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Obstetrical Nursing / A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her Baby cover

Obstetrical Nursing / A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her Baby

Chapter 76: INDEX
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About This Book

This work serves as a comprehensive guide for nursing care related to obstetrics, focusing on the needs of expectant mothers, women in labor, and new mothers with their infants. It covers essential topics such as prenatal care, labor support, postpartum recovery, and infant care, providing practical advice and techniques for nurses. The text is enriched with illustrations and charts to enhance understanding and application of the concepts discussed. It aims to equip nurses with the knowledge and skills necessary to support mothers and their babies during critical stages of childbirth and early motherhood.

INDEX

  • Abdomen, changes in, during pregnancy, 102
    • enlargement of, during pregnancy, 98
  • Abdominal binders, in pregnancy, 122
    • in puerperium, 349
  • Abdominal palpation, 226
  • Abdominal pedicle, 76
  • Abdominal supporters, in pregnancy, 122
  • Abdominal wall, in puerperium, 321
  • Abnormalities of newborn, 540
  • Abortion, 165, 166
    • attempted, 151
    • causes of, 166
    • complete, 170
    • early signs of, 142
    • incomplete, 170
    • induced, 309, and see Induced abortions
    • missed, 170
    • prevention of, 168
    • symptoms of, 167
    • therapeutics, 171
    • threatened, 170
    • treatment of, 170
      • complete, 170
      • incomplete, 170
      • threatened, 170
  • Abscesses, in breast, 344
  • Accidental hemorrhage, 178
  • Accidents of pregnancy, 164
  • Accouchement forcé, 309, 313
  • Acidosis, 525
  • Acute yellow atrophy of liver, during pregnancy, 207
  • Advice for mothers, 427
  • After-birth, see Placenta
  • After-care, immediate, of patient, 281
  • After-pains, 318
  • Air, fresh, during pregnancy, 129
  • Albumen in urine, tests for, 118
  • Alcohol, during pregnancy, 127
  • Amenorrhea, 56
  • Amnion, 70
    • development of, 70
  • Amniotic fluid, 71
  • Analgesia, nitrous oxid gas, 291
  • Anatomy of pelvis and genitalia, 19
  • Anesthesia, à la reine, 288
  • Animal foods, allowed during pregnancy, 128
  • Ante-partum hemorrhage, 174
  • Areola, 43
  • Artificial feeding of baby, 489
  • Attitude of fetus, in utero, 217
  • Auscultation of fetal heart, 231
  • Axis-traction forceps, 301
  • Baby, and see Infant, and New-born
    • basket for, while travelling, 507
    • care of, by visiting nurse, 437
      • during summer, 514
      • immediate, 265
      • while travelling, 507
    • feeding, 486, and see Baby’s food
    • giving bottle to, 495
    • method of holding, for eye examination, 537
    • nutrition of, 368
    • preparations for, 162
    • supplies for, 428
    • sore eyes of, 533
    • toilet tray for, 417
  • Baby’s food, articles used in preparing, 492
    • commercial, 503
    • ingredients of, 498
    • proprietary, 504
  • Baby basket, for travelling, 507
  • Ballottement, 100
  • Barley water, preparation of, 505
  • Bartholin’s glands, 40
  • Bath, bran, preparation of, 517
    • in puerperium, 329
    • soda, preparation of, 517
    • starch, preparation of, 517
  • Bathing, during pregnancy, 119
  • Baudelocque’s diameter, 25, 27
  • Bed exercise, in puerperium, 349
  • Bed, position in during puerperium, 326
    • preparation of for labor, 248
  • Beef juice, preparation of, 506
  • Beri-beri, 376
  • Binders, abdominal, during pregnancy, 122
  • Birth, changes in fetal circulation at, 84, 87
  • Bladder, 37
    • care of in puerperium, 332
  • Blastodermic vesicle, 65, 66
  • Bleeding, see Hemorrhage
  • Bones, changes in, during pregnancy, 104
  • Bottle, giving of to baby, 495
  • Bowels, care of in pregnancy, 120
    • care of, in puerperium, 331
    • of fetus, 88
  • Bradycardia, puerperal, 322
  • Bran bath, preparation of, 517
  • Bread, allowed during pregnancy, 128
  • Breast, and see Lactation, and Nursing
    • abscess in, 344
    • anatomy of, 41, 42
    • binders, in pregnancy, 123
    • caked, 344
    • care of, during pregnancy, 131
      • in puerperium, 339
    • changes in, in pregnancy, 96, 103
    • drying up of, 366
    • feeding, 486, and see Nursing, Lactation
      • contraindications, 357
    • infusion under, 202
    • stripping, 348
    • supporting, in puerperium, 343
