, and, though in- dulging in moderate exercise, avoiding over-exertion. The greatest danger is at the period in pregnancy when the previous abortion took place. When that is safely passed, there is tolerable reason for hope that she will go safely to the end of her time. CHAPTER Х. THE DISORDERS OF PREGNANCY, AND THEIR REMEDIES. NAUSEA, OR “MORNING-SICKNESS.”–Usually the first symptom of pregnancy is nausea, commonly called "morning-sickness.” Why it should ever have received this latter name is more than I have been able to determine. Nausea is liable to be felt by a pregnant woman at any and all hours of the day and night. It may come immediately upon waking, or it may delay its appearance until the exer- tion of rising and dressing. Again, it may assume its worst features after retirement at night. It may come on upon the least activity and be allayed by positive quiet. Or, on the contrary, it may be scarcely felt while the woman is actively employed, and return in full force as soon as, from weariness, she feels im- pelled to lie down to rest. I knew a woman who experienced the latter phase of the disorder. She felt tolerably well while upon her feet, or even while busy at work in a sitting posture. But the moment she attempted to lie down in the daytime, the dreaded nausea seized her, and she was forced to arise at once. No matter how weary she was, it seemed as though she was not to be allowed a moment's rest. 158 NAUSEA AGGRAVATED BY FOOD. 159 NAUSEA AGGRAVATED BY THE SIGHT OF FOOD.- There are as many phases of this complaint as there are individuals, and each one's experience frequently differs at different times. There is one symptom which all exhibit in a greater or less degree, and that is that the nausea is greatly aggravated at the sight and smell of food. Sometimes it is only special articles which excite this disgust and sickness. I think all workingwomen who have become mothers will testify that their greatest, most unendurable sufferings were whilst preparing the family meals. I wonder that those physicians who have claimed to give the matter attention, and have propounded such wise theories to the world regarding what women can and what they cannot do at such times, do not leave their theorizing for a brief time, and deal with absolute facts. They would soon find ample reason to declare that, when in a certain condition, women should be exempt from all household labor, as it tends to greatly aggravate their sufferings. There is no denying this. I am not prepared to suggest any better manner of conducting domestic affairs than the present one; still, it is an incontrovertible fact that there is scarcely any department of active housekeep- ing which does not only aggravate the sufferings of a pregnant woman, but is actually injurious to her in a greater or less degree. Yet many physicians who have made their views public persist in condemning women more closely than ever at such times to a round of domestic duties, and declare them to be 160 DISORDERS OF PREGNANCY. totally unfit, both physically and mentally, for occu- pation of other than a domestic character. DUTY OF A HUSBAND TO ASSIST HIS WIFE.--As I have already said, I do not propose to take women out of the kitchen, so long as I can suggest no efficient substitute for them there. But if a husband expects his wife to bear her burden patiently, and even cheer- fully, he must not shrink from his, which is, in this case, to lighten hers as much as possible. If his means permit, he should engage her ample help in the kitchen, so that when her comfort requires it she can keep clear of its sights and smells. If he cannot do this, then he should not hesitate to help her him- self, so far as he is competent and his business will allow. Even if he is a mechanic, and goes to and from his work at stated hours, there is nothing to prevent him from doing many a little thing to lighten his wife's cares and sufferings. Instead of disgrace attaching to him from this, as most men seem to feel there does, it will redound greatly to his credit and honor. I have known men who, during their wives' sick- ness, in addition to their own work, took the whole round of household duties into their hands and per- formed it well, and, what was most remarkable, with extreme neatness. And these men lost nothing in their wives' esteem. I never saw husbands more loved, honored and revered-love, honor and rever- ence which I thought they well deserved. “OUT OF HER SPHERE.”—I can tell a story of a "MORNING-SICKNESS” AND SEA-SICKNESS. 161 inan who, to help a sick wife, undertook to do a He began his work at six o'clock in the evening. At nine the clothes were all in the last rinse, the boiler, tubs and all the paraphernalia of washing put away, and the rug which had been spread down on the carpeted floor to preserve the latter from slops show- ing not the slightest trace of wet. The washing would have been a good day's job for a poor woman to do, and would have utterly exhausted her; while our washerman felt none the worse for wear. I have felt convinced ever since that whenever a woman occupies the wash-tub she is encroaching upon man's sphere, as he can do a washing quite as well as she, and so much more expeditiously, neatly and easily. It is the Rev. Thomas K. Beecher, I believe, who says a boy's education is never completed until he has been instructed in the rudiments of housework and sewing; nor a girl's until she knows how to harness a horse, and use carpenters' and gardeners' tools with ease and dexterity, with which I fully agree, if it were only for the purpose of rendering each sex more helpful to the other in time of need. SIMILARITY OF “MORNING-SICKNESS” TO SEA- SICKNESS.—I think few men have any realizing idea of the sufferings of this so-called “morning-sickness.” All who have suffered from sea-sickness unite in bearing testimony that it is most dreadful. Now, the sickness of a pregnant woman is similar in many 14 162 DISORDERS OF PREGNANCY. felt both, and I think, if the choice were left me, I should prefer the latter to a severe attack of the former, as being of shorter duration, while “morning- sickness” may remain for months, perhaps until the very hour of confinement. DESCRIPTION OF NAUSEA.—Let men imagine what their sufferings would be, if forced, during an attack of sea-sickness, to prepare a meal three times a day for healthy, hearty appetites, the owners of which expected to see upon the table a variety of food the very sight and smell of which would send them to the door every few moments, gagging and straining until the blood seemed bursting from eyes, ears and nose! But this is no more than prospective mothers daily suffer, and too often the best word of comfort for them is that they “ought not to mind it, for it is all in the order of nature.” Poor comfort indeed to the miserable woman, who, in her despondency, often feels that death itself would be welcomed as a relief to her present discomfort ! NAUSEA MAY BE RELIEVED.—But I have not dwelt thus at length upon the suffering produced by nausea, without having, as I confidently believe, some suggestions to offer for its amelioration at least, if not for its perfect cure. No suffering woman need go to a doctor expecting to find relief. I never saw a doctor yet who knew of a cure, or even seemed to care to find one. Knowing it is not a dangerous symptom, doctors regard it in the spirit of philosophy, and advise women to do the same, telling them that "it PLETHORA AND NAUSEA. . 163 cannot be helped,” and that “it won't last for ever." It is so easy to endure the sufferings of another! At the most, they will prescribe drugs, which, to the best of my belief, never do any good. NAUSEA CONSIDERED A FAVORABLE SYMPTOM IN PREGNANCY.-I have found that medical men almost invariably agree in considering this so-called “morn- ing-sickness” as a desirable symptom in pregnancy; and one authority which I have consulted on the subject goes so far as to declare that in cases where it is absent it is imperatively necessary to take measures to bring it on, or miscarriage or a dangerous delivery will be the probable result. He quotes in support of his assertion the old proverb, that “a sick pregnancy is a safe one." DANGERS OF PLETHORA.—Plethora seems some- thing much dreaded by physicians, and they look upon a disordered stomach as a safety-valve through which escapes the surplus nourishment, which would otherwise produce plethora. If the woman, however, along with the sickness, does not possess the power of relieving her stomach by vomiting, I do not see where the good is in the sickness, unless we look to indiges-- tion and consequent lack of assimilation as a door of escape from the threatened danger. CAN PLETHORA AND NAUSEA BOTH BE AVOIDED ? --Is it not possible to avoid this dreaded plethora and its train of serious evils in a manner which shali at the same time render the dreadful nausea unneces- sary? As a woman who knows what she says, and 164 DISORDERS OF PREGNANCY. bases her statement upon no theory, but upon actual indisputable facts, and who is ready to argue the question with any number of doubting physicians, I reply, most certainly there is—a way so safe, so sim- ple, so easy, that it is a wonder men, understanding the entire pathology of pregnancy, have not already seen and comprehended it. I find in a work published nearly fifty years ago-a work which is even yet accepted as authority by medical men, for its sterling common sense if not for its therapeutics—that the author, one of the most cele- brated and advanced physicians of his day, actually stumbles upon the truth, yet does not see it.* *“The disturbances excited by the impregnated uterus in other portions of the body, in general have but one tendency-- namely, to prevent plethora. This is chiefly effected through the agency of the stomach; the part which is most generally and most extensively involved in this kind of obedience. Hence, nausea, vomiting, loss of appetite, disgusts or loathings, or long ing for certain innutritious substances, etc. These affections are evidently instituted with a view to diminish the quantity of cir- culating fluids; and thus to prevent the evils which are sure to attend that condition of the system called plethora.”—Treatise on the Diseases of Females, by Wm. P. Dewees, M. D. The same volume gives an account of a lady, subject to abor- tion, who could tell whether she would carry her child or not by the state of her stomach. If she had nausea and loss of appetite, she took "no extraordinary trouble to regulate the condition of her system,” for she would go her full time. If these symptoms were lacking, abortion was sure to occur unless she took measures Jo prevent it. These measures were the reduction of the ordinary quantity and quality of her food, the rejection of all drinks but water, scrupulous attention to the state of her bowels, etc. The doctor fails, or seems to fail to see the deduction which can be HEALTH REQUISITE IN PREGNANCY. 165 IS PREGNANCY A STATE OF DISEASE OR OF HEALTH ? — The first thing to be considered is whether pregnancy is a natural and healthy state or a state of disease. It seems an insult to nature and to the Creator to imagine that pregnancy was ever intended to be a sickness. It is the legitimate result of a law ordained by nature. If all the conditions are favorable, it ought to be attended with little or no inconvenience. I believe it is safe to declare that all its evil accompaniments are the result, not of direct laws of nature, but of violations of natural law, False states of society, false modes of dress, false habits of life, etc., all contribute to bring suffering at this time, much of which is undoubtedly the result of a wise and kindly ordering of Nature by which she averts more disastrous results. For instance, with these false habits, if it were not for the nausea and vomiting which reduce the system and limit the amount of nutriment supplied to it, the plethoric con- dition which would follow would most certainly result in abortion or in a dangerous and possibly fatal de- livery. PERFECT HEALTH REQUISITE IN PREGNANCY.- When pregnancy takes place, the sudden activity of hitherto dormant organs demands a corresponding and sympathetic activity in all the other organs of the body. If any of these organs fail to do their proper duty regularly and efficiently, the whole system be- correctly drawn from these two facts, and which holds the secret that can turn a sick pregnancy into one of perfect comfort. 166 DISORDERS OF PREGNANCY. comes deranged. Thus, while the bile is continually secreted by the blood, if the liver is slow in perform- ing its functions, the bowels will become constipated and the stomach deranged. Whatever in the way of diet or habits tends to increase this secretion and re- tard its discharge through the proper channels will, of course, augment this derangement and increase the inconvenience which the patient experiences. Conse- quently, whatever produces a healthy activity of the liver will keep the bowels properly open and relieve the oppression of the stomach. CONDITION OF BLOOD IN PREGNANCY. — Phy- sicians tell us that the blood of a pregnant woman, after standing a short time, usually presents a white or yellowish coat of coagulating lymph upon the surface, the same as or similar to that found in cases of inflammation. This shows a tendency in pregnancy toward a febrile state; hence, the mode of life which will counteract this tendency will conduce most surely to a condition of health and comfort. I cannot be- lieve that this symptom of inflammation in the blood is a natural and healthful one. I am convinced that it is, like nausea and the other attendant ills of preg- nancy, the result of violations of the laws of nature. REMEDIES FOR “MORNING-SICKNESS.”—There is neither variety nor efficacy in the remedies usually proposed for morning-sickness. Some authorities pass it over as of too slight importance to require any attempt at alleviation, and even go so far as to recommend that means should be taken, if it is ab- EXERCISE A PREVENTIVE OF NAUSEA. 167 sent, to bring it on. I lose my patience here, and only wish that such writers might have an attack of it from four to nine months in duration. I think after such an event they would view it in a different light. One of the most common remedies suggested is a cup of strong coffee before rising in the morning. But if the woman is herself the only cook of the es- tablishment, as is not infrequently the case, how is she to obtain this cup of coffee before rising ? Equally absurd is it to recommend that she shall take a slight breakfast at the same period preparatory to her usual meal. There is one fault which writers on all sub- jects are prone to commit. When they write, they have only in view the needs and the abilities of the wealthy. They entirely ignore the laboring classma class in this country as large at least, and as intelli- gent, as respectable and as worthy of consideration, as any other. HEALTHFUL PREGNANCY.--The advice which I would give a pregnant woman is far different from that usually bestowed, and so catholic in its character that women of all stations and ranks in life can bene- fit by it if they will. There is no necessity for sick- ness or inconvenience during pregnancy. A woman may be as well, as happy and as capable in the exer- cise of all her faculties at that time as at any other. She not only may be, but she ought to be; and she is receiving the punishment due to ignorance, indolence and want of self-control if she is not. EXERCISE A PREVENTIVE OF NAUSEA.-If a wo- 168 DISORDERS OF PREGNANCY. man's life has previously been a sedentary one, when she finds herself pregnant, let her change it to one of activity. Let no regard be paid to medical authorities which prescribe more than ordinary quiet. I would not advise violent exertion which might result dis- astrously; but an exercise which shall stimulate every organ of the body to vigorous and healthful action. If the woman's daily duties seem to prevent this, then it is best to let them go neglected. Her present health and comfort and the health of her future child are of more importance than the usual domestic duties which employ a woman's attention, let writers on do- mestic affairs say what they may. ADVANTAGES OF OUT-DOOR WORK.--Let the wo- man take time, if she never did it before, to cultivate a flower, vegetable or fruit garden. If she finds the actual labor too much for her strength,—and, if she is not already accustomed to it, it may be, let her have her garden all the same, and detail husband, hired man or boy to do the spading, hoeing and rak- ing, while she stands or sits by to give it her constant supervision. She must not go into the house, con- tent in leaving her garden to progress in her absence. We do not care about the garden itself; it is the wo- man's health that needs cultivating. If she neglects her out-door work, she is a loser in two ways. One way I have already stated, the aim being to bring the system to a condition in which the dreaded nausea shall be no longer a necessity; and every breath of fresh air she breathes, and every bit of out-of-doors SLEEP REQUIRED IN PREGNANCY. 169 play-work she does, is a help to her. The other way I shall describe in a future chapter. She must take as long walks as her strength will allow, and ride as often as circumstances will permit. A little wholesome neglect of her house, and all the duties and objects which it contains, will be found the very best thing in the world for her health. It may require a little effort to make the extra exertion I sug- gest; and it may at first be attended by disagreeable feelings; but the result will be certain to be a good one. INDOLENT FEELING DURING PREGNANCY.-I be- lieve one of the most common symptoms during preg- nancy is a disinclination for exertion—a positively lazy feeling, for which one can assign no direct cause. This feeling should be yielded to so far as to allow the woman to take more rest than usual. · AMOUNT OF SLEEP REQUIRED IN PREGNANCY.- A woman in a pregnant condition needs more sleep than in ordinary health. Whatever she may believe in regard to early rising usually, she should now feel no scruples at lying in bed in the morning until a reasonably late hour if she is so inclined. It is use- less to mention any hour as a proper time at which she should rise; for what would be an extremely late one for some women would be extremely early for others. The only practical rule is that, if her duties permit, she should allow her morning sleep to con- tinue undisturbed until she wakens rested and re- freshed. I am not an advocate for mid-day naps for 15 170 • DISORDERS OF PREGNANCY. persons ordinarily. People who indulge in them lose the heart out of the day, while they are surprised that they “never find time to accomplish anything." But the pregnant woman will feel better and stronger if she can devote a half hour or hour of each afternoon to sleep. Exercise she must-exercise if possible more than usual; and she needs a corresponding amount of repose. Aside from the prescribed hours of rest, the indolent feeling should be battled against and overcome by the extra exertion I have already described. DIET OF A PREGNANT WOMAN.—And now I come to the consideration of diet, which is a subject still more important. No woman should allow her- self to be persuaded or compelled by any one who claims to have a right to influence her—on no better ground perhaps than that of having had a large num- ber of children, and having gone through with dread- ful sicknesses and dangerous confinements with them all, and “so, of course, knows all about it”--to eat more than the stomach calls for; to eat at all even if she does not feel so inclined, or to eat anything for which an aversion is felt, on the supposition that the strength must be kept up by strong, hearty food. APPETITE A TOLERABLY SAFE GUIDE.-If the woman is in ordinary health in other respects, her own appetite may be considered a safe and reliable guide in the matter of eating. “EATING FOR Two.”—Instead of being obliged “to eat for two”—the most common of fallacies-a FRUIT DIET. 171 woman requires to eat less during pregnancy than at other times. Nature now insists that she shall take into her stomach no more than she actually requires for her own sustenance and that of the embryo whose existence depends upon her. Whenever more than this is taken, a protest is made against it in the form of nausea. Again, Nature, usually so lenient and for- giving—so slow to punish—when the woman alone is concerned in what she eats, now that the welfare of another being is involved, suddenly becomes simple in her demands and imperative in her requirements. FRUIT DIET.—A few years since I read an article in a health journal in regard to the proper diet of a pregnant woman, the substance of which article has since been embodied in a little volume by Dr. M. L. Holbrook, entitled “Parturition without Pain.” A partial trial of the diet prescribed in this book has convinced me that if its requirements were fully com- plied with, the result might be that pregnancy and childbed, if not entirely devoid of suffering, would be a hundredfold less to be dreaded than now. I advise every woman to get this book and read it for herself. I have not space for a repetition of all the directions concerning diet, but the substance of it is, to avoid all meats unless it be the flesh of young animals, such as lamb, veal or chicken ; to avoid also all articles made of wheaten flour, and substitute farina and rice in their place; to live principally on vegetables, and to indulge unsparingly in acid and subacid fruits. To comply fully with all the exactions of the volume referred to 172 DISORDERS OF PREGNANCY. would require time, trouble and expense beyond the ability of most women. But vegetables and fruit are always to be had; and if one meal in the day is made entirely of fruit, it will save much distress. FRUIT IN THE PLACE OF MEDICINE.—I have found, in my own experience, a most simple remedy (used in conjunction with the exercise I have already recommended) for the sickness accompanying preg- nancy, which always on previous occasions was severe in the extreme. If I did not eat, I suffered terribly from hunger; if I did eat, I suffered still more ter- ribly from a sickness which kept me on the verge of vomiting, yet never relieved me in that manner. Thus I constantly fluctuated between nausea and semi-starvation. There was always, day and night, a bad taste in my mouth, which sensibly affected the flavor of everything I ate. My remedy was no more troublesome or expensive than this : immediately after each meal--at which I was careful that no inappro- priate article was used—I ate a single tart apple or orange, which at once quelled all symptoms of nausea or heartburn, took away the unpleasant taste, and left me as free from distress as under ordinary circum- stances, and with a hearty, healthy appetite to enjoy my next meal. Let me add, that my inclination led me to prefer a vegetable diet, and to avoid as far as possible meat, bread, pastry and sweets. Let women suffering from “morning-sickness” try the acid fruit—apples, oranges, or even lemons if their sourness is not unpleasant. If a single apple or orange REASONS FOR EXERCISE AND DIET. 173 after each meal does not suffice, let them try two; let them eat ten if that number is necessary to con- quer the distress. The principle is a correct one, and relief is certain. Let fruit be eaten at all hours of the day-before meals and after, on going to bed at night and upon getting up in the morning. If berries are in season, let them be eaten abundantly in their natural state—that is, without sugar. If the sickness still continues, omit a meal now and then, and substi- tute fruit in its stead. By a persistence in this course, not only will nausea be conquered, but an easy .con- finement guaranteed. REASONS FOR THE EXERCISE AND DIET PRE- SCRIBED.—As already stated, exercise will conduce to vigorous and regular action of all the organs of the body, and will avert biliousness and plethora. A diminution in the quantity of food will lead still far- ther away from a plethoric condition. Avoidance of meat, pastry, and articles of a like character will pro- duce a like result in regard to biliousness. Bread is omitted from the diet, because wheat flour-even bolted flour-contains a large proportion of phos- phates or bone-making materials, the use of which will tend to harden the bony structure of the embryo in too great a degree, and render parturition exceed ingly painful. Vegetables furnish all necessary nour- ishment, and fruit, especially that of a sub-acid cha- racter, will correct any remaining tendencies of the stomach to biliousness or heartburn. It will also 115 * 174 DISORDERS OF PREGNANCY. the woman may contain, and the result will be that the bones of the unborn child will remain gristly and soft, yielding easily to pressure at the hour of birth, and rendering that hour far safer and more free from suffering to the mother without detriment to the babe itself. PERVERTED APPETITE DURING PREGNANCY. — The woman who tries the fruit remedy will not only find her nausea cured, but will be saved from those disagreeable and unreasonable dislikes which a per- verted appetite so often during pregnancy takes against things best liked in ordinary health. The favorite article of food will still remain the favorite, and will, perhaps, be indulged in with more than ordinary relish. LONGINGS.—While on the subject of diet, it may be well to refer to so-called “longings.” It is an old wives' tradition that a longing must always be grati- fied at whatever inconvenience or trouble to others; else serious consequences may be visited upon the unborn child. It is true that the capricious appe- tite of a pregnant woman often takes sudden and strange fancies. It is well to gratify these fancies if convenient, because the gratification will do no harm, and will afford a suffering woman temporary satisfac- tior. But there is not the slightest danger of any serious result if these fancies remain ungratified. If they are unreasonable, the woman should herself be conscious of the fact, and not even mention them. The discipline of self-denial is well for her now, if it EXAMPLE OF AN UNGRATIFIED LONGING. 175 never was before, for reasons which I will state here- after. CLASS OF LONGINGS TO BE GRATIFIED.—There is one class of longings, however, which should not be disregarded. The plea of the pregnant woman, that an unreasonable wish should have immediate gratifi- cation, because she may not feel it to-morrow, is the very best reason in the world why it need not be grati- fied at all unless convenient. But if a desire for some- thing is constant and persistent, returning day after day, and week after week, it is safe to regard it, not as caprice, but as the voice of nature calling for what is required for the well-being of the little one, the good or ill of whose future existence is now being determined. EXAMPLE OF AN UNGRATIFIED LONGING. -- I knew a woman—a poor woman—who, during one of her pregnancies, had, from first to last, an immoderate desire for sweets of all kinds—particularly for candies and cakes. It was misery for her to pass the win- dows of confectionery stores, yet she was obliged to do so almost daily. Her means were small, and she had to work hard at the sewing-machine for the little she had; and she felt it would be a foolish, almost a criminal, act to take the money which belonged to her family and spend it on such trifles for herself. So she denied herself from first to last with a strength of purpose which those only can appreciate who have been in a like situation. The child was born, a little nervous thing, brighter 176 DISORDERS OF PREGNANCY. in intellect, perhaps, than her other children, but early displaying involuntary nervous motions, some- what spasmodic in character, which made the mother fear Saint Vitus' dance. She kept the child from school, and made her live as much as possible in the open air, hoping that by this course her health would improve, and she would recover from or outgrow her nervousness. But at eight years old the girl was as odd in her ways as ever, and the mother was in despair. Chancing one day to read a paragraph in a news- paper to the effect that sugar was good in nervous diseases, as it possessed an element which the nerves required for their healthy growth, the truth flashed upon her. That which she had looked upon as the unreasonable caprice of a pregnant woman, and in denying which she had taken a certain amount of credit to herself, was the urgent call of nature, in refusing which she had done her then unborn babe great injury. At the time of her pregnancy her own nervous system had been often completely exhausted by severe and steady labor, and she had had no ner- vous force left to bequeath to her child. bowl at the free disposal of the little girl. There was a marked improvement in the child's condition from that time. The nervous twitches disappeared grad- ually, and she grew healthy and hearty like other children. LONGING FOR LAGER BEER.—Another case of LONGING FOR LAGER BEER. 177 persistent desire came to my knowledge. A woman of exceedingly rigid temperance principles once, during pregnancy, was seized with a fancy that lager beer would cure her nausea. She had only a vague idea what lager beer was like. Years before she had once taken a single sip from a glass, and had found the taste so disagreeable that she had not repeated it. But now she could think of nothing but lager beer. Like the woman previously referred to, she regarded "her longing as a whim which it would be foolish to gratify, and it was two weeks before she mentioned the matter at all. Finally one day her wish slipped out, almost accidentally, it seemed, in the presence of her husband. “Let me get you some beer if you think it would do you good," said he. "Oh no," she replied, “I won't be so foolish. Be- sides, I don't think it would be right. You know I don't approve of drinking lager beer under any cir- cumstances.” So the days went on, but the desire grew so strong that she finally thought she might try the beer as a medicine without any serious shock to her conscience, She asked her husband to get her some; but when she tried it, she was disappointed. It seemed to make her worse rather than better. She mentioned the re- sult to her husband, who laughed and told her it wag not lager beer but ale he had brought her. He could not get the beer at the time, and thought that ale would probably do just as well. M 178 DISORDERS OF PREGNANCY. He made another effort to get the beer, and suce ceeded. Upon trial it acted precisely as she had felt it would. She took it only by the tablespoonful, sometimes a single half-pint bottle lasting her two days, and the relief from nausea was always imme- diate. She continued the use of beer in this manner for two weeks, when it was no longer necessary, for the nausea was gone. She had always in previous pregnancies suffered to the very last. RULE REGARDING LONGINGS.—The rule I would lay down regarding the “longings” of pregnant women is this: try these longings, and see if they are mere passing caprices. If they are, not the slightest harm will follow the refusing to indulge them, though it may be equally true that there is also no harm in gratifying them if convenient to do so. If they are persistent and seem to strengthen rather than decrease as time goes on, their gratification may result in posi- tive good, their denial in absolute harm, to mother or child. CHAPTER XI. THE DISORDERS OF PREGNANCY, AND THEIR REMEDIES. CONTINUED. AMONG the disagreeable accompaniments of preg- nancy are cramps, swelled feet, varicose veins, faint- ing, hysteria and toothache. CRAMPS.