Some say, Schurig tells us, that the voice, which in the virgin is shrill, becomes rougher and deeper after the first coitus. He quotes Riolan's statement that it is certain that the voice of those who indulge in venery is changed. On that account the ancients bound down the penis of their singers, and Martial said that those who wish to preserve their voices should avoid coitus. Democritus who one day had greeted a girl as "maiden" on the following day addressed her as "woman," while in the same way it is said that Albertus Magnus, observing from his study a girl going for wine for her master, knew that she had had sexual intercourse by the way because on her return her voice had become deeper. Here, again, the ancient belief has a solid basis, for the voice and the larynx are really affected by sexual conditions. (_Parthenologia_, p. 286; Marro, _La Puberté_, p. 303; Havelock Ellis, op. cit., pp. 271, 289.)
Others, again, Schurig proceeds, have judged that the goaty smell given out in the armpits during the venereal act is also no uncertain sign of defloration, such odor being perceptible in those who use much venery, and not seldom in harlots and the newly married, while, as Hippocrates said, it is not perceived in boys and girls. (_Parthenologia_, p. 286; cf. the previous volume of these _Studies_, "Sexual Selection in Man," p. 64.)
In virgins, Schurig remarks, the pubic hair is said to be long and not twisted, while in women accustomed to coitus it is crisper. But it is only after long and repeated coitus, some authors add, that the pubic hairs become crisp. Some recent observers, it may be remarked, have noted a connection between sexual excitation and the condition of the pubic hair in women. (Cf. the present volume, _ante_ p. 127.)
A sign to which the old authors often attached much importance was furnished by the urinary stream. In the _De Secretis Mulierum_, wrongly attributed to Albertus Magnus, it is laid down that "the virgin urinates higher than the woman." Riolan, in his _Anthropographia_, discussing the ability of virgins to ejaculate urine to a height, states that Scaliger had observed women who were virgins emit urine in a high jet against a wall, but that married women could seldom do this. Bouaciolus also stated that the urine of virgins is emitted in a small stream to a distance with an acute hissing sound. (_Parthenologia_, p. 281.) A folk-lore belief in the reality of this influence is evidenced by the Picardy _conte_ referred to already (_ante_, p. 53), "La Princesse qui pisse au dessus les Meules." There is no doubt a tendency for the various stresses of sexual life to produce an influence in this direction, though they act far too slowly and uncertainly to be a reliable index to the presence or the absence of virginity.
Another common ancient test of virginity by urination rests on a psychic basis, and appears in a variety of forms which are really all reducible to the same principle. Thus we are told in _De Secretis Mulierum_ that to ascertain if a girl is seduced she should be given to eat of powdered crocus flowers, and if she has been seduced she immediately urinates. We are here concerned with auto-suggestion, and it may well be believed that with nervous and credulous girls this test often revealed the truth.
A further test of virginity discussed by Schurig is the presence of modesty of countenance. If a woman blushes her virtue is safe. In this way girls who have themselves had experience of the marriage bed are said to detect the virgin. The virgin's eyes are cast down and almost motionless, while she who has known a man has eyes that are bright and quick. But this sign is equivocal, says Schurig, for girls are different, and can simulate the modesty they do not feel. Yet this indication also rests on a fundamentally sound psychological basis. (See "The Evolution of Modesty," in the first volume of these _Studies_.)
In his _Syllepsilogia_ (Section V, cap. I-II), published in 1731, Schurig discusses further the anciently recognized signs of pregnancy. The real or imaginary signs of pregnancy sought by various primitive peoples of the past and present are brought together by Ploss and Bartels, _Das Weib_, bd. i, Chapter XXVII.
