If the mother, at any time, feels faint, on no account give brandy. Drop five drops of tincture of cayenne on a lump of sugar. Dissolve it in half a teacupful of hot water, and give this instead. In cases of heartburn, take small drinks of hot water, say a tablespoonful every five minutes. A very great help to the expecting mother is found in the cold sitz-bath (see Sitting Bath). Baths known as "Matlock Baths" may be had, which suit very well for this purpose; but a tub for washing, of a suitable size, would do very well, or even a large sized bedroom basin will serve. Put in cold water, three inches deep, and let the patient sit in it. In winter have the water cold, but not freezing. The rest of the body may be kept warm with a wrap, and if the patient feels cold, the feet may be placed in hot water. Taken once or twice a day this bath will have a tonic effect on the whole system, and a markedly cheering effect on the mind. The time in the bath is shorter or longer according to the patient's strength and power of reaction. Feeling will be the best guide, but even a dip of half-a-minute will do good.
In regard to the actual birth, we repeat that those concerned should see to the attendance of a really skilful medical man. Chloroform in the hands of such a doctor is of immense value, but in unskilful hands it is dangerous. Therefore let expense be no bar, where it is possible, to the obtaining the best medical aid that can be had.
Many trivial matters greatly affect the mother during child-birth, and the few succeeding hours. We have known a stupid remark by an incompetent nurse spoil a mother's health for months. The greatest care must be exercised by all concerned to say only cheerful and soothing things to the sufferer. Even the aspect of the room is important. It should look sunwards, if possible, and hideous pictures should be removed, while perhaps some text speaking comfortably of the Good Shepherd, who "will gently lead those that are with young," may be hung up. Trifles these, but their effect is no trifle.
Do not keep the patient in too hot a room; fresh air is of great value. Do not leave her for nine days in an unchanged bed. The necessary sponging and changing should be done daily. Cleanliness means comfort here, and comfort health. It is not early sponging and washing, but a nine days' steaming in unchanged bedclothes which causes chills. After cool sponging, a gentle rubbing under the bedclothes with hot olive oil, over the body and limbs, will be very refreshing. All clothes, etc., and the hands of the attendants should be most carefully washed and cleaned before they touch the patient. Too much care in this matter of cleanliness cannot be taken, as it is of the first importance as a preventative of many troubles.
What are called "After Pains" often give much distress. Drugs and alcohol should be strictly avoided. The difficulty here is in the objection so many have to cold applications. These, after child-birth, are not dangerous, but form a short and simple road to health. Making handfuls of soapy lather (see Lather) and rubbing these gently over the pains, both back and front, is most powerfully soothing, and has no tendency to chill.
Where severe pains, indicating inflammatory action, are felt in the bowels, this lather should at once be applied, and followed up with cold cloths over the bowels, applied as to the chest in Bronchitis (see). The bran poultice should always be applied at the same time, putting it on before the cold towels, over all the lower back (see Bran Poultice). Sips of hot water will also powerfully help in all cases of such pain.
Treatment on these lines will deal with even very severe cases of After Pains.
Children and Teachers.--Children are of the utmost value to society; through any one of them the divine light may shine which will bless many generations. They are very easily hurt by unwise treatment and teaching. We would have the teacher and parent impressed with the preciousness of even the most delicate child. Health of mind and body, not attainment, must be the first consideration in the teaching of the young. It ought to be as much the teacher's business to see that pupils do not suffer in health as to see that lessons (often quite useless) are learned (see articles on Brow, Weary, and Eyes, Failing Sight). We would again emphasise the truth that no child should be undervalued for its delicate health. Delicate children have often become men and women without whom the world would be vastly poorer.
