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THE MOTHER AND HER CHILD.

The Child's Right to Choose Its Ancestry--How This is Effected--The Mother the Child's Supreme Parent--Motherhood and the Woman Movement--The Immense Importance of Motherhood--Infant Mortality and Its Causes--The Chief Cause in the Mother--The Need of Rest During Pregnancy--Frequency of Premature Birth--The Function of the State--Recent Advance in Puericulture--The Question of Coitus During Pregnancy--The Need of Rest During Lactation--The Mother's Duty to Suckle Her Child--The Economic Question--The Duty of the State--Recent Progress in the Protection of the Mother--The Fallacy of State Nurseries.

SEXUAL EDUCATION.

Nurture Necessary as Well as Breed--Precocious Manifestations of the Sexual Impulse--Are they to be Regarded as Normal?--The Sexual Play of Children--The Emotion of Love in Childhood--Are Town Children More Precocious Sexually Than Country Children?--Children's Ideas Concerning the Origin of Babies--Need for Beginning the Sexual Education of Children in Early Years--The Importance of Early Training in Responsibility--Evil of the Old Doctrine of Silence in Matters of Sex--The Evil Magnified When Applied to Girls--The Mother the Natural and Best Teacher--The Morbid Influence of Artificial Mystery in Sex Matters--Books on Sexual Enlightenment of the Young--Nature of the Mother's Task--Sexual Education in the School--The Value of Botany--Zo?logy--Sexual Education After Puberty--The Necessity of Counteracting Quack Literature--Danger of Neglecting to Prepare for the First Onset of Menstruation--The Right Attitude Towards Woman's Sexual Life--The Vital Necessity of the Hygiene of Menstruation During Adolescence--Such Hygiene Compatible with the Educational and Social Equality of the Sexes--The Invalidism of Women Mainly Due to Hygienic Neglect--Good Influence of Physical Training on Women and Bad Influence of Athletics--The Evils of Emotional Suppression--Need of Teaching the Dignity of Sex--Influence of These Factors on a Woman's Fate in Marriage--Lectures and Addresses on Sexual Hygiene--The Doctor's Part in Sexual Education--Pubertal Initiation Into the Ideal World--The Place of the Religious and Ethical Teacher--The Initiation Rites of Savages Into Manhood and Womanhood--The Sexual Influence of Literature--The Sexual Influence of Art.

SEXUAL EDUCATION AND NAKEDNESS.

The Greek Attitude Towards Nakedness--How the Romans Modified That Attitude--The Influence of Christianity--Nakedness in Mediaeval Times--Evolution of the Horror of Nakedness--Concomitant Change in the Conception of Nakedness--Prudery--The Romantic Movement--Rise of a New Feeling in Regard to Nakedness--The Hygienic Aspect of Nakedness--How Children May Be Accustomed to Nakedness--Nakedness Not Inimical to Modesty--The Instinct of Physical Pride--The Value of Nakedness in Education--The AEsthetic Value of Nakedness--The Human Body as One of the Prime Tonics of Life--How Nakedness May Be Cultivated--The Moral Value of Nakedness.

THE VALUATION OF SEXUAL LOVE.

The Conception of Sexual Love--The Attitude of Mediaeval Asceticism--St. Bernard and St. Odo of Cluny--The Ascetic Insistence on the Proximity of the Sexual and Excretory Centres--Love as a Sacrament of Nature--The Idea of the Impurity of Sex in Primitive Religions Generally--Theories of the Origin of This Idea--The Anti-Ascetic Element in the Bible and Early Christianity--Clement of Alexandria--St. Augustine's Attitude--The Recognition of the Sacredness of the Body by Tertullian, Rufinus and Athanasius--The Reformation--The Sexual Instinct Regarded as Beastly--The Human Sexual Instinct Not Animal-like--Lust and Love--The Definition of Love--Love and Names for Love Unknown in Some Parts of the World--Romantic Love of Late Development in the White Race--The Mystery of Sexual Desire--Whether Love is a Delusion--The Spiritual as Well as the Physical Structure of the World in Part Built up on Sexual Love The Testimony of Men of Intellect to the Supremacy of Love.

