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 KIDNEYS.--Any one may judge for herself whether or not the bowels
are doing their work satisfactorily, but not so with the kidneys. For
this purpose the urine must be examined by a physician. In spite of
this fact, considerable responsibility rests upon the prospective
mother, whose duty it is to collect the specimens properly--a detail
that is apt to be neglected. It is impossible to urge too strongly
the importance of saving, at regular intervals, all the urine passed
in twenty-four hours, of protecting it from decomposition, and of
sending a sample to the physician. The intervals may be longer at
first, for the kidneys have very little extra work to do until the
sixth month. Usually, therefore, it is a satisfactory plan to send a
sample for analysis the first of each month during the early half of
pregnancy; but during the latter half one should be sent the first
and the fifteenth of each month.
To estimate the exact amount of urine passed in twenty-four hours and
to protect it properly, in the first place, the vessel in which it
will be collected should be carefully scalded out. As a further
precaution against decomposition, add a teaspoonful of chloroform to
the vessel, which should be kept covered, and not allowed to stand in
a warm room. Unless these details are conscientiously observed,
putrefaction may take place and vitiate the analysis the physician
wishes to make. The precise amount of urine which the kidneys excrete
in twenty-four hours will be determined as follows: At a convenient
time, for example at 8 A.M., empty the bladder and throw the urine
away; this marks the beginning of the observation. Subsequently, save
all the urine passed during the day and night, and finally at 8
o'clock the next morning empty the bladder and add this urine to that
previously collected. The total amount, thus collected, should be
measured.
It is unnecessary to send all the urine to the physician; six ounces,
somewhat less than half a pint, will be enough. But the physician
should know what the total amount was found to be; therefore, a
record of the measurement, the date, and the patient's name should
accompany the sample. If limited to a single fact about the urine, it
would be most helpful to know the amount passed during the twenty-
four hours. In this way, as I have already pointed out, the patient
herself may derive valuable information, for if the urine is scanty
in amount--that is, less than a quart--she should drink more water.
Public-domain text, read in full here on John Shaqi.
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