The maternal management of children, in health and diseaseBull, Thomas
Science
The maternal management of children, in health and disease
Bull, Thomas
Child care
It now and then happens, but fortunately very rarely, that some
physical obstruction exists. It is always important, therefore, for the
nurse to pay attention to the above point; and it is her duty to direct
the attention of the medical man to the subject, if anything unusual or
unnatural be present. The same observation applies to the bowel also;
and if twelve hours pass without any motion, the parts should be
examined.
SWELLING OF THE BREASTS.
At birth, or two or three days subsequently, the breasts of the infant
will frequently be found swollen, hard, and painful, containing a fluid
much resembling milk. Nurses generally endeavour to squeeze this out,
and thus do great mischief; for by this means inflammation is excited
in the part, and sometimes abscess is the result.
If the breasts are simply slightly enlarged, it is unnecessary to do
any thing more than rub them occasionally and very gently with warm
almond oil, and a little time will restore them to their proper size.
If, however, they are inflamed, hot, painful, with a red surface, and
unusually large, a bread and water poultice must be applied every three
or four hours, which will generally prevent either the formation of
matter, or any other unpleasant consequence. In a few days, under this
treatment, they will usually subside, and be quite well.
INFLAMMATION OF THE EYES.
ITS IMPORTANCE.--About the second or third day after the child's birth,
an inflammation sometimes attacks the eye, which is of considerable
consequence. The more so, from its commencing in a way not calculated
to excite the attention, or alarm the fears, of the mother or nurse.
The child cannot express its sensations, and the swelling of the eye
conceals the progress of the disease, so that serious mischief is
frequently done before the medical man sees the patient. In the first
place, the inflammation is not immediately noticed; and, in the second,
the measures employed are frequently insufficient to check its
progress: hence it causes more blindness (I refer to the lower classes
of society more particularly) than any other inflammatory disorder that
happens to the eye; and the number of children is very considerable,
whose sight is partially or completely destroyed by it. The parent or
nurse is apt to suppose, when this inflammation first appears, that it
is merely a cold in the eye, which will go off; and the consequences
which I have just mentioned take place, in many cases, before they are
aware of the danger, and before the medical man is resorted to for
assistance.
I only desire, in mentioning this complaint, to inform the attendants
of the lying-in-room of its great importance, that it may not be
trifled with, that upon its first approach the physician may be
informed of it, and that the treatment he directs for its cure may be
sedulously and rigidly followed.
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