Obstetrics for NursesReed, Charles B. (Charles Bert)
Science
Obstetrics for Nurses
Reed, Charles B. (Charles Bert)
Maternity nursing
Normal saline, drop method, by rectum, will promote diuresis, skin
action, and supply the body with the much needed fluid. Subinvolution is
controlled by ergot in full doses. The room must be light and as many
windows opened as the weather will permit. Frequent change of posture,
from side to side, from dorsal to prone and especially to the
half-sitting position, will give the patient comfort and prevent
decubitus (bed sores). The daily bath with an alcohol rub, keeps the
skin in good condition and eases the mind.
The child should be taken from the breast, because the milk is poor in
quality and quantity and it may be infectious. Besides, the mother needs
all her strength. Nature usually solves the problem by drying up the
milk.
All pads soiled by the patient should be collected in paper bags or
rolled in newspapers and burned. Sheets, towels, and pillow slips must
be boiled in the house and not sent to the laundry. They should be
soaked for half a day in a 2 per cent solution of lysol before being
washed, and exposed to the hot sun for a day or so afterward, if
possible. No comforts should be used on the bed, and the blankets must
be left suspended in the room when it is fumigated at the conclusion of
the case. All dishes and utensils can be boiled. Plenty of air and
sunshine are essential for the cure of the patient and to prevent the
spread of the disease.
_The nurse_ must use every precaution to avoid carrying the infection to
herself or others. Rubber gloves should be worn while changing the
dressing. It is better to have the child cared for by another nurse. The
nurse must get her rest and some exercise out of doors every day. It
rejuvenates her and reacts to inspire the patient.
When she leaves the case the nurse should boil her linen and wash her
hair with soapsuds and hot water, and bathe frequently.
=Milk Leg.=—This is an infection characterized by swelling of one, or
rarely, both, limbs, from the foot to the groin. The leg is white from
the edema, and as the condition is associated with fever and since the
milk diminishes or disappears about the same time, it was thought in
former days that the milk went to the leg.
The cause of the swelling is a phlebitis of the external iliac or
femoral vein which becomes thrombosed or so filled with clots that the
return circulation is impeded.
_Symptoms._—The attack is signalized by a rise of temperature to 102° to
104° F. There is headache, pain in the affected limb, and general
prostration. It is a true sepsis.
The disease appears usually in the latter part of the second week of
puerperium, when the patient has begun to congratulate herself that all
danger is over. In many cases the doctor has yielded to importunity and
let the patient get up before involution was sufficiently advanced and
the patient will report that she got up too early.
Public-domain text, read in full here on John Shaqi.
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