LIST OF ILLUSTRATIONS AND CHARTS

ILLUSTRATIONS
Anatomy and Physiology.
FIG. PAGE
1 a.Normal female pelvis[21]
b.Normal male pelvis[21]
2.Diagram of pelvic inlet seen from above[22]
3.Diagram of pelvic outlet seen from below[23]
4.Sagittal section of the pelvis[24]
5.Two types of pelvimeters[25]
6.Diagram showing method of measuring distance between crests, spines and trochanters[26]
7.Diagram showing method of measuring Baudelocque’s diameter[27]
8.Diagram showing method of estimating true conjugate[28]
9.Diagram showing method of measuring intertuberous diameter[29]
10.Anterior view of external and internal female generative organs[31]
11.Diagrams of sections of virgin and multiparous uteri[32]
12.Sagittal section of female generative tract[35]
13.Diagram of external female genitalia[39]
14.Sagittal section of breast[42]
15.Front view of breast[43]
16.Diagram of human ovum[47]
Development of the Baby
17.Diagram of human spermatozoa[61]
18.Diagram of segmenting rabbit’s ovum[65]
19.Ovum about 13 days old embedded in the decidua[66]
20.Diagram of developing fetus, cord, membranes and placenta in utero[69]
21.Diagram of structure of placenta[71]
22.Photograph of placental vessels[72]
23.Maternal surface of the placenta[74]
24.Fetal surface of the placenta[75]
25.Embryo about 5.5 cm. long in amniotic sac[77]
26.Outlines of fetus at different stages[78]
27.Full term fetus in utero[81]
28.Diagram of fetal circulation[85]
29.Diagram of circulation after birth[87]
30.Side and top view of fetal skull[90]
The Expectant Mother.
31.Height of fundus at different stages of pregnancy[94]
32.Contour of abdomen at ninth month[95]
33.Contour of abdomen at tenth month[95]
34.Front view of home-made abdominal binder[123]
35.Side view of same[123]
36.Back view of same[123]
37.Abdominal binder used in above[124]
38.Front view of home-made stocking supporters[124]
39.Back view of same[124]
40.Patient in right-angled position to relieve varicose veins[138]
41.Elevated Sims position[139]
42.Gloves, ready for dry sterilization[160]
43.Delivery pad of newspapers and old muslin[161]
44.Diagram of centrally implanted placenta prævia[174]
45.Partial placenta prævia[175]
46.Diagram of marginal placenta prævia[176]
47.Champetier de Ribes’ bag inserted in uterus[177]
48.Patient in hot pack given with dry blankets[197]
49.Method of giving infusion[202]
The Birth of the Baby.
50.Attitude of fetus in uterus at term[217]
51.Illustration from first text-book on obstetrics[218]
52.Attitude of fetus in breach presentation[219]
53.Attitude of fetus in vertex presentation[220]
54.Diagram of six positions in a vertex presentation[222]
55.Diagram of six positions in a face presentation[223]
56.Diagram of six positions in a breech presentation[223]
57.First maneuver in abdominal palpation[225]
58.Second maneuver in abdominal palpation[226]
59.Third maneuver in abdominal palpation[227]
60.Fourth maneuver in abdominal palpation[228]
61.Diagrams showing positions of nurse’s hands in four maneuvers of abdominal palpation[229]
62.Ascertaining position of fetus by rectal examination[230]
63, 64, 65, 66.Diagrams showing stages of dilatation and obliteration of cervix[234]
67.Characteristic position of patient during first stage pains[235]
68.Diagram indicating rotation and pivoting of head during birth[236]
69.Anterior shoulder being slipped from under symphysis[237]
70.Birth of posterior shoulder[238]
71.Diagrams of Duncan and Schultze mechanisms of placental separation[239]
72.Section showing thinness of uterine wall before birth of fetus[240]
73.Section showing thickness of uterine wall immediately after labor[241]
74.Preparing patient for vaginal examination or delivery[250]
75.Patient draped for vaginal examination[251]
76.Wrong and right methods of boiling gloves[253]
77.Powdering hands before putting on dry gloves[254]
78.Successive steps in proper method of putting on gloves[255]
79.Bed and simple equipment ready for normal delivery[258]
80.Instruments shown in Fig. [79][260]
81.Old prints showing early methods of delivery[261]
82.Patient draped with sterile dressings for delivery[262]
83.Patient pulling on straps while bearing down during second stage[264]
84.Palpating baby’s head through perineum[265]
85.Baby’s head appearing at vulva[266]
86.Head farther advanced[267]
87.Holding back head at the height of a pain[268]
88.External rotation following birth of head[269]
89.Wiping mucus from baby’s mouth[270]
90.Stroking baby’s back to stimulate respirations[271]
91.Two clamps on cord after pulsation has ceased[272]
92.Wrong and right method in tying knot in cord ligature[272]
93.Stimulating baby’s respirations[274]
94, 95.Stimulating baby’s respirations[275], [276]
96, 97.Resuscitating baby by holding under warm water[277], [278]
98.Resuscitation by means of direct insufflation[279]
