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
Very often the person who performs the delivery removes the blood, mucus
and vernix from the baby’s body, as soon as the cord is tied, by
sponging it thoroughly with albolene or olive oil; wraps the cord stump
with a sterile, dry or alcohol sponge and applies the abdominal binder
while an assistant holds the baby by the feet, head down. It is also
very common simply to oil the baby with unsterile lard, oil or vaseline,
cover the cord with sterile gauze and leave the bath, cord-dressing and
binder to be attended to later.
If the delivery takes place in a hospital the baby must be marked
_before it is taken from the delivery room_, with adhesive plaster, upon
which its mother’s name is plainly printed, or with the name necklace,
now so frequently used.
The baby is once more wrapped in a warm blanket and placed, with a
hot-water bottle, at 125° F., in the basket or box, which was prepared
for it. Although the baby should be well covered, care must be taken to
leave the face fully exposed as a young baby is easily suffocated. It
was formerly customary to lay the new baby on its right side, but with
the present fuller knowledge of the fetal circulation and the changes
which take place after birth, this practice has been largely done away
with.
=Resuscitation of the Newborn Baby.= If the baby breathes feebly, or
even if it does not cry vigorously, the effort to stimulate the
respirations may have to be continued for an hour or more after the cord
is tied. In addition to the simple methods, previously described, which
are very commonly employed at the time of labor, such as stroking the
baby’s back or holding him by the feet and spanking him (Fig. 93), the
following measures are sometimes resorted to if the baby’s condition
demands it:
[Illustration:
FIG. 93.—Stimulating respirations by holding the baby head downward
and sharply spanking him. Note the method of grasping the baby’s
ankles with one finger between them to prevent his slipping from the
nurse’s hand.
]
One method is to hold the baby with its chest resting on the palm of one
hand, with head, legs and arms hanging forward, thus compressing the
chest wall and favoring expiration (Fig. 94), and then turning it over
on its back, in the other hand, in which position the head, legs and
arms hang backward, thus expanding the chest and favoring an inspiratory
movement. (See Fig. 95.) Alternate repetitions of these positions, about
twelve times a minute, will often stimulate the child to breathe
satisfactorily.
[Illustration:
FIG. 94. (See also Fig. 95.)
FIGS. 94 AND 95 show method of stimulating respirations by resting the
baby alternately on his chest and back on the nurse’s hands. (From
photographs taken at Bellevue Hospital.)
]
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