Obstetrics for NursesReed, Charles B. (Charles Bert)
Science
Obstetrics for Nurses
Reed, Charles B. (Charles Bert)
Maternity nursing
=Bathing= is more important in pregnancy than at other times. The more
the skin secretes, the less the burden on the kidneys. The skin must be
kept warm, clean, and active. Then again, during pregnancy the skin is
often unusually sensitive and only the mildest soaps and blandest
applications can be used. The water must be neither hot nor cold, but
just a comfortable temperature. Cold bathing, whether shower, plunge, or
sitz, must be denied. Sea bathing is also unwise. The warm tub bath of
plain water or with bran answers all conditions until the expected labor
is near, then the warm shower or sponge bath should be substituted, lest
germs from the bath water enter the vagina.
If the kidneys need aid, a hot pack may be used; but in all cases,
frequent rubbing of the skin with a coarse towel should follow the bath.
=The dress= must be warm, loose, simple and suspended from the
shoulders. To prevent chilling, wool or silk, or a mixture of both,
should be worn next to the skin,—light in summer and heavy in winter.
The patient must be sensibly clad in broad, loose, low-heeled shoes.
There should be no constriction about chest or abdomen. Circular garters
must not be worn. If a corset is insisted upon, it must support the
abdomen from below and _lift it up_. No corset is admissible that pushes
down on the abdomen. This is especially true if the woman has borne one
or more children and has a pendulous abdomen. The breasts may get heavy
and require the rest and ease supplied by a properly fitting bust
supporter.
=Fainting= is an annoying symptom in some women. It may come when
quickening is first perceived, or from the excitement of crowds, or from
hysteria. It usually passes quickly. The pallor is not deep, the pulse
is not affected, and consciousness is not lost. It does not affect the
ovum. Heart trouble should be excluded, and the daily habits of dress,
diet, and bowels investigated. Smelling salts will usually suffice for
the attack.
=The abdominal walls= may be strengthened by appropriate exercise before
and after gestation, so that the muscles will preserve their tone. After
delivery nursing the child will help greatly in the preservation of the
waist line and figure, by aiding involution.
About the seventh month in primiparas, the abdomen gets very tense and
in places the skin is stretched until it gives way and forms striæ. This
tightness can be relieved to a considerable degree by inunctions of
cocoanut oil or albolene.
Pain in the abdomen at this time may be due to mechanical distention, to
strain on the muscles, to stretching of operative adhesions, to gas,
constipation, or appendicitis. The physician should be informed of it.
In every case, constipation, swelling of feet, hands or eyelids,
blurring of vision, ringing in the ears, vomiting, persistent backache,
or the passage of blood, no matter how slight, should be reported to the
doctor.
Public-domain text, read in full here on John Shaqi.
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