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LeRoy Bessler
This work is subject to copyright. All rights are solely and exclusively
licensed by the Publisher, whether the whole or part of the material is
concerned, specifically the rights of translation, reprinting, reuse of
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retrieval, electronic adaptation, computer software, or by similar or
dissimilar methodology now known or hereafter developed.
The publisher, the authors, and the editors are safe to assume that the
advice and information in this book are believed to be true and accurate
at the date of publication. Neither the publisher nor the authors or the
editors give a warranty, expressed or implied, with respect to the
material contained herein or for any errors or omissions that may have
been made. The publisher remains neutral with regard to jurisdictional
claims in published maps and institutional affiliations.
I learned about the four data sets from an article by Philip R. Holland in
Issue 54 (2nd/3rd Quarter 2011) of VIEWS News. For more information
about Francis J. Anscombe’s data sets, see
https://en.wikipedia.org/wiki/Anscombe's_quartet . For
the example of The Datasaurus Dozen, see
www.autodesk.com/research/publications/same-stats-
different-graphs .
Table 1 SAS REG procedure statistics for the Anscombe quartet data
DataSet=III ---------------------------------------------------------
------
Analysis of Variance
Source DF Sum of Squares Mean Square F Value Pr > F
Mode 1 27.47001 27.47001 17.97 0.0022
Error 9 13.75619 1.52847
Corrected Total 10 41.22620
Root MSE 1.23631 R-Square 0.6663
Dependent Mean 7.50000 Adj R-Sq 0.6292
Coeff Var 16.48415
Parameter Estimates
Parameter Standard
Variable DF Estimate Error t Value Pr > |t|
Intercept 1 3.00245 1.12448 2.67 0.0256
x 1 0.49973 0.11788 4.24 0.0022
DataSet=IV ----------------------------------------------------------
Analysis of Variance
Source DF Sum of Squares Mean Square F Value Pr > F
Model 1 27.49000 27.49000 18.00 0.0022
Error 9 13.74249 1.52694
Corrected Total 10 41.23249
Root MSE 1.23570 R-Square 0.6667
Dependent Mean 7.50091 Adj R-Sq 0.6297
Coeff Var 16.47394
Parameter Estimates
Parameter Standard
Variable DF Estimate Error t Value Pr > |t|
Intercept 1 3.00173 1.12392 2.67 0.0256
x 1 0.49991 0.11782 4.24 0.0022
Acknowledgments
I am immensely grateful to executive editor Susan McDermott for
engaging me to write this book, to Apress editors Jessica Vakili, Rita
Fernando, and Laura C. Berendson, to Apress production coordinator
Krishnan Sathyamurthy, to Apress project manager Angel Michael
Dhanaraj, and to Philip R. Holland who did the technical review. It was
Phil who got me connected to Apress. Without these people, and the rest
of the Apress team, there would have been no book.
I am indebted to Marcia Surratt, Lelia McConnell, Martin Mincey,
Kathryn McLawhorn, Amber Elam, Cyrus Bradford, and Liz Edwards at
SAS Technical Support who handled my problems and questions during
this project.
Alan Paller, an analyst in the early days of the computer graphics
industry, encouraged me to become the advocate for graphics at Miller
Brewing Company. There, at my suggestion, Thomas S. Cain added
support of all three graphics software products to my workplace
responsibilities. Atis Purins commissioned me do a makeover of the
monthly report to Miller management on usage, capacity, and
performance for all of the information technology facilities. That project
not only engaged my graphic design principles, but also inspired me to
implement what I call Software-Intelligent Application Development.
SIAD assures that the code can auto-adapt to changes in the run-time
environment to maintain the design objectives. Chris Potter, the 1990 SAS
Users Group International Conference Graphics Section Chair, liked what
he saw in one of my presentations and encouraged me to promote my
design principles at future conferences. That is how my journey of
developing and sharing my ideas, knowledge, and experience with SAS
software for data visualization began.
Over decades, numerous conference organizers kindly provided me
so many opportunities to write and speak about SAS topics, including
data visualization. That engendered my development of an ever-growing
list of design guidelines for graphics and color use, and a portfolio of
examples to illustrate application of those guidelines.
