I 63 MARLBORO - j HEALTH NURSERY THE IN ST, AND i [ HOW FEED TO GUIDE AND ON AND PARTURITION. PAINLESS FOR COMPANION HER CHILD w WITH OBSERVATIONS A CLOTHE AND THE YOUNG MATRON NURSE. i E. M.D. HOLLAND, ASSISTANT PHYSICIAN Second TO Lond., F.R.CS. Eng., etc THE HOSPITAL K. WOMEN, ETC. Edition,rewritten and enlarged. LONDON H. FOR LEWIS, 136 GOWER : STREET, W.C. 1875. iy iLBiii! LONDON PRINTED BY H. K. LEWIS, : GOWER STREET, W.C. ,y r Preface to TH" second edition. The firstedition* without any pushingin the ad* media* has sold sufficiently vertising extensively and rapidly to induce the author to regard the of the pamphletas demonstrated success ; and its proved when enlarged, revised^and imacceptableness, inferable ; whereupon he has upon, fairly hesitationin proceeding to the addition of fresh no matter, and a and thV^original, careful revision of thus,by making it a more completeand ready guide to the newly-married woman^he hopes to render itthe i Titchfield more acceptable* Terrace, North Gate, Reoent*s Park* iy 1 iy PREFACE The maiden of the and youth loveliness her, must, whose just she wake fashion's the knits thoughtless the her curt of career cloyed fruition rings of characters indeed, would unblushed be the exemplar passS oracles ! " let code like of girl your fairy had and, with full- in by its rored mir- far the Adventurous, No, this the oured time-hon- matrons, giddy with who, sage, frolic, and be pass tres- the fungi, question ! joyous Cputts's, until exists matroned dared that and revealed scenes, in her mission. furtive the have moon-lit therein forgetful mirth, and artifice pixy woman's effrontery and festive its that of trait minor thread enchantment, mqck of mystic has, out, of upon mamma, Messrs. at bringing tinseled blow airy-heartedness, account so-donned with of borate ela- attributes staid gaily circle, years papa's on the treads the full in more now from the all with dawning her as fresh period, finishing school, EDITION. FIRST THE TO no prime, lingering girl, the ! ye your bile nu- giddy, VI quixotic,and the slayer of belle " by the ringletsand Valentine's of accidents Je nesaisguots, falls in love,and thence in final chose ; egrettes and perforce of or lage, vil- remorseless if she dozen weird or desperation,she with wedlock, let her forth- flightylevities that the suppress the tresses, her but, when day; the belle of the ball, and the at hearts men's her with lass innocent adorn alone girl,and, in well-temperedappreciationof her the matron's deputed destiny,espouse cause, with of foreshadowed its new era fosterageand exalted the To charge. pupilage and nigh verging and in the and June i on doubts wit's end who, and an yet in as oft with burthened fears, and in search of well- oracle; dled sympathies are freshlykinI profferthis,the mother's lot of life, ma, apt donation from personifiedmam- maternal whose guide,as matrons, novice-like,are plighted cares, and young you, solicit your acceptance. st, 1 87 1. iy CONTENTS PAGE Observations General Symptoms of I . " . . . Pregnancy . ~. 2 : 4 9 Engagement of Monthly Engagement of Medical Mutual a Obligations Monthly Attendant the in 5 Engagement of 6 Nurse .... Preparation Rules The Nurse of the Infant Trousseau . to be observed Troubles during Pregnancy of Pregnancy 7 8 io Heartburn ii Constipation ii Headache 12 Toothache 12 Pruritus 12 Varicose Veins Miscarriage Accouchment Room Lying-in Preparation Arrival 13 " Approaching The *3 of of the the IS is Bed Doctor \6 17 Vlll PAGE Attendants in the Nourishments The Pains The Navel The Binder After Lying-in Room *7 18 Labour during 18 String, Funis, Umbilical or Cord 20 . Pains 21 . The Nursing Washing Signs 21 Infant 21 Maturity of Twins Apron the 22 Triplets and Deformed 23 Infants 23 . Payment of Doctor the s Fee 23 Napkins 24 . The Infant's Putting Motions 24 Breast to 25 Nursing 25 ... Food for Infant the till Breast the Milk appears Treatment The Sunk of Lying-in the Troubles of Woman Nursing Nipples ..... Sore Nipples Inflammation ..... and Churching Abscess ..... Registration Frequency l9 of of the Feeding Child's or Birth giving Breast the iy IX PAGE Puking 34 Bottles Feeding The Nursery The Sleeping Hints to Suck Rags The .... Children Young of Nursemaid the Dummies and Feeding Infants of on Artificial Foods Milk Ass's .... Milk Goat's The . .... Condensed Milk Milks Food .... Extract Mellin's Food Leibig' Food Moore's and Arrow-root, Corn and Flour Food Hassall's Vitm Farina Preparing for Infants for Savory . .... Sago Food more for Bread Pap Savory .... Biscuit Oatmeal Gruel Flour Chapman's Ulrich's Food Moore's and Leyman's Baked Infants advanced Entire Powder . Wheat Flour Biscuits . iy X PAGE 1 Rusks . . Ordinary Wheat . Bread Flour . . . . .51 . . . .52 . .51 Milk and Gruel . Concluding ; ". K Remarks 52 Baths The Sea 53 Cold Bath 54 Bathing 55 Poultices 55 Clothing of Young the Child Dressing of Cutting Washing Hair the of .56 . . 58 Nails the . . . .58 Child the 58 Exercise The 59 Cloth Rolling When take to an Infant . . . Out-of-Doors " . . ^ . . . . / Teething . . . . .61 62 Pads 62 Weaning 63 , Indication Training Jury Marriage the of Child's Young the Intelligence Child Emergencies Little Incidental The 60 .60 Gums the Teething The 59* * . Vaccination Lancing . . of the . . . .65 Nursery . Subjects of with 67 74 Matrons Relatives 64 74 . . iy .75 PAGE Remarks Painless on Disinfectants 76 Parturition 80 Deodorants and 81 Appendix .... Minor Operations on devolving usually the Nurse The Preparation The Turpentine Ventilation Stupe of the Dressing Wounds Dressing an of Bandaging the Drawing Treatment Binder . .... Breast the .... Swellings of New-born Room Navel Legs the .... Lying-in Ulcerated Application Fomentations Poppy of on the Head Infants . Hemorrhage .... Application Disinfection the of Administration The of Evacuations of Enemas Injections Vaginal Use Leeches of the Female Suppositories Catheter . Pessaries Taking the Report of Analysis Concluding Temperature the of Excretions Urine Remarks ," of iy HEALTH THE IN NURSERY AND GUIDE TO THE been already the ordained is the probability, has ceremonies nuptial begin enough respecting- this, " feeling's,and of the indication perchance, may married relative familiar to the be secrets the of '/ after the to entertain with to you whom with mamma the interesting condition" be every as you, a sufficiently confide can to me furnished, to in indications ordinary and your nor are be of for you should turally na- just anxiety a it appears household, you a and past, blessing-; and, whom or that the watchful neither the it is wont, as become of novelty all-absorbing- topic have parlance, the ance alli- will, in all you thing- of a have you matrimonial waned promised confer, desirable very motherly of the as children, become honeymoon better of NURSE. HER fitting* solemnity, in object of the procreation reasonable the altar, and the at AND Reminded Observations." General that MATRON YOUNG prepared iy to numerous from incident in health fact,as which of that women and advance this at leave no in doubt epoch, to her be of diseases, much skilled Physician tested in of is that happens requirethe they are a by the the so and, ; variety a of acumen the unfrequentlycrucially The query." they caseff of very indications mother selves them- ordinary selves them- usually express careful most of the earliest become is simulated not are, imagine not inconvenience, trivial nomy, eco- women they are pregnancy large proportion of but and early after marriage, very a Many so, that deciding of symptoms when condition so ally, usu- female the in condition. pregnant the moreover, condition, but ordinary intelligence, long however, frequently deceived, to gestation, characteristic sufficiently are of woman as obtain that changes of limits their suspecting even the farther doubt no conceive, exceptional cases, in the to is There Pregnancy" may, without maternity, and, to rule, inseparable therefrom. a Symptoms to are deviations minor appreciate aright those though, in be the may it not cause unfrequently and intensity, grave medical supervision.One of your is declared and being in the sudden iy about to arrest of those periodical illnesses familiar already varied in the in attract and and firmer this tender be of the to walking, more the of fulness enlargement for the obtain is them time of the skin and darker, knots the veins in in the and soberly spoken of, in standing the progressive increase sity neces- your arrived at which sixth or the As repeating certaintyis and legs show painful. figure,with will the after approaches, fourth or little a slightembarrassment a dress-maker the with say, perhaps of the fcetal movements, between picion, sus- by the usually month, and matronly parlance, quickening. B I or littlelater,the stomach and, distinctly, until tolerable perception a usually tender are to prominent touch, and stooping, whilst and fuller will breasts observe darker little time, or to painful,leading act the,so- and delicatelycoloured becomes with over At the that nipple studded glands. if you filled,so plump; more the around the by sickness with will find that they gradually become ; and veins and By lowed, fol- be state, to sequency, painful,and, carefully, you may of are you attention,they will spring, throb, your tender and order longings." " blue maiden your morning*,headache, toothache, called be in which with 2 as Engagement of feel pretty you the good at you exalted accoucheur but be for " reasonable to not to they have If you are monthly suppose, that, young bearing .business" and impression that with far you he as parties. not, of age, you will be She and and a in making nurses gine, innocentlyima- to have references, from or ladies to medical a select a enquiries lead are, will then you nurse her to "up to made mother; wholesome an advantage experienced .be a are have of decided should can following suggestions, you necessity,as clean sight and as the so, becomes good may usual only stake at best indulgences nurse much the not of as constrained guided by your middle and, previously nursed, and, by nurse, and nurse, ability, sobriety and fitness,from yourself,be both husband, who your all sorts there is very plentifulas so their man. your a grant and; therefore,it is as to judicious selection; moreover a will,of first communicate unreasonable and necessity,and you round" Well, then, the afford. are miles prepared condition as soon paterfamiliardignity, advise bespeak to once As matrons, "tidings of great joy" will, with Nurse." Monthly of your sure all like course, a in her hearing good, and neither iy to as a of active person, an out- captain to grace, him, you as of your of female the expected there accoucheuse all other amongst no and and, of power sensible them into the can exigency, and no doubt endurance be in be be excelled and secure accoucheur, equal for solicitude certainly,never