Special Safeguards in Confinement.

1. Before the confinement takes place everything should be carefully arranged and prepared. The physician should be spoken to and be given the time as near as can be calculated. The arrangement of the bed, bed clothing, the dress for the mother and the expected babe should be arranged for convenient and immediate use.

2. A bottle of sweet oil, or vaseline, or some pure lard should be in readiness. Arrangements should be made for washing all soiled garments, and nothing by way of soiled rags or clothing should be allowed to accumulate.

3. A rubber blanket, or oil or waterproof cloth should be in readiness to place underneath the bottom sheet to be used during labor.

4. As soon as labor pains have begun a fire should be built and hot water kept ready for immediate use. The room should be kept well ventilated and comfortably warm.

5. No people should be allowed in or about the room except the nurse, the physician, and probably members of the family when called upon to perform some duty.

6. During labor no solid food should be taken; a little milk, broth or soup may be given, provided there is an appetite. Malt or spirituous liquors should be carefully avoided. A little wine, however, may be taken in case of great exhaustion. Lemonade, toast, rice water, and tea may he given when desired. Warm tea is considered an excellent drink for the patient at this time.

7. When the pains become regular and intermit, it is time that the physician is sent for. On the physician's arrival he will always take charge of the case and give necessary instructions.

8. In nearly all cases the head of the child is presented first. The first pains are generally grinding and irregular, and felt mostly in the groins and within, but as labor progresses the pains are felt in the abdomen, and as the head advances there is severe pain in the back and hips and a disposition to bear down, but no pressure should be placed upon the abdomen of the patient; it is often the cause of serious accidents. Nature will take care of itself.

9. Conversation should be of a cheerful character, and all allusions to accidents of other child births should be carefully avoided.

10. Absence of Physician.—In case the child should be born in the absence of the physician, when the head is born receive it in the hand and support it until the shoulders have been expelled, and steady the whole body until the child is born. Support the child with both hands and lay it as far from the mother as possible without stretching the cord. Remove the mucus from the nostrils and mouth, wrap the babe in warm flannel, make the mother comfortable, give her a drink, and allow the child to remain until the pulsations in the cord have entirely ceased. After the pulsations have entirely ceased then sever the cord. Use a dull pair of scissors, cutting it about two inches from the child's navel, and generally no tying is necessary, and when the physician comes he will give it prompt attention.

11. If the child does not breathe at its arrival, says Dr. Stockham in her celebrated Tokology, a little slapping on the breast and body will often produce respiration, and if this is not efficient, dash cold water on the face and chest; if this fails then close the nostrils with two fingers, breathe into the mouth and then expel the air from the lungs by gentle pressure upon the chest. Continue this as long as any hope of life remains.

12. After-Birth.—Usually contractions occur and the after-birth is readily expelled; if not, clothes wrung out in hot water laid upon the bowels will often cause the contraction of the uterus, and the expulsion of the after-birth.

13. If the cord bleeds severely inject cold water into it. This in many cases removes the after-birth.

14. After the birth of the child give the patient a bath, if the patient is not too exhausted, change the soiled quilts and clothing, fix up everything neat and clean and let the patient rest.

15. Let the patient drink weak tea, gruel, cold or hot water, whichever she chooses.

16. After the birth of the baby, the mother should be kept perfectly quiet for the first 24 hours and not allowed to talk or see anyone except her nearest relations, however well she may seem. She should not get out of bed for ten days or two weeks, nor sit up in bed for nine days. The more care taken of her at this time, the more rapid will be her recovery when she does get about. She should go up and down stairs slowly, carefully, and as seldom as possible for six weeks. She should not stand more than is unavoidable during that time, but sit with her feet up and lie down when she has time to rest. She should not work a sewing machine with a treadle for at least six weeks, and avoid any unusual strain or over-exertion. "An ounce of prevention is worth a pound of cure," and carefulness will be well repaid by a perfect restoration to health.

