Mother, Nurse and Infant: A Manual Especially Adapted for the Guidance of Mothers and Monthly Nurses, Comprising Full Instruction in Regard To Pregnancy, Preparation for Child-birth, and the Care of Mother and Child, and Designed to Impart so Much Knowledge of Anatomy, Physiology, Midwifery, and the Proper Use of Medicines as Will Serve Intelligently to Direct the Wife, Mother and Nurse in All Emergencies.Sackett, S. P.
Science
Mother, Nurse and Infant: A Manual Especially Adapted for the Guidance of Mothers and Monthly Nurses, Comprising Full Instruction in Regard To Pregnancy, Preparation for Child-birth, and the Care of Mother and Child, and Designed to Impart so Much Knowledge of Anatomy, Physiology, Midwifery, and the Proper Use of Medicines as Will Serve Intelligently to Direct the Wife, Mother and Nurse in All Emergencies.
Sackett, S. P.
Infants -- Care; Materia medica; Obstetrics -- Popular works; Women -- Health and hygiene
Pregnant women are liable to be attacked with epidemic, endemic, and
sporadic diseases. Eruptive fevers, etc., may attack parturient women,
and if they do, the disease and labor in every case will have a
reciprocal influence on each other—the disease will complicate the case.
Influenza or intermittent fever may attack a woman at any period of
gestation, and there may be no serious results. Cholera, small pox,
typhoid fever, scarlet fever, measles, pneumonia, and jaundice are
liable to cause abortion, and there is danger of fatal results, or
either of them would be a dangerous complication at the time of labor.
Syphilis would be a cause of abortion or premature labor, and any
disease which allows the mother to carry the child the full term may
reduce and weaken her. Glandular engorgements and scrofulous ulcers
improve during gestation, but if the woman is suffering from a fracture,
the bones will not unite very well. Tumors in the abdomen and pelvis may
be an obstacle to delivery, and ulcerations of the cervix may also be
harmful and protract the labor, as also may constipation, dropsy, and
albuminuria.
The latter may not be detected without an analysis of the urine, but
dropsy will be obvious as soon as it exists. The evidences of tumors and
ulcerations are found by palpation and the touch—sometimes by the use of
the speculum.
After learning the present appearance and the former history of the
patient it may be necessary to examine further perhaps by palpation.
By PALPATION we may sometimes (but not always) distinguish the head of
the child, and perhaps tell to which side its back is turned. When
making the examination let the patient lie on her back, make gentle
pressure when the pains are off and the abdomen is relaxed; press the
ends of your fingers above the body of the pubis; by pressing downwards
you may perhaps feel the head if it has descended into the pelvis. You
will need to press the abdomen carefully all over to ascertain if there
are tumors, and also to ascertain if the body or some other part
presents at the cervix uteri.
If _auscultation_ is used we may determine positively the position of
the fœtus by observing just where the sounds of the fœtal heart may be
most plainly heard.
The VAGINAL TOUCH is the usual mode of determining whether there is an
unfavorable presentation of the child, as well as whether there is
deformity of the pelvis, tumors in the vagina, ulcerations, &c.
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