land, the at will, as do, male to be, may women honoured 'expected whose physical requisitionyou first ladies the cies emergen- great as well-bred and the services of the time who, alone, do, of equal to the foresee can one brought moment, to is be may lying-in room, force,nerve, becoming- very yourself,apprizing be can you " requirements. occasion, but, as can, him to ordinary well-doing-cases that the any or, with him, write may nearly as the date In call upon to welfare your by every that of any woman. Mutual Monthly a specialdate be cause The Nurse." and the equity, upon any you she break to of Nurse a for only been arrange engagement, her fee, but compelled with in you iy a for binding in contract, proposing it,and your have a of engagement engagement party might in order the object is responsiblenot expenses in obligations if from you for will' any take, to under- the first instance; and, therefore, for June, and nurse with manage the for nurse, her the matter is the with bounden at a to her case of occur to to doubt, so the the make give of fall before would all place agog is woman expected necessary child, whether the there it be non-observance was to in be equally of her substitute. This the and it village arrival an for prepared provision for her like children ripe; make able being is a are the should intimation of matrons perchance she gaged en- viously pre- Trousseau." they establishment your and if the of her early,for about and ; anything you, Infant the set you if your attend to it hand, already to procure you apples often Every with the earliest enable to as her mise compro- attend ill,or promised with you sending other to nurse doubtful nurse contract should, always be ' the unless she had Preparation merry On engagement fulfil her bound without long engagement, a and March, contract, and her. duty of case in your immediately apprize the immediately summons to from engage miscarry must you you servants own your it,release of should if every in fore beit: able reason- forthcoming and legitimateor illegitimate; of this parental duty iy is re- 8 garded favour the by of law deliberate a in presumptive evidence as intention conceal to birth, effect homicide. or Kules Ever be to observed in your treasure during that the mind of your child will be mental state Pregnancy." mental largely determined yourself observe you state by the the during bearing of it; and that its physicalvigour will be materiallyinfluenced thereby. Under these cir\ cumstances will appreciatethe necessity of mental training as well as your you attendingto bodilyhealth your and ; the two as are very intimately each associated,moderating and influencing the in the hour every day, I rules which maintain the you will briefly explainto should you in order observe in their two other wholesome to integrity. to control the easilyruffled Studiouslyendeavour so feelingswhich frequentlyshock the system, mar domestic peace, alienate unhinge and Maintain, left uncoerced. possible,a one as you uniform would of your consistent with and, only wish to so, but tively posi- your better as far of gentility child, and a not as feelingsif it is humanly manner, impress upon which alone perfectdevelopment. iy such the can Be a stitution con- be ex- ceedingly careful " imaginary that their only on of tea cup Captain, for Garden (whilstyou happier to of to morning whims ; whilst considerate as poor he be unresenting,ah! and without to such fatigue or an Co vent onions for breakfast, kitchen into the about make feast upon to things in these all the it may preventible husband. model open as discomfort. society of cheerful friends. and your without meat being and Eat as deal, or- submissive, be, very amount be inevitable you Take air, every can enjoy Occupy yourself, in light enjoyable pursuits,and habitually, of wholesome all the while, will the under foot, in the regular exercise, on the up misplaced violence, and brief,a in rouse as to will papa, can dash to go possible auspicious though day, to or are such little as indulge as and star, to of the servants suppress sured as- "tantalising papa" did," gooseberries),it green for you tolerated stealthily crfcep away before garden be basket a be pervertedimagination; a Matron the ere any will have little troubles in the face Royal a once inattention,"and, " of your that, although it may a interpretationof your slight" or many basis in your usual in the amount vegetables,plainlycooked, fastidious. ordinary beverages. Go Drink, to as bed iy the rule, tolerably 10 early,so have to as zontal long- rest in the horifairly up moderately early, and a position. Get in the every of a morning-. Sleep in large well-ventilated and rooms, you. sleep alone If the bowels mixture. sleeplessness oppress take a gentle confined are Avoid, tepid sponge if aperient occasionally ; chalk bath luxury persevere if they are as relaxed exercise, rule, horse a little a rough roads, skippingv long carriage drives over jumping, quick stooping, and all the frolicsome vagaries ornative of girlhood. Be cautious about long railway journeys, and, finally, lay consideration for "fashion" dailyaccommodate and The is of Pregnancy." of those ordinary the for which pregnancy prepared. dress, and your is easy, that which fortable, com- It is Morning sickness of attendants young usually most healthy mistress must be annoying in first pregnancies,and during- the early months often subsides altogetherafter the fifthmonth. it will generally be it is unusuallydistressingtolerable bowels, avoidance a all becoming. Troubles one it to in aside by a careful strict attention of those to regulationof the dietary,and unearthlyviands iy that and If dered ren- the the many II ladies young however, occasion it long for persists,or and is loss of flesh,no indulge in. When, to severe sufficiently submitting the consideration of your is Heartburn should in principles. A three times a as equallycommon general, be treated compound rhubarb week, with of effervescingcitrate remedies. to your case For magnesia, its immediate of salt and Constipation the preceding the on same pill twice occasional or of the doses sufficient are relief,when is better distressing, nothing emetic lost in be attendant. medical and should time than usually unan water. is sometimes attendant on blesome extremely trou- 'an but pregnancy, does not usuallypersistduring the whole period. It may be moderated by regular walking exercise, the of brown use with a occasional suitable remedy Friedrichshall of about 1 10 of aloes and dose twice simple enema very or an and bread, figs,prunes, or three in these water, taken ripe fruits, blue times cases at a pill; week. or A is the Pullna the temperature degrees Fah. iy 12 ache heavy, giddy congestivehead- A Headache." is common and in pregnancy, will be best solid food, and by avoiding too much lieved re- excess liquid,by regulatingthe bowels, and by the of tonics containingiron,change of air is often of use bev advocated should and efficacious, very in obstinate cases. is Toothache one and of the commonest most painfulaccompaniments of ordinary pregnancy; with one, connected it seems to be and, where two, decayed teeth, if they three or had stoppedthey better resolution ordinarystrengthand of they are should but removed. be teeth delicate and impressionable,the not, as a rule, be the modern the sufferer have extracted have them soothed completefaith in safelyremoved traction ex- well,but, when very of the dentist. resources of tolerate the two temporarilystopped, or may Women or one be cannot teeth immediately, of by some If,however, chloroform, she without the least risk. The Pruritus." distressing itchingwhich connected best relieved by with free the pregnant ablutions with iy is casionally oc- state is tepid soft the stage of maternity same miscarriageof become the firstpregnancy, it will behove pregnant, attentive to the rules to be all observed on to keep the of rehearsals during you to be to devoted doubly to lay to ; dramas, than rather increase be sleep, to perpetuallyon very careful at against taking cold would otherwise rooms, crowded have by all been avoid, at what means keep aloof from and the fever,and, you miscarry for you to substantial ready arms. your your culminate these time, it will medical image safe transit of papa, tions precau- ble desira- be attendant,who, constitutional obscure your to of scarlatina, smallpox, spiteof all second chairs, careful applying appropriate remedies, hoped, secure and a Be exercise. haunts if in consult by discovering some and ing ascend- from cliffs,liftingweights, jumping horse heated "period," a be to morning your assemblies, long walks, quick stooping and loll curtail and fright, should to period,(or perhaps guard against surprise or You aside private your ablution. again Shakespeare ; the critical bed) ; your hours should a already prescribed (see rules excitingpursuits,sensational the sofa you during pregnancy) theatricals,or If,after before. as joy in the on in tion, condi- will it is third sion, occa- presenting miniature, to the your 15 On Accouchment." Approaching the first indication of cognize approaching labour, which, you will rein the time appointed having arrived, (usuallyestimated at forty weeks or 280 days from your last reckoning,period,or annotation in the almanac) and with it intermittingpains that will be novel to you, which will begin in the stomach, extend in round severitywith and should the a to the sensation whole summon and tightness of attended your apartment, make back, graduallyincrease with and nurse, ing, forc- "show/' you retiringto your provisionfor requisite table the inevi- issue. Lying-in The object, two should three or Whenever Room." rooms be allotted to the nurse, so that all unnecessary provided against. The an fire open opens, bottom on or ; it should the a dants, atten- intrusion may sashed no floor same should be have window. that slides,readilyat both be of is of patient and lying-inroom place, and rather space top and good size,well ventilated, and overdone not moderately warm, with furniture, especially heavy drapery or woollen superfluities, the latterare as not only attractive but very retentive of noisome germs and aerial iy impu- i6 rities. In the cool it may be made the in or room, will have in I of which essentials, with sized a and a sponges; small decanter oil ; a list. Hot a thermometer a sheet of leather feet square, and a now or macintosh, fresh few are on no of the should been make usual,over pair of scissors, a sheets ; towels have in the condensed some and house, some milk, a root, arrow Assuming Bed." few corn that there is curtains,that the bed-stead both sides and have beds as or the least four at oatmeal. Scotch Preparation old or of beef, for tea, flour and good smelling salts; skein of thread, some good two or one of castor brandy, a few ounces blanket pins, ; a binder, some plentiful