The bed in which the confinement is to take place should be
scrupulously clean, and in order to insure this, it should be made a
rule that the bedstead be taken apart, and taken out-of-doors where it
is thoroughly washed and afterwards exposed to the purifying influence
of the sun and air. The mattress must also be taken out for a similar
dusting and cleaning, and kept for a time exposed to sun and air. The
confinement chamber should go through the same renovating ordeal;
the carpet of this particular chamber should be taken up, the floor
thoroughly scrubbed and the walls and ceiling washed off and whitened.
It will be better if a few clean mats or rugs can be substituted,
and the old carpet not relaid until after the confinement, when the
woman is up and around again. These precautions will guard against
the possibility of infection and the dangers of childbed fever, and
the many different phases of inflammation which are the result of
carelessness in the details of cleanliness. Of course, the nurse and
attending physician must be equally anxious of their own personal
cleanliness. If he or she leave any of the infectious diseases, like
scarlet fever, measles, typhoid fever, erysipelas and puerperal
fever, either of them is quite sure to communicate the contagion to
the innocently ignorant lying-in woman, and entail upon her endless
suffering and death. In France and Germany, stringent precautions for
nurse and physician against the dangers of infections are mandatory
under the laws, but in free America such legal injunctions would be
considered as curtailing our liberty; in the meantime, innocent lives
are sacrificed, through lack of systematized regulations, at the cost
of liberty degenerating into license.
On the day of confinement the bed is held in readiness for the
occasion, by spreading over the mattress a large piece of oiled cloth,
or what is preferable, rubber cloth; this must reach up high enough
so as to afford proper protection and lap over the side of mattress
and bedstead. Beside the bed an extra mat should be laid, to catch any
fluid that may run down the rubber cloth on the floor.