WHERE DID THE BABY COME FROM?

Child Bearing Without Pain.

HOW TO DRESS, DIET AND EXERCISE IN PREGNANCY.

1. Ailments.—Those ailments to which pregnant women are liable are mostly inconveniences rather than diseases, although they may be aggravated to a degree of danger. No patent nostrums or prescriptions are necessary. If there is any serious difficulty the family physician should be consulted.

2. Comfort.—Wealth and luxuries are not a necessity. Comfort will make the surroundings pleasant. Drudgery, overwork and exposure are the three things that tend to make women miserable while in the state of pregnancy, and invariably produce irritable, fretful and feeble children. Dr. Stockham says in her admirable work "Tokology": "The woman who indulges in the excessive gayety of fashionable life, as well as the overworked woman, deprives her child of vitality. She attends parties in a dress that is unphysiological in warmth, distribution and adjustment, in rooms badly ventilated; partakes of a supper of indigestible compounds, and remains into the 'wee, sma' hours,' her nervous system taxed to the utmost."

3. Exercise.—A goodly amount of moderate exercise is a necessity, and a large amount of work may be accomplished if prudence is properly exercised. It is overwork, and the want of sufficient rest and sleep that produces serious results.

4. Dresses.—A pregnant woman should make her dresses of light material and avoid surplus trimmings. Do not wear anything that produces any unnecessary weight. Let the clothing be light but sufficient in quantity to produce comfort in all kinds of weather.

5. Garments.—It is well understood that the mother must breathe for two, and in order to dress healthily the garments should be worn loose, so as to give plenty of room for respiration. Tight clothes only cause disease, or produce frailty or malformation in the offspring.

6. Shoes.—Wear a large shoe in pregnancy; the feet may swell and untold discomfort may be the result. Get a good large shoe with a large sole. Give the feet plenty of room. Many women suffer from defects in vision, indigestion, backache, loss of voice, headache, etc., simply as the result of the reflex action of the pressure of tight shoes.

7. Lacing.—Many women lace themselves in the first period of their gestation in order to meet their society engagements. All of this is vitally wrong and does great injury to the unborn child as well as to inflict many ills and pains upon the mother.

8. Corsets.—Corsets should be carefully avoided, for the corset more than any other one thing is responsible for making woman the victim of more woes and diseases than all other causes put together. About one-half the children born in this country die before they are five years of age, and no doubt this terrible mortality is largely due to this instrument of torture known as the modern corset. Tight lacing is the cause of infantile mortality. It slowly but surely takes the lives of tens of thousands, and so effectually weakens and diseases, so as to cause the untimely death of millions more.

9. Bathing.—Next to godliness is cleanliness. A pregnant woman should take a sponge or towel-bath two or three times a week. It stimulates and invigorates the entire body. No more than two or three minutes are required. It should be done in a warm room, and the body rubbed thoroughly after each bathing.

10. The Hot Sitz-Bath.—This bath is one of the most desirable and healthful baths for pregnant women. It will relieve pain or acute inflammation, and will be a general tonic in keeping the system in a good condition. This may be taken in the middle of the forenoon or just before retiring, and if taken just before retiring will produce invigorating sleep, will quiet the nerves, cure headache, weariness, etc. It is a good plan to take this bath every night before retiring in case of any disorders. A woman who keeps this up during the period of gestation will have a very easy labor and a strong, vigorous babe.

11. Hot Fomentations.—Applying flannel cloths wrung out of simple or medicated hot water is a great relief for acute suffering, such as neuralgia, rheumatic pain, biliousness, constipation, torpid liver, colic, flatulency, etc.

12. The Hot Water-Bag.—The hot water-bag serves the same purpose as hot fomentations, and is much more convenient. No one should go through the period of gestation without a hot water-bag.