THE FUNCTION OF CHASTITY.

THE PROBLEM OF SEXUAL ABSTINENCE.

The Influence of Tradition--The Theological Conception of Lust--Tendency of These Influences to Degrade Sexual Morality--Their Result in Creating the Problem of Sexual Abstinence--The Protests Against Sexual Abstinence--Sexual Abstinence and Genius--Sexual Abstinence in Women--The Advocates of Sexual Abstinence--Intermediate Attitude--Unsatisfactory Nature of the Whole Discussion--Criticism of the Conception of Sexual Abstinence--Sexual Abstinence as Compared to Abstinence from Food--No Complete Analogy--The Morality of Sexual Abstinence Entirely Negative--Is It the Physician's Duty to Advise Extra-Conjugal Sexual Intercourse?--Opinions of Those Who Affirm or Deny This Duty--The Conclusion Against Such Advice--The Physician Bound by the Social and Moral Ideas of His Age--The Physician as Reformer--Sexual Abstinence and Sexual Hygiene--Alcohol--The Influence of Physical and Mental Exercise--The Inadequacy of Sexual Hygiene in This Field--The Unreal Nature of the Conception of Sexual Abstinence--The Necessity of Replacing It by a More Positive Ideal.

PROSTITUTION.

THE CONQUEST OF THE VENEREAL DISEASES.

The Significance of the Venereal Diseases--The History of Syphilis--The Problem of Its Origin--The Social Gravity of Syphilis--The Social Dangers of Gonorrhoea--The Modern Change in the Methods of Combating Venereal Diseases--Causes of the Decay of the System of Police Regulation--Necessity of Facing the Facts--The Innocent Victims of Venereal Diseases--Diseases Not Crimes--The Principle of Notification--The Scandinavian System--Gratuitous Treatment--Punishment For Transmitting Venereal Diseases--Sexual Education in Relation to Venereal Diseases--Lectures, Etc.--Discussion in Novels and on the Stage--The "Disgusting" Not the "Immoral".

SEXUAL MORALITY.

Prostitution in Relation to Our Marriage System--Marriage and Morality--The Definition of the Term "Morality"--Theoretical Morality--Its Division Into Traditional Morality and Ideal Morality--Practical Morality--Practical Morality Based on Custom--The Only Subject of Scientific Ethics--The Reaction Between Theoretical and Practical Morality--Sexual Morality in the Past an Application of Economic Morality--The Combined Rigidity and Laxity of This Morality--The Growth of a Specific Sexual Morality and the Evolution of Moral Ideals--Manifestations of Sexual Morality--Disregard of the Forms of Marriage--Trial Marriage--Marriage After Conception of Child--Phenomena in Germany, Anglo-Saxon Countries, Russia, etc.--The Status of Woman--The Historical Tendency Favoring Moral Equality of Women with Men--The Theory of the Matriarchate--Mother-Descent--Women in Babylonia--Egypt--Rome--The Eighteenth and Nineteenth Centuries--The Historical Tendency Favoring Moral Inequality of Woman--The Ambiguous Influence of Christianity--Influence of Teutonic Custom and Feudalism--Chivalry--Woman in England--The Sale of Wives--The Vanishing Subjection of Woman--Inaptitude of the Modern Man to Domineer--The Growth of Moral Responsibility in Women--The Concomitant Development of Economic Independence--The Increase of Women Who Work--Invasion of the Modern Industrial Field by Women--In How Far This Is Socially Justifiable--The Sexual Responsibility of Women and Its Consequences--The Alleged Moral Inferiority of Women--The "Self-Sacrifice" of Women--Society Not Concerned with Sexual Relationships--Procreation the Sole Sexual Concern of the State--The Supreme Importance of Maternity.

MARRIAGE.

THE ART OF LOVE.

THE SCIENCE OF PROCREATION.