supply of diapers. It is also well to pounds ; furnish you to propose cold water a fresh eggs, In this prudent matron those ordinary little all bottle of of desire you the ante-room readiness as aquaria. sweet on the sunny winter,on cheerful as blowing-flowers,or selected should be room side of thfc house, in side,and with the summer the is firm,and bed as this place a sheetingor far that all feather mattresses, I cool replaced by as the bottom largepieceof leather,then sible acces- two or iy sheet tosh mackin- three old 17 sheets folded sheet another large squares, and, lastly, The all. over covering upper in smoothed needs but special description, no to the feelingsof management be may movement will be found and over, Arrival of the the when you summoned from feelingsof which a time every day and pursue then be ; he ; of that no rolling requirement.. advise will nurse and, his arrival will,probably, emotion well control, cannot you readilywill understand, suspend it does pains,as your necessitate every The Doctor." ful skil- necessityarrives for the accoucheur to be but equal to a this bed nurse to as patientbeyond the to halves in modated accom- patient By the part of the on made so the be may with a for others hundred presently,however, they will return, their natural prepared, as a * of course, matter the consolation the especialprovince of and progress skilled assistance and the accoucheur will you to receive which to it is adminis* ter. in the Attendants attendants to the Lying-in Room." nurse, motherly friend,who and contribute to your the will Limit your accoucheur,and sympathise with comfort in a one you, varietyof c in- 18 Avoid, especially, having"any expressibleways. of those outre* professingfriends and weep wail, or looks grave on wear about gloomy face, and a incident, or every for effect's sake, culminate rlssort, in who you, as their cast dernier a sympathy or hysterics, something worse. Nourishments well-doingcases slice of bread a and butter,or with sugar, labours and taken. Avoid unless however, to The then be may a rule,on be safely all sions, occa- ; if, jection ob- littlewine, Pains body, remain ing linger- by a medical man feel decidedlyfaint,there is no will often prove up sufficient. In bitter ale, may stimulants,as water, in his absence water and in up sweetened recommended you a beaten egg appetiteis prepared for it,fish, chop, with mutton a substantial nourishment more if the taken, and ordinary a or biscuit, spice,and with suitable are an In " of tea with cup milk, flavoured new Labour. during to champagne, or brandy and ; though a draught of iced much more refreshing. usuallyset a at subside,to certain their acme reassume, in crease gently,gradually inpitch,extend round the for a short time, and after a variable iy inter- !9 val, the same Between the about from pains one you while Always, however, of your your accoucheur, and when warded by having,it may Destin'd A play,at to mighty will be too a ; and, if cry, but, don't proper, nurse, she novitiate. will still remain " It not without born distant not will hear all's by to re* your only After " day, of chance. from well, a insinuate child your startlinggood by that, a thing so rough laugh usage in her to sleeve" the at the birth of the child there the after-birth" matter, for which The you I trust, be son be terrified or will your immediate a in this strange world game rightand as the dence, in Provi- trust long, be, some the first thingyou Now, to embryo genius! an " hour. given your will, ere you generation one place the relieve irksome directions trot or nap, honestly,and out the ability, a the decline. and the other, to away carry best take may to room and monotony of accession manner somewhat a attendant your portant im- will make provision. Navel String, Funis, or unfrequentlyhappens the assistance of Umbilical that an a Cord. child is born accoucheur, and c 2 20 where a the state female of has not the of bond its mother. that Such every for its safe able, on a distress. Well, then, tied tightly in two child's from body, the through be and with a ligatures. If the end attached it should knotted in a to littlenearer contain at each of it for the navel an ance importciently suffi- be only so, neighbour in be string must it two the second The inches three one cord but a it is divided. on the not should pair of scissors, midway the two round do put first; then the ignorance should places before firstligatureshould of of becomes performance, and pinch,to method tions subjectto give direc- the on in in the sacrifice of matron young all,are between state a it therefore and well informed the connection unfrequentlyresulted infant's life; be to the helplessignorance as separating child and and one attendants, from inches be cut between bleeding from the child,put another ligature Each to its body. ligature there nine eightor end, and be is any threads,drawn about tight, fourteen inches length. The Binder should after the birth of the when it becomes applied immediately child,and should be tightened be slack or displaced. iy It is of 22 has its body covered and wash to nurse great good a plenty of soft water, warm by the taken be of this off at the first lava- The navel soap, that taking especialcare sponge, gets into the eyes. soap stance, viscous, suety sub- a should care the whole tion,by using and with or string, no bilical um- cord, provided always that it is well tied, and that there dressed the or Take : " boracic navel stringwill fall off about it will be it,and the fourth a the skin of the somewhat birth,from five much as cases on fourteen is of a eleven record and rosy even tone to infant to branny scales, greenishtint. infant mature weighs as pounds, occasionally, nine There pounds. where binder. this time about in small one shrivel,and and Signs of Maturity." The at apply the dry day, and thus quiterightfor to assume fold through it,then that is,to peel off exfoliate, and or square, burnt linen,cut, in its centre, partially of the hole just large enough to allow stringbeing drawn the side pieces over The of thicknesses three lint three inches navel of be it, should of same small a bleeding from no follows as carbolised is the seventeen of tint ; exceptional are infant has pounds. it moves its iy weighed The arms skin and 23 leg'sbriskly,opens loudly; it has hair profusion of it,and of the sometimes its head, and on its nails are freelyand cries well a the over tips fingers. Twins Triplets and their average than and its eyes, considerablysmaller are dimensions, and females in smaller are males, otherwise,the signs of maturityare similar. Deformed deformed born the your the Doctor's Medical no confinement, and not " rule, and that if Pee. Attendant, reminded be to visits afterwards, the regards ascertain his accustomed scarcelyneed the it is of life,and a more very When " you fee,and that fees. It is you will, you limited than two number or three professionalattendance a of will the fee is for required afterwards, the Accoucheur additional importance monstrosity, parents, unworthy of of Payment course, appear, treme ex- jealouslyprotects it. therefore engage occasionally are defective,but however that the law human of born and defect may remember to Children Infants." of as be will receive universal custom iy to pay 24 fee before the of all the fees you and, (unlessI am the to be one use Let your been be delicate skin of as soon ever at the third month, nastier of The by well, and in a very the are tenacious. bowels not have but, it has all napkins or other any napkins hold out in a there a chair is a child mode, com- nothing tive reflec- first motions of the passed greenish-black When the infant is disordered,the motions lightishyellow or them; Never nothing more The infant consistence, and from them until off the to it,as and soft to irritating Leave with Motions." new-born be place him a Infant's the of to used, begin ; dirtychild mismanagement. colour,and are or persevere than is might can you this of fasten ; wetted infant. an as and made be washing of soda that washing powder been in the no will you prophet)find false napkins has that that house, loops,or patent pins. washed, and, careful to pay, be thick in substance tapes and the gladlypay. most ^napkin a leaves have ever very you material,and with a grown Napkins" on Accoucheur the very currie very colour,uniform little smell often ing aris- after artificial iy 25 pale,lumpy, frothy,and foods,-they are sour, or they "may be pale, pasty, greenish,and offensive. The healthy motion is about the consistence of druggist'scold cream, and, as to the frequency of the evacuations, you day and two intend let it be you may, nor by securing a good If you Nursing." breasts,no means sense no follow and have the as it each at do the contrary, of the womb, after quences. conse- nipple,a flow of milk, militate,by child. If,as cleft and it occasionally lip or palate,so your that he is physicallyunable to suck, then he be brought up entirelyby hand a all common happens, of course, not, or neither can of nature dictates child has ther whe- ordinary health, good circumstances suckle your suck and serious the defect about accidental child is nursing contraction several from you with harm, but, on any the feel pretty well, and six,minutes, or as soon to the breasts the child protect and you to persevere applied for five As Breast." provided you one night. to the Putting washed, at expect about three in the may the first. iy must from 26 Food for the Infant If there breast be milk, a littlegenuine equal quantityof of a few drops of be administered. are sufficient at hours, tillthe The laxative action on the cleanse the secretions three teaspoonsful this quantity time, and be repeated about every milk or in sufficient quantity. appears by the mother secreted the child's bowels, and purgative provided by child's bowels that have of sweetened, slightly and Two may firstmilk the formation water, with the addition warm each slowly increased, pears." ap- milk, diluted with cow's cream, may Milk Breast delay in any an two till the from accumulated has a it is,undoubtedly, nature to the inspissated during embryonic existence. Treatment the of the be detail must left to and nurse, will incur on essential to the safetyof be desirable have temperature, and the to be productionof draught. promptly removed to the of the risks unless so herself and well of inexperienced an matters room Much discretion the considerable informed to Woman." wife, with the young nurse, pretty well Lying-in she immediately child. It wil* kept at ventilated a uniform without All soiled linen should laundry. i" The iy the be excretions 27 should be away. "Great much feverishness take this at present animal taking juncture,it will advise you for month. a the in making water, be day, and a gruel, to stimulants after the first week to, and that will you it. be Perform have very is