The Prospective Mother, a Handbook for Women During PregnancySlemons, J. Morris (Josiah Morris)
Science
The Prospective Mother, a Handbook for Women During Pregnancy
Slemons, J. Morris (Josiah Morris)
Obstetrics; Pregnancy
The first essential toward the avoidance of infection in obstetrical
cases is clean dressings. Naturally, these should be clean to the
sight, but it is in invisible dirt that serious danger lurks;
bacteria are the causative agents of this disease. Experiments have
taught the bacteriologist that disease-producing organisms are killed
in half an hour when subjected to a high atmospheric pressure and the
temperature of steam. Special apparatus has been constructed for
carrying out the procedure. It is unnecessary for our purposes,
however, since the essential conditions may be secured, though with
less convenience, in any kitchen. If a prospective mother finds it
awkward to do the sterilizing at home, and her nurse is unable to
take charge of the matter, she may arrange with a local hospital or
the nearest nurses' directory to sterilize her dressings. Yet a very
little ingenuity suffices to do the work at home with perfect
satisfaction. Installments of the smaller bundles may be sterilized
in a galvanized bucket. To do this place an inverted bowl, with a
depth of three to four inches, at the bottom, and pour in water until
the bowl is almost covered. A breakfast plate rests on the bowl, and
upon this the dressings are stacked; a second larger plate which fits
the top of the bucket is utilized as a lid to close in the
sterilizing chamber. This will not accommodate the larger packages; a
more satisfactory method for all of them is to use a wash-boiler in
which has been swung a muslin hammock.
To arrange the latter form of home sterilizer, cut an oblong piece of
unbleached muslin large enough to sink far down into the boiler and
run a drawing-string of stout cord about the edge. Cover the bottom
of the boiler with several inches of water; tie the hammock in place,
passing the cord beneath the handles of the boiler to hold the muslin
securely. Pack in the dressings, which have been wrapped in
appropriate bundles; put the lid in place, thus closing the
sterilizing chamber, and leave the dressings exposed to the steam for
at least half an hour. After the operation has been completed, the
bundles are taken out of the boiler and allowed to dry in the air.
They must not be opened until the occasion for which the supplies
were prepared arrives; awaiting this event, they are laid away in a
convenient closet or drawer.
A word of caution may be added concerning a method of sterilization
employed at home more frequently, perhaps, than any other. According
to this procedure, the supplies are wrapped in paper, thrust into a
hot oven, and left there until the paper is scorched. From the
standpoint of economy as well as of thoroughness, this method is
likely to prove unsatisfactory. Frequently, the dressings themselves
are scorched; I have known patients to ruin several installments of
their supplies in this way. Moreover, dry heat is not so trustworthy
as steam for sterilizing purposes.
Public-domain text, read in full here on John Shaqi.
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