99.Delivery of the placenta[280]
100.Twisting membranes while withdrawing placenta[281]
101.Massaging fundus through abdominal wall[282]
102.Showing prolapsed cord between head and pelvic brim[285]
103.Giving chloroform for obstetrical anæsthesia[287]
104, 105.Giving ether for obstetrical anæsthesia[289], [290]
106.Giving ether for complete anæsthesia[293]
107.a. Tarnier forceps, b. Simpson forceps[301]
108.Patient in position and draped for forceps operation[302]
109.Forceps sheet used in Fig. [108][303]
110.Two types of leggings for obstetrical use[304]
111.Rubber bougie[311]
112.Champetier de Ribes’ bag[311]
113.Voorhees’ bag[312]
114.Bag held in forceps for introduction into uterus[312]
115.Syringe for filling above bags after insertion[312]
The Young Mother.
116.Height of fundus on each of first ten days after delivery[327]
117.Patient draped for postpartum dressing[336]
118.Equipment in rack used in Fig. [117][337]
119.Method of covering nipples with sterile gauze[339]
120.Baby nursing through a nipple shield[341]
121.Nipple shield used in Fig. [120][342]
122.Supporting heavy breasts by means of folded towels[343]
123.Ice caps applied to engorged breasts[344]
124.Y binder before application[345]
125.Y binder applied[346]
126.The same seen from the other side[347]
127.Indian binder[347]
128.Method of stripping[348]
129, 130, 131, 132, 133, 134, 135.Bed exercises taken during the puerperium[350] to [353]
136.Knee-chest position[354]
137.Exercising by walking on all fours[354]
138.Position of mother and baby for nursing in bed[359]
139.The Nursing Mother (from a painting by Gari Melchers)[361]
140.Baby partially blind as a result of a faulty diet[378]
141.Rachitic and normal babies of the same age[381]
142.Chest walls of normal and rachitic rats of the same age[383]
143.Interior of specimens in Fig. [142][384]
The Maternity Patient in the Community.
144.Baby’s bed improvised from a market basket[415]
145.Layette recommended to expectant mothers by Maternity Centre Association[416]
146.Breast tray recommended to expectant mothers by Maternity Centre Association[417]
147.Baby’s toilet tray recommended to expectant mothers by Maternity Centre Association[417]
The Baby.
148.Diagram of first teeth[456]
149.Umbilical cord immediately after birth[457]
150.The same four days later[457]
151.Umbilicus immediately after separation of cord[458]
152.Well healed umbilicus[458]
153.Nursery at Manhattan Maternity Hospital[465]
154.Bathing the baby[467]
155.Preparation for circumcision[468]
156.Baby draped with sterile sheet, in above[469]
157.Cord dressed with dry sterile gauze[470]
158.Abdominal binder applied over cord dressing[471]
159.Satisfactory baby clothes[473]
160.Diagonally folded diaper applied[474]
161.Longitudinally folded diaper applied[474]
162.Sutton poncho to protect baby for outdoor sleeping[479]
163.Training the baby to use a chamber[481]
164.Stiff cuffs to prevent thumb sucking[483]
165.Hammer cap to prevent ruminating[484]
166.Ruminating cap applied[485]
167.Proper method of carrying baby[487]
168.Preparing the baby’s milk[493]
169.Giving the baby his bottle[496]
170.Holding baby upright after feeding[497]
171.Dr. Griffith’s table of fat percentages[500]
172.Reverse side of above card[501]
173.Baby in a basket ready to travel[507]
174.Quilted robe with hood for the premature baby[509]
175.Premature baby in lined basket, being fed with Boston feeder[510]
176.Bed for premature baby improvised from small clothes basket[511]
177.Putting the baby in a wet pack[521]
178.Baby in wet pack[522]
179.Diagrams showing successive steps in giving the baby a pack[522]
180.Baby wrapped in blanket preparatory to gavage[523]
181.Gavage[524]
182.Obtaining a fresh specimen of urine from the baby[526]
183.Obtaining a 24–hour specimen of urine from the baby[527]
184.Band to hold baby’s legs while obtaining specimens of urine[527]
185.Belt used to hold tube for specimen[528]
186.Giving the baby an enema[530]
187.Irrigating the eye with a blunt nozzle[536]
188.Method of holding baby for treating gonorrhœal ophthalmia[537]
CHARTS.
No.
1.Showing drop in blood pressure and albumen, after delivery, in eclampsia[204]
2.Showing persistence of high blood pressure and albumen in the urine, after delivery, in nephritic toxæmia with convulsions[206]
3.Showing temperature curve in streptococcus infection[397]
4.Showing temperature curve in gonorrhœal infection[398]
5.Showing normal weekly gain in weight during first year of life[454]
6.Showing normal daily gain in weight during first two weeks[520]
7.Showing loss of weight in inanition fever contrasted with No. 6[520]
8.Showing rise in temperature in inanition fever[520]

OBSTETRICAL NURSING

“Can there be any higher work than this?

Can any woman wish for a more womanly work?”

Florence Nightingale