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
During the early hours of the first stage the nurse should begin to
arrange the room and bed for delivery. She will need two, or preferably,
three tables, though the top of a bureau may be used in place of one
table. A washstand or the bathroom should be equipped for the doctor
with soap; two sterile brushes; nail scissors or clippers and file or
orange stick; hot water; alcohol and a solution of bichlorid 1–1000,
biniodid 1–5000, lysol 2 per cent. or any solution that he may wish;
sterile gloves and sterile vaseline or albolene to lubricate his hands.
In short, an equipment which will enable him to prepare his hands
exactly as he would for performing a major operation.
A large receptacle of water may be boiled, covered and set aside to
cool; a boiler or large kettle placed in readiness for boiling
instruments or other appliances that the doctor may bring; the room may
be given a final cleaning: floor wiped up, furniture and all small
articles wiped with a damp cloth; the unopened packages of dressings,
sterile douche pan, irrigation-bag and basins may be placed on the
tables, ready to be opened when needed, together with the other articles
which have been prepared.
In preparing the bed in a patient’s home, it is practically always
advisable to make it firm by slipping a board, or the leaves from a
dining-table, between the mattress and springs. The bed should be made
up with three freshly laundered sheets, the entire mattress being
protected by means of a rubber placed under the lower sheet; next a
rubber draw sheet, covered by one of muslin, while the top sheet, light
blanket and counterpane should be left free at the foot. A flat hair
pillow is better than one of feathers.
If the doctor wishes to make a vaginal examination, it devolves upon the
nurse to prepare the patient with the most scrupulous care, as it is by
means of vaginal examinations, made without careful preparation, that so
many parturient women are infected. In fact, even the most conscientious
preparation sometimes seems to be an inadequate safeguard, for infection
has been known to follow in its wake. For this reason, some
obstetricians prefer to make no vaginal examination during labor, when
previous inspection has indicated that the case is normal, depending
rather upon rectal examinations for guiding information.
Public-domain text, read in full here on John Shaqi.
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