of your linen at each It will be so Ever of vital never of quiteyourself are about taking with aired, occasion,or the be careful ablutions well much course, cautious all your dulged in- time-honoured efforts until you and should afterwards, the ordinary food ; muscular utensils warmed flannel. should infringingupon again, cold. rule,I a take freelyas usual. The lying in bed nine days rule" of dream very limited to as of "golden as a rule diet returned custom is day which, to old Until the lacteal from abstained be third one and The to things quietly secretion is fully fish,once or may the and, to necessary broths, lightpuddings,a littlechicken, arrow-root, game, be stimulants. on adhere, to developed and one, in cooling drinks,and and oil castor observed be freely flows, and, as headache are frequently and food safe and good should carried milk aperientmedicine avoid be the immediately and moderation dietary until the of disinfected warm and covered importance that iy your with your 28 should sleep restless him night,the at in another far sufficiently room, his ." inevitable" The Troubles cries to prevent away arousing you. tie of Nursing." The of is charge of take must nurse child if the undisturbed, and be nursing is,veritably enough, something considerable,and, with all its associated et cateras quite incompatible with the artificialexigenciesof fashionable as there are so resultingfrom occurrence well complications of many as intensified an probabilityof the married will, I not lightlyforego irksomeness If you " with difficulty the breasts the on to abscess, much to have milk, breasts. The is framed plunged tortured into milk the an some will form knotty, painful very treated, skilfully that will end deterioration only to have become if not health ; whilst the luckless stomach child you you of inflammation state a early unmitigated your congested,and, pass the nurse and will fill, an as trouble, you woman's not assuredly,if will,most and do day every its non-observance, repetitionof ween, life ; but of infant,with receive with and, either dies prematurely from own its delicate its mother's interminable by colic,surfeited your in milk, of sorrows, sea artificial foods, infantile mala- iy 30 inflammation of if any, little, faith in them, there using water, you alum an the done is to be Then, having the as to and rest secured the to rest one " remedies. Tannin, half drachm ; water, a four breast nately, altershield. a must part, you As be well swabbed with zinc ointment, or : can. you the other soon well dried,and tepid soft water, carefully lotion cracked, same protect the nipple with sucked, let the part the child has most preliminary of give the one apply the followinglocal of wine, After by increasingthe intervals of twice in succession, but with salt and of nipples will, part all the be careful not to your of pregnancy. your necessary, give to and mixture a excoriated, tender, and it will be nursing,to if you suckle, especiallyif the to thrush, gets the likely,become This hardening objectionto no last month begun once treatment, is lotion,or during the have child and apply so-called to use It is nipplesbefore childbirth,but, lotions to the have of the breast. in the substance washed anointed with drachm as the ; ounces. lowing fol- spirits If,in spiteof the steadyuse of these remedies, cracks touched to the bottom form, they should be lightly with almost a pencil of immediate nitrate of relief. As silver,which gives it will alauxiliaries, iy 3i be ways medicine, and to child give the to necessary attend to its mouth if ithave thrush. Abscess serious cations compli- and Inflammation that may after are after soon occur suckling,or ing childbirth,dur- The weaning. great heat, tenderness, and are breast, with and thirst, followed,if formation of swelling of the the activelytreated,by abscess, which will require to an opened, and symptoms throbbing pain, headache, severe a littlecooling- a should not allowed be not to be break of itself. Under damage your health,and be difficult to heal. recommend you to leave the treatment should any circumstances to entirely this serious condition The have imaginary, you child,the in her If,from Wet-Nurse." next decided must should be to suckle wet-nurse, a or your and, between eighteen and blotches, and a tendant. at- maternal skin, free from veins, and with of exercise of age, have senses not I motive, real not thirty-five years with all her possible, should be plump, and seriously medical your any best substitute is selection,you She it will too well-formed a clean be as cretion. dis- wholesome healthy perfect. Her large,marbled as breast with nipple,easilyflow- 32 ing have with milk. deformityabout no that she should regular exercise her her regular. She should of eat ance import- should take air, observe keep her bowels and body, of face, and squint. She not should that she foot in the open on dailyablution of and well It will be plainwholesome vegetableswithout caprice,and meat in drink deration, mo- of ordinary beverages" milk, ale, and sober in Of course she should be strictly stout. her habits, cheerful in her disposition, formly uniand should always be impressed with so, and the importance of guarding againstfits of passion grief. As long as undue or conclude may but, that her if it lose tint,you will have of the milk the follow the to the wet to make its rosy or add of the of one Nursing mothers foods. directions same tone some or ass, or you some; whole- ample and change, a thrives those as given nurse. Churching." publiclyreturn all Society expects thanks, convenient, and in their before public. A small fee minister, and officiating in is child flesh,and followingartificial should as milk goat, cow, the church, fee for iy early as they visit or is usually paid the to women, appear the to the poor 33 is women anything they please. Registration of every days, of child must and this and, in their default the house be death, or the the upon the upon child that premature parents, keeper of born was children and, " also must registered. of Frequency fed, every two hours in have or hours the three the in the ' be in the the In giving child the given day, and increased another hours of or breast night. intervals may third month Feeding the first month During Breast." be devolves in which in mind bear birth The Birth." registeredwithin forty two be duty a these occasions. on Child's the people usually take Women friend with them married for well-to-do and shilling, one every month second half an every three these hour ; in the half hour, that is,about day, and should him, about to about the four hours every in the night; in the fourth month every four hours in the day, and every five in the night,maintaining it at this with a gradual lengtheningof the night intervals. Do breast not every When allow child to take the time, but one and the the other the child is brought up same nately. alter- entirely by iy 34 hand, let him have about the first the third the ounces If partlynursed still worse is Poking the afternoon. young taken too children,and his food much at the food and usuallydo bad time it every it to hang his in common child the stomach The Son, and and well ; and Bottles." Feeding constant wholesome. two, and a his having having taken contracts, and it is not a condition uneasiness. to excite any Maw more It is allow from fast,or from time. be together. arises too ounces wells-up into the mouth and out of it; child is usuallyrelieved by it. Puking the children a breast speciesof vomiting a night, fort- second morning, after practiceto the breast for hours on in partlyfed, let him and practiceto allow the child the cries,and time a month, four in the again in once half the a second his artificial food bath, and at ounces then let the increase month, and gradual. have and two fortnight, three two best they attention You not The use to ought either are to one are very prepared by quire cheap, but re- keep them have, at clean the and fewest, twice in succession " soaking and undergoing a thorough disinfection whilst the other is being used. one should be 35 The Nursery ."The studied and room; if be must nursery fully care- a select mamma the ful cheerbest ventilated,and most lightest, largest, in the house, she must be unconditionally room excused she and should grounds of night a be fitted up devoted nursery as to should nursery prudence common have ought,undoubtedly to and nursery, the the on The nursery. maintained be will not of temperature be too in either Let there and There should in fire-place the fire, which and be open should efficiently protectedby and an outer Gas wall. account should allow of easy properlyprotected with and not should can more than be, for the be the more a an inner each wide cross most The room, to the on no windows opening, and The apart. and be secured, part, painted, so readilycleansed no spark-guard, bars, well six inches be should one, fires,should nurseries. and ren, child- necessaries. coal be coke in allowed be woollen fence-guard securelyfixed stoves, and as especially nursery, shape of carpets, an uniform young in the be night degrees Fahrenheit, the rule. high,as superfluousfurniture 60 the as possibleboth night and day, and, for the nursery temperature of The sleeping. day a " day and play room, a two ; floor that it disinfected. D2 36 I should advise that the walls ceilingwhite-washed spring-mattresses projectionsshould children should be that iron bedsteads or sharp corners or protected,as All be used. removed be and about; and the perpetuallyfallingNo be fixtures. paraffinelamps are should tables ; and the painted,and be in used a they as nursery, not are but extremely dangerous when only stinking-, set upThere is no objection to by the children. dles good oil lamps if well looked after;but all can- carefullyhoused in gauze shades. of the day nursery should be opened The windows lowed early in the morning, and the fire should be alto burn up for a, couple of hours before the should be child be young into it from taken Let the windows the night warm of your night nursery ding be open for a great portion of the day, the bedopened and strippedback, and the fire lighted nursery. for two hours the from before heated it is of the If you have day nursery. greatestimportance there should escape, either from your defects in the being ready with not the cock the infant be removed " a very common Always do possible,as it unduly a room. the piping, or lightwhen cause of as little with heats it gas, be no from turn foul smell in a gas-lightas the room, iy you to and fouls 38 moaning, and cries,with knitting sharp piercing- of the brows, about the mouth. ing Durtwitchings the first few months a healthy infant spends a considerable portionof its time in sleep,and up to the third year will requirea day sleep. The child should be weather or be bed to put regularly,and severe very unless the