—The best remedy I have found for crampg in the legs is to spring at once to the feet and bear the weight of the body upon them. Brisk rubbing is recommended, and will probably, in some cases, prove useful. 'feet swell and the veins burst, the woman must stand or walk as little as possible. The swollen veins come from the pressure of the womb upon the blood-vessels beneath it, and in a recumbent position this pressure is removed. However, cramps, swelled feet and vari- cose or bursting veins may all be avoided by a light and appropriate diet and abundance of exercise, which will tend to keep down the weight of the fetus, so that it shall not become burdensome. NO NEED OF GREATLY ENLARGED SIZE IN A PREGNANT WOMAN.—There is indeed no necessity for the woman to become so bulky and unwieldy in 179 180 DISORDERS OF PREGNANCY. evil, as it is such a tax upon her strength to carry about her increased weight. With the proper regimen her appearance need not be greatly altered. And though she must, of course, wear her clothing light and loose about her waist, if she would not interfere seriously with her own comfort and the health of her future child, she may find herself able to wear her ordinary clothing to the last with little or no altera- tion. I knew a woman who during several pregnancies had been obliged to make radical changes in her wardrobe, but who at last was induced by me to make a partial trial of the fruit diet recommended by Dr. Holbrook during the three months previous to her confinement. The change it made was at once marked. She walked, she rode, she ran, with nearly as much ease as in ordinary health. I saw her help- ing her husband build a fence but two weeks before her confinement, and she wore her dresses unaltered to the last. One day, but a few weeks before her sickness, having visited the city and being about to return home, she found on reaching the wharf that the boat had already begun to push out from the landing. She stood a moment in hesitation, and was about to go back, but two of the hands in the stern of the boat, seeing her trouble, called to her to come on. The boat was swinging round out into the open river, and the stern still rested against the wharf. Without stopping a moment to consider, she ran at the top of her speed, weighed down with a heavy basket and FAINTING. 181 bundle, reached these over the railing of the boat to the two men who were waiting for her, and while they were setting them down made a spring herself to the top of the railing, and with the assistance of the men jumped safely down. This she assured me she accomplished with as much ease as she could have done it at any time in her life, and it was not until the whole affair was over that she thought of any reason why she should not have undertaken such a thing. At any former time such an act would have been an impossibility. FAINTING.-Fainting fits are not uncommon dur- ing pregnancy. They usually occur about the period of quickening, but may come on at any time. They are the result of a delicate constitution, combined per- haps with too artificial a mode of life, excitements, late hours, and stimulating but not sufficiently nutri- tive diet. There is no especial danger in these attacks of fainting, except where there is reason to believe the heart is diseased. In the latter case a physician ought at once to be consulted. In ordinary cases the patient, upon the first feeling of faintness, ought to be laid down without a pillow, and her dress thoroughly oosened. The windows should be opened, water sprinkled in her face, and the usual means for re- storing animation resorted to. It is scarcely necessary to say that there should be as few attendants as possi- ble, and all spectators should be banished from the room. This symptom indicates a change required in the habits of life to simpler, plainer, more natural 182 DISORDERS OF PREGNANCY. ones : in brief, proper exercise and proper diet are re- quired here as well as in nearly all other cases. A change of air may prove beneficial when the patient is subject to attacks of fainting. PALPITATION OF THE HEART.Pregnant women frequently experience palpitation of the heart. This need cause no special uneasiness. It results from the pressure of the womb upon the large blood-vessels. Although it may give temporary discomfort, it will pass away upon confinement. A few drops of cam- phor taken internally will probably afford relief. HYSTERIA DURING PREGNANCY.—Hysteria is one of the most disagreeable accompaniments of preg- nancy, and in suffering from it women usually receive far less sympathy than they deserve. Its symptoms are a choking sensation like a ball rising in the throat; paroxysms of laughing and crying; a feeling of un- rest, causing the patient to constantly change her pe- sition, sometimes even with violence; and an inability to occupy the mind without great nervous prostration. In severe cases the feeling of unrest develops into actual paroxysms, during which the patient flings her- self violently from side to side, frequently doing her- self physical injury. Hysteria results from too close confinement and from improper occupation, either physical or mental, or from want of occupation. REMEDY FOR HYSTERIA IN A PREGNANT WOMAN. --The attacks of hysteria can be temporarily cured in a pregnant woman, the same as in a young girl, HOW TO AVOID HYSTERIA. 183 by the use of small doses of assafoetida taken as often as required. Tincture of valeria is also an excellent forty to eighty drops. HOW TO AVOID HYSTERIA.—It is commonly sup- posed that a woman during pregnancy must not be subjected to long or severe mental effort. This is all a mistake. Let her work with her brain as steadily and as long as she chooses, so that she balances this labor by ample rest, recreation and exercise in the open air. If a woman begins to feel her mind over- taxed and her nerves overstrained, she should not lay the facts to too much mental study and work, but to too little counter-balancing physical exercise and rest. There is most danger from hysteria to those who have not sufficient employment for the mind-whose hands and brains are alike idle. It is a well-known though not sufficiently considered fact that hysterical symp- toms are to be more frequently met with among wo- men of leisure than among those who perform either hard physical or mental labor. dictate to women in this condition is a great promoter of hysterical symptoms. During several periods of enforced seclusion, I was a great sufferer from certain forms of hysteria. The form the most dreadful to me (who never could, with any degree of satisfaction, re- main unoccupied a moment) was that which compelled me to sit for days and weeks together with hands folded, unable to pick up a book or a newspaper, or 184 DISORDERS OF PREGNANCY. even to use my needle for more than a few moments at a time, while pen and pencil had to be alike laid aside. If I read, the words would reproduce them- selves, and repeat themselves over and over again until they completely wearied me. On the slightest provocation I would fall into paroxysms of laughter, which would change to crying and then to laughing again, until I reached a state of extreme nervous pros- tration. If I played chess or dominoes of an evening, I would lie awake far into the night, wearily going over the game and all its possible complications; and after I fell asleep the ghosts of kings and queens, knights and pawns — of aces and double sixes- would haunt me till morning, making my sleeping- hours more tedious than my wakeful ones. Oh the dreadful weariness of those days! I hope I may never have to pass through them again. And I would, if I could, save every other woman from a like dreadful experience. I shall have something more to say in another chapter regarding the avoidance of these nervous symptoms. TOOTHACHE.-The best remedy for toothache is a piece of cotton saturated with oil of cloves and placed in the cavity of the tooth. This will generally give immediate relief. Creosote is frequently used in- stead of oil of cloves, but it is not so good, as it causes the tooth to decay. Let me warn the sufferer from toothache not to have the tooth extracted during her pregnancy, unless she is prepared to run the risk of worse suffering than even the tooth occasions her. CONSTIPATION. 185 A tooth extracted during this period has even been known to produce abortion. The toothache is most probably sympathetic, and will pass away altogether when the real cause of it no longer remains. PRURITUS.—One of the most disagreeable accom- paniments of pregnancy is pruritus, or itching of the private parts. It is, however, fortunately, a symptom seldom experienced. To cure this, stimulants of all kinds must be avoided. A tepid sitz-bath of salt and water will probably afford relief. The woman should remain in the bath but a short time, repeating it daily if necessary. This bath will be beneficial in other respects. The parts may be also bathed two or three times a day with vinegar and water. If there are pimples in addition to the itching, glycerine may be used with advantage. This trouble is caused by the pressure brought upon these parts. CONSTIPATION. — If a woman follows the sug- gestions I have already given in regard to diet and exercise, there is little danger of her being troubled with constipation of the bowels. If, however, she suffers with it from any cause, and a course of careful remedies had best be employed first. A suppository made of a small piece of soap, of molasses candy or of tallow, pushed a little way up the anus into the rectum, will probably give immediate relief. The next simplest remedy is the use of a clyster or injec- tion of tepid water, or molasses and water applied with an ordinary syringe or a patent rubber syringe. 16 = 186 DISORDERS OF PREGNANCY. This is exceedingly beneficial, and productive of .0 evil results. If the patient wishes to take purgative medicines, she must go to her physician for a prescrip- tion, for I positively will give her none, so thoroughly convinced am I that they are not only unnecessary, but absolutely injurious, during this period of a woman's life. I was asked by a young wife and ex- pectant mother not long since if it were necessary to take a dose of castor oil every two weeks during her pregnancy, she saying she had been advised to do so. I told her most emphatically, no. Neither is it neces- sary or desirable to take castor oil shortly before con- finement. If the bowels have been kept in proper order, they require no physic whatever; and if they have been allowed to get into an improper condition, castor oil is not going to help them except for the time being PILES DURING PREGNANCY.—A pregnant woman frequently suffers from piles. They are almost in- variably the result of an improper or neglected condition of the bowels or of the use of purgative medicines. They are external or internal according as they are around or within the fundament. They present the appearance of soft dark-red tumors, vary- ing in size from a pea to a walnut. When they burst and discharge blood during stool, they are called bleeding piles. After this discharge of blood there is generally a sense of relief. The blind piles are the most painful, inasmuch as there is no relief by bleeding. HEARTBURN, 187 TREATMENT OF PILES.–First, reduce the bowels to their proper state. When any portion of the rec- tum or lower bowel protrudes after a stool, it must be pushed carefully into place by the finger, the nail having been previously pared. Sponging with hot chamomile and poppy-head tea several times each day will give relief in extreme cases. When stool is attended with much pain, the parts should be well anointed with lard and camphor, or a suppository of tallow may be used with advantage. How PILES MAY BE AVOIDED.--Piles are greatly to be dreaded; for if once established, they frequently cling to the sufferer through life. It is easier to pre- vent than to cure them. This can be done by keeping the bowels properly open by diet and exercise, not by drugs. The improper use of the latter frequently causes piles. INCONTINENCE OF URINE.—The pregnant woman, during the latter months of pregnancy, is frequently troubled with an inability to retain her water. There is nothing alarming in this, though it is somewhat in- convenient. It is caused by the pressure of the womb upon the bladder. The bladder must be emptied very frequently, as the retention of urine for a length- ened period, even if it be possible, is not only very painful, but positively injurious. HEARTBURN.—Heartburn is a frequent and dis tressing accompaniment of pregnancy. It is caused by improper food, taken probably in too great quan- tity. A change in the diet is required, avoiding all 188 DISORDERS OF PREGNANCY. food that is rich or stimulating in character. A less quantity must also be eaten. If the trouble still con- tinue, let it be borne in mind that it is not an alkali- the usual remedy in cases of heartburn—that is re- quired, but an acid, to correct this acidity of the stomach. An orange, a tart apple, or å tumbler of not too sweet lemonade, will probably bring imme- diate relief. Vitriolic or citric acid may be also used with benefit. Lime-water and milk will bring relief when the heartburn is moderate. A few blanched almonds or roasted groundnuts have been found in mild cases to bring relief. SALIVATION DURING PREGNANCY.—Women are occasionally troubled with an excessive flow of saliva during the early months of gestation. This salivation is almost invariably accompanied by, and is the result of, constipation and heartburn; therefore whatever removes these latter will in all likelihood cure the salivation. If it is severe, a physician had better be consulted, who may possibly suggest some means of relief. The same course of treatment pursued in heartburn, frequent rinsing of the mouth with lime- water, and the use of solid food alone, will bring relief in ordinary cases. This symptom usually passes away about the fifth or sixth month. VARIOUS PAINS ACCOMPANYING PREGNANCY.- The enlarged womb pressing against the liver and ribs frequently causes severe pain in the side, or, pressing against the sternum or breast-bone, causes a sensation like the pricking of a needle at the FALSE LABOR PAINS. 189 lower extremity of that bone. Again, the motion of the child is sometimes so strong as to be ex- ceedingly painful. These various pains are trouble- some only during the last months of pregnancy. Some of them result from the woman's enlarged size, and whatever reduces that size will of course mate- rially mitigate her sufferings. Patience is the only thing to be recommended. FALSE LABOR PAINS.—False labor pains are ex- ceedingly troublesome and hard to be borne. Every woman does not suffer from these, but they are liable to come on at any time within six weeks previous to confinement. They are often intermittent in charac- ter—that is, coming at a regular hour in the day, and disappearing with a like regularity; exceedingly se- vere, similar to true labor pains and almost as hard to endure. A woman who has ever felt them recog- nizes them at once, and never mistakes them for real pains. There is no certain remedy for them, so far as I know, though camphorated oil or laudanum applied to the lower portion of the abdomen will sometimes afford relief. When they are intermittent in charac- ter—that is, coming and going at regular periods they may be successfully treated with quinine; but I think I should prefer to suffer the pains than take the medicine—though that may be prejudice. While suf- fering these pains the patient must keep off her feet as much as possible, and seek such a position as will give her most ease. It will be found well, if prac- ticable, for her to occupy both hands and mind, in 190 DISORDERS OF PREGNANCY. order that her thoughts may not dwell too constantly on her sufferings. MARKS.—It is currently believed among the ma- jority of women that any sudden or strong impressicn of the mother, such as fright, or the sight of any dis- agreeable object, or failing to obtain the object of a “ longing,” may be communicated to the child, leaving a “mark” upon his personal appearance bearing a strong resemblance to the object which has caused this impression. My own observation has not, of course, been very extended, but so far as it goes, it is mainly against the truth of the marking theory. Physicians are divided in their opinions on the subject. Some deny the possibility of such a thing, basing their de- nial on the tolerably well-established fact that there is no direct communication between the nervous sys- tems of the mother and child. One physician states that, in many thousand cases of hospital and private practice, he had never discovered a single example of so-called marks following or corresponding to any fright or strong impression of the mother. Others admit the possibility of the transmission of these im- pressions, being reluctantly forced to this admission by occasional apparently well-authenticated evidence. That children are frequently marked in various ways is well known, but probably in a large majority of cases, if not in all, these marks may be regarded as me e freaks of Nature. The spots-brown, yellow, re , blue or black in color-which are frequently ob- so ved on the skin of new-born infants, and which MARKS. 191 are supposed to represent certain objects or fruits craved by the mother during pregnancy, are the result of an alteration of a portion of the skin, which, though a species of disease, is not in the slightest degree dan- gerous in its character. They remain stationary after birth, and require no treatment whatever. Deformities or peculiarities may be inherited, or they may be the results of accidents to the mother- such as falls or blows-during the period of gesta- tion. I have often wondered, if it were possible to obtain the record, how many of these deformities would be found the result of attempted but unsuc- cessful abortion. There is no doubt that long-continued mental im- pressions leave their mark upon the child, but there is less ground for belief that sudden nervous ones do. It is well for the pregnant woman to keep her mind quiet and calm and free from all disturbing influences, to surround herself with pleasant objects and subject herself to agreeable associations. By all means let her not become the victim of foolish fears in regard to mother's marks. If there is any truth in the mat- ter, there is more danger of bad results from the mind dwelling morbidly on possible consequences from an untoward event or a frightful object, than there ie from the first impression which that event or object creates. Let a woman consider herself when preg- nant just the same in all respects as when in ordinary health, exercising her will that she shall be so. She may then meet whatever comes to her fearlessly and 192 DISORDERS OF PREGNANCY. unshrinkingly, and laugh in the face of her advisers who would seek to imbue her with their own super- stitions. I may be wrong; nevertheless, I am toler- ably confident of the position I take. The balance of this chapter has no special reference to the disorders of pregnancy. It consists of advice, hygienic and otherwise, concerning that state-advice which it would not do to omit, and which occupies too brief a space to be entitled to a separate chapter- head. BATHING DURING PREGNANCY.—Cleanliness is a duty to every one, and quite as much a duty during pregnancy as at any other time. Those who have faith in the efficacy of water in counteracting all the ills to which human flesh is heir, lay great stress upon the desirability of making use of various kinds of baths-particularly lukewarm sitz-baths-during the period of pregnancy. The use of baths is undoubtedly a preservative of health, and should be resorted to more frequently and with more scrupulous regularity than is common. But care should be taken that in the use of the bath there are no sudden shocks to the physical or nervous system. For this reason it is better to use a hand-bath. If cold water chills the system in its peculiarly sensitive state, let the water be slightly tepid. Warm sitz-baths will be found highly beneficial, as the period of confinement ap- proaches, in relaxing the system. A small tub or a large hand-basin may be used for this purpose, being partially filled with tepid water, and the patient sitting DESCENT OF THE WOMB BEFORE DELIVERY. 193 down in it, with the upper part of her body care- fully covered. TO PREVENT SORE NIPPLES. —Sometimes the nipples are so tender that the woman suffers exceed- ingly when she comes to nurse her babe. To avoid this, the nipples should be bathed daily for some time before confinement in a wash of alum-water or with cologne-water, for the purpose of hardening them. TO PREVENT CRACKING OF THE SKIN OF THE ABDOMEN.—The violent stretching to which the skin of the abdomen is subjected by the constantly enlarg- ing womb sometimes causes its under tissues to crack. These cracks are permanent, leaving the woman scarred and disfigured for life. It is well to guard against them by frequent rubbing of the bowels with lard or sweet oil. If the skin feels sore from stretching, the bowels should be rubbed every night and morning with warm camphorated oil. A broad flannel belt may be also worn, made comfortably tight and fastened by strings. This, if put on properly, will afford sup- port to the abdomen. DESCENT OF THE WOMB BEFORE DELIVERY.— A short period before confinement the womb sinks down into the pelvis, and the pressure and pain which have been felt in the region of the heart, liver, ribs and sternum disappear. This descent may take place only a few hours before delivery, or it may occur sev- eral days, or even weeks, previously. There is now a pressure felt in the hips and groin and against the lower part of the back. Sometimes the pressure upon 17 N 194 DISORDERS OF PREGNANCY, the rectum is so great that symptoms are felt similar to those of tenesmus—that is, a desire to void the bowels without the ability to do so. The greatest relief is experienced from lying down. A woman, feet at this period. If, however, she has lived prop- erly and rationally, she will find her sufferings greatly diminished. POSSIBILITY OF DETERMINING PRESENTATION OF CHILD WITHOUT EXAMINATION.—When the womb has thus descended into the cavity of the uterus, it is not impossible for the woman to feel a hard, solid substance resting on the lower bones of the pelvis, and causing her some difficulty in walking. This solid substance is the head of the child pressing against the mouth of the womb, and this feeling en- sures a right presentation. The feet are small and yielding, and could not be felt except as they moved, while the breech is too large and presents too extended an arc to sink so low down. Besides, even if it were possible for it to descend the same as the head, there is not the solidity about it that would make its pres- ence plainly felt. CHAPTER XII. DELIVERY. DURATION OF PREGNANCY.--The full time for pregnancy is from two hundred and seventy to two hundred and eighty days, though delivery may some- times take place a few days earlier or a few days later. In rare cases it is sometimes delayed for weeks after the proper period. THE “Show.”—When the time for parturition is actually drawing near, the woman is apprised of the fact by a mucus-like discharge usually tinged with blood. When this discharge, or “show," as it is commenced, though it may be several hours or even several days before the pains are felt with any regu- larity. FIRST STAGE OF LABOR.—This is the first stage of labor. The mouth of the womb is open and the parts gradually relaxing preparatory to the second stage. PREPARATIONS FOR CONFINEMENT.—It is now time for the woman to set her house in order, get all things in readiness, and send for her nurse, if one is engaged, but not yet time to think of a doctor. THE BED PREPARED FOR DELIVERY.-Let the 195 196 DELIVERY. bed be made up with fresh, clean, well-aired clothes These must all be lifted from the foou and folded back over the upper half of the bed. Over the bare mattress or bed should be spread a piece of oil-cloth a yard and a half square. Over this again is folded and spread an old comfort. This should be covered with a sheet, which, if desirable, to save extra wash- ing, may be the one which has already been in use upon the bed. The bed-clothing to cover the patient must be in quantity suited to the weather, and of a material easily washed. The curtains and valances should be removed. WHAT KIND OF A BED SHOULD BE USED IN CONFINEMENT ?-I believe it immaterial, in a hy- gienic point of view, whether a straw bed, a mat- treas or a feather bed is used during confinement. The patient should consult her own feelings entirely in the matter. FEATHER BEDS.—There is a great deal of what I consider unfounded prejudice against the use of feather beds. Some object to them on the score of their en- ervating influence, others on that of a supposed gen- eral unhealthfulness. If one feels weakened from the use of a feather bed, he or she had better give it up, but that is no reason why another who experiences no such bad effects should practice a similar denial. I know its use is absolutely beneficial to some per- sons. As to its unhealthfulness, when it is profusely shaken, airel and cleansed, I think that is all a mistake. INFANT'S FIRST CLOTHING. 197 PROPER BEDSTEAD.—The bedstead used in a lying- in chamber should be strong and well made, and with- out a foot-board. The old-fashioned four-poster is the very best kind that can be obtained, as it is ca- pable of enduring all the strain that may be put upon it. DE NECESSITIES OF THE LYING-IN ROOM.—In a place where they will be found without difficulty by those in attendance must be extra bed-clothes, un- derclothing for the sick woman, bandages and nap- kins, or cloths. There must be water in the room, towels, soap and a saucer of lard. On a stand, table or dressing-bureau should be a pair of sharp scissors and a piece of cord or string, either cotton or linen, strong, round, soft and elastic, and a cushion filled with pins. Either in or convenient to the room should be the means of heating water quickly. INFANT'S FIRST CLOTHING.–The infant's cloth- ing needed for immediate use should be placed all to- gether in a basket, so that when it is required there will be no time lost in searching out the separate arti- cles. The contents of the basket should be: a soft, long-sleeved night-gown, a flannel petticoat, a soft linen shirt, a flannel or elastic cotton band, socks, a piece of soft linen rag (an old handkerchief is the best), some equally soft cotton rags, a pin-cushion containing pins of two sizes, a piece of white castile soap, a little bag of thin muslin containing powdered potter's clay, a flannel blanket, soft towels and a wash-rag. On top of all should be laid some old garment of soft 27 * 198 DELIVERY flannel large enough to receive the babe when it is first born, and to wrap it entirely up until some one is ready to take charge of it. PERSONAL PREPARATIONS FOR DELIVERY. --- When it is time for her to take to her bed, let the woman put on a clean undergarment, with a short night- gown over it. These must both be folded up around her shoulders and waist, and around the latter must be pinned the soiled undergarment taken off, a cotton or flannel petticoat or a folded sheet. THE HAIR DURING CONFINEMENT.-Part the hair evenly in a number of divisions, and tightly braid each division. The style is not at all becoming, but it allows of the braids being taken down and combed separately, at intervals that will not fatigue the sick woman. CONDITION OF THE BOWELS AT THE COMMENCE- MENT OF LABOR.—It is of the utmost importance that previous to the actual progression of labor the bowels should be freely opened. Nature will gener- ally do this, but if she fails, it must be done by arti- ficial means. An injection will probably accomplish the desired end; but if that also fails, a mild purga- tive, such as magnesia, should be administered without delay. Bear in mind, however, that medicine is only to be resorted to when other means fail. VENTILATION OF THE LYING-IN ROOM.— The sick-room should be well ventilated without ex- posing the woman to draughts. An open fireplace or pipe-hole is one of the best and safest means of BLUNDERS OF MEDICAL AUTHORITIES. 199 ventilation. Of course, whether windows and doors are to be open, will depend upon the season. NUMBER OF ATTENDANTS DESIRABLE. — There should not be too many attendants in the sick-room. The midwife, with the nurse, and perhaps a second woman for assistant, are all that are needed. The assistant may be dispensed with, though there should be a third person within call ready to respond to any summons for warm water or whatever may possibly be required. SECOND STAGE OF LABOR—GRINDING PAINS.— When the first regular pains are felt, then the second stage of labor is reached. These pains, which are called grinding pains, may be felt almost immedi- ately after the “show," or may not appear for several hours or days. Some women who have easy deliv- eries suffer very little from these pains, and do not count them as pains at all. In others they are very severe and almost unendurable. During these pains the mouth of the womb gradually dilates until the opening is sufficiently large to allow the child to force its way through. One of these pains is first felt low down in the back: the pain extends across to the front of the abdomen, then the woman becomes sensible of a contraction of the whole womb without any bearing- down feeling. This contraction is not without pain, though its effect is more that of suspending the breath and making motion impossible for a moment even after the pain has subsided. BLUNDERS OF MEDICAL AUTHORITIES. -Writers 200 DELIVERY on this subject not infrequently confound the two classes of pains. One medical writer describes the grinding pains as being “attended with a bearing. down sensation.” Another authority, also a physician, copies from a medical work a description which he gives as that of bearing-down pains, which occur in the third stage of labor, though it is a correct descrip- tion of the grinding or dilating pains of the second stage. The description is as follows: “The true labor pains are situated in the back and loins; they come on at regular intervals, rise gradually up to a certain pitch of intensity, and abate as gradually; it is a dull, heavy, deep sort of pain, producing occa- sionally a low moan from the patient, not sharp or twingeing, which would elicit a very different expres- sion of suffering from her.” These pains commence feebly and irregularly at first, but gradually increase in strength and regularity, until they will probably come on at regular intervals of five minutes. They may come on with regularity and severity for a time, leading to a hope of a speedy delivery. Then they will relax and disappear altogether. This may be repeated again and again. There is nothing more discouraging to the patient. If she has summoned doctor and attendants, she feels as though she had been practicing deception upon them, when, after a period of pain, she finds herself perfectly free from suffering, and apparently as far from actual labor as she was before her show.” Besides, her strength is after a time exhausted by this lengthened and repeated FEMALE PHYSICIANS. 201 suffering, and the little courage she may have been able to summon to meet the ordeal before her is very likely to ooze away as time passes. To HASTEN A TEDIOUS LABOR.—When there is this discouraging commencement to labor, it will be found beneficial to bathe the feet in warm water and drink some warm herb tea. Thyme tea is excellent in this case, though, if this cannot be obtained, a tea made of hops or of any of the aromatic or medicinal herbs will do. It might also be well to try a tepid sitz-bath. Drinking abundantly of cold water, and applications of cold water upon the abdomen, are rec- ommended by some physicians to accomplish the same purpose. TIME TO SEND FOR A DOCTOR.