The Relationship of the Science of Procreation to the Art of Love--Sexual Desire and Sexual Pleasure as the Conditions of Conception--Reproduction Formerly Left to Caprice and Lust--The Question of Procreation as a Religious Question--The Creed of Eugenics--Ellen Key and Sir Francis Galton--Our Debt to Posterity--The Problem of Replacing Natural Selection--The Origin and Development of Eugenics--The General Acceptance of Eugenical Principles To-day--The Two Channels by Which Eugenical Principles are Becoming Embodied in Practice--The Sense of Sexual Responsibility in Women--The Rejection of Compulsory Motherhood--The Privilege of Voluntary Motherhood--Causes of the Degradation of Motherhood--The Control of Conception--Now Practiced by the Majority of the Population in Civilized Countries--The Fallacy of "Racial Suicide"--Are Large Families a Stigma of Degeneration?--Procreative Control the Outcome of Natural and Civilized Progress--The Growth of Neo-Malthusian Beliefs and Practices--Facultative Sterility as Distinct from Neo-Malthusianism--The Medical and Hygienic Necessity of Control of Conception--Preventive Methods--Abortion--The New Doctrine of the Duty to Practice Abortion--How Far is this Justifiable?--Castration as a Method of Controlling Procreation--Negative Eugenics and Positive Eugenics--The Question of Certificates for Marriage--The Inadequacy of Eugenics by Act of Parliament--The Quickening of the Social Conscience in Regard to Heredity--Limitations to the Endowment of Motherhood--The Conditions Favorable to Procreation--Sterility--The Question of Artificial Fecundation--The Best Age of Procreation--The Question of Early Motherhood--The Best Time for Procreation--The Completion of the Divine Cycle of Life.

THE MOTHER AND HER CHILD.

The Child's Right to Choose Its Ancestry--How This is Effected--The Mother the Child's Supreme Parent--Motherhood and the Woman Movement--The Immense Importance of Motherhood--Infant Mortality and Its Causes--The Chief Cause in the Mother--The Need of Rest During Pregnancy--Frequency of Premature Birth--The Function of the State--Recent Advance in Puericulture--The Question of Coitus During Pregnancy--The Need of Rest During Lactation--The Mother's Duty to Suckle Her Child--The Economic Question--The Duty of the State--Recent Progress in the Protection of the Mother--The Fallacy of State Nurseries.

A man's sexual nature, like all else that is most essential in him, is rooted in a soil that was formed very long before his birth. In this, as in every other respect, he draws the elements of his life from his ancestors, however new the recombination may be and however greatly it may be modified by subsequent conditions. A man's destiny stands not in the future but in the past. That, rightly considered, is the most vital of all vital facts. Every child thus has a right to choose his own ancestors. Naturally he can only do this vicariously, through his parents. It is the most serious and sacred duty of the future father to choose one half of the ancestral and hereditary character of his future child; it is the most serious and sacred duty of the future mother to make a similar choice. In choosing each other they have between them chosen the whole ancestry of their child. They have determined the stars that will rule his fate.

In the past that fateful determination has usually been made helplessly, ignorantly, almost unconsciously. It has either been guided by an instinct which, on the whole, has worked out fairly well, or controlled by economic interests of the results of which so much cannot be said, or left to the risks of lower than bestial chances which can produce nothing but evil. In the future we cannot but have faith--for all the hope of humanity must rest on that faith--that a new guiding impulse, reinforcing natural instinct and becoming in time an inseparable accompaniment of it, will lead civilized man on his racial course. Just as in the past the race has, on the whole, been moulded by a natural, and in part sexual, selection, that was unconscious of itself and ignorant of the ends it made towards, so in the future the race will be moulded by deliberate selection, the creative energy of Nature becoming self-conscious in the civilized brain of man. This is not a faith which has its source in a vague hope. The problems of the individual life are linked on to the fate of the racial life, and again and again we shall find as we ponder the individual questions we are here concerned with, that at all points they ultimately converge towards this same racial end.

