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
Each patient is seen by a doctor or a nurse every two weeks until the
seventh month of pregnancy, and once a week after the seventh month. At
each visit the nurse follows as much of the prescribed routine as is
possible; this routine consists of testing for albumen in the urine;
taking the systolic blood pressure; listening to the fetal heart;
questioning the patient and looking for the objective symptoms of
complications. During these visits to the homes the nurses are able also
to help their patients assemble entirely satisfactory outfits for the
care of their nipples, consisting perhaps of jelly glasses, cheese jars,
or handleless cups. And they help to find a place on the shelf where
this little equipment may be kept undisturbed and always ready for use.
When it comes to the measuring of urine, they explain that the regular
size tomato can holds just a quart, and is therefore quite as
satisfactory for that purpose as a costly graduated glass measure.
No patient is dismissed for failure to follow advice; the nurse
continues her visits, unless the patient positively refuses to admit
her, and she continues to advise, adjusting and modifying the ideal
routine and persuading the patient to do as much as she can, or will.
If abnormalities develop during pregnancy, the nurse arranges for
immediate medical care, either at the patient’s home or in a hospital.
If the clinic doctor feels that the patient should have hospital care,
but she will not or cannot go to a hospital, she is persuaded to engage
a doctor, and a nurse from the Centre helps, as a visiting nurse, to
take care of the patient in her own home.
The next responsibility of the nurse is to advise the patient in
arranging for care at the time of delivery, this advice being based upon
the patient’s physical condition, the circumstances of her home life and
the available facilities for care. Although hospital care may be the
ideal for all patients, from an obstetrical standpoint, the mother
cannot always be removed from her home with safety to the family circle.
Her physical and social conditions therefore are considered together; if
there is no complicating home problem, it is usual to advise hospital
care for primiparæ and for all patients who have, or develop
abnormalities, or have a history of previous difficult labors,
complications or abnormalities.
Patients who, the doctors think, give promise of having complicated
labors and who prefer to remain at home are advised to engage a doctor,
and to arrange with the Henry Street Settlement for nursing care at the
time of delivery and during the puerperium, as the Maternity Centre
nurses do not perform this service.
Public-domain text, read in full here on John Shaqi.
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