The maternal management of children, in health and diseaseBull, Thomas
Science
The maternal management of children, in health and disease
Bull, Thomas
Child care
DESCRIPTION OF THE DISEASE.--Hooping-cough commences with the symptoms
of a common cold, which is more or less frequent. These symptoms
continue from five days to fifteen; at the end of which time the cough
changes its character, and assumes the convulsive form, which
distinguishes the disorder. It occurs in paroxysms, varying with the
severity of the disease from five to six in the twenty-four hours to
one every ten or fifteen minutes; being generally more severe and
frequent during the night than in the day.
During a paroxysm the expirations are made with such violence, and
repeated in such quick succession, that the child cannot breathe, and
seems in danger of suffocation. The face and neck become swollen and
purple from suffusion; and the eyes prominent, injected, arid full of
tears. The little one, with a forewarning of the attack, which it
dreads, falls on his knees, or clings closely to any thing near him.
The paroxysm terminates with one or two long inspirations, attended
with that peculiar noise, or "whoop," from which the disease has
derived its designation.
Sometimes the fit of coughing is interrupted for a minute or two, so
that a little rest is obtained; and is then succeeded by another fit
of coughing and another hoop, until after a succession of these actions
the paroxysm terminates by vomiting, or a discharge of mucus from the
lungs, or both.
The disease having continued at its height for two or three weeks, it
begins naturally to decline; the paroxysms become less frequent and
violent; the expectoration increases; the cough loses its
characteristic hoop, and gradually wears away altogether; until at
length, in two or three months from the first onset of the disease, the
child is restored to perfect health. Sometimes, however, particularly
in the autumn, and at other seasons on the occurrence of easterly
winds, the paroxysms of cough will return,--it will assume its
spasmodic character, and be accompanied with the "whoop," after a
month, or even two or three months, of perfect and apparent recovery.
Errors in diet will sometimes alone have a similar effect.
It is a disease which usually occurs during childhood, rarely affects
the same individual twice, and is seldom seen in the very young infant.
In reference to the probable result of the disease, when it occurs in
its mild and simple form in a healthy child, the termination is usually
favourable; but it may at first assume this form, and afterwards become
complicated, and consequently more or less dangerous, owing to
injudicious management, or to various influences over which the mother
has no control.
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