    • supports for, in puerperium, 343, 345
  • Breast tray, 417
  • Breath, shortness of, during pregnancy, 140
  • Breech extraction, 298
  • Bregma, 89
  • Broad ligament, 33, 38
  • Broths, preparation of, 506
  • Cæsarean section, 305
    • conservative, 307
    • extra-peritoneal, 307
    • indications for, 306
    • radical, 307
  • Caked breasts, 344
  • Cane sugar, 498
  • Canned milk, 504
  • Caput succedaneum, differentiated from cephalhematoma, 541
  • Cardiovascular system, changes in pregnancy, 103
  • Care of baby, by visiting nurses, 437
    • in traveling, 507
    • during summer, 514
    • immediate, 265
    • of mother, by visiting nurses, 437
  • Carriage, in pregnancy, 105
  • Catheterization, 333
  • Cephalhematoma, 541
  • Cereals allowed during pregnancy, 128
  • Certified milk, 490
  • Cervix, changes in pregnancy, 99, 102
    • during labor, 234
  • Champetier de Ribes’ bag, 311
  • Childbirth, deaths in, 112, 405
  • Chloasma, 97, 105
  • Chloroform anesthesia, 287, 288
  • Chorion, 68
    • development of, 68
    • frondosum, 70
    • læve, 70
    • primitive, 67
    • villi, 68, 70
  • Circulation, fetal, 84, 85
    • changes in at birth, 84, 87
  • Cleft palate, in new-born, 542
  • Climacteric, 56
  • Clinic assistant, duties of, 431
  • Clinic equipment, 432
  • Clitoris, 40
  • Clothes, during pregnancy, 121
  • Club foot, in new-born, 541
  • Coccyx, 20
  • Colic in infants, 528
  • Colonic irrigations in eclampsia, 195
  • Colostrum, 103
  • Commercial baby foods, 503
  • Complete abortion, 170
  • Complicated labors, 295
  • Complications of pregnancy, 164
    • early signs of, 141, 143
    • of puerperium, 391
  • Concealed hemorrhage, 178
  • Conception, 62
  • Condensed milk, 504
  • Confinement, to calculate date of, 93, 94
  • Constipation, during pregnancy, 120
    • in infants, 529
  • Contracted pelvis, measurements in, 29
  • Convulsions, in infants, 531
  • Cord, umbilical, 76
    • development of, 61
    • ligation of, 272
    • prolapsed, 285
  • Corpus luteum, 49
    • false, 49
    • of menstruation, 49
    • of pregnancy, 49
    • verum, 49
  • Corsets, during pregnancy, 121
    • front-lace, 122
    • maternity, 122
  • Cow’s milk compared with mother’s milk, 491
  • Cramps in legs, during pregnancy, 140
  • Cravings, during pregnancy, 127
  • Cul-de-sac of Douglas, 36, 39
  • Dämmerschlaf, 292
  • Date of confinement, to calculate, 93, 94
  • Deaths in childbirth, 112, 405
  • Decidua basalis, 66
    • gravidatis, 65
    • reflexa, 66
    • serotina, 66
    • vera, 66
  • Deficiency diseases, 372, 378
  • Delivery, dressings required for, 159
    • patient draped for, 262
    • preparation of dressings for, 155, 158
      • of equipment for, 155
      • of room for, 155
    • requirements of mother for, 158
      • of physician for, 161
    • room ready for, 258, 259
  • Detachment of placenta, 241
  • Desserts allowed in pregnancy, 128
  • Development of cord, 61
  • Diameters of fetal head, 90, 91
  • Diarrhea, during pregnancy, 136
  • Diarrheal diseases of infants, 518
  • Diastasis of rectus muscles, 102
  • Diet during pregnancy, 125, 128
    • during puerperium, 329
    • of nursing mother, 363
  • Digestive tract, changes in during pregnancy, 104
    • during puerperium, 321
  • Discoloration of skin during pregnancy, 97
  • Discomforts during pregnancy, 134
  • Discus proligerus, 48
  • Distress during pregnancy, 136
  • Douches, vaginal, in puerperium, 338
  • Douglas, cul-de-sac of, 36, 39
  • Dressings, post-partum, 336
  • Dried milk, 505
  • Drugs excreted in milk, 331
  • Dry labor, 235
  • Dry pack, hot, in eclampsia, 197
  • Ductless glands, changes in during pregnancy, 105
  • Duncan’s mechanism of placental separation, 239, 242
  • Dysmenorrhea, 56
  • Eclampsia, 190
    • colonic irrigations in, 195
    • frequency of, 190
    • mortality of, 191
    • nursing care in, 193
    • symptoms of, 191
    • treatment of, 193
  • Ectoderm, structures derived from, 67
  • Elevated Sims’ position, 139
  • Embryo, 67, 68
  • Embryonic area, 66
    • development, 67
  • Emotional changes during pregnancy, 105
  • Endometrium, 32
    • pre-menstrual swelling of, 49
  • Enema, to give to infant, 530
  • Engagement of presenting part, 224
  • Engorgement of breasts, in newborn, 541
  • Entoderm, structures derived from, 67
  • Episiotomy, 298
  • Equipment, preparation of for delivery, 158
  • Esbach’s test for albumen in urine, 118
  • Ether anesthesia, 289, 290
  • Evaporated milk, 504
