File:A nurse's handbook of obstetrics, for use in training-schools (1909) (14759685436).jpg

Identifier: nurseshandboo00cook (find matches)
Title: A nurse's handbook of obstetrics, for use in training-schools
Year: 1909 (1900s)
Authors: Cooke, Joseph Brown. (from old catalog)
Subjects: Obstetrics
Publisher: Philadelphia and London, J. B. Lippincott company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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If the patient has been sleeping in the bed inwhich she is to be confined it is to be completely dismantled andsupplied with clean bedding throughout. A chair is to be placedat the right side of the bed, facing the head, for the physician,and a table (preferably a low cutting-table) covered with cleanwhite towels should stand within easy reach of his right hand.The slop-jar, or pail, is to be placed so that the apron of thephysicians Kelly pad will drain into it (Fig. 54). The patients genitals should now be bathed with a solutionof Tincture of green soap (two drachms to the pint) made withboiled water, and the vulva covered with a clean sanitary padheld in place by a band about the waist. From this moment the use of the water-closet mustbe forbidden absolutely. Evacuations of urine and faeces areto be received in a clean vessel, which is to be removed at oncefrom the room, emptied, cleaned thoroughly, and returned withas little delay as possible. The vulva pad, which must, of course,
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FINAL ARRANGEMENTS. 151 be removed when the rectum or bladder is emptied, is in everyinstance to be replaced by a fresh, clean one. The nurse should see that the lying-in room is warm, welllighted, and arranged according to directions; that all suppliesare at hand and in order; that there is an ample supply of coldboiled water; that there is a good fire in the kitchen stove, unlessa gas-stove is available, and that plenty of water is actually boil-ing; that the instructions relative to the patient have been con-scientiously carried out; and, lastly, that all children and otherunnecessary individuals have been gotten out of the way. XV The Conduct of Labor Normal labor may be defined as labor which is terminatedwithout artificial assistance and which leaves the mother in goodcondition, beyond a slight feeling of exhaustion and sense offatigue. It might perhaps better be termed unassisted labor,for surely an easy and rapid breech delivery, which occasionallyoccurs and which is in one se

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