Better babies and their careRichardson, Anna Steese
Science
Better babies and their care
Richardson, Anna Steese
Infants -- Care; Infants -- Health and hygiene
Convulsions have no preliminary symptoms and give the mother little
warning. The first change in the child’s appearance is a sudden
rigidity, with the hands clenched. The face turns pale; the eyes
roll up or back and are fixed; and, although the child is apparently
unconscious, the muscles of the face, arms, and body twitch in a way
that horrifies the mother. The convulsion may pass in a few seconds
or it may last several minutes. In the latter case the child breathes
feebly; the lips take on a ghastly bluish tone; the forehead is moist
and chill. After the convulsion passes the child is greatly exhausted;
and often before it has time to react and become normal a second
convulsion follows.
To prevent this the first convulsion should be treated promptly; and it
is especially essential that in this emergency the mother maintain her
self-control. Many a child in no real danger from a light convulsion
has been seriously burned by the frightened mother’s plunging it into
hot water. A physician should be summoned immediately; but in the
meantime the mother will act for herself.
A hot bath should be prepared, with water at a temperature of 105° F.
If there is no thermometer the mother must test the water by thrusting
her bared elbow into it. If she cannot bear the heat of the water she
may be sure that her child will suffer if immersed in water of such
high temperature. If she uses the ordinary bathtub made for infants she
should add to the warm water a tablespoonful of dry mustard, dissolved
in a cup of warm water. If there is no small bathtub and she uses the
family bathtub, the water should be six inches high, and the same
amount of mustard should be added to it. The little patient should then
be held under the water from five to ten minutes, the water being kept
at the same temperature. While the mother rubs his body and limbs under
the water, her assistant should dip a small towel or piece of old linen
in cold water and lay it on the top of the child’s head and forehead.
After the bath he should be patted, not rubbed, dry; wrapped in warm
blankets; and tucked into bed, with a hot-water bottle or bag near
the feet. Be very careful that the hot-water bag is not hot enough to
blister the flesh. The baby, in the state of prostration which follows
the convulsion, will not know enough even to withdraw his feet from the
surface of the bag or bottle.
If the convulsion is a symptom of illness like scarlet fever, where
the temperature is high, the baby cannot be put in a hot bath. A cold
compress is laid on his head, and the body and limbs are sponged gently
with cool water—not hot. If, after the sponging, the feet are cold, a
hot-water bottle may be placed near them. If the child is fully dressed
when the convulsion comes on, be sure to loosen the clothes, and take
off the shoes and stockings. If there is an ice-cap in the house use
that in place of the cold compress for the head.
Public-domain text, read in full here on John Shaqi.
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