Both physically and psychically the occurrence of pregnancy is, however, a distinct event. It marks the beginning of a continuous physical process, which cannot fail to manifest psychic reactions. A great center of vital activity--practically a new center, for only the germinal form of it in menstruation had previously existed--has appeared and affects the whole organism. "From the moment that the embryo takes possession of the woman," Robert Barnes puts it, "every drop of blood, every fiber, every organ, is affected."[170] A woman artist once observed to Dr. Stratz, that as the final aim of a woman is to become a mother and pregnancy is thus her blossoming time, a beautiful woman ought to be most beautiful when she is pregnant. That is so, Stratz replied, if her moment of greatest physical perfection corresponds with the early months of pregnancy, for with the beginning of pregnancy metabolism is increased, the color of the skin becomes more lively and delicate, the breasts firmer.[171] Pregnancy may, indeed, often become visible soon after conception by the brighter eye, the livelier glance, resulting from greater vascular activity, though later, with the increase of strain, the face may tend to become somewhat thin and distorted. The hair, Barnes states, assumes a new vigor, even though it may have been falling out before. The temperature rises; the weight increases, even apart from the growth of the foetus. The efflorescence of pregnancy shows itself, as in the blossoming and fecundated flower, by increased pigmentation.[172] The nipples with their areolæ, and the mid-line of the belly, become darker; brown flecks (lentigo) tend to appear on the forehead, neck, arms, and body; while striæ--at first blue-red, then a brilliant white--appear on the belly and thighs, though these are scarcely normal, for they are not seen in women with very elastic skins and are rare among peasants and savages.[173] The whole carriage of the woman tends to become changed with the development of the mighty seed of man planted within her; it simulates the carriage of pride with the arched back and protruded abdomen.[174] The pregnant woman has been lifted above the level of ordinary humanity to become the casket of an inestimable jewel.
It is in the blood and the circulation that the earliest of the most prominent symptoms of pregnancy are to be found. The ever increasing development of this new focus of vascular activity involves an increased vascular activity in the whole organism. This activity is present almost from the first--a few days after the impregnation of the ovum--in the breasts, and quickly becomes obvious to inspection and palpation. Before a quite passive organ, the breast now rapidly increases in activity of circulation and in size, while certain characteristic changes begin to take place around the nipples.[175] As a result of the additional work imposed upon it the heart tends to become slightly hypertrophied in order to meet the additional strain; there may be some dilatation also.[176] The recent investigations of Stengel and Stanton tend to show that the increase of the heart's work during pregnancy is less considerable than has generally been supposed, and that beyond some enlargement and dilatation of the right ventricle there is not usually any hypertrophy of the heart.
The total quantity of blood is raised. While increased in quantity, the blood appears on the whole to be somewhat depreciated in quality, though on this point there are considerable differences of opinion. Thus, as regards hæmoglobin, some investigators have found that the old idea as to the poverty of hæmoglobin in pregnancy is quite unfounded; a few have even found that the hæmoglobin is increased. Most authorities have found the red cells diminished, though some only slightly, while the white cells, and also the fibrin, are increased. But toward the end of pregnancy there is a tendency, perhaps due to the establishment of compensation, for the blood to revert to the normal condition.[177] It would appear probable, however, that the vascular phenomena of pregnancy are not altogether so simple as the above statement would imply. The activity of various glands at this time--well illustrated by the marked salivation which sometimes occurs--indicates that other modifying forces are at work, and it has been suggested that the changes in the maternal circulation during pregnancy may best be explained by the theory that there are two opposing kinds of secretion poured into the blood in unusual degree during pregnancy: one contracting the vessels, the other dilating them, one or the other sometimes gaining the upper hand. Suprarenal extract, when administered, has a vaso-constricting influence, and thyroid extract a vasodilating influence; it may be surmised that within the body these glands perform similar functions.[178] The important part played by the thyroid gland is indicated by its marked activity at the very beginning of pregnancy. We may probably associate the general tendency to vasodilatation during early pregnancy with the tendency to goitre; Freund found an increase of the thyroid in 45 per cent. of 50 cases. The thyroid belongs to the same class of ductless glands as the ovary, and, as Bland Sutton and others have insisted, the analogies between the thyroid and the ovary are very numerous and significant. It may be added that in recent years Armand Gautier has noted the importance of the thyroid in elaborating nucleo-proteids containing arsenic and iodine, which are poured into the circulation during menstruation and pregnancy. The whole metabolism of the body is indeed affected, and during the latter part of pregnancy study of the ingesta and egesta has shown that a storage of nitrogen and even of water is taking place.[179] The woman, as Pinard puts it, forms the child out of her own flesh, not merely out of her food; the individual is being sacrificed to the species.
