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relatively small number, among whom I was one, advocated
the longer period of rest in bed. But we have learnt to accept
the new principle, and even to prescribe definite movement
instead of the former immobility. For there is no doubt
that early " getting about again " involves early return to
muscular exertion, and favours the resumption of meta-
bolism and the health of the whole organism. The secretory
functions, the elimination through bladder and bowel and
the formation of milk are earlier restored or less clogged.
Sleep comes without artificial aid. The appetite thrives.
As for the organs of sex and maternity, far from becoming
displaced and dropping forward, as some critics have
ventured to affirm, they resume their normal position sooner
and have the increased support of taut sound muscles in
the pelvic floor. The abdominal muscles, instead of sagging,
become firmer and more elastic, and finally, the circulation
is speeded up and actively counteracts varicosities and
embolism, though affording no absolute guarantee against
these lesions. But I must wholly endorse the comments of
Stoeckel (Bibliography, No. 28), when he adds to these
encomia the question whether such benefits can only be
gained by " getting up soon " ? For this regime cuts down
the time of rest and recuperation to a minimum, and robs
women of that blessed solace of bodily peace and quiet
which the majority so profoundly appreciate and enjoy.
Puerperal physical culture offers all the benefits enumerated
above without the drawbacks of " getting about soon/' It
is much more truly considerate to the woman, and can be
much better regulated, rationed or adapted individually.
Moreover, it combines rest with a certain activity and
variety, and has a refreshing as well as a soothing effect on
the mind beyond all comparison with the other alternatives
of enforced quietude or premature exertion.
If the young mother is healthy and sufficiently strong,
and expresses her wish to leave her bed for a short time on
the sixth or seventh day after delivery, I am of opinion that
there need be no hesitation in allowing her to do so. But it
should not be urged upon her at that stage of involution.
After two more days have elapsed, however, she should be