The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed: Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of MedicineHollick, Frederick
Science
The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed: Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of Medicine
Hollick, Frederick
Chloroform; Gynecology; Indian Territory; Midwifery; Obstetrics; Pregnancy
_Inspection when born_.--As soon as the child is born its mouth and
nose should be cleared from mucus, if that has not been done already;
and if it has not breathed, means should be resorted to immediately
to make it do so. Sometimes the whole head is covered with a thin
membrane, called the _caul_, or _veil_, which is most probably only a
portion of the Amnion, and which may cause suffocation. I remember a
case of this kind in my own practice, in which the caul was unnoticed
at first, and the child came near dying from it. Nothing could be seen,
and as it bent before the finger, when pressed into the mouth, it was
totally unobserved. The nurse however, called out that the child did
not breathe, and a close examination as to the cause soon revealed why.
On passing the finger under the edge of the membrane, which was round
the neck, it came off like a cap, and the child cried immediately.
_Washing the child._--The cleansing of the child may usually be safely
committed to the nurse, or other female attendants, though some of
them have very absurd and injurious practices in this respect. Thus
I have known them rub the whole body over with _whiskey_, or _raw
spirits_, before washing it, which must cause great coldness from its
evaporation, and also great irritation. The only thing required is
_perfect cleanliness_, and this should be effected in the _quickest_
and _simplest_ manner. Some very mild soap, and moderately warm water,
is all that is really needed, though a little sweet oil, or fresh lard,
or butter, rubbed on first, appears to facilitate the operation. The
drying should be done as quickly as possible, after all the mucus is
washed off, and with great care; the napkin being as soft as it can
be, and never _rubbed_ hard, for it takes but little force to remove
the skin. Many persons take great trouble, and are a long time over
this infantile wash without succeeding well with it. They are deceived
by the tough mucus slipping under the hand, but still clinging to
the body, where they leave it even after using the napkin; it then
dries on and forms a hard skin, very difficult to remove, and very
irritating. This can be avoided with care, and by using the oil first,
which appears to soften the mucus. Some persons use _flour_, or _Indian
meal_, and others _starch_, but none of these are so good as the simple
means we have described.
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