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
=By the end of the sixth month, or twenty-eighth week=, the fetus still
looks thin and scrawny, the skin is reddish and is well covered with
vernix caseosa and the intestines contain an increased amount of
meconium. If born at this time the child will move quite vigorously and
cry feebly. Although it is not likely to live for any length of time,
every effort should be made to save its life, for it may be that the
high rate of mortality at this age is due to the inadequacy of the
attempts which are usually made to save the child rather than to the
frailty of the child itself. It is about 35 centimetres long and weighs
about 1200 grams.
=By the end of the eighth month, or thirty-second week=, the child has
grown to about 42 centimetres in length and 1900 grams in weight, but
continues to look thin and old and wrinkled. The nails do not extend
beyond the ends of the fingers but are firmer in texture; the lanugo
begins to disappear from the face but the hair on the head is more
abundant. If born at this stage, the baby will have a fair chance to
live, if given painstaking care. This is true in spite of the ancient
superstition, still widely current, that a seven months’ baby is more
viable than one born at eight months (meaning calendar months). The fact
is that after the eighth lunar month, a little more than seven calendar
months, the probability of the child’s living increases rapidly with the
length of its intra-uterine life.
=By the end of the ninth month, or thirty-sixth week=, the increased
deposit of fat under the skin has given a plumper, rounder contour to
the entire body; the aged look has passed and the chances for life have
greatly increased. The baby now weighs about 2500 grams and is about 46
centimetres long.
=The end of the tenth month, or fortieth week=, usually marks the end of
pregnancy. (Fig. 27.) The average, normally developed baby has attained
a length of 50 centimetres (20 inches), and a weight of 3250 grams, or
about 7¼ pounds, boys usually being about three ounces heavier than
girls.
It must be remembered, however, that these figures merely represent the
average drawn from a large number of cases, for there may be a variation
in weight among entirely normal healthy babies from a minimum of 2300
grams (5 pounds) to as high as 5000 grams (11 pounds), or more. Babies
actually weighing more than 12 pounds are seldom born, in spite of
legends and rumors to the contrary.
The length of a normal baby is less variable than the weight. In fact,
it is so nearly constant in its increase during the successive months of
pregnancy, that the age of a prematurely born fetus may be fairly
accurately estimated from its length. This fact is of no little
practical importance, since it aids the obstetrician in making a
prognosis as to the child’s prospect of living, for he can estimate its
intra-uterine age from its body length.
Public-domain text, read in full here on John Shaqi.
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