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
We have considered the problem, and the remedy, at very close range;
that is, from the standpoint of the individual patient. We are now
concerned to know whether or not the remedy, in the shape of care and
supervision during pregnancy, may be extended in proportion to the
enormous multiplication of the problem, when instead of one patient we
must think of millions. In other words, is country-wide prenatal care,
with all that it implies, practicable? And if so, by what means or
method?
Let us review the problem for a moment, and acknowledge the pathos and
tragedy of it.
Child-bearing is so dangerous, under present conditions in this country,
that it stands second only to tuberculosis as a cause of death among
women between the ages of 15 and 44. The discharge of woman’s supreme
function is apparently very hazardous.
Dr. Dublin summarizes as follows the rate at which mothers die
throughout the country at large:
1. “More than seven women die from disorders of pregnancy or
childbirth out of each 1,000 confinements. This is equivalent to
one maternal death out of every 140 confinements. (About 20,000
in 1920.)
2. “Forty-five babies out of every 1,000 births, or one out of every
22, are born dead. (About 112,000 annually.)
3. “Forty babies out of every 1,000 born alive, die before they are
one month old. (About 100,000 annually.)
“Such are the dangers to mother and infant at the present time.”
And then, as though in answer to our question, “What can be done about
it?” he states that, “among women who receive prenatal and maternal care
under skilled direction:
1. Only _two_ women instead of _seven_ die out of every 1,000
confinements.
2. Only _twelve_ babies, instead of 45, are still-born in every 1,000
births.
3. Only _ten_ babies, instead of 40 per 1,000 born alive, die before
they are one month old.”
Obviously, then, only a few—too few—American women are receiving the
minimum of care that makes child-bearing a reasonably safe adventure.
Perhaps it will be well for the nurse to pause just here for a fresh
reminder that the end really to be desired through prenatal care is not
so much the mere prevention of death among mothers and infants, as the
promotion of health, as well; our charges must be not only saved but
saved to mental and physical health, vigor and well-being, capable of
being useful, productive citizens. Happily, both life and health are
conserved by the same measures, and effort toward either end helps to
accomplish both.
Although the inhabitants of a prosperous country like the United States
should be a hardy people, the results of medical examinations by the
draft boards, during the war, gave us a rude awakening to the fact that
they are not.
Public-domain text, read in full here on John Shaqi.
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