—When the pains seem fairly established in regularity and severity, then it is time to send for a midwife, either professional or non-professional. ARE DOCTORS NECESSARY IN DELIVERY?-I have always maintained that in ordinary confine- ments there is no need whatever of the aid of a physician. In many cases the nurse or attendant woman performs all his duties before he arrives, and all that is left for him to do is to inspect affairs and see if everything is right. There are exceptional cases, of course, when the presence of a doctor is de sirable and even necessary. FEMALE PHYSICIANS.—I think, when a woman physician can be obtained, she is to be preferred to a man. She is, as a rule, just as capable, more reliable, 202 DELIVERY more sympathizing and more helpful, not to say that her presence does not wound the delicate sensibilities of the patient. MALE PHYSICIANS IN THE LYING-IN CHAMBER, -Do not let the reader understand me to mean that a male physician cannot enter the parturient cham- ber without violating propriety or shocking modesty, There are many noble men in the profession whose desire is solely to relieve suffering, and their attend- ance upon the sick-beds of women is characterized by the utmost delicacy. REPUTATION OF MEDICAL STUDENTS.—Still, when one bears in mind the general character of medical students and their deportment on certain special oc- casions yet well remembered, it is not strange if one should question the probability of these young men ever acquiring that modesty and that respect and con- sideration for the other sex which should be considered the imperative adjuncts of the male midwife. As the boy is the father of the man, so is the student the father of the physician; and the rudeness, the indeli- cacy and insulting demeanor which a large number of medical students have proved themselves capable of as those who read the newspapers but a very few years since will remember—seem sufficient to disqualify them for ever from certain important branches of their profession. For certainly the man who cannot maintain a proper demeanor during the discussion of certain subjects when he meets women as fellow- students in the lecture-room is also incapable of ob- TAKING A PAIN. 203 serving propriety when the same subjects are dis- cussed between himself and one of the other sex, the one as physician and the other as patient or nurse. patient has followed the rules I have given her in the previous pages of this book, and if she feels well and strong, there is every reason to look forward to an easy confinement, during which the attendance of a woman of ordinary experience, common sense and presence of mind, is all that is necessary. RIGHT AND WRONG PRESENTATIONS.—There is, reasonably speaking, only one risk to be run—that of a wrong presentation; and whether the presentation is right or wrong can be ascertained by the attendant, or by the patient herself, if she have resolution suffi- cient for it, in time to send for professional assistance if necessary. The examination should be made early in labor. The attendant must lubricate her hand with lard or oil, and passing her finger up the vaginal passage, press it upon the mouth of the womb, which will be found lying toward the back. If a hard, un- yielding substance is encountered, the presentation is right-it is the head. If, on the contrary, the contents of the womb feel soft and yielding like flesh, a physician should be sent for without delay, as it may be necessary to turn the child before it can be born. “TAKING A PAIN.”—I have frequently heard women talking about the doctor taking a pain." 204 DELIVERY. meant by it, but would not subject myself to their ridicule by confessing my ignorance. I at last dis- covered that they believed that a doctor in making vaginal examinations was able to give them relief from pain and hasten the conclusion of the labor. An occasional examination is necessary, when the labor is prolonged, to note its progress and judge of the probable time of its ending. But these examinations, if o frequently made, irritate the passages, give the wcman unnecessary pain and actually retard the progress of the labor. REQUISITES OF A COMPETENT MIDWIFE.-- Al- though any woman of ordinary ability is perfectly competent to act as midwife, still, it is supposed that no one will undertake the responsibility of such a position without some preparation either of study or observation. Every woman should possess the requi- site knowledge to act in this capacity, for every woman is liable to be called without warning to assume this part. If by any combination of circumstances, a woman finds herself forced to act without this due preparation, she must allow herself neither tremors nor fears, but must rely upon her common sense and presence of mind, constantly remembering that nature wants waiting on, but not assistance. PATIENT'S POSITION ON THE BED.—While the grinding pains continue the patient may sit, stand, walk or lie, as she prefers. It is well to encourage her to be upon her feet as much as possible, as that position helps to strengthen the pains. When she THIRD STAGE OF LABOR. 205 takes her final position upon the bed, she must lie diagonally across the lower portion of it. VOIDING OF URINE DURING LABOR.—The patient should frequently make water during the entire prog- rex of labor. By so doing she will be saved much pain and possible trouble. No BEARING DOWN DURING THE GRINDING PAINS. -Ignorant attendants will sometimes tell the woman to strain or bear down during the continuance of the grinding pains. This is worse than useless. It ex- hausts the patient's strength to no purpose; and if this forced bearing down were productive of any result whatever, it would be that of rupturing the womb and causing the woman's immediate death. THIRD STAGE OF LABOR.—When the mouth of the uterus is sufficiently dilated, the third stage of labor commences, indicated by a change to “bearing- down pains,” by the means of wbich the child is expelled. In the bearing-down pains the sensation is exactly like straining at stool. The bearing down is partly an involuntary action of the womb, but it is greatly facilitated by the patient herself straining with all her night. There is no pain, strictly speaking, in the bearing down. What suffering there is at this period of the labor comes from the head of the child tearing the edges of the mouth of the womb as it passes through, and from the excessive stretching and possi- ble tearing of the outer organs as the child is born, If everything is in its most favorable condition, there 18 206 DELIVERY will be no pains whatever at this stage of labor. The severe effort required is, however, exhaustive. There is no gradual transition from one class of pains into the other. The change is sudden and com- plete. It may be that one pain is both bearing down and grinding, but seldom more than one. And this is the hardest, most unendurable pain of labor. In the third stage of labor her bed is the only place for the woman. She must lie en her left side, and it is usual to place her in such a position that she can brace her feet against the bed-post at the recurrence of each pain, at the same time giving her a towel made fast to the same post to pull upon. The patient does not always desire these aids, and it is absurd to in- sist that she must use them, as I have seen done, when she feels no need for them. SUPPORT TO THE BACK DURING LABOR.-Some- times it is a relief to the patient to support her back during each pain. This support should be given by a pillow or bundle pressed against the back, rather than by the hands. DURATION OF THE THIRD STAGE OF LABOR. The third stage of labor is generally of short duration, though in a first confinement or in cases of difficult delivery it may be hours before the suffering is at an end. As these pains are only for the purpose of ex- pulsion, if the mouth of the womb is sufficiently di- lated, the muscles of the passage relaxed, the child not too large and the bones of the head soft and yielding, three or four pains ought to accomplish the delivery. BREAKING OF THE WATERS. 207 SUPPORT FOR THE RIGHT KNEE. — When the woman feels the head of the child in the passage, it is customary to place a pillow or bundle between her knees, or for an attendant to support the right knee in an elevated position. These aids, though better than nothing, are not, after all, as perfect as they should be. If this stage of the labor is prolonged, the position becomes very fatiguing to the woman, for after all she only half depends upon the aids fur- nished her, and is obliged to make much exertion herself, so that days afterward she may suffer from the pain and weariness resulting from it. A better plan is to place a stool, about the height of an or- dinary chair, in the bed in such a position as not to be in the way of the attendants who must assist in the delivery of the child. On this let the woman rest her knee. The height of the stool and the consequent elevated position of the knee will force open the bones of the hips to a wider extent, thus allowing a freer passage for the child, and consequently ensuring an easier delivery. BREAKING OF THE WATERS.—The child, while it exists in the womb, floats in a liquid called the amniotic fluid or liquor amnii, the who's being en- closed in a sac. Besides other important purposes which it serves, this amniotic liquor, by gushing out of the ruptured bag a few moments preceding birth, moistens and softens the passages and renders the progress of the child easier. Sometimes the sac of waters breaks in the early stages of labor. This is 208 DELIVERY. unfortunate, as the labor is retarded in consequence, Sometimes, again, the child is born with the sac un- broken, or, if broken, with the membrane still over its head. This membrane is called a caul, and superstitious people attach a certain significance to it. The proper time for the “breaking of the waters," as it is called, is when the head of the child is in the vaginal passage. At each pain there will be a flow of liquor. If the water does not break of itself, then the attendant ought to rupture the bag with her finger, taking care not to injure the child's head in so doing. PRECAUTION AGAINST PILES.—During the prog- ress of the bearing-down pains it is of the utmost im- portance that some one—the patient can do it herself as well as any one-should take a soft napkin or rag and press with her finger upon the anus; otherwise, in the severe straining the rectum will be forced out- ward and piles may be developed. Each succeeding confinement will increase this tendency to piles, and the woman may become a lifelong sufferer. PROTECTION OF THE PERINEUM.—When the head descends in the passage, it is equally necessary that the perineum, or muscle which separates the anus from the vaginal passage, should be protected. In severe delivery, especially in a first confinement, this muscle is sometimes ruptured for want of proper precautions, and the two passages become one. Scarcely a more serious disaster could occur. Foot PRESENTATION.—It is possible, with a foot presentation, for the labor to advance naturally and FOOT PRESENTATION. 209 terminate favorably. A woman of nerve and self- confidence need have little hesitation in conducting a labor with such a presentation. If she lacks confi- dence and resolution, a physician ought to be sent for. The greatest difficulty in such a delivery is that the hands may not come with the body, but remain clasped over the head. It is imperatively necessary that the arms be drawn down before the expulsion of the head. The attendant should, with the utmost care and deliberation, slip her forefinger around one arm of the child close to the shoulder, and draw it gently downward, observing the natural movements of the joints. One arm being freed, the other should be treated in the same manner. The body of the child should be supported until the head is born, so that it will meet no injury by unnecessary strain. When the expulsive pains come on, there should be a slight aiding, but no hastening, of nature. An attempt to a forced withdrawal of the child may result in a prema- iure rupture of membranes, a breaking of the navel cord, introversion of the womb or breaking the child's neck. Still, it is actually necessary when the head is born last, if the expulsion of this part is prolonged, to aid nature in a gentle manner. If there is any long delay, the continued pressure upon the umbilical cord, and the consequent interruption of communication be- tween mother and child, may result in the death of the latter, as it is not yet able to breathe. Until it breathes it is necessary for its life that the constant flow of blood through the cord should be unchecked. 18 * 210 DELIVERY CASES WHERE A PHYSICIAN IS NECESSARY. — When the labor is exceptionally severe, or when the patient early shows signs of weakness and exhaustion, it is advisable to send for a doctor. Also, when the head of the child has progressed so that it may be seen, and there remains stationary for a length of time, unable through the narrowness of the passage or the rigidity of the muscles to make a further de- scent. In this case the use of instruments may be required. There are other cases detailed in medical books in which the presence of a professional is absolutely de- manded. It is not necessary, however, to describe these cases here, as probably such a description would cause unnecessary alarm to timid and nervous women, and invest parturition with a host of imaginary evils which do not properly belong to it. These cases are exceptional, and a prudent and judicious attendant, without being positively informed of their varied and exact natures, will always be able to detect them by the abnormal symptoms which they present. When such cases are suspected, prithout waiting to ascertain their exact nature, there should not be a moment's delay in sending for professional assistance. PROPER PRESENTATION IN LABOR.—When labor progresses properly and naturally, the back of the head will appear at the opening, the face of the child being turned to the woman's back. FACE PRESENTATION.— Children are sometimes born with what is called a face presentation—that is, ATTENTION TO THE CHILD UPON BIRTH. 211 with the face turned front and presented at the open- ing. Such delivery is more tedious to the mother and dangerous to the child. TO AVOID SUFFOCATION BY THE NAVEL CORD.- As soon as the head is born, the hand should be passed around the infant's neck in order to see if it is encir- cled by the navel cord. Such cases are rare, yet not child may be suffocated before its birth is completed. The cord must be loosened gently and slipped over the child's head. ATTENTION TO THE CHILD UPON BIRTH.—Three or four pains after the first appearance of the head will generally complete the delivery; and then the mother, utterly exhausted, is allowed a breathing- spell. Now the first object of attention is the child. It ought to cry immediately upon entering the breath- ing world. All is well if it gives ever so feeble a cry. It is a sign that air has entered its lungs and its communication with the outer world established. It is not uncommon, however, that there is some dif- ficulty in obtaining this first breath. The nose and mouth should be cleansed of all blood and mucus. A smart blow upon the buttocks will sometimes startle the child into breathing. If it still struggles, breath- the lungs. If this also fails, procuire a quill, and nther nostril in order to fill the lungs with air; and then, taking away the hand from mouth and nose, 212 DELIVERY press gently on the breast to expel the air, thus imi- tating natural breathing. This can be done, though not so well, without a quill, if one is not at hand. This failing, immerse the child in water at a tempera- ture of 98° Fahrenheit, or at blood heat. Continue these trials until the child breathes unaided, or until life is extinct. There is little danger of a healthy, maturely born child dying if the proper means are re- sorted to and persevered in to introduce it to life. I have never known a single instance. CUTTING THE NAVEL CORD.— When the child has fully established itself in the breathing world- not before—the umbilical cord should be cut. This should be tied about an inch and a half—some say two inches—from the body of the child, with a soft, strong cord or string. It should be tied again a short distance from the first place, and then cut between the two tyings by a pair of sharp scissors. The second tying is to prevent the blood, which is still circulating in the cord, from running out and soiling the bed- clothes unnecessarily. CARE NECESSARY IN TYING THE NAVEL CORD.- The utmost care should be taken that the string is tied sufficiently tight to prevent any possible bleeding of the child. Doctors are not always careful as they should be in this particular, and it is well for nurses to look after even their work. An overlooked and bleeding navel will soon bring death to the healthiest child. After the navel is attended to, the infant may be wrapped up warmly and stowed away in some safe REMEDY FOR AFTER-PAINS. place until its turn for attention comes, unless there is some one ready to wash and dress it. AFTER-PAINS.—In twenty minutes or half an hour after delivery the patient is seized with another class of pains called after-pains. These pains are caused by the contraction of the womb. Their effect is first the expulsion of the placenta or after-birth, then of the clots of blood which have accumulated in the uterus, and finally of the discharges which continue for some time after delivery. DURATION OF AFTER-PAINS.- A woman with the first child suffers little or not at all with after-pains, but in each successive delivery her sufferings from them are longer and more severe. REMEDY FOR AFTER-PAINS.—Opium in some form is usually prescribed to alleviate the sufferings caused by after-pains. Those who can take opium with impunity will find their sufferings relieved by its use. But I should recommend a person of nervous temperament and with a deranged nervous system to endure the suffering rather than to accept the remedy. Once or twice in my own experience I was persuaded to make use of this drug for this purpose, but its after effects were so bad that I resolved to let it alone in future. I felt many of the symptoms experienced by a confirmed opium-eater when he attempts to break himself from the habit. I scarcely expect to be be- lieved when I state that under certain circumstances I still feel the effects of these two trials, though the first was made five years ago. 214 DELIVERY. EXPULSION OF THE AFTER-BIRTH.—In ordinary cases the after-pains will shortly come on. If they do not appear, it is well to wait a reasonable time rather than to hurry nature. I once knew a woman to lie eight hours without any pains and with the placenta unexpelled, without any inconvenience to herself, except the discomfort of not being able to be placed in a clean bed. If the pains are felt but the after-birth does not come away, that is another thing. In that case a woman may shortly be brought to the verge of death. AIDS IN THE EXPULSION OF THE AFTER-BIRTH. -If after the lapse of the usual time of twenty min- utes or half an hour the pains begin, but the after- birth gives no signs of coming, it will be well to pull gently at the cord, with not sufficient force, however, to run any risk of breaking it. At the same time gently yet firmly knead the bowels in order to assist in the detachment of the placenta from the walls of the womb. The woman may also blow in the palms of her hands. The effort put forth by this act is sometimes available. If time goes on and all attempts prove useless, then a doctor should be sent for, all the sooner if the patient is suffering from the severity of her pains, threatened with flooding and showing signs of fainting. FLOODING.-If flooding sets in or is apprehended after delivery is safely accomplished, lower the pa- tient's head and raise her hips, and apply a compress wrung out of cold water to the lower regions of the BANDAGE FOR A LYING-IN WOMAN. 215 bowels. Continue this until the flooding is checked. If the woman has a desire for ice-water, or even ice, it can do her no harm, and may even be beneficial. FAINTING.–If the patient faints or shows signs of fainting, the windows of the room should be opened, and as much air given her as possible. Her head should be lowered, if it is not already low; hartshorn should be applied to her nose, and water sprinkled in her face. If the fainting is prolonged or repeated, it may be well to put a little wine or brandy in her mouth. A doctor should be sent for at once. CONTRACTION OF THE WOMB.—The bowels of the patient should be pressed with the hand in order to help in the expulsion of the clots and in the proper contraction of the womb. If the womb is contracting as rapidly as it ought after the expulsion of the after- birth it should feel hard and rough to the hand, in- stead of soft and yielding. BANDAGE FOR A LYING-IN WOMAN.—As soon as the after-birth has come away, and the more soiled of the bed-clothing under her has been removed, the bandage must be put on. This bandage may be, and usually is, a yard of strong muslin folded length- wise and sewed at the ends, or a long and strong towel. Neither of these is as good as a regular bandage cut to suit its especial purpose. The accom- panying diagram shows the forın I would recommend. This bandage should be thirty inches around the top, and twenty-five inches from the top of the back to the bottom of the long narrow end. It is 216 DELIVERY. made double, of strong unbleached muslin. It is fas- tened in front as tightly as can be borne with comfort. The narrow end is brought down the back, passed between the legs and pinned to the front. This pre- vents the bandage from slipping up, and at the same time furnishes something by which the cloths needed by the patient can be kept in place, so that they will not fall away at · every change of position. The bandage should be tightened from time to time. There is real comfort in this bandage. In the old- fashioned straight bandages there is nothing but dis- comfort. Every movement of the patient causes them to slip up, and then by great effort they must be pulled down again; for if allowed to remain out of place, they do harm instead of good. I think the bandage which I have described might be improved by being made to lace up in front in- DISPOSITION OF THE PATIENT IN BED. 217 stead of being pinned, and then it could be tightened without trouble as often as desirable. CORRECT MANNER OF PUTTING ON A BANDAGE. -In putting on the bandage, be careful and put it well down around the hips and lower part of the abdomen, in order to give the latter its needed support, while in its present weak condition. The bandage is not used to give shape to the waist, as is the common belief. We do not care one straw about the waist, whether it turns out small or large. If it remains larger than before, it is tolerably good evidence that it was smaller than it ought to have been. Non-professionals usually make the mistake of putting on the bandage too high up. A bandage properly applied will prevent the abdomen from hanging down after convalescence.. PERMANENT DISPOSITION OF THE PATIENT IN BED.-If the delivery has concluded favorably, and no troubles of any sort occur, as soon as the after- birth is disposed of and the bandage adjusted, it is well to place the patient more comfortably in bed. I know the usual advice is for her to remain an hour or more undisturbed. But, no matter how weak she is, she will feel better and gain strength quicker if the soiled clothes surrounding her be removed, and she is made clean and comfortable. Besides, any delay is really retarding the period of actual rest. Raise her sufficiently to remove all the soiled clothes from under her. Draw down her clean night- gown and chemise, which have been folded around her waist. Bring down the bed-clothes on the side of the 19 218 DELIVERY. bed on which she is to lie, and help her to move inta the proper place, not allowing her to raise up, but exhausted, she should be lifted at once to the proper Cover her so that she shall feel comfortable, and then finish the arrangement of the bed. When the child is dressed, it should be brought to her and placed to the breast. ADMISSION OF THE HUSBAND TO THE SICK- CHAMBER.—When all this is done and the traces of delivery removed, then the husband should be ad- mitted to see his sick wife. It will be considerate to leave him alone with her for a short time; but the in- terview must not be too prolonged. NEED OF QUIET.—Sleep is what the mother now needs more than anything else. There must not be a word uttered either to her, or in her presence, until she has had a quiet, refreshing sleep. I know too well how generally this is disregarded. The attend- ants linger about and fill the sick-room with the con- fusion of their talk, until the woman becomes nervous and feverish, and sleep becomes impossible. Not even the nurse should remain in the room, though she should be within call. FooD UNNECESSARY DURING LABOR.It is a common practice to give a woman in labor hearty, stimulating food, under the impression that she needs it to keep up her strength. If the labor is vigorous and rapid, she should on no account eat anything, as ANÆSTHETICS IN MIDWIFERY. 219 all the energies of her body are given to the one effort. If, however, the labor is slow, and the woman feels weakness for want of nourishment, a little cold broth or warm tea or gruel may be admin- istered, but nothing more solid or stimulating. If there are actual pauses in the labor-pains for any lengthened period, she may partake sparingly of any light, nutritious, easily-digested food, as during the pauses the stomach will probably be enabled to re- sume its functions long enough for digestion. FOOD AFTER DELIVERY.—Even after delivery is accomplished do not press the woman to eat. If she feels the need of food, it may be given her, sparing in quantity and exceedingly light in character; but she is better without it for a time, until the organs bave had opportunity to rest. STIMULANTS.—Wine, brandy and stimulants of every character should be avoided, and only given, by the advice of a doctor, in cases of extreme pros- tration. It is best to avoid all temptation by having none of these articles in the house, ANÆSTHETICS IN MIDWIFERY. I have said noth- ing about the use of anæsthetics, as chloroform or ether, to mitigate the pains of childbed, because their use comes properly within the province of a physician, and no unprofessional midwife should meddle with them. This silence does not signify disapprobation. On the contrary, I consider them one of the greatest blessings science has vouchsafed to us, and I wish in obstetrical practice their use was far more common. CHAPTER XIII. THE SICK-ROOM. NEED OF REST.—Rest is what the patient needs above everything else. There is no reason in trying to tempt her appetite, and insisting upon her eating when she is not hungry, on the plea that she needs to get back her strength. That is precisely what she will do with rest and quiet, and when the need for food comes the appetite will come with it. ADVANTAGES OF ABUNDANT AND UNDISTURBED SLEEP.—Let the patient eat as often as she will, but never awaken her out of a quiet, natural sleep under the impression that she needs food. A parturient woman often passes a weary, wakeful night, and it is not until toward morning that she sinks into a calm, restful slumber, from which it is a mercy—more than that, an absolute necessity if she is to regain her strength- not to awaken her. Let her sleep, then, even if she sleeps on until noon, and be glad of it. If the babe must be attended to, take it carefully away and leave the mother undisturbed. DO NOT FORCE FOOD UPON THE SICK WOMAN.-- I have known an otherwise excellent attendant, influ- enced by the belief that a nursing woman must eat as early in the morning as possible, insist upon waking 220 OF FORCING FOOD UPON THE SICK. 221 up her charge at the usual breakfast-hour. Nature was crying for rest, not for food. So a few mouthfuls would be reluctantly taken, and the woman would try. to go to sleep again. But outraged nature was not thus to be trifled with. Little or no sleep would come that day, there was so much to prevent it: people going in and out of the room; the usual household noises outside. By night a state of nervous wakeful- ness would be reached, often accompanied by slight touches of fever; and it would be far into the night before even a troubled sleep would close the eyelids. The next day the same experience would be re- peated. All protests from the sick woman were met with the invariable remark: “I was always taught that sick people should eat the first thing in the morn- ing if they wanted to get well.” It was no wonder that this woman's convalescences were always very much delayed, and her strength a long time in coming back. If sick people want to eat the first thing in the morning, by no means keep them waiting for their food. Their wants should always be first attended to, for in the lives of a good many women it is the only period when they or their needs are considered of the first importance either by themselves or any one else ; and even now they are paying a heavy penalty for the privilege of extra consideration. But if they desire to sleep, bear in mind that sleep is doing for them all that food can do, and more than food will do if un- willingly taken. 19 * 222 THE SICK-ROOM. DIET OF A LYING-IN WOMAN.—No matter how good a woman's appetite may be, her diet should be light and simple during the first three or four days of her confinement, until the flow of milk is fully es- tablished; for if anything of a stimulating character is eaten, it may help in bringing on a fever at the crisis, DIET FOR THREE DAYS AFTER CONFINEMENT. — In cases of extreme debility the diet had better consist of dry toasted bread and stewed and raw fruits, with weak tea, cold water or thin cold gruel for a drink. No milk or meat should be allowed. This diet may not be absolutely required by every one, though those who unnecessarily confine themselves to it will err on the safe side. Crackers, and everything likely to be bind- ing in their effect upon the bowels, should be avoided. How TO KEEP THE BOWELS OPEN WITHOUT hazards, but fruit should be made to do the work in- stead of drugs. Drugs should be avoided, if possible. The patient should neither be persuaded nor compelled to take castor oil for the purpose of opening the bowels, unless she is willing to run the risk of piles and kin- dred diseases. I am convinced that the piles, from which so many young mothers suffer, originate in the custom of taking castor oil during confinement for the purpose of opening the bowels. NECESSITY FOR A BED-PAN.—A bed-pan is an es- sential of a lying-in chamber. Either the slipper or the round form may be used. The patient need not LOCHIAL DISCHARGES. 223 of necessity have her bowels moved during the first twenty-four hours; but it is absolutely necessary that her bladder should be emptied in less time than that. If she finds difficulty in passing her water while lying down, I believe it is better to raise her up in bed upon the pan, her feet, well covered, hanging over the side of the będ, than run the risks which a dis- tended bladder impose upon her. Even when she seems to have passed her water, if the quantity is small, and she still feels pain and soreness in the region of the bladder, she had better be raised in like manner, when it will very probably be found that only a small portion of the actual amount of urine had previously escaped. When the patient is very weak, a catheter will be found necessary when this difficulty occurs. EVACUATION OF THE BOWELS ON THE SECOND DAY.