Fig. 52.—Handling forceps, kept sterile in a jar of alcohol.
The hair should be braided in two braids. The vulva and perineum are shaved. No patient will object to this when its importance as a feature of protection against blood poisoning is explained to her.
Scrub thighs, hips, and abdomen as far as the navel with soap and warm water, then sterile water, followed by a 2 per cent solution of lysol. Care must be taken to remove the smegma and dried secretions from the folds of the vulva. Put on a fresh pad, a clean gown, and long stockings. A loose wrapper over all permits the patient to move about. (See Chapter XXIII.)
Guests are forbidden, and the immediate family is kept at a distance—if possible.
An air of buoyancy, composure, and competence should prevail in the sick room, and the patient should be cheered and encouraged in every possible way.
During the first stage, the patient may be up and about, as this diverts the mind. She may assist in the arrangement of the room which should always be the best room in the house. It should be well warmed and close to the bathroom. All unnecessary furniture and hangings should be removed, as previously described. After the room has been put in order, the bed is made.
Making the Bed.—Put mattress pad over mattress and cover with rubber sheet or oil cloth, and spread a sheet over all. Then a smaller rubber sheet is put on, extending from under the pillows to a couple of feet from the foot. A plain muslin sheet goes over the rubber, then the delivery pad.
When the bed is ready, a small table or stand should be placed near the head, on which is put the anæsthetic, the mask and the oil or cold cream. The patient may be lightly covered with a sheet or a sheet and blanket.
During the first stage, light and easily digested food and drinks may be served, either cold or hot, as the patient prefers.