A nurse's handbook of obstetrics, for use in training-schools . the membranes and causing drylabor. The bougie should be about the size of a lead-pencil(No. 12, American scale), with a wire stylet to facilitate its intro-duction, and it is prepared for use by soaking it for twenty-fourhours in cold bichloride solution (i to iooo) after it has beenthoroughly washed with soap and water. The patient is usually placed in the lithotomy position (seeFig. 124) at the edge of the bed or table, but some physiciansprefer Simss position (Fig. 102) in these cases. No anaestheticis required, as the operati
A nurse's handbook of obstetrics, for use in training-schools . the membranes and causing drylabor. The bougie should be about the size of a lead-pencil(No. 12, American scale), with a wire stylet to facilitate its intro-duction, and it is prepared for use by soaking it for twenty-fourhours in cold bichloride solution (i to iooo) after it has beenthoroughly washed with soap and water. The patient is usually placed in the lithotomy position (seeFig. 124) at the edge of the bed or table, but some physiciansprefer Simss position (Fig. 102) in these cases. No anaestheticis required, as the operation is absolutely painless and of but amoments duration. Labor-pains usually begin in from thirty minutes to twelvehours after the insertion of the bougie. If there are no develop-ments at the end of twenty-four hours, it may be removed bythe surgeon and inserted in a new place, or a second bougie 200 A NURSES HANDBOOK OF OBSTETRICS. may be passed in alongside of the first. In some cases it is neces-sary to use three bougies before labor-pains begin. Gauze is. Fig. 102.—Simss position. The patient lies on her left hip, her chest nearly flat on thetable, her left arm hanging over the edge and her right leg drawn well up above the leftknee. required to pack the vagina after the introduction of the bougie,but the physician usually supplies everything of this sort him-self. None of the methods named for the induction of labor isat all painful, and after the bougie, gauze, or bag has been in-serted the patient may be up and on her feet as in the first stageof normal labor. If the membranes rupture, the nurse should report the factat once to the physician, and he should be notified, as in anyother case, the moment true labor-pains are established. With the exception that these cases are artificially started,they do not differ in any respect from ordinary labor, nor dothey subject either mother or child to any greater danger. When haste in delivery is an essential factor, as in eclam
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Keywords: ., bookcentury1900, bookdecade1910, bookidnur, booksubjectobstetrics
