Category: Health & Medicine

Obstetrical Nursing A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her Baby

The avowed purpose of care given to the maternity patient to-day is to minimize the discomforts and perils of her pregnancy, labor, and the puerperium, and so safeguard her and her baby that both will emerge from the lying-in period in a satisfactory condition and with a brigh...

Chapters

21. CHAPTER IX

The prenatal care which was outlined in an earlier chapter becomes more impressive when one considers the disasters which it is designed to prevent. And the nurse will be more e...

47. CHAPTER XXII

It is estimated that out of every thousand babies born alive, in this country, forty die during the first month of life, and that more than as many again, or about eighty-five a...

18. CHAPTER VI

The day is long since past when the obstetrician’s concern for his patient began when she went into labor. The obstetrician of to-day watches and cares for his patient throughou...

27. CHAPTER XII

The extent of the nurse’s helpfulness during labor, both to the patient and to the doctor, will depend very largely upon the intelligence with which she grasps what is taking pl...

41. CHAPTER XIX

The foregoing discussions of prenatal care and the principal complications of pregnancy, and the dangers to which expectant mothers, young mothers and their babies are exposed,...

35. CHAPTER XV

In general, the nursing care during the puerperium is much the same as that which is given to a surgical patient, with special attention to the breasts and perineum and a sustai...

37. CHAPTER XVII

The importance of providing the expectant and nursing mother with suitable food has been stressed so insistently in the preceding pages, that it is advisable to explain to the n...

48. CHAPTER XXIII

The common ills of early infancy are due largely either to errors in feeding or to infection or both. Of the nutritional disturbances, rickets and scurvy were discussed in the c...

49. CHAPTER XXIV

It will be well for us now to take a retrospective view of the various functions of the nurse which are associated with the phenomena of pregnancy, labor, the puerperium and the...

13. CHAPTER III

As we learned in the last chapter, some of the ova which are discharged into the peritoneal cavity enter the fimbriated end of the tube, while very many others perish. As a rule...

28. CHAPTER XIII

Unhappily, not all labors run the smooth and uncomplicated course which was described in the last chapter. Certain abnormalities sometimes arise to complicate delivery, occasion...

7. PART VII.

The avowed purpose of care given to the maternity patient to-day is to minimize the discomforts and perils of her pregnancy, labor, and the puerperium, and so safeguard her and...

9. CHAPTER I

This knowledge of the pelvic anatomy, relating as it does, to both normal and malformed pelves, has made possible a system of taking measurements, termed _pelvimetry_, which giv...

15. CHAPTER V

=Signs and Symptoms of Pregnancy.= Unfortunately for all parties concerned, the exact duration of pregnancy has never been ascertained, since there is no way of knowing when the...

10. CHAPTER II

The age at which puberty occurs varies with climate, race, occupation and with individuals of the same status. But the average age for girls, in temperate climates, is from the...

19. CHAPTER VII

It is only once in a long time that the obstetrical nurse has a patient who is suffering from such a marked mental disturbance that her condition is diagnosed and treated as a p...

36. CHAPTER XVI

Not infrequently the nurse remains with her patient after the end of the puerperium, and therefore she may have the care of the mother and baby for several weeks, or even months...

42. CHAPTER XX

The preventive value of post-partum care is now so generally recognized that maternity care by visiting nurses is given not only in the larger cities, but is being extended even...

38. CHAPTER XVIII

The importance of these to the nurse lies in their preventability, by means of the clean and efficient care which she helps to give during pregnancy, labor and the early weeks a...

25. CHAPTER X

Returning for a moment to the pregnant uterus at term, we find it to be a thin-walled, muscular sac containing the mature fetus, attached by means of the umbilical cord to the p...

46. CHAPTER XXI

Before undertaking the care of the new-born baby the nurse should stop and consider him for a moment and review in her mind just what he represents; what he has been through; wh...

20. CHAPTER VIII

It sometimes devolves upon the nurse to give advice in selecting and preparing the room to be used for a home confinement, and very often to help the prospective mother in prepa...

34. CHAPTER XIV

The puerperium[8] is ordinarily regarded as comprising the five or six weeks immediately following delivery. During this period the mother’s body undergoes various changes which...

14. CHAPTER IV

Although the fetus at term is in many respects simply a diminutive, immature man, or woman, its anatomy and physiology present certain characteristics which have adapted it to a...

26. CHAPTER XI

Labor may be defined as the process by means of which the product of conception is separated and expelled from the mother’s body. It ordinarily occurs about 280 days from the be...

17. CHAPTER IX. COMPLICATIONS AND ACCIDENTS OF PREGNANCY. Premature

Terminations of Pregnancy. Definition of Terms. Abortions. Causes: Abnormalities of Fetus; Abnormalities in the Generative Tract; Acute Infectious Diseases; Mental or Emotional...

