Toilet Articles in the Room. If the cleanliness of the lying-in room is to be complete, it must extend to the person of the mother, and of the nurse, and they must, fore, see that all toilet articles used by them are clean and kept clean.
Hair-brushes and Combs must not be over looked in this connection. All old hair-pins should be discarded, safety-pins and common pins should be fresh.
Scissors.—A special pair should be kept in the room, and should be purified by boiling, as noted below.
The Nail-brush is of the utmost consequence. The nurse should have a perfectly new one— they can be bought for a few coppers—for her self. It should lie in a small bowl or glass finger-bowl, on the table or wash-stand, im mersed in a solution of carbolic acid, 1 ounce to 20 of water.
Antiseptics are a necessity in the lying-in room— For the first two purposes the antiseptics in most common use are— Corrosive Sublimate (Porchloride of Mercury), Carbolic Acid, Carbolizod Vaseline, Lysol, Creolin, Solution of Boric Acid, Izal, Solution of Permanganate of Potash (Condy's Fluid).
For the last purpose crude carbolic acid or chloride of lime solution should be used.
A full description and discussion of these substances will be found in Vol. II., p. 446, and subsequent pages.
Corrosive Sublimate is now obtained of druggists in tabloid form, usually coloured blue, to prevent mistakes, as it is a powerful poison. Tabloids may be obtained of such a strength that one dissolved in a pint of water makes a solution of 1 in 4000, and another stronger tabloid makes 1 in 1000. The former is the strongest that should be used for a douche, the latter may be used for the Lands or external parts. It should be noted that metallic vessels or instruments are injured by it.
Carbolic Acid, pure, may be used 1 ounce to 3 pints of water (1 in 60) for douching or lotion, 1 ounce to 2 pints (1 in 40) or 1 ounce to 1 pint (1 in 20) for hands and instruments. Hands should first be thoroughly washed, and scrubbed with soap and water and a nail-brush, the nails trimmed, and all material removed from under the nail; they should then be thoroughly cleansed from soap in fresh running water, and then they should be immersed completely in a solution of carbolic acid (1 to 20). The
sleeves should be rolled up when this is being ' done, and the washing and scrubbing done up to the elbow.
When the mother is to be sponged, or an examination made, the hands are not dried, but used wet out of the warm carbolic solution. The fingers, if an examination is to be made, may be smeared with carbolized vaseline or carbolic oil.
Lysol is one of the best of antiseptics for lying-in room purposes. For hands and arms the same process is followed as noted above, and the hands are finally immersed in a solu tion of 1 tea-spoonful of lysol to 1 pint of warm water. This is a soapy solution, and therefore carbolized vaseline or oil is not needed with its use to lubricate the fingers. For sponging the external parts of the mother, or for in. struments, the same strength is used ; but for douching, 1 tea-spoonful to 2 pints of water is strong enough. A stronger solution smarts severely.
Creolin is useful, 1 tea-spoonful to 2 pints of water used in the same way as lysol solution.
Ural, a tea-spoonful to 2 pints of water, may be used.
Boric Acid is not so useful as the above (see Vol. 11., p. 447).
Chloride of Lime solution for utensils (see p. 516).
It must be noted that all the vessels in which such solutions are placed for use must be thoroughly washed and scrubbed before the solution is put into them. There is little use employing an antiseptic solution if the basin it is put into is a soiled or dusty one, and it is extremely silly carefully to wash a basin 'and then dry it before use with a soiled towel, or give it a hasty wipe with a dirty apron.
The Mother's mother, looking forward to her confinement within a week or two, should be particularly scrupulous about the cleanliness of her person, by frequent bathing or sponging of the whole body. Very hot baths are to be avoided; they should be just comfortably warm, and the bath is best taken just before going to bed.