File:A nurse's handbook of obstetrics (1915) (14596213067).jpg

Identifier: 54510150R.nlm.nih.gov
Title: A nurse's handbook of obstetrics
Year: 1915 (1910s)
Authors: Cooke, Joseph Brown, 1868- author Gray, Carolyn E. (Carolyn Elizabeth), 1873-1938 Baker, Mary Alberta
Subjects: Obstetrical Nursing
Publisher:
Contributing Library: U.S. National Library of Medicine
Digitizing Sponsor: Open Knowledge Commons, U.S. National Library of Medicine

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nce) with a fine camels-hair brush to the diseased surfaces,after which the nipple is dusted with some simple antisepticpowder, such as aristol, and nursing stopped on the affectedside for twenty-four hours. A considerable quantity of milk will collect in the breastduring the time in which nursing is stopped, and this must beremoved with the breast-pump or by massage. Massage ofthe breast when merely for the purpose of removing an exces-sive quantity of milk is done in the following manner. Thereare four distinct steps in the emptying of the breast, each ofwhich must be practised carefully and intelligently in order tosecure a good result with the least amount of pain. The breastis first cleansed gently with soap and warm water, and thenanointed with warm camphorated oil or albolene. The handsof the nurse must also be disinfected with the utmost careand the fingers should be dipped in the oil or other lubricant tobe used. The first step (Fig. 133, A) consists in grasping the breast at
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MASSAGE OF THE BREAST. its periphery with the ringers separated as widely as possible,and then drawing them towards the nipple with a firm butgentle pressure. The entire breast is to be gone over in thismanner and the fingers are to be brought together as the nippleis approached, and this manoeuvre is to be kept up for at leastfive minutes, by the end of which time the breast should befairly soft and the milk flowing freely. The second step (Fig. 133, B) consists in placing one hand,palm upward, under any indurated or caked portion of thebreast, and with the fingers of the other pressing downwardtowards the supporting hand and forward towards the nipple.Each indurated spot is to be treated in turn in the same man-ner until all are soft. The third step (Fig. 133, C) consists in pressing downwardagainst the chest wall with the flat of the hand over any hard-ened areas that may remain. The pressure should be greatest011 the side of the hand next to the periphery of the breast, andshould

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