-By a judicious use of fruit the bowels can be made to open naturally on the second day. If there is a desire for evacuation which cannot be accom- plished lying down, the patient should be raised in the manner already described. I think the results from this raising will be less disastrous than to allow inaction of the bowels, and be compelled to resort to drugs in consequence. LOCHIAL DISCHARGES.—After the placenta and clots have passed away, there is still a discharge from the uterus at first brightly tinged with blood. Later it gradually assumes a lighter tint, until finally the dried cloths will present a light greenish hue. So 224 THE SICK-ROOM. long as the color of the lochial discharge is right, no apprehension need be felt concerning what may seem too great plentifulness. It should be profuse, and there is more danger of too little than too much. HOW TO DECIDE WHAT IS OVER-EXERTION.—A woman can easily decide by the color of these dis- charges when she has overexerted herself. When this is the case, the cloths will be marked with fresh blood. When she first begins to get about, these dis- charges will naturally darken somewhat. But if there should be a liberal discharge bearing the tint of fresh blood, accompanied by pain and soreness within, the woman should at once keep herself quieter, and postpone further exertion for a day or two. DURATION OF THE LOCHIAL DISCHARGES.—The lochial discharges may cease at the end of fifteen days, or they may be continued for a month or even longer. UNTIMELY CHECKING OF THE LOCHIÆ.—If the lochial discharges are checked from any cause before the period of their proper cessation, it will be well to place a warm flax-seed poultice sprinkled with pow- dered camphor over the lower part of the abdomen. The poultice should be renewed as suon as it loses its heat. SORENESS IN THE LOWER PART OF THE ABDO MEN.—The attendant should be careful to make fre- the lower portion of the abdomen. If there is, it must not be neglected, as it may develop into inflammation MILK FEVER. 225 of the peritoneum, or covering of the bowels. Let flannel saturated with burning fluid be immediately applied and suffered to remain until it produces a sen- sation of burning. Let this be repeated at intervals until all pain and soreness to the touch are gone. If burning fluid cannot readily be obtained, turpentine will do nearly or quite as well. I have recently read that some physician had found turpentine invaluable in cases of peritonitis. CLEANLINESS. —Cleanliness is an essential to the recovery of the sick woman. The frequent use of a warm sponge over both body and limbs, administered in such a manner that she shall suffer no exposure to chill, will be beneficial. FLOW OF MILK.—About the third day the flow of milk sets in, and now is the greatest danger from fever. The patient should not be left alone a moment at this period without having the means at hand of summoning assistance at once. MILK FEVER, AND HOW TO CHECK IT.—The milk fever will be preceded by a chill or chilly sen- sations. There should be extra bed-clothes in the room ready for immediate use. There should also be, either in the room or where it can be obtained without a moment's delay, a flat-iron warm, but not hot enough to burn. The moment the patient feels the first symp- toms of a chill the flat-iron should be wrapped in flannel and placed to her feet. At the same time more covering must be thrown over her. This will check the chill at once, and probably prevent the fever. All through her 226 THE SICK-ROOM. confinement a woman is liable to these chills, and they should always be treated in the same manner, or they may put back her convalescence seriously, if they do not result in her death. If, in spite of all precau- tions, fever should follow, let the patient be given a half teaspoonful of sweet spirits of nitre or a spoonful of spirits of mindererus in a little water every hour until the fever subsides. If the dose does not seem to allay the fever, increase the quantity and diminish the time of giving. Allow no visitors until the fever is subdued. SUPERABUNDANCE OF MILK.—There is often more milk than the babe can dispose of. It is very neces- sary that it should be drawn, as its accumulation is troublesome, not to say dangerous. The milk can be drawn by the mouth, or by the use of a breast-pump. If a breast-pump is not at hand, porter bottles can be filled with hot water, and after the bottles are thor- oughly heated, the water is poured out and the mouths of the bottles applied immediately over the nipples. The air within the bottles is rarified and expanded by the heat, and as this condenses and contracts, the milk is drawn out. WEED IN THE BREAST.—Sometimes, in spite of all precautions, slight cold is taken in the breasts, and they harden and cake, and are extremely painful. This is far more liable to occur when the breasts are allowed to get too full. Cloths dipped in hot lard or oil and laid over the breasts will soften them and give relief. To avoid weed in the breasts, they should be SYMPTOMS OF GATHERED BREAST. 227 kept well protected with an extra covering of flannel, even in the warmest weather. GATHERED BREAST.-There are two forms of gathered breast. One is a gathering in the gland of the breast, and is most serious in its nature. The other is a gathering in the outside tissues of the breast, and does not in any way affect the milk glands. This latter is of comparatively trifling im- portance. In the case of the first form of gathered breast the child must not on any account nurse from that side, though it may nurse from the healthy breast. In the latter form the child may safely nurse from both breasts. CAUSES OF GATHERED BREAST. — A gathered breast is more likely to occur after a first confine- ment and in the first month. It is frequently caused by carelessness in not keeping the breasts sufficiently protected from the air. Or it may result from the mother sitting up in bed to nurse her babe. This is an exceedingly bad practice, and ought never to be allowed. Sometimes, if the nipple is sore, the mother will keep her babe too much at the other bosom. The breast gets distended with milk, becomes in- flamed, and finally gathers. Again, if the mother allows her babe to draw at a breast when there is no milk, the result may be equally bad. The habit of wearing stays will also produce this and other affec- tions of the breast. SYMPTOMS OF A GATHERED BREAST.—Gathering in the breast always begins with a shivering fit, fol. 228 full, hot and painful. The milk lessens or entirely disappears; and if the infant attempts to nurse, it gives the mother exceeding pain. Fever and sickness fol- low. A doctor should be sent for without delay on the first symptoms of chill, as he may be able to pre- vent the gathering. SORE NIPPLE.—A nursing woman is frequently troubled with sore nipples. A soft cloth, wet with glycerine, applied over the nipple whenever the infant is not at the breast, will very likely afford relief, or, mix finely powdered gum arabic with a small quantity of powdered alum, and apply it to the nipple with a camel's hair brush. This application need not be wiped off when the infant nurses. If the nipple is very sore, a rubber nipple must be worn over it in nursing DIET AFTER THE THIRD DAY.—After the third or fourth day, if there have been no unfavorable symp- toms, the patient may begin to add to her bill of fare. Chocolate is better than tea or coffee for a drink. It has no injurious effect upon the nerves, is more nu- tritious, and promotes a flow of milk. It should be made fresh every time that it is needed, as there is nothing so disagreeable to a delicate stomach as choco- late that has been warmed over and displays particles of grease floating on the surface. It is best to make the chocolate with water, and after it has boiled suffi- ciently pour in the desired quantity of milk, allowing it to warm, but not to boil. QUIET IN THE SICK-ROOM. 229 Broths and soups made of chicken, and of the lean of beef and mutton, either with or without rice or vegetables, will be not only palatable, but highly nutritious and strengthening and easily digested. Most kinds of vegetables may now be indulged in freely, and ripe fruit without stint. Brown bread is better than white, if the woman finds it sufficiently nourishing, as it is an excellent regulator of the bowels. REGULATING THE FLOW OF MILK.—It is fre- quently the practice for attendants to urge an unusual quantity of food and drink-especially the latter- upon the sick woman, for the purpose of promoting a flow of milk. The consequence too often is that there is more milk than the babe can dispose of, and the breasts become distended and painful, and are liable to gather. The flow of milk should be regulated by the diet, as far as possible. The diet should at the first consist of fluids in a very limited degree, so that the incoming of the milk may be gradual and within the control of the babe. As the babe's needs increase, and as, with the advance of time, the dangers from too great a flow of milk decrease, the amount of fluid food may be gradually augmented until the required amount of milk is obtained. Chocolate, milk, not too strong black tea, gruel and broths, are the best drinks for a nursing woman. I suppose it is useless to make any protest against the use of coffee and green tea. Nevertheless, I cannot but think them injurious. QUIET IN THE SICK-Room.—Keep the sick-room quiet. Allow no visitors at first, and none from first 20 230 THE SICK-ROOM. to last except such as have sufficient judgment not to stay too long, nor to excite or weary the patient by too much talking. APPEARANCE OF THE SICK-ROOM.—Do not allow the slightest evidence of sickness to be visible in the room. Keep all medicine bottles out of sight. Be careful to arrange the furniture exactly the same as usual. Allow no soiled or unused clothing to lie about, and cumber chairs, tables or lounges. If it is necessary to make up an extra bed on floor or lounge for the accommodation of the nurse, remove every trace of it when morning comes. Let no unused food or dirty dishes remain in the room : let all the para- phernalia of each meal be removed as soon as the meal is concluded. There is nothing so depressing to a sick woman's mind as to be constantly reminded of her invalid state. If, from the general appearance of the room, she can cheat herself into the belief that everything is as ordi- nary, that she is only lying down temporarily and can get up when she pleases, the cheerfulness which such a fancy will engender will go far toward helping her recovery. MAKING THE SICK WOMAN'S BED.—Keep the bed neatly and carefully made. There is much discomfort in a bed that has been laid in two or three days, the sheets crumpled and out of place, the quilts dragged to one side, and the pillows flattened and hard. If the woman is not able to sit up to have her bed made, let her be moved to one side of the bed while the FUMIGATION. 231 other is being shaken up and arranged, the clean sheets folded lengthwise and put on, and the covers smoothed and straightened. When she is moved back to her place again, the other side can be arranged in like manner, the soiled sheets removed and the clean ones unfolded and drawn out. CHANGE OF CLOTHING.-Change the woman's clothing frequently. There is such a sense of comfort, especially to an invalid, in clean, fresh undergarments. I have already recommended the use of short night- dresses. I think any one who has ever used them will never again adopt long ones for a sick-bed. LIGHT AND AIR.—Be sparing of light at first, but allow plenty of fresh air. Even in the winter the room should be aired at least once a day, proper pre- cautions being taken that the sick woman is not ex- posed to cold or draught. FUMIGATION.—A medical student in passing his examination was once asked what was the use of fumigation in the sick room. He replied that it pro- duced such a disagreeable smell that people were obliged to open the windows, and so proper ventila- tion was secured. If fumigators are considered in that light, they are excellent things to use. But if it is supposed they do away with the need of ventilation, it is a great mistake. They may disguise a bad smell, but the impure air which causes it still remains, and can only be got rid of by proper ventilation. Burn- ing rags, etc., in a sick-chamber, are therefore worse thai seless. 232 THE SICK-ROOM USE OF THE EYES DURING CONVALESCENCE.-- Do not allow the patient to use her eyes. Positively forbid books and papers, for the first week at least, and even longer if it seems necessary. I know how tedious it is for an active woman to lie day after day deprived of reading or work; still, it is best and must be submitted to. After a time it may not hurt her to read for a short interval. But on the first feeling of weariness of the eyes or of the nerves, the book ought to be promptly laid aside. The same rule should be applied to work of any sort—work, of course, suited to a sick-room, such as light sewing or knitting. How LONG OUGHT A WOMAN TO REMAIN IN BED AFTER DELIVERY ?- The question is often asked, “How long ought a woman to remain in bed after delivery ?” The usual answer is, “ Until the tenth day.” Still, I have seen women up and doing their ordinary work at the end of a week. The only proper answer can be: “It depends upon the woman.” If she is healthy and strong naturally, ani; her delivery has been an easy one, to keep her in bea for ten days is both foolish and cruel. She ought to be able to sit up in four or five days, and by the tentk to be well advanced in her convalescence. If, on the contrary, her health is ordinarily poor, and her delivery has been severe, she may not be able to leave her bed under two weeks, nor even then without running seri- ous risks. THE WOMAN THE BEST JUDGE OF HER OWN STRENGTH.—The woman knows best herself what she 20 * GOING TO WORK TOO SOON. 133 can do. If she does not feel that she is able to sit up, 10 one ought to persuade her to try. If she does feel able, she ought to be permitted to make the experi- ment, on giving the promise that she will desist if she feels discomfort or too great fatigue. A woman is perhaps inclined to be too ambitious in this particular. But she should remember that, if she gets up a day too soon, she may have to remain a week longer in bed. INJURIOUS EFFECTS OF TOO LONG CONFINEMENT IN BED.—On the other hand, a day longer in bed than is necessary is a positive injury, and a delay to ultimate recovery. FIRST SITTING UP.—The first attempt at sitting up should be very brief indeed. If that is followed by no serious results, the period can be lengthened on the following day, and so on, until finally the woman will return to her bed during the day for short periods of rest only, and will find herself far more comfortable in her easy-chair. The first feeling of weariness should be a signal for an immediate return to bed. GOING TO WORK TOO SOON.-Even after the woman is able to move with comparative ease about ber chamber, and has assumed her ordinary dress, she should be in no haste about going back to her usual routine of work. The general impression—at least the general rule of action is that as soon as a woman can creep down stairs and move slowly and hesitat- ingly about the house, she is ready to assume her daily burdens--that she will get well the quicker for 234 THE SICK-ROOM. going to work.” Every one lays down the share of burdens he or she has been bearing, and there is noth- ing left for her to do but to pick them up, long enough before she is physically fit. This is especially the case among working-people. DANGERS OF GOING TO WORK TOO SOON.-I be- lieve more wives die from too early a return to work than in the hour of delivery. Even if this danger is escaped, there is discomfort, which is greater than spectators have any idea of (women learn so soon the lesson of suffering patiently and uncomplainingly); and most serious consequences are sure to follow in the future—a future so remote that few people ever think of connecting cause and effect. PREVALENCE OF PROLAPSUS UTERI.—If any one will take the trouble to inquire, he or she will be perfectly astounded at the amount of suffering from displacement or falling of the womb among women in the middle and humble walks of life—women of all ages, but especially among those of ages varying from forty upward. I do not think I am putting the case too strongly when I say the difficulty is almost univer- sal. These cases seldom come to the knowledge of a physician ; it would be of little avail if they did, for they are past medical aid, and can only be helped- not cured—by mechanical means. The pattern for bandage or brace will be passed from neighbor to neighbor, without any one outside the freemasonry of sex and suffering having a suspicion of its frequent need. CRAVING FOR CHALK. 235 FREQUENT CAUSE OF PROLAPSUS UTERI.— The most usual, though of course not the only, cause of prolapsus uteri, or falling of the womb, is the haste with which young mothers resume household duties after their confinements. A woman may go about her work, and suffer comparatively trifling inconvenience, but the muscles fail to recover their proper tension; and when the period of child-bearing is past, if not sooner, then they give way altogether, and the woman is destined to suffer to the end of her life. CHANGE OF DIET AFTER CONFINEMENT.--There must be a change in the woman's diet after she has recovered from her confinement. During pregnancy her food should be fruit and vegetables, that her baby may be born with a frame soft and yielding—with gristle instead of bone. But now the child requires something to strengthen and harden its bones, which it can only obtain through its mother's milk. Vege- tables and fruit should still be considered important articles of food; but in addition there should be meat -beef and mutton—bread, and other articles in which lime and other phosphates form an important element. Bread made from unbolted flour is the best if it proves sufficiently nutritious. If this change is not made, the baby will be weak and puny, perhaps rickety ; the woman's own strength will fail her, and she may be the victim of morbid cravings. CRAVING FOR CHALK.-I once knew a nursing woman who was seized with an inordinate desire for chalk, a substance which she never before could bear 236 THE SICK-ROOM. to put in her mouth. She began by eating little bits surreptitiously, until she had used up all there was in the house. The desire still grew upon her, and she was wise enough to believe that such a craving could not come without some reason, though the exact one she did not then understand. Her husband, when he came to know of it, objected and remonstrated; still, in compliance with her earnest entreaties, he bought her large quantities of chalk, which she ate in pieces as large as a hickory-nut, eating a number of such pieces during the day. This strange fancy continued for two or three weeks, and then suddenly ceased, and her repugnance to chalk became as great as ever. A few years afterwards she learned the reason of this strange caprice. During her pregnancy, her fan- cies had led her ignorantly to adopt a correct diet, from which bread, meat and every kind of food con- taining bone-making material were excluded. Con- fined in early summer, just as fruit and vegetables were coming in season, she still made them, after her convalescence, her principal articles of food. But nature was not to be cheated thus; and her system being deprived of lime in its proper disguise of food: in which phosphates largely enter, made a call for it direct. Hence the unconquerable desire for chalk. When this need was supplied, then the desire ceased. She never wanted chalk afterward. The very thought of it set her teeth on edge. CHAPTER XIV. CAN A WOMAN SMOKE? ANECDOTE OF LOLA MONTEZ.—I once read an anecdote of Lola Montez, for the authenticity of which, however, I will not vouch. True or untrue, it serves my purpose as an illustration. That somewhat eccentric lady, to say nothing harsher of her, was riding in a railroad car, when, notwith- standing notices placarded in the car, “No smoking allowed here,” she took out a cigarette, and was puff- ing at it very composedly when the conductor came along. He looked at her in astonishment, and finally, with some hesitation, addressed her. “You can't smoke here, madame," said he. “ But you see I can,” was the imperturbable reply, the cigarette removed just long enough to say the words, and then replaced, while Lola went on with her smoking the same as before. The conductor, taken aback at the coolness of the reply, hesitated a moment, and then passed on, leaving the fair smoker to the en- joyment of her cigarette. SELF-CONSTITUTED CONDUCTORS OF THE AFFAIRS OF THE WORLD.-Scarcely a week passes that I am not reminded of this story. Now one and then 237 238 CAN A WOMAN SMOKE? another masculine self-constituted conductor of this world's affairs—now it is a clergyman, then an editor, again, seeming to consider himself vested with double authority, a physician-steps up to the feminine half of the world when he sees it attempting to violate what he considers the proprieties, and says gravely, severely and with a tone of authority certain words the substance of which is, “ Madame, you can't smoke here." The actual speech of these conductors generally runs after this wise: “You are a woman—a female, in plain words. The main function of your sex is the reproduction of the human species. In performing this function in a proper and satisfactory manner, it is utterly impossible that you should occupy any public position, or enter public life in any manner whatever. You may be about to become a mother, or you may be already a nursing mother; or, if neither, your sex renders you liable to those disabilities, and your mani- fest duty calls upon you to assume them. Therefore your own health, the safety and well-being of your children—in brief, the whole welfare of the human race, and the proprieties generally,—demand that pul- pits, desks, judges' benches, doctors’, lawyers', editors' and other business offices should be vacated by you at once and for ever. Mercantile pursuits are also quite out of your line, though if you choose to engage in them in a humble, small way-turning your front parlor into a little shop, and living, eating and sleep- ing in the rear—you may be permitted to do so, as CAPABILITIES OF WOMEN. 239 you will not interfere seriously with the business pur- suits of the other sex. Be warned in time, madame, and put aside your mad ambitions ; desist from your ruinous courses. If you do not, the next generation will be a race of invalids and idiots. In brief, madame, you cannot smoke here.” The more timid of us immediately hustle out of sight our forbidden cigarettes and return with a sigh to stocking mending. We dare not open our mouths in reply, even if we would; for let a man talk as plainly as he will regarding the duties and functions of the feminine sex, as soon as a woman begins to utter a word in defence, the cry is : “What shame- less immodesty, to discuss so unreservedly such delicate matters !” If, however, she who is thus addressed is a wise wo- man, and not easily frightened, she will quietly pursue her course, stopping only long enough to say, "But you see I can, sir." FEMININE CAPACITY UNFAIRLY DECIDED.This matter--and it is a weighty one, affecting directly the interests, the health and the happiness of one-half the human race, and indirectly the other half-has been decided too long by the theories, and the false con- clusions drawn from false premises, of the sex least in- terested in the matter. WOMEN SHOULD THEMSELVES DECIDE AS TO THEIR CAPABILITIES.—It is time women themselves spoke, and gave evidence, gathered from actual experi- ence, concerning what they can and cannot do. There 240 CAN A WOMAN SMOKE? are plenty of women of action, but these are not always women of words; and while they have been quietly doing, they have been too much overlooked. CAPABILITIES OF MOTHERS.—I am not now going over the ground of the possibilities which women may accomplish who are not bound by domestic ties, or who have reached an age when in the course of nature these bonds loosen of themselves, and who conse- quently can be considered in the same category with the other sex. I am going to pin myself down to the one point of what a pregnant and nursing woman may and can do, and what effect that doing will have upon her health and that of her child. Do not misunder- stand me. When I refer to special vocations, I am not laying down a rule as to what all women must and should do, in spite of conflicting duties, lack of ca- pacity or inclination; only what women may and can do with perfect impunity if they so choose. MUST PREGNANT WOMEN BE STRICT HOME- KEEPERS ?—And to begin with, I would make the assertion that there is little, except severe physical labors, among which I would include the heavier branches of housekeeping—which latter, however, wo- man are generally expected to perform at such times that a woman in ordinary health can do, that can- not be done equally well by a pregnant or nursing wo- man. I will make one exception: a woman under these circumstances cannot and must not be subject to confinement. A woman in ordinary health may, with comparative impunity, keep herself closely to a round BAD EFFECTS OF CLOSE CONFINEMENT. 241 of domestic duties, with no widening of her physical or mental horizon, without any immediately visible effect; though this course will tell in the long run by a physical and mental deterioration. But the woman who is living a double life must not be made a prisoner of in any sense of the word, though the belief is almost universal that at such times she should be strictly a homkeeper. VIOLATION OF NATURE'S LAWS.—Nature is so im- perative in her demands for a wider, more active life at such times that she visits with the severest and most immediate penalties any transgression of these laws. For an enumeration of these penalties the reader has only to turn back to previous chapters, wherein the ordinary sufferings of pregnancy are enumerated. The woman who keeps herself closely confined is punished by sickness, debility and a hundred other ills; and nature, as if in a sort of poetic revenge upon her refusal to take proper exercise abroad, at last makes her so bulky that she can scarcely sustain her own weight, when, consequently, she cannot go out if she would. BAD EFFECTS OF CLOSE CONFINEMENT DURING PREGNANCY.—The mental effects are even worse than the physical. The woman whose horizon is bounded at such times by home duties and home trials, and who abstains from all severe or protracted mental ef- fort, from the belief that such effort will be injurious in her present state of health, soon suffers the penalty of her folly in uncontrollable fretfulness and irritable- ness, low spirits and a complication of nervous disor- 21 242 CAN A WOMAN SMOKE? ders, all of which are set down as the natural accom- paniments of pregnancy, while they are only diseases resulting from avoidable causes. And as in the case of the physical health, nature deals out the same poetic justice by soon rendering the woman mentally incapa- ble of occupying her mind the little even that she would. Read in a previous chapter the description of hysteria and its various symptoms. PARABLE OF THE TEN TALENTS.—It is the old parable, with a new reading, of the servants to whom were entrusted the talents. The one who wrapped his in a napkin and laid it away for fear of losing it was, when the reckoning came, deprived of the little even that he had. PREGNANCY NOT A STATE OF DISABILITY.-It is doing a great injustice to the Creator to believe that He would render the state in which women are or- dained to pass a large portion of their lives one of such positive suffering and disability ; that He would implant in their breasts hopes which must be disap- pointed, capabilities which are never to be used, am- bitions which must systematically be smothered. It is worse than injustice, it is absolute blasphemy, to ac- cuse Him of the evils which we have brought upon ourselves by our own ignorance or folly. CAN PREGNANT WOMEN ENDURE PROLONGED MENTAL LABOR ?–“But women cannot at such times engage in prolonged mental labor," says the physi- cian, armed with the double authority of his masculine wisdom and his medical diploma. A BUSINESS LIFE. 248 I beg your pardon, sir; but as in the case of the smoking, you see we can. A woman's mind is at such times more easily “de- moralized,”—that is, as I have already said, a “will not” soon resolves itself into a “ cannot.” But at such times it is more active, more capable of constant, severe and varied labor, than at any other period. It almost seems that at such times it possesses a double vitality and is capable of double activity. And this mental labor can be indulged in with the most bene- ficial effects upon her health. All that she requires for a counterbalance is an equally thorough rest and recreation, the latter in the open air if possible. A BUSINESS LIFE PECULIARLY SUITED TO A PREGNANT WOMAN.—There is no life so exactly suited to the pregnant woman as one of business. Remember, I am not discussing this subject as a "re- former” or a theorist, but from a hygienic point of view, and my arguments are all based upon facts. Indeed, it was the facts which suggested the arguments. Woman like, I began at the conclusion and reasoned backwards. The hurried, stirring walk or ride in the morning to her “office;" the constant change of faces and impressions; the steady application to business duties; the health-giving exercise on her return home at night; the pleasure which she experiences on this return in meeting the circle of welcoming faces, and narrating and listening to the experiences of the day; the zest instead of weariness which she feels in resum- ing her household tasks,--all render this the life best 244 CAN A WOMAN SMOKE? fitted in every respect for her in her present condition. She is fresh, active, cheerful and even-tempered ; and forgets her bad feelings so constantly and systemat- ically that shortly they disappear altogether. She rests quietly at night, and awakes refreshed in the morning THE HOME-KEEPING WOMAN.—Her neighbor in the same condition, yet in a different state of health, looks on half in envy and half in astonishment, and exclaims : “What a wonderful woman you are to do so much! I am sure it would kill me. As it is, I can hardly And no wonder, poor woman! The monotony of husband, a tolerably patient man, yet not quite a saint, sometimes gets out of patience with her fretfulness and whims, and wonders why a woman should make her- self so miserable in a state which is only in fulfillment of the requirements of nature; her irritableness irri- tates everybody else; and she lives in a world of per- petual discomfort. She is so sick and so miserable! Besides, she is getting so heavy on her feet that she can hardly drag herself about. No wonder sle watches her more fortunate neighbor, who does not seem to mind her condition at all, and who is as cheer- ful and as active as ever. But her eyes are not opened to the real cause of the better health of her neighbor. She believes it is a case of constitutional or organic difference between the two. WHEN TO SEEK RETIREMENT.. 245 ACTIVITY OF MIND AND BODY ESSENTIAL TO A HEALTHY PREGNANCY.