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
In addition to the high death rate among mothers the mortality among
babies is even greater. Dr. Dublin estimates that out of every 1,000
babies born during 1920, about 85 died before they were a year old, or
about 200,000 in the course of the year, and that the large majority of
these died from congenital causes, from infection or nutritional
disturbances. Another 100,000 babies perish, yearly, through still
births. As all of these conditions are preventable to a greater or
lesser degree, we have to acknowledge that many babies die whom we know
how to save. There is sound reason, therefore, for the belief that
proper care would save the lives of about two-thirds of the mothers and
half of the babies who now die and half of the babies who are born dead.
And let it be remembered that conditions which destroy life, also
destroy or greatly impair health and resistance to disease. Although we
may count the number of mothers and babies who fail to survive the too
severe test to which they are put during crucial periods in the lives of
both, we cannot count, nor even approximately estimate, the number of
those who escape death only to be imprisoned in frail, deformed, or
diseased bodies. Therein lies much of the tragedy which follows in the
wake of neglect—the lifelong handicaps, suffering, and inefficiency that
need not have been.
This lack of care is not due to limitations in medical knowledge, for
the efficacy of known methods is being constantly demonstrated. And our
instant and generous response, the country over, to appeals for help in
relieving various forms of need and disaster does not suggest a national
cold-bloodedness, or even indifference, to needless suffering. But still
a legion of mothers and babies die each year from lack of care, and
almost at our very thresholds.
Perhaps the root of the difficulty lies in the fact that childbirth, as
well as the attendant suffering and death, are so familiar that they are
regarded as being normal incidents in the ordinary course of affairs.
One of the most dramatic of all human events, the birth of a new being,
is accepted casually, almost without concern, because it is so
frequent—so commonplace.
Moreover, we are all accustomed to hearing stressed the fact that
child-bearing is not a disease, but is a normal physiological function.
Not so generally, however, do we hear emphasis made upon the equally
important facts that there is extreme danger of infection while these
physiological functions are in progress, and that they subject the
entire organism to such a strain that there results a dangerously narrow
margin between health and disease.
Accordingly, too much is expected, or taken for granted, from the
provisions which Nature has made to promote these functions, and not
enough assistance is given to protect the mother, while they are in
course, or to help the immature baby in adjusting himself to the
greatest change which he makes during the entire span of his existence.
Public-domain text, read in full here on John Shaqi.
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