I thank David V. Evans of J.C. Penney who hired a repatriated
computer know-nothing as an information technology trainee, starting
me on a new career. That career ultimately got me to this book.
Carol Bessler gets me through life. Thank you.
Contents
Part I: Design Principles
Chapter 1:Principles of Communication-Effective Graphic Design
Chapter 2:Principles of Communication-Effective Use of Color
Part II: Widely Applicable Examples You Can Use
Chapter 3:Introduction to SAS ODS Graphics
Chapter 4:Bar Charts, Butterfly Charts, Waterfall Charts, Dot Plots,
Needle Plots, Area Bar Charts, Text Graphs, and Line Charts:Charts
for Categorical Data
Chapter 5:Pie Charts and Donut Charts
Chapter 6:Heat Maps
Chapter 7:Bubble Plots
Chapter 8:Time Series Plots and Trend Lines
Part III: Other Features
Chapter 9:Graphic Composites with PROC SGPANEL
Chapter 10:Scatter Plots in Composites Using PROC SGSCATTER
Chapter 11:Fits and Confidence Plots
Chapter 12:Distributions, Histograms, Box Plots, and Alternative
Tools
Chapter 13:Creating Composites of Graphs, Tables, and Text with
ODS LAYOUT
Chapter 14:Delivering Precise Numbers and Alternative Views for
Graphs Using SAS ODS HTML5
Chapter 15:Delivering Precise Numbers When Using PROC SGMAP
Appendix A
For Further Information on SAS ODS Graphics
Index
About the Author
LeRoy Bessler
is a data analyst, a SAS software expert, a
data visualization aficionado since 1981,
and an advocate for and demonstrator of
his graphic design principles since 1991.
He earned a Ph.D. in physics with a minor
in mathematics from the University of
Wisconsin-Milwaukee. He served as
Assistant Professor of Mathematics at
Milwaukee School of Engineering and later
was appointed Senior Fellow in
Theoretical Physics at Queen Mary
College, University of London. When
finding the theory of submicroscopic
elementary particles becoming, to his
taste, increasingly unphysical, LeRoy
returned to the United States to devote his
interest and energy to the macroscopic needs of American business using
computers and networks, working for employers and clients in finance,
health insurance, property and casualty insurance, manufacturing,
energy, and retail.
After a variety of roles, responsibilities, and accomplishments in
information technology, he decided to concentrate on using SAS software
as his IT tool. LeRoy has supported SAS servers, SAS software, SAS data,
and the users of those facilities, as well as working as a data analyst and
SAS programmer. His distinguishing expertise with SAS software has
been communication-effective data visualization, and software-
intelligent application development for reliability, reusability,
maintainability, extendability, and flexibility—to deliver Visual Data
Insights™ and Strong Smart Systems™.
Still a professor at heart, LeRoy has shared his ideas, knowledge, and
experience at conferences for SAS users throughout the United States and
in Europe. With the help of volunteers, he has enjoyed creating SAS user
mutual education opportunities. LeRoy is a How To contributor to VIEWS
News, the online quarterly for SAS users.
He has served as an elected and appointed local government official
and on the boards of social services, cultural, and civic nonprofit
organizations.
About the Technical Reviewer
Philip R. Holland
has over 30 years of experience of working with SAS software. In 1992,
he formed his own consultancy company, Holland Numerics Ltd. Since
then, he has provided SAS technical consultancy and training in the
financial, retail, and pharmaceutical sectors in the UK, Belgium, Holland,
Germany, and the United States. Since 1995, he has presented papers on
a wide range of SAS-related topics at SAS user conferences and seminars
in the UK, Europe, and the United States and has published four SAS-
related books and eight SAS-related courses.
While writing his thesis for a doctorate in chemistry in the 1980s, he
gave an early draft to a colleague to read, and they found 60 errors in
spelling and grammar in the first chapter! This made him realize that no
one can proofread their own work, because you read what you think is
there, rather than what you have actually written. Since then, he has
helped other book and SAS program writers avoid his own proofreading
embarrassment.