child very or the delicate, always in a cot or bassinette by itself;and, It is fant a good plan to begin from the firstto put the into bed awake and not to nurse or sing it to to layingit down. sleeppreviously Hints to the to most a consummate been lected se- naturally cheerful, patient,and not are have responsibleoffice,requiringthe patience,and the gentlestcare; very and, if you You Nursemaid." good tempered, are you certainlyin the wrong and can fulfil your critical duties never position, with pleasure to yourself, satisfaction to your or You mistress. neatest and and if you the are as in its most whilst your undoubtedly be the cleanest, merriest for your will it be selected should the girl in the prettiestso success. establishment; much Remember responsibleguardian and interesting mind is ever the better you of the are infant dependant days, and, in engaged iy reflecting 39 it. If you upon of frailties your its inherent upon a left in the sole are child,never young* suffer irremediable may lose an mischief Always be or eye, for which have wits in your death to will you dangerous things,as charge minute a injury to burnt petually per- it unprotectedfor leave minute, for, in half the space of " be must eye child a limb* may a irretrievable " forgiven. be never and keep operation,, knives, a all scissors, razors, glassor china, liniments, medicines, splinteredwood, and poisonous plants needles, matches* broken of the bearing berries,,out child. See in a be that Give domain! child it no over until no- your and the should ever their little busy hands. It or eye pronounced pins or brooches dress, and is toy own that no are be Miss to venture utensil to and it safe. like beetle- flea,or hand on the have your young swept careful Be carelessly hanging that in your posing petticoatsteels- are exfragments, and in fact, you stay broken boiling no scalding or dared ever young guarded,your candles safely that the bee, wasp, to woe creeper to the water cock, water left accessible should your shade, and gauze tea-kettle,hot ever fire is well securely barred, windows housed that your of reach or Prim, with everything in. its iy 40 right place. Prepare all food in its place,and according to the directions prescribed for before you allow and always taste it yourself approach the delicate infant lip. Keep your free from clean, and before child prepare you it is habituallyat hungry, and Ever remember own, is not insist measure any food the proper not at when he with it lies quiet, a water Feed the when convenience. own him and he fingers, screams, or usual rejectit. satiety placidface,outstretched fingers, a twists uncomfortable; the comfortable to eaten with dislike to appears disposedto smile,coo, fall off to sleep. When his with soda child's is writhes that hours, and your ing feed- lously scrupusee in them. always cramming on and it"to appetite,like your always alike, and, therefore, do not that the child has When smell, well cleansed are saucepans your ordinary utensils and bottles,spoons, you, and talk in he has about, and draws up is his belches,and its way, and eaten over he evidentlyvery legs, clenches vomits. When lay him nearly on with the face inclining to the bed. the back, never him up gradually,and gently chat to him Wake that a fright in mind bear the while,and, if you you put the young has thrown a child to bed, beautiful child into fit, epileptic an iy 41 and " made girl,never countenance When you toss throw it never shows the do it in child child is well by must you much indulge in water the child let your to test bath down motion, wash unless of imitation for yourself, child of the of. it is horrid Whenever you be firstput into the hand if a child be unused to on a flannel soft water, or towel. when Wash it is to be napkins after the passing of a the child,and well dry it with soft urine ; and you maces, gri- the cloths ; douche to make it experience by lettinghim always with remove a aware own your into the water ; be enjoyment of creature a ing by feel- and child to them its fitness, and show the child had may a do first,and at his a difficult to break habit than you a teach the child is as swing you movement, manifests means, not more bath the to do, nurses rapid swings until the high or ease, any and any used quite at Never When it in short to-and-fros move indulge in not voice. subdued a If for it. prepared all orthodox and baby indulgences. ceiling,until he to the is sensible a by step, and it step child,do a foolish such abruptlyup enjoys it and that he sing to you will,as idiot of him, you an then it,and bear it be in well mind, dry it after it will be habituallyclean no and iy ing pass- credit whole- 42 Communicate spme. any mistress, at your passing of urine,and Never the disagreeablesounds Do take you very careful the stone in sympathy them mutual Suck Bags the to them. I admit and will exists together; but, off and conventional a leads which nurse infant,for an ployed frequentlyem- are therefore and that their I have child all young on keep from unfrequently is not alone with pacify children month. a down women, Dummies and least jar the to critical eye very attendant, hours not there eases. dis- perambulator,be a sure, they see entrusted protection. to allude a in all married among or wheels as am remember to cast maids I so of the approach yours hooping-cough for at lettingthe pavements, ; and child to child out a glare of infectious haunts quitewell injureits spine,as, done odours any tom. symp- sphere of all as quickly as the measles, scarlatina until he has been When the allow not has had and from possible,and from child the to or of the child the delicate eyes expose Remove sun. unusual every or bright and strong lights, who once, stoppage in the usual action of the bowels, in the to to a seen iy must relieves use child a I quiet for child nearly 43 suffocated by getting one observed, frequently,such the teeth and The them, subject I feel have to treat beset be arid from its any best substitute The one. milk which the ass, goat, and almost to liability of the cow ; the milk as the its variable expectations, so that the chemists greatest physiologists, some suitable sure over one I your tience pa- all I have infant thing only " and substitute over for forthcoming,the affords is domestic adulteration, it very has been Foods." being, practically, in nature approach universallyused country, but, from is not this world in that ous. danger- of its mother, and, whenever that cause nearest is found milk I , of the young stomach " that important sorelytried,in studying prepared for the receptionof from and most I feel difficulties, that is,the breast our the of decay Artificial on be to it. The about to say is upon, with must throat, and universal mischievous as of Infants Feeding This so his sufferingconsequent thereon, condemn must into to bad a human mammals of the cow substitute " being in this composition, and rarely answers ingenuity of and the pists philanthro- exhausted in mother's devising milk, and, iy 44 with only partialsuccess, that you so the loss of the breast milk mental and existence. I suckle to allow to if their of which up by exists I wish hand anything to to remind and interfere with this course, suckle the gravest but,as there of cogent all your many one of you children, and who them must be brought that is the surviving will, of only under hand-fed be to motive sence in the ab- Hence, reason, peace, times ten its chance necessityleave are child A is afflicted with very crying,cross a trouble is by hand up of domestic diminished. proportionately some till their of it, you. the and and illness, suffering of untold an unimportant further no is ten times duly nursed, is his will allow health perpetualdisturber and, herein to their children duty. A child brought child, and always a crying, cross a as influence may obvious child is child unfrequentlydetermine his very should, most urgently,request all mothers not gard re- not firstteeth appear, and your physicaldevelopement degree,and, young to that abiding-calamity,one an all must brought ; up less entirely, I shall now or by hand, more ceed proof artificial feeding to prescribe a course which experience has pronounced be to the most appropriate. During the firstfew days after birth iy 46 having a finelyperforatedteat, " becomes at quantities Milk it can human resembles be is undiluted,in those cases preferableto that of the be procured,may be given cow, Milks of great convenient. Some are their children disagrees,they prepared may always fresh every with the in much now luted. undi- use do as well being very the densed con- on ordinary cow's be tried ; time, and milk but, should in strict accordance printeddirections. so Food, does frequently, disagree,that Milk to some in being unadulterated, well as utility, milks, and, where keep closely, very milk Condensed often resort small in cow's large towns, and, from be milk obtained, and in which it can and, when are readily time. a Milk Goat's The child disagree. to seems it as only be prepared be administered and, may where fast, and, it should sour, Ass's it too suck not may that the so artificial substitute is necessary the child alive,and, of the numerous iy a to artificial 47 foods that sold in the are of the best ; and shops I firsttreat for the child before it cuts Mellin's extract shall select of those a few suitable most its teeth. preparing Leibig's food for for Infants, is probably,the best substitute for mother's milk we with full food new I need further no called Farina scribe deis Vitae largelyused, and highlyrecommended. Savory and and preceding. addition be Dr. to the given, as HassalFs amongst "When the made and Corn are very digestionas produce wind made poor, with and is ,also should Hour not a paration, pre- the valuable foods. only be casionally oc- nutritious in themselves with water, is as a custom they simply starve a child. milk they are more nutritious, palatable,but you change, with recentlyadvertised more and, when excellent an a Food used, as they are ; is Pood Moore's may Arrow-root, and easilyobtainable it is as printed directions it. The rather and, possess; might are suppose; not so easy of hence, if they colic,you had better them. iy not repeat 48 Sago added useful to milk makes food, and, will fail. quantitiessufficient to last all day Put a table-spoonfulin simmer for two and a add one and sweeten 8th their cut be it to four of meals each and, and biscuit pap. administered. crumbs; as a state raw well may hot, milk, egg mashed potatoe and to the 18th form rusk and should pap reach Essence mixed with of with the meal one Beef; in the milk and After the 14th or 16th well cooked and or may be allowed month, always remember, the main milk boiled,or lightly meat, gravy bread beef tea thickened given. finelyminced substantial be allowed agitatedand month After children children of Brand's or be or When