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Updated: May 9, 2025
It is convenient to keep this solution mixed and on hand, as it takes some little time to prepare it; it should be kept in a strength double that which is desired, so that it may be diluted with warm water to give the desired temperature. This solution may be poured over the parts from a small pitcher, the douche-pan having been placed under the patient before the washing began.
If there is no nurse available before the labor sets in, and it is necessary for the patient to see to the sterilizing of the above articles, she should first scrub off all pitchers, basins, and other utensils, as well as the douche-pan, fountain syringe, and rubber sheeting, with a brush and hot soap-suds; the hand-scrubs are to be well washed; then each article should be pinned separately in coarse towels, and put to boil for half an hour in an ordinary wash-boiler.
Two slop Jars or enamel Buckets with Covers. A two-quart Fountain Syringe; an old one may be substituted provided it has been thoroughly boiled. Three Basins and a one-quart Pitcher of agate or enamel-ware. A Douche-Pan; the "perfection Bed-Pan" is preferable. Should this be too expensive, the best substitute is white table oil-cloth.
The patient should therefore endeavor to pass her urine in at least six hours after labor, whether she feels any inclination to do so or not; the sound of running water or warm fomentations over the bladder, warm water in the douche-pan, and moderate pressure applied by the hand over the suprapubic region, are often effective in accomplishing the desired result.
To be of service except for mere cleansing purposes the douche must be taken in the horizontal position, either on a couch or, if it is not cold, on the floor. Of course, this position necessitates the use of a douche-pan. The douche-pan is best of agate-ware, oblong in shape, and with a broad strip which comes under the nates.
Articles to be provided for the confinement are: 1. An oblong douche-pan of agate-ware. 2. An agate bed-pan. 3. A bath thermometer. 4. Two pieces of rubber sheeting; one, one yard square, and the other two yards square. 5. Two sterilized bed-pads, 30 inches square by 3 to 4 inches thick. 6. Three dozen antiseptic absorbent pads. 7.
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