  • Examination of eye, method of holding baby for, 537
    • of urine, in pregnancy, 117
    • rectal, during pregnancy, 231
    • vaginal, in labor, 248, 252
      • in pregnancy, 230
  • Excretions during pregnancy, 117
  • Exercise, bed, during puerperium, 349
    • for nursing mother, 364
    • in pregnancy, 129
  • Expectant mother, 109
    • mental hygiene of, 145
  • Extra-uterine pregnancy, 82
  • Face presentation, positions in, 223
  • Fallopian tubes, anatomy of, 33
  • Fallopian tubes, changes in during pregnancy, 102
    • fimbriæ of, 34
  • Fat soluble A. vitamines, 371, 377
  • Feeder, for premature babies, 513
  • Feeding, 486
  • Feet, swelling of during pregnancy, 137
    • varicose veins of during pregnancy, 138
  • Fertilization, 62
  • Fetal circulation, 84, 85
    • changes in at birth, 84, 87
  • Fetal head, 88, 90
    • circumference of, 91
    • diameters of, 90, 91
    • fontanelles of, 89, 90
    • rotation of during birth, 236
    • sutures of, 89
  • Fetal heart, auscultation of, 231
  • Fetal heart beat, sign of pregnancy, 99
  • Fetal mortality, 112
  • Fetus, 68
    • at term, 80, 218
    • attitude of in uterus, 217
    • bowels of, 88
    • development of, 61, 76, 78, 80
    • growth of, 84
    • head of, 88, 90, and see Fetal head
    • kidneys of, 88
    • maturation of, time required for, 68
    • movements of, as sign of pregnancy, 99
    • palpation of, 224
      • as sign of pregnancy, 99
    • physiology of, 84
    • position of, 217
    • presentation of, 217, 220
    • presenting part of, 220
  • Fimbria ovarica, 34
  • Flatulence during pregnancy, 136
  • Follicle, primordial, 47
  • Fontanelles of fetal head, 89, 90
  • Foods for baby, commercial, 503
    • proprietary, 504
  • Forceps, 300
  • Fornix of vagina, 35
  • Fossa navicularis, 40
  • Fourchette, 40
  • Frank hemorrhage, 178
  • Fresh air during pregnancy, 129
  • Front-lace corset, 122
  • Fruits allowed during pregnancy, 128
  • Funis, 76
  • Gastro-enteritis, acute, 519
    • nursing care in, 519
    • symptoms of, 519
    • treatment of, 519
  • Gavage, 524
  • Genitalia, anatomy of, 19
    • external, 39
    • internal, 30
  • Germinal spot, 48
    • vesicle, 47
  • Gonorrhea complicating pregnancy, 212
  • Gonorrheal vaginitis in infants, 540
  • Graafian follicle, 34, 48
  • Gymnastics during pregnancy, 130
  • Harelip in newborn, 541
  • Head, fetal, 88, 90
    • circumference of, 91
    • diameters of, 90, 91
    • fontanelles of, 89, 90
    • rotation of during birth, 236
    • sutures of, 89
  • Health, general, during pregnancy, 106
  • Heart, fetal, auscultation of, 231
    • lesions of complicating pregnancy, 209
  • Heart beat, fetal, sign of pregnancy, 99
  • Heart burn, during pregnancy, 135
  • Heat and acetic acid test for albumen in urine, 118
  • Hebotomy, 303
  • Hemorrhage, accidental, 178
    • ante-partum, 174
    • concealed, 178
    • during pregnancy, 143
    • during puerperium, 391
    • frank, 178
    • post-partum, 286, 391
      • causes of, 391
      • treatment of, 392
  • Hemorrhoids during pregnancy, 140
  • Hernia, in newborn, 542
    • inguinal, 543
    • umbilical, 542
  • Hot dry pack in eclampsia, 197
  • Hygiene, of nursing mother, 363
    • of pregnancy, 116
  • Hysterotomy, vaginal, 305
  • Icterus, in newborn, 540
  • Ignorance, dangers of, 546
  • Ilium, 19
  • Impetigo, 540
  • Impregnation, 62
  • Inanition, 518
  • Incomplete abortion, 170
  • Indian binder for breasts, 347
  • Induced abortion, 309
    • indications, 309
    • methods, 310
  • Infancy, abnormalities of, 518
    • disorders of, 518
    • infection in, 533
  • Infant, and see Newborn
    • colic in, 528
    • constipation in, 529
    • convulsions in, 531
    • diarrheal diseases of, 518
    • enema for, 530
    • gonorrheal vaginitis in, 540
    • syphilis in, 538
    • vaginitis in, 540
    • vomiting in, 532
    • wasting diseases in, 518
  • Infantile scurvy, 374
  • Infection, in infancy, 533
    • puerperal, 393
      • nursing care in, 399
      • prevention of, 399
      • symptoms of, 396
      • treatment of, 399
  • Infusion, of orange peel, preparation of, 506
    • saline, in eclampsia, 200
    • under breast, 202
  • Inguinal hernia, in newborn, 543
  • Injection of salines, in eclampsia, 200
  • Innominate bones, 19
  • Instructions to patients, 427
  • Intestinal irrigations, 522
  • Invalidism, due to lack of obstetrical care, 112
  • Involution of uterus, 317
