File:A system of obstetrics (1888) (14769263664).jpg

Identifier: systetri02hirs (find matches)
Title: A system of obstetrics
Year: 1888 (1880s)
Authors: Hirst, Barton Cooke, 1861-1935
Subjects: Obstetrics
Publisher: Philadelphia, Lea brothers & co.
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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e the level of thewater. I ordered a hole drilled near the bottom and a curved hard-rubber tube cemented in it. To this a soft-rubber tube is fastened,and at the other end slipped over a common straight glass tube about-i.\ inches Inn-, for vaginal injection-. The common soft-rubber bags are less good for hospital use, because it is impossible to wipe offtheir interior and it takes more time to fill them. Doctors and Nurses.—If there is slight divergence of opinion a- to theamount of disinfection to be applied to the patient, all agree about theimportance of a thorough disinfection of the accoucheur himself. He OUghl to take oil* hi- coal and culls, roll up the -lev.- of hi- -hilt and nndershirt,and clean and disinfect hi- hand- mechanically and chemical-ly- It W not enough to Use Soap and rub our hand- a little a-ain-t one another, as in ordinary cosmetic washing. The whole hand must becarefully scrubbed with a -till nail-brush, the doctor taking particular 334 PUERPERAL INFECTION.
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TREA TMENT. SSo care to scrub the spaces under the nails and the creases at their root—localities from which dirt is removed with greater difficulty than fromthe smoother parts of the hands. By this mechanical cleansing extra-neous dirt and dead epidermis-cells are removed from the skin. Afterthe washing the hands are wiped dry, and the spaces under the nailscarefully scraped with a suitable instrument. Common penknives aretoo sharp : they are apt to deprive the inside of the nail of its smooth-ness, and even to cut the skin. Scrapers of bone are not sharp enough.An excellent steel scraper is that patented by Curley and found in someof George Wbstenholnis pocket-knives. It removes the dirt withease and rapidity, and cannot wound the finger. Thus prepared, the hands are immersed for at least three minutesin a solution of bichloride of mercury (1 : 2000), in which the scrub-bing may be repeated. Since corrosive sublimate loses some of its antiseptic properties bybeing mixed with soap,

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