A nurse's handbook of obstetrics, for use in training-schools . h in-specting the prolapsed part and changing the towels at frequentintervals, affecting such an apparent unconcern that she willnot imagine she has anything to dread. As soon as the preparations for delivery are completedthe nurse should seat herself by the patient and take furthercharge of the case herself until the physician arrives. Shoulddelivery take place before he comes there is no occasion what-ever for alarm and the management of the case is describedunder the heading Precipitate Labor on page 175. If the cord prolapses
A nurse's handbook of obstetrics, for use in training-schools . h in-specting the prolapsed part and changing the towels at frequentintervals, affecting such an apparent unconcern that she willnot imagine she has anything to dread. As soon as the preparations for delivery are completedthe nurse should seat herself by the patient and take furthercharge of the case herself until the physician arrives. Shoulddelivery take place before he comes there is no occasion what-ever for alarm and the management of the case is describedunder the heading Precipitate Labor on page 175. If the cord prolapses and descends in front of the present-ing part (Fig. 106), the accident is usually due to prematurerupture of the membranes when the head or breech is notsufficiently down in the pelvis to prevent the cord from beingwashed past it in the sudden gush of amniotic fluid. Unlessthe cord is carried down to the vulvar orifice, the nurse is notlikely to know that this complication has arisen, for in privatepractice she is not expected to make any vaginal examinations. Fig. 106.—Prolapse of the umbilical cord. (Bumm.) As the head comes down the of the cord between the fetal skull and the pelvic brim will shut off its circulationcompletely.
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Keywords: ., bookcentury1900, bookdecade1910, bookidnur, booksubjectobstetrics