The changes in the nervous system of the pregnant woman correspond to those in the vascular system. There is the same increase of activity, a heightening of tension. Bruno Wolff, from experiments on bitches, concluded that the central nervous system in women is probably more easily excited in the pregnant than in the non-pregnant state, though he was not prepared to call this cerebral excitability "specific."[180] Direct observations on pregnant women have shown, without doubt, a heightened nervous irritability. Reflex action generally is increased. Neumann investigated the knee-jerk in 500 women during pregnancy, labor, and the puerperium, and in a large number found that there was a progressive exaggeration with the advance of pregnancy, little or no change being observed in the early months; sometimes when no change was observed during pregnancy the knee-jerk still increased during labor, reaching its maximum at the moment of the expulsion of the foetus; the return to the normal condition took place gradually during the puerperium. Tridandani found in pregnant women that though the superficial reflexes, with the exception of the abdominal, were diminished, the deep and tendon reflexes were markedly increased, especially that of the knee, these changes being more marked in primiparæ than in multiparæ, and more pronounced as pregnancy advanced, the normal condition returning with ten days after labor. Electrical excitability was sensibly diminished.[181] One of the first signs of high nervous tension is vomiting. As is well known, this phenomenon commonly appears early in pregnancy, and it is by many considered entirely physiological. Barnes regards it as a kind of safety valve, a regulating function, letting off excessive tension and maintaining equilibrium.[182] Vomiting is, however, a convulsion, and is thus the simplest form of a kind of manifestation--to which the heightened nervous tension of pregnancy easily lends itself--that finds its extreme pathological form in eclampsia. In this connection it is of interest to point out that the pregnant woman here manifests in the highest degree a tendency which is marked in women generally, for the female sex, apart altogether from pregnancy, is specially liable to convulsive phenomena.[183] There is some slight difference of opinion among authorities as to the precise nature and causation of the sickness of pregnancy. Barnes, Horrocks and others regard it as physiological; but many consider it pathological; this is, for instance, the opinion of Giles. Graily Hewitt attributed it to flexion of the gravid uterus, Kaltenbach to hysteria, and Zaborsky terms it a neurosis. Whitridge Williams considers that it may be (1) reflex, or (2) neurotic (when it is allied to hysteria and amenable to suggestion), or (3) toxæmic. It really appears to lie on the borderland between healthy and diseased manifestations. It is said to be unknown to farmers and veterinary surgeons. It appears to be little known among savages; it is comparatively infrequent among women of the lower social classes, and, as Giles has found, women who habitually menstruate in a painless and normal manner suffer comparatively little from the sickness of pregnancy.
We owe a valuable study of the sickness of pregnancy to Giles, who analyzed the records of 300 cases. He concluded that about one-third of the pregnant women were free from sickness throughout pregnancy, 45 per cent. were free during the first three months. When sickness occurred it began in 70 per cent. of cases in the first month, and was most frequent during the second month. The duration varied from a few days to all through. Between the ages of 20 and 25 sickness was least frequent, and there was less sickness in the third than in any other pregnancy. (This corresponds with the conclusion of Matthews Duncan that 25 is the most favorable age for pregnancy.) To some extent in agreement with Guéniot, Giles believes that the vomiting of pregnancy is "one form of manifestation of the high nervous irritability of pregnancy." This high nervous tension may overflow into other channels, into the vascular and excretory system, causing eclampsia; into the muscular system, causing chorea, or, expending itself in the brain, give rise to hysteria when mild or insanity when severe. But the vagi form a very ready channel for such overflow, and hence the frequency of sickness in pregnancy. There are thus three main factors in the causation of this phenomenon: (1) An increased nervous irritability; (2) a local source of irritation; (3) a ready efferent channel for nervous energy. (Arthur Giles, "Observations on the Etiology of the Sickness of Pregnancy," _Transactions Obstetrical Society of London_, vol. xxv, 1894.)
