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
The rule is that women shall be delivered in quarters, provided there be
decent accommodation. At a number of the larger stations, where suitable
married quarters have not yet been fully provided, there are female
hospitals, attached to which, as we have already seen, is a delivery and
lying-in ward, with the usual offices. In the specially constructed
hospitals the wards are of a good size, well-lighted, warmed and
ventilated. If all the beds were occupied, the space would be 1,300
cubic feet per patient. But this is an event which rarely or never
happens, so that there is always plenty of room and good ventilation.
If[19] a woman requires admission, her husband applies to the medical
authorities for a ticket. No woman with a disease considered to be
infectious is admitted. The women usually follow their ordinary
avocations until obliged to proceed to hospital by imminent labour. They
are taken there in cabs, all the necessary arrangements for the lying-in
having been made, if possible, by previous intimation. The woman is
delivered in the delivery ward, and is thence transferred to the
lying-in ward. As a rule, the lying-in pavilion in these female
hospitals is distinct in all its arrangements for nursing from the
pavilion for general cases. Infectious cases are not received into the
same hospital, except at Aldershot.
In these hospitals for soldiers’ wives the time which elapses from the
admission to the discharge of the women is usually ten, and in some
cases twelve days.
At Aldershot four ‘Sisters’ are now at work in the soldiers’ wives’
hospital. One was trained as midwife, and took charge of the midwifery
cases early in 1867. The Sister midwife has sole charge of the lying-in
women for five or six days. They are then passed into a third ward, and
are nursed by the Sisters who attend the ordinary cases (which are,
however, of course in a separate ward).
The Sisters do not help the midwife, as a rule. Only the Superior, on an
emergency, and one for scrubbing floors periodically, enter the
midwifery wards (i.e. the delivery and lying-in wards).
In 1869 Aldershot had no fatal case among the lying-in women.
[The ‘infection wards’ are nursed by ordinary nurses, and in cases of
children by the parents.]
It will be seen, therefore, that at Aldershot the midwife has nothing to
do with the general cases, and the matron is not now the midwife. Both
there and at Woolwich the lying-in nursing is quite separate from the
general nursing.
The medical officer remarks, as to the two deaths in 1869 at Woolwich:
‘Two cases of puerperal peritonitis after bad labours, requiring
instrumental and other assistance, died, but the disease did not extend.
My opinion is that the coldness of the wards, though objectionable, has
a great deal to do with the comparative immunity hitherto enjoyed as
regards the germination and extension of contagious diseases.’
It need scarcely be said that these new hospitals are models of
cleanliness.
Public-domain text, read in full here on John Shaqi.
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