Part I
Design Principles
© The Author(s), under exclusive license to APress Media, LLC, part of Springer
Nature 2023
L. Bessler, Visual Data Insights Using SAS ODS Graphics
https://doi.org/10.1007/978-1-4842-8609-8_1
1. Principles of Communication-
Effective Graphic Design
LeRoy Bessler1
Figure 1-3 Scatter plot with grid and tick mark values versus annotated scatter
plot
Figure 1-4 Using drop lines makes axis values and tick marks more helpful
When neither annotation nor drop lines are sufficient to get
numbers for a scatter plot, the only solution is a companion table, on
the same page, or as an Excel table that is linked to a web-deployed
scatter plot.
A pie chart should include descriptions, values, and percents of the
whole. When labels overlap or (for tiny slices) disappear, use a legend
instead of labels as in Figure 1-5.
Figure 1-5 Fully informative ranked pie chart with legend
A legend requires moving the eyes from each slice to its legend
entry. A good alternative is the ODS Graphics CALLOUT option shown in
Figure 1-6, where there is a dashed line from each slice to its label. An
extra benefit is avoiding the preprocessing to prepare the fully
informative legend entries.
Figure 1-6 Fully informative ranked pie chart with callout labels
A bar chart can have its numbers in a column next to its bars, as in
the 2D bar chart in Figure 1-2. Another way to provide those numbers,
and more, is to use Y axis tables as columns next to the bar category
labels. In Figure 1-7, three Y axis tables are used to create what is a
ranked and rank-labeled bar chart alternative to a pie chart.
Figure 1-7 A ranked order rank-labeled fully informative horizontal bar chart
Figure 1-9 This typical stacked bar chart is unable to provide precise values of sales
In a bar chart with more segments, moving your eye from bar
segments to the X axis table is not easy or efficient, but Figure 1-10 is
truly informative and allows a viewer to quickly and easily identify
Product-Region combinations with larger sales.
Figure 1-10 Usable stacked bar chart with precise values for the bar segments
The red segments in two of the stacked bars in Figures 1-9 and 1-10
is a good demonstration that color with insufficient mass is difficult to
distinguish. Color distinguishability is discussed further in Chapter 2.
Figure 1-15 The Extremes of Other with “The Pac-Man Pie Chart”
Here, the smallness of “Other” in the chart on the left dramatizes the
fact that the sum of all of the competitive products’ market shares was
insignificant. The sizes and values for their tiny market shares were
deemed by me as not worth showing.
Conversely, the chart on the right is expressly meant to prompt
interest in what is in “Other.” I created it during my time as a local
elected official, to emphasize to residents that the bulk of their real
estate property tax payment went to other public bodies which were
also getting a share (in some cases, a much larger share). Since the tax
was paid to the office of our Village Treasurer, he would receive letters
of concern about the size of the bill. To anticipate and address
questions and concerns, the pie chart was included in a cover letter that
went out with the annual tax bill. There also was a table of supporting
detail, which compared the current amounts and growth of all of the
shares of tax bill total. We did explain what was in “Other,” but after
graphically emphasizing the smallness of Village government’s share of
the bill.
I call this design “The Pac-Man Pie Chart ,” and I call these examples
“The Extremes of Other.” Why “Pac-Man”? Who is that guy? Pac-Man is a
video game that was introduced in 1980. It features a little creature
who looks like a yellow pie with a slice missing.
Figure 1-16 Sparse Line Annotation case 1: start, end, and maximum
From Figure 1-17, I realized that an additional point of interest
could be a point, not a minimum or maximum, where the trend
permanently changes in any of these ways:
From rapidly increasing to slowly increasing
From slowly increasing to rapidly increasing
From rapidly decreasing to slowly decreasing
From slowly decreasing to rapidly decreasing
Figure 1-17 Sparse Line Annotation case 2: start, end, and trend change
Sparse Line Annotation has been updated and significantly
enhanced as is shown in Figure 1-18, which is taken up as Figure 8-9.
As an alternative to an overlay plot, see also Sparse Line Tables and
Sparse Line Panels in Figures 9-9, 9-11, 9-12, and 9-13 and the web-
enabled Sparse Line Table in Figure 14-15. The new Sparse Lines
remove the X axis entirely and provide X values as part of the data point
annotation , not just the Y values. An important new feature in the new
Sparse Line, standalone or in any of the composites, is to provide, as
additional annotation for the last data point, the change since the
second last data point, which is always of interest when looking at the
last data point.
