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
The toughening of the nipples should be begun eight weeks before the
baby is expected. There are two general methods which seem to give about
equally satisfactory results; one is to harden the skin with astringents
and the other is to soften it with ointments. In either case, the
nipples should first be scrubbed gently with a soft brush or cloth, warm
water and soap, for about five minutes night and morning. They may then
be rubbed with lanoline, cocoa-butter or vaseline and covered with a
piece of clean soft cloth or gauze, to protect the clothing; or they may
be bathed with a wash consisting of equal parts of a saturated solution
of boracic acid and 95% grain alcohol. Tannin, benzoin and a great
variety of astringents are also used, and with satisfactory results. But
the essential is to decide upon some method of preparation, of proved
value, and then persuade the patient to employ it with faithful
regularity.
CARE OF THE TEETH. It is important that the pregnant woman give her
teeth excellent care, for in addition to the conditions with which we
all have to cope, she must combat the effect of her tendency to have an
acid stomach. And her teeth are prone to decay and crumble, since the
fetus extracts lime salts from her bones and teeth, unless she is
careful to take in through her food a supply which is adequate to meet
the fetal needs. It is therefore advisable for her to place herself
under the care of a dentist, as soon as she knows of her pregnancy, and
have any necessary work done at that time, as delay may be serious.
Some physicians think it advisable to have an X-ray examination of the
teeth made as a routine, in order to discover any existing pockets of
pus at the apices of devitalized teeth. They feel, that because of the
somewhat unstable condition of the pregnant organism, these localized
infections are more of a menace to the expectant mother than to the
ordinary individual, and that in some cases they should be drained.
As to daily care of the teeth, the patient should use dental floss and
brush her teeth after each meal, and use an alkaline mouth wash several
times daily, particularly after vomiting and before retiring. Much
damage may be done by the acid secretions in the mouth if they are
allowed to bathe the teeth through the long night stretches. Common
cooking-soda, lime-water or milk of magnesia make excellent mouth
washes.
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