Since we have here, therefore, to follow out the sexual relationships of the individual as they bear on society, it will be convenient at this point to put aside the questions of ancestry and to accept the individual as, with hereditary constitution already determined, he lies in his mother's womb.

It is the mother who is the child's supreme parent. At various points in zo?logical evolution it has seemed possible that the functions that we now know as those of maternity would be largely and even equally shared by the male parent. Nature has tried various experiments in this direction, among the fishes, for instance, and even among birds. But reasonable and excellent as these experiments were, and though they were sufficiently sound to secure their perpetuation unto this day, it remains true that it was not along these lines that Man was destined to emerge. Among all the mammal predecessors of Man, the male is an imposing and important figure in the early days of courtship, but after conception has once been secured the mother plays the chief part in the racial life. The male must be content to forage abroad and stand on guard when at home in the ante-chamber of the family. When she has once been impregnated the female animal angrily rejects the caresses she had welcomed so coquettishly before, and even in Man the place of the father at the birth of his child is not a notably dignified or comfortable one. Nature accords the male but a secondary and comparatively humble place in the home, the breeding-place of the race; he may compensate himself if he will, by seeking adventure and renown in the world outside. The mother is the child's supreme parent, and during the period from conception to birth the hygiene of the future man can only be affected by influences which work through her.

At the present day this movement on the theoretical side has ceased to possess any representatives who exert serious influence. Yet its practical results are still prominently exhibited in England and the other countries in which it has been felt. Infantile mortality is enormous, and in England at all events is only beginning to show a tendency to diminish; motherhood is without dignity, and the vitality of mothers is speedily crushed, so that often they cannot so much as suckle their infants; ignorant girl-mothers give their infants potatoes and gin; on every hand we are told of the evidence of degeneracy in the race, or if not in the race, at all events, in the young individuals of to-day.

It would be out of place, and would lead us too far, to discuss here these various practical outcomes of the foolish attempt to belittle the immense racial importance of motherhood. It is enough here to touch on the one point of the excess of infantile mortality.

In England--which is not from the social point of view in a very much worse condition than most countries, for in Austria and Russia the infant mortality is higher still, though in Australia and New Zealand much lower, but still excessive--more than one-fourth of the total number of deaths every year is of infants under one year of age. In the opinion of medical officers of health who are in the best position to form an opinion, about one-half of this mortality, roughly speaking, is absolutely preventable. Moreover, it is doubtful whether there is any real movement of decrease in this mortality; during the past half century it has sometimes slightly risen and sometimes slightly fallen, and though during the past few years the general movement of mortality for children under five in England and Wales has shown a tendency to decrease, in London the infantile mortality rate for the first three months of life actually rose from 69 per 1,000 in the period 1888-1892 to 75 per 1,000 in the period 1898-1901. In any case, although the general mortality shows a marked tendency to improvement there is certainly no adequately corresponding improvement in the infantile mortality. This is scarcely surprising, when we realize that there has been no change for the better, but rather for the worse, in the conditions under which our infants are born and reared. Thus William Hall, who has had an intimate knowledge extending over fifty-six years of the slums of Leeds, and has weighed and measured many thousands of slum children, besides examining over 120,000 boys and girls as to their fitness for factory labor, states that "fifty years ago the slum mother was much more sober, cleanly, domestic, and motherly than she is to-day; she was herself better nourished and she almost always suckled her children, and after weaning they received more nutritious bone-making food, and she was able to prepare more wholesome food at home." The system of compulsory education has had an unfortunate influence in exerting a strain on the parents and worsening the conditions of the home. For, excellent as education is in itself, it is not the primary need of life, and has been made compulsory before the more essential things of life have been made equally compulsory. How absolutely unnecessary this great mortality is may be shown, without evoking the good example of Australia and New Zealand, by merely comparing small English towns; thus while in Guildford the infantile death rate is 65 per thousand, in Burslem it is 205 per thousand.

