Читать книгу A Book of Medical Discourses, in Two Parts онлайн

12 страница из 22

CHAPTER IV.

THE BETTER MODE OF WASHING THE NEW-BORN.

ssss1

Washing is the name given to the old method. Cleansing is the proper one for the new.

How to proceed: A soft, white, all-wool blanket, about two yards square, should be always in readiness when a birth is expected. Not necessarily new, but pure, never having been used about fever patients, or about the dead. A metallic slop-pail with cover, that all secundine particles may be put out of sight; the same serving as a vessel for the woman to sit over. As soon as the babe is freed from the mother, it should be wrapped in the blanket and laid aside in a comfortable place. After the mother’s safety is assured of, prepare thus to clean and dress the babe: Secure a comfortable position, with plenty of light and ventilation, as far from the confinement bed as possible. Have a stand or covered chair, upon which to place the half of a small teacupful of fresh hog’s lard or sweet oil. If in a cold room, warm the grease by setting the cup in hot water for a few minutes. Have a piece of soft, all-wool flannel, about the size of your pocket-handkerchief, another piece half as large, and two pieces of soft linen or cotton about as large as your hand. A piece of lamp wicking or several strands of white spool cotton, to be used in re-tying, in case of bleeding from the cut end of the cord. The infant may then be brought forth, held on the lap, or laid on two chairs. As many babes have open eyes as soon born, it is best to dip a small piece of the soft linen or cotton in the grease, and wipe the inner edges of the lids first of all, as the drying on of the chalky substance or other matter with which the child’s face may have had contact, while coming into the world, may, as I have before said, be the first cause of sore or inflamed eyes. Then proceed with the small piece of flannel, well saturated with oil, to clean the face, ears, nose,—avoiding the eyes,—neck, chest, under the arms and between the fingers. Wipe dry with the clean, large piece of flannel. Those parts can then be covered with a part of the blanket, and the lower extremities cleaned with care. Should there be dried blood from the cut end of the cord, moisten with warm water, and wipe it off. Then proceed to clean and examine well all the private parts. When done, cut a hole in the piece of cotton, linen or batting, as it may suit, about the size of your hand, through which slip the cord, fold it closely, but flat and smooth, and lay it over to the left side of the belly, that it may not intercept the circulation of the liver, which is situated on the right side. Then secure it with an all-wool flannel band. The band should be made so as to include a shirt with long sleeves. It should extend from over the teats down below the hips. There never would be swelling of the breasts of infants if the bands were purposely made wide. The natural office of the mamma in girl-children, has been destroyed by repeated pressing of the teats with the mistaken purpose of “getting out the milk.” Narrow bands are worthless. If they shrink they should be pieced out or replaced with new. The band securely placed,—a flannel roller, plain slip and napkin, is all that is required for the first dressing. It often happens that, after “washing” and dressing by present methods, blood oozes from the cut end of the cord. Seldom does this happen by the new method,—I should say, my method. Sometimes the fault is in the manner of tying, or from imperfection of the cord itself. In any case the cord should be re-tied, or the bleeding otherwise stopped, and the infant kept warm till medical aid can be summoned. To return to first dressing: After the wraps have been drawn up over the feet, the head should be thoroughly greased and cleaned, taking care not to press the bones in the least. Pressure upon the head at birth may be the means of stupidity, or even idiocy, during life. The baby’s mouth should then be swabbed out with a clean, wet cloth, and the little one laid down in quiet. Babies usually sleep during the procedure, as does the mother, she waking only to find her babe by her side, “all warm, sweet and clean,” and “mamma didn’t even hear it cry once.” One trial of this method is convincing of its benefits. If soap is used with grease, it acts the same as suds into which new cotton cloth is put. No good laundress will meet with such an accident, if possible to avoid it. And surely no careful nurse will allow her little charge to suffer by having to stop and change the water. Moreover, in the absence of soap, there is no liability to chapped skin, glandular sores, sore eyes, ears, and crusty scalp. Especially should the scalp be well cleaned, and kept so; as it not only adds to the tidy appearance of the child, but favors an even, healthy growth of the hair bulbs. The foundation for a love of cleanliness can best be laid in infancy. There are many adults who desire good hair, yet do not or will not know that combing the hair daily, and keeping the scalp clean and cool, promotes a healthy growth of the hair.

Правообладателям