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
=Method of Nursing.= The baby should be put to the breast for the first
time between eight and twelve hours after he is born. This gives the
tired mother an opportunity to rest and sleep, and the baby, too, is
benefited by being kept warm and quiet during this interval. His need
for food is not great as yet, nor is there much if any nourishment
available for him.
In preparing to nurse her baby, the mother should turn slightly to one
side, and hold the baby in the curve of her arm so that he may easily
grasp the nipple on that side. She should hold her breast from the
baby’s face with her free hand by placing the thumb above and fingers
below the nipple, thus leaving his nose uncovered, to permit his
breathing freely. (Fig. 138.) The mother and baby should lie in such
positions that both will be comfortable and relaxed, and the baby will
be able to take into his mouth, not only the nipple but the areola as
well, so as to compress the base of the nipple with his jaws as he
extracts the milk by suction.
[Illustration:
FIG. 138.—Position of mother and baby for nursing in bed.
]
The nurse may have to resort to a number of expedients in persuading the
baby to begin to nurse, for he does not always take the breast eagerly
at first. He must be kept awake and sometimes suckling will be
encouraged by patting or stroking his cheek. Or if his head is drawn
away from the breast, a little, he will sometimes take a firmer hold and
begin to nurse. Moistening the nipple by expressing a few drops of
colostrum or with sweetened water may stimulate the baby’s appetite and
thus prompt him to nurse.
The young mother must be prepared to find very discouraging the early
attempts to induce the baby to nurse, but if the nurse will help her to
persevere in making regular attempts she will almost certainly succeed.
During the first two or three days the baby obtains only colostrum,
while nursing, but the regular suckling is extremely important, not
alone for the sake of getting him into the habit of nursing but for the
sake of stimulating the breasts to secrete milk.
Moreover, the irritation of the nipples so definitely promotes
involution of the uterus that this process goes on more rapidly in women
who nurse their babies than in those who do not. If the nipples are not
sufficiently prominent for the baby to grasp them, a shield will have to
be used while they are being brought out. But the shield should be
discarded as soon as possible for it is the baby’s suckling that
produces the physiological effects. If a shield is used, it should be
washed and boiled after each use and kept, between nursings, in a
sterile jar or a solution of boracic acid.
Public-domain text, read in full here on John Shaqi.
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