The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed: Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of MedicineHollick, Frederick
Science
The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed: Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of Medicine
Hollick, Frederick
Chloroform; Gynecology; Indian Territory; Midwifery; Obstetrics; Pregnancy
_The child may be deformed._--The accoucheur should also carefully
examine the child, to see if it be deformed in any way, or has met with
any accident, because in some of these cases assistance is required
immediately, and may be rendered at once.
_The child's capability of endurance._--The capability of the new-born
infant to endure extremes of cold is almost as great as that of its
mother, and sometimes even it is benefitted by them. With many persons
it is customary to plunge it in cold water, immediately when born; and
in Russia, we are told, it is even _rolled in the snow_. In some cases
these extremes may be beneficial, but in others I have no doubt they
prove fatal. A medium course is best, in most instances, leaving the
extreme to be resorted to when we wish a sudden stimulus.
When all these matters are carefully attended to, and both mother and
child have remained for an hour or two without any unpleasant symptom,
they may be left to the care of the ordinary attendants, giving them
strict orders to send for proper assistance _immediately_, if anything
unusual transpires.
SUBSEQUENT ATTENTIONS TO MOTHER AND CHILD.
_The Bladder._--One of the most important points to attend to is the
urine. A few hours after the delivery is fully effected, unless the
female is reposing, she should be asked whether she has any desire to
urinate; and, if she has, the convenience should be at once afforded
to do so. There is always more or less danger of retention of urine,
from the pressure that has been exerted on the bladder; and if it be
allowed to continue too long its removal becomes exceedingly difficult.
If on making the attempt the urine does not flow, the catheter must be
used, and the sooner the better. The pain arising from retention of the
urine has often been supposed to arise from inflammation of the womb,
or bowels--neither patient nor physician knowing its real source, till
the passage by the catheter gave relief. There have even been instances
of females dying, merely from an overcharged bladder, while their
attendants were industriously treating them for uterine inflammation.
This accident therefore, should always be suspected, and a very little
attention will prevent any mistake in regard to it. When allowed to
become too full the swollen bladder may be felt, just above the pubes,
hard and tender, so that the least pressure upon it causes great pain.
If not relieved it will at last burst.
_The Bowels._--If the bowels are not opened naturally, it will be well,
the following day, to administer an injection of thin starch and water,
or to prescribe a small dose of castor oil, or a seidlitz powder. This
should also be repeated for two or three days, till the natural power
is restored.
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