Figure 1-18 The updated and enhanced Sparse Line, using different data
161. Every young wife, let her station be ever so exalted, ought to
attend to her household duties. Her health, and consequently her
happiness, demand the exertion. The want of occupation—healthy,
useful occupation—is a fruitful source of discontent, of sin,[35] of
disease, and barrenness. If a young married lady did but know the
importance of occupation—how much misery might be averted, and
how much happiness might, by attending to her household duties, be
insured—she would appreciate the importance of the advice.
Occupation improves the health, drives away ennui, cheers the
hearth and home, and, what is most important, if household duties
be well looked after, her house becomes a paradise, and she the
ministering angel to her husband. But she might say—I cannot
always be occupied; it bores me; it is like a common person: I am a
lady; I was not made to work; I have neither the strength nor the
inclination for it; I feel weak and tired, nervous and spiritless, and
must have rest. I reply, in the expressive words of the poet, that—
“Absence of occupation is not rest,—
A mind quite vacant is a mind distress’d.”[36]
174. The mind, it is well known, exerts great influence over the
body in promoting health, and in causing and in curing disease. A
delicate woman is always nervous; she is apt to make mountains of
molehills; she is usually too prone to fancy herself worse than she
really is. I should recommend my gentle reader not to fall into this
error, and not to magnify every slight ache or pain. Let her, instead
of whining and repining, use the means which are within the reach of
all to strengthen her frame; let her give battle to the enemy; let her
fight him with the simple weapons indicated in these pages, and the
chances are she will come off victorious.
175. There is nothing like occupation, active occupation, to cure
slight pains—“constant occupation physics pain”—to drive away little
ailments, and the dread of sickness. “The dread of sickness,” says Dr.
Grosvenor, “is a distemper of itself, and the next disposition to a
many more. What a bondage does this keep some people in! ’Tis an
easy transition from the fear and fancy of being sick to sickness
indeed. In many cases there is but little difference between those
two. There is one so afraid of being ill that he would not stir out of
doors, and for want of air and exercise he contracts a distemper that
kills him.”
176. What a blessed thing is work! What a precious privilege for a
girl to have a mother who is both able and anxious to instruct her
daughter, from her girlhood upwards, in all household management
and duties! Unfortunately, in this our age girls are not either
educated or prepared to be made wives—useful, domesticated wives.
Accomplishments they have without number, but of knowledge of
the management of an establishment they are as ignorant as the babe
unborn. Verily, they and their unfortunate husbands and offspring
will in due time pay the penalty of their ignorance and folly! It is,
forsooth, unladylike for a girl to eat much; it is unladylike for her to
work at all; it is unladylike for her to take a long walk; it is unladylike
for her to go into the kitchen; it is unladylike for her to make her own
bed; it is unladylike for her to be useful; it is unladylike for her to
have a bloom upon her cheek like unto a milkmaid![40] All these are
said to be horridly low and vulgar, and to be only fit for the common
people! Away with such folly! The system of the bringing up of the
young ladies of the present day is “rotten to the core.”
177. If a young married lady, without having any actual disease
about her, be delicate and nervous, there is no remedy equal in value
to change of air—more especially to the sea-coast. The sea breezes,
and, if she be not pregnant, sea-bathing, frequently act like magic
upon her in restoring her to perfect health. I say, if she be not
pregnant; if she be, it would, without first obtaining the express
permission of a medical man, be highly improper for her to bathe.
178. A walk on the mountains is delightful to the feelings and
beneficial to the health. In selecting a sea-side resort, it is always,
where it be practicable, to have mountain-air as well as the sea
breeze. The mounting of high hills, if a lady be pregnant, would not
be desirable, as the exertion would be too great, and, if she be
predisposed, might bring on a miscarriage; but the climbing of hills
and mountains, if she be not enceinte, is most advantageous to
health, strengthening the frame, and exhilarating to the spirits.
