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
The deductions to be made from these dramatic figures is, that although
syphilis seems to have about the same effect upon the pregnant, as the
non-pregnant woman, it constitutes a serious menace to infant life and
health.
Accordingly, it is very important that every pregnant woman be given the
Wassermann test as early as the third or fourth month, and any woman who
gives a positive reaction should be urged to submit to intensive
treatment until cured. Her compliance will apparently multiply by seven
or eight her expected baby’s chances for life.
HEART LESIONS sometimes present grave complications during pregnancy, or
at the time of labor, because the damaged or weakened heart is unable to
meet the greatly added strain put upon it at these times. Spontaneous,
premature labor sometimes results from serious heart trouble, while in
some cases labor is artificially induced to relieve the overworked organ
of the strain that is evidently exhausting it. Quite obviously it is an
important step toward the prevention of both these deplorable
occurrences to have the difficulty recognized early. Rest in bed and the
same kind of medical treatment that would ordinarily be given for a
poorly compensating heart will sometimes enable the disabled organ to
carry its load throughout pregnancy. But care is necessary.
PULMONARY TUBERCULOSIS is so common under all conditions that it is not
surprising to find it fairly often among pregnant women. Since the
treatment for this disease consists largely of effort to conserve the
patient’s forces and build up the bodily resistance, the drain which
pregnancy makes upon the system is likely to be inimical to the
tuberculous patient’s improvement. It is the general opinion, therefore,
that the tuberculous patient grows worse during pregnancy, and is still
further weakened by the ordeal of labor and the drain of nursing her
baby.
Some women with tuberculosis improve during the period of pregnancy, but
decline after delivery. The disease may advance rapidly in such cases
and the patient succumb very early.
There is great reluctance to terminate pregnancy in tuberculous
patients, except in extreme cases as a last resort, to save the mother’s
life, or when, after the child is viable, its chances for life would
seem to be better if it were brought into the world, because of the
mother’s possible death.
Certain it is that the care which is given to the non-pregnant
tuberculous person is needed to an even greater degree by the expectant
mother who is suffering from this disease. And under such care, it not
infrequently happens that the patient will go through pregnancy safely,
and if the care is continued after delivery, and her baby not allowed to
nurse, her ultimate recovery does not seem to be retarded by the
experience.
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