A handbook of obstetrical nursing for nurses, students, and mothers . ing a daily evacuation of the bowels, andthe use of means to secure as soft a movement aspossible. Should the piles come down they shouldbe fomented by cloths wrung out in hot water, towhich a little Ponds Extract or fluid extract ofhamamelis may be added—one tablespoonful, ortwo, to one pint of water—and when shrunken,anointed with cold cream or cosmoline and re-turned into the bowel. Sometimes the case is so aggravated as to neces-sitate keeping the patient in bed for a time. Aphysician should of course be consulted about


A handbook of obstetrical nursing for nurses, students, and mothers . ing a daily evacuation of the bowels, andthe use of means to secure as soft a movement aspossible. Should the piles come down they shouldbe fomented by cloths wrung out in hot water, towhich a little Ponds Extract or fluid extract ofhamamelis may be added—one tablespoonful, ortwo, to one pint of water—and when shrunken,anointed with cold cream or cosmoline and re-turned into the bowel. Sometimes the case is so aggravated as to neces-sitate keeping the patient in bed for a time. Aphysician should of course be consulted about thetreatment. The swelling; and pain of the external organs of swelling ot 0 x ° lower limbs. generation and of the lower limbs, resulting frompressure and the over-distention of the blood-vessels, is best relieved by the recumbent the veins of the leg be much enlarged,or the feet swollen, the patient should have com- 38 OBSTETRICAL NURSING. pression made over them by the application of abandage (the spiral-reverse of the lower limb), or Fig. Spiral Reverse Bandage of Lower Extremity. she should wear an elastic stocking, such as maybe obtained of any good instrument maker. For MANAGEMENT OF PREGNANCY. 39 the bandage the best material is flannel cut bias,the width being about three inches. The biasbandage makes more even compression. Greatharm may result from the neglect of enlargedveins, as they sometimes become so distended asto burst. Prof. T. S. K. Morton has devised amethod of putting on a spiral bandage of the lowerextremity, which retains its place better than thatjust described, which is apt to loosen when thepatient moves about. Dr. Morton begins theapplication of his bandage as in the ordinary spiralreverse bandage of the lower limb, but carriesoblique turns up and down the limb until its sur-face is entirely covered, in place of making this bandage is further secured in place bycarrying a running line of stitches up both the inner


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Keywords: ., boo, bookcentury1800, bookdecade1890, booksubjectmaternitynursing