change, an sweetened, should whilst more day of 9th month they may day of lightbroth, or bread hour an graduallyincreased and or each " let it warm Infants." front teeth,a commenced, of milk be and for large,and advanced more Two now follows with sugar. for food may pap, if of table-spoonful have upon. pint of water, a hours as half if small, tillquiteliquid, and Food up palatableand very when occasionally, It should be prepared answer all other combinations in a that bulk of the child's iy ; but, milk dietary, 49 that meat and and adults live upon, the child ; and ordinary vegetables,such should as on brief a no descriptionof artificialfoods suitable for advanced be to both proceed to furnish Bread desirable the be water for two alum no prepared by simmering In before. is pap either a not a and let it soak and add sugar, two and, when proper spoonfuls of one for two tea- new time. whisk or it into Or, it crumb of be administered four ounces lightbread very Take ounce, of the sifted six ounces, water hours, boil for five minutes, spoonfulsof it is*cooled for A and proceeding as than more follows. of stale bread crumb then the the food should case slowly, and be given at prepared as should and hour an of hours, pouring with beating it up finely for half bread now crumb milk to make fork, adding sufficient new fluid pap and sweetening to the taste. a may seems I shall prepared by soaking stale bread (thatcontains off the water, best one. sour) in cold is not the infants Pap and good and necessary allowed be account as the finest Demerara down to administration,add milk, " McBain's the temperature two table- bread, made iy MAY- ^ ^ 1919 SO *" is,probably,the flour, /^gif^/^^p"m made London in Savory and for infants and Moore's Food is invalids. excellent preparation, an and resembles human closely preparing it is fully given in plan of bread best milk. the The printed directions. Leyman's Biscuit is a valuable food. with to Powder It is best is largelyused, and preparedby boiling water, and then adding new it palatable. make and sugar milk tious, and nutriwholesome light, it should be made and water as gruel first, thoroughlyboiled; and, when partially cooled, Oatmeal new milk is Gruel and should be added sugar to render it palatable. Baked Flour, mixed of two latter,forms ounces a more with oatmeal, in the proportion of the former substantial to one of the food, and can readilybe prepared for use by mixing a tablespoonfulof it with four of water, boilingwell,and four tablethen adding,after it has cooled a little, der spoonfulsof new milk, and sufficientsugar to renit palatable. Si Chapman's the to for young to Ulrich's be I do not the ioth Biscuits three or capitalfood think it desirable times good, Three nutriment. day. ford af- and given be may day. They a a once lightand are and 12th month; or but given,at ftrst, considerable twice a printed directions,is to it before it should cording prepared ac- Hour, Wheat children,but resort then Entire best are pared pre- then by pounding and soaking in cold water, and boilingfor six or eightminutes ; and, when half cooled down, adding milk, and sugar food. ' well then a They water, broken water-rusk without advise of with fork a milk and pap may be whisk, or is about added are sugar cold in administered as and half ; or, it is milk. Ordinary need usually soaked are boiled,and, after the pap cooled, a littlenew the new tious nutri- and wholesome very well up of bulk the taste. to constitute Rusks equal an any Bread formal and Milk is too slop coffee and use tea for young only to children instead for breakfast. e " to I have description; and, its habitual well known 2 52 Wheat wheat Gruel, made Flour flour in milk, forms food" rather substantial very casional oc- nutritious,and astringent. Concluding be a is very that one ordinary by boiling- well All Remarks." foods these cooked, perfectlysmooth, and lumps; prepared in small should free from quantitiesat a time, and if sour, curdled, or immediately condemned stinky. They should be slowlyadministered so as and usuallyby with the child's saliva, to be mixed given to the should and infants, be tasted before often if,as re-warmed, be do not change food your " it is a bad is so lightestfood made child happens, it or thrown practiceto If the child's perpetuallytrying experiments. stomach it is his flesh is firm, If the child thrives,and away. irritable that it will not retain the provide, try barley gruel with water, and, if that be rejected, give the mach, nothing at all for a few hours, and, the stofrom the you can having a remember ever and food it should cold, goes be All bottle. the rest, may that purely farinaceous to the infant when and, that given alone right itself. arrowroot, foods, are prepared with with water, as iy corn ally, Fin- flour, tious only nutrigood milk, I have not 54 from removed the bath, it must be apartment that is heated an degrees, as the sixty-six would, probably, more good effect derived from The Cold cold a in about atmosphere counterbalance than any the immersion. is,to my Bath somewhere to chill of quicklydried of way most thinking, used. injudiciously Nothing, perhaps, has more charms than the cold to the inexperiencedmother bathing of her cnild,under the mistaking impression that it is a powerful tonic,and, at the same time, a harmless and infant should young plunged every-day expedient. The with forth- strippedand be never into cold water, unless it has viously pre- the less the prepared for the sudden transition by tepidbaths; and then, in cold weather, is below sixtydegrees the safer water and will it be been a of course better for it. I believe the safest children all the affordingyoung advantages of.the cold bath, and of escaping its and of best way disadvantages, is order the of the colder sea-side. the child rubbed ; day make in your for the bath After tepid sponging nursery, summer soon be well becomes and to dried warm, the reserve and season tepidsponging,or should if he to the cold and and iy bathing, vigorously is merry, and appears that it refreshed agreed shiveringand the temperature, his head, may blue, may you mischief. only done bath tepid and cold from vary In 65 to degrees. 90 Sea to bath by have day beyond and " from its food least at Poultices and than can be warm, and is their Give he The They the child has his bath. in most only precaution use'water is to covered over special series, nur- suitable to the purpose more borne, the heat. have you should boiling. They sheeting, and retain before middle in the water remain man. preparation not the frequent demand crushed. their as in nothing only hot, and hot hour one are linseed in medical a sea gradually. about a-day" minutes, unless directions him inure let him never great a for the child your and bath one and allowed indiscriminately be not Prepare few a splendid tonic a sponging, sea him of the should child. every Let is Bathing luxury,but to have you conclude may remain disposed to hang- safelyconclude as if he but ; by it, you with that with should a that be put is on littlewaterproof a little wadding be removed place supplied with sary neces- a iy whilst good layer S6 of This wadding. layerof wadding must not but littleby littleevery day. abruptly, removed of Clothing the clothingshould clothingshould as a be but not abruptly. Old months old, and until it tumbles off" firstthe should with be used a as needle a Change soon stripa child,do it in expose much too be discontinued, who must fastened cotton, and every with all day At tapes, or tent pa- clothing,especiallynapkins, or wet ; well-warmed a sulted con- pins should no and room of its pretty quick in your be pointsbe protectedwith it is soiled as then stripoff a child sign of good luck. sure and unless their caps. nurses, matters, tear clothes tillthe flannel,continued three these belly-band should The be loose. is about on the skin, and, all the next worn be softest The Child." Young rule be of fine sewn , body at once, manipulations. See when ; do and you not be that all clothingis well aired before you put it on, but avoid puttingit on hot from the fire. The whole of the body, except the head, should be kept of the, warm by clothingsuitable to the season year, but it is well as to time-honoured the head keep contains that the excitable brain, cool,and flannel cap. As lay aside to the iy the child grows 57 up, let its dress be such and arms, hands night-gowns; dress leggings,high frocks,and flannel when and weather, in that remember ever it out of doors, send you it according to the and legs,feet, long sleeves, its keep Let it have warm. sensible woollen will as of the over-clothingand the under-clothing, the less. conceive I cannot that exhibited by their children. warmth any mothers many their delicate skin and " two evils, former is greater follythan in the children Young ing, cloth- extra clothingof require constant weak circulation, easilyinfluenced by the weather, and, yet, we series, nurfrequentlysee them sent out from the warm are half-naked,into the too, in which the feel that before drawers, you, children reckless exposure have and to cold ; that consents when in a I overcoats. to assure the are by seriouslywarning fashion and too forcibly bring this matter siderable and, being able to speak from con- the serious illnesses majority of young ther, wea- I cannot experience,I in in hardy and vigorousworkman and requires trousers air,and open state it,in common to of chronic with have immediate and, conclude you a we you that the to treat result of this article against the absurd child being half nude, chill,at the very time other requiresthe greatest warmth. young nurslings, 58 Dressing washed dried the the Hair." head with it,there brushing oils and with a the them, and cut and sweep, things, luck, cut Washing bath warm from satisfaction with a in account and lower well-lathered thoroughly water and, may and age be should as to a if Nurse Wiles -or question of the that is the a only lu,ck scratch The parts, should be of whole well As the cleansed water temperature be used. then child gradually diminished, but, quite cold a body, flannel,and dried. the have should morning. the ! is of the greatest vthe well-doing or will experience child sponge one by rule, he vigour at child Cleanliness quickly and a long are your that me the nail of night especiallythe and ; Child." child ; wetted a across trouble never possible importance young off is downright nails straight corners their to the hair the gravely object on to attached ever them will them demonstrate good a Keep little with a and soap, than if the When Nails." they assure it of stiff brush. and have you again. Scrivens Dame needed moderately in at the growing more a brush Cutting lather nothing obstinate, damp brush, and good is greasy that Premising creases in- of the on no 59 The Exercise." exercise good effort of muscular for sucking-is infant,and the