Martin, who regards the phenomenon as normal, points out that when nausea and vomiting are absent or suddenly cease there is often reason to suspect something wrong, especially the death of the embryo. He also remarks that women who suffer from large varicose veins are seldom troubled by the nausea of pregnancy. (J.M.H. Martin, "The Vomiting of Pregnancy," _British Medical Journal_, December 10, 1904.) These observations may be connected with those of Evans (_American Gynæcological and Obstetrical Journal_, January, 1900), who attributes primary importance to the undoubtedly active factor of the irritation set up by the uterus, more especially the rhythmic uterine contractions; stimulation of the breasts produces active uterine contractions, and Evans found that examination of the breasts sufficed to bring on a severe attack of vomiting, while on another occasion this was produced by a vaginal examination. Evans believes that the purpose of these contractions is to facilitate the circulation of the blood through the large venous sinuses, the surcharging of the relatively stagnant pools with effete blood producing the irritation which leads to rhythmic contractions.
It is on the basis of the increased vascular and glandular activity and the heightened nervous tension that the special psychic phenomena of pregnancy develop. The best known, and perhaps the most characteristic of these manifestations, is that known as "longings." By this term is meant more or less irresistible desires for some special food or drink, which may be digestible or indigestible, sometimes a substance which the woman ordinarily likes, such as fruit, and occasionally one which, under ordinary circumstances, she dislikes, as in one case known to me of a young country woman who, when bearing her child, was always longing for tobacco and never happy except when she could get a pipe to smoke, although under ordinary circumstances, like other young women of her class, she was without any desire to smoke. Occasionally the longings lead to actions which are more unscrupulous than is common in the case of the same person at other times; thus in one case known to me a young woman, pregnant with her first child, insisted to her sister's horror on entering a strawberry field and eating a quantity of fruit. These "longings" in their extreme form may properly be considered as neurasthenic obsessions, but in their simple and less pronounced forms they may well be normal and healthy.
The old medical authors abound in narratives describing the longings of pregnant women for natural and unnatural foods. This affection was commonly called _pica_, sometimes _citra_ or _malatia_. Schurig, whose works are a comprehensive treasure house of ancient medical lore, devotes a long chapter (cap. II) of his _Chylologia_, published in 1725, to pica as manifested mainly, though not exclusively, in pregnant women. Some women, he tells us, have been compelled to eat all sorts of earthy substances, of which sand seems the most common, and one Italian woman when pregnant ate several pounds of sand with much satisfaction, following it up with a draught of her own urine. Lime, mud, chalk, charcoal, cinders, pitch are also the desired substances in other cases detailed. One pregnant woman must eat bread fresh from the oven in very large quantities, and a certain noble matron ate 140 sweet cakes in one day and night. Wheat and various kinds of corn as well as of vegetables were the foods desired by many longing women. One woman was responsible for 20 pounds of pepper, another ate ginger in large quantities, a third kept mace under her pillow; cinnamon, salt, emulsion of almonds, treacle, mushrooms were desired by others. Cherries were longed for by one, and another ate 30 or 40 lemons in one night. Various kinds of fish--mullet, oysters, crabs, live eels, etc.--are mentioned, while other women have found delectation in lizards, frogs, spiders and flies, even scorpions, lice and fleas. A pregnant woman, aged 33, of sanguine temperament, ate a live fowl completely with intense satisfaction. Skin, wool, cotton, thread, linen, blotting paper have been desired, as well as more repulsive substances, such as nasal mucus and feces (eaten with bread). Vinegar, ice, and snow occur in other cases. One woman stilled a desire for human flesh by biting the nates of children or the arms of men. Metals are also swallowed, such as iron, silver, etc. One pregnant woman wished to throw eggs in her husband's face, and another to have her husband throw eggs in her face.
