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Updated: May 26, 2025
The vulvar pads should be pinned in an old napkin, in packages of half a dozen each; and one package is sterilized at a time by placing it in the oven until the outer covering is scorched. The linen for the baby's eyes and the cheese-cloth are treated in the same way; they are to be cut up into small pieces and sterilized as needed. Signs of Approaching Labor.
This bandage is fastened down the front; it is applied directly after the labor, and adds greatly to the patient's comfort during the lying-in. The vulvar pads used during the lying-in are the antiseptic absorbent pads which can be obtained at any place where surgical dressings are sold; they are made of absorbent cotton, covered with cheesecloth, and sterilized.
If in the city, the after-birth may be burned in the furnace or range; it should be well covered with coal. In the country the after-birth can be buried in a deep hole. During the first two or three days the vulvar dressings should be changed from every three to six hours, and at all times as often as they are soiled.
The patient is then carefully lifted up on the permanent bed, and the vulvar pad and the abdominal bandage are applied; after which the patient is allowed to rest. Management of the Lying-in; Lactation; Nursing. "'Tis is ourselves that we are thus or thus. Our bodies are our gardens; to the which, our wills are gardeners." "Othello." Management of the Lying-in.
When the waters break prematurely, the labor is much longer and more tedious; normally this should not occur before the mouth of the womb is fully dilated. The pains of the second stage of labor are of a bearing down character, and constantly increase in force and frequency; the climax being reached as the head passes through the vulvar orifice.
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