Pinard, who must always be honored as one of the founders of eugenics, has, together with his pupils, done much to prepare the way for the acceptance of this simple but important principle by making clear the grounds on which it is based. From prolonged observations on the pregnant women of all classes Pinard has shown conclusively that women who rest during pregnancy have finer children than women who do not rest. Apart from the more general evils of work during pregnancy, Pinard found that during the later months it had a tendency to press the uterus down into the pelvis, and so cause the premature birth of undeveloped children, while labor was rendered more difficult and dangerous .

Letourneux has studied the question whether repose during pregnancy is necessary for women whose professional work is only slightly fatiguing. He investigated 732 successive confinements at the Clinique Baudelocque in Paris. He found that 137 women engaged in fatiguing occupations and not resting during pregnancy, produced children with an average weight of 3,081 grammes; 115 women engaged in only slightly fatiguing occupations and also not resting during pregnancy, had children with an average weight of 3,130 grammes, a slight but significant difference, in view of the fact that the women of the first group were large and robust, while those of the second group were of slight and elegant build. Again, comparing groups of women who rested during pregnancy, it was found that the women accustomed to fatiguing work had children with an average weight of 3,319 grammes, while those accustomed to less fatiguing work had children with an average weight of 3,318 grammes. The difference between repose and non-repose is thus considerable, while it also enables robust women exercising a fatiguing occupation to catch up, though not to surpass, the frailer women exercising a less fatiguing occupation. We see, too, that even in the comparatively unfatiguing occupations of milliners, etc., rest during pregnancy still remains important, and cannot safely be dispensed with. "Society," Letourneux concludes, "must guarantee rest to women not well off during a part of pregnancy. It will be repaid the cost of doing so by the increased vigor of the children thus produced" .

Dr. Dweira-Bernson , compared four groups of pregnant women who rested for three months before confinement with four groups similarly composed who took no rest before confinement. In every group he found that the difference in the average weight of the child was markedly in favor of the women who rested, and it was notable that the greatest difference was found in the case of the farm girls who were probably the most robust and also the hardest worked.

The usual time of gestation ranges between 274 and 280 days , and occasionally a few days longer, though there is dispute as to the length of the extreme limit, which some authorities would extend to 300 days, or even to 320 days . It is possible, as M?ller suggested in 1898 in a Th?se de Nancy, that civilization tends to shorten the period of gestation, and that in earlier ages it was longer than it is now. Such a tendency to premature birth under the exciting nervous influences of civilization would thus correspond, as Bouchacourt has pointed out , to the similar effect of domestication in animals. The robust countrywoman becomes transformed into the more graceful, but also more fragile, town woman who needs a degree of care and hygiene which the countrywoman with her more resistant nervous system can to some extent dispense with, although even she, as we see, suffers in the person of her child, and probably in her own person, from the effects of work during pregnancy. The serious nature of this civilized tendency to premature birth--of which lack of rest in pregnancy is, however, only one of several important causes--is shown by the fact that S?ropian found that about one-third of French births are to a greater or less extent premature. Pregnancy is not a morbid condition; on the contrary, a pregnant woman is at the climax of her most normal physiological life, but owing to the tension thus involved she is specially liable to suffer from any slight shock or strain.

It must be remarked that the increased tendency to premature birth, while in part it may be due to general tendencies of civilization, is also in part due to very definite and preventable causes. Syphilis, alcoholism, and attempts to produce abortion are among the not uncommon causes of premature birth .

Premature birth ought to be avoided, because the child born too early is insufficiently equipped for the task before him. Astengo, dealing with nearly 19,000 cases at the Lariboisi?re Hospital in Paris and the Maternit?, found, that reckoning from the date of the last menstruation, there is a direct relation between the weight of the infant at birth and the length of the pregnancy. The longer the pregnancy, the finer the child .

The frequency of premature birth is probably as great in England as in France. Ballantyne states that for practical purposes the frequency of premature labors in maternity hospitals may be put at 20 per cent., but that if all infants weighing less than 3,000 grammes are to be regarded as premature, it rises to 41.5 per cent. That premature birth is increasing in England seems to be indicated by the fact that during the past twenty-five years there has been a steady rise in the mortality rate from premature birth. McCleary, who discusses this point and considers the increase real, concludes that "it would appear that there has been a diminution in the quality as well as in the quantity of our output of babies" .

