A nurse's handbook of obstetrics, for use in training-schools . coriate the delicate tissues beneath. Nipples which are not treated in this way and upon whichcrusts of colostrum are allowed to remain are often extremelysensitive or even exquisitely painful when nursing is begun,and are especially liable to the formation of erosions or fissureswhich may prevent nursing entirely, either because of the suffer-ing caused by the suckling or by the development of inflamma-tion in the breast itself. As A GENERAL RULE FOR THE GUIDANCE OF THE NURSE in the management of pregnancy it is safest and wisest


A nurse's handbook of obstetrics, for use in training-schools . coriate the delicate tissues beneath. Nipples which are not treated in this way and upon whichcrusts of colostrum are allowed to remain are often extremelysensitive or even exquisitely painful when nursing is begun,and are especially liable to the formation of erosions or fissureswhich may prevent nursing entirely, either because of the suffer-ing caused by the suckling or by the development of inflamma-tion in the breast itself. As A GENERAL RULE FOR THE GUIDANCE OF THE NURSE in the management of pregnancy it is safest and wisest to reportto the physician any condition that causes the patient specialdiscomfort or that seems to be at all unusual. The Nurses Outfit The care of obstetric cases presents so many differencesfrom ordinary surgical nursing that the nurse requires a fewspecial articles for this work in addition to her usual outfit. In the first place she should provide herself with an abundantsupply of dresses and aprons, for the nature of her duties are Operating Gown(front). Fig. 38.—Operating gown and case. such that, even with the utmost care, she cannot always preventfrequent soiling of her aprons at least. In addition to her whiteaprons she should have one large rubber apron for use whenshe is bathing the baby. 119 120 A NURSES HANDBOOK OF OBSTETRICS. An operating-gown (Fig. 38), pinned in a towel or tied upin a muslin case, and sterilized, should be taken for use at thetime of the delivery. Nurses often come to a case several daysbefore the labor occurs, and, while wearing their uniforms, theyare up- and down-stairs and in all parts of the house. Also,as will be seen in another chapter, the patient receives an enemaat the beginning of labor, and frequent trips to the bath-roomhave to be made by the nurse on this account. Keeping thesevarious matters in mind, it is evident that the nurses uniformis anything but aseptic when labor is in progress, and the gownshould be worn from the time


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Keywords: ., bookcentury1900, bookdecade1910, bookidnur, booksubjectobstetrics