Indeed, we may compare the exhilaration it produces to the drinking
of champagne, with this difference,—it is much more beneficial to
health than champagne, and does not leave, the next morning, as
champagne sometimes does, either a disagreeable taste in the mouth
or headache behind,—
“Oh, there is a sweetness in the mountain-air,
And life, that bloated ease can never hope to share!”[41]
190. There are two most important epochs in the life of a woman—
namely (1) the commencement, and (2) the close of menstruation.
Each is apt, unless carefully watched and prevented, to bring in its
train many serious diseases. Moreover, unless menstruation be
healthfully and properly performed, conception, as a rule, is not
likely to take place: hence the importance of our subject.
191. Menstruation—the appearance of the catamenia or the menses
—is then one of the most important epochs in a girl’s life. It is the
boundary line, the landmark, between childhood and womanhood; it
is the threshold, so to speak, of a woman’s life. Her body now
develops and expands, and her mental capacity enlarges and
improves. She then ceases to be a child, and she becomes a woman.
She is now for the first time, as a rule, able to conceive.
192. Although puberty has at this time commenced, it cannot be
said that she is at her full perfection; it takes eight or ten years more
to complete her organization, which will bring her to the age of
twenty-three or twenty-five years; which perhaps are the best ages
for a woman, if she have both the chance and the inclination, to
marry.
193. If she marry when very young, marriage weakens her system,
and prevents a full development of the body. Besides, if she marry
when she be only eighteen or nineteen, the bones of the pelvis—the
bones of the lower part of the belly—are not at that time sufficiently
developed; are not properly shaped for the purpose of labor; do not
allow of sufficient space for the head of the child to readily pass, as
though she were of the riper age of twenty-three or twenty-five. She
might have in consequence a severe and dangerous confinement. If
she marry late in life, say after she be thirty, the soft parts engaged in
parturition are more rigid and more tense, and thus become less
capable of dilatation, which might cause, for the first time, a hard
and tedious labor. Again, when she marries late in life, she might not
live to see her children grow up to be men and women. Moreover, as
a rule, “the offspring of those that are very young or very old lasts
not.” Everything, therefore, points out that the age above indicated—
namely, somewhere between twenty and thirty—is the most safe and
suitable time for a woman to marry.
194. Menstruation generally comes on once every month—that is
to say, every twenty-eight days; usually to the very day, and
frequently to the hour. Some ladies, instead of being “regular” every
month, are “regular” every three weeks.
195. Each menstruation continues from three to five days; in some
for a week; and in others for a longer period. It is estimated that,
during each menstruation, from four to six ounces is, on an average,
the quantity discharged.
196. A lady seldom conceives unless she be “regular,” although
there are cases on record where women have conceived who have
never been “unwell;” but such cases are extremely rare.
197. Menstruation in this country usually commences at the ages
of from thirteen to sixteen, sometimes earlier; occasionally as early
as eleven or twelve; at other times later, and not until a girl be
seventeen or eighteen years of age. Menstruation in large towns is
supposed to commence at an earlier period than in the country, and
earlier in luxurious than in simple life.[44]
198. Menstruation continues for thirty, and sometimes even for
thirty-five years; and, while it lasts, is a sign that a lady is liable to
become pregnant—unless, indeed, menstruation should be
protracted much beyond the usual period of time. As a rule, then,
when a woman “ceases to be unwell,” she ceases to have a family;
therefore, as menstruation usually leaves her at forty-five, it is
seldom, after that age, that she has a child.
199. I have known ladies become mothers when they have been
upwards of fifty years of age. I myself delivered a woman in her fifty-
first year of a fine healthy child. She had a kind and easy labor, and
was the mother of a large family, the youngest being at the time
twelve years old.[45] “Dr. Carpenter, of Durham, tells us that he has
attended in their confinements several women whose ages were fifty.
‘I well recollect a case occurring in my father’s practice in 1839,
where a woman became a widow at forty-nine years of age. Shortly
afterwards she married her second husband, and within twelve
months of this time gave birth to her first child. These cases belong
to the working classes. But I know of two others, where gentlewomen
became mothers at fifty-one with her first child, the other with her
eighth. I can say nothing of how they menstruated, but I know of a
virgin in whom the catamenia appeared regularly and undiminished
up to and at the end of sixty.’ Dr. Powell says that he last year
attended a woman in her fifty-second year; and Mr. Heckford, that
he attended a woman who stated her age to be at least fifty. Mr.