In the next chapter of the same work Schurig describes cases of acute antipathy which may arise under the same circumstances (cap. III, "De Nausea seu Antipathia certorum ciborum"). The list includes bread, meat, fowls, fish, eels (a very common repulsion), crabs, milk, butter (very often), cheese (often), honey, sugar, salt, eggs, caviar, sulphur, apples (especially their odor), strawberries, mulberries, cinnamon, mace, capers, pepper, onions, mustard, beetroot, rice, mint, absinthe, roses (many pages are devoted to this antipathy), lilies, elder flowers, musk (which sometimes caused vomiting), amber, coffee, opiates, olive oil, vinegar, cats, frogs, spiders, wasps, swords.
More recently Gould and Pyle (_Anomalies and Curiosities of Medicine_, p. 80) have briefly summarized some of the ancient and modern records concerning the longings of pregnant women.
Various theories are put forward concerning the causation of the longings of pregnant women, but none of these seems to furnish by itself a complete and adequate explanation of all cases. Thus it is said that the craving is the expression of a natural instinct, the system of the pregnant woman really requiring the food she longs for. It is quite probable that this is so in many cases, but it is obviously not so in the majority of cases, even when we confine ourselves to the longings for fairly natural foods, while we know so little of the special needs of the organism during pregnancy that the theory in any case is insusceptible of clear demonstration.
Allied to this theory is the explanation that the longings are for things that counteract the tendency to nausea and sickness. Giles, however, in his valuable statistical study of the longings of a series of 300 pregnant women, has shown that the percentage of women with longings is exactly the same (33 per cent.) among women who had suffered at some time during pregnancy from sickness as among the women who had not so suffered. Moreover, Giles found that the period of sickness frequently bore no relation to the time when there were cravings, and the patient often had cravings after the sickness had ceased.
According to another theory these longings are mainly a matter of auto-suggestion. The pregnant woman has received the tradition of such longings, persuades herself that she has such a longing, and then becomes convinced that, according to a popular belief, it will be bad for the child if the longing is not gratified. Giles considers that this process of auto-suggestion takes place "in a certain number, perhaps even in the majority of cases."[184] The Duchess d'Abrantès, the wife of Marshal Junot, in her _Mémoires_ gives an amusing account of how in her first pregnancy a longing was apparently imposed upon her by the anxious solicitude of her own and her husband's relations. Though suffering from constant nausea and sickness, she had no longings. One day at dinner after the pregnancy had gone on for some months her mother suddenly put down her fork, exclaiming: "I have never asked you what longing you have!" She replied with truth that she had none, her days and her nights being occupied with suffering. "No _envie!_" said the mother, "such a thing was never heard of. I must speak to your mother-in-law." The two old ladies consulted anxiously and explained to the young mother how an unsatisfied longing might produce a monstrous child, and the husband also now began to ask her every day what she longed for. Her sister-in-law, moreover, brought her all sorts of stories of children born with appalling mother's marks due to this cause. She became frightened and began to wonder what she most wanted, but could think of nothing. At last, when eating a pastille flavored with pineapple, it occurred to her that pineapple is an excellent fruit, and one, moreover, which she had never seen, for at that time it was extremely rare. Thereupon she began to long for pineapple, and all the more when she was told that at that season they could not be obtained. She now began to feel that she must have pineapple or die, and her husband ran all over Paris, vainly offering twenty louis for a pineapple. At last he succeeded in obtaining one through the kindness of Mme. Bonaparte, and drove home furiously just as his wife, always talking of pineapples, had gone to bed. He entered the room with the pineapple, to the great satisfaction of the Duchess's mother. (In one of her own pregnancies, it appears, she longed in vain for cherries in January, and the child was born with a mark on her body resembling a cherry--in scientific terminology, a _nævus_.) The Duchess effusively thanked her husband and wished to eat of the fruit immediately, but her husband stopped her and said that Corvisart, the famous physician, had told him that she must on no account touch it at night, as it was extremely indigestible. She promised not to do so, and spent the night in caressing the pineapple. In the morning the husband came and cut up the fruit, presenting it to her in a porcelain bowl. Suddenly, however, there was a revulsion of feeling; she felt that she could not possibly eat pineapple; persuasion was useless; the fruit had to be taken away and the windows opened, for the very smell of it had become odious. The Duchess adds that henceforth, throughout her life, though still liking the flavor, she was only able to eat pineapple by doing a sort of violence to herself. (_Mémories de la Duchesse d'Abrantès_, vol. iii, Chapter VIII.) It should be added that, in old age, the Duchess d'Abrantès appears to have become insane.
