Tokology : $b A book for every womanStockham, Alice B. (Alice Bunker)
Science
Tokology : $b A book for every woman
Stockham, Alice B. (Alice Bunker)
Women -- Health and hygiene
When the head is born receive it in the hand and support it until the
shoulders are expelled. If the next contraction does not bring them,
put a finger in the axilla of the child, and make slight traction. The
whole body will soon be born. Pass both hands under the child and lay
it as far from the mother as possible without stretching the cord.
Place it upon the right side, shoulders and head slightly elevated.
Wipe any mucus there may be from mouth and nostrils. Cover baby with a
warm, soft flannel. Make the mother comfortable. Change her position,
straighten the bed, put dry cloths to her, give her a drink, etc.,
leaving the infant _until the pulsation has entirely ceased in the
cord_. This will require from ten minutes to half an hour.
Usually, as the child is ushered into the world, it sets up a lusty
cry, indicating that respiration is established. Crying is not
essential, as some authors claim, and the prompt covering usually
causes it to desist. If it does not breathe at once, a little brisk
spatting on the breast and thigh may establish respiration. If this is
not effectual, dash cold water in the face and on the chest. Still
failing, artificial respiration must be established. To do this, close
the nostrils with two fingers, blow into the mouth, and then expel the
air from the lungs by gentle pressure upon the chest. Continue this as
long as any hope of life remains.
_Sever the cord when pulsation has entirely ceased in it._ Use a dull
pair of scissors, cutting about two inches from the child’s navel.
Following these directions, _no tying is essential_. This method has
its advantages. By tying, a small amount of blood is retained in
vessels peculiar to fetal life. This blood by pressure or irritation
may prevent perfect closure of the foramen ovale, and be a cause
of hemorrhage. Besides, it must be absorbed in the system, causing
jaundice and aphtha, so common in young babes. Prejudices exist against
adopting this treatment, as it is contrary to that usually adopted.
I first heard of this manner of treating the cord in 1870. It was so
clearly explained that I was convinced that leaving the cord untied
would result in great gain to the child. Still, my education and habit
had been to the contrary, and my prejudices prevented my venturing
upon the new method. A few years after this I met a German physician
who had not tied a cord in eighteen years. He said: “Don’t be afraid;
your babies will do better, and there is less danger of losing them.” I
tested it and proved to my own satisfaction that it is the best method.
One has only to recollect to wait until the _pulsation in the cord
ceases entirely_, and sever as before stated.
Public-domain text, read in full here on John Shaqi.
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