Identifier: 54510150R.nlm.nih.gov
Title: A nurse's handbook of obstetrics
Year: 1915 (1910s)
Authors: Cooke, Joseph Brown, 1868- author Gray, Carolyn E. (Carolyn Elizabeth), 1873-1938 Baker, Mary Alberta
Subjects: Obstetrical Nursing
Publisher:
Contributing Library: U.S. National Library of Medicine
Digitizing Sponsor: Open Knowledge Commons, U.S. National Library of Medicine

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a fractionof a degree towards night. This point is not firmly established,and any regular, though slight, evening exacerbation of tem-perature should be reported to the attending physician. The skin is affected by an increased activity of the seba-ceous and sweat-glands and the hair-follicles. A marked im-provement in the growth of the hair is often noticeable at thistime, and many women whose hair was thin and brittle before 72 A NURSES HANDBOOK OF OBSTETRICS. the occurrence of conception find it long and luxuriant at theend of the puerperium. The increased activity of the sweat-glands is due to their efforts to assist the kidneys in the elimina-tion of the waste material. Palpitation of the heart is not uncommon, and is due inthe early months of pregnancy to sympathetic, nervous disturb-ance, and toward the end of gestation to the pressure of theenlarged uterus. Pigmentation.—In addition, there are also deposits of pig-ment in various parts of the integument, most noticeable about
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Fig. 32.—Abdominal pigmentation. Deposits of pigment in median line and protrusion of umbilicus clearly shown. Primigravidae at about the eighth month. the nipples and umbilicus and along the median line of theabdomen from the mons Veneris to the navel. In certain cases,also, irregular spots or blotches of a muddy brown color, re-sembling large freckles of varying size and shape, appear onthe face, and dark rings form under the eyes. These facialdeposits, which in rare instances may be distributed over theentire body, are known as chloasmata (plural of chloasma),or masque des femmes enceintes, and often cause the patientgreat mental distress; but her mind can be relieved by theassurance that they will disappear after labor, if not before.The pigmentation of the breasts and abdomen, however, never THE URINE OF PREGNANCY. 73 disappears entirely, though it is usually much less pronouncedafter the birth of the child. All of these pigmentary deposits vary exceedingly in size,shape, and d

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