44. CHAPTER XXII. NURSING CARE OF THE NEW-BORN BABY. Mortality of First

Months and Year of Life. Preventable Causes. Dangers of Babyhood. Essential Features of Early Care. Daily Schedule. Bath. Clothes. Fresh Air. Exercise. Training the Baby. Bowels...

16. CHAPTER VI. PRENATAL CARE. Instruction of the Mother, Examinations,

and Observations. Importance of Prenatal Care. The Nurse’s Part. Personal Hygiene of Pregnancy. Excretions. Kidneys. Urine Tests. Skin. Bowels. Clothes: corsets, binders, shoes....

23. CHAPTER XII. NURSE’S DUTIES DURING LABOR. General Principles of

Treatment and Nursing Care. Psychology of the Patient. Preparation for Vaginal Examination or Delivery. Nurse’s Duties during First Stage. Second Stage. Maintaining of Surgical...

39. CHAPTER XIX. ORGANIZED PRENATAL WORK. Mortality in Childbearing. Aims

of Prenatal Care. Difficulties: Educational, Economic, Social, Professional. Prenatal Work in Other Countries. Progress of Prenatal Work in this Country. The Women’s Municipal L...

32. CHAPTER XVII. NUTRITION OF THE MOTHER AND HER BABY. Importance of

Adequate Nutrition in First Weeks of Life. Necessary Elements of an Adequate Dietary. “Vitamines.” Danger of Deficiency Diseases. Danger of Conditions Approaching Recognizable D...

11. CHAPTER III. DEVELOPMENT OF THE OVUM, EMBRYO, FETUS, PLACENTA, CORD

AND MEMBRANES. The Ovum. The Spermatozoon. Fertilization. Heredity. Sex-determination. Most Favorable Age for Motherhood. The Morula. Growth in the Uterus. The Decidua. Ectoderm...

45. CHAPTER XXIII. COMMON DISORDERS AND ABNORMALITIES OF EARLY INFANCY.

Malnutrition, Marasmus and Inanition. Diarrheal Diseases: Acute Gastro-enteritis. Symptoms. Treatment and Nursing Care. Acidosis. Colic, Constipation, Convulsions, and Vomiting....

12. CHAPTER V. SIGNS, SYMPTOMS, AND PHYSIOLOGY OF PREGNANCY. Duration of

Pregnancy. Date of Labor. Signs of Pregnancy: Presumptive, Probable, and Positive. Physiological Changes in the Maternal Organism: Uterus. Cervix. Vagina. Tubes and Ovaries. Abd...

30. CHAPTER XV. ROUTINE NURSING CARE DURING THE PUERPERIUM. Complications

to be Guarded against. General Treatment of the Patient. Nursing Care. Position in Bed. Sitting up. The Daily Bath. Diet. The Bowels. The Bladder. Catheterization. Temperature,...

5. PART V.

24. CHAPTER XIII. OBSTETRICAL OPERATIONS AND COMPLICATED LABORS.

Conditions Giving Rise to Operations. Preparation for Operation in the Home. Perineal Lacerations. Episiotomy. Breech Extraction. Version. The Use of Forceps. Symphysiotomy. Vag...

4. PART IV.

31. CHAPTER XVI. THE NURSING MOTHER. Normal Routine. The Establishment of

Breast Feeding. The Mother’s Frame of Mind and State of Nutrition. Method of Nursing. The Nursing Schedule. Personal Hygiene of the Nursing Mother. Diet. Bowels. Rest and Exerci...

3. PART III.

8. CHAPTER I. ANATOMY OF THE FEMALE PELVIS AND GENERATIVE ORGANS. Normal

Female Pelvis. Pelvimetry. Female Organs of Reproduction. Internal Genitalia. Uterus. Fallopian Tubes. Ovaries. Vagina. Bladder. Rectum. External Genitalia. Mons Veneris. Labia...

22. CHAPTER X. PRESENTATION AND POSITION OF THE FETUS. Breech, Head, Face,

and Vertex Presentations. Longitudinal and Transverse Presentations. Position of Fetus. Time of Engagement. Methods of Ascertaining Position and Presentation of Fetus. Abdominal...

2. PART II.

33. CHAPTER XVIII. COMPLICATIONS OF THE PUERPERIUM. Postpartum Hemorrhage.

6. PART VI.

43. CHAPTER XXI. CHARACTERISTICS AND DEVELOPMENT OF THE AVERAGE NEW-BORN

1. PART I.

29. CHAPTER XIV. THE PUERPERIUM. Physiology. Involution. After-pains.

40. CHAPTER XX. HOME DELIVERIES AND CARE OF THE YOUNG MOTHER BY VISITING