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
[Illustration: |Name|Age|Residence|Married or Single|No. of
Pregnancy|Date when last Child was Born|Date of Admission|Period of
Gestation|Date of Commencement of Labour|Duration of Labour, in
Hours|Nature of Delivery|Presentations|Complications of
Delivery|Operation, if any|Accidents or Diseases, if any, after
Delivery|Nature of Accident or Disease|Date of Attack|Duration|Result
and Date|Births: Single, Twins or Triplets|Infant Born Living or
Dead|Sex of Child|If infant Dead after Birth, Cause of Death, and
Date|Date of Removal from Lying-in Department|No. of Days in Lying-in
Department|Date of Discharge from Institution|Remarks|]
NOTE.—Should any death take place in a woman discharged from the
institution within a month from the time of her delivery, a record
of this death, its date, and cause, to be entered in the column of
Remarks. In the same column should be entered remarks on abnormal
configuration, or on abnormal conditions of health which might
influence the result of the delivery.
For all this provision must be made. There are scarcely two points in
common between a lying-in institution and a general hospital.
2. _How many Wards to a Floor?_
Only one four-bed ward, or four one-bed wards in a group.
3. _How many Floors to a Pavilion (hut or cottage)?_
Two, at most. In every alternate pavilion better only one floor, unless
the pavilions be so far apart as to cover an extent of ground which
would make administration almost impossible, and cost fabulous.
_How many Beds to a Pavilion or Hut?_
There would therefore be no more than eight beds, and in each alternate
pavilion no more than four beds.
_How many Pavilions or Huts to a Lying-in Institution?_
Not more than four two-floored pavilions, two one-floored pavilions, and
two two-floored delivery pavilions; unless, indeed, building space can
be given, with all its cost and administrative difficulties.
4. _How much space to the Bed?_
The _minimum_ of ward cubic space for a lying-in woman, even where the
delivery ward is, as it ought always to be, separate, is 2,300 cubic
feet in a single-bed ward, and 1,900 cubic feet in a four-bed ward.
[In ordinary army wooden huts, where the air comes in at every seam,
this space may be less.]
As it is a principle that superficial area signifies more than cubic
space, the surface of floor for each bed should not be less than 150
square feet per bed in a four-bed ward, and in a single-bed ward not
less than 190 square feet, because this is the total available space for
all purposes in a single-bed ward. This space has to be occupied, not
only by the lying-in woman and her infant, and perhaps a pupil midwife
washing and dressing it at the fire, but often by the midwife, an
assistant, possibly the medical officer, and pupil midwives. In a
four-bed ward there is space common to all the beds.
_The Delivery Ward._
Public-domain text, read in full here on John Shaqi.
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