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 bed-clothes covering the patient during labor will vary with the
season of the year, but should always be light; in summer a single
sheet will suffice, and in winter a blanket will likely be needed.
For sanitary reasons, a freshly laundered sheet should also be placed
outside the blanket until the delivery has been completed; later, it
may be replaced with a light spread. Two pillows will be needed, and
it is very convenient to have one of hair, the other of feathers.
While there is no necessity for sterilizing the bed-clothes, it is
advisable to use linen which has been recently laundered and kept
well protected from dust. Among the poor, infection from soiled bed-
linen is not uncommon.
THE PRELIMINARY VISIT OF THE DOCTOR.--No teaching of medical science
has been given greater prominence of late than the principle of
prevention. In obstetrics it finds a particularly wide field of
application, and its practice is responsible for removing many of the
former terrors of childbirth. We have just learned that preventive
measures effectually reduce the frequency of puerperal infection, and
in an earlier chapter we saw the value of routine examination of the
urine as a means of anticipating other complications. Moreover, the
benefit of promptly reporting to the physician anything that does not
seem to be as it should has been urged constantly, for in this way is
afforded the earliest opportunity to treat complications. Similarly a
visit from the doctor about four weeks before the expected date of
confinement is indispensable to skillful management of the delivery;
neglect of this precaution is sometimes responsible for bad results.
At this visit the physician not only becomes familiar with the
general health of his patient, but he also notes certain facts which
will have a direct bearing upon the course of labor. By means of a
few simple measurements he may accurately determine the character of
the pelvis, the bony structure through which the fetus passes. When
they are compared with what we know as the normal measurements, a
very good idea is gained as to whether the birth-canal will present
any obstacle to the passage of the child; and, if it will, there is
opportunity to deliberate what treatment may be necessary. Since
another factor in the problem, namely, the size of the child, cannot
be accurately predicted, occasionally the physician may hesitate to
express as definite an opinion as the patient may wish. Nevertheless,
though it may be impossible to learn every detail, the available
information well repays the time and trouble expended. In nine out of
ten cases nothing whatever is found out of the way; the result is an
assurance which always justifies the examination.
Public-domain text, read in full here on John Shaqi.
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