  • Irrigations, colonic, in eclampsia, 195
    • intestinal, 522
  • Ischium, 20
  • Itching of skin, during pregnancy, 141
  • Jaundice, in newborn, 540
  • Kidneys, during pregnancy, 117
    • of fetus, 88
  • Labia majora, 39
    • minora, 40
  • Labor, cause of, 232
    • cervix during, 234
    • complicated, 295
    • course of, 232
    • definition of, 232
    • dry, 235
    • duration of, 233
    • first stage of, 23
      • nurses duties during, 245, 256
    • mechanism of, 232
    • nurses duties in, 243
      • during first stage, 245, 256
      • during second stage, 256
      • during third stage, 278
      • when doctor is delayed, 283
    • onset of, 232
    • pains of, 232
    • premature, 172
    • preparation for, 248
    • signs of, 232
    • second stage of, 236
      • nurses duties during, 256
    • stages of, 232
    • symptoms of, 232
    • third stage of, 240
      • nurses duties during, 278
    • vaginal examination in, 252
    • when to call physician, 247
  • Lactation, 320, 342
  • Lactose, 498
  • Lacerations, perineal, 296
    • repair of, 297
  • Lavage, 524
  • Layette, details of, 162
    • recommended by Maternal Centre Association, 416
  • Leg, cramps in during pregnancy, 140
  • Leg, milk, 400
  • Leg straps, to improvise, 296
  • Leggings, for delivery or operation, 304
  • Ligaments, broad, 33, 38
  • Ligation of cord, 272
  • Linea nigra, 197
  • Lineæ albicantes, 102
  • Liquor amnii, 71
    • folliculi, 48
  • Liver, acute yellow atrophy of during pregnancy, 207
  • Lochia, 319
  • Longitudinal presentations, 221
  • Loss of weight during puerperium, 319
  • Lutein, 49
  • Malnutrition, 369, 387, 518
  • Maltose, 498
  • Mania, puerperal, 400
  • Marasmus, 518
  • Marital relations during pregnancy, 133
  • Masque de femmes enceintes, 105
  • Massage during pregnancy, 130
  • Mastitis, 345
  • Maternal mortality, 112
  • Maternity Centre Association, 410
    • baby’s supplies, 428
    • clinical equipment, 432
    • clinical routine, 429
    • doctor’s duties, 431
    • duties of clinical assistants, 431
    • forms and routines used by, 423
    • instructions to patients, 427
    • mother’s supplies, 428
    • nurse’s duties, 429
    • nursing visits, 424
    • orders for nurses, 434
    • post-natal follow up, 435
    • records, 427, 431
    • requirements, 432
  • Maternity Centre Nurse, 413
  • Maternity Centre orders for nurses, 434
    • ante-partum, 434
    • post-natal, 435
    • post-partum, 435
  • Maternity corsets, 122
  • Maternity Protective Committee of the Woman’s City Club, 411
  • Maternity records, 427, 431
  • Maternity Service Association of Physicians and Hospital Superintendents, 411
  • Maternity service for rural communities, 422
  • Maternity nursing, visiting, in Montreal, 445
  • Maternity work of Visiting Nurses Society of Philadelphia, 439
    • delivery routine, 441
    • equipment for bags, 439
    • routine after delivery, 442
    • routine in home, 440
    • routine technique, 439
  • Maturation of fetus, time required for, 68
  • Mauriceau’s maneuver, 299
  • Measurements, in contracted pelvis, 29
  • Meatus urinarius, 37
  • Membrana granulosa, 48
  • Membrane, vitelline, 47
  • Membranes, development of, 61
    • examination of, 280
  • Menopause, 56
  • Menorrhagia, 56
  • Menstrual cycle, 50
  • Menstruation, 50
    • cessation of, sign of pregnancy, 96
    • corpus luteum of, 49
    • difficulties of, 54
    • during puerperium, 320
    • modifications of, 56
    • painful, 54
    • relation to ovulation, 55
    • vicarious, 56
  • Mesoderm, structures derived from, 67
  • Mental changes during pregnancy, 105
    • hygiene during pregnancy, 145
  • Micturition, frequent, as sign of pregnancy, 97
  • Migration of ovum, 61
  • Milk, canned, 504
    • certified, 490
    • condensed, 504
    • cow’s compared with mother’s, 491
    • dried, 505
    • drugs excreted in, 331
    • drying up of, 366
    • evaporated, 504
    • mixtures, formulas for, 500, 501, 503
    • mother’s compared with cow’s, 491
    • pasteurized, 494
    • powders, 505
    • preparation of for baby, 494
    • reconstructed, 505
    • top, 499
    • whole, 499
  • Milk leg, 400
  • Miscarriage, 165
    • early signs of, 142
  • Missed abortion, 170
  • Mixed feeding, 503
  • Mons Veneris, 39
  • Montgomery, tubercles of, 43
  • Morning sickness, 97, 135, 142, 181
  • Mortality, fetal, 112
    • maternal, 112
  • Morula, 64, 65
  • Mother, advice for, 427
    • care of by visiting nurses, 437
