Introductory notes on lying-in institutions : $b Together with a proposal for organising an institution for training midwives and midwifery nursesNightingale, Florence
Science
Introductory notes on lying-in institutions : $b Together with a proposal for organising an institution for training midwives and midwifery nurses
Nightingale, Florence
Women's hospitals
_E._ Midwife’s Room.
_F._ Post-mortem Theatre.
_G, G._ General and Provision Hoists.
_K._ This roof is not higher than the basement.
_x._ Ventilating openings on a level with upper part of opposite
window.
_a, a, a, a._ Doors cutting off communication with either Accouchement
Ward when necessary.
_b._ No. 4 Ward.
The plan shows the relation of the delivery wards to the recovery ward,
and to the other parts of the hospital; to the lecture room, post mortem
theatre, &c. The main defects in the construction are: the back to back
wards; proximity of these wards to the general wards of the hospital;
the large staircase, common to both sets of wards, although its size and
openness, and the windows opposite each other and on each floor, ensured
ventilation, and separated the respective blocks; the position of the
post-mortem theatre, the smell from which, as stated on the best
authority, could be distinctly detected in the wards. As already stated,
students were admitted from other parts of the hospital to the midwifery
wards.
_RESULTS OF IMPROVED LYING-IN WARD CONSTRUCTION._
A few instances of improved lying-in ward construction, together with
the death-rates in these establishments, will next be given.
_Military Female Hospitals._—These buildings vary in constructive
arrangements. Some are much better than others, and during recent years
lying-in wards of improved construction have been provided in connection
with several newly erected military female hospitals. The earlier plans
of the new female hospitals consist of a block formed of two pavilions
joined end to end, with a passage across the block to separate the
pavilions from each other. Each pavilion contains a single ward, with
its own separate offices and nurses’ rooms. It has windows on opposite
sides, with one large end window, and abundant means of warming and
ventilation. One pavilion is devoted to general cases, the other to
lying-in cases.
The midwifery ward has space for twelve beds. Each bed has a superficial
area of ninety square feet, and a cubic space of 1,350 feet. The wards
are fifteen feet high.
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