The influence of suggestion must certainly be accepted as, at all events, increasing and emphasizing the tendency to longings. It can scarcely, however, be regarded as a radical and adequate explanation of the phenomenon generally. If it is a matter of auto-suggestion due to a tradition, then we should expect to find longings most frequent and most pronounced in multiparous women, who are best acquainted with the tradition and best able to experience all that is expected of a pregnant woman. But, as a matter of fact, the women who have borne most children are precisely those who are least likely to be affected by the longings which tradition demands they should manifest. Giles has shown that longings occur much more frequently in the first than in any subsequent pregnancy; there is a regular decrease with the increase in number of pregnancies until in women with ten or more children the longings scarcely occur at all.
We must probably regard longings as based on a physiological and psychic tendency which is of universal extension and almost or quite normal. They are known throughout Europe and were known to the medical writers of antiquity. Old Indian as well as old Jewish physicians recognized them. They have been noted among many savage races to-day: among the Indians of North and South America, among the peoples of the Nile and the Soudan, in the Malay archipelago.[185] In Europe they are most common among the women of the people, living simple and natural lives.[186] The true normal relationship of the longings of pregnancy is with the impulsive and often irresistible longings for food delicacies which are apt to overcome children, and in girls often persist or revive through adolescence and even beyond. Such sudden fits of greediness belong to those kind of normal psychic manifestations which are on the verge of the abnormal into which they occasionally pass. They may occur, however, in healthy, well-bred, and well-behaved children who, under the stress of the sudden craving, will, without compunction and apparently without reflection, steal the food they long for or even steal from their parents the money to buy it. The food thus seized by a well-nigh irresistible craving is nearly always a fruit. Fruit is usually doled out to children in small quantities as a luxury, but we are descended from primitive human peoples and still more remote ape-like ancestors, by whom fruit was in its season eaten copiously, and it is not surprising that when that season comes round the child, more sensitive than the adult to primitive influences, should sometimes experience the impulse of its ancestors with overwhelming intensity, all the more so if, as is probable, the craving is to some extent the expression of a physiological need.
Sanford Bell, who has investigated the food impulses of children in America, finds that girls have a greater number of likes and dislikes in foods than boys of the same age, though at the same time they have less dislikes to some foods than boys. The proclivity for sweets and fruits shows itself as soon as a child begins to eat solids. The chief fruits liked are oranges, bananas, apples, peaches, and pears. This strong preference for fruits lasts till the age of 13 or 14, though relatively weaker from 10 to 13. In girls, however, Bell notes the significant fact from our present point of view that at mid-adolescence there is a revived taste for sweets and fruits. He believes that the growth of children in taste in foods recapitulates the experience of the race. (S. Bell, "An Introductory Study of the Psychology of Foods." _Pedagogical Seminary_, March, 1904.)
The heightened nervous impressionability of pregnancy would appear to arouse into activity those primitive impulses which are liable to occur in childhood and in the unmarried girl continue to the nubile age. It is a significant fact that the longings of pregnant women are mainly for fruit, and notably for so wholesome a fruit as the apple, which may very well have a beneficial effect on the system of the pregnant woman. Giles, in his tabulation of the foods longed for by 300 pregnant women, found that the fruit group was by far the largest, furnishing 79 cases; apples were far away at the head, occurring in 34 cases out of the 99 who had longings, while oranges followed at a distance (with 13 cases), and in the vegetable group tomatoes came first (with 6 cases). Several women declared "I could have lived on apples," "I was eating apples all day," "I used to sit up in bed eating apples."[187] Pregnant women appear seldom to long for the possession of objects outside the edible class, and it seems doubtful whether they have any special tendency to kleptomania. Pinard has pointed out that neither Lasègue nor Lunier, in their studies of kleptomania, have mentioned a single shop robbery committed by a pregnant woman.[188] Brouardel has indeed found such cases, but the object stolen was usually a food.