13. The Cold Compress.—This is a very desirable and effectual domestic remedy. Take a towel wrung from cold water and apply it to the affected parts; then cover well with several thicknesses of flannel. This is excellent in cases of sore throat, hoarseness, bronchitis, inflammation of the lungs, croup, etc. It is also excellent for indigestion, constipation or distress of the bowels accompanied by heat.

14. Diet.—The pregnant woman should eat nutritious, but not stimulating or heating food, and eat at the regular time. Avoid drinking much while eating.

15. Avoid salt, pepper and sweets as much as possible.

16. Eat all kinds of grains, vegetables and fruits, and avoid salted meat, but eat chicken, steak, fish, oysters, etc.

17. The Woman Who Eats Indiscriminately anything and everything the same as any other person, will have a very painful labor and suffer many ills that could easily be avoided by more attention being paid to the diet. With a little study and observation a woman will soon learn what to eat and what to avoid.

18. The above cuts are given on page 105; we repeat them here for the benefit of expectant mothers who may be ignorant of the evil effects of the corset.

Displacement of the womb, interior irritation and inflammation, miscarriage and sterility, are some of the many injuries of tight lacing. There are many others, in fact their name is legion, and every woman who has habitually worn a corset and continues to wear it during the early period of gestation must suffer severely during childbirth.

19. This is what Dr. Stockham says: "If women had common sense, instead of fashion sense, the corset would not exist. There are not words in the English language to express my convictions upon this subject. The corset more than any other one thing is responsible for woman's being the victim of disease and doctors....

"What is the effect upon the child? One-half of the children born in this country die before they are five years of age. Who can tell how much this state of things is due to the enervation of maternal life forces by the one instrument of torture?

"I am a temperance woman. No one can realize more than I the devastation and ruin alcohol in its many tempting forms has brought to the human family. Still I solemnly believe that in weakness and deterioration of health, the corset has more to answer for than intoxicating drinks." When asked how far advanced a woman should be in pregnancy before she laid aside her corset, Dr. Stockham said with emphasis: "The corset should not be worn for two hundred years before pregnancy takes place. Ladies, it will take that time at least to overcome the ill-effect of tight garments which you think so essential."

20. Painless Pregnancy and Child-Birth.—"Some excellent popular volumes," says Dr. Haff, "have been largely devoted to directions how to secure a comfortable period of pregnancy and painless delivery. After much conning of these worthy efforts to impress a little common sense upon the sisterhood, we are convinced that all may be summed up under the simple heads of: (1) An unconfined and lightly burdened waist; (2) Moderate but persistent outdoor exercise, of which walking is the best form; (3) A plain, unstimulating, chiefly fruit and vegetable diet; (4) Little or no intercourse during the time.

"These are hygienic rules of benefit under any ordinary conditions; yet they are violated by almost every pregnant lady. If they are followed, biliousness, indigestion, constipation, swollen limbs, morning sickness and nausea—all will absent themselves or be much lessened. In pregnancy, more than at any other time, corsets are injurious. The waist and abdomen must be allowed to expand freely with the growth of the child. The great process of evolution must have room."

21. In Addition, we can do no better than quote the following recapitulation by Dr. Stockham in her famous Tokology: "To give a woman the greatest immunity from suffering during pregnancy, prepare her for a safe and comparatively easy delivery, and insure a speedy recovery, all hygienic conditions must be observed.

"The dress must give:

"1. Freedom of movement;

"2. No pressure upon any part of the body;

"3. No more weight than is essential for warmth, and both weight and warmth evenly distributed.

"These requirements necessitate looseness, lightness and warmth, which can be obtained from the union underclothes, a princess skirt and dress, with a shoe that allows full development and use of the foot. While decoration and elegance are desirable, they should not sacrifice comfort and convenience.

22. "Let the Diet Be Light, plain and nutritious. Avoid fats and sweets, relying mainly upon fruits and grain that contain little of the mineral salts. By this diet bilious and inflammatory conditions are overcome, the development of bone in the fœtus lessened, and muscles necessary in labor nourished and strengthened.

