3. The first two may be called universal and essential principles of good management in every lying-in institution, large or small, however perfectly constructed.
Here is a third, hardly less essential, wherever there is more than one bed to a ward, viz. to remove a lying-in woman three times during her stay in the institution.
The average course of an ordinary case may be reckoned thus:—
Seven or eight hours in the delivery ward.
Five or six days in the lying-in ward.
Nine or ten days in the convalescent ward.
The nearer wards to the delivery ward in use should always be made the wards for women immediately after delivery; the farther wards for the same women when removed for their convalescent stage.
In a single-bed ward the woman may remain in her own ward from after her delivery till her discharge; that is, no further removal after her delivery is necessary.
4. Cases of extreme exhaustion after delivery, which are better out of the delivery ward yet cannot be moved many yards, should be carried in their beds to the bye-ward adjoining the delivery ward, till they are somewhat recovered.
These must have a constant watcher by them.