Obstetrics for NursesReed, Charles B. (Charles Bert)
Science
Obstetrics for Nurses
Reed, Charles B. (Charles Bert)
Maternity nursing
The dried secretions should be washed off with sterile sponges, wiping
always toward the rectum and throwing away the sponge. Smegma collects
in the folds of the labia and about the clitoris. This should be
carefully sponged away. If it becomes dry and hard, oil or albolene will
soften it and facilitate its removal. Plenty of soap and warm water
should be used, then with a pitcher or douche point, the whole area is
irrigated with a solution of lysol 1 per cent. Especial care is given to
the stitches if any are present. No traction must be made on the ends of
the sutures, and if unusual soreness is complained of, the doctor should
inspect them at his next visit.
The nurse should be careful not to get lochia on her hands as the
discharge contains germs which she may carry to herself, to the baby, or
to the patient’s breasts or eyes.
Painful swelling of the vulva, or edema of the rectal protrusion may be
relieved by hot boric dressings or by ice bags to the anus.
=The vaginal douche= is rarely employed at present except under specific
indications.
If the involution is slow, it is safer to use ergot by mouth, rather
than the hot vaginal douche, as sometimes recommended. The douche is a
frequent source of infection, as well as a useless procedure.
Nevertheless, a dainty woman gets much comfort mentally, as well as
physically, if she is kept clean and free from odors; hence if the
lochial discharge becomes offensive on the fifth day or sixth day, as
sometimes happens, a single hot vaginal douche may be permitted. A
1:5000 solution of potassium permanganate, or a teaspoonful of
formaldehyde to a quart of water, or a chinosol solution 1:1000 may be
used.
=Rest.=—Since the patient will be in bed from eight days to two weeks in
normal cases, she must be made as happy and comfortable as possible, and
nothing contributes so much to her satisfaction as a cheerful, competent
nurse. Her mind is at ease about herself and her child, and the
companionship of the nurse can be made one of the pleasantest
recollections of her illness.
Any patient who is at all reasonable can be managed by a tactful nurse
without the consciousness of being opposed or directed. Gossip, hospital
stories, criticism of other cases, other nurses, or of doctors should be
avoided. The patient is deeply interested in her own case, and the
private troubles of the nurse do not concern her nor enlist her
attention for more than a few polite but unpleasant moments.
Public-domain text, read in full here on John Shaqi.
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