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
Dr. Slemons writes of the seriousness of criminal abortion in no
uncertain terms, in “The Prospective Mother.” “At Common Law” (an
inheritance from England) he tells us, “abortion is punishable as
_homicide_ when the woman dies or when the operation results fatally to
the infant, after it has been born alive. If performed for the purpose
of killing the child, the crime is _murder_; in the absence of such
intent, it is manslaughter. The woman who commits an abortion upon
herself is likewise guilty of the crime.”
PREMATURE LABOR is the termination of pregnancy after the seventh month,
but before term. Premature births are much less frequent than abortions
or miscarriages. They usually occur spontaneously, but are sometimes
induced for therapeutic purposes, or from criminal motives.
The premature baby’s chances of living are directly proportionate to the
length of its uterine life. This has already been stated, but will bear
repetition in view of the widely current fallacy that a seven-months’
baby is more likely to live than one born after eight months of
pregnancy. The facts are that as a rule, the nearer pregnancy approaches
term, the more likely is the baby to survive, provided it weighs four
pounds or more, and is forty centimeters or more in length. A smaller
baby than this has but a slender chance to live.
We ordinarily designate as premature any baby that weighs between 1500
and 2500 grams, or measures between thirty-six and forty-five
centimeters in length, and consider such a baby has a favorable outlook
if given special care. This special care of premature babies will be
described in connection with the care of the baby.
=Causes.= Syphilis was formerly thought to be a common cause of
abortion, but although this has been disproved by recent investigations,
the disease is still regarded as a frequent cause of spontaneous
premature labor. In fact, Dr. Williams considers syphilis the most
frequent single cause of premature births, and regards the birth of a
dead, macerated fetus, or a history of repeated premature labors, or
stillbirths, as strongly suggestive of syphilis.
“In my experience,” he says, “the recognition and treatment of this
disease is the most important matter in connection with the prophylaxis
of premature labor.... Some idea of the importance may be gained from
the fact that in a series of 334 premature labors, I found that syphilis
was the etiological factor in over 40 per cent., while toxemia, placenta
prævia and fetal deformity were concerned in 8.6 and 3.3 per cent.,
respectively. Sentex, who studied 485 cases in Pinard’s clinic arrived
at similar conclusions and found the underlying cause to be syphilis in
42.7 per cent., albuminuria in 10.8 per cent., and abnormalities of the
fetus in 11.1 per cent.”[3]
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account