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
Bathing in a quiet stream or lake is apparently harmless, but sea
bathing, if the surf is rough, is inadvisable because of the impact of
the waves upon the abdomen and the general violence of the exercise.
The importance of keeping the body evenly warm throughout pregnancy
cannot be overemphasized, for a sudden chilling or wetting may so check
the excretory function of the skin as to throw a greater burden upon the
kidneys than they can meet, in their effort to eliminate the skin’s
share of the body waste. Accordingly, a single chilling will sometimes
be enough to precipitate an eclamptic seizure. This may be one reason
why we see eclampsia more frequently during cold weather or after a
sudden drop in the temperature after warm or mild days.
=Bowels.= The bowels, also, eliminate a certain amount of toxic material
and if they do not move thoroughly at least once a day, deleterious
substances are absorbed into the system and an extra tax is placed upon
the kidneys in an attempt to excrete them.
Unhappily, a large proportion of pregnant women suffer from
constipation, particularly during the later weeks, though women who have
always had a tendency of this kind may have trouble from the very
beginning of pregnancy. Sluggish peristalsis, due to pressure by the
enlarged uterus upon the intestines, is probably the prime cause, though
impaired tone of the stretched abdominal muscles also may be a factor.
The bowels should move regularly every day, and to this end the patient
should regularly attempt to empty them, immediately after breakfast
usually being the best time. The importance of regularity in making the
attempt cannot be overemphasized, even though the bowels do not always
move.
Exercise, the intake of an abundance of fluids, eating fresh fruit,
coarse vegetables and bulky cereals, such as bran, to stimulate
peristalsis, and drinking a glass of hot or cold water upon retiring and
arising are all laxative in their effect. As the regular use of enemata
only tends to lessen intestinal tone, they should not be employed unless
ordered by the doctor; nor should the patient take cathartics without
the doctor’s order. But she may safely increase the amount of her fluids
and the bulk of her food, in order to regulate her bowels, and may also
take senna and prunes cooked together. A simple way of preparing prunes
for this purpose is to pour a quart of boiling water over an ounce of
senna leaves and allow it to stand for about two hours. A pound of well
washed prunes should soak over-night in this infusion, which has been
strained, and the combination cooked until tender. They may be sweetened
with two tablespoons of brown sugar, and the flavor improved by adding a
stick of cinnamon or slice of lemon while they are cooking. Half a dozen
of these prunes, with some of the syrup, may be taken at the evening
meal to start with, and increased or decreased in number as necessary.
Public-domain text, read in full here on John Shaqi.
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