young a the with littleinvoluntary efforts made during the washing and dressing, fatiguesand disposesto sleep. The only passiveexercise adapted to the young child is the gentleswing of the nurse's arms, which should for four continued be child is about for muscles and time ; be sent clad from the child to way but ninth month, Every as his soon this nursery as give the his baby teach hurry to shows the inclination that Some children walk some not till eleven as they are months early,eighteen months is is late, the average. Cloth." The relief expedientis worth should the young napkins,and to tone weather, and shaded but, whilst years; Rolling by nurse he indulgehim. fifteen months The and be in any as usuallyconsidered and will kick to ciently perambulator, suffireclining a Don't the two allowed the limbs, and gently opposing againstwind sun. early as over in out can When After the fifth month walk, you be you his by rubbing their movements. may should stripped,it a five months. or have its child will let him a given the to passing remark. cloth, and rollingtake to it,stripoff kick and roll about iy on it 6o his heart's content, and to The chill from and will. he as thick to sufficiently floor reaching the child, should rolling-cloth prevent any often as be the preparing one is to take it the rug from before the fire,and to spread over affords a doubled blanket. The a rolling-cloth gratefuldiversion to the child,and a most salutary a exercise. take to you face third as before the Of Out-of-Doors." life in week, for under if out-of-doors,and mild a the and ordinary vigour, it out move re- weather short may the at time, with its covered. lightly Vaccination." sets its whole carried or not ache. give the child belly- Infant an possessed of safely be second will you must guided by the weather, infant. A gipsy'schild, born hedge, lives is cold, you will be health of the yours is room napkins,as When a of way If the the course ready very All children rule, from a the the irritation and in ; and 7th to imminent. they should the lofh year, I should 9th should to be the disturbance ated, vaccin- 12th week, of teething all be re-vaccinated or from earlier,if small-pox be not consider a child iy efficiently 62 at eleven,the the third and seventeen to the danger. less tender to feverish,with As is it may the touch. or saliva it ; and or more is or restless, cheeks, dripping from his mouth. thrusting thingspersists, or of in the che^t the gums When turgid don't suffering, the surface, or spasmodic seizures,or fits, Gums." the they should should child if this state and result in tense, child the bowels, flushed disordered a or in the bowels. Lancing or The is unattended swollen, and complicated with inflammation head, cut may process fingeringhis mouth, perpetually something into be infants majoritythe hot and hanging head, and He teen, thir- or teeth,from painfulone, and not the teeth approach become gums wisdom or Healthy the to and troublesome twelve scarcely any noteworthy deviation health,but with molars, twenty. their teeth with from niolars about second inflamed, and hesitate to be well lanced is sham. operation a are have and them down to Gentle cidedly dethe lanced, the tooth, aperients also be administered. Teething children Fads are a great comfort to young and, the only precaution during teething, iy 63 with necessary them is to and fixed with elastic, and Weaning. strongest suckled been by the firm of power found are men it" exhibited "roughing in year, lifewhen sucked child your then and child's. one, food, and so be cease and had you may often so withhold the meals the be formed troubles' of advised, or any as If nurse nine months, as but you well as must your breast a day of artificial a in like month or gradualty completed. trouble with the milk; to ! first by substituting proportion, so, the process There be no puny in walks you may sake commence of into his seen him, wean own three trifle. If,from are better course sturdy the^paleand condition two, then that,in the may ple exam- the by readily enough,eight or You then have function is discarded that natural it graduallyfor your do who his mother with contrast health is of average your those flesh,the vigour, the hardiness,and of humanity representatives of the and witness,for ; soft the waist. children be to they are to tape their mother littlerural athlete who second a healthiest The " that see will then it will the call for it gradually is lessened, weaning will be reduced to accidental you compelled, to circumstance wean a abruptly the iy 64 best of p^an dually proceeding-is the following-.Grathe increase thus, every for hours day six hours day a to breast then form. Or a once day a two, or twelve the as suckling, every eight hours day until the be eased the breast may often as pump, for between two, every or and more, ceases intervals fulness for a milk by a becomes painful,and with increasingintervals. During the period of weaning you should live cautiously moderately as possible; and avoid If all rough rubbing or kneading of the breasts. the breasts become hard, knotty, and tender, and wrap drink as them in linseed but poppy-head liquor, until the meal do not tenderness poulticesmade with them thing any- rub has with subsided. If the child die suddenlyyou will have to proceed as in delicate too to are Many mothers weaning. suckle their children, can or only do so for a brief period; and, if you suffer from pallor,giddy and headache, palpitation,general weakness is the process conclude sleeplessness, you may severely injuringyour well to discontinue Indications of health, and you will do it. the the first few weeks Child's it is ing Intelligence." Dur- quiterightand iy natural 65 for the when child to it does be rouse vacuity, notice and always sleeping", almost up, the nothing, and perhaps other to follow the bright object; smile* when chucked fussed with by sixth the year the is children whilst well-articulated have we and known by talking of the have we unable stowed be- care known at sentences many or his learn to littlecounting. The ; fifth the able be when coo sixteen do to a so at thirtieth month. the Commonplace monosyllabic usuallybe expected towards the end may first year, well-articulated words at fifteen'' sounds of the sixteen months, the twentieth Training in a At nurse. child should them child to utter or or or it will week the chin, and considerablyinfluenced upon months, under eye candle a in the fourth and mamma alphabet and do of movements even may squint. During the third week, however, begins in roll about eyes so to the the helplessa inherent and sentences from month. twenty-fourth Young state frailties and complete The Child." of infant is born dependency, that vice must be at all its first ignored. By-and-by, however, and wonderfullysoon too, as dawns intelligence upon him, there are hasty tosses, kicks, and monosyllabicgrunts " relics of the old F 66 Adam, that remind has temper. a have would the horrified could be his feet if his at displays,however, must be checked discouragement,and fitly of their birth. violent,but she should and so; spoiledchild a wild of is child, as is detested that early as prick,knives cut, undertake Never own your and tically systema- in as soon take any systematicinstruction will,unless you as create more to a with ven-born hea- temper, and read, select such they can as they can in and defective,or means than a understand, that contain plainlyexpressed. all a lingeringsullenness much child's disadvantage,and your own ance. annoylearn their alphabet at 5 years, Let them and books be for possible,that fire burns, pins scalds. and that boiling water children,as bullythem, and, house a demonstrate than the rest of us, lose your to the hasty be by everybody. It is should you zon hori- not if necessary, rod greater nuisance a beast, and importance be decided the use the very should Mamma form. by prompt met at and ous imperi- and fact developed into Such or baby Yes, undoubtedly, he has, all the world wishes that mamma let him run wholesome If your if he appear wild oughly thormation infor- child's memory unable a and gressive pro- year iy to learn, by or two, and, 67 when the studies ; and, it may brightestof the do, they you be, that he flock. behaviour own let him aptitude returns, in Be to out watchful of your ever for, whatever word of brain and child than a much and after far as life may be not If your carried too on fewer the far,and'if giddy headache, insist that child or The Little Diarrhoea there be lessons and subsequentlywith greater during teething,and It will to a of and school you emulation is complaint of must play,and proceed caution. of the in common it should probably tion inclina- appetite,you more Emergencies is rather go of his friendshipin spiritof failure of own desirable be to appear watchful whose one, ones be, of his and into the child needs your has, suitable can temperament, utilityto him. must as phemous blas- or wholesome and pure that he see age, and, a deeply more readily. When more companions, own much sinks foul a a tation; of imi- creatures that remember ever themselves to arrogate rightto repeat, being marvellous and the will turn their presence, seem his resume Nursery. infants,especially always receive subside under F2 iy a tention. at- more 58 carefully regulateddietary,and the substitution of a lighter and more digestiblefood. If it should persistand should at be watery, h^ve medical once very Bronchitis is contain or advice. cation dangerous compli- frequentand a blood, you teething; it is indicated by hurried breathing,drowsiness, cough, flapping nostrils, and refusal of food ; and should be brought under of the consideration Fits are the cutting of not rush and be alarming, and, unfortunately,in very families, very many treatingfits you In you will and castor be oil. or if the child there right removing of only,can Cut lint,linen dose harm no cloths to it,whilst bath. giving " chloralum be less you air,the better,as or oil by the mouth immersed are safelydirect the remedies Finger. Wrap it up in rag, confined of gruel injection tight clothing and fresh cannot very applying cold in your the feet are If the head But, perhaps, the all an of castor swallow. can will be a in harm, you If the bowels to possess. must it often does bath, as warm requires critical judgment which supposed A especiallyduring common; the teeth. the to attendant. medical of your in hot water a tard mus- do, beyond allowing dance abun- medical man, a aright. the wool. iy blood with 70 weight of starch powder. try the benzoated enough. the and suck can be lips,, If the about, seldom talked " edge of answer zinc ointment. Tongue-tie.Often If the child If thes6 do not thrust the tongue he have sure tongue be will seen. the to tongue reallytied, don't at- " tempt to cut it yourself;it is operation,and should only be dangerous little done by a medical a