ing the late months of pregnancy the urine analysis should
be made weekly. Catherized specimens should be used because leucorrheal
discharges, so common in pregnancy, may give the albumin reaction. If the
above advice of Dr. Manton, of Detroit, was followed in every case there
would be fewer cases of trouble during the confinement. I remember one
case; the lady was seven months along when I was called. She was feeling
badly and complained much of her eyes; an analysis of the urine showed
thick with albumin. The failure of her sight was due to thc condition of
her kidneys. If the urine had been examined early and often, her condition
might have been prevented. Watch the kidneys, have the urine examined
frequently and carefully.

[OBSTETRICS OR MIDWIFERY 521]

Exercise, Rest and Sleep.--Plenty of exercise in the open air should be
taken daily, without this health cannot be maintained. It should not be
violent or so great as to fatigue and overtire. Slow riding in a carriage
and walking will give the best results. Horseback riding and riding in an
automobile should be avoided. The woman should sit out of doors as much as
possible. Plenty of sleep is also necessary. Eight hours are not too much
at night, and lying down an hour or two during the forenoon and afternoon
is very restful and desirable.

The Vagina.--When there is a profuse discharge of leucorrhea, a daily
vaginal douche is necessary. This should consist of a quart of warm
solution (as much as the water will dissolve) of boric acid, or an equal
amount of mild carbolic acid (one to eighty). The temperature of the
solution should be about 100 degrees F., and it should be injected slowly,
and without any force to the stream.

It is also best to remain in the recumbent position for some time after
the injection, to rest.

The Breast and Nipples.--These should be bathed once or twice daily in
cool or tepid water until the last month or two of pregnancy. Astringent
application should not be applied to the nipples to harden them. If the
nipples are small, undeveloped or retracted they should be pulled out
several times daily by the fingers and gently rubbed, and this will
usually stimulate their growth. Cocoa butter or castor oil may be applied
during the last month.

Nervous System and the Mind.--The pregnant woman is very susceptible to
annoying conditions of the social and domestic surroundings; such should
be removed, if possible, and excitement of every kind