23. "Exercise should be sufficient and of such a character as will bring into action gently every muscle of the body; but must particularly develop the muscles of the trunk, abdomen and groin, that are specially called into action in labor. Exercise, taken faithfully and systematically, more than any other means assists assimilative processes and stimulates the organs of excretion to healthy action.

24. "Bathing Must Be Frequent and regular. Unless in special conditions the best results are obtained from tepid or cold bathing, which invigorates the system and overcomes nervousness. The sitz-bath is the best therapeutic and hygienic measure within the reach of the pregnant woman.

"Therefore, to establish conditions which will overcome many previous infractions of law, dress naturally and physiologically; live much of the time out of doors; have abundance of fresh air in the house; let exercise be sufficient and systematic; pursue a diet of fruit, rice and vegetables; regular rest must be faithfully taken; abstain from the sexual relation. To those who will commit themselves to this course of life, patiently and persistently carrying it out through the period of gestation, the possibilities of attaining a healthy, natural, painless parturition will be remarkably increased.

25. "If the First Experiment should not result in a painless labor, it without doubt will prove the beginning of sound health. Persisted in through years of married life, the ultimate result will be more and more closely approximated, while there will be less danger of diseases after childbirth and better and more vigorous children will be produced.

"Then pregnancy by every true woman will be desired, and instead of being a period of disease, suffering and direful forebodings, will become a period of health, exalted pleasure and holiest anticipations. Motherhood will be deemed the choicest of earth's blessings; women will rejoice in a glad maternity and for any self-denial will be compensated by healthy, happy, buoyant, grateful children."

Solemn Lessons for Parents.

1. Excessive Pleasures and Pains.—A woman during her time of pregnancy should of all women be most carefully tended, and kept from violent and excessive pleasures and pains; and at that time she should cultivate gentleness, benevolence and kindness.

2. Hereditary Effects.—Those who are born to become insane do not necessarily spring from insane parents, or from any ancestry having any apparent taint of lunacy in their blood, but they do receive from their progenitors certain impressions upon their mental and moral, as well as their physical beings, which impressions, like an iron mould, fix and shape their subsequent destinies. Hysteria in the mother may develop insanity in the child, while drunkenness in the father may impel epilepsy, or mania, in the son. Ungoverned passions in the parents may unloose the furies of unrestrained madness in the minds of their children, and the bad treatment of the wife may produce sickly or weak-minded children.

3. The influence of predominant passion may be transmitted from the parent to the child, just as surely as similarity of looks. It has been truly said that "the faculties which predominate in power and activity in the parents, when the organic existence of the child commences, determine its future mental disposition." A bad mental condition of the mother may produce serious defects upon her unborn child.

4. The singular effects produced on the unborn child by the sudden mental emotions of the mother are remarkable examples of a kind of electrotyping on the sensitive surfaces of living forms. It is doubtless true that the mind's action in such cases may increase or diminish the molecular deposits in the several portions of the system. The precise place which each separate particle assumes in the new organic structure may be determined by the influence of thought or feeling. Perfect love and perfect harmony should exist between wife and husband during this vital period.

5. An Illustration.—If a sudden and powerful emotion of a woman's mind exerts such an influence upon her stomach as to excite vomiting, and upon her heart as almost to arrest its motion and induce fainting, can we believe that it will have no effect upon her womb and the fragile being contained within it? Facts and reason then, alike demonstrate the reality of the influence, and much practical advantage would result to both parent and child, were the conditions and extent of its operations better understood.

6. Pregnant women should not be exposed to causes likely to distress or otherwise strongly impress their minds. A consistent life with worthy objects constantly kept in mind should be the aim and purpose of every expectant mother.

CASES CITED.

We selected only a few cases to illustrate the above statement. Thousands of cases occur every year that might be cited to illustrate these principles. A mother cannot be too careful, and she should have the hearty co-operation and assistance of her husband. We quote the following cases from Dr. Pancoast's Medical Guide, who is no doubt one of the best authorities on the subject.