    • expectant, 109
      • mental hygiene of, 145
    • milk of compared with that of cow, 491
    • nursing, 357
      • bowels of, 364
      • diet of, 363
      • exercises for, 364
      • hygiene of, 363
      • recreation for, 365
      • rest for, 364
  • Mother, nutrition of, 368
    • requirements of for delivery, 158
    • supplies for, 428
  • Movements of fetus a sign of pregnancy, 99
  • Multipara, definition of term, 219
  • Multiple pregnancy, 82
  • Nausea, during pregnancy, 134
  • Nephritic toxemia, during pregnancy, 203
    • nursing care of, 205
    • symptoms of, 204
    • treatment of, 205
  • Neurotic vomiting during pregnancy, 183
  • Newborn baby and see Infant
    • abnormalities of, 540
    • bathing of, 463
    • behavior of, 459
    • bowels, training of, 482
    • cephalhematoma in, 541
    • characteristics of, 451
    • chest, 455
    • cleft palate in, 542
    • clothes for, 472
    • club foot in, 541
    • cord, 458
      • dressing of, 469
    • crying of, 484
    • development of, 452
    • diapers for, 475
    • ear pulling, prevention of, 483
    • engorgement of breasts in, 541
    • exercise for, 480
    • fontanelles, 455
    • fresh air for, 477
    • growth of, 453
    • harelip in, 541
    • head, 455
    • height of, 455
    • hernia in, 542, 543
    • icterus in, 540
    • inguinal hernia in, 543
    • jaundice in, 540
    • nursing care of, 461
    • resuscitation of, 273
    • ruminating, prevention of, 484
    • schedule for, 462
    • size of, 452
    • skin of, 459
    • sore eyes in, 533
    • stools of, 456
    • tears of, 459
    • teeth of, 455
    • thumb-sucking, prevention of, 482
    • training of, 482
    • umbilical hernia in, 542
    • urine of, 456
    • weight of, 452, 453
  • Newborn baby, weight chart, 454
  • Nipples, 41
    • care of, during pregnancy, 132
    • care of, in puerperium, 340, 342
    • cracked, care of, 342
    • flat, 132
    • retracted, 132
    • toughening, 132
  • Nipple shields, 340, 341, 342
  • Nitrous oxid gas anesthesia, 291
  • Nullipara, definition of term, 219
  • Nurses’ bag, contents of, 434
  • Nurses’ duties, in clinic, 429
    • during labor, 243
    • maternity centre orders for, 434
      • ante-partum, 434
      • post-natal, 435
      • post-partum, 435
    • Plunkett, 408
    • requirements of for delivery, 161
    • visiting, care of mother and baby by, 437
    • work of in prenatal case, 112
  • Nursing mother, 357
    • bowels of, 364
    • diet of, 363
    • exercise for, 364
    • hygiene of, 363
    • recreation for, 365
    • rest for, 364
  • Nursing of baby, see Lactation and Nursing mother
    • frequency of, 361
    • methods of, 358
  • Nursing care in puerperium, 323, 326
  • Nursing visits, 424
  • Nutrition, 369
  • Oatmeal water, preparation of, 506
  • Obstetrical anesthesia, 286, 288
    • operations, 295
  • Oöcyte, 47
  • Operating table, to make, 295
  • Operations, destructive, 309
    • obstetrical, 295
  • Ophthalmia neonatorum, 533
    • nursing care of, 535
    • symptoms of, 534
    • prevention of, 534
    • treatment of, 535
  • Orange juice, preparation of, 505
  • Organized prenatal work, 405
  • Organs of reproduction, female, 30
  • Ossa innominata, 19
  • Ova, 34, 47
  • Ovarian ligament, 34, 38
  • Ovaries, 34
    • changes in during pregnancy, 102
  • Ovulation, 47
    • relation to menstruation, 55
  • Ovum, 47, 68
    • development of, 61
    • migration of, 61
    • segmentation of, 64, 65
  • Pack, to give, 521, 522
  • Palpation of fetus, 224
    • sign of pregnancy, 99
  • Pasteurized milk, 494
  • Pellagra, 380
  • Pelvic cavity, 22
  • Pelvic examination in puerperium, 329
  • Pelvimetry, 19, 25, and see Diameters of pelvis
  • Pelvis, anatomy of, 19
    • brim of, 22
    • contracted, measurements of, 29
    • diameters of, 25, and see Diameters of pelvis
    • false, 23
    • female, 19, 21, 30
    • inferior strait, 23
    • inlet, 22
    • male, 21, 30
    • measurements of, 25
    • normal female, 19, 30
    • outlet of, 23
    • rachitic, 30
    • true, 23
  • Pemphigus, 540
  • Percentage feeding, 499, 500, 501
  • Perineal dressings, in puerperium, 336
    • lacerations, 296
      • repair of, 297
  • Perineum, anatomy of, 40
    • care of in puerperium, 335
  • Peritoneum, 34
  • Pernicious vomiting of pregnancy, 134, 181
    • classification, 182
  • Phlegmasia alba dolens, 400
  • Physician, requirements of for delivery, 161
    • when to call in labor cases, 247