Clarke, of Mold, states that he has attended several women whose
ages were upwards of forty-four, and that he lately delivered a
woman of her first child at forty-eight. Mr. Bloxham, of Portsmouth,
delivered at fifty-two, in her first confinement, a woman who had
been married thirty-five years.”[46]
200. In very warm climates, such as in Abyssinia and in India, girls
menstruate when very young—at ten or eleven years old; indeed,
they are sometimes mothers at those ages.[47] But when it commences
early, it leaves early; so that they are old women at thirty. “Physically,
we know that there is a very large latitude of difference in the periods
of human maturity, not merely between individual and individual,
but also between nation and nation—differences so great that in
some southern regions of Asia we hear of matrons at the age of
twelve.”[48] Dr. Montgomery[49] brings forward some interesting cases
of early maturity. He says: “Bruce mentions that in Abyssinia he has
frequently seen mothers of eleven years of age; and Dunlop
witnessed the same in Bengal. Dr. Goodeve, Professor of Midwifery
at Calcutta, in reply to a query on the subject, said: ‘The earliest age
at which I have known a Hindu woman bear a child is ten years, but I
have heard of one at nine.’”
201. In cold climates, such as Russia, women begin to menstruate
late in life, frequently not until they are between twenty and thirty
years old; and, as it lasts on them thirty or thirty-five years, it is not
an unusual occurrence for them to bear children at a very advanced
age—even so late as sixty. They are frequently not “regular” oftener
than three or four times a year, and when it does occur the menstrual
discharge is generally sparing in quantity.
202. The menstrual fluid is not exactly blood, although, both in
appearance and in properties, it much resembles it; yet it never in
the healthy state clots as blood does. It is a secretion from the womb,
and, when healthy, ought to be of a bright-red color, in appearance
very much like blood from a recently cut finger.[50]
203. The menstrual fluid ought not, as before observed, to clot. If
it does, a lady, during menstruation, suffers intense pain; moreover,
she seldom conceives until the clotting has ceased. Application must
therefore, in such a case, be made to a medical man, who will soon
relieve the above painful symptoms, and, by doing so, will probably
pave the way to her becoming pregnant.
204. Menstruation ceases entirely in pregnancy, during suckling,
and usually both in diseased and in disordered states of the womb. It
also ceases in cases of extreme debility, and in severe illness,
especially in consumption; indeed, in the latter disease—
consumption—it is one of the most unfavorable of the symptoms.
205. It has been asserted, and by men of great experience, that
sometimes a woman menstruates during pregnancy. In this assertion
I cannot agree; it appears utterly impossible that she should be able
to do so. The moment she conceives, the neck of the womb becomes
plugged up by means of mucus; it is, in fact, hermetically sealed.
There certainly is sometimes a slight red discharge, looking very
much like menstrual fluid, and coming on at her monthly periods;
but being usually very sparing in quantity, and lasting only a day or
so, and sometimes only for an hour or two; but this discharge does
not come from the cavity of, but from some small vessels at, the
mouth of the womb, and is not menstrual fluid at all, but a few drops
of real blood. If this discharge came from the cavity of the womb, it
would probably lead to a miscarriage. My old respected and talented
teacher, the late Dr. D. D. Davis,[51] declared that it would be quite
impossible during pregnancy for menstruation to occur. He
considered that the discharge which was taken for menstruation
arose from the rupture of some small vessels about the mouth of the
womb.
206. Some ladies, though comparatively few, menstruate during
suckling; when they do, it may be considered not the rule, but the
exception. It is said, in such instances, that they are more likely to
conceive. Many persons have an idea that when a woman, during
lactation, menstruates, the milk is both sweeter and purer. Such is an
error. Menstruation during suckling is more likely to weaken the
mother, and consequently to deteriorate the milk. It therefore
behooves a parent never to take a wet nurse who menstruates during
the period of suckling.
207. A lady sometimes suffers severe pains both just before and
during her “poorly” times. When such be the case, she seldom
conceives until the pain be removed. She ought therefore to apply to
a medical man, as relief may soon be obtained. When she is freed
from the pain, she will, in all probability, in due time become
enceinte.