1. A woman bitten on the vulva by a dog, bore a child having a similar wound on the glans penis. The boy suffered from epilepsy, and when the fit came on, or during sleep, was frequently heard to cry out, "The dog bites me!"

2. A pregnant woman who was suddenly alarmed from seeing her husband come home with one side of his face swollen and distorted by a blow, bore a girl with a purple swelling upon the same side of the face.

3. A woman, who was forced to be present at the opening of a calf by a butcher, bore a child with all its bowels protruding from the abdomen. She was aware at the time of something going on within the womb.

4. A pregnant woman fell into a violent passion at not being able to procure a particular piece of meat of a butcher; she bled at the nose, and wiping the blood from her lips, bore a child wanting a lip.

5. A woman absent from home became alarmed by seeing a great fire in the direction of her own house, bore a child with a distinct mark of the flame upon its forehead.

6. A woman who had borne healthy children, became frightened by a beggar with a wooden leg and a stumped arm, who threatened to embrace her. Her next child had one stump leg and two stump arms.

7. A woman frightened in her first pregnancy by the sight of a child with a hare lip, had a child with a deformity of the same kind. Her second child had a deep slit, and the third a mark of a similar character or modified hare lips. In this instance the morbid mind of the mother affected several successive issues of her body.

8. A pregnant woman became frightened at a lizard jumping into her bosom. She bore a child with a fleshy excrescence exactly resembling a lizard, growing from the breast, adhering by the head and neck.

The Care of New-Born Infants.

1. The first thing to be done ordinarily is to give the little stranger a bath by using soap and warm water. To remove the white material that usually covers the child use olive oil, goose oil or lard, and apply it with a soft piece of worn flannel, and when the child is entirely clean rub all off with a fresh piece of flannel.

2. Many physicians in the United States recommend a thorough oiling of the child with pure lard or olive oil, and then rub dry as above stated. By these means water is avoided, and with it much risk of taking cold.

3. The application of brandy or liquor is entirely unnecessary, and generally does more injury than good.

4. If an infant should breathe feebly, or exhibit other signs of great feebleness, it should not be washed at once, but allowed to remain quiet and undisturbed, warmly wrapped up until the vital actions have acquired a fair degree of activity.

5. Dressing the Navel.—There is nothing better for dressing the navel than absorbent antiseptic cotton. There needs be no grease or oil upon the cotton. After the separation of the cord the navel should be dressed with a little cosmoline, still using the absorbent cotton. The navel string usually separates in a week's time; it may be delayed for twice this length of time, this will make no material difference, and the rule is to allow it to drop off of its own accord.

6. The Clothing of the Infant.—The clothing of the infant should be light, soft and perfectly loose. A soft flannel band is necessary only until the navel is healed. Afterwards discard bands entirely if you wish your babe to be happy and well. Make the dresses "Mother Hubbard"—Put on first a soft woolen shirt, then prepare the flannel skirts to hang from the neck like a slip. Make one kind with sleeves and one just like it without sleeves, then white muslin skirts (if they are desired), all the same way. Then baby is ready for any weather. In intense heat simply put on the one flannel slip with sleeves, leaving off the shirt. In Spring and Fall the shirt and skirt with no sleeves. In cold weather shirt and both skirts. These garments can be all put on at once, thus making the process of dressing very quick and easy. These are the most approved modern styles for dressing infants, and with long cashmere stockings pinned to the diapers the little feet are free to kick with no old-fashioned pinning blanket to torture the naturally active, healthy child, and retard its development. If tight bands are an injury to grown people, then in the name of pity emancipate the poor little infant from their torture!

7. The Diaper.—Diapers should be of soft linen, and great care should be exercised not to pin them too tightly. Never dry them, but always wash them thoroughly before being used again.