It need scarcely be pointed out that not only is immaturity a cause of deterioration in the infants that survive, but that it alone serves enormously to decrease the number of infants that are able to survive. Thus G. Newman states that in most large English urban districts immaturity is the chief cause of infant mortality, furnishing about 30 per cent. of the infant deaths; even in London Alfred Harris finds that it is responsible for nearly 17 per cent. of the infantile deaths. It is estimated by Newman that about half of the mothers of infants dying of immaturity suffer from marked ill-health and poor physique; they are not, therefore, fitted to be mothers.

Rest during pregnancy is a very powerful agent in preventing premature birth. Thus Dr. Sarraute-Louri? has compared 1,550 pregnant women at the Asile Michelet who rested before confinement with 1,550 women confined at the H?pital Lariboisi?re who had enjoyed no such period of rest. She found that the average duration of pregnancy was at least twenty days shorter in the latter group .

Leyboff has insisted on the absolute necessity of rest during pregnancy, as well for the sake of the woman herself as the burden she carries, and shows the evil results which follow when rest is neglected. Railway traveling, horse-riding, bicycling, and sea-voyages are also, Leyboff believes, liable to be injurious to the course of pregnancy. Leyboff recognizes the difficulties which procreating women are placed under by present industrial conditions, and concludes that "it is urgently necessary to prevent women, by law, from working during the last three months of pregnancy; that in every district there should be a maternity fund; that during this enforced rest a woman should receive the same salary as during work." He adds that the children of unmarried mothers should be cared for by the State, that there should be an eight-hours' day for all workers, and that no children under sixteen should be allowed to work .

Perruc states that at least two months' rest before confinement should be made compulsory, and that during this period the woman should receive an indemnity regulated by the State. He is of opinion that it should take the form of compulsory assurance, to which the worker, the employer, and the State alike contributed .

It is probable that during the earlier months of pregnancy, work, if not excessively heavy and exhausting, has little or no bad effect; thus Bacchimont found that, while there was a great gain in the weight of children of mothers who had rested for three months, there was no corresponding gain in the children of those mothers who had rested for longer periods. It is during the last three months that freedom, repose, the cessation of the obligatory routine of employment become necessary. This is the opinion of Pinard, the chief authority on this matter. Many, however, fearing that economic and industrial conditions render so long a period of rest too difficult of practical attainment, are, with Clappier and G. Newman, content to demand two months as a minimum; Salvat only asks for one month's rest before confinement, the woman, whether married or not, receiving a pecuniary indemnity during this period, with medical care and drugs free. Ballantyne , as well as Niven, also asks only for one month's compulsory rest during pregnancy, with indemnity. Arthur Helme, however, taking a more comprehensive view of all the factors involved, concludes in a valuable paper on "The Unborn Child: Its Care and Its Rights" , "The important thing would be to prohibit pregnant women from going to work at all, and it is as important from the standpoint of the child that this prohibition should include the early as the late months of pregnancy."

The development of an industrial system which subordinates the human body and the human soul to the thirst for gold, has, for a time, dismissed from social consideration the interests of the race and even of the individual, but it must be remembered that this has not been always and everywhere so. Although in some parts of the world the women of savage peoples work up to the time of confinement, it must be remarked that the conditions of work in savage life do not resemble the strenuous and continuous labor of modern factories. In many parts of the world, however, women are not allowed to work hard during pregnancy and every consideration is shown to them. This is so, for instance, among the Pueblo Indians, and among the Indians of Mexico. Similar care is taken in the Carolines and the Gilbert Islands and in many other regions all over the world. In some places, women are secluded during pregnancy, and in others are compelled to observe many more or less excellent rules. It is true that the assigned cause for these rules is frequently the fear of evil spirits, but they nevertheless often preserve a hygienic value. In many parts of the world the discovery of pregnancy is the sign for a festival of more or less ritual character, and much good advice is given to the expectant mother. The modern Musselmans are careful to guard the health of their women when pregnant, and so are the Chinese. Even in Europe, in the thirteenth century, as Clappier notes, industrial corporations sometimes had regard to this matter, and would not allow women to work during pregnancy. In Iceland, where much of the primitive life of Scandinavian Europe is still preserved, great precautions are taken with pregnant women. They must lead a quiet life, avoid tight garments, be moderate in eating and drinking, take no alcohol, be safeguarded from all shocks, while their husbands and all others who surround them must treat them with consideration, save them from worry and always bear with them patiently.

