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
This is the condition which can be so largely prevented by giving the
baby a good nutritional foundation; this must be started during its
prenatal life, carried through the nursing period and then continued
throughout the rest of his life. Since the nurse is very likely to be
entrusted with the arrangement of the patient’s dietary, being told
merely to give a liquid, soft or light diet and possibly to avoid
certain articles, it will mean much to the coming generation if nurses
at large are able so to compose the various diets for the expectant and
nursing mother, that they will provide not only the requisite fats,
proteids, carbohydrates, minerals and water and yield the necessary
calories, but also contain all three protective substances: fat-soluble
A, water-soluble B and water-soluble C. It can be demonstrated that when
these food factors are not present in the mother’s diet, they will not
appear in her milk, and accordingly will not be supplied to her baby.
This is the crux of the whole matter. If the mother’s diet is faulty,
her milk will be faulty in the same respect and the baby will start life
with tissues which contain an inadequate amount of the substances that
are necessary to make them sound and promote health.
That is what we have in mind when we say that the mother’s milk must be
satisfactory not alone in quantity but in quality as well.
In order to make quite clear how damaging are the results of diets which
are deficient or lacking in these protective substances, we shall take
up, briefly, the deficiency diseases in turn.
=Scurvy= (scorbutus) is caused by a lack or deficiency of the substance
called water-soluble C, the most unstable of all the protective
substances, being easily impaired or destroyed by heating, drying or
aging. This anti-scorbutic substance is present in fresh milk, potatoes,
oranges, lemons, onions, and such fresh vegetables as lettuce, raw
cabbage and celery and in apples, pears, peaches, bananas and
cantaloupe. Tomatoes are rich in the anti-scorbutic substance and,
moreover, this form is but slightly injured by heating or aging, for
which reason canned tomatoes are frequently used both to prevent and to
cure scurvy.
Scurvy is a disease which develops slowly. The patient loses weight, is
anemic, pale, weak and short of breath. The gums become swollen, bleed
easily and frequently ulcerate; the teeth loosen and often drop out.
Necrotic areas in the bones may result. Hemorrhages into the mucous
membranes and the skin are characteristic. Large black and blue spots
develop in the skin, after trivial injury, or even spontaneously. The
ankles become edematous and in severe cases a hard, board-like condition
of the skin and subcutaneous tissues develops. There is sometimes severe
headache and in the later stages there may be convulsions and delirium.
Public-domain text, read in full here on John Shaqi.
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