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
But the continued use of a binder after the first day or two, while the
patient is still in bed, is not as general as it formerly was. Many
women ask for binders in the belief that they help to “get the figure
back” to its original outline, and some doctors feel that the use of the
binder is helpful in restoring the tone to the abdominal muscles, which
amounts to about the same thing. Both the straight swathe and the
Scultetus binder are used for this purpose and they are put on in the
usual manner; snugly and with even pressure, but not tight enough to
bind.
Those doctors who disapprove of the binder believe that it interferes
with involution and, by making pressure, tends to push the uterus back
and cause a retro-position, in addition to retarding instead of
promoting a return of normal tone to the abdominal muscles.
Accordingly, they instruct their patients to take exercises, instead of
wearing binders, and they have these exercises started while the patient
is still in bed. Their adoption, and the rate at which they are
increased, are entirely dependent upon the individual patient’s
condition, for they must never be continued to the point of fatigue.
There are, therefore, no definite rules laid down, concerning these
exercises, beyond a description of the positions and movements
themselves, and their sequence.
Those which are taught to the patients at the Long Island College
Hospital are so simple, and evidently productive of such happy results
that they offer excellent examples of this form of treatment. They are,
of course, taken only by the doctor’s order, but the nurse’s intelligent
supervision increases their effectiveness.
[Illustration:
FIG. 129.
Figs. 129 to 135, inclusive, are bed exercises taken during the
puerperium.
For description see text. (From photographs taken at The Long
Island College Hospital.)
]
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