Children in Fever.--Fevered children, whether in any actual fever, as scarlet, typhoid, or any other, or merely heated from some minor ailment, should be treated as under Fever. Have two small towels, wring them tightly out of cold water, fold one gently round the head. Press it gently all round and over the head. It will be heated in one minute in some cases, longer in others. Change it for the other then, and proceed alternately till the head is cooled. Perhaps that may take half-an-hour. The time will be less for a young infant, more for a boy or girl in their teens. Common sense, and an examination of the pulse, will guide as to the proper time. The head is the chief consideration in this treatment, but attention to the state of the stomach and bowels is also very important. Any indigestible substance must be removed, and sips or small drinks of hot water will greatly help in this, as well as proper medicine. Castor oil is a good, simple drug for ordinary cases. If there is coldness in the feet in such fevered cases, a fomentation may be applied over the legs, or even up to the haunches. This will greatly reinforce the cooling of the head, and prevent any possible chill. The water used for cooling should be about 50 deg. F., or at least near that temperature, in the case of infants. Water which has stood some time in an ordinary room will do excellently. It should neither be icy nor warm. Typhoid fever itself has been cured with this head cooling alone.
Children's Clothing.--An infant's clothing should be soft, warm, and light in weight, covering all parts of the body with equal warmth. Tight bands and long, heavy skirts should never be used, the dress and petticoat being just long enough to keep the feet covered and warm. If from the first a baby is "held out" always after being nursed, it learns to urinate at that time, and the clumsy diapers can be dispensed with in a few months. No ordinary pins should be used, and as few safety pins as possible. Tapes properly arranged will keep all secure.
Flannelette should never be used, being so very inflammable (see Children's Dangers).
With infants, as with older children, it is a mistake to heap on too much clothing. Many children by such coddling, which is intended to prevent them catching cold, are rendered delicate and susceptible to chills. Just enough clothing should be worn to keep the little one comfortably warm and no more. The same applies to bed-clothes; they should be light and not excessive, only enough to keep the child comfortable.
Babies thoroughly enjoy a time every day without clothes, when they can kick to their hearts' content. If this is begun by degrees, a short time at first, gradually getting longer every day, there will be no danger of giving the child cold through letting it lie unclothed, on a rug on the floor for half-an-hour at a time, with the window open. The air-bath will invigorate and strengthen the system. Rubbing with the hand all over the little ones body during this time will be enjoyed, and effectually prevent any chilliness, if it is dreaded.
Children's Dangers.--Avoidance of the causes of disease requires some idea of the dangers to which children are exposed in the usual upbringing. For instance, sitting on damp ground, cold stones, or even a cool window-sill, is a fruitful cause of bowel trouble. The remedy for such an exposure is proper warm FOMENTATION (see) of the chilled parts, followed by hot olive oil rubbing and careful clothing.
Again, rich diet, especially for delicate children, is a great cause of trouble. What we have written concerning food, and the article Assimilation, should be read to guide on this.
Again, the child is exposed to falls, and falls into water, leading sometimes to drowning. Timely thought would prevent nearly all such accidents. Do not wait until the trouble comes. Protect exposed streams and wells near the house. Shut doors and gates in time. Also the directions of the Humane Society for the recovery of the partly drowned (see Drowning) should be in every house, and as soon as possible both boys and girls should learn to swim.
Again, children are in danger through careless attendants. They may be let fall, or capsized in perambulators. Spinal injury is often caused by such falls. In case of any broken or disjointed limbs, the bandaging of infants should be of a gentle kind, and encasement in starch or plaster jackets should be avoided. In every way the natural growth and circulation should be helped, not hindered by strapping and tight bandaging. The timely consulting of a really good doctor will often prevent serious trouble in any case of a fall.
Another source of danger is the exposure of children to the possibility of burning or scalding. Wherever there are young children fires should be guarded, and matters so arranged that they cannot come in the way of boiling water. Much that seems impossible in such protection becomes easy enough to a determined person, and a great deal of sore illness can be averted by taking a little trouble. A child should never be in the place where there is a pan of boiling water on the floor, nor in any house should it be possible for a child to pull a kettle full of boiling water on its head.
If, however, scalding occur, apply the cold treatment as detailed in the article on Burns.
In case of contracted limbs or features, occurring from severe burning, the rubbing treatment (see Children's Healthy Growth), will be effective as a cure.
