Obstetrics for nurses

Front matter

22102199492

From an old Italian wax carving, evidently modeled after one of

Hunter’s plates.

Preface To The Fourth Edition

For this, the fourth edition, both text and illustrations were thoroughly worked over. In the text few changes were necessary, the fundamentals of obstetric nursing remaining about the same from year to year. Several subjects were added, such as the after-care of fistula operations, Momburg’s treatment for hemorrhage, and blood transfusion. The chapter on Infant Feeding was revised by Dr. F. X. Walls; that on Cesarean Section was much amplified in view of the more generalized performance of the operation, and the latest scientific discoveries of interest to the nurse were mentioned.

A number of new illustrations have been added, and some of the old replaced by improved drawings and photographs. Four new colored plates also have been inserted.

Joseph B. De Lee.

5028 Ellis Avenue, Chicago, III.

Preface

Although this book is intended primarily for nurses, the author believes that medical students will find something of value in it, since the duties of a nurse often devolve upon them in their early years of obstetric practice.

There are really two subjects considered in the book, — obstetrics for nurses and the actual obstetric nursing — and the author has sought to combine them so that the relations of one to the other might be natural and mutually helpful in presenting this branch of medicine in a clear and interesting form.

The illustrations are nearly all original, and were made expressly for the work. The photographs were taken by the author from actual scenes, and the reader is invited to study the details, as especial care was taken to render the pictures true to life in every respect.

The text is the outgrowth of eight years’ lecturing to the nurses of four different training schools.

For the preparation of the dietary the author acknowledges his thanks to Mrs. E. E. Koch, Superintending Nurse of the Chicago Lying-in Hospital, and for the chapter on the Infant’s Layette he is indebted to Miss Katherine DeWitt, who does private nursing for many of his cases.

TO

PREFACE

Dr. F. X. Walls kindly allowed the publication of a method of milk modification devised by him.

1 ui ther, the author thanks those nurses and internes who have aided and posed in the settings for the photographs, and the publishers, who have spared no effort in the production of the illustrations.

JOSEPH B. DeLEE.

Introduction

PAGE

CHAPTER I Anatomy of the Female Generative Organs 21

The Bony Pelvis, 21 — Varieties of Pelves, 26 — The Soft Parts,

28 — The Uterus, 28 — The Bladder, 31 — The Rectum, 31 — •

The Peritoneum, 31 — The External Genitals, 31 — The Vulva,

32 — The Perineum, 33 — The Anus, 34 — -The Breasts, 35.

The Function of Reproduction, 37 — Ovulation, 37 — Puberty,

37 — Menstruation, 38 — Conception, 40 — -The Physiology of the Fetus in the Uterus, 46 — The Placenta, 46.

Maternal Changes in Pregnancy, 40 — Labor, 54 — Lightening, 55 — False Pains, 56 — The Show, 57 — The Labor Pains,

58 The Bag of Waters, 59 — The Puerperium, 61 — The Uterus, 61 The Lochia, 63 — The Breasts, 65 — General Changes in the Puerperium,' 66 — The Kidneys, 66 — The Bowels, 67 The Skin, 67 — The Mental Condition, 67.

The Newborn Infant 6g

The Baby in the First Weeks, 68— The Cry of a Newborn Infant, 68 Sleep, 6q — Temperature, 69 — The Skin, 69 — - The Navel, 70 1 he Baby’s Bowels, 70 — The Kidneys, 70 —

The Weight, 71.

Diagnosis of Pregnancy, 73— Diagnosis of Time of Confinement, 74 — Mode of Living for the Pregnant Woman, 75- Dress, 75 — Preservation of the Figure, 78 — The Diet, 80- Exercise, 81 — The Mind during Pregnancy, and Maternal Impressions, 82— The Determination of Sex, 83 — The Bowels, 84 — The Kidneys, 86 — Toxemia, 87 — Bathing, 87- Care of the Genitals, 89— Care of the Breasts, 89— The Engagement of the Nurse, 90 — Rules for the Obstetric Nurse, 92 — Sterilizing, 92 — The Nurse’s Visit, 95.

CHAPTER VI

The Wardrobe, 97 — Nurses Conveniences, 100.