Mr. President and Fellow-Members:
In presenting this paper I do not hope to advance any radically new ideas, but rather to emphasize certain facts in regard to the nervous element in the vomiting of pregnancy which seem to have been indifferently considered throughout the voluminous literature upon the subject. It is surprising, as well as unfortunate, that so many physicians look upon the vomiting of pregnancy as a trifling matter. One writer says "that although the morning sickness sometimes persists during the whole period of pregnancy, it remains endurable, causing the patient annoyance rather than injury. The digestive functions remain more or less normal, and the vitality of the patient is not essentially impaired." Such has not been the result of my own observation. The distress alone, in even the mildest cases, is a constant tax upon the woman's nerves, and as a result she is less able to endure
METTLER LH. THE NERVOUS ELEMENT IN THE VOMITING OF PREGNANCY.Read before the Chicago Medical Society. JAMA. 1892;XVIII(6):160–164. doi:10.1001/jama.1892.02411100008001b
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