It is necessary to emphasize this point because we have to realize that the modern movement for surrounding the pregnant woman with tenderness and care, so far from being the mere outcome of civilized softness and degeneracy, is, in all probability, the return on a higher plane to the sane practice of those races which laid the foundations of human greatness.

While rest is the cardinal virtue imposed on a woman during the later months of pregnancy, there are other points in her regimen that are far from unimportant in their bearing on the fate of the child. One of these is the question of the mother's use of alcohol. Undoubtedly alcohol has been a cause of much fanaticism. But the declamatory extravagance of anti-alcoholists must not blind us to the fact that the evils of alcohol are real. On the reproductive process especially, on the mammary glands, and on the child, alcohol has an arresting and degenerative influence without any compensatory advantages. It has been proved by experiments on animals and observations on the human subject that alcohol taken by the pregnant woman passes freely from the maternal circulation to the foetal circulation. F?r? has further shown that, by injecting alcohol and aldehydes into hen's eggs during incubation, it is possible to cause arrest of development and malformation in the chick. The woman who is bearing her child in her womb or suckling it at her breast would do well to remember that the alcohol which may be harmless to herself is little better than poison to the immature being who derives nourishment from her blood. She should confine herself to the very lightest of alcoholic beverages in very moderate amounts and would do better still to abandon these entirely and drink milk instead. She is now the sole source of the child's life and she cannot be too scrupulous in creating around it an atmosphere of purity and health. No after-influence can ever compensate for mistakes made at this time.

What is true of alcohol is equally true of other potent drugs and poisons, which should all be avoided so far as possible during pregnancy because of the harmful influence they may directly exert on the embryo. Hygiene is better than drugs, and care should be exercised in diet, which should by no means be excessive. It is a mistake to suppose that the pregnant woman needs considerably more food than usual, and there is much reason to believe not only that a rich meat diet tends to cause sterility but that it is also unfavorable to the development of the child in the womb.

How far, if at all, it is often asked, should sexual intercourse be continued after fecundation has been clearly ascertained? This has not always been found an easy question to answer, for in the human couple many considerations combine to complicate the answer. Even the Catholic theologians have not been entirely in agreement on this point. Clement of Alexandria said that when the seed had been sown the field must be left till harvest. But it may be concluded that, as a rule, the Church was inclined to regard intercourse during pregnancy as at most a venial sin, provided there was no danger of abortion. Augustine, Gregory the Great, Aquinas, Dens, for instance, seem to be of this mind; for a few, indeed, it is no sin at all. Among animals the rule is simple and uniform; as soon as the female is impregnated at the period of oestrus she absolutely rejects all advance of the male until, after birth and lactation are over, another period of oestrus occurs. Among savages the tendency is less uniform, and sexual abstinence, when it occurs during pregnancy, tends to become less a natural instinct than a ritual observance, or a custom now chiefly supported by superstitions. Among many primitive peoples abstinence during the whole of pregnancy is enjoined because it is believed that the semen would kill the foetus.

The Talmud is unfavorable to coitus during pregnancy, and the Koran prohibits it during the whole of the period, as well as during suckling. Among the Hindus, on the other hand, intercourse is continued up to the last fortnight of pregnancy, and it is even believed that the injected semen helps to nourish the embryo . The great Indian physician Susruta, however, was opposed to coitus during pregnancy, and the Chinese are emphatically on the same side.

