A nurse's handbook of obstetrics, for use in training-schools . or will seat himself in the chair directly facing thevulva, insert the Sims speculum or the vaginal retractor todepress the perineum, and grasp the anterior lip of the cervixwith the bullet-forceps to draw it forward. The nurse shouldhave everything so arranged that it will not be necessary forher to leave the patients side, and is now to assist the operatorby standing or sitting at his left hand and holding the retractorand bullet-forceps in the manner shown in Fig. 138 while theoperation is in progress. The patients bed is to be
A nurse's handbook of obstetrics, for use in training-schools . or will seat himself in the chair directly facing thevulva, insert the Sims speculum or the vaginal retractor todepress the perineum, and grasp the anterior lip of the cervixwith the bullet-forceps to draw it forward. The nurse shouldhave everything so arranged that it will not be necessary forher to leave the patients side, and is now to assist the operatorby standing or sitting at his left hand and holding the retractorand bullet-forceps in the manner shown in Fig. 138 while theoperation is in progress. The patients bed is to be made upwith rubber sheet, white sheet, and draw-sheet, and the pillowshould be removed and a large towel laid in its place for use asshe comes out of ether. PREMATURE LABOR. 269 Hot-water bottles (improvised most readily from beer-bottles with patent stoppers) should be at hand at the end of theoperation, and if the case is at all a serious one the patientshould be laid between blankets instead of sheets until shecomes out of ether and reacts from the Fig. 138.—Patient ready for curettage. Proper position of nurse, holding vaginal retractorin right hand, and bullet-forceps, drawing down anterior lip of cervix, in left. The after-treatment of abortion and miscarriage, whether ornot curettage has been performed, consists in the practice of themost scrupulous cleanliness and in the frequent removal of alldischarges from the folds and creases of the external genitalorgans. Douches should never be given except by the expressorder of the physician, and the patient is to remain in bed on alight but nourishing diet for at least ten days. Premature labor does not differ in its management to anymarked degree from normal labor. There is, however, moreof a tendency towards retained membranes or placenta, and the 270 A NURSES HANDBOOK OF OBSTETRICS. shock to the mother in her disappointment over the possible, ifnot actual, loss of her child often has a serious and very de-pressin
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