8. The band need not be worn after the navel has healed so that it requires no dressing, as it serves no purpose save to keep in place the dressing of the navel. The child's body should be kept thoroughly warm around the chest, bowels and feet. Give the heart and lungs plenty of room to heave.

9. The proper time for shortening the clothes is about three months in Summer and six months in Winter.

10. Infant Bathing.—The first week of a child's life it should not be entirely stripped and washed. It is too exhausting. After a child is over a week old it should be bathed every day; after a child is three weeks old it may be put in the water and supported with one hand while it is being washed with the other. Never, however, allow it to remain too long in the water. From ten to twenty minutes is the limit. Use Pears' soap or castile soap, and with a sponge wipe quickly, or use a soft towel.

NURSING.

1. The new-born infant requires only the mother's milk. The true mother will nurse her child if it is a possibility. The infant will thrive better and have many more chances for life.

2. The mother's milk is the natural food, and nothing can fully take its place. It needs no feeding for the first few days as it was commonly deemed necessary a few years ago. The secretions in the mother's breast are sufficient.

3. Artificial Food.—Tokology says: "The best artificial food is cream reduced and sweetened with sugar of milk. Analysis shows that human milk contains more cream and sugar and less casein than the milk of animals.

4. Milk should form the basis of all preparations of food. If the milk is too strong, indigestion will follow, and the child will lose instead of gaining strength.

Weaning.—The weaning of the child depends much upon the strength and condition of the mother. If it does not occur in hot weather, from nine to twelve months is as long as any child should be nursed.

Food in Weaning.—Infants cry a great deal during weaning, but a few days of patient perseverance will overcome all difficulties. Give the child purely a milk diet, Graham bread, milk crackers and milk, or a little milk thickened with boiled rice, a little jelly, apple sauce, etc., may be safely used. Cracked wheat, oatmeal, wheat germ, or anything of that kind thoroughly cooked and served with a little cream and sugar, is an excellent food.

Milk Drawn from the Breasts.—If the mother suffers considerably from the milk gathering in the breast after weaning the child, withdraw it by taking a bottle that holds about a pint or a quart, putting a piece of cloth wrung out in warm water around the bottle, then fill it with boiling water, pour the water out and apply the bottle to the breast, and the bottle cooling will form a vacuum and will withdraw the milk into the bottle. This is one of the best methods now in use.

Return of the Menses.—If the menses return while the mother is nursing, the child should at once be weaned, for the mother's milk no longer contains sufficient nourishment. In case the mother should become pregnant while the child is nursing it should at once be weaned, or serious results will follow to the health of the child. A mother's milk is no longer sufficiently rich to nourish the child or keep it in good health.

Care of the Bottle.—If the child is fed on the bottle, great care should be taken in keeping it absolutely clean. Never use white rubber nipples. A plain form of bottle with a black rubber nipple is preferable.

Children should not be permitted to come to the table until two years of age.

Chafing.—One of the best remedies is powdered lycopodium; apply it every time the babe is cleaned; but first wash with pure castile soap; Pears' soap is also good. A preparation of oxide of zinc is also highly recommended. Chafing sometimes results from an acid condition of the stomach; in that case give a few doses of castoria.

Colic.—If an infant is seriously troubled with colic, there is nothing better than camomile or catnip tea. Procure the leaves and make tea and give it as warm as the babe can bear.

FEEDING INFANTS.

1. The best food for infants is mother's milk; next best is cow's milk. Cow's milk contains about three times as much curd and one-half as much sugar, and it should be reduced with two parts of water.

2. In feeding cow's milk there is too little cream and too little sugar, and there is no doubt no better preparation than Mellin's food to mix it with (according to directions).

3. Children being fed on food lacking fat generally have their teeth come late; their muscles will be flabby and bones soft. Children will be too fat when their food contains too much sugar. Sugar always makes their flesh soft and flabby.

4. During the first two months the baby should be fed every two hours during the day, and two or three times during the night, but no more. Ten or eleven feedings for twenty-four hours are all a child will bear and remain healthy. At three months the child may be fed every three hours instead of every two.

