Obstetrics for NursesReed, Charles B. (Charles Bert)
Science
Obstetrics for Nurses
Reed, Charles B. (Charles Bert)
Maternity nursing
The limb must be immobilized and kept warm. The immobility should be
maintained for at least ten days after the fever has subsided and the
pain gone.
The convalescence may be protracted over weeks and months.
=Bed sores= may complicate a long convalescence. Bathing with alcohol or
alcohol and alum, and the frequent change of the patient’s position will
usually prevent them. Rubber rings and sheeting should not be used if it
can be avoided. Ointments containing zinc are of great value in the cure
of this affection.
=Phlebitis=, in minor degree or in localized sections, may occur in the
veins of the leg and the site of the invasion will be outlined as red
lines or as irregular nodules. Some fever may attend the condition. Rest
of the affected member, with ice bags for the pain, constitute the
treatment. Bed sores must be guarded against.
=Sudden death= in the puerperium is a shocking disaster. Rapid death may
follow the complications of labor accompanied by hæmorrhage, such as
placenta prævia, rupture of the uterus, etc.; but death may be _sudden_,
without warning, from pulmonary embolism, acute myocarditis, fatty
degeneration of the heart, or the entrance of air into the uterine
veins. This may happen several days after labor in a woman who is
passing through a convalescence apparently normal in every respect. Such
an event is probably due to a =thrombus= which may form in any of the
veins of the body, but more frequently in those of the pelvis and legs.
In the latter it may be recognized by hard lumps that form somewhere
along the course of the veins in consequence of a phlebitis. There is
always the menace that some fragment of this mass, which is merely a
hard clot of blood, may become detached and float off in the circulation
to other parts of the body, such as heart, lungs, or brain (embolism),
and by interference with those structures, produce paralysis or instant
death. When a thrombus is diagnosed, the affected part must be kept as
quiet as possible. No massage is permissible. Tincture of iodine or 20
per cent ichthyol may be applied. The woman should remain quiet for at
least ten days after the apparent disappearance of the symptoms.
CHAPTER XVIII
THE CARE OF THE CHILD
Hitherto the mother and the complications and changes peculiar to her
condition have been selectively considered, to the neglect of the child;
but the labor being over, and the nurse having assured herself that the
uterus is hard, that there is no hæmorrhage, and that the mother is
resting, now turns to the child lying in its blanket. A hot water bag,
carefully tested, should lie at its feet wrapped in toweling or napkins.
The eyes have already received the Credé treatment, 1 per cent solution
of silver nitrate or possibly a 15 per cent solution of argyrol for
prevention of ophthalmia, and a thorough cleansing comes next.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account