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
Concerning the varied results of eclampsia, the opinion seems to be
growing that if it develops during late pregnancy, labor is likely to
set in and a premature child be born spontaneously; in some cases,
however, for reasons already given, labor is induced, while in others
the mother dies undelivered. The fetus may die, after which the
convulsions practically always cease and the infant is often born later
in a macerated state; or the patient may recover, go to term and give
birth to a normal, healthy baby.
When eclampsia occurs during labor the pains usually increase in force
and frequency, thus hastening delivery, after which the convulsions
usually cease. It will be noted that death or expulsion of the fetus is
in almost all cases followed by immediate cessation of the symptoms and
by ultimate recovery.
=Treatment and Nursing Care.= There is so little definite information
about the cause of eclampsia that there is quite naturally some
difference of opinion as to the best methods of curative treatment.
Unquestionably, prevention is of first importance and this is
accomplished through the watchfulness and care during the antenatal
period as described.
Dr. Edgar characterizes eclampsia as a preventable disease, and though
an occasional case will develop in spite of preventive treatment the
general results achieved tend to bear out his definition. For example,
in a series of 1200 maternity cases at Bellevue Hospital during 1920,
prenatal care was given to 900 women and not one case of eclampsia
occurred among them, while among the remaining 300 women who had not
been seen during pregnancy, there were ten eclamptics. It is but fair to
bear in mind that as some of these patients were taken into the hospital
because of their having eclampsia, the proportion is abnormally high.
The Henry Street Settlement reports through its maternity service that
there was but one case of eclampsia among 7600 women who were given
prenatal care by its nurses in 1920. These figures, contrasted with the
average of one case in about every 500 pregnancies, furnish astounding
evidence of what can be done through prenatal care in the prevention of
this one disease alone.
As to curative treatment, the variations of opinion are after all of
little consequence to the nurse, for there is almost entire unanimity
concerning the general principles, and it is these that shape the
nursing care. Broadly speaking, they comprise effort to dilute the toxic
material in the system, promote its elimination through the various
excretory channels and quiet the patient’s nervous excitability.
Public-domain text, read in full here on John Shaqi.
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