5. Children can be taught regular habits by being fed and put to sleep at the same time every day and evening. Nervous diseases are caused by irregular hours of sleep and diet, and the use of soothing medicines.

6. A child five or six months old should not be fed during the night—from nine in the evening until six or seven in the morning, as overfeeding causes most of the wakefulness and nervousness of children during the night.

7. If a child vomits soon after taking the bottle, and there is an appearance of undigested food in the stool, it is a sign of overfeeding. If a large part of the bottle has been vomited, avoid the next bottle at regular time and pass over one bottle. If the child is nursing the same principles apply.

8. If a child empties its bottle and sucks vigorously its fingers after the bottle is emptied, it is very evident that the child is not fed enough, and should have its food gradually increased.

9. Give the baby a little cold water several times a day.

INFANTILE CONVULSIONS.

Definition.—An infantile convulsion corresponds to a chill in an adult, and is the most common brain affection among children.

Causes.—Anything that irritates the nervous system may cause convulsions in the child, as teething, indigestible food, worms, dropsy of the brain, hereditary constitution, or they may be the accompanying symptom in nearly all the acute diseases of children, or when the eruption is suppressed in eruptive diseases.

Symptoms.—In case of convulsions of a child parents usually become frightened, and very rarely do the things that should be done in order to afford relief. The child, previous to the fit, is usually irritable, and the twitching of the muscles of the face may be noticed, or it may come on suddenly without warning. The child becomes insensible, clenches its hands tightly, lips turn blue, and the eyes become fixed, usually frothing from the mouth with head turned back. The convulsion generally lasts two or three minutes; sometimes, however, as long as ten or fifteen minutes, but rarely.

Remedy.—Give the child a warm bath and rub gently. Clothes wrung out of cold water and applied to the lower and back part of the head and plenty of fresh air will usually relieve the convulsion. Be sure and loosen the clothing around the child's neck. After the convulsion is over, give the child a few doses of potassic bromide, and an injection of castor oil if the abdomen is swollen. Potassic bromide should be kept in the house, to use in case of necessity.

Pains and Ills in Nursing.

1. Sore Nipples.—If a lady, during the latter few months of her pregnancy, were to adopt "means to harden the nipples," sore nipples during the period of suckling would not be so prevalent as they are.

2. Cause.—A sore nipple is frequently produced by the injudicious custom of allowing the child to have the nipple almost constantly in his mouth. Another frequent cause of a sore nipple is from the babe having the canker. Another cause of a sore nipple is from the mother, after the babe has been sucking, putting up the nipple wet. She, therefore, ought always to dry the nipple, not by rubbing, but by dabbing it with a soft cambric or lawn handkerchief, or with a piece of soft linen rag—one or the other of which ought always to be at hand—every time directly after the child has done sucking, and just before applying any of the following powders or lotions to the nipple.

3. Remedies.—One of the best remedies for a sore nipple is the following powder:

Take of—Borax, one drachm; Powdered Starch, seven drachms.

Mix.—A pinch of the powder to be frequently applied to the nipple.

If the above does not cure, try Glycerine by applying it each time after nursing.

4. Gathered Breast.—A healthy-woman with a well-developed breast and a good nipple, scarcely, if ever, has a gathered bosom; it is the delicate, the ill-developed breasted and worse-developed nippled lady who usually suffers from this painful complaint. And why? The evil can generally be traced to girlhood. If she be brought up luxuriously, her health and her breasts are sure to be weakened, and thus to suffer, more especially if the development of the bosoms and nipples has been arrested and interfered with by tight stays and corsets. Why, the nipple is by them drawn in, and retained on the level with the breast—countersunk—as though it were of no consequence to her future well-being, as though it were a thing of nought.

