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
At one time, however, the Centre provided assistance to patients
delivered at home, in the shape of a working housekeeper to discharge
the mother’s household duties while she remained in bed the necessary
length of time after the baby was born, or in some cases, while she took
much needed rest during the latter part of pregnancy. For this purpose
the nurses had a list of women who were good housekeepers and clean
workers and whose own children were partly grown. These women were glad
of an opportunity to do part time work and earn a little extra money.
They were paid thirty cents an hour, twenty-five cents for lunch and
whatever their carfare amounted to, the patient paying whatever she
could afford toward the fund, provided by the Women’s City Club, from
which these working housekeepers were paid. This service, which in no
wise replaced the nurse’s care, has been temporarily discontinued
because of lack of funds, but proved to be so valuable that it will be
resumed as soon as possible.
Supervisory postnatal visits are paid to patients, not under the care of
the visiting nurse service, who have been under Maternity Centre
Association care during pregnancy, as well as to those who have not had
this care but are referred to the Centre, by hospitals, upon their
discharge. The nurse first visits to satisfy herself that the mother is
able to care for her baby and to give any instructions that seem to be
necessary. She then visits the patient, or the patient visits the nurse,
when she is able, until the baby is a month old, when she is urged to
register the baby at a baby health station.
The importance and value of birth-registration is explained to the
mother and the nurse endeavors to have a copy of a birth certificate in
the mother’s hands before the case is dismissed.
The importance of post-partum examinations, not later than six weeks
after delivery, is also impressed upon the patient. Patients who are not
to be examined by the doctors who delivered them are given a post-partum
examination by a doctor at the Maternity Centre, to make sure that they
are dismissed in good condition, or are referred to the proper agency
for further care, this being the first step in prenatal care for the
next baby.
Is all of this elaborate organization and detailed care worth while?
A recent statement issued by the Maternity Centre Association replies
convincingly that it is. It says that during 1920 among women in the
Borough of Manhattan not under Maternity Centre supervision:
1. One mother died for every 205 babies born. (One out of 14 for the
rest of the country.)
2. One out of every 26 babies born, died under one month of age.
3. One out of every 21 babies was born dead.
Whereas, among women in Manhattan who were supervised by the
Association, during the same period:
1. One mother died for every 500 babies born.
2. One out of every 51 babies born, died under one month of age.
3. One out of every 42 babies was born dead.
Public-domain text, read in full here on John Shaqi.
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