  • Physiology, 45
  • Pigmentation, in pregnancy, 103, 105
  • Placenta, 68, 72
    • delivery of, 279
    • detachment of, 241
    • development of, 61, 72
    • examination of, 280
    • function of, 73
    • origin of, 72
  • Placenta, separation of, 239, 279
  • Placenta prævia, 174
    • causes of, 176
    • central, 176
    • complete, 176
    • frequency of, 174
    • incomplete, 176
    • marginal, 176
    • mortality in, 174
    • partial, 176
    • symptoms of, 176
    • treatment of, 177
  • Plunkett nurses, 408
  • Poncho, Sutton’s, 479
  • Position of fetus, 217
    • definition of, 221
  • Position, elevated Sims, 139
    • right angled, 138
  • Positions, in face presentations, 223
    • in transverse presentations, 223
    • in vertex presentations, 222
  • Post-natal follow-up, routine for, 435
  • Post-natal work of Maternity Centre nurses, 419
  • Post-partum care by visiting nurses, 437
  • Potato water, preparation of, 505
  • Pouting umbilicus, 103
  • Powders, milk, 505
  • Pre-eclamptic toxemia, 187
    • prevention of, 188
    • nursing care in, 189
    • symptoms of, 187
    • treatment of, 189
  • Pregnancy, abdominal binders during, 122
    • abdominal changes in, 98, 102
    • abdominal enlargement, sign of, 98
    • accidents of, 164
    • acute yellow atrophy of liver during, 207
    • alcohol during, 127
    • bathing during, 119
    • bones, changes in during, 104
    • bowels, care of during, 120
    • breasts, care of during, 131
      • changes in a sign of, 96
      • changes in during, 96, 103
    • breast-binders during, 123
    • cardio-vascular system, changes in during, 103
    • carriage in, 105
    • cervix, changes in during, 99, 102
      • softening, a sign of, 99
    • cessation of menstruation, a sign of, 96
    • clothes, during, 121
    • complications of, 164
    • constipation during, 120
    • corpus luteum of, 49
    • corsets during, 121
    • cramps in legs during, 140
    • cravings during, 127
    • diarrhea during, 136
    • diet during, 125, 128
    • digestive tract, changes in during, 104
    • discoloration of skin, as sign of, 97
    • discomfort during, 134
    • distress during, 136
    • ductless glands, changes in during, 105
    • duration of, 93
    • emotional changes during, 105
    • excretions during, 129
    • exercise during, 129
    • extra-uterine, 82
    • fallopian tubes, changes in during, 102
    • fetal heart beat, a sign of, 99
    • fetal movements a sign of, 99
    • flatulence during, 136
    • fresh air during, 129
    • gonorrhea complicating, 212
    • gymnastics during, 130
    • health, general, during pregnancy, 106
    • heartburn during, 135
    • heart lesions complicating, 209
    • hemorrhage during, 143
    • hemorrhoids during, 140
    • hygiene of, 116
    • itching of skin during, 141
    • kidneys in, 117
    • marital relations during, 133
    • massage during, 130
    • mental changes during, 105
    • mental hygiene during, 145
    • micturition, frequent as sign of, 97
    • morning sickness during, 97, 135, 142, 181
    • multiple, 82
    • nausea during, 134
    • nephritic toxemia in, 203
    • neurotic vomiting in, 147
    • nipples, care of during, 132
    • ovaries, changes in during, 102
    • palpation of fetus, sign of, 99
    • pernicious vomiting of, 134, 181
    • physiology of, 93, 100
    • pigmentation in, 105
    • positive signs of, 99
    • premature termination of, 165
      • early signs of, 142
    • presumptive signs of, 96
    • pressure symptoms during, 137
    • probable signs of, 98
    • pulmonary tuberculosis complicating, 209
    • psychoses during, 147
    • pyelitis complicating, 212
    • quadruplet, 82
    • quickening, as sign of, 98, 99
      • to calculate date of confinement from, 94
    • quintuplet, 82
    • rectal examination in, 231
    • respiratory organs, changes in during, 104
    • rest during, 130
    • sextuplet, 82
    • shoes during, 124
    • shortness of breath during, 140
    • signs of, 93
      • positive, 99
      • presumptive, 96
      • probable, 98
    • skin, care of during, 118
      • changes in during, 104
      • itching of during, 141
      • stretching of during, 141
    • sleep during, 130
    • spurious, 96
    • stocking supporters during, 124
    • supporters, abdominal, during, 122
      • stocking, during, 124
    • swelling of feet during, 137
    • symptoms of, 93
    • syphilis, complicating, 207
    • teeth in, 104, 133