208. If a married woman have painful menstruation, even if she
become pregnant, she is more likely, in the early stage, to miscarry.
This is an important consideration, and requires the attention of a
doctor.
209. If a single lady, who is about to be married, have painful
menstruation, it is incumbent on either her mother or a female
friend to consult, two or three months before the marriage takes
place, an experienced medical man, on her case; if this be not done,
she will most likely, after marriage, either labor under ill health, or
be afflicted with barrenness, or, if she do conceive, be prone to
miscarry.
210. The menstrual discharge, as before remarked, ought, if
healthy, to be of the color of blood—of fresh, unclotted blood. If it be
either too pale (and it sometimes is almost colorless), or, on the
other hand, if it be both dark and thick (it is occasionally as dark, and
sometimes nearly as thick, as treacle), there will be but scant hopes
of a lady conceiving. A medical man ought, therefore, at once to be
consulted, who will in the generality of cases, be able to remedy the
defect. The chances are, that as soon as the defect be remedied, she
will become pregnant.
211. Menstruation at another time is too sparing; this is a frequent
cause of a want of family. Luckily a doctor is, in the majority of cases,
able to remedy the defect, and by doing so will probably be the
means of bringing the womb into a healthy state, and thus
predispose her to become a mother.
212. A married lady is very subject to the “whites;” the more there
will be of the “whites” the less there will usually be of the menstrual
discharge;—so that in a bad case of the “whites” menstruation might
entirely cease, until proper means be used both to restrain the one
and to bring back the other. Indeed, as a rule, if the menstrual
discharge, by proper treatment, be healthily established and
restored, the “whites” will often cease of themselves. Deficient
menstruation is a frequent cause of the “whites,” and the consequent
failure of a family; and as deficient menstruation is usually curable, a
medical man ought, in all such cases, to be consulted.
213. Menstruation at other times is either too profuse or too long
continued. Either the one or the other is a frequent source of
barrenness, and is also weakening to the constitution, and thus tends
to bring a lady into a bad state of health. This, like the former cases,
by judicious management may generally be rectified; and being
rectified, will in all probability result in the wife becoming a mother.
214. When a lady is neither pregnant nor “regular,” she ought
immediately to apply to a doctor, as she may depend upon it there is
something wrong about her, and that she is not likely to become
enceinte[52] until menstruation be properly established. As soon as
menstruation be duly and healthily established, pregnancy will most
likely, in due time, ensue.
215. When a lady is said to be “regular,” it is understood that she is
“regular” as to quality, and quantity, and time. If she be only
“regular” as to the time, and the quantity be either deficient or in
excess, or if she be “regular” as to the time, and the quality be bad,
either too pale or too dark; or if she be “regular” as to the quality and
quantity, and be irregular as to the time, she cannot be well; and the
sooner means are adopted to rectify the evil, the better it will be for
her health and happiness.
216. There is among young wives, of the higher ranks, of the
present time, an immense deal of hysteria; indeed it is, among them,
in one form or another, the most frequent complaint of the day. Can
it be wondered at? Certainly not. The fashionable system of spending
married life, such as late hours, close rooms, excitement, rounds of
visiting, luxurious living, is quite enough to account for its
prevalence. The menstrual functions in a case of this kind are not
duly performed; she is either too much or too little “unwell;”
menstruation occurs either too soon, or too late, or at irregular
periods. I need scarcely say that such a one, until a different order of
things be instituted, and until proper and efficient means be used to
restore healthy menstruation, is not likely to conceive; or, if she did
conceive, she would most likely either miscarry, or, if she did go her
time, bring forth a puny, delicate child. A fashionable wife and happy
mother are incompatibilities! Oh, it is sad to contemplate the
numerous victims that are sacrificed yearly on the shrine of fashion!
The grievous part of the business is, that fashion is not usually
amenable to reason and common sense; argument, entreaty, ridicule,
are each and all alike in turn powerless in the matter. Be that as it
might, I am determined boldly to proclaim the truth, and to make
plain the awful danger of a wife becoming a votary of fashion.
217. Many a lady, either from suppressed or from deficient
menstruation, who is now chlorotic, hysterical, and dyspeptic, weak
and nervous, looking wretchedly, and whose very life is a burden,
may, by applying to a medical man, be restored to health and
strength.
