A nurse's handbook of obstetrics . er to be massaged or pumped except by orderof the physician in charge. So much serious damage may bedone by unintelligent failure to recognize conditions that it is ofthe utmost importance that the breast be let severely alone sofar as expression of milk is concerned until definite orders arereceived. The utmost surgical cleanliness is essential, as handssoiled with lochia or the colon bacillus are sure to accomplishmischief. The nipple itself is never to be touched with the fingers. 282 A NURSES HANDBOOK OF OBSTETRICS. In applying the nitrate of silver solut
A nurse's handbook of obstetrics . er to be massaged or pumped except by orderof the physician in charge. So much serious damage may bedone by unintelligent failure to recognize conditions that it is ofthe utmost importance that the breast be let severely alone sofar as expression of milk is concerned until definite orders arereceived. The utmost surgical cleanliness is essential, as handssoiled with lochia or the colon bacillus are sure to accomplishmischief. The nipple itself is never to be touched with the fingers. 282 A NURSES HANDBOOK OF OBSTETRICS. In applying the nitrate of silver solution to the fissure thenurse must separate the edges as widely as possible and touch onlythe denuded tissue of the fissure with the tip of the brush. Care-lessness in the use of the solution not only smears the breast witha black dirty looking stain, but also causes more or less irritationto the surrounding parts. When the fissure does not heal sufficiently by the end oftwenty-four hours to permit of painless nursing, it may be ne-. 123 1 2 Fig. 134.—The nursing bottles and rubber nipples at the left are practical. The hor-izontal bottle is excellent. The English breast pump is good. The nipple shield, markedi, is the best, 2 is poorly constructed. The lead nipple shield is known as lactic acid is supposed in combination with the leaden shield to cure cracked nipples. cessary to use a nipple shield for a few days, and this will alwaysbe the case when both breasts are affected at the same time, unlessthe child is given artificial food while the process of repair isgoing on. The shield must be sterile, and after being used itshould be scrubbed clean, boiled and kept in a dry sterile Masonjar as immersion in boric or saline solutions soon renders rubbernipples useless. The shield must be applied to the nipple with the utmostgentleness, and before the child is allowed to mtrse, enough milkto fill the glass part of the shield must be expressed into it by INFLAMMATIO
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