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
It is this stitch in time that means so much to the pregnant woman and
her expected baby.
But the most painstaking obstetrician requires the co-operation of his
patient in innumerable little ways, if she is to have the fullest
benefits of his skill; for it is not so much what the doctor advises
that counts as how the patient lives.
It is at this point that nurses are more and more being given
opportunity for immensely gratifying service. A private patient who is
in the care of an obstetrician is, of course, supervised and instructed
by her doctor. But there are other patients—women who cannot afford this
individual care, but who need care none the less. And it is these
expectant mothers that nurses are helping the doctors to instruct in the
principles of right living, and are watching for danger signs, through
visiting nurse societies, out-patient departments of hospitals and
through prenatal clinics.
The character and extent of the instruction and supervision given by the
nurses is, of course, decided by the medical board of her organization,
and is often affected by the conditions under which the work is
conducted. The nurses in a rural community, for example, may take blood
pressures and test urine for albumen, while in cities, rich in doctors
and medical institutions, these observations might not be among their
duties.
In addition to this definite relation to expectant mothers, nurses are
meeting them, unofficially and informally, at every turn; women who are
needing, but not receiving, care from a doctor or an organization; women
who are puzzled or troubled over their condition, but do not know where
nor how to obtain advice; women who could employ a physician but do not
appreciate the importance of his care.
Every nurse should recognize it as her duty to advise an unsupervised,
pregnant woman to place herself under medical care, no matter under what
conditions she meets her.
In the discharge of her duties, the nurse will sometimes need no little
ingenuity to adapt the routines of prenatal care, as prescribed by her
organization, to the mentality, traditions and varied demands of the
daily lives of her patients. But this will have to be done, for though
in a general way the needs of all expectant mothers are the same, their
circumstances and personalities are infinitely varied.
It may require undreamed-of tact and resourcefulness to convince a
patient that details of care, which seem wholly unrelated to her or her
baby’s welfare, will actually increase their chances for life and
health. For this reason, it is of almost prime importance that the nurse
win her patient’s friendship and confidence. She will then scarcely
realize that she is being taught, but will do and continue to do as she
is advised, because of an almost insensible reliance upon the judgment
and sincerity of her counsellors.
Public-domain text, read in full here on John Shaqi.
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