The Mother's Manual of Children's DiseasesWest, Charles
Science
The Mother's Manual of Children's Diseases
West, Charles
Pediatrics -- Handbooks, manuals, etc.
The greater degrees of rickets are scarcely ever seen among the children
of the wealthier classes, but over-crowded and ill-ventilated nurseries,
cots from which the air is well-nigh shut out by closed sides and
overhanging curtains; injudicious feeding, with undue preponderance of
farinaceous food, often produce its slighter forms. I never yet saw
rickets in a child while brought up exclusively at its mother's breast.
The slighter forms of rickets show themselves in a tardy closure of the
infant's head, which sweats profusely when the child is laid down to
sleep; in big wrists, which contrast with the attenuated arms; in a
general limpness of the whole body, and a bowing of the back under the
weight of the head, which bends as a green stick would bend if a weight
were placed upon it. They are further marked by backwardness in
teething, and by the irregular order in which the teeth appear, and,
further, by the peculiar narrowness of the chest, and by what has been
termed the beading of the ends of the ribs: little round prominences due
to a heaping up of gristle just where the ribs join on to the
breastbone, marking the spots at which the tardy bone-making has come to
a standstill.
Children who bear these stamps of rickets are far more apt than others
to suffer from spasmodic croup, and in them it is also specially likely
to be severe and to be accompanied by convulsions. They will also be
more liable than others to attacks of bronchitis, they will suffer more
during teething, they will be often constipated, and will be troubled by
various forms of indigestion. Now and then, too, they will have
causeless attacks of feverishness lasting for a few days, or for two or
three weeks, attended with general tenderness of the surface, and a
disposition to perspiration, which brings no relief but serves only to
weaken.
It is true that these symptoms do not often become immediately dangerous
to life, though spasmodic croup and bronchitis both have their perils;
but they interfere with health, and growth, and good looks, and
cheerfulness, and quick intelligence.
If mothers would but ask themselves the real signification of these
symptoms, and change the conditions which surround the child, and alter
their mode of feeding it, they would many and many a time be spared the
heart-ache of seeing their little ones grow up weakly, ugly,
ill-thriven.
Unfortunately, it is so much easier to give cod-liver oil and iron than
to turn the best spare room into a night nursery, and to uglify the cot
by taking away the curtains which made it so pretty, and to give up some
of the pleasures of society in order to superintend the preparation of
the baby's food; that the doctor is called in to correct by drugs the
evil which drugs cannot reach. Iron and cod-liver oil are very useful in
the second place; fresh air, good ventilation, and a wise diet must
always occupy the first.
Public-domain text, read in full here on John Shaqi.
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