y
great importance and may be the danger signals of serious coming trouble.
They must not therefore be neglected or lightly considered. When any of
them make their appearance send for the physician who has charge of your
case, at once, and follow his advice whatever it may be.

1. Any escape of blood from the vagina, whether in the form of a sudden
hemorrhage or a constant leaking, like a menstrual period.

2. Headache, constant and severe.

3. Severe pain in the stomach.

4. Vertigo or dizziness.

5. Severe sudden nausea and vomiting.

6. A fever, with or without a chill.

* * * * *

[93]
CHAPTER VIII

THE MANAGEMENT OF LABOR

WHEN TO SEND FOR THE PHYSICIAN IN CONFINEMENT CASES--THE PREPARATION OF
THE PATIENT--THE BEGINNING OF LABOR--THE FIRST PAINS--THE MEANING OF
THE TERM "LABOR"--LENGTH OF THE FIRST STAGE OF LABOR--WHAT THE FIRST
STAGE OF LABOR MEANS--WHAT THE SECOND STAGE OF LABOR MEANS--LENGTH OF
THE SECOND STAGE--DURATION OF THE FIRST CONFINEMENT--DURATION OF
SUBSEQUENT CONFINEMENTS--CONDUCT OF PATIENT DURING SECOND STAGE OF
LABOR--WHAT A LABOR PAIN MEANS--HOW A WILLFUL WOMAN CAN PROLONG
LABOR--MANAGEMENT OF ACTUAL BIRTH OF CHILD--POSITION OF WOMAN DURING
BIRTH OF CHILD--DUTY OF NURSE IMMEDIATELY FOLLOWING BIRTH OF
CHILD--EXPULSION OF AFTER-BIRTH--HOW TO EXPEL AFTER-BIRTH--CUTTING THE
CORD--WASHING THE BABY'S EYES IMMEDIATELY AFTER BIRTH--WHAT TO DO WITH
BABY IMMEDIATELY AFTER BIRTH--CONDUCT IMMEDIATELY AFTER LABOR--AFTER
PAINS--REST AND QUIET AFTER LABOR--POSITION OF PATIENT AFTER LABOR--THE
LOCHIA--THE EVENTS OF THE FOLLOWING DAY--THE FIRST BREAKFAST AFTER
CONFINEMENT--THE IMPORTANCE OF EMPTYING THE BLADDER AFTER LABOR--HOW TO
EFFECT A MOVEMENT OF THE BOWELS AFTER LABOR--INSTRUCTING THE NURSE IN
DETAILS--DOUCHING AFTER LABOR--HOW TO GIVE A DOUCHE--"COLOSTRUM," ITS
USES--ADVANTAGES OF PUTTING BABY TO BREAST EARLY AFTER LABOR--THE FIRST
LUNCH--THE FIRST DINNER--DIET AFTER THIRD DAY.

WHEN TO SEND FOR THE PHYSICIAN IN CONFINEMENT CASES.--The physician should
be notified just as soon as it is known that labor has begun. The adoption
of this course is necessary for a number of reasons. It is only just that
he should have an opportunity to arrange his work so that he may be at
liberty to give his who