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
1 doz. sterile towels.
5 or 6 doz. perineal pads.
2 or 4 delivery pads, made of gauze and common cotton with top layer of
absorbent cotton, or newspapers covered with muslin.
5 or 6 doz. gauze sponges.
2 or 3 doz. gauze squares, 4 inches square.
4 or 5 doz. cotton pledgets.
1 pr. leggings, made of canton or outing flannel, either loose fitting
hose or a yard square folded diagonally and stitched. (See Fig.
110.)
3 sheets.
6 pieces cord-tie of bobbin or narrow tape, 9 inches long.
These may be put up into packages in the usual manner, using muslin for
wrapping, and sterilized in the patient’s home as follows: Fill a wash
boiler about ¼ full of water and fashion a hammock from a towel or
strong piece of muslin, tied securely with strings at each end and hung
from the handles so that the bottom of the hammock in about half way
down in the boiler. As the weight of the dressings makes the hammock sag
low, in the middle, it is usually necessary to place a rack, or support
of some kind, in the bottom of the boiler to hold the dressings well
above the bubbling water, at the point where they hang lowest. Pile the
dressings into the hammock, cover the boiler tightly and keep the water
boiling vigorously for one hour; dry the packages in the sun or by
placing them in the oven for a few moments, and at the end of
twenty-four hours repeat the steaming and drying process, wrap the
packages in a clean sheet or paper and put them away in a drawer or
covered box where they should remain until time to prepare for the
delivery. The brushes, douche pan, irrigation-bag, and other articles
which must be surgically clean may be sterilized in the same way. The
gloves may be sterilized in this way or boiled immediately before
delivery. If sterilized by steam, the gloves should be thoroughly dried,
dusted with talcum inside and out to prevent them from sticking
together, and may be wrapped in packages or placed in individual cases
(Fig. 42). A small towel or piece of soft muslin and a ball of gauze
containing talcum powder, if placed in the case and sterilized with the
gloves, are often a convenience to the doctor in putting on the gloves.
[Illustration:
FIG. 42.—Gloves with cuffs turned up, lying with small towel and
powder puff of gauze and talcum, on double envelope case in which
they may be dry-sterilized. (From photograph taken at the Brooklyn
Hospital.)
]
The newspaper delivery pads offer excellent protection and are made of
six thicknesses of paper covered with a piece of freshly laundered
muslin, which is folded over the edges and basted in place. (Fig. 43).
These pads may be made virtually sterile by ironing them on the muslin
side with a very hot iron, folding the ironed surface inside without
touching it; again ironing on the outside and wrapping in a clean muslin
or sheet, also recently ironed, and putting away in a place protected
from dust.
The nurse herself should have:
Public-domain text, read in full here on John Shaqi.
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