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
In workhouses the question is solved by women being admitted into the
body of the house during pregnancy, and discharged into the body of the
house, if not to their own homes, when quite convalescent.
In Liverpool Workhouse fourteen days after labour the lying-in women are
thus discharged. Fourteen, eighteen, twenty-one days, are the average of
a woman’s stay in the lying-in division in London workhouses.
A soldiers’ wives’ hospital takes in no unmarried women to lie-in.
Civil lying-in institutions almost invariably have to make exceptions
and take in unmarried women.
In workhouses they are not the exception, they are the rule. Married
women are the exception.
It is to be observed that married women will rarely come in an hour
before, or stay an hour after it is necessary, in any lying-in
institution.
Ten to twelve days is ‘the average period of hospital treatment’ in
Colchester, Woolwich, and other soldiers’ wives’ lying-in hospitals.
‘Women of this station of life cannot, as a rule, be prevailed upon to
submit to longer detention,’ it is added.
The average number of days in King’s College Hospital lying-in ward was
sixteen. None were permitted to leave under fourteen days. Twenty-one
days were _allowed_, in ordinary cases. It is feared this might be too
long; but so very many weakly, half-starved women sought admission, that
to send some away sooner was ‘to ensure a breakdown,’ it is stated.
In a civil lying-in institution it would not be by any means desirable
absolutely to exclude single young women _primiparæ_; it would be
grievous to some of these poor things to be sent among the (often
hardened) wretched women of the workhouse. The whole question of these
poor young women—unmarried mothers of a first child—is full of
difficulty. It would never do, morally, to make special provision for
them. And for this very reason we seem bound to receive such,
conditionally, into well regulated lying-in institutions, and afford
some kindly care to prevent, at the very least, their sinking lower. But
it would not be right to leave any admissions for single women in the
hands of any young assistant, or morally inexperienced person.
The principle appears to be that, if pregnant women are to be received
some time before and kept some time after delivery, the excess of time
should not be passed in the lying-in wards, but in separate
accommodation.
II. _MANAGEMENT._
Construction, however, in a lying-in institution, holds only the second
place to good management in determining whether the lying-in patients
shall live or die. And without such management, no construction, however
perfect, will avail.
And the first elementary principle of good management is to have always
one pavilion of four or eight beds, according as it is of one floor or
of two, standing empty in rotation for purposes of thorough cleansing.
_A fortiori_—one delivery pavilion on each floor is always to be vacant
alternately.
Public-domain text, read in full here on John Shaqi.
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