man. Drinkingfrom accident ! and ice to a " best the throat boilingTea-kettle. A dreadful of treated by the application and tongue, till the doctor rives. ar- Chilblains. tion Probably there is no infantile affecthe witness to the sufferer and distressing " so of it as take a the attack of chilblains ; severe precautions of keeping but, if you children your ing daytime,and of not allowtheir feet to become severelychilled,you will A frequent likely, prevent their accession. properly clothed most in the of chilblains is discovered cause nursery after the two nurseries temperature. by proper by as a in a day nursery, and warm should be maintained The food and active exercise cold circulation a as the child be and can therefore of uniform should littlewine night kept water, take. iy up and Long 7* should sittings with in children tolerated,especially be not feeble hearts and best embrocation of for is chilblains unbroken equal parts of The cold extremities. posed com- of cantharides, tincture of camphor, and tincture of opium. A very spirits capitalapplicationis iodine paint. Covering the part with soap When chilblain is broken the tedious you affair,of, probably, attend for treatment " Keep it to broken a the child warmly wrapped resin carbolic Give ointment. food,and in rest in flannel acid water the child or twice a weeks, unless many chilblain to the wound cerate it with at in for are you principles. The sound on benefit. decided plaister is of following: is the the bed, and feet apply wadding; a best day, and wash before apply the some good whole- you plentyof repeated small doses of wine and water. of Opium or SoothingStuff. Infants are extremely susceptible to the influence of opium, and a single drop will put a life in jeopardy. An Overdose When with lies still, breathing " sufferingfrom an opiate the infant a pale and slightlylivid face, slower than usual, with a sort noise, refusingall food, and through a slightly-opened eyelid, a of hiccoughing showing, very iy small 72 pupil. In treatingthis dangerous condition carry the child into the open air, loosen its clothing, fleck its face with doctor water, and cold Children Terrors. " usual,and wake agitationand up way: suddenlyin The " child has waked up, idea where and frightenedto distraction; or, been told a has to flutter, be fit unless he kindly,take will caution again nurse, to dream yes, and about it may goblins, hob- them, put him to throw is, little a bogies and enough " he him in a into Go to him quicklycomforted. candle, speak to him gently and a him soon ; a if found is with instanter, he got him sure no tale about and, having had one as night in great the alone, probably has is bed to go himself older, has " often and screaming with all their fright, is night terror, and arises in the following This might. a your post haste. Night fancies for send up be never in your himself to arms and again ; talk about him, especiallytowards caress but you him must hideous things evening. The impressionsto be uppermost in the childish mind, on taking him to bed, are those which refer^to sant pleahunt, things the flower garden, the butterfly " the sweets of prayer, the guardian angel,and love of God. iy the 73 Death. Sudden where, it; died, until it as by Thrush. medical a by softness in the families,and, families, often be ; while at the generally that aloof by as same and this very in the absence an is the Thrush often child the lining very gouty is a cult diffimay by using the breast; same fungus,and the it dies reme- destroy vegetable growth, time they strengthenthe system the It is well disease common breast by contagious,and to a or will strict attention good of locally. of fresh air,and that child. by sucking growth such are child dered engen- and rheumatic it is also very the on of parts. Thrush other complaint,and or utensils, depends and every propagated from same delicacy of in the takes troublesome cure is predisposingcause and of the mouth membrane it first examined be weakness local the found to should inherited an and very and necessary, corpse seen man. acquiredone, in has man impaired constitutional vigour, is either runs be and as, general predisposing*cause The " remain medical some well that the quite as infant the inquest may an thrush Let " use milk to may to remember often be kept abundance cleanliness, of wholesome food ; and, is the infallible cure, and, of that,the artificialfood should be iy 74 nutritious light, on be most If the occasion. every should and changed, and altogether; or the child into the country for way milk. The fluid the mouth the ounce. requireto or I recommend of should be When they ; is necessary take upon the advice you, and and practitioner, to it will the not the have a no of a woman merely jury of nant. preg- ful dreadmatrons for you be necessary guidance place on in strict letter the that should dicted in- pregnancy but, according'tp time, you any a with are women plead can of serving responsibility imposed times Subjects. quick"with child,and If,at three out grainsto law, it " laxative,whilst a of nitrate of silver, ten Matrons." of execution of the tonics,and morning for murder bar air and painted every second and ; Jury as a- successfully iron,as sponged Incidental The be sent change of entire and withheld be to part of sulphurous acid mixed one solution a may magnesia is washed four of water with have doses of bark Dinneford's day, with may an medicines minute are prepared, fresh carefully the milk disease persists to skilled medical reliance on iy the state- 75 of the ments the all reasonable medical and breasts which assistance at your the 3rd and quicken at of the 4th 5 th and the with If you can be tolerably may some women 7th month, and at the some ion, opin- an do to remember quicken" at " never to command. must exercise and coming of the child you but, you sure; between skill in scarcelyfail will you mine carefullyexa- must the abdomen, and care feel the movements some You prisoner. but, that half way all ; is the month, usual date quickening. with Marriage the This Relatives." is greatest possible importance generations; and, with reference of first cousins, I must pertinaceous consent, it. You may advise to oppose depend upon you succeeding to the to marriage all, with and may be it,that any make desirable may in the nervousness ily famhave blood parents expressed by melancholia, insanity,or epilepsyin to mere one ance discounten- or infirmity peculiarity(and all families some) is aggravated by the marriage of relatives; and, of matter a the children you from hesitate other " to serious sufficiently take the issues risk, however circumstances,such appear. iy alliances 76 Remarks forth children in the period and, there to the is sorrow and primeval curse, to the as in the much to hour of travail; who, giving a rigid adhesion some, of Holy Writ, prescriptions this with bring- salient clause a applies,probably,as of pregnancy, are To Parturition." Painless on condemn terferen all in- ordinary anguish of nature, as prejudgment of Christian fortitude a step, at impious and, who once, equallypresumptive and a " " to arrogate back the themselves is fitted to the burthen. I have consolation As a brieflyto reply,that hesitate to obtain do not chloral,under however trivial even worthy may the practicalphysician, the necessity; dividual in- same relief from sufferings by taking chloroform,or own that their opium, and or that, be their precepts, their practice scriptural delinquent;and, that, however trinsic be their reasoning,they fail to show any indifference in pain, in the abstract,but only is may in its causation the curse , sorrow one any may ; and, have alone, and leave been that us atoned the to infer open by the that gestative parturientanguish is mitigatedor controlled without turition Parinfringement on the divine command. pated or labour, then, is so frequentlyanticiwith feelingsof dread, from the amount of that may be iy 78 take men well, chloroform, the most even witnessed practice that in been worth was comparison known in labour, to though for many for fourteen Some make child without When surd',you be may your once under which medical your into made these are simplestway almost the into chief the of the in " sort of cup a that assurance entirely perfectsafetytoo. up your mind dulge in- to to your tain enter- and, remember, observe. inhaling chloroform, and Fold to world the essentials to in be quite prepared its results ; universallyused following: a to it. attendant, luxury of chloroform, adhere decision,place in it entire confidence,and anxiety as it ble possi- will in the no has fluence its in- with the best will be have death stronglyrecommend knowledge* and you viously ob- have, myself,given necessary, born sideration con- advantages kept hours by you wifery mid- in its administration few sacrifices under some the I therefore to I feel and, from never moment's a believe,a are consecutive out I women precautions are pointed I have its use the with occur hours. results,and and arise from conferred; and, never rule, wonderfully delicate; mischief any the as The the one midwifery practice,is napkin and stitch it ; handkerchief or place twenty iy or 79 thirtydrops of chloroform inhale and mouth put your and should round the often as of labour It is be may only in pains, and to or not the on chloroform necessary/ and, when charms God's foundest a the a gift to to When or may most to may once but not enjoyed hail the the be child, rather operation is an through discoverer, and and but bility lia- exercise to or of intelligence mother, the increase pain subduer, you woman, of the expulsiveaction forego them, more immortal to appear have you as termination the towards otherwise. than protective never the of the brain tains cur- tight band or belt is to be repeated as subsequent haemorrhage, injuriouseffect on any and the deeper insensibility. form that chloroexceptionalcases with it does to no dose pushed very interferes be and, necessary, bed-clothes the The body. is proceeding, freelyadmitted be there should and the inhalation Whilst air quietly and into the cup face, by turning back ; of it bottom a nose the vapour. the the then, glass graduate,), collectingyourselfquite at ease, (measured carefullyin lying down into be sary, neces- its mysterious will,I ween, it, even, agency well worthy of your enduring gratitude. iy as of its pro- 80 Disinfectants and Deodorants. and general household frequently employed useless either are of Burnett's chloride nursery disinfectants the use For " ous. danger- or poisoned has zinc most being-colourless like water, is less easilydrunk by children. Condy's fluid is harminfectant only,not a disenough, but is a deodorant I have been long engaged in preparing and, from scores, a substance and as poison. of salts, is of names Saline" Zinc Iron and is a' substance, which This be shortlyto patented under Biolytic and