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matters." Moreover, there are special difficulties in the later
months of pregnancy. The size of the child and its position
in the abdominal cavity force up and somewhat hinder the
full action of the lungs. Thus it is urgent that the expectant
mother should learn how to breathe, and learn it betimes.
For she is not only strengthening and refreshing herself
thereby, but she is gaining control of respiration in later
stages and during actual birth. And increase of oxygen
benefits the heart action and the circulation of the blood ;
for the heart has an extra share of effort during gestation—
as well as the lungs.
The importance of full and correct breathing for the act
of birth is twofold. It refreshes the body and counteracts
exhaustion, and it also promotes the action of the diaphragm
and the rhythmic pressure and relaxation which may be so
helpful in expelling the child and avoiding severe injuries to
the maternal organs, especially the pelvic floor.
Gymnastic exercises also quicken elimination and the
combustion of waste products through muscular activity,
speeding up circulation, clearing bowels and kidneys and
sweat glands, and helping to keep down the excessive fat
which often accompanies gestation. Both general exercises
and respiratory exercises work perfectly together in these
directions, and may, therefore, be most usefully combined.
The ideal here is alternate breathing exercises and bodily
movements in the open air : and the most simple form is
walking with deep and full breathing. And, of course,
neither method excludes the other, but may complete and
enhance it.
And the final point to bear in mind among the general
benefits of exercise during pregnancy is the advantage of
relaxing and " suppling " exercises. On this subject Sieber—
whose pamphlet " Are Exercises advisable during Preg-
nancy ? " (36) I can, on the whole, recommend, equally with
Mrs. Lisa Mars treatise " Beauty in spite of Maternity." (37)
—is of opinion that these " suppling " exercises serve to
steady the muscular system, and to soothe the nerves which
are in a state of unstable but permanent excitement through-
out pregnancy. And I agree that their effect is appreciable.