Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her BabyVan Blarcom, Carolyn Conant
Science
Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her Baby
Van Blarcom, Carolyn Conant
Infants -- Care; Maternity nursing; Pregnancy
Still another cause of distress is the current belief as to hereditary
influence, and the possible effect upon the unborn child of unsuccessful
attempts at abortion which the patient has made early in her pregnancy.
Every family has its skeleton of a relative who is “queer,”
feeble-minded, epileptic or who has died in a sanitarium or state
hospital for the insane. The fear that the child may “strike back” to
one of these individuals, and suffer retardation in his mental
development, often amounts to little less than an obsession.
The nurse may often dispel such an anxiety by drawing upon even her
slender knowledge of embryology and reassure her patient that we know
very little about inheritance, but that the evidence is that environment
and early training are such important determining factors, that a child
is more likely to be affected by the example and guidance of his parents
during his first few years than through transmission from their blood.
Attempted abortions during the early months of pregnancy are more common
than is generally supposed. Of their effect upon the offspring we know
very little. We do know, however, that an attempt to produce an abortion
often gives rise to a good deal of secret worry on the part of the
expectant mother. It is the nucleus of many a vague depression during
pregnancy, not only because of remorse over wrong-doing, but also
because of fear that the child who is coming, in spite of the attempt to
destroy him, may suffer the consequences. This is another of the
anxieties which the patient can seldom bring herself to discuss with her
family or even with her physician. But it so occupies her mind that she
may allude to it, in a roundabout way, to the nurse who becomes her
constant companion, as though describing the act of a friend. The nurse
who reads between the lines may often relieve a serious tension caused
in this way by discussing the matter casually and impersonally. Above
all she must not assume an attitude of disapproval, for it is not within
her province to go into the ethics or morality of the act. Her function
at this time is solely to give the patient an opportunity to ventilate
her thoughts.
Another real cause of worry during pregnancy is the patient’s fear of
her own inadequacy to care for and to rear a child in the best possible
manner. The idea of assuming the physical care and the moral guidance of
another human being is often little less than terrifying to a young
woman whose responsibilities in the past have been shared or carried by
some one else. Or to the one who has gone through life hunting for, and
exaggerating, the difficulties in a situation, before attempting to meet
it; and perhaps to the one who is habitually conscientious in all of her
relations with other people.
Public-domain text, read in full here on John Shaqi.
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