1. Before the confinement takes place everything should be carefully arranged and prepared. The physician should be spoken to and be given the time as near as can be calculated. The arrangement of the bed, bed clothing, the dress for the mother and the expected babe should be arranged for convenient and immediate use.
2. A bottle of sweet oil, or vaseline, or some pure lard should be in readiness. Arrangements should be made for washing all soiled garments, and nothing by way of soiled rags or clothing should be allowed to accumulate.
3. A rubber blanket, or oil or waterproof cloth should be in readiness to place underneath the bottom sheet to be used during labor.
4. As soon as labor pains have begun a fire should be built and hot water kept ready for immediate use. The room should be kept well ventilated and comfortably warm.
5. No people should be allowed in or about the room except the nurse, the physician, and probably members of the family when called upon to perform some duty.
6. During labor no solid food should be taken; a little milk, broth or soup may be given, provided there is an appetite. Malt or spirituous liquors should be carefully avoided. A little wine, however, may be taken in case of great exhaustion. Lemonade, toast, rice water, and tea may he given when desired. Warm tea is considered an excellent drink for the patient at this time.
7. When the pains become regular and intermit, it is time that the physician is sent for. On the physician's arrival he will always take charge of the case and give necessary instructions.
8. In nearly all cases the head of the child is presented first. The first pains are generally grinding and irregular, and felt mostly in the groins and within, but as labor progresses the pains are felt in the abdomen, and as the head advances there is severe pain in the back and hips and a disposition to bear down, but no pressure should be placed upon the abdomen of the patient; it is often the cause of serious accidents. Nature will take care of itself.
9. Conversation should be of a cheerful character, and all allusions to accidents of other child births should be carefully avoided.