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
Ovulation is usually suspended during lactation, but a mother may become
pregnant a few weeks after delivery even while nursing her baby, though
the quality of her milk is likely to be unfavorably affected by the
pregnancy. But, as has been explained, the return of menstruation does
not necessarily exert as unfavorable an influence upon lactation as was
formerly believed.
=Abdominal Wall.= The abdominal wall is usually overstretched during
pregnancy, and immediately after labor when the tension is removed, the
skin lies in folds and the entire wall is soft and flabby. The normal
and desirable course is for the muscles gradually to regain their tone;
for the excess of fat to be absorbed and the walls to approach their
original state in the course of a few weeks. The striæ usually remain,
and the muscles sometimes fail to regain their tone, as for example when
pregnancies follow each other in rapid succession or when there has been
excessive distension. In such cases there is likely to be the pendulous
abdomen so often seen in multiparæ, and a diastasis, or separation of
the rectus muscles.
=Digestive Tract.= During the first day or two after delivery the mother
may have very little appetite but she is usually very thirsty. She will
almost inevitably be constipated, because of the loss of intra-abdominal
pressure; the sluggishness of the intestines acquired during pregnancy;
her recumbent position, lack of exercise and the fact that she is taking
relatively less food than usual and that her bowels were freely
evacuated at the onset of labor.
=Temperature.= The temperature often rises to about 99° F. immediately
after labor but it should drop to normal in a few hours and practically
remain so. For various causes, some of which are unexplained, the
temperature will not infrequently be slightly above normal at times
during the first few days of the puerperium, without the patient’s
seeming to suffer any ill effects. But the fairly general agreement
among obstetricians seems to be that a temperature of 100.4° F. is the
upper limit of normality and that infection is to be suspected if it
reaches that point and remains there for twenty-four hours.
=Pulse.= The normal pulse rate is usually slower during the puerperium,
being about 60 or 70 beats to the minute, and is referred to as
puerperal _bradycardia_. It is thought that this is due to the absolute
rest in bed and the decreased strain upon the heart after the birth of
the baby.
=Skin.= There is usually profuse perspiration during the first few days,
while the elimination of fluids is most active, but it gradually
subsides and becomes normal by the end of a week. The perspiration
sometimes has a strong odor and there is not infrequently an appreciable
amount of desquamation.
Public-domain text, read in full here on John Shaqi.
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