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
=Skin.= Under ordinary conditions, the skin serves as a protective
covering for the body, helps to regulate the body temperature and acts
constantly as an excretory organ. This last function is performed by the
sweat glands which open upon the surface of the body, and we are told
that there are some twenty-eight miles of these minute, tube-like
structures in the skin. These glands should be, and usually are,
constantly active and they daily pour upon the surface of the body an
oily substance that lubricates the skin and something over a pint of
water containing waste matter, that is inimical to health if retained in
the body. We are not aware of this constant excretion of fluids, which,
therefore, is termed “insensible perspiration,” but it continues even in
cold weather and must not be interrupted if health is to be preserved.
If the oil, dust, particles of dead skin and the waste material left by
dried perspiration are allowed to remain upon the surface of the body,
they will clog the pores and gland openings and thus interfere with
their functions. The removal of this material, then, is an imperative
health measure. This is done automatically, in part, for the fluid
evaporates, and much of the solid matter is rubbed off on the clothing.
But the most important aids to the skin’s activity are the drinking of
plenty of water, deep breathing, exercise and warm baths; baths serving
the double purpose of removing waste matter already on the surface, and
stimulating the glands to increased activity in giving off still more.
This explains the importance to the expectant mother of thorough and
regular bathing, and of keeping her body evenly warm. Most doctors
advise a warm, not hot, shower or tub bath every day, with soap used
freely over the entire body, followed by a brisk rub. The best time for
this warm, cleansing bath, as a rule, is just before retiring, as it is
soothing and restful and tends to induce sleep. Very hot baths are
fatiguing, particularly during pregnancy, and should never be taken
except with the doctor’s permission; but cold baths usually may be
continued throughout pregnancy if the patient is accustomed to them and
reacts well afterwards. Under these conditions the morning cold plunge,
shower or sponge is beneficial, as it stimulates the circulation and
thus promotes the activity of the skin. Some doctors forbid tub bathing
of any kind after the seventh month, on the ground that as the patient
sits in the tub her vagina is filled with water, which may contain
infective material. Should labor occur shortly afterward an infection
might result. As the patient is heavy and somewhat uncertain on her
feet, there is also the danger of her slipping and falling while getting
in or out of the tub.
Other doctors permit tub baths throughout pregnancy, up until the onset
of labor; while as to hot foot baths, there seems to be no reason for or
against them at any time during the nine months.
Public-domain text, read in full here on John Shaqi.
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