The Mother and Her ChildSadler, William S. (William Samuel)
Science
The Mother and Her Child
Sadler, William S. (William Samuel)
Child care; Infants -- Care; Infants -- Health and hygiene; Pregnancy
For the more severe types, such as the dysentery containing mucus and
blood, everything that has been done for the simple diarrhea should be
done; the baby should be kept very quiet, while castor oil should be
promptly administered. Food is withheld and the bowels are carefully
irrigated after each movement with the salt and soda solutions. After
the bowels have moved from the castor oil, then bismuth subnitrate,
which has been dissolved in two ounces of water, should be given--one
or two teaspoons every three hours. This will naturally turn the bowel
movements dark.
Under no circumstances should any other medicines be given without the
physician's knowledge, as it is at such times as this that many
"would-be friends" advise laudanum, paregoric, and other opiates. The
skin must be kept warm, and fluids must replace those that have been
carried off in the many stools. Water may be given by an enema, by
water drinking, and in such rare cases as cholera infantum, when water
cannot be retained on the stomach, it often becomes necessary to
inject it under the skin (hypodermoclysis) so that it may go at once
to the wasted tissues and perhaps save the baby's life.
Give the baby ten days or two weeks to return to normal condition, and
under no circumstances hurry the feeding of milk, as a second attack
may occur much more readily than the first; may more profoundly
overcome the baby and result in death.
RUPTURE
A protrusion of a loop or portion of intestine through a weakened
abdominal muscle--which grows larger when baby cries and smaller when
he is lying down in a relaxed condition--is known as rupture or
hernia, and is of common occurrence in infancy. It is often seen at
the navel and sometimes in the groin as early as the second week.
Hernia is always dangerous and should never be neglected. The
physician will protect the navel by a special support with adhesive
plaster which is carefully renewed twice a week, and if worn for
several months usually entirely corrects the condition. A comfortable
truss made from skeins of white yarn will amply protect a groin
hernia. The condition should always be taken seriously and receive
immediate treatment.
PROLAPSE OF THE BOWEL
Occasionally, as the result of severe straining in constipation, the
rectum protrudes sometimes one-half inch, and in rare instances two or
three inches. The placing of a young child upon a toilet chair and
insisting upon severe straining sometimes results in such a protrusion
of the rectum. This may be avoided by the application of vaseline to
the rectum or by the use of the gluten or glycerine suppositories
which cause the hardened masses to make their way out easily. Someone
has suggested that if the buttocks are supported by a board placed
over the toilet seat with a two-inch opening so that severe straining
of the rectal muscles is impossible, the prolapse of the rectum will
not recur.
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