. Obstetrics for nurses. Fig. 91.—The same cord four days later. 172 THE NORMAL CHILD AND ITS CARE 173 of the principles of surgical cleanliness, faialiiies from this cause havebeen comparatively rare. The essential feature in the care of the cord is the avoidance ofinfection. The choice of a dressing is quite unimportant, provided thematerials used are sterile and are sufficiently porous to admit air tofacilitate desiccation. If a dry dressing is employed, it may be heldin position by narrow strips of adhesive plaster, but with wet applica-tions, such as alcohol, a wide flannel binder should
. Obstetrics for nurses. Fig. 91.—The same cord four days later. 172 THE NORMAL CHILD AND ITS CARE 173 of the principles of surgical cleanliness, faialiiies from this cause havebeen comparatively rare. The essential feature in the care of the cord is the avoidance ofinfection. The choice of a dressing is quite unimportant, provided thematerials used are sterile and are sufficiently porous to admit air tofacilitate desiccation. If a dry dressing is employed, it may be heldin position by narrow strips of adhesive plaster, but with wet applica-tions, such as alcohol, a wide flannel binder should be used. The dress-ings need not be disturbed unless they become soiled, when a new spongesliould be applied in such a manner as to prevent contamination. After. Fig. 92.—The same baby after separation of the cord. the cord has come off, a dry sterile gauze pad should be placed over theresulting granulating area until it is completely healed. Afterwards nofurther attention is necessary, and the flannel binder may be old idea that its use prevented the development of umbilical herniais erroneous, as it tends to increase intra-abdominal pressure duringcrying and tlierefore may well encourage a hernial protrusion. Bathing the Child.—Immediately after birth the vernix caseosashould be removed as completely as possible hy means of a non-irritatingoil, such as albolene, olive oil, or benzoated lard, applied with a gauzesponge, the cord dressing not being disturbed. Further bathing is notnecessary, and the flannel binder is applied and the child clothed in the 174 TEXTBOOK OF OBSTETRICS FOR NURSES usual garments. Each morning, until the cord is off and the scarhealed, the entire body is rubbed gently with the same oil, special careb
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectobstetrics, bookyear1
