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 time of sitting up, of getting up and of walking about varies so
with the individual, therefore, that it is not possible to describe a
definite routine, for some patients recover slowly and would be injured
by getting up and about at a period which would be entirely safe and
normal for the majority. It must be determined in each case by the
condition of the uterus, the appearance and amount of the lochia and the
patient’s general condition.
Quite evidently, then, much ill health and many gynecological operations
may be prevented by caution, prudence and good care during the first few
days and weeks after the baby’s birth, while the patient returns to a
normal mode of living.
=The Daily Bath.= During the first week or two the patient’s skin must
aid in excreting fluids from the edematous tissues throughout the body
and broken down products from the involuting uterus. Therefore she
should have a bath of warm water and soap every day, to remove material
already on the surface and stimulate the skin to further activity, and
an alcohol rub at night, if possible. It is important for the nurse to
remember, while bathing her patient, that she is perspiring freely and
therefore may be easily chilled if not well protected.
It is often a good plan to have the patient, without stitches, begin to
bathe herself in bed, after the third or fourth day, for the sake of the
exercise, and also the encouragement that it offers. When all is going
well, tub-bathing is usually resumed by the third or fourth week.
=Diet.= Opinions as to diet vary slightly with different doctors and in
different hospitals, but in general, a patient in good condition is
given liquid food during the first twelve to twenty-four hours after
delivery; then a soft diet for a day or two, a nourishing, light diet
being resumed by the third or fourth day, or after the bowels have moved
freely.
The patient will usually have little appetite, at first, and will have
to be tempted by small amounts of invitingly served food. The factors
which the nurse must bear in mind when arranging the patient’s dietary
are the general nutrition of the mother; the desirability of minimizing
her loss of weight during the puerperium; increasing her strength and,
particularly, of promoting the function of her breasts, in order to
produce milk of a quality and quantity adequate to nourish the baby.
The best producer of such milk is a diet consisting largely of milk,
eggs, leafy vegetables and fresh fruits, taken with an appetite that is
made keen by constant fresh air. The nurse will do well to convince her
patient of this, in addition to bearing it in mind herself, and to place
little reliance on so-called milk producing foods.
Public-domain text, read in full here on John Shaqi.
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