5. Tight Lacers.—Tight lacers will have to pay the penalties of which they little dream. Oh, the monstrous folly of such proceedings! When will mothers awake from their lethargy? It is high time that they did so! From the mother having "no nipple," the effects of tight lacing, many a home has been made childless, the babe not being able to procure its proper nourishment, and dying in consequence! It is a frightful state of things! But fashion, unfortunately, blinds the eyes and deafens the ears of its votaries!

6. Bad Breast.—A gathered bosom, or "bad breast," as it is sometimes called, is more likely to occur after a first confinement and during the first month. Great care, therefore, ought to be taken to avoid such a misfortune. A gathered breast is frequently owing to the carelessness of a mother in not covering her bosoms during the time she is suckling. Too much attention cannot be paid to keeping the breasts comfortably warm. This, during the act of nursing, should be done by throwing either a shawl or a square of flannel over the neck, shoulders, and bosoms.

7. Another Cause.—Another cause of gathered breasts arises from a mother sitting up in bed to suckle her babe. He ought to be accustomed to take the bosom while she is lying down; if this habit is not at first instituted, it will be difficult to adopt it afterwards. Good habits may be taught a child from earliest babyhood.

8. Faintness.—When a nursing mother feels faint, she ought immediately to lie down and take a little nourishment; a cup of tea with the yolk of an egg beaten up in it, or a cup of warm milk, or some beef-tea, any of which will answer the purpose extremely well. Brandy, or any other spirit we would not recommend, as it would only cause, as soon as the immediate effects of the stimulant had gone off, a greater depression to ensue; not only so, but the frequent taking of brandy might become a habit—a necessity—which would be a calamity deeply to be deplored!

9. Strong Purgatives.—Strong purgatives during this period are highly improper, as they are apt to give pain to the infant, as well as to injure the mother. If it be absolutely necessary to give physic, the mildest, such as a dose of castor oil, should be chosen.

10. Habitually Costive.—When a lady who is nursing is habitually costive, she ought to eat brown instead of white bread. This will, in the majority of cases, enable her to do without an aperient. The brown bread may be made with flour finely ground all one way; or by mixing one part of bran and three parts of fine wheaten flour together, and then making it in the usual way into bread. Treacle instead of butter, on the brown bread increases its efficacy as an aperient; and raw should be substituted for lump sugar in her tea.

11. To Prevent Constipation.—Stewed prunes, or stewed French plums, or stewed Normandy pippins, are excellent remedies to prevent constipation. The patient ought to eat, every morning, a dozen or fifteen of them. The best way to stew either prunes or French plums, is the following:—Put a pound of either prunes or French plums, and two tablespoonfuls of raw sugar, into a brown jar; cover them with water; put them into a slow oven, and stew them for three or four hours. Both stewed rhubarb and stewed pears often act as mild and gentle aperients. Muscatel raisins, eaten at dessert, will oftentimes without medicine relieve the bowels.

12. Cold Water.—A tumblerful of cold water, taken early every morning, sometimes effectually relieves the bowels; indeed, few people know the value of cold water as an aperient—it is one of the best we possess, and, unlike drug aperients, can never by any possibility do any harm. An injection of warm water is one of the best ways to relieve the bowels.

13. Well-Cooked Vegetables.—Although a nursing mother ought, more especially if she be costive, to take a variety of well-cooked vegetables, such as potatoes, asparagus, cauliflower, French beans, spinach, stewed celery and turnips; she should avoid eating greens, cabbages, and pickles, as they would be likely to affect the babe, and might cause him to suffer from gripings, from pain, and "looseness" of the bowels.

14. Supersede the Necessity of Taking Physic.—Let me again—for it cannot be too urgently insisted upon—strongly advise a nursing mother to use every means in the way of diet, etc., to supersede the necessity of taking physic (opening medicine), as the repetition of aperients injures, and that severely, both herself and child. Moreover, the more opening medicine she swallows, the more she requires; so that if she once gets into the habit of regularly taking physic, the bowels will not act without them. What a miserable existence to be always swallowing physic!