ature contraction of the womb, and miscarriage. Nipple-shields,
with broad bases and openings, should always be obtained. They are safe,
and effectually secure the prominence of the nipples, when worn
constantly, day and night, during the last month or so of pregnancy.
Wives who have never had children ought to take special care to
ascertain before labor whether this depressed condition of the nipples
exists, and to correct it in the manner indicated.
In the first pregnancy it is also important to _harden the nipples_.
This may be done by occasionally gently rubbing them between the thumb
and finger, and by bathing them twice a day during the last six weeks
with tincture of myrrh, or with a mixture of equal parts of brandy and
water, to which a little alum has been added. This procedure will render
the surfaces less sensitive to the friction of the child's mouth, and
thus avert the distress so often occasioned in the first confinement by
tenderness of the nipples.
If the nipples be rough or nodulated in appearance, like a strawberry or
a raspberry, they are more apt to become excoriated or fissured than if
they present a smooth surface. Under such circumstances, make a solution
of the sulphate of zinc, of the strength of one grain to the ounce of
rose water, in a wide-mouthed bottle, then tilt the bottle upon the
nipple, and allow it to remain there for a few minutes several times a
day. Simple tenderness of the nipples and slight fissures may be averted
by the application either of a lotion of borax (two scruples of borax in
three ounces of water, and an ounce of glycerine), of the honey of
borax, or of the tincture of catechu, and by protecting the parts from
the pressure of the stays and the friction of the flannel vest.
It is of the greatest moment to the comfort of the mother, that all
affections of the nipples should be prevented or remedied before labor;
for the treatment of sore nipples when the child is at the breast is
often unsatisfactory, while the suffering they occasion is very great,
even sometimes giving rise to mammary abscess.
There are certain _articles of clothing_ and _dressings for the bed_
which should be cared for in advance, in order that they may be ready
when required.
The mother should be provided with short-gowns, to be worn over the
chemise instead of the ordinary night-gowns. It is of consequence to
procure a proper _bandage_. It should be made of heavy muslin, neither
too coarse
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