218. As soon as a lady “ceases to be after the manner of women”—
that is to say, as soon as she ceases to menstruate—it is said that she
has “a change of life;” and if she does not take care, she will soon
have “a change of health” to boot, which, in all probability, will be for
the worse.
219. After a period of about thirty years’ continuation of
menstruation, a woman ceases to menstruate; that is to say, when
she is about forty-four or forty-five years of age, and, occasionally, as
late in life as when she is forty-eight years of age, she has “change of
life,” or, as it is sometimes called, a “turn of years.” Now, before this
takes place, she oftentimes becomes very “irregular;” at one time she
is “regular” before her proper period; at another time either before or
after; so that it becomes a dodging time with her, as it is so styled. In
a case of this kind menstruation is sometimes very profuse; at
another it is very sparing; occasionally it is light colored, almost
colorless; sometimes it is as red as from a cut finger; while now and
then it is as black as ink.
220. When “change of life” is about, and during the time, and for
some time afterwards, a lady labors under, at times, great flushings
of heat; she, as it were, blushes all over; she goes very hot and red,
almost scarlet; then perspires; and afterwards becomes cold and
chilly. These flushings occur at very irregular periods; they might
come on once or twice a day, at other times only once or twice a
week, and occasionally only at what would have been her “poorly
times.” These flushings might be looked upon as rather favorable
symptoms, and as an effort of nature to relieve itself through the
skin. These flushings are occasionally, although rarely, attended with
hysterical symptoms. A little appropriate medicine is for these
flushings desirable. A lady while laboring under these heats is
generally both very much annoyed and distressed; but she ought to
comfort herself with the knowledge that they are in all probability
doing her good service, and that they might be warding off, from
some internal organ of her body, serious mischief.
221. “Change of life” is one of the most important periods of a
lady’s existence, and generally determines whether, for the rest of
her days, she shall either be healthy or otherwise; it therefore
imperatively behooves her to pay attention to the subject, and in all
cases when it is about taking place to consult a medical man, who
will, in the majority of cases, be of great benefit to her, as he will be
able to ward off many important and serious diseases to which she
would otherwise be liable. When “change of life” ends favorably,
which, if properly managed, it most likely will do, she may improve
in constitution, and may really enjoy better health and spirits, and
more comfort, then she has done for many previous years. A lady
who has during the whole of her wifehood eschewed fashionable
society, and who has lived simply, plainly, and sensibly, and who has
taken plenty of out-door exercise, will, during the autumn and winter
of life, reap her reward by enjoying what is the greatest earthly
blessing—health!
PART II.
PREGNANCY.
SIGNS OF PREGNANCY.
222. The first sign that leads a lady to suspect that she is pregnant
is her ceasing to be unwell. This, provided she has just before been in
good health, is a strong symptom of pregnancy; but still there must
be others to corroborate it.
223. The next symptom is morning sickness. This is one of the
earliest symptoms of pregnancy; as it sometimes occurs a few days,
and indeed generally not later than a fortnight or three weeks, after
conception. Morning sickness is frequently distressing, oftentimes
amounting to vomiting, and causing a loathing of breakfast. This sign
usually disappears after the first three or four months. Morning
sickness is not always present in pregnancy; but, nevertheless, it is a
frequent accompaniment; and many who have had families place
more reliance on this than on any other symptom.
224. A third symptom is shooting, throbbing, and lancinating
pains, and enlargement of the breasts, with soreness of the nipples,
occurring about the second month; and in some instances, after the
first few months, a small quantity of watery fluid, or a little milk, may
be squeezed out of them. This latter symptom, in a first pregnancy, is
valuable, and can generally be relied on as conclusive that the female
is pregnant. It is not so valuable in an after pregnancy, as a little milk
might, even should she not be pregnant, remain in the breasts for
some months after she has weaned her child.
225. The veins of the breast look more blue, and are consequently
more conspicuous than usual, giving the bosom a mottled
appearance. The breasts themselves are firmer and more knotty to
the touch. The nipples, in the majority of cases, look more healthy
than customary, and are somewhat elevated and enlarged; there is
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