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
If the discharge ceases a few hours after birth, or if it continues the
usual time, but in very small quantity, or if it is prolonged beyond the
usual period, or if it is excessive at first, and if at the same time
all the other symptoms are favorable, there is not occasion for much
medicine, though it may be necessary to give the patient a better diet,
possibly some tonics. (F. 174, 175). It sometimes occurs that the lochia
is suddenly discharged in double quantity after the patient is permitted
to sit up or walk about. In such cases enjoin extra rest.
If the red discharge continues longer than usual, or if it return after
yellow or greenish discharges, you should be on your guard against
HEMORRHAGE. Enjoin rest in a horizontal position under light clothing.
Occasionally the LOCHIA HAVE A VERY FETID ODOR. It is not very rare to
observe a very disagreeable odor in the lochia without any bad results,
but this often indicates the retention and putrefaction of coagula or a
small portion of the placenta or membranes. Syringe out the vagina
freely night and morning with Labaraques solution or some other
antiseptic wash, (F. 153) and once or twice a day with warm milk and
water. A weak solution of carbolic acid 1 in 50 may be used, and it may
be proper to throw it into the uterus.
The SECRETION OF MILK generally becomes established in about forty-eight
hours, and very often on the third day the breasts become turgid, hot
and painful. There may, or may not, be some general disturbance, fever,
chills, &c., but if there is it will usually be relieved after the milk
is drawn out. It is customary on the morning of the third day to secure
an action of the bowels, and this generally allays the vascular action
if it is excessive. But very trivial causes may set up INFLAMMATION OF
THE BREAST, and this is always liable to end in suppuration, which may
be long continued and distressing.
The MAMMARY INFLAMMATION may follow exposure to cold, a blow or other
injury on the breast, some temporary engorgement of the lacteal tubes,
or sudden and depressing mental emotions, and it often follows from
fissures and erosions of the nipples. To prevent the formation of an
abscess, endeavor to remove the engorgement of the lacteal ducts by
gentle hand friction with oil or F. 209, 202. Moderate the inflammation
by giving five drops of the extract Phytolacca decandra (Poke root)
every two hours—give saline cathartics, minute doses of aconite, and
perhaps a large dose of quinine. Keep the patient in bed and have the
affected breast supported by a suspensory bandage. Apply hot
fomentations containing a solution of carbolic acid, or poultices
containing it, and the breasts may be smeared with belladonna extract
rubbed down with glycerine; or belladonna liniment or ointment may be
applied (F. 201). Belladonna plasters or diachylon plasters may be
useful. Give 15 grains bromide potassa.
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