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
Another treatment of great importance in this second week is the cold
abdominal compress. Much fever is occasioned in the abdomen because it
is the seat of disease, and the much dreaded hemorrhages which often
cause the death of the patient are usually avoided by the use of
abdominal compresses--wrung out of water at 55 F.--the temperature of
ordinary well water--and changed every twenty minutes.
[Illustration: Fig. 15. The Cooling Enema]
I recall one mother in my dispensary practice who was so poor she
could not afford a nurse, her only helper being a son twelve years
old. A nurse went to the house twice each day and taught this lad of
twelve years to give his mother the cooling colonic irrigation; he was
also taught to warm up the abdomen by a hot application and afterwards
to apply the cold compresses. The mother made a good recovery.
During this second week the diet should be sustaining. It should
consist of boiled milk, eggs, fresh fruit and fresh fruit juices,
dextrinized grains (hard toast, toasted corn flakes, shredded wheat
biscuits, etc.). The mouth should be kept scrupulously clean, for in
all the infectious and contagious diseases there is always the
possibility of gangrene in the mouth if it is neglected.
_Third Week Treatment._ This is the week we look for hemorrhage from
the bowel unless the abdomen has been well treated during the second
week; and even so, the cool compresses to the abdomen will be
continued well into the third week--also the daily or semi-daily
enema. The skin is kept in good condition with soap washing and
friction baths, and a fairly liberal diet is maintained. During the
whole course of the disease the skin is never allowed to get blue or
mottled, being quickly restored to the normal red color by the mustard
sheet bath, the short hot-blanket pack, or the dry-blanket pack with
hot-water bottles. Under no circumstances let the child leave the room
or his bed for at least another week.
MUMPS
Infants are rarely affected with mumps. It is a disease of the
salivary glands and (as a rule) is usually preceded by pain between
the ear and the angle of the jaw, accompanied in a short time by
swelling and temperature. It is distinctly contagious even during the
incubation period. There is much tenderness on pressure, and chewing
is difficult and may be impossible. It usually occurs on the face and
only one side may be affected. The bowels should be kept open, the
mouth should be kept clean, and the side of the face should be
protected by a layer of cotton held in place by bandages.
Hot fomentations may be applied if the pain is severe. The electric
light bulb on an extension cord, that was mentioned in connection with
earache, is very comforting in this condition.
Isolation should be maintained for ten days or two weeks after all
symptoms have disappeared.
SCARLET FEVER
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