    • temperature of body in, 105
    • thyroidism, complicating, 210
    • toxemias of, 142, 179
      • early signs of, 142
    • travelling during, 133
    • triplet, 82
    • twin, 82
    • umbilicus, changes in during, 103
    • urinary apparatus, changes in during, 104
    • urine in, 117
      • tests for, 118
    • uterus, changes in during, 101, 83
    • vagina, changes in during, 102
    • vaginal discharge during, 140
      • examination in, 230
    • varicose veins during, 138
    • vomiting during, 134, 181
  • Premature baby, 508
  • Premature labor, 172, 165
    • causes of, 172
    • early signs of, 142
    • induced, 309, 310
      • indications for, 310
      • methods, 311
    • treatment of, 173
  • Premature separation of normally implanted placenta, 178
    • causes of, 178
    • symptoms of, 178
    • treatment of, 179
  • Premature termination of pregnancy, 165
    • early signs of, 142
  • Premenstrual swelling of endometrium, 49
  • Prenatal care, 111
    • work of nurse in, 112
  • Prenatal work, organized, 405
  • Prenatal visits, routine for, 423
  • Preparations for delivery, 155, 158
  • Presentation of fetus, 217
  • Presenting part, definition of, 220
    • engagement of, 224
  • Pressure symptoms during pregnancy, 137
  • Prickly heat, 516
  • Primigravida, definition of, 219
  • Primipara, definition of, 219
  • Primordial follicle, 47
  • Prolapsed cord, 285
  • Proprietary baby foods, 504
  • Protein milk, preparation of, 506
  • Pseudocyesis, 96
  • Psychoses during pregnancy, 147
  • Puberty, 45
  • Pubiotomy, 304
  • Pubis, 20
  • Pudendal crease, 39
  • Puerperium, 317
    • abdominal binder, in, 349
    • abdominal wall in, 321
    • bath in, 329
    • bed exercise in, 349
    • bladder, care of during, 332
    • bowels, care of during, 331
    • bradycardia during, 322
    • breasts, binder for, 345, 347
      • care of during, 339
      • supports for during, 343, 345
    • complications in, 391
    • diet in, 329
    • digestive tract during, 321
    • douches, vaginal during, 338
    • hemorrhages during, 391
    • infection in, 393
    • nursing care of, 399
      • symptoms of, 396
      • treatment of, 399
    • loss of weight during, 319
    • mania during, 400
    • menstruation during, 320
    • nipples, care of during, 340
    • nursing care in, 323, 326
    • pelvic examination in, 329
    • perineal dressings in, 336
    • perineum, care of during, 335
    • physiology of, 317
    • pulse during, 322, 335
    • position in bed during, 326
    • respiration in, 335
    • sitting up in, 328
    • skin in, 322
    • temperature in, 321, 335
    • urine in, 322
    • uterus, changes in during, 317
  • Pulmonary tuberculosis complicating pregnancy, 209
  • Pulse, in puerperium, 322, 335
  • Pyelitis complicating pregnancy, 212
  • Quadruplet pregnancy, 82
  • Quickening, as sign of pregnancy, 98, 99
    • to calculate date of confinement from, 94
  • Quintuplet pregnancy, 82
  • Rachitic pelvis, 30
  • Reconstructed milk, 505
  • Records, maternity, 427, 431
  • Recreation, for nursing mother, 365
  • Rectal examinations, during pregnancy, 231
  • Rectum, 37
  • Reflex vomiting during pregnancy, 182
  • Reproduction, organs of, 30
  • Respiration, in puerperium, 335
  • Respiratory organs, changes in during pregnancy, 104
  • Rest, during pregnancy, 130
    • for nursing mother, 364
  • Resuscitation of newborn baby, 273
  • Richardson Y binder, 345, 347
  • Rickets, 381
    • symptoms of, 382
    • treatment of, 385
  • Right angled position, 138
  • Room for delivery, preparation of, 155, 258, 259
  • Rotation of fetal head during birth, 236
  • Round ligaments, 38
  • Routine for prenatal visits, 423
  • Rubber gloves, sterilization of, 253
  • Ruminating cap, 485
  • Rumination, prevention of, 484
  • Ruptured uterus, 307
    • causes of, 308
    • frequency of, 308
    • symptoms of, 308
    • treatment of, 308
  • Sacro-coccygeal joint, 20
  • Sacro-iliac joints, 20
  • Sacro-vertebral joint, 22
  • Sacrum, 20
  • Saline infusion, in eclampsia, 200
  • Schenck’s theory of sex determination, 63
  • Schultze’s mechanism of placental separation, 239, 241
  • Scopolamin and morphin anesthesia, 292
  • Scorbutus, 373
  • Scurvy, 373
    • infantile, 374
  • Segmentation of ovum, 64, 65
  • Separation of placenta, 239, 279
  • Sex, determination of, theories of, 63
  • Sextuplet pregnancy, 82
  • Shoes, during pregnancy, 124
  • Shortness of breath, during pregnancy, 140