Children's clothing should never be made of flannelette, it is so liable to take fire if the child approaches the grate. At hundreds of inquests coroners have directed attention to the terrible loss of life from this cause.
Medicines and all poisonous substances should be carefully labelled, and kept out of children's reach. If by accident a child should have taken poison administer an antidote (see Poisoning). Should a child swallow a nail, button or some such hard substance, do not give any purgative medicine. It will pass out more safely when embedded in solid faeces. Examine the stools carefully so that anxiety may be allayed when the foreign substance is seen.
Children's Deformed Feet.--See Club Foot.
Children's Healthy Growth.--Often either the whole system or some part fails to grow properly. In this way the spine or legs may become curved, or generally the child is small and feeble. Growth depends largely on the organic nerve centres. Lack of power there causes even deformity itself. Treatment, therefore, must be such as to restore to these centres their energy, and increase it. Do not force the child to stand or walk when wearied. If he uniformly refuses these attitudes, have patience till he gathers power. Wash all over at bedtime with warm water and M'Clinton's soap. Dry, and rub all over with warm olive oil. Wipe this also gently off. Let the rubbing be such, along each side of the spine, as will bring the organic nerves into action. Gentle, slow, steady motion of the hand is best for this. All painful or irritating rubbing is positively hurtful. Let this be done every night, and even incipient deformity will be cured in time.
The nerves are in some cases irritable, and great restlessness and involuntary movement, accompanied even with twisting of the neck, shows itself. This will yield to skilful cooling of the spinal nerves with damp cloths. See St. Vitus' Dance.
An opposite kind of nervous failure shows itself as paralysis. The hand and arm, or foot, trails helplessly, owing to motor nerve failure. This will often yield to the spinal rubbing and poulticing mentioned above. Another state of failure is indicated by "numbness" in the fingers and toes. The spinal rubbing and poulticing with bran will also be effective for this. Sometimes lack of nerve force shows itself as failure to walk at the proper time. The child cannot use its limbs properly, although these are right enough in shape and size. The cure for this is persistent gentle rubbing with warm oil, as recommended above, over the whole body, but especially over the back. Feel for the muscles and bones, and adapt your hand to their shape, going down into the hollows immediately on each side of the spine, and paying particular attention to the upper part in the failure of the arms, and the lower part in failure of the legs. This rubbing is a most powerful remedy, but it must be patiently and well applied twice a day for a length of time. Bear in mind that gradual cures are most permanent. Even creeping paralysis in adult persons yields to this rubbing. No doubt it is work, but it is well repaid. All troubles where failing nerves are concerned may be treated with some modification of this heat and rubbing. Our readers can easily adapt it to particular needs by a little thought. See Spine, Misshapen, and Massage.
Children's Limbs.--Frequently a failure of some kind shows itself in the limbs of some children. Usually it appears as either bending or inability to walk at the proper age, or both together. To use "steel boots" and kindred appliances is to ignore the true nature of the trouble, and most likely to increase it. What is wanted is proper growth in the limb. To secure this, the nerve system of the spine must be stimulated, and there is no better stimulus to be had than "massage." When any substance is rubbed on, it is almost always the rubbing, rather than the substance, which has the good effect. Hence we recommend rubbing with simply good olive oil. For an infant, the back must be massaged very gently, taking care not to hurt the child in any way. It should be applied especially up and down each side of the back bone, where there is a softer region, full of important nerve centres. The limbs may also be gently rubbed. A genial heat should be raised in all the infant's body by these means, and, if rightly done, the child will eagerly wish for it again. Half-an-hour a day may be given to this. It is well to persevere for a long time, and never give up hope. Many a weak-limbed child has grown up a strong, healthy man or woman. See Massage.
The food in such cases should be good ordinary food. We have never been able to see the good of cod liver oil that is so generally recommended. It seems to us a most unnatural thing for a human being, young or old. Cream and butter will supply a far more easily assimilated fat at much lower cost. We may also say that honey is more wholesome and fattening than malt extract, and costs only one-fifth of the price.
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