As men have emerged from barbarism in the direction of civilization, the animal instinct of refusal after impregnation has been completely lost in women, while at the same time both sexes tend to become indifferent to those ritual restraints which at an earlier period were almost as binding as instinct. Sexual intercourse thus came to be practiced after impregnation, much the same as before, as part of ordinary "marital rights," though sometimes there has remained a faint suspicion, reflected in the hesitating attitude of the Catholic Church already alluded to, that such intercourse may be a sinful indulgence. Morality is, however, called in to fortify this indulgence. If the husband is shut out from marital intercourse at this time, it is argued, he will seek extra-marital intercourse, as indeed in some parts of the world it is recognized that he legitimately may; therefore the interests of the wife, anxious to retain her husband's fidelity, and the interests of Christian morality, anxious to uphold the institution of monogamy, combine to permit the continuation of coitus during pregnancy. The custom has been furthered by the fact that, in civilized women at all events, coitus during pregnancy is usually not less agreeable than at other times and by some women is felt indeed to be even more agreeable. There is also the further consideration, for those couples who have sought to prevent conception, that now intercourse may be enjoyed with impunity. From a higher point of view such intercourse may also be justified, for if, as all the finer moralists of the sexual impulse now believe, love has its value not only in so far as it induces procreation but also in so far as it aids individual development and the mutual good and harmony of the united couple, it becomes morally right during pregnancy.

From an early period, however, great authorities have declared themselves in opposition to the custom of practicing coitus during pregnancy. At the end of the first century, Soranus, the first of great gynaecologists, stated, in his treatise on the diseases of women, that sexual intercourse is injurious throughout pregnancy, because of the movement imparted to the uterus, and especially injurious during the latter months. For more than sixteen hundred years the question, having fallen into the hands of the theologians, seems to have been neglected on the medical side until in 1721 a distinguished French obstetrician, Mauriceau, stated that no pregnant woman should have intercourse during the last two months and that no woman subject to miscarriage should have intercourse at all during pregnancy. For more than a century, however, Mauriceau remained a pioneer with few or no followers. It would be inconvenient, the opinion went, even if it were necessary, to forbid intercourse during pregnancy.

During recent years, nevertheless, there has been an increasingly strong tendency among obstetricians to speak decisively concerning intercourse during pregnancy, either by condemning it altogether or by enjoining great prudence. It is highly probable that, in accordance with the classical experiments of Dareste on chicken embryos, shocks and disturbances to the human embryo may also produce injurious effects on growth. The disturbance due to coitus in the early stages of pregnancy may thus tend to produce malformation. When such conditions are found in the children of perfectly healthy, vigorous, and generally temperate parents who have indulged recklessly in coitus during the early stages of pregnancy it is possible that such coitus has acted on the embryo in the same way as shocks and intoxications are known to act on the embryo of lower organisms. However this may be, it is quite certain that in predisposed women, coitus during pregnancy causes premature birth; it sometimes happens that labor pains begin a few minutes after the act. The natural instinct of animals refuses to allow intercourse during pregnancy; the ritual observance of primitive peoples very frequently points in the same direction; the voice of medical science, so far as it speaks at all, is beginning to utter the same warning, and before long will probably be in a position to do so on the basis of more solid and coherent evidence.

Pinard, the greatest of authorities on puericulture, asserts that there must be complete cessation of sexual intercourse during the whole of pregnancy, and in his consulting room at the Clinique Baudelocque he has placed a large placard with an "Important Notice" to this effect. F?r? was strongly of opinion that sexual relations during pregnancy, especially when recklessly carried out, play an important part in the causation of nervous troubles in children who are of sound heredity and otherwise free from all morbid infection during gestation and development; he recorded in detail a case which he considered conclusive . Bouchacourt discusses the subject fully , and thinks that sexual intercourse during pregnancy should be avoided as much as possible. F?rbringer recommends abstinence from the sixth or seventh month, and throughout the whole of pregnancy where there is any tendency to miscarriage, while in all cases much care and gentleness should be exercised.

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