B. G. Jefferis and J. L. Nichols

“ ABSENCE OF PHYSICIAN.—In case the child should be born in the absence of the physician, when the head is born receive it in the hand and support it until the shoulders have been expelled, and steady the whole body until the child is born. Support the child with both hands and lay it as far from the mother as possible without stretching the cord. ”

“ On the physician's arrival he will always take charge of the case and give necessary instructions.
8. In nearly all cases the head of the child is presented first. The first pains are generally grinding and irregular, and felt mostly in the groins and within, but as labor progresses the pains are felt in the abdomen, and as the head advances there is severe pain in the back and hips and a disposition to bear down, but no pressure should be placed upon the abdomen of the patient; it is often the cause of serious accidents. Nature will take care of itself. ”

“ No people should be allowed in or about the room except the nurse, the physician, and probably members of the family when called upon to perform some duty.
6. During labor no solid food should be taken; a little milk, broth or soup may be given, provided there is an appetite. Malt or spirituous liquors should be carefully avoided. A little wine, however, may be taken in case of great exhaustion. Lemonade, toast, rice water, and tea may be given when desired. Warm tea is considered an excellent drink for the patient at this time. ”