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
Tuberculosis is sometimes, though not frequently, transmitted from the
mother to the fetus; but babies born of these mothers are not likely to
be robust, particularly as they must be deprived of that bulwark of
early infancy—maternal nursing.
THYROIDISM in pregnancy has been, and still is, so widely discussed and
studied that the nurse will do well to at least take cognizance of that
fact, even though no definite conclusions seem to have been generally
accepted.
The toxemias of pregnancy are so shrouded in mystery, and knowledge of
the functions and inter-relations of the ductless glands is still so
meagre, though it is known that one, the ovary, is inevitably concerned
with pregnancy, that one is not surprised to find certain investigators
considering these two problems together. Nor is it surprising that
directly opposite views are held concerning the relation of thyroidism
to toxemia.
Since the nurse will sometimes care for toxemic patients who are treated
for thyroidism, either by means of gland therapy or operative procedure,
she should understand the rationale of such treatment when she meets it.
Dr. Williams says, for example, “A considerable amount of work has been
done in this direction, but the consensus of opinion is that
abnormalities of the thyroid secretion play no part in the causation of
eclampsia.”
On the other hand, it will be remembered that the thyroid gland is
usually somewhat enlarged during pregnancy, and in this connection Dr.
Edgar observes that “The normal enlargement of this organ in the gravida
has been wanting in certain cases of eclampsia.”
Dr. Edward P. Davis summarizes his opinions on the subject as follows:
“Hyper-thyroidism in pregnancy produces a toxic condition in the mother,
which exposes her to the danger of the toxemia of pregnancy and her
child to the dangers which accompany that condition. During pregnancy,
the patient has a rapid pulse, often with high tension, and attacks of
breathlessness and syncope, and intense nervousness. When uterine
contractions begin, the action of the heart becomes exceedingly rapid;
there is difficulty in breathing and the patient is brought into great
distress. It is often necessary to give prompt assistance in labor, and
this may require the performance of cesarean section. The child is
exposed to the risks of rapid delivery, although, if section be
performed, the risk to the child is reduced to the lowest point. When
the placenta is examined, it is found that certain changes have taken
place in its structure which interfere with the circulation of the blood
through the placenta, and may indirectly bring about the death of the
fetus. The child is also subject to the same toxic conditions which the
mother has had and may die from failure of the liver and kidneys or in
convalescence.
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