A reference hand-book for nursesBeck, Amanda K. (Amanda Kathryn)
Science
A reference hand-book for nurses
Beck, Amanda K. (Amanda Kathryn)
Nursing
=Lightening.=—In the last two weeks, especially in primiparæ, the
child’s head sinks into the pelvis, and its body falls a little
forward. The uterus sinks down and forward with the child. The
waist-line lowers, the stomach region is flatter, the navel more
prominent. The patient breathes easier, but does not walk as well.
=Duration of Pregnancy.=—Average time is 280 days; protracted, 314; a
short term about 245 days. There is no positive period.
=Prediction of the Date of Labor.=—Count 9 calendar months from the
beginning of the last menstruation and add 7 days. An error of 2 or 3
weeks, however, is possible. (See Table on page 178.)
=Premonitory Symptoms of Labor.=—(1) _Lightening._—Dropping may be
attended with slight pains similar to labor pains.
(2) _False Pains._—These vary in nature and quality. They may be short
and sharp, or long and continuous, or irregular. As a rule, they
are marked by irregularity. They are mostly abdominal, rarely like
true pains beginning in the sacral region and moving around to the
region of the pubes. They may be caused by cramps in the abdominal
wall, intestines, or in the distended bladder. They may be due to old
inflammatory areas within the abdominal and pelvic cavities. They are
frequent in cases in which there is marked bowel irregularity, and
in conditions of over-fatigue. Some authors believe that they may be
produced by irregular contractions of portions of the uterine wall. One
important test is the condition of the uterine body during the pain. If
there is no genuine contraction, the uterus will not become hard when
pain is felt. This indication is not always reliable, however, since
palpation may be unsatisfactory on account of the woman’s nervousness,
her sensitiveness, or the thickness of the abdominal wall. If the cause
be contractions of the uterus, partial hardening may be felt.
TABLE FOR CALCULATING THE PERIOD OF UTERO-GESTATION.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account