  • “Show,” 235
  • Sims’ elevated position, 139
  • Simpson’s forceps, 301
  • Sinciput, 89
  • Sitting up, during puerperium, 328
  • Skin, care of in pregnancy, 118
    • changes in, during pregnancy, 97, 104
    • discoloration of as a sign of pregnancy, 97
    • in puerperium, 322
    • itching of, during pregnancy, 141
    • stretching of, during pregnancy, 141
  • Sleep, during pregnancy, 130
  • Society for the Health of Mothers and Children, 408
  • Soda bath, preparation of, 517
  • Soups, allowed during pregnancy, 128
  • Spermatozoa, 61, 62
  • Sphincter ani, 37
  • Spinach, preparation of, 505
  • Sprue, 539
  • Spurious pregnancy, 96
  • Starch bath, preparation of, 517
  • Stocking supporters during pregnancy, 124
  • Stretching of skin, during pregnancy, 141
  • Striæ, 97, 102
    • gravidarium, 102
  • Stripping of breast, 348
  • Subcutaneous injection of salines in eclampsia, 200
  • Sucking of thumb, prevention of, 482
  • Sugar, 498
  • Summer, care of baby during, 514
    • complaint, 519
    • diarrhea, 519
  • Supplies for baby, 428
    • for mother, 428
  • Supporter, abdominal, during pregnancy, 122
  • Supports for breasts, in puerperium, 343, 345
  • Sutton’s poncho, 479
  • Sutures of fetal head, 89
  • Swelling of feet during pregnancy, 137
  • Symphysiotomy, 305
  • Syphilis, complicating pregnancy, 207
    • in infants, 538
  • Tarnier’s forceps, 301
  • Teeth, care of during pregnancy, 133
  • Temperature, in pregnancy, 105
    • in puerperium, 335
  • Tests for albumen in urine, 118
  • Theca folliculi, 48
  • Therapeutic abortion, 171
  • Threatened abortion, 170
  • Thrush, 539
  • Thumb sucking, to prevent, 482
  • Thyroidism complicating pregnancy, 210
  • Toilet tray, baby’s, 417
  • Tomato juice, to prepare, 506
  • Top milk, 499
  • Toxemia, nephritic, 203
    • nursing care in, 205
    • symptoms of, 204
    • treatment of, 205
    • pre-eclamptic, 187
    • nursing care of, 189
    • prevention of, 188
    • symptoms of, 187
    • treatment of, 189
  • Toxemias of pregnancy, 142, 179
    • early signs of, 142
  • Toxemic vomiting, during pregnancy, 184
  • Transverse presentations, 221
    • positions in, 223
  • Travelling, baby basket for, 507
    • care of baby in, 507
    • during pregnancy, 133
  • Triplet pregnancy, 82
  • Tubercles of Montgomery, 43
  • Tuberculosis, pulmonary, complicating pregnancy, 209
  • Twilight sleep, 292
  • Twin pregnancy, 82
  • Umbilicus, changes in during pregnancy, 103
  • Umbilical cord, 76, and see Cord
  • Umbilical hernia, in newborn, 542
  • Ureters, 37
  • Urethra, 37
  • Urinary apparatus, changes in during pregnancy, 104
  • Urine, albumen in, to test for, 118
    • in pregnancy, 117
      • examination of, 117
    • in puerperium, 322
    • to obtain specimen of from baby, 526, 527
  • Uterus, anatomy of, 30
    • blood supply of, 32
    • body of, 32
    • cervix of, 32, 33,
    • changes in during pregnancy, 83, 98, 101
      • as sign of pregnancy, 98
    • changes in during puerperium, 317
    • contractions of as sign of pregnancy, 99
    • cornua of, 33
    • external os, 33
    • fundus, 32
    • height of in puerperium, 327, 328
    • internal os, 33
    • involution of, 317
    • ligaments of, 33, 38
    • multiparous, 32
    • ruptured, 307, and see Ruptured uterus
    • virgin, 32
  • Vagina, changes in during pregnancy, 102
    • fornix of, 35
  • Vaginal discharge during pregnancy, 140
    • douches during puerperium, 338
    • examination in labor, 248, 252
      • in pregnancy, 230
    • hysterotomy, 305
    • opening, 40
  • Vaginitis, in infants, 540
  • Varicose veins during pregnancy, 138
  • Vegetables allowed during pregnancy, 128
  • Venesection in eclampsia, 200
  • Version, 299
  • Vertex presentations, positions in, 222
  • Vestibule, 40
  • Vicarious menstruation, 56
  • Villi, chorionic, 68, 70
  • Visiting nurses, care of mother and baby by, 437
  • Vitamines, 371
  • Vitelline membrane, 47
  • Vomiting during pregnancy, 134, 181
  • Vomiting in infants, 532
  • Voorhees’ bag, 312
  • Vulva, 39
    • cleansing of, 249
    • varicose veins of during pregnancy, 139
  • Wassermann’s reaction, in obstetrics, 208, 209
  • Wasting diseases of infants, 518
  • Water soluble B., 371, 377
  • Water soluble C., 371, 373
  • Weaning, 365
  • Weight, loss of, during puerperium, 319
  • Weight of newborn baby, 452, 453
  • Whey, preparation of, 506
  • Whole milk, 499
  • Woman’s Municipal League, 409
  • Xerophthalmia, 377