A nurse's handbook of obstetrics, for use in training-schools . ded in breech delivery. The most serious complication that can arisein the extraction of the after-coming head. None of the other abnormalities of position and presentationpossesses any special interest to the nurse, for, unless they areof such a precipitate character that delivery is accomplishedwithin a very short time, there will be ample opportunity tosecure the services of some physician, even if the regular medicalattendant cannot be reached. When the nurse finds, on her arrival, that the baby and pos-sibly the- placenta are
A nurse's handbook of obstetrics, for use in training-schools . ded in breech delivery. The most serious complication that can arisein the extraction of the after-coming head. None of the other abnormalities of position and presentationpossesses any special interest to the nurse, for, unless they areof such a precipitate character that delivery is accomplishedwithin a very short time, there will be ample opportunity tosecure the services of some physician, even if the regular medicalattendant cannot be reached. When the nurse finds, on her arrival, that the baby and pos-sibly the- placenta are born and lying in the bed, her first duty isto grasp the fundus with as little delay as possible and see if itscontraction is satisfactory, and then make sure that the child isnot lying face downward in the blood and discharges and indanger of strangling. As soon as the fundus is firm and solid i/6 A NURSES HANDBOOK OF OBSTETRICS. the cord may be tied and cut and the infant turned over to someone who will wash its eyes and mouth and wrap it in a Fig. 70.—Locked twins. (R. Barnes.) First child partly born in breech presentation, thesecond lodged with the face under the chin of the first. In all cases of labor occurring in the absence of the physicianthe nurse must keep a cool head, for the patient and those abouther are usually in a state of great excitement and turmoil, andthis may be enough to cause relaxation of the uterus and trouble-some hemorrhage. A level-headed nurse, who shows no trace of nervousness orfear, can often change the entire picture in an instant and bringorder and quiet out of chaos with a word and an air of authorityand self-confidence. XVI Operative Delivery Operative delivery may be either instrumental or non-instrumental. Instrumental delivery may be further divided into threeclasses,—cutting operations, non-cutting operations, and muti-lation of the foetus. The non-instrumental form of delivery consists in turningthe foetus with the h
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Keywords: ., bookcentury1900, bookdecade1910, bookidnur, booksubjectobstetrics