—The active life that I have described, even though it may be indulged in but once or twice a week, so that its duties overlap the week and give variety of occupation and food for thought, will be found of exceeding benefit. In such a case there could be no charge of a woman neglecting her family; for surely she might take that much time for the benefit of her health without any one raising an objection. If she were a fashionable woman, or a wo- man devoted to society, no one would question her right to amuse herself for that space. And if she were a working woman, chained to a round of house- hold duties, she would be compelled to neglect her children daily in a hundred ways, which would amount to more in the aggregate than the one or two days a week of brief absence from home which I set down as absolutely necessary for a woman's health and comfort. WHEN SHALL A PREGNANT WOMAN SEEK RE- TIREMENT ?—“But,” I hear being asked on every side by those to whom the whole notion is altogether new, “at what period would you recommend her to give up her public life, and retire to the quiet and seclusion of home ?” . On that day, my dear sirs and madams, that she sends for her nurse, I should consider it advisable that she should remain at home, especially if she have any dread of a public hospital-not one day sooner! "But the impropriety of the thing!" 21 * 246 CAN A WOMAN SMOKE? PROPRIETY vs. POSSIBILITY.-I beg your par- don, I was not discussing the proprieties. If I were in Turkey, I should expect to hear the same objection urged if, on the score of health, I recommended wo- men to go out and breathe the fresh air unveiled, The question of propriety was not referred to in the smoking case—only of possibility; and I insist upon it that we can smoke. Where the absolute requirements of health and the established ideas of propriety seem to come in collision, each one must, I suppose, judge for himself or herself; but to my mind there ought to be but one decision. Our ideas of propriety depend greatly upon custom, after all. And any man or woman who sees anything improper or deserving of ridicule in the appearance of a woman who is performing the natural functions of her sex-functions God ordained, and of the highest and most sacred character-must have a mind grovel- ing in the very depths of pruriency. Women must and do occasionally appear in public in such a condition, inasmuch as we have emerged somewhat from Oriental semi-civilization. And if it is proper for one woman to make a single appearance be- fore the public gaze on an errand of business or pleasure, it is equally proper and allowable for all wo- men to come and go with perfect freedom at the dic- tates of pleasure or business. A single swallow may not make a summer, but the single swallow heralds the approach of summer all the same. When the first Turkish woman has the courage to appear in the FACTS CITED IN PROOF. 247 streets unveiled, and passes unmolested, there is noth- ing to prevent the whole Turkish sisterhood from fol- lowing her example with impunity, if they only have the courage to do so. FACTS CITED IN PROOF.--I shall not be surprised if my declarations, so utterly at variance with profes- sional utterance and accepted belief, are challenged. But I am ready with my proofs. Women have done these things—have done them without detriment to their own health or that of their offspring : have done them with positively beneficial results. I can point to a lady physician, a professor in a medical college, who attended her patients faithfully to the last of her period of pregnancy. In the evening she delivered her regular weekly or semi-weekly lec- ture to the young lady medical students, and before morning was the happy mother of a fine, healthy, promising boy, whose subsequent years seem in no way to belie the promises of his infancy, and who dis- played, when last I saw him, no tendency to the threatened “idiocy or invalidism ” which is to be the normal condition of the children of so-called “strong- minded women." Jennie June (Mrs. Croly) is her husband's most valuable and reliable assistant in the editorial manage- ment of a leading New York paper, and the fashion editress and correspondent of half a dozen more newspapers and periodicals. She asserts that for years she has always been regular in the fulfillment of her duties, and punctually at her place in the editorial 248 CAN A WOMAN SMOKE ? office; and though she is the still young mother of a large family, has never on any occasion been absent from her post more than three or four weeks at a time. Though she does not coincide with me in all my views, I think her conservatism is the result more of à want of faith in the capacity and adaptability of wo- men in general than from any conscious remissness in domestic duties on her own part. I think I might safely trust her to give testimony that her health has never suffered from this tax upon her energies, or that her children are less intelligent, less well behaved or less healthful for it. And we all know her to be a woman of superior intellect, enlarged ideas and ear- nest thought-in brief, a woman in every respect a credit to her sex; such a woman as never becomes de- veloped in the confined home life in which it is the lot of the majority to live. There is Marian Harland (Mrs. Terhune), the novelist, too, a woman of more than ordinary intelli- gence and cultivation, an indefatigable worker with her pen, the happy, proud and willing mother of a bright and interesting family, and the author of a cook-book which shows that she has found time, in the midst of a multiplicity of literary duties, to give attention to domestic matters in a way to profit not only herself but others also. ACCUMULATION OF EVIDENCÉ UNNECESSARY.—1 might go on multiplying instances of women whose lives contradict the theory that seclusion and compara- tive idleness are the natural and best states for a woman PERSONAL EXPERIENCE. 219 through her child-bearing period. But I will not, for I believe my case is sufficiently strong. I would pause here, without giving my own evidence in con- clusion, did I not believe, as I have already said, that the experience of a single woman is worth volumes of abstract theories. PERSONAL EXPERIENCE.—A few years since I became actively engaged in literary life. By "actively," I mean that I was obliged, by the nature of my en- gagement, to be present in the editorial office, and take more or less active charge of affairs, two or three days in a week. Not long after I began this life, I found that I was in a condition from which I then feared-schooled as I was in all the old ideas in re- gard to the matter, and with an active memory con- cerning my extreme physical and mental disability on all former occasions—that I would have to cancel my engagement. I regretted this deeply, as the employ- ment was so entirely to my taste. However, I resolved to retain my position for a few months at least, as long as my health permitted. I went to the office, eight miles distant from home, by carriage, boat, and on foot through the city, punctually, three times a week; getting up in the morning, get- ting breakfast, and putting things to rights before I started at eight o'clock. Returned at four P. M., after which I had the six-o'clock dinner to get. On the alternate days at home I wrote, translated, read and corrected manuscript, answered letters, examined books, and gave personal and close attention to a large ex 250 CAN A WOMAN SMOKE? change list—all this in addition to being housekeeper, seamstress and teacher to a family of young children. In the course of the summer the editor-in-chief took a six weeks' holiday, and during that time I had en- tire editorial and partial business management of two monthly publications, while I performed my allotted duties on two others with which I was connected. I read proof, attended to the whole correspondence and advertising business, saw printers and engravers, and callers of every character; performing all these duties, as I trust, thoroughly and satisfactorily. Time wore on, and I waited patiently for my health to fail me, but, strange to say, it refused to fail. This was probably the busiest season of my life, physically and mentally; but I persisted in feeling better and stronger, more energetic and more ambitious to work, from first to last. Every week I expected would be the last one that I would be able to attend to my duties; but I felt so much better all the time, and es- pecially on my business days, that the time was con- stantly delayed after which I was to go no more. The time came at last. It was Tuesday, and before the next day came round for my regular visit to the city I lay in bed with a babe beside me. I had walked, I had ridden, I had carried heavy baskets and packages of books and papers. In no way did I try to spare myself either physical or mental exertion. Contrary to the prophecies of chose over-wise people, my confinement, which on pre- vious occasions had always been exceptionally severe, PERSONAL EXPERIENCE. 251 was easy in comparison, and my illness of short dura- tion. It was but little more than a week before I was site ting up in an easy-chair writing and arranging the monthly record of fashions. And on the tenth day, instead of being just allowed to rise from my bed, only to go back again exhausted and the worse for the exertion, as had been my best experience on previous occasions, I walked from my bed-room to the carriage, took a short ride, paid a visit to a sick acquaintance, and returned home all the better for my exertion. Exactly four weeks from the day of my last visit I was back in my place in the office. The day was a stormy one, and surprise and remonstrance at my ap- parent recklessness preceded congratulation from every one I met. But I knew perfectly well what I was equal to, and the venture did me—not harm, but- positive, evident, undeniable good, and the little strength I still lacked seemed to come back with re- newed impulse. “But your poor babe !" My “poor babe” was the best, the quietest, the healthiest babe ever borne into the world. As a little child she is now bright and active beyond her years (though displaying no particular precocity, I am happy to say), a perfect little woman in behavior, depending on her own resources for amusement, always busy, yet singularly free from any propensity toward mischief, She flits about the premises in and out of doors all day long, talking to the birds, chickens and insects, never 252 CAN A WOMAN SMOKE? cross or fretful without reason, and without a suspi. cion in her little soul that she is proving a largs class of people the falsest of prophets, in not being dwarfed or warped intellectually and physically, as a punishment to her mother in violating all old-estab- lished rules before she was born. Does the reader wonder that I am a convert to the theories this book propounds? Under the old régime there was no misery of a pregnant woman that I did not suffer to the utmost. Under the new, of my own establishing, such a condition is robbed of its greatest terrors. At such times I feel as well, as happy, as cheerful and as hopeful as ever; I keep as busy, and my mind is more than ever active. Can any better experience be required? If the change were not so marked, it would not be so signifi- cant. But it is radical and entire, and the results are not one of them as predicted, but all in every respect satisfactory. THE NEGLECTED BABIES. There is one oft-re- peated cry which I have not yet referred to: “Who will rock the cradle while the mother is thus absent from home ? Babies born under the new régime do not need to have their cradles rocked. As for the babies (bless them !) ever being neglected, there is no more danger of that than there is that wo- men, as a whole, or even a small proportion of them large enough to form a class, will forswear ruffles and ribbons and bows, become indifferent to the fashions, DOES MARRIAGE CONTRACT WOMAN'S SPHERE? 253 or neglect to look in the glass whenever they put on their bonnets. INTELLECTUAL RETROGRESSION AFTER MAR- RIAGE.—I knew a certain woman who married a man with whom she was at least intellectually equal, if she was not his superior. The years passed on and family duties were pressing upon her, when she said despond- ingly, "I can see that my husband is making intellect- ual and moral progress every day, while I-I am not even standing still; I can feel that I am constantly losing ground.” RETROGRESSION INEXCUSABLE.—There are many, many women who could make the same bitter lament. But the fault lies somewhere, usually with themselves, though of course thėy are not conscious of this. They are Marthas, neglecting the better part, while they are fretting their lives away over little things. No woman is just to herself, to her husband, or to her children, who allows herself passively to drift back- ward intellectually.. DOES MARRIAGE CONTRACT A WOMAN'S SPHERE? -There is an almost universal belief that marriage and the cares of a family necessarily contract a wo- man's sphere, narrow her outlook and bring down the horizon of her life to the bounds of domestic duties alone. One of the greatest objections urged against women entering public vocations is that of a necessity they deteriorate mentally in the capacity of wife and mother, and cannot keep pace with their less ham- pered male companions and rivals. Marriage, if the 254 CAN A WOMAN SMOKE? opportunities it offers are rightly improved, never does this. It gives a woman broader views of life and more valuable experiences. It is the college to which all her previous life is but the preparatory school. It gives her the capacity for deeper thought, richer af- festions and more extended influence. In it there is no need for retrogression, no excuse even for a pause in mental and moral progress. And all this, instead of unfitting a woman for maternal duties, will render her more deeply sensible of the obligations resting upon her and more capable of fulfilling them. THE AFTERNOON OF LIFE.—The woman who has attained the full stature of womanhood looks for- ward to advanced life, not as to a period when, all her work done, she can sit down quietly in the chimney corner, and in the respected capacity of grand- mother employ her hands with knitting and her mind and tongue with trivial gossip. She looks forward to it as a period when, her mind in the full tide of its vigor, her affections ripened and chastened, and her experiences complete, she will be ready to resume her life-work with renewed energy. She gathers in declining years the rich harvest of life—not a harvest to be garnered in idleness, but with active, earnest labor which will only cease at the command of the great reaper, Death. She may never reach all this. Health may fail. Death may intervene. But this is what the conclue sion of a woman's life should be—what it can be. GENERAL DISEASES OF WOMEN. FALLING OR DISPLACEMENT OF THE WOMB. Falling of the womb is a complaint to which women of all ages, both married and single, are subject. It may prostrate a young girl who has just reached ma- turity; it may make the life of the wife and mother wretched; or it may attack a woman past the child- bearing age and render the remainder of her existence a weariness, if not a torture. DESCRIPTION OF THE WOMB.—The womb, uterus bladder in front and the rectum at the back. It bears a resemblance both in size and shape to a moderately large pear. The cervix or neck of the womb is small, and gradually enlarges to the fundus or upper part. Out of this part proceed the Fallopian tubes, two pas- sages or ducts about three inches in length at the ends of which are the ovaries. It is through the Fallopian tubes that the ovaries pass during the monthly sick- nesses. The womb is held in its place by broad liga- ments extending to each side. When these ligaments weaken from any cause and give way, the womb, be- ing no longer held in place, falls into some improper position. 255 256 GENERAL DISEASES OF WOMEN. VARIOUS DISPLACEMENTS OF THE WOMB.—The womb may incline too far forward, when it is called ante-version; or båckward, when it is called retrover- . sion. It may incline to either side, or it may descend low down in the vagina. Again, it is subject to in. version, and may come into full view outside the vagi: nal passage. CAUSES OF FALLING OF THE WOMB.—One of the most frequent causes of prolapsus uteri is an im- proper mode of dress. Tight lacing, with the bones of the stays pressing upon the abdomen, can hardly fail to more or less derange the uterine system. The weight of heavy skirts suspended from the hips, and necessarily bringing great strain upon the abdominal muscles and viscera, is another certain cause. Too hard physical labor, by bringing too great a strain upon the muscles of the back, chest and abdomen, is another prolific source of suffering in this direction. On the other hand, a too idle, luxurious life tends to relax the muscles of those parts. A fall or sudden exertion may bring on the indications of this disease in one who has hitherto been free from it. Constipa- tion, with the consequent pressure upon the uterus of the distended recțum, and the straining at stool, is certain, if long continued, to produce falling of the womb. An over-distended bladder, occasioned by long retention of urine, will produce the same result. A difficult or ill-conducted delivery is one of the most frequent causes; so, also, a too greatly hastened convalescence. Though I do not believe it is absolutely SYMPTOMS OF FALLING OF THE WOMB. 257 necessary to remain for a long period in bed after de- livery, especially if the woman feels able to get up; still, no woman should ever return to the full care of her household in less than one month, and, in cases on extreme weakness and debility, a still longer period of exemption from hard labor is necessary. It requires one month at least to restore all the disturbed organs to their proper places, reduce the womb to its proper size, and bring strength and vigor back to the muscles. SYMPTOMS OF FALLING OF THE WOMB.—The physical and mental symptoms attendant upon dis- placement of the womb are numerous and varied. Some are common to all sufferers from the complaint; others, though frequently encountered, are not always experienced. There will be a heavy, dragging sensa- tion in the lower part of the abdomen and about the hips and loins; pain and weakness in the small of the back, sometimes so great as to prevent an upright position; weariness and difficulty in walking; painful menstruation ; leucorrhoea or whites; a tired feeling amounting to actual pain at the back of the neck, as though the head had been long bent in an unnatural position; a dragging sensation at the root of the tongue, as though all the organs of the chest were banging by their weight upon it; sometimes a fre- quent desire to make water without the ability, and a pressure upon the rectum producing feelings resem- bling a slight tenesmus. The sufferer is only comfort- able in a recumbent posture. She is affected by low or variable spirits; will be of an uneven temper; and if 22 * 258 GENERAL DISEASES OF WOMEN. of a nervous organization, easily excited and as easily depressed. Hysteria, in some one of its many forms, may develop itself. MODE OF TREATMENT OF FALLING OF THE WOMB.–Falling of the womb is not difficult to cure if treated in season. Unfortunately, many women suffer for a long time without having a suspicion what is the matter with them. First of all, the stays should be discarded and the clothing loosened about the waist. The skirts must be few and light, and worn with suspenders or waists to relieve the hips, abdomen and back of pressure and weight. Second, if the remodeling of the clothing does not abate the bad symptoms, the womb must be restored to and held in its proper place by the use of a pessary. This must be first adjusted in the vaginal passage by a physician, who should see that it fits properly. The patient must learn to put it in and take it out herself, as it should be frequently removed and replaced. Third, some tonic is required to strengthen the system and bring it up to the proper degree of health. Diet and exercise may do much to- ward this, but medicine is also required. Iron in some form is frequently prescribed, and is, no doubt, benefi- cial; of the muriated tincture of iron twenty drops is a dose, taken in a little water. In taking this medicine it should not be allowed to touch the teeth more than can be avoided. Huxham's Tincture of Bark I have found excellent, and I would recommend it in prefer ence to iron. ABDOMINAL SUPPORTER. 259 FALLING OF THE WOMB SOMETIMES INCURABLE. -- Where falling of the womb comes on after the turn of life, the use of a pessary may not effect a cure, but it is, after all, the only means of relief. The ligaments which support the womb have then become weakened, and will never regain their strength. ABDOMINAL SUPPORTER.—Those who are still in the first stages of this disease may check its progress by the use of a bandage or abdominal supporter, a dia- gram of which is given below. Those also in whom the disease has been found incurable will derive com- fort from its use. This bandage should be thirty-one inches across the top and thirty-six inches across the bottom. It should be seven inches in length on the front edges, nine inches from top to bottom of the back and three inches at the side seams. (It will, of course, be under- stood that the measurements here given are only de- signed to indicate the relative proportions of the band- age. In practice, the actual measurements must be made in reference to the size of the person who is to wear the bandage.) This bandage should be made of two thicknesses of duck, and be fastened in front by lacing with a strong cord. The dotted lines indicate the shape and position 200 GENERAL DISEASES OF WOMEN. of pieces of stiff leather which are to be stitched in, If the womb makes its appearance outside the vagina, there should be buttons at the places indicated, and straps crossing each other fastened from front to back, for the purpose of holding in place a cushion which will press upon the orifice of the vagina and prevent the descent of the womb. The bandage should be put on well down over the hips. This bandage may be worn by a woman just re- covering from confinement until she has acquired her customary health and strength. BAD EFFECTS OF CONSTANT USE OF BANDAGE. —Those who have little or no hope of cure of their troubles may wear this bandage all the time if it af- fords them any relief. But young women, and those in the first stages of the disease, had best make only occasional use of it, putting it on perhaps when they feel more than ordinarily uncomfortable, or when they are about to make any extra exertion. This bandage will not cure falling of the womb. It will alleviate the suffering from it, but the disease still' remains; and if the bandage is worn constantly, it is sure to ag- gravate the complaint. By its constant use, the mus- cles of the abdomen, being no longer obliged to act in their natural capacity, become, in course of time, hope- lessly debilitated. PATENT BRACES AND ABDOMINAL SUPPORTERS. -Let every woman suffering from “female weak- ness” scrupulously avoid the use of braces and ab- dominal supporters made of horn and metal, which LEUCORRHEA, OR WHITES. 261 are so widely advertised and for which so much is promised. The metal of which they are made be- comes heated by contact with the body, and renders their constant use even more disastrous in its results than that of the cloth bandage. PREGNANCY SOMETIMES A CURE FOR AFFEC- TIONS OF THE WOMB.—Sometimes pregnancy alone will work a cure for affections of the womb, and a woman who has suffered before she became a mother will, if she pass through parturition safely and pro- pitiously, and does not injudiciously hasten her con- valescence, find herself afterward completely restored to health without any medical treatment whatever. ULCERATION OF THE WOMB.—If a woman is sensi- ble of soreness and a dull pain in the locality where she supposes her womb to be, accompanied perhaps with whites and many of the symptoms of prolapsus uteri ; if, in case she is married, cohabitation is at- tended with more or less suffering, ulceration of the womb may be reasonably suspected. This requires the attention of a physician, who can only ascertain the true state of the case by the use of the speculum. If attended to in time, it is easily cured. LEUCORRHCA, OR WHITES.--Leucorrhoea, or whites, also called fluor albus, is a discharge peculiar to deli- cate women who are suffering from some form of “fe- male weakness.” It is the result of an inflammation of the inner surface of the womb, and is regarded by most authorities as a disease in itself, and treated as · such. Yet I am inclined to believe that it is not a 262 GENERAL DISEASES OF WOMEN. separate and distinct disease-only a symptom of some other disease. That it is almost invariably present in all forms of female weaknesses is admitted; and when there is no actual disease recognized, I think whites may be regarded as an indication that there is more or less weakness and disorder, which, if unattended to, will result in disease. Whether, however, the whites are considered as cause or effect in the category of female troubles, the remedies suggested will be equally efficacious. Ex- treme cleanliness of the parts of generation—by the means of baths and injections—is imperatively called for. An injection of green tea may be used with much benefit. Four or five grains of sugar of lead in three or four tablespoonfuls of rain water will also be found excellent in mild cases. White vitriol in about the same proportions is also used to advantage. So is also a decoction of oak bark or of nutgalls. In con- junction with these washes, strengthening medicine should be used. Young girls approaching puberty are frequently subject to whites. In their cases this symptom needs no medical treatment whatever, as it simply indicates the approach of menstruation. When that is fully established, it will disappear. DISEASES OF THE RECTUM AND ANUS.—Though men as well as women are subject to diseases of the rectum and anus, the latter are especially liable to them. The weight of the womb bearing upon these parts during pregnancy will frequently cause them. REMEDIES FOR PILES. 263 Ignorance or. carelessness during delivery and subse- quent confinement will often produce them. The principal disorders of these organs are piles, fissure of the anus and fistula. Of the latter I shall say noth- ing, as it is so serious a trouble that it absolutely re- quires the attention of a physician. PILES.—Married women are especially subject to piles, though men are by no means exempt. If means are not early taken for their cure, they may become fixed in their character, and torment one for a life- time. In a previous chapter I have described their symptoms and treatment. A severe delivery without proper protection of the anus is one of the most fre- quent causes of piles. Then the common use of castor oil and other purgative medicines during confinement can hardly fail to increase the tendency toward piles. At that period all the parts in the neighborhood of . the generative organs partake more or less of the weakness and debility of those organs, and are conse- quently exceedingly liable to affections. The woman after her confinement, if she suffers any pain or diffi- culty in this region, should be on her feet as little as possible, though a certain amount of fresh air and ex- ercise is necessary to bring her system up to that state which shall render it less susceptible to disease. Fre- quent bathing of the affected parts in cold water should also be resorted to for the same purpose. REMEDIES FOR PILES.—An ointment made by simmering the bruised leaves of the Datura stramonium or Jamestown weed in lard or fresh butter and adding 264 GENERAL DISEASES OF WOMEN. a little laudanum to it will, if applied to the affected parts, often afford speedy relief. Steaming over bitter herbs, or a sitz-bath in a hot tea of these herbs or of raspberry leaves, will relax the parts, allay irritability and reduce inflammation. The sufferer should always make use of a suppository either obtained at a drug- gist's or cut from mutton suet, before having a move- ment of her bowels. FISSURE OF THE ANUS. This is a trouble differ- ing from, yet similar in its causes and treatment to, piles. It is the result of constipation combined with tenderness, weakness and semi-inaction of the rectum and muscles of the anus. The bowel is inclined to protrude the same as in piles, and the membrane which lines it tears or cracks. This fissure becomes irritated and inflamed from the frequent passage of the foeces over it. If constipation continues, the fis- sure is constantly enlarged by the consequent strain and stretching. The muscle surrounding the anus, called the sphincter muscle, becomes subject to spasmodic contractions causing the most intense pain. In severe cases these contractions, with the attendant pain, will continue for a large portion of the time. The woman cannot remain on her feet more than a moment at a time, nor can she keep any position long. Walking especially aggravates the misery. SYMPTOMS OF FISSURE OF THE ANUS.–Fissure of the anus, unlike piles, disposes the sufferer from it to desire a hard seat rather than a soft one. In case of fissure, during the passage of the foeces a sharp, tear- TREATMENT OF FISSURE OF THE ANUS. 265 ing sensation is experienced in the anus, and severe pain follows the stool. During this pain, in trying to pass the finger up into the rectum, the muscles will be found tightly and rigidly drawn, so that the finger cannot be forced through. TREATMENT OF FISSURE OF THE ANUS.—The constipated state of the bowels must be remedied at once; for unless that is done, all attempts at cure are useless. A diet of brown bread and fruit-apples cooked and uncooked-with an abstinence from meat and pastry, and all articles of a stimulating or binding nature, will bring the bowels to a proper state quickly and effectually. The usual method of medi- cal treatment is to partially sever the sphincter mus- ·cle in order to prevent the contractions and relieve the pain. In severe cases this may be necessary; but if a fissure receives proper attention in its early stages, . I think the use of the knife may be dispensed with. Let the parts be kept scrupulously clean by careful bathings in warm water after every passage of the bowels, in order that no acrid matter may remain to irritate the fissure. Sitting over a vessel containing hot herb or raspberry leaf tea so full that the hot tea shall touch the affected part will give great immediate relief and help toward effecting a cure. Suppositories may also be used before each stool to cool and lubri- cate the rectum or lower bowel and reduce the chances of irritation and tendency to inflammation, Frequent cold baths will be advisable to bring back the parts to a state of health and strength Whether 23 266 . GENERAL DISEASES OF WOMEN. the sphincter muscle is severed or not, this course of treatment is equally necessary. Carriage-riding will be found of the utmost benefit in this trouble, as it gives the required exercise without necessitating the sufferer to be upon her feet. Anointing the affected part with a mixture of glycerinc and tannin will speedily cure the fissure. After that the stramonium ointment recommended in piles will afford relief from the pain and soreness. THE MENOPAUSE OR CHANGE OF LIFE.—In a wo- man's life there comes a time when she is released by nature from the functional duties of motherhood. This period occurs somewhere between the fortieth and fiftieth years ; rarely either later or earlier. The ovaries no longer produce ova, and the menstrual flow ceases. There is a change in the woman's ap- pearance, and frequently in her health. BEST YEARS OF A WOMAN'S LIFE.—When she has lived carefully and judiciously during her pre vious life when she has passed through the years of · her motherhood wisely and well, preserving her health and husbanding her strength—this period should be approached without apprehension. Once safely passed, the years that follow it ought to be considered the most precious and useful of a woman's life. At forty- five a man is in his prime. At the same age so ought : also to be a woman, with vigorous health, intellect cultivated and energies unimpaired. She ought not to expect to be called away by death for long years to come, and these years should be full of active work. WASTED OLD AGE. 267 The woman is now released from home duties. There is no longer a baby to cry, or little ones to cling to her and keep her a willing or unwilling prisoner within home bounds. The years of motherhood, if she has improved them rightly, have been years of deep and earnest thought and of valuable experience. They have been the school of her life, and she is now called upon to make use of the knowledge she has acquired. She may go out into the world; she may confine herself to society or the church; or she may not go beyond the limits of her own home-circle; but wherever she is, she should be an active worker and a wise and prudent counselor. WASTED OLD AGE.—If, on the other hand, the girl's entrance into woman's estate was signalized by pain and suffering; if child-bearing has been torture and motherhood weariness; if in the spirit of self- sacrifice she has considered the wishes or even the comfort of her family before her own imperative physical and mental needs, and has thus been spend- thrift of the vitality and energy of a lifetime during the years of wifehood and motherhood—then she may well approach the critical period of the change of life with fear and trembling. Nature is an inexorable creditor, and will demand payment of all debts in- curred to the last penny. In this case she can only look forward to a premature old age; a time in which she must sit for long years in the chimney-corner, knitting perhaps, or dandling a grandchild; growing weak and querulous; the gossip of the neighborhood 268 GENERAL DISEASES OF WOMEN her only intellectual food, its scandal her greatest es citement. She can look forward to an early approach of second childhood, and know that, unless her chile dren possess more than an ordinary amount of filial affection, she will sink at last into an unwept grave because “she had so long outlived the period of her usefulness.” The picture is a gloomy but a true one in many cases As the sufferings and perils of approaching puberty and maternity are the undoubted results either of organic deficiencies or of some violation of natural law, so these same causes will operate to make the second great change in the life of a woman painful and dangerous. SYMPTOMS OF CHANGE OF LIFE. — When the period of the change of life is at hand, the menstrual flow may suddenly cease and never again appear; or it may become irregular, going and coming at greater intervals of time. It may be more scant than usual, or it may come on with flooding. The woman may experience the symptoms of pregnancy, and for some months believe herself in that condition. She may be subject to flushes of heat followed by chilliness; palpitation of the heart, pains in the back and loins, even symptoms of hysteria. It may be well for the woman to place herself under the care of a physician, but there is little to be feared. Even the flooding need not be checked unless it be too profuse. It is only an effort of nature to avert the evils which re- sult from plethora. Sometimes, instead of flooding, there is frequent bleeding at the nose, or even spit- DISORDERS INCIDENT TO CHANGE OF LIFE. 269 ting of blood. These result from the same cause, and one in no wise dangerous. The nervous and mental systems may become de- ranged in sympathy with the physical changes going on. Serenity of mind and patience should be striven for, and there should be no giving way to morbid apprehensions. TREATMENT FOR THE DISORDERS INCIDENT TO CHANGE OF LIFE.—The reader will probably smile when I give my own invariable prescription for all the ills which female flesh is heir to-namely: careful diet, exercise in the open air, and occupation. If the woman is of full habit, she should at once subject her- self to the plainest and most sparing diet—a diet dif- fering little from that to be used during pregnancy. She should abstain from meat, from rich food of all kinds, and especially from wine, beer and other stim- ulants. On the other hand, if her system is debili- tated, her food should be nourishing in character, and tonics may be used with advantage. A spice plaster on the pit of the stomach may re- lieve unpleasant sensations, or “goneness,” there; and a teaspoonful of aromatic spirits of ammonia diluted in water and taken internally will probably restore equilibrium to the nervous system. The pains in the back and loins can be allayed by applications of hot mustar' water, or laudanum and water. Certain diseases are more liable to develop them- selves at this period than at any other. A woman who has been careless and injudicious in regard to 22 * 270 GENERAL DISEASES OF WOMEN. her health, and who has worked too early and too hard during motherhood, need not be surprised if she finds herself a victim without apparent cause to pro- lapsus uteri. The muscles and ligaments of the womb, if they have been overstrained, relax entirely at this period, and prompt medical assistance can alone pre- vent her from being a sufferer to the end of her life. Cancers and tumors of the uterus and breast are more liable now to develop themselves. Where their existence is suspected, medical advice ought at once to be sought, as they can sometimes be arrested or re- moved in their early stages. However, these affec- tions are not so common that women need give way to fears until there are actual indications of their presence. Fraught as this period of life seems to be with danger and difficulty to women, it is, after all, more so in seeming than in reality. Statistics of mortality prove that more men than women die between the ages of forty and fifty. So that the period of change may safely be regarded only as a few months of in- convenience at worst. At best, and according to the intentions of nature, it may signify nothing at all save the opening of the doors of life into improved and thoroughly established health, with in no wise decreased faculties for enjoyment, and with enlarged opportunities for usefulness. CHAPTER XVI. MANAGEMENT OF AN INFANT. THE BABE'S FIRST BATH. Take the babe upon the lap, and keeping it well covered except the part being washed, commence by greasing with lard the head, ears, creases of the neck and other parts where the white slimy matter shall have accumulated. Then, with a soft rag or sponge, wash carefully with warm water, using freely of white castile or glycerine soap to remove the grease. If there is much slime, it is not absolutely necessary that it should be all re- moved at once. The red rash which is frequently seen on new-born infants is the result of too vigorous soaping and rubbing. A second or third washing will remove whatever remains. WASHING THE BABE IN WHISKY.—The use of whisky in the first bath of an infant is not only un. necessary, but absolutely wrong. I have not only seen it used, but a few teaspoonfuls of sweetened whisky and water given to the child at the conclusion of the path to induce it to sleep. I cannot believe that a babe should spend the opening hours of its life in drunken stupor, and this is what the whisky bath and dose amount to. THE BABE'S FIRST TOILET.-The first article to put 271 272 MANAGEMENT OF AN INFANT. on the child is the band. This should be of soft, fine flannel, and must be smaller around the lower edge than around the upper one, to fit the natural shape of the body. Before putting on the band take a piece of old cot- ton about four inches square, fold it four double, cut a hule in the middle of the folded piece, grease the cloth, and through the hole put the navel cord, after examining it to see that it is securely tied. Fold the lower edge up, and then over this cloth place the band, fastening it behind. The band should be only long enough to go once around the body. The band should be loose enough to allow full and unconstrained free- dom to all the organs of the chest. Diaper and stockings come next, and then the shirt, which latter should be of fine linen. The flan- nel petticoat should be made with sleeves or straps, and buttoned (never pinned) loosely, so that there will not be the slightest compression about the waist. A loose, long-sleeved night-gown, gathered and fastened at the neck with a string, completes the infant's first toilet. Then, with a blanket wrapped about its shoulders, and brought well up about its head, the child is ready to be put in bed with its mother. SEPARATION OF THE NAVEL CORD.—It is best to defer the second washing and dressing of the infant until after the navel cord conies off, which will prob- ably be in from four to seven days. It should in no case be hurried, but be left to take its time. Let the examination of the cord be made with the utmost care, lesi it be loosened and torn away before it is ARTIFICIAL FOOD FOR THE BABE. 273 quite ready to come off. When it is found detached, tear a small square of the old handkerchief already mentioned as one of the contents of the baby's basket, and greasing it with mutton tallow, lay it over the navel, to cure what soreness and tenderness may still remain' there. If the navel looks red and sore, dust it daily or oftener with potters' clay. A few days will make it quite well. POTTERS' CLAY. - Potters' clay is indispensable in the nursery. Not only is it of use in curing an in- flamed and raw navel, but it is an article of daily need. If soreness and rawness are found in the child's groins, in the creases of its neck, under its arms or behind its ears, a frequent dusting of potters' clay will heal the affected places. It can be obtained ready prepared of most druggists. FOOD FOR THE NEW-BORN BABE.—The only food the new-born babe requires is its mother's milk. The first milk which the breasts contain is called colostrum, and is purgative in its character, and will clear the child's bowels of the meconium or tar-like substance with which they are filled previously to birth. Never under any circumstances give the child anything else, until that has been thoroughly tried and found insufficient; never in any case take any measures with the babe without a consultation with and the consent of the mother. ARTIFICIAL FOOD FOR THE BABE.—If, as some- times occurs, the milk comes very slowly for the first day or two, and the child is a healthy, vigorous one, 274 MANAGEMENT OF AN INFANT. and seems to fret with hunger, then the best and the only allowable food for it is made by taking a little cream adding about three times its quantity of warm water, and sweetening slightly with white sugar. If cream cannot be obtained, milk will do, though it is not so good, and less water must be used. Feed the child, with either spoon or bottle, small quantities at a time, until its hunger seems appeased. SHALL THE MOTHER NURSE HER BABE ?-If a woman is able to nurse her babe, it is far better that she should do so. In some cases the matter is not optional, as her milk gives out at the end of a few weeks, and no effort will retain it. If the woman is liable to such a loss of milk, the more active her life, the longer she will be able to nurse her child. By activity I do not mean performance of hard labor, which, by its tax upon the system, is more likely to lessen the flow of milk than to increase it. It is far better for the babe to be nursed by its mother than to be brought up in any other manner; and I need not say to any mother that it will be far more satis- factory to her. USE OF MALT LIQUORS BY A NURSING MOTHER, -Let no nursing mother be induced by physician or friend to drink porter or ale to increase her flow of milk and give her strength. It is, in my opinion, feeding the babe on poison. And if, unfortunately, the child has any hereditary tendency toward a love of strong drink (and such traits are undoubtedly transmitted by inheritance), this course is actually CIRCUMSTANCES FORBIDDING NURSING. 275 fostering the tendency, so that it will be all the more likely to develop itself in after years. A babe fed on such nutriment will often accumulate fat. But this accumulation is not a sign of health, even if, in ordi- nary circumstances, extreme fatness is desirable in an infant, which I very much doubt. Such a child is more liable to sickness than another, and will more readily succumb to it. How A NURSING MOTHER SHOULD OBTAIN STRENGTH.—There are other ways than this for a mother to obtain strength. More nutritious food, more exercise in the open air and less hard work will generally be found quite as apparently beneficial in their results as the use of porter and ale, and far more so in reality. CIRCUMSTANCES FORBIDDING FURTHER NURSING OF A BABE.—When a mother finds herself again pregnant, she should immediately discontinue the nursing of her babe. Most women continue nursing as long as possible, seeing no harm to any one but themselves, and believing that, as long as their strength permits, they are justified in this double drain upon their systems. But as bad as such a course is for a woman, it is still worse for one or both babes. The mother's milk no longer possesses the same nutritive properties, and one or both chil- dren are very liable, in consequence of this double drain upon the mother, to be weakly or even to de- velop rickets, the traces of which, though the disease itself be outgrown, they will probably bear to the end 276 MANAGEMENT OF AN INFANT. of their lives in some deformity more or less un- shapely. Mothers are ignorant in this matter, and it is something that seldom comes to the knowledge of a physician until too late for remonstrance. Many a mother has mourned over the weakness and deformity that she herself was to blame. SUITABLE WET-NURSE.—If the mother finds it impossible to nurse her babe, a wet-nurse whose con- finement corresponds as nearly as possible to her own is the best substitute. Cow's MILK FOR A BABE.—Wet-nurses are, how- ever, beyond the means of many people. The next best thing is to obtain fresh cow's milk from a cow re- cently come in.” (The milk should be from one cow.) Cream is better than milk, but it is not always attain- able. Milk should be used at the first in a little more than an equal quantity of water, the whole slightly sweetened. As the child increases in age the water may be diminished, until at last it is omitted alto- gether. NURSING BOTTLE.—An ordinary glass bottle hold- ing from two to four ounces, and with a top small enough to allow a rubber nipple to go over it without tearing, will serve every purpose of a nursing bottle. Do not on any account obtain those patent affairs with long rubber tubes. They are convenient inasmuch as they allow the child to nurse without the necessity of holding the bottle to its mouth. But there is no possible way of keeping the rubber tube clean; and CARMINATIVES AND SOOTHING SYRUPS. 277 the coating of milk in various stages of decomposition which must of vecessity cling to its sides, and through which the infant's food must pass, cannot fail to make that food unwholy some and cause derangement of the child's stomach. . FAILURE OF TRE BABE TO MAKE WATER.-If the babe should nur pass its water for a day or two following its birth, no apprehensions need be felt. But if a longer timu should elapse, it may be well to administer to it a little watermelon-seed, pump- kin-seed, or flaxseed wea, either of which will prob- ably produce the desired effect. COLIC AND ACIDITY OF THE STOMACH.-If the babe seems to suffer from colic and acidity of the stomach and bowels, a quarter of a teaspoonful of pulverized slippery-elm bark, thoroughly mixed with sugar and added to the milk with which the babe is fed, may give relief. CARMINATIVES AND SOOTHING SYRUPS.-Do not on any account give carminatives or soothing syrups of any kind whatever to an infant, no matter how widely they may be advertised or how universally recommended. They all contain opiates, and are un- qualifiedly injurious to the child. Nor can the direct use of opiates be condemned in too strong words. The mother who gives her babe paregoric or lauda- num in any form is administering a deadly poison, which, if it do not result in early death, is sure to injure the constitution and ruin the nervous system of the babe. 24 278 MANAGEMENT OF AN INFANT. HOW OFTEN TO NURSE A BABE.—Do not nurse or feed a babe too often. Once in an hour and a half is often enough to put a new-born infant to the breast, and as it grows older the time may be slightly ex- tended. Children sometimes cry from other reasons than hunger. Their clothing may be uncomfortable in some manner; or they may be tired of the position in which they are lying or sitting, and want a change; or they may have been spoiled from too much holding (no one but a mother knows how early a babe can con- tract bad habits in this respect), and may object to lying unnoticed in their cradles, and want to be taken up in arms. GENERAL MANAGEMENT OF A BABE.—The rule for a mother of a healthy infant to adopt is that it is best both for herself and her child that it shall give her as little trouble as possible. A babe should sel- dom be in arms except to have its wants attended to. It may be sometimes taken up for a change, but these times should be exceptional ones. It should be ac- customed to be laid down awake in its cradle, and to go to sleep of itself with little or no rocking. It should acquire the habit of going to sleep for the night at an early hour in the evening, and of remain- ing quiet, with the exception of being nursed twice perhaps, until morning. This last is one of the most important of rules, for it leaves the evening and night free for the tired and perhaps overtaxed mother. PERSONAL EXPERIENCE WITH A FAMILY. I am giving all these directions concerning the management IMPROPER FEEDING OF A BABE. 279 of infants, not from a theorist's standpoint, but from actual experience with a large family of as happy healthy, well-behaved infants as any one could desire --infants concerning whom it has been repeatedly said, when necessity or inclination called me away from them for a few hours, that they gave so little trouble and were so quiet that one would never have known there was a baby in the house. TRUE KINDNESS TO A BABE.—It is not cruelty to treat a child thus. It is the very best of kindness. It saves the mother, the child and everybody con- cerned a great deal of trouble. It is, besides, begin- ning the education of the infant from its very birth, and after it gets old enough to play and notice things throwing it upon its own resources for amusement and teaching it to be self-dependent and self-reliant. IMPROPER FEEDING OF A BABE.—Another thing of the utmost importance in the management of an infant is never to feed it anything beyond its regular milk food until it is nearly or quite a year old, or until teething has well commenced. The results of a lisregard of this rule are everywhere seen in fretful infants whose bowels are constantly out of order, who are subject to attacks of summer complaint, and who suffer severely, and even lose their lives, in teething. Children who are thus fed are certain to suffer in teething, as the use of solid food causes the hardening of the teeth and jaws beyond what nature intends, and makes the growth of the former much more painful. Still, in adhering strictly to this rule parents will 280 MANAGEMENT OF AN INFANT. have to combat a host of friends and relatives, all Jeeply interested in the well-being of the babe, and whose beliefs and practices have all been the reverse. In my own experience, when I held scrupulously to the milk diet, the results were most satisfactory Trouble and pain in teething were unknown, and my babes’ “second summer” was no harder than the first. “ LONGINGS” OF THE BABE.—Let no young mother be persuaded to try her babe with one article of food after another in the belief that, because it hap- pens to put out its tongue occasionally, it wants some- · thing which it must certainly have, if the right thing can be found. “Why,” said one excellent woman, “I gave my habe a pickled bean to suck when he was only six weeks old because he put out his tongue for it and wanted it.” “Well,” I replied, “I should judge from his pres- ent state of health, that he had been fed upon pickled beans and things of a like appropriate character when he was a baby.” There might have been a slight touch of cruelty in the answer, but my excuse must be that I was exas- perated beyond my powers of patience. There was, besides, such an opportunity for a retort, as the man who, as a babe, had sucked pickled beans, was a con- firmed dyspeptic, dating back his sufferings as far, at least, as memory would carry him; and had probably never known a day of perfect health in his life.. WEANING.— A child should be weaned when it is SHALL THE BABE SLEEP WITH ITS MOTHER? 281 about a year old. If the second summer is approach. ing, it may be well to carry the nursing through the hot months, as that is the most trying period in an in- fant's life. The change from one sort of food to another should be gradual; milk should still form an important article of diet, and it should be long before any but the simplest articles of food are given it. SHALL THE BABE SLEEP WITH ITS MOTHER ?--- There is a difference of opinion regarding the expe- diency of the babe sleeping with its mother. Much can be said on both sides of the question. I think in warm weather it is not an injudicious plan for the babe to lie in a separate bed, the mother rising twice perhaps during the night to suckle it. By this plan the babe acquires regular habits in nursing, and the mother is secured that quiet sleep which she could not have if the babe was in her arms and making frequent demands upon her. However, in this case she should be a light sleeper, that she may waken at the least sign of disquiet on the part of the babe. In the winter I believe the safest and best place for a babe at night is in its mother's arms. A child will not keep itself protected from the cold. Its little arms and legs instinctively throw off all burdens, without any regard to the temperature, so that the mother can only keep it properly warmed by having it with her. Otherwise she may be awakened some night by the hoarse bark of croup; or the severe colds contracted by exposure may result in inflamma- tion of the lungs. 44* 282 MANAGEMENT OF AN INFANT. TEMPERATURE OF INFANT'S SLEEPING-ROOM.- Notwithstanding all that has been said and written against fires in sleeping-apartments, I cannot believe that it is well for any one to sleep in a perfectly cold room. Those in robust health may be able to endure it without injury or inconvenience, but even they run a risk. For persons of ordinary health and endur- ance the temperature of a sleeping apartment should seldom be allowed to descend below 55° or 60° Fahr- enheit. And it should never be less than this in an infant's sleeping-room. This temperature should be maintained at the same time with a thorough system of ventilation. HOW LONG TO RETAIN THE BAND UPON AN IN- FANT.-A month is a sufficiently long time for a healthy infant to wear its belly-band. If this band is taking off in cool or cold weather, flannel shirts should be put at once upon the child, so that it will feel no evil effects from its removal. DAILY BATH.-An infant should almost from the first day of its life be subject to a daily bath. As soon as expedient it should take its bath in a tub or basin instead of being sponged while lying in the lap. The water should be tepid, as the shock from cold water is too great. The child's head should be wet before it is put into the bath. It should then be briskly washed with a cloth or sponge. Castile or glycerine soap should be used. All the creases of the body should be washed carefully and wiped gently and dry. If the infant is a female, the different parte OPEN-AIR EXERCISE FOR A BABE. 283 of the genital organs should be separated, washed and wiped, to prevent soreness or adhesion. OPEN-AIR EXERCISE FOR A BABE.—Next to water, fresh air is of importance to the babe. From an early period in its life it should be accustomed to daily exercise in the open air when the weather is favorable In cold weather this exercise should not be suspended, but the child must be well protected by woolen wraps against the cold. If it wears a cloak, it ought under this to have a warm, closely-fitting knit jacket. The feet and legs too should be well covered. But there is no advantage in taking a child into the fresh air so closely wrapped about with shawls that not the smallest portion of it can reach its nostrils. It should not even wear a veil over its face. It ought to be sa well accustomed to the light withindoors that its eyes will need no protection. SLEEP OF AN INFANT.—A new-born infant ought to sleep a larger part of the time. Those who sleep much thrive well; those who sleep little soon become puny and nervous, and lose what few advantages they may have possessed at birth. AIDS TO AN INFANT'S SLUMBER.—Before the babe falls asleep it must be seen that it needs no change of diapers. Its clothes must be loosened if they are tight in any degree, and smoothed and straightened, so that they shall in no way cause discomfort. Its bed must be perfectly dry, and the pillow shaken up. When it is asleep, it must be laid carefully down, and, if the weather is cold, covered warmly. An open 284 MANAGEMENT OF AN INFANT. cradle is best, with a single hoop extending over the head of it, over which in summer must be thrown a large square of musquito-netting to keep out flies, gnats and mosquitoes. This is an indispensable are rangement. Without it the child's sleep will be restless and disturbed, while a handkerchief or veil thrown over its face for protection excludes the air. ATTENTION TO THE BOWELS.—A mother should carefully attend to the condition of her babe's bowels. The motions should be of a bright yellow color, in- clining to orange, and of the consistence of thick gruel. If they are slimy, curdled, green or too thin, it is an indication that the mother must make some change in her own diet. As soon as the babe is old enough to sit up with support, it should, the first thing after leaving the bed in the morning, be placed in an infant's chair. This should be repeated several times during the day. The child will finally fully understand the purpose for which it is placed in the chair, and diapers can thence- forth be laid aside. LEARNING TO WALK.—A child usually begins to walk about the twelfth or fourteenth month of its life. This is quite early enough, though some walk as soon as the tenth month. Even though the child should not begin to walk until a much later period, there should be no attempt to hasten walking, unless it is perfectly evident that the child is backward through excess of caution alone. CHAPTER XVII. THE DRESS OF AN INFANT. LOOSENESS NECESSARY IN AN INFANT'S CLOTH- ING.--The most important point to be observed in the dressing of an infant is looseness of the clothing about the waist. No article of dress should be fastened tight enough to hold it in place without shoulder- straps. Every skirt ought to be made with a waist, either with sleeves or broad straps, and buttoned so loosely that the garment shall hang directly from the shoulders. I remember once, shortly after I had dressed a new- born infant, and when my notions in regard to loose- ness were not so radical even as they are now, in came the child's grandmother, and very naturally ex- amined the babe to see if all was right. “Oh dear!” she exclaimed; "you have got every- thing too loose. It will never do!” So she, on the strength of her grandmotherhood and in pity for my youth and inexperience, good-naturedly gave me a lesson on the proper method of dressing a baby. “That is the way to do it,” she said as she bundled up the little thing so tightly that he could scarcely oreathe “That is the way we dress Hannah 285 286 THE DRESS OF AN INFANT. (another grandchild, a few months old), and you ought to see what a beautiful shape she has got already." I think it will be needless to say that as soon as grandmother's back was fairly turned I relieved the babe of its misery by loosening all its bandages again. Again, I was once making a call, and at the house of my friend I found a visitor. Among other sub- jects of conversation, she told me the trouble a friend of hers was having with her young babe, it being afflicted with hernia. “She has made the band just as tight as she can, and has sewed it to keep it firmly in place, and still the child gets worse instead of better.” “No wonder,” I replied; "tell her from me that the tighter she draws the bandage, the worse the child will get; and that, if she wishes to see him cured, she must make all his clothing just as loose as she can get it to stay on him.” Tight CLOTHING A CAUSE OF HERNIA.—Both navel hernia and hernia of the groin may be caused and aggravated by tight clothing. If the bowels are pressed too tightly, Nature, in her effort to find room for them, will press them out in the least protected place. They will naturally protrude through the still tender and perhaps only partially united navel, or they will break through the delicate tissues below the band. LENGTH OF AN INFANT'S CLOTHING.—The second important point in regard to infant's clothing is not to make it too long. I never see an infant's dress INFANT'S WARDROBE. 287 trailing a yard more or less below its feet that I do not feel a sincere compassion for the infant whose del- icate muscles are made to sustain such a weight, and whose little active feet are thus fettered. A mother is guilty of actual sin against her infant who makes its clothing more than a yard in length from neck to lower edge of the skirt. If I varied from this length, I would make it shorter rather than longer. It should be long enough to protect the little limbs from ex- tremes of cold and heat, and at the same time not to impede their free motion. Seven-eighths or three fourths of a yard serves this double purpose ad mirably. WARMTH OF AN INFANT'S CLOTHING.—Thirdly, the mother will never, if she cares to preserve the life and health of her child, allow its neck and arms to go exposed either summer or winter. Physicians tell us that more children perish directly or indirectly from needless exposure of this kind than from any other single cause. INFANT'S WARDROBE.— Every expectant mother must give serious consideration to the making or buy- ing of an infant's wardrobe. If she is blessed with abundant means and does not like needlework, she can procure a complete outfit for seventy-five or one hundred dollars, and save herself further thought in the matter. One hundred dollars, or even seventy- five dollars, is a large sum for people of moderate means to expend for this purpose; so that it is not strange if many women prefer to obtain patterns at 288 TUE DRESS OF AN INFANT. a trifling cost, procure the materials and make the garments themselves. But the patterns usually to be obtained at pattern-stores are far from satisfactory to a mother who would see her child comfortably, health- fully and sensibly dressed. For the benefit of such mothers I will give full directions for the making of a wardrobe ample in all its provisions, in which beauty, comfort and economy are combined, though of course it is susceptible of increased expense if desira- ble. In my estimate I allow nothing for the making, taking it for granted that this will be done at home. LIST OF ARTICLES, WITH ESTIMATED Cost. 3 flannel bands, at.20... .............$ .60 2 barrecoats, 66.30................ ............... .60 3 flannel skirts, .............. 2.25 3 cotton skirts, “.33} ............ 1.00 1 tucked, 1 embroidered, 1.25 3 night-dresses, at .333 1.00 6 linen shirts, 6.20.. 1.20 4 day-dresses, 3.00 2 print wrappers ".30....... 1 robe, not more than .... 3.00 3 pairs knitted socks,“ .25...... 75 1 blanket, 1.00 Diapers, not more than......... Sundries .... 66.75... 45 ".75..... 60 .. " ....... ...... .......... 3.00 . . . - 30 Total .................................................. 20.00 ...................................... This estimate is capable of great reduction. It is porfectly safe to say that ten dollars will procure the material for a complete, comfortable and tasteful wardrobe for an infant. FLANNEL PETTICOAT. 289 FLANNEL BAND.-The band should be of soft flannel, five or six inches in width and fifteen inches in length. In the lower edge there should be trian- gular darts taken to make it fit the child's abdomen. It may or may not be hemmed. In putting it on the child the hems and darts should be on the outside. One half yard of flannel, which should not cost more than thirty cents, will make three bands and leave something to spare. BARRECOAT.—The barrecoat is a small petticoat made of a single breadth of flannel, put on for the purpose of protecting the infant's garments from stains and wet. It is sometimes called the pinning blanket. Let it be half a yard in length, with a narrow binding at the top, supplied with four but- tons at equal distances, which are to be fastened into corresponding button-holes in the flannel petticoat. By this arrangement the barrecoat can be changed as frequently as necessary without disturbing the rest of the dress. One yard of sixty-cent flannel will make two barrecoats. FLANNEL PETTICOAT.-This is best made gored, as then there is little or no fullness at the waist. Cut the skirt in two breadths, twenty inches in length, each breadth twenty-four inches in width at the bot- tom and twelve at the top. By having a seam up the middle of the back, and fitting one gore into another in cutting, two yards and a half of flannel will make three petticoats. The bottom should be rounded to suit the slope of the gores. Put a hem about an inch 25 T 290 THE DRESS OF AN INFANT. in width at the bottom. After sewing up the seams, open their edges and whip them down on each side, The waist should be of cotton, unlined, seven inches long from the shoulder down, and should be nineteen inches around after the hems are turned down at the back. It should be made tolerably high in the neck, the seam on the shoulders about two inches long. There should be buttons and button-holes at the back. It is well to have two rows of buttons; or folds may be laid over in front and back, to remain until the child shall grow to fit the waist. There should be four button-holes at equal distances along the lower edge of the back of the waist, corresponding with the buttons of the barrecoat. The buttons used on the petticoat should be small and flat, as should be all the buttons used in the wardrobe. COTTON SKIRTS.—The cotton skirts may be made of cambric or fine thin muslin, according as economy may dictate. If the latter, the cost should range from fourteen to eighteen cents per yard. The skirt should be made of two breadths, either gored or straight. It should be cut twenty-four inches in length, and a hem of one and one-half inches be put at the bottom. The waist is made the same as that of the flannel petticoat. Four yards and one-quarter will make three skirts Five yards of muslin will make the skirts, and enoug i ? material will be left for the waists of the flann. I petticoats. TUCKED SKIRT.-Two yards of soft fine bleached muslin, lawn or jaconet, at a cost of not more than NIGHT-DRESS. 291 twenty-five cents per yard, will make the tucked petti- coat, skirt and waist. EMBROIDERED SKIRT.—One and one-half yards of the same material used for the tucked skirt will make this skirt. Two yards of embroidery, at not more than fifty cents per yard, will finish it. LINEN SHIRT.—The little shirts should be made of fine linen lawn, which may be bought of good quality at sixty cents. Cut a straight piece of the linen, nine inches wide and nineteen long. Cut, five inches from each end, slits four inches in length for the armholes. Slant off one half inch of the upper edge for the shoulders and sew them together, making a seam about one inch and one-half in length. In the lower part of the slit put in a small gusset cut half square in form. Hem all round for the armholes, and put on trimming. Slope out the neck front and back. One and one-half yards will make six shirts, and something to spare. NIGHT-DRESS.—The night-dress should be of soft muslin, lawn or nansook, which ought not to cost more than eighteen punts per yard. It should be cut twenty-eight inches in length, measuring from the shoulder down. Cut it gored, with no extra fullness, the sleeves being cut out of the strips left from the gores. The sleeves should be seven inches long, four inches wide at the top and three and one-half inches at the wrist. The gown should be made high in the neck, with shoulder seams three inches long, and a hem around the top in which a drawing-string is run 292 THE DRESS OF AN INFANT. to tie behind. It should be open about ten inches down the back. Four and one-half yards of material will make three night-gowns. PRINT WRAPPER.-A wrapper can be cheaply and prettily made of some small delicate-figured print with a white ground. It should be cut plain, gored, long sleeved and high necked. It should be similar in pattern to the night-gown, only it is to be open in front. It may be left open all the way down, and buttoned up. It can be trimmed with ruffles or nar- row lace, or with strips of brightly-colored lawn or suitably figured print. It should be twenty-seven inches in length. Three yards will make two wrap- pers. DAY DRESS.—This may be made of plain or striped nansook, or of lawn, or of any material that is soft and bears washing well. A dress should not be more than thirty-two inches from shoulder to bottom of the skirt. Its general form should be gored, with high neck and long sleeves. It may be made per- fectly plain, or may be trimmed in a variety of ways all simple, easy and inexpensive. I will give sugges- ions concerning the making of these little dresses far- ther on. One and three-fourths yards will make a dress. ROBE.—If the wardrobe is not considered completo without a robe, this may be made of somewhat more expensive material than the dresses, at a cost perhaps of thirty-seven and one-half or forty cents per yard. Two and one-half yards are ample to make the robe- QUANTITY OF MATERIAL AND COST. 293 lesta may áo. A pretty way to make this is to cut the bach perfectly plain like the other dresses; cut the front gabrielle pattern—that is, with a gored front breadth and side gores. Make the front breadth of alternate rows of embroidered insertion and narrow tucks, and border the sides of the breadth with em- broidered edging BLANKETS.—Suitable flannel or merino for the blanket need not cost more than seventy-five cents or one dollar. If the mother knows how to embroider, the embroidery silk will cost but à trifle. If em- broidery is out of her line, the little blanket looks very pretty bound with colored or white ribbon. DIAPERS.Those who wish to consult economy will find that cotton flannel is an excellent article to use for diapers. It is soft and easily washed, besides being less expensive than the linen usually employed. It can be obtained at fourteen or fifteen cents per yard, and twenty yards will make about twenty- five diapers. QUANTITY OF MATERIAL, WITH ESTIMATED Cost.-In order to put the amount of material used in a baby's wardrobe, and its probable expense, in as convenient a form for reference as possible, I give another table : 4 yards flannel for petticoats, barrecoats and bands, at.60...$2.40 5 yards bleached muslin for cotton skirts and waists, ".18... 90 3) yards of material for tucked and embroidered skirt,“ 25... 873 2 yards embroidery for skirt, “.50... 1.00 15 yards linen lawn, “.60... 90 4) yards of material for night-gown, “.18... 81 25 * 294 THE DRESS OF AN INFANT. 3 yards print for wrappers, 54 yards of material for day-dresses, Material for robe estimated at.. 1 yard flannel for blanket.. 20 yards cotton flannel for diapers, Balance for trimmings... Total......................... at .123.. 37) “ .25... 1.32 3.00 ........... 75 at .15... 3.00 4.67 . $20.00 The balance of $4.67 in an allowance of $20 is an ample amount for the purchase of buttons, tape, bob- bin, thread and trimmings. The first four articles cost very little indeed. Lace and embroidery used in trimming can be bought very cheaply if economy is an object. Whether it is or not, I think good taste dictates that an infant's wardrobe should be delicate and neat rather than showy and expensive. And neatness and delicacy depend much on the manner of making, and can be obtained at very little expense. Lace edgings, very pretty and suitable for infants' clothes, can be bought for two cents per yard and up- ward; and embroidered edgings for seven cents and upward. GENERAL DIRECTIONS CONCERNING INFANT'S DRESSES.—Let the young mother never make that abomination of an infant's wardrobe, a dress with a waist. The robe should flow freely and loosely from the shoulders, the sleeves should be long and the neck high. Fashion as well as common sense now dictates this course in the matter of sleeves and necks. DRESS WITH TUCKED FRONT.—A very pretty way to make an infant's dress is to take a breadth of DRESS MADE WITH INSERTION IN FRONT 295 the material, begin at the centre and run a narrow tuck down the length about one-eighth of an inch wide and about seven inches long. . At a little interval from this run another tuck of the same width, in the same manner that you would make a narrow-tucked shirt-bosom, only make each succeeding tuck a little shorter than the last. So continue until there is suffi- cient tucked for half the width of the waist and the last tuck is about three inches in length. Make the other side to correspond. Then cut out the neck and armholes by pattern, sloping off the material from the bottom of the armholes at the sides, if it has not all been used in tucking, until the full width of the cloth is reached at the bottom. Now the tucking which ex- tends from the armboles on each side down to a point in front may be bordered at its lower edge with an in sertion, and an edging below that if desired. And if an insertion is put down the centre in front between the two sets of tucks, it will be very pretty. The back may be made in the same manner, or may be plainly gored, allowing very little fullness at the top, and that fullness gathered into place by a drawing-string at the neck. The sleeves may be made to match the waist, if desired, by tucking a little way up the waist in the form of a pointed cuff, and finishing with insertion and edging. DRESS MADE WITH INSERTION IN FRONT.-An. other pretty way to make an infant's dress is from the centre of one end of the breadth to cut out a strip about two inches wide and six or seven inches long. 296 THE DRESS OF AN INFANT. Leave one inch on each side, and then cut from each side another strip like the first. Sew in strips of lace or muslin insertion of a length to correspond with the places where the strips have been taken out, gather the cloth at the bottom and sew to the insertion, and fell the seams down all around as neatly as possible. Gather the cloth at the top sufficiently to fit the neck, cut out the armholes and slope off the superfluous width. The back may be made like the front, or plainly gored. DRESS WITH EMBROIDERED EDGING IN FRONT. -One inch from each side of the centre of the front breadth run a tuck three-quarters of an inch wide and seven inches long. Open these tucks or folds over the fabric in such a manner that the seam of the back shall come in the centre of each fold. Baste narrow embroidered edging down one side of each fold, across and over the bottom, and up the other side. Hem with extreme neatness the edge of the fold down upon the edging, the stitches going through to the fabric underneath. Then run a row of machine stitching at a very narrow-distance from the edge, to hold the embroidery more firmly, and to give the work a more finished look. Cut the dress after the usual gored pattern, hemming around the neck and running a string in to draw up any fullness that may be there. The sleeve can be made with a fold run up about two inches from the wrist and trimmed around with embroidery to match the waist. A woman of taste and ingenuity can follow up SHORTENING AN INFANT'S DRESS. 297 these suggestions and produce a pleasing variety in an infant's wardrobe. WINTER CLOTHING FOR AN INFANT.-A babe's winter clothing must be made warm to suit the season. Except in the case of a very young babe, I prefer to lay aside white altogether, and adopt some more ape propriate material and color. There is nothing pret- tier than soft warm all-wool delaines, in bright colors, either plain or with small figures, for a babe who has reached the dignity of a shortened dress. If the babe is still in long clothes, there should be little flannel, merino or knit sacques to protect it from the cold. BIBS AND APRONS.—There should be bibs and aprons, the latter both long and short sleeved. The bibs are to protect the neck of the dress from vomit- ing and dreuling; the aprons to protect against sud- den changes of weather. SHORTENING AN INFANT'S DRESS.—The proper time for shortening an infant's dress should be when it is four or five months old, though it depends much on the season of the year. While the period may be hastened in warm weather, it should be delayed some- what in cold. In the latter time, when it is put into short dresses, it should have long stockings put on it, reach- ing sufficiently far up to be pinned to the diaper at the sides. If long stockings can be obtained in no other way, the short socks can easily have tops knitted or crocheted to them. The clothing should still be long enough to come quite down to the feet. CHAPTER XVIII. DISEASES OF INFANTS. A MOTHER'S DUTIES IN SICKNESS.—I read not long since of a woman who was remarkably successful in the treatment of her children during slight illnesses. Being asked her mode of treatment, she replied that ing for a doctor and sitting down and waiting until he came, she considered what the doctor would be most likely to order if he were already present, and then proceeded at once as if he had called and left his or- ders. Prompt and judicious treatment is often all that is necessary to check a malady in its early stages and prevent it assuming a serious form. I do not rec- ommend that a mother should assume all the respon- sibility of the medical care of her children. But there are certain things which every mother should know, and which she should be able to put in practice with full confidence in her own knowledge, and it is only when simple remedies fail that a doctor need be sum- moned. HERNIA OR RUPTURE.—One of the earliest troubles which the nurse or mother has frequently to deal with is hernia. The hernia or rupture may be of the navel 298 SNUFFLING. 299 or of the groin. It may be caused by severe fits of crying, by too tight bandaging, or, if of the former, by imperfect healing at the time the cord was taken away. CURE FOR NAVEL HERNIA.--A bullet hammered out into a thin round sheet, covered with linen and slipped into a pocket made in the belly-band and placed directly over the navel, will probably effect a cure in a few weeks. Or a round piece of wash leather, about three inches in diameter, spread in the centre with Burgundy pitch plaster, and placed di- rectly over the navel, will keep the ruptured parts to- gether and effect a cure. CURE FOR GROIN HERNIA.—Groin hernia can be cured if taken in season. When the bowel is found protruding, it should be pushed carefully in. The child should be kept lying down as much as possible, and not be allowed to exert itself in crying. If the rupture does not heal of itself, a pitch plaster may be tried. This failing, a truss should be made and fitted under the direction of an experienced doctor. SNUFFLING.-A babe is sometimes affected with catarrh resulting from slight cold in the head. Not being able to relieve itself by blowing its nose, the discharges collect and render breathing difficult. The "snuffling," as it is called, may be relieved by rubbing a little tallow on the bridge of the nose on going to bed. Or a sponge may be dipped in as hot water as the child can bear, and applied a few moments to the same spot. 300 DISEASES OF INFANTS. WIND ON THE STOMACH.—When the child has it will sometimes be attacked with pain in the stomach, caused by an accumulation of wind arising from indi- gestion. A few drops of weak sweetened peppermint water, or a little anise seed tea, will immediately bring up the wind and remove the pain. GRIPES OR COLIC.—When a child draws up its legs and screams violently, when its bowels are cold, and when it cannot be quieted by putting to the breast, there are indications that it is attacked with colic. The discharges from the bowels will be green and watery. Colic may be caused by improper food or by ov rfeeding. Or the mother may have eaten some- thing injurious. CURE FOR COLIC.—The bowels should be gently rubbed by the hand in order to produce warmth, or a piece of flannel folded and wet with hot water should be bound about them. A warm bath will often give instunt relief. A change should be made in the child's diet or dress, or whatever seems to be the ca use of the attack, to prevent its recurrence in future. HICCOUGHS.—The simplest remedy for hiccoughs is to apply the child to the breast for a few moments. If this does not stop the hiccoughs, a little anise seed tea will usually cure them. DIARRHCA.—If a babe has diarrhoea, it is best not to interfere with it unless it continues too long. It is usually an effort of nature to relieve some obstruction of the bowels; or it may be serving some other im- COSTIVENESS. 301 poriant purpose, as in the case of teething, when it acts as a diversion to relieve the irritation of the gums. If there is greenness about the stools, a little lime-water added to the infant's food will correct the acidity of the stomach. If the looseness continues too long and seems to need checking, this should not be done by means of an astringent. By all means avoid Godfrey's cordial, soothing syrups and carminatives. Tincture of rhubarb in doses of from ten to thirty drops, ac- cording to age of child, will be certain to afford relief in ordinary cases. If this fails, a doctor had better be consulted. Meantime if the child nurses, the mother should be exceedingly careful in regard to her own diet. COSTIVENESS. If a child is costive, do not give it physic until all else has been tried. Generally a cer- tain as well as a safe remedy is to use a suppository of soap, tallow or molasses candy introduced up the rectum. This will shortly be expelled, and following it will come a motion of the bowels. This suppository should be cut an inch or an inch and a half long, and a little larger in size than a lead-pencil. It must be smooth and round, that no sharp edges or protruding corners shall hurt the delicate membrane lining the intestine. If the suppository fails, an injection of warm water or molasses and water should be given. It is only after these have both failed that a mother is justified in resorting to medicine. The best because the mildest opening medicine for an infant is either magnesia or tincture of rhubarb. It is impera- 26 302 DISEASES OF INFANTS. tively necessary for the child's health that the move- ments of the bowels should be regular and of the proper consistency. THRUSH OR SORE MOUTH, — In infant's sora mouth there will be roundish white specks on the lips, the tongue, and on the inside of the mouth. The tongue especially will look as if curds were smeared over it. The mouth is hot and painful, and the babe nurses with difficulty. The cause of thrush is usu- ally improper feeding. In curing thrush the child. should be allowed no food but its mother's milk, or, if brought up by hand, the milk obtained from one cow. It should be fed in sufficient quantities, but as seldom as possible, as the operation of sucking is painful. Powdered lump-sugar and borax put dry in the mouth is an excellent remedy. A tea made of the berries of the sumac is considered excellent in this disease. CROUP.-Croup is a disease of the windpipe. Some children are more liable to attacks of croup than others. Fleshy children are especially predisposed to it. After infancy has passed there is less and less danger of croup, though sometimes, in rare instances, adults are attacked. Croup may easily be managed if taken in time. A child predisposed to croup needs constant watching, as a slight ordinary cold may at isht, in the course of a few hours, develop into croup. There are two kinds of croup, in describing which I must depend on my own knowledge and experience alone. Nearly all authorities which I have examined TREATMENT FOR COMMON CROUP. 303 either make mention of only one kind, and give to that the symptoms of both; or, recognizing the two kinds, so confound and confuse the symptoms of each as to be wholly unreliable. COMMON CROUP.—The common croup will result in death in a very few hours if prompt efforts are not made to check its progress. The characteristic of this disease is the suddenness, of its attack. A child may retire at night in perfect health, and in two or three hours the parents may be awakened by the shrill breathing and hoarse, barking cough which indicate croup. The special distinguishing feature of this form of croup is its peculiar cough. When the dis- ease is fully developed, it is exactly like the bark of a dog. TREATMENT FOR COMMON CROUP. — The child should be at once brought into a warm room, and well protected against any exposure to cold. Water must be heated as quickly as possible. Bathe the feet in warm water, and wrap flannel wrung out of water as hot as the child can bear around the neck. Protect this flannel with a dry flannel over it, and renew it as fast as it cools. This treatment alone may be suf- ficient to relieve the child, but I always prefer to ad- minister Coxe's hive syrup in doses of from ten to twenty drops at intervals of from fifteen minutes to half an hour, according to the urgency of the case, until free vomiting is induced, when, with proper pre- cautions to prevent a relapse, the danger is passed. The warm water relaxes the system and loosens the 304 DISEASES OF INFANTS. phlegm that is fast filling the throat. The hive syr- up also helps to do this, and finally throws the phlegm off by the process of vomiting. Frequent doses of ipecacuanha wine will do equally well, or any medi- cine that will produce immediate and free vomiting, Some physicians recommend a use of lamp oil. Goose oil is also an excellent remedy. A teaspoonful of powdered alum in molasses or honey, given every ten minutes, will frequently afford relief. After the im- mediate danger is over the child should be made to drink freely of flaxseed or slippery-elm tea until convalescent. MEMBRANOUS CROUP.—Membranous is more to be dreaded than common croup. It is more insidious in its attacks, not so easily recognized, and more dif- ficult to cure. A child will perhaps for several days be afflicted with a severe cold and a hoarse cough which refuse to yield to any of the ordinary remedies, and croup may not be suspected until the false mem- brane being formed inside the windpipe threatens im- mediate suffocation. If taken in time, this form of roup would probably yield to the remedies used in common croup. But after the membrane is nearly or quite formed it is almost impossible to cure. I have never seen any course of treatment prescribed for this form of croup, nor have I ever seen a case of it out of my own family. So I am forced to give a chapter from my own experience. One of my daughters, then a child of eight years, who as an infant had been sub- ject to croup in its common form, was affected with a MEMBRANOUS CROUP. 305 severe cold and cough. She complained too of a bad feeling in her throat; but as I saw no indication of diphtheria, I concluded she had a touch of quinsy. This continued for several days, and in spite of my remedies she grew worse, until at last I thought best to put her in the hands of a doctor. The messenger sent for the doctor had not been gone many min- utes before I detected the choking of croup, though there had been no previous barking. Nearly an hour must elapse before the doctor could come, even if the messenger found him at home. So seeing that what was to be done must be done without a moment's hesitation or waiting, I proceeded with the usual remedies for croup. They were of no avail. The girl was on the verge of suffocation, her face almost black and her breath drawn with the utmost diffi- culty, and sometimes stopped altogether. Her life was a question of moments, not of hours. I remem- bered having read that sulphur was an excellent remedy for croup, but had no recollection of quantity or manner of using. So in desperation I gave her a teaspoonful of sulphur and molasses. It produced im- mediate vomiting of ropy phlegin. Another teaspoon- ful, administered shortly afterward, brought up still more membranous phlegm. When the doctor came in half an hour afterward, he regarded the girl with astonishment, and said not one child in fifty ever recovered from membranous croup when it had reached that stage. The sulphur had undoubtedly saved her life, and under the doctor's subsequent 26 * 306 DISEASES OF INFANTS. treatment she rapidly recovered. I afterward found the prescription which I had so indistinctly remem- bered. In it sulphur was used in such minute quan- tities, and at such long intervals, that in her critical state it would not have done the slightest good. DIPHTHERIA.—Diphtheria is similar to membran- ous croup in so far as a membrane is formed in the windpipe. But unlike croup, there are sores in the throat at the same time. These sores are grayish in color, and lie at the back of the throat. They may easily be seen by pressing the handle of a teaspoon on the base of the tongue. These sores are not painful, but feel as if a stick or scale or some dry hard sub- stance was lodged in the throat. They can be cured in their first stages by putting a pinch of salt on the handle of a teaspoon and pressing it against them. Or a small piece of gum camphor dissolved in the mouth will give relief and avert serious illness. In case of an infant, it is impossible to use these means. The babe must be kept from exposure. Its food must be warm, and hot applications must be made to the throat. A doctor must be called. SORE THROAT.—The common form of sore throat can usually be cured by binding a piece of flannel around the throat and keeping it there for a day or two. In severe cases let the flannel be wrung out of water either hot or cold and put around the neck with a dry cloth pinned over it. Warm lard in which sage has simmered, used both inwardly and outwardly, is an excellent remedy. The same may be said of BURNS AND SCALDS. goose-grease and molasses. Goose-grease should al- ways be kept in the house where there is a family of children. QUINSY.-Quinsy is a swelling of the throat and tonsils which seriously interferes with swallowing. The usual remedies for sore throat may be applied for this. In addition to these, pour into the ear on the side of the affected tonsil, or into both ears if both tonsils be affected, a few drops of tincture of arnica. Repeat this occasionally until the swelling is reduced. EARACHE.—Arnica is a specific for earache. A few drops poured into the ear as soon as the least sen sation of pain is felt, the dose repeated at short inter- vals, will not fail to cure earache. If used in time, it will subdue inflammation and prevent gathering in the ear, which is so distressing and so dangerous to the hearing. I have prescribed this treatment number- less times, and never knew it to fail. THE VALUE OF ARNICA.—Every house should have its bottle of tincture of arnica where it can be found at once in case of need. Not only is it good for earache, but there is nothing better or half so good in case of bruises, cuts or burns. It prevents inflam- mation and subdues pain. BURNS AND SCALDS.—Never apply cold water to a burn or scald. Over the burnt or scalded surface pat instantly a thick layer of flour, to exclude all air. Over this again a layer of cotton. Delay dressing for two days, and afterward only dress every other day. Unsalted lard is also an excellent remedy for burns. 308 DISEASES OF INFANTS. allays irritation. Instar sly relieved by an application of spirits of harts- horn, or by wetting the spot and rubbing on bicar- bonat, of soda—the soda used in cooking. Iry POISONING.–Bathe the parts frequently and freely with sweet spirits of nitre. If the blisters are broken, allowing the nitre to penetrate, the cure will be the more rapid. CHICKEN-Pox.–Chicken-pox sometimes comes on with a slight chill. About twenty-four hours after, the child feels badly, an eruption of small pimples will appear on its head, neck and body, showing but slightly on the face. The next day these pimples fill with water. This eruption continues for a few days, and then disappears. It is not in any way a danger- ous disease, and ordinarily requires no medical treat- ment whatever. The infant should be protected from exposure, special care taken with its diet, and strict attention paid to the state of its bowels. VACCINATION.—Every infant ought to be vacci- nated, the sooner after it has reached the age of two months, the better. If the vaccination takes properly, the child will probably be fretful and peevish. It needs special care, but no medicine. The dress should be so arranged that it will not irritate the sore, nor rub off the scab before it is ready to come. Some people stand in fear of vaccination, believing that by its means diseases are given from one person to an- SCARLET FEVER. 309 other. Physicians cannot of course be too careful in obtaining healthy matter, and should scrupulously avoid taking a scab from the arm of a child who has a scrofulous or syphilitic taint in its blood. But I think in the hands of a responsible physician who has been thus careful there is little or no danger from vaccination-certainly not the hundredth part there is in going unvaccinated and subject to contagion from smallpox. SCARLET FEVER. There are three different forms of scarlet fever, but they all display similar symptoms. An attack of this disease is preceded by chilliness, weariness and fretfulness, headache, redness and mois- ture of the eyes, and sometimes sickness and vomiting. The centre of the tongue will sometimes be covered with a white or yellowish coat, with the edges a bright red. The tonsils will be swollen and ulcerated, and the fever perhaps strong, with quick and difficult breathing. In malignant scarlet fever the head and throat are the most affected. Generally about the third day the rash appears, sometimes on one part of the body and sometimes on another, but spreading eventually over the whole body, the inside of the mouth, tongue and throat. This rash consists of in- numerable small points set so closely together that they present one uniform red surface, brighter on the seat, the folds of the joints and the edges of the tongue. The skin is rough to the touch, hot and itch- ing. Toward the fifth day the rash begins to dimin- ish, disappearing about the seventh. Shortly after, 310 DISEASES OF INFANTS. the skin begins to peel and dust off. This will con- tinue for two or three weeks, until the skin is come pletely shed. In the simplest form of scarlet fever, called scarla- tina simplex, the throat is not affected. TREATMENT OF SCARLET FEVER.—Though a doctor is necessary in this disease, there is much that a mother can do without waiting for orders. She must first of all avoid giving physic. She must establish thorough ventilation in the sick-room and reduce its temperature, at the same time making the clothing of the bed light. She must attend scrupulously to the diet, giving nothing of a stimulating nature, and allow the patient to drink plentifully of cold water. And she should grease the child thoroughly from head to foot with fat bacon during the whole course of the disease. The cool temperature of the room, the open windows and the light bedclothing should continue till about the fifth or sixth day, when the patient's skin will become suddenly cool, and it will seem to be chilly. Then the windows and doors must be closed, and extra covering put on the bed. Flannel should now be worn next to the skin until the disease is end- ed. The child should not be taken into the open air under a month in summer and longer in winter. MEASLES.--Measles usually commence with the symptoms of a common cold. There is running at the pose, redness and wateriness of the eyes, sneezing, headache and a hoarse, peculiar ringing cough. The mother can at once detect measles from scarlet fever HOOPING-COUGH. 31] by the cough, which is absent in the latter. In three or four days an eruption of crescent-shaped, slightly- raised patches appears in the skin. It usually com- mences on the face and neck and moves downward. The face is swollen sometimes even to closing the eyes. TREATMENT OF MEASLES.—The body must be kept completely warm, and all drinks and medicines must be given with the chill off. The diet should be low, and no medicine should be given to move the bowels or to “ease the cough.” If the rash comes out promptly and fully, proper care and attention on the part of the mother will take the child through without the aid of a doctor. If the rash does not ap- pear, a doctor should be at once sent for. If the bowels need moving, it should be done by means of warm injections. The body may be occasionally sponged with warm water to which a little vinegar has been added. The room should be darkened. In the latter stages of the disease there is sometimes a looseness of the bowels amounting to diarrhoea. This should never be checked, as it is beneficial. Measles is a contagious disease. HOOPING COUGH.—This disease usually lasts from six to twelve weeks, and even for a longer period if it is contracted in the fall or winter. It commences as a common cold and cough, but after a week or two the cough assumes a spasmodic character, giving the pee culiar and characteristic hoop. During the coughing fit let the child stand, if old enough; if not, raise its 312 DISEASES OF INFANTS. head and bend its body a little forward. The back should be supported with one hand and the forehead should be at once taken from its mouth. When it is possible to accomplish it, a change of air is desirable in this complaint. The spot selected should be in the coun- try, high and salubrious. A second change to the sea- side will sometimes cure the disease as if by magic. If the child should be attacked by shivering, send for a doctor at once. Meantime, warm the bed and put the child in it, with warm bottles and bricks at its feet. The diet throughout the disease should be light, and the child guarded from extremes of heat and cold. The bowels should be kept open without the use of medicines if possible. Tincture of the black cohosh or squaw root has been found of benefit for this cough. This tincture is formed by adding a pint of spirits to two ounces of the pulverized root. The dose for a child one year old is from fifteen to twenty drops in sweetened water four or five times a day. From half a teaspoonful to a teaspoonful for an older child, TEETHING.—Infants may begin to cut their teeth at any period from six months to a year in age. The process of teething is a natural one, and should be nearly or quite painless, yet owing to improper man- perience supported by the testimony of physicians—is that a child who lives entirely upon the food that na- ture intended for it will encounter little or no trouble in teething. The first intimation the mother will CONVULSIONS. 313 have of the fact is the actual visible presence of the tooth. Nevertheless, as muthers do not and will not feed their infants properly, it is necessary to refer to the disorders incident to teething. The diarrhoea ac- companying teething should not be checked. It is a provision of nature which prevents more serious ailments. SUMMER COMPLAINT.—Infants who have been im- properly fed are especially liable to summer complaint during teething. It is an aggravated form of diarrhoea, occurring during the hot summer months. Boiled milk to which a little lime-water has been added will be the best drink for a young child, and may be alone sufficienu to check the disorder. If the child be old enough to eat, boiled rice is the very best food for it. A porridge or gruel made of ground rice, stirred in boiling milk, will also be excellent. Fruit and vege- tables should be given very sparingly to a teething child-meat not at all. If the gums are red, swollen and painful, and the teeth seem ready to push through the skin, it may be well to lance the gums. If the disordered state of the bowels still continues, small doses of spiced tincture of rhubarb may be adminis- tered with good effect. CONVULSIONS.—A teething child is subject to con- vulsions. The mother must retain her presence of mind and know just what to do. There is time for neither delays nor mistakes. She must hold the child in her lap, and have two persons to wait upon her, while a third goes for the doctor, The feet must be 314 DISEASES OF INFANTS. put into warm water without a moment of unnecessary delay and cold water applied constantly to the head. The handle of a spoon must be placed between the teeth to keep them from biting the tongue. As soon as the convulsion begins to relax its severity, the cold application to the head must be changed to a warm one, and continued until all spasmodic symptoms have ceased. The cold water is first used to cool the head at once; but if continued, the reaction which follows its use is liable to bring on a second attack or culmi- nate in inflammation of the brain or hydrocephalus. So that after the first immediate effects are produced, warm water is used to prevent this reaction. When the convulsion is over, a physician must be on hand to see if any disease is threatened, and if so to treat it in time. After the convulsion is over the child must be kept in a darkened room, and perfect quiet must be insisted upon. The feet must be kept warm, and warm wet cloths applied to the head. A mother who knows the symptoms which foretell a convulsion—the dull look to the eyes, varied by oc- casional rolling, and the nervous twitchings of the hands and feet, the hot head and the cold extremities -may easily avert it by putting the child in a warm bath, and afterward in a comfortable bed, wrapped in fannels and secluded from noise and light. CHAPTER XIX. THE MORAL RESPONSIBILITIES OF MOTHERHO D. WHICH IS GREATEST, WOMAN OR MOTHER ?-We are frequently taught in various indirect ways that the mother is of more consequence than the wor an—that a single function swells to such magnitu' e that it eclipses and overbalances all others, and makes the exercise of any other inconvenient, inex: edient and, in fact, impossible. I cannot believe this. God has given neither man nor woman any faculty, any capability or desire which he has no afforded the means of using and gratifying, and made it lawful to attempt to use and to gratify. True, there are few human beings who attain to the full summit of their desires and ambitions; but all men and women alike are privileged to try. Nor do I believe that women more than men are under obli- gations to cast aside their hopes and plans when they take upon themselves domestic duties. Paternity has its cares and duties as well as maternity, not so com- plicated perhaps, but quite as imperative, and which cannot be disregarded without guilt. OBLIGATIONS OF FATHERHOOD AND MOTHER: HOOD.—Both fatherhood and motherhood imply obli- 315 316 MORAL RESPONSIBILITIES OF MOTHERHOOD. gations, the faithful fulfillment of which will some- times conflict and interfere with the carrying forward of favorite plans. But the woman who forgets that she is sy mother in the pursuit of pleasure, art or science is no more culpable than the man who utterly neglects the duties of husband and father in mechani- cal pursuits, political ambitions or desire for literary fame. While the world is apt to condemn the former, and forgive, or at least excuse, the latter, both are, in truth, grievously and equally guilty. WOMAN. MORE THAN MOTHER.—Still, while I do not in the least undervalue the importance of the mother, I hold that the woman is more than the mother, as the whole is more than a part. I hold that the entire individual whose faculties have been allowed free development in every direction, and who has attained to a perfect womanhood physically, men- tally and morally—who understands her relations and recognizes her obligations, not to the family alone, but to society and the world—is more than the woman whose development is partial and functional, whose in- tellect is dwarfed, and whose moral and emotional na- tures are trained only in their relation to maternity- whose mature life must begin with disappointment and self-abnegation; in whom patience becomes the one predominant virtue, and uncharitableness toward all outside her own immediate circle, born of a narrow view of life, the universal vice. Such a woman may suckle babes with partial success, though I doubt even that; but she is in every way unfitted to be the INHERITED TRAITS. & 1 guardian and guide of her children through the peril. ous paths of youth up to manhood and womanhood. THE “MODEL MOTHER.”—Yet this is the model mother whom we are called upon to admire, whose virtues we must emulate and after whose life we must pattern our own! Such women do sometimes exhibit a rare saintliness in their lives, but it is a saintliness which aids directly in the fostering of sel- fishness and all unsaintliness in those with whom they come in contact. It is such women who encourage husbands in selfishness and arrogance; who have idle, frivolous daughters and vicious, dissipated sons; who, in the bringing up of these worthless sons and daugh- ters, contribute so much toward making just so many future unhappy homes. This is not the true pattern of womanhood. God forbid ! Patience is an excl- lent virtue when it it absolutely needed, but an un- reasonable and unreasoning patience is a sin. INHERITED TRAITS. - It is ar evident fact that the physical traits of both father and mother are inherited. Thus the fuller and more robust the health of the mother, the greater reason to hope she will bear healthy children. Moral and intellectual traits are also undoubtedly inherited. Even appetites are trans- mitted from father to son. Thus the son of a drunk- ard, or even a moderate drinker, inherits an appetite for strong drink which will develop itself if it is al- lowed opportunity. All these physical, mental and moral characteristics, entailed by one generation on those which succeed it, are variously modified, some- 27 * 318 MORAL RESPONSIBILITIES OF MOTHERHOOD. times intensified, and sometimes perhaps almost lost sight of. MATERNAL INFLUENCES.—The child undoubtedly inherits quite as much from the father as from the mother, but to the mother alone is entrusted the modi- fication of this inheritance. If it be an evil trait, it may be developed abnormally, or it may be so modi- fied or opposed by habits of self-control as to become almost harmless. If it be a good one, it also may be strengthened, or it may be weakened, according to the mother's acts and states of mind previous to the birth of her child. We do not gather grapes of thorns nor figs of thistles. An idle, thoughtless mother, or one who allows herself to be indolent physically and men- tally during the important period when she is living a double life, can hardly expect that second life to rise above her own mental plane. If the mother would have her child develop all the characteristics of the highest intellectual and moral manhood or woman- hood, she should not, on any account, allow her mind to sink into that temporary imbecility which is the frequent accompaniment of pregnancy, and of which hysteria is a prominent phase. She can help it if she will, but only by constant activity save during periods of needful rest. A fretful, low-spirited mother cannot hope to have any other than a troublesome babe, who will wear her life out while it is young, and wear somebody else's life out when it is older. A woman giving way dur- ing pregnancy to fits of temper and selfish promptinga A MOTHER'S RESPONSIBILITY, 319 must expect to reap as she sows. As she keeps her- self in body, mind and spirit during the brief months of her pregnancy, so she maps out the future life of her child. If it is destined to inherit evil propensi- ties from either father or mother, a selfish, unreason- ing course on the part of the mother will strengthen these propensities almost beyond the power of control. It is possible, with a reverse course, to give counter- balancing traits, so that the child shall be enabled to keep these propensities under control and finally ob- tain the mastery of them, growing up to a noble man- hood or womanhood. I have seen people of whom it was said they were born lazy, and I did not greatly doubt it when I re- membered the idle, self-indulgent life so many pros- pective mothers lead. A MOTHER'S RESPONSIBILITY.–To the mother there is given the moulding of the whole character. Some have, with what they thought extreme temerity, declared that the education of the child begins from the moment of its birth. I am bolder than this, and assert that it begins from the very time of conception -even before the beat of its little heart is perceptible beneath that of its mother. If the mother would en- dow her child with all the qualities most to be desired, she must be careful of her health and maintain it at its highest standpoint; she must keep her mind ac- tively employed, and her thoughts free from every- thing that is not of an elevating and refining nature; she must be cheerful, even-tempered, patient, self-de- 320 MORAL RESPONSIBILITIES OF MOTHERHOOD.. pying, conscientious and brave in all her acts, having ever before her mind the sacredness of the trust re- posed in her. A PERFECT MOTHERHOOD.-Only the true, the fully-developed woman, with no dwarfed, repressed or preverted faculties, is able to comprehend the trust of motherhood in all its magnitude, and to live fully up to its requirements. Whenever we find this true, per- fect womanhood, we may look for the perfect mother- hood, giving to the world sons and daughters fash- ioned in the original likeness of man—a little lower than the angels. THE SACREDNESS OF MOTHERHOOD.—It is a motherhood such as this which is sacred in its charac- ter, and to be revered by all men. It places woman, the fashioner, next to God, the Creator, and is typified in that saintly motherhood of Mary, whom all good Catholics revere, some doubtless in blind and igno- rant faith ; while others see with their spiritual vision the meaning of the halo which rests upon the virgin mother's brow. A like aureole of glory surrounds all true, pure mothers, showing their worthiness to sit upon the very steps of the heavenly throne. THE END “A book which both men and women are under the most solemn obligation to possess."-"CHRISTIAN UNION” (Henry Ward Beecher, Editor.) WHAT WOMEN SHOULD KNOW A WOMAN'S BOOK ABOUT WOMEN, BY MRS. E. B. DUFFEY. Of Inestimable Value to Every Woman." ANY volumes, treating of the physical condition and life of woman have been published with great success, some of which, it cannot be denied, owe their popularity to the really valuable information which they o impart. Works of this class however, have generally been written by men, many of them of ability and ample expe- rience. The all-powerful claim of this book rests on the fact that the author is a woman, a wife and a mother, one who has experienced all the conditions of her sex, and who can therefore intelligently describe the peculiar func- Štions in which these conditions of life have placed her from & actual experiences, with far more exactness and ability than the most learned of the other sex. The author has aimed, in the most concise manner, to grasp the entire subject. A glance at the synopsis will 4 readily explain its intent and scope. The book consists of O nearly 400 pages, is printed on fine toned paper with new type, and is handsomely and neatly bound in best English cloth, price Furnished to subscribers only through our auinorized - szents. None will be compelled to take the book unless-it compares with the sample shown in every particular. Vill Be of Great Use in Every Household.” WHAT WOMEN SHOULD KNOW. SYNOPSIS OF THE BOOK. IN times past it has been gravely questioned whether women should be allowed to learn the alphabet. That privilege having been conceded them, it becomes possible for one possessed with a strong imagination to look forward to the time when certain knowledge, the absence of which is continually productive of seri- ous physical and moral errors, shall be deemed alike permissible, if not desirable. Women need a thorough acquaintanceship with the organs and functions of their own bodies, in order that they may guard against disease and suffering in themselves, and that they may bring forth healthy children. They need, to thorough knowledge of the good and evil of the world, so that they may guide their children safely through the perils which beset their youth and early man- hood and womanhood, even as a skillful pilot needs to know all the rocks and shallows of the stream that he may steer his ship clear of them. This book tells women simply what they ought to know, and without knowing which they cannot perfectly fulfill their womanly destiny. Its language is plain and direct, yet marked by no impropriety, and is such as one modest woman can use in addressing another. It is in its hygienic and general character quite up to the advanced ideas of the day. It begins with the physical development of the girl into womanhood, and points out all the dangers which attend it and mistakes which may be committed. It treats of love in its various phases, and fearlessly attacks immorality in every form. It discusses marriage in all its bearings, denounces criminal abortion, attacking it and pointing out its remedy from a stand assumed by any other author; it refers to children and to inhe at some length the theorios concerning the production of the sexes at will. It enumerates the trials of the young wife, and shows how a false state of society and a false system of education have augmented them. It treats of pregnancy and delivery and the management of the new-born babe with a care and minute- ness not tc be found in any other book of its class-a care and minuteness which will make it invaluable to the young wife and mother. One chapter is devoted to an infant's dress, telling how it should be made, and giving a full list of articles of infants' wardrobe, quantity of material required, estimated cost and accurate directions for making. Another chapter is devoted to diseases of infants, suggest- ng simple remedies which will usually prove efficacious. The concluding chap ter treats of the moral responsibilities of motherhood, and the author tries to impress upon her readers the exalted position of the mother, and that it is second lo none in honor or importance. There are two classes who may take exceptions to this book. The first class is composed of those who ignore on principle many of the subjects which are treated in its pages, and who seem to believe that by shutting their eyes to the evils in the world they do away with them, or at least shift the responsibility from their own shoulders. This class should be reminded that the evils are, and will continue to be until that day comes when all good women shall take cognizance of them. and bring their influence to bear in every possible direction to lessen then. The second class embraces the evil-minded and the impure-hearted, who are ready to misconstrue purity itself whenever possible. For the benefit of all such may be applied to this book the famous motto, literally rendered from the French: ** Shame shall be to him who thinks evil of it." WHAT IS SAID OF IT. "On the whole, wives and mothers will find much information, the fruit of experience, observation, and good sense, in this volume."--Forney's Press. "Subjects of great delicacy are here discussed, but in a way that can offend no legitimate and healthful taste or sentiment. It is a book that can safely be put into any daughter's hands, and which ought to be found there.”—Watchman and Reflector. “In the more social aspects of the subjects discussed the writer is eminently liberal and sensible, taking nature for her guide rather than conventional etiquette. The hygienic and physiological departments show also a treatment in harmony generally with natural methods, counselling obedience to the cardinal laws of life in matters of food, air, light and correct living, rather than recourse to drugs and nostrums for imagi- nary virtues. The moral tone of the work is unexceptional, and its plain truths may be of incalculable benefit to many." The Home Journal. “For many reasons, a woman is better fitted to counsel her own sex on subjects such as are discussed in this work than a man, no matter how learned he may be. What Women Should Know' is, from the fact that its author is a woman, likely to enjoy a much greater popularity than most treatises which attempt to give advice upon such delicate but vitally important matters as marriage, maternity, and the management of children.”—Philadelphia Evening Telegraph. “I like it very much. It is a fresh, strong, bold, womanly, and, in some respects, an original utterance of a woman to women; and to men as well, who need it quite as much." Hon. A. G. Riddle, Ex-Member of Congress: “The book is superior to any of its class published which it has ever been our privilege to examine. In its hygiene it is quite up to the spirit of the times, and is in every way calculated to benefit the class of readers for whom it is prepared.”- Godey's Lady's Book. "This work has been written specially for women, and is essential to their comfort and to the right discharge of many of their duties.”—The Presbyterian. “ Mrs. E. B. Duffey has just written a book entitled, • What Women should Know,' which gives many good suggest- fons in the right direction."--Elizabeth Cady Stanton 'I believe that it tells in a clear and excellent manner many things which woman should know, but upon which there is often a lamentable degree of ignorance."--Rev. Oscar Clute, WHAT IS SAID OF IT. “Your aim is a good one, and I hope you will be able to fulfill it worthily.”—Horace Bushnell, D.D., Hartford, Conn. “I commend the book to women, guaranteeing, if read with the same spirit of observation with which it was writtten, it will prove of untold benefit to the sex."-Abby W. M. Bartlett. M. D., Vinetand, N. 7. “God bless you in your good work! that the book may be sold by the hundred thousand is my earnest wish. Thousands are still hungry for the meat it contains.”—M. S. Holbrook, M. D., (Herald of Health.) "It supplies a want that earnest women have long felt, a thorough knowledge of themselves in those relations which have hitherto been shrouded in ignorance by a false delicacy. I believe this book is destined to have an immense sale, and be of great practical benefit to women."-Elizabeth S. Bladen. “We feel perfectly safe in recommending it to every mother and daughter as a work unequaled in interest and practical value on the subject in our language.”—Charles R. Wiley, M.D. “Her style is fresh, forcible, and direct; shrinking from no- thing, avoiding nothing, and dealing with everything in a spirit that precludes the levity of a thoughtless or the ribaldry of a profane reader. We shall be glad if this book reaches the hands of every intelligent woman in this country."-Daily Morning Chronicle. “This is a work containing plain, homely truths on deli- cate subjects, it is true, but nevertheless so important that every one affected by them should know them. There is no char- latanism about Mrs. Duffey's writings. She gives plain, practical advice, such as an experienced woman should give her less ex- perienced sister, and the fact that it is printed in a book instead of being given by word of mouth, does not lessen its value. Every young wife should have the book and study it."--Phila- delphia Evening Bulletin. * This book is all that its title purports. It is full of informa- tion valuable to all women, though especially important to wives and mothers; a hand-book for them, whose instructions, if well followed, will greatly influence their well being, and have an important and beneficial bearing on both present and future generations. The mechanical execution of the book is excel- lent.”—The True Woman, Baltimore, Md. “ This book is one of the best of its class, and can be safely recommended to all wives and mothers. Delicate subjects are delicately handled, and much sound advice is given." Christian Register, WHAT IS SAID OF IT. I have read “What Women Should know," and must in truth say it excels all of its kind. You have done the public a great service. That you may be re- warded by the sale of many editions is the wish of M. SENTER, M.D., Columbus, O. We take it that woman should know not only what there is in this book, but vastly more. Nay, all things which her God-given faculties may enable her to learn. Yea, "all things.The Amer- ican Lutheran, York, Pa. It is written by a cultivated and intelligent lady, with great delicacy, and a clear apprehension of the kind of instruction that young women should receive through their mothers, and with a remarkable power of presenting it in a chaste and attractive man- ner. It ranks as a literary publication far above ordinary volumes of this character, and is worthy of a wide distribution, How to convey the information it contains at the right hour to those for whose benefit it is chiefly written, has been a family problem, and here it is fairly solved.--Zion's Herald, Boston. Unlike Sydney Smith, I make it a rule to read a book before pro- nouncing judgment upon it. This is the reason you have not heard from me before. I have read the book, and I more than like it. At least, I could not but like it after I recovered from the fit of ill humor into which the perusal threw me. It is not pleasant to have the wind taken from one's sails, and I have meant to write something of the kind myself--a continuation of my “Common Sense,'' series. I forgive you, in consideration of the fact that you have done the work far better than I could. Gratefully and truly, MARION HARLAND. The animus of this book is pure. The author is a woman of great earnestness of character, directness of purpose and plainness of speech, and has written for her sex with the simple and direct end of benefiting them. We know her well, and know that in the production of this book she was moved to write from a high sense of duty to her sister-wives and mothers.---Arthur's Magazine. A thoroughly comprehensive work, treating of important and delicate matters.---Lady's Friend. We can only speak of the spirit and scope of the book, of which the first is excellent and the second legitimate. Its author takes quite an extended view of womanly trouble and experience, phys- ical and psychical. She broadly opposes the foolish masculine theory which makes womanhood in itself a disease. She argues, we think conclusively, that women with more health of mind would have more health of body, and we thank her for showing that the inconveniences attendant upon the office of maternity are aggravated by a life of self-indulgence, and greatly mitigated by resolute and systematic exertion.- Mrs. Julia Ward Howe, in Wo- man's Journal WHAT IS SAID OF IT. We cannot too cordially welcome a work-designed for women ex- elusively-whose aim is to offer a complete summary of general knowledge for women concerning the physical functions of their sex, and the duties resulting from their exercise. Such a work--one that will cheer the despondent as well as enlighten the ignorant-has just been issued under the title “ What Women Should Know. A Woman's Book About Women.” By Mrs. E. B. Duffey. This book, which is a pure and honest one, not written in the ex- pectation of gratifying an evil curiosity, simply tells women what they ought to know, and without knowing which they cannot hope to fulfill perfectly their womanly destiny. Only those who are ever ready to misconstrue purity can find anything objectionable in these pages.-Cincinnati Times and Chron- icle. The first impression derived from this book is, that it was writ- ten by a well-educated, throroughly reliant, and pure-minded wo- man for the benefit of her sex. It is a plain, dignified, and earnest attempt to correct some of woman's errors regarding her own phys- ical organization, and to contribute to her information regarding her sexual ailments and the means for their avoidance or cure. It fills a hitherto vacant place in the library of the wife and mother, and seems to be thoroughly worthy of matronly confidence.- Weekly Toledo Blade. Of the many books that have been written for women, we think this one of the best. Valuable information on a great variety of subjects is given in a clear, forcible style, making thus a highly readable work. We consider the book one that may be recommended to all wo- men for careful perusal.-The American Journal of Homoeopathic Ma- teria Medica. Mrs Duffey has a rare natural aptitude for writing clear, grace- ful and vigorous English, which years of experience and association with writers of eminence have developed and improved, and as a consequence, she now gives to the world a book which, in all re- spects, compares favorably with any of its class, and we trust it will prove as great a success in a pecuniary as in a literary point of view--The Geauga Republican, Chardon, O. After a careful examination of this volume, we unhesitatingly pronounce it a most surprising, remarkable book, far beyond any- thing of the kind ever before issued from the press. Indeed too much cannot be said in its favor; it must be read to be appreciated. It strikes at the foundation and continuance of our being; and as its title indicates, it addresses itself to every wife and mother in our land, and to whom it will be found of untold value. Its has been justly entitled a "Brave Book."--Harrisburg Pau CURIOSITIES OF THE BIBLE. BY AUSTIN S. OLTEY. A new and most remarkable book, the result of thirteen years of Bible application and labor. It classifies and gives instructive reference to every Fact and to everything curious in the Bible. A pleasure to the casual reader, a guide to the student, an indispensable aid to the teacher in fact, the best, most modern, most useful and most attractive COMPANION OF THE BIBLE. It is appropriately and handsomely illustrated, elegantly printed and bound in styles not excelled, if they can be equaled, by any book mart in the world. SEWED WITH WIRE, they are so flexible that the holder is freed from all annoyance, references being made with incomparable ease and facility, while they are so strong that human strength fairly applied cannot break them. Nearly every feature of this Publication is new to the trade and to the reading public. Agents should send at once for de- scriptive circulars, as the book will be sold only on subscription. It contains 575 pages, 16 elegant plate illustrations, also a handsome presentation plate, and will be sold at $3.75 for cloth binding, $6 and $8 for Leather binding. ADDRESS FIRESIDE PUBLISHING COMPANY, No. 20 N. Seventh Street, PHILADELPHIA. og Duffey, Ella Bisbee. Du அதை பாரு als - aellam கப் 2 இ R 2 x 0 9 on ਤ 的​。