The Mother's Manual of Children's DiseasesWest, Charles
Science
The Mother's Manual of Children's Diseases
West, Charles
Pediatrics -- Handbooks, manuals, etc.
When the nature of these swellings was not understood, they used to be
poulticed, and to be opened with a lancet to let out their contents. We
know now, however, that we have nothing to do but to let them alone;
that by degrees the blood will be absorbed and the tumour will
disappear, and as it does so we may trace the gradual transformation of
the membrane which covered it into bone, as we feel it crackling like
tinsel under the finger. Two, three, or four weeks may be needed for the
entire removal of one of these blood-swellings. The doctor will at once
recognise its character, and you will then have nothing to do but to
wait--often, unhappily, so much harder for the anxious mother than to
meddle.
=Ruptured Navel.=--There is a period some time before the birth of a
child when the two halves of its body are not united in front, as they
become afterwards; and hare-lip or cleft-palate sometimes remains as the
result of the arrest of that development which should have closed the
fissured lip or united the two halves of the palate.
In a similar way it happens sometimes that though the skin is closed,
the muscles of the stomach (or, more properly speaking, of the belly)
are not in the close apposition in which they should be, so that the
bowels are not supported by the muscles, but protected only by the skin.
More frequently than this, especially in the case of children who are
born before the time, the opening through which the navel string passes
is large at birth, and fails to close as speedily and completely as it
should do afterwards. When everything goes on as it ought, the gradual
contraction of the opening helps to bring about the separation of the
navel string and its detachment, and the perfect closure of the opening
takes place at the same time, between the fifth and the eighth day after
birth.
If this does not occur, the bowels are very apt to protrude through the
opening, and if allowed to do so for weeks or months, the opening
becomes so dilated that its closure is impossible, and the child grows
up afflicted permanently with rupture through the navel. This is always
an inconvenience, sometimes even a source of serious danger; but if
means are taken to prevent the condition becoming worse, nature seldom
fails eventually to bring about a cure, and to effect the complete
closure of the opening.
If the muscles on either side do not come into apposition, but leave a
cleft between them, the infant should constantly wear a broad bandage of
fine flannel round the stomach, not applied too tightly, in order to
give support. The circular bandages of vulcanised india-rubber with a
pad in the centre are nowise to be recommended. The pad is apt to become
displaced, and to press anywhere but over the navel, while its edges
irritate the infant's delicate skin, and the pressure which it exerts if
it is sufficiently tight to retain its place interferes with
respiration.
Public-domain text, read in full here on John Shaqi.
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