The maternal management of children, in health and diseaseBull, Thomas
Science
The maternal management of children, in health and disease
Bull, Thomas
Child care
SYMPTOMS.--The inflammation commonly comes on about three days after
birth, but it may take place at a later period. It may be known by its
commencing thus:--When the child wakes from sleep, the eyelids will be
observed to stick together a little; their edges will be redder than
natural, and especially at the corners; the child experiences pain from
the access of light, and therefore shuts the eye against it. A little
white matter will also be observed lying on the inside of the lower
lid. After a short time, the lids swell, become red on their external
surface, and a large quantity of matter is secreted, and constantly
poured from the eye; the quantity of discharge increasing until it
becomes very great.
But enough has been said to point out the importance of the disease,
and the signs by which it may be recognised at its first approach.
TREATMENT.--Keeping the eye free from discharge, by the constant
removal of the matter secreted, is what the medical attendant will
chiefly insist upon; and without this is done, any treatment he may
adopt will be useless; with it, there is no doubt of a successful issue
of the case, provided his attention has only been called to it at a
sufficiently early period.
HARE-LIP.
This is a blemish too well known to require a formal description. The
questions most interesting to a mother in relation to it, are,--How is
her child to be nourished, that is born with it? and when ought an
operation to be performed for its removal?
THE MODE OF FEEDING THE INFANT.--If the defect is but trifling, the
infant will be able to suck, provided the mother's nipple is large, and
the milk flows freely from it. If this is not the case, the difficulty
may be obviated by using the cork nipple shield.[FN#29] I have known
this to answer the purpose admirably, when the mother had previously
despaired of nursing her infant, the nipple being too small for it to
grasp.
[FN#29] See p. 41.
If, however, the defect exists in a still greater degree, feeding by
means of the spoon must be resorted to; the greatest care being
necessary as to the quantity, quality, and preparation of the
food.[FN#30]
[FN#30] See "Artificial Feeding," p. 34.
CAUTION IN REFERENCE TO THE OPERATION.--With regard to the operation
for the removal of this deformity, I would strongly warn parents
against desiring its too early performance. Various considerations
contribute to make the distressed parents anxious for this. But very
seldom indeed--except the deformity be very great, and implicating other
parts beside the lip--will the operation be required, or ought it to be
resorted to, before the second year and a half of the infant's life;
and for this very cogent reasons exist. For instance, convulsions may
thus be induced, which often terminate fatally.
The most proper age for removing this deformity by operation, is from
that of two years and a half to four years.
BLEEDING FROM THE NAVEL-STRING.
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