Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her BabyVan Blarcom, Carolyn Conant
Science
Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her Baby
Van Blarcom, Carolyn Conant
Infants -- Care; Maternity nursing; Pregnancy
=Infantile scurvy= is seen among babies who are fed solely on milk that
has been heated, boiled, pasteurized or canned, since the anti-scorbutic
substance in milk is practically destroyed by heating or aging. The
disease is characterized by malnutrition, pain, typical changes in the
structure of the bones and hemorrhage in various parts of the body, most
frequently in the gums and beneath the periosteum. The disease develops
slowly, the first symptoms appearing between the seventh and tenth
months. Tenderness or pain in the legs is perhaps the most common
symptom and may be detected first by the baby’s crying when its diaper
is changed or its stockings are put on. And a baby that previously has
been cheerful, playful and active will prefer to lie quietly and will
cry whenever it is touched. He grows pale, listless and weak and fails
to gain in weight or length. The large joints are likely to be swollen
and tender; the swollen gums may bleed; the urine may be diminished in
amount and contain blood and there also may be edema. But it is quite
possible for a baby to be in serious need of an anti-scorbutic and still
not present well defined symptoms of scurvy, or it may suffer from the
latent or subacute type of the disease. In the latter case there may be
stationary weight; fretfulness; a muddy complexion; rapid pulse and
respirations; edema over the tibiæ with perhaps tenderness of the bones
and tiny hemorrhagic areas over the body.
Scurvy may be both prevented and cured by giving orange juice, potato
water, or tomato juice to a baby whose diet consists of milk that has
been heated and is therefore lacking in water-soluble C. Many doctors
believe that an anti-scorbutic should be started as early as the end of
the first month, with babies fed on pasteurized milk, for the disease
develops so slowly that severe damage may be done if the administration
of this material is delayed until symptoms appear.
Scurvy, itself, does not often cause death among babies, but its
occurrence is serious since it renders the infants very susceptible to
infection, particularly nasal diphtheria and “grip.” Recovery from even
severe attacks is amazingly rapid, sometimes being complete in a week or
ten days as a sole result of giving orange juice.
It is sometimes recommended that modified milk, for infant feeding, be
made up with potato water, instead of barley water, since the latter has
no anti-scorbutic properties, while potatoes are somewhat protective
even after being cooked.
Spinach water is sometimes given, but there is doubt in some minds about
its anti-scorbutic value, which seems to be more damaged by heat than
that of potatoes and tomatoes.
Public-domain text, read in full here on John Shaqi.
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