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for invalids, convalescents, expectant and parturient
mothers than is at present the case.
Women after child-birth are specially liable to chills, both
because of their heightened susceptibility to all infections,
and also owing to their profuse perspiration. There should
be no needless exposure to draughts, and the rooms should
be well warmed and at an even temperature, even if the
woman has been used to perform her exercises nude. Any
chill may not only damage and retard her own recovery,
but, if she is nursing her baby, may have serious effects on
the child.
Begin the exercises twenty-four hours after delivery. If
the woman wishes an even earlier commencement, and if
conditions are favourable, gentle passive movements and light
massage can be applied.
The initial group of exercises after child-birth consist of
Leg rolling: active and Passive, as described under No. 9 of
the exercises in pregnancy (Chapter XIII.), and depicted in
Figs. 26 and 27.
Foot Exercise : Passive. (Fig. 28.)
These are described in No. 10 of exercises during pregnancy
(Chapter XIII.). They should be performed lying down,
while the gymnastic instructress supports the leg just above
the ankle with her left hand. It is advisable to avoid all
pressure on the calves after child-birth, in order to spare
further strain on the large blood-vessels.
Leg Relaxation : Passive. (Fig. 29.)
Compare No. n of the exercises during pregnancy
(Chapter XIII.). But, after child-birth, the attitude should
be recumbent. Instead of resting the thigh across the knee
of the instructress, it should be raised vertically (or at right
angles to the trunk) and supported by the instructress with
one hand. While the patient is exercising the left thigh the
instructress stands on that side and supports her with her
left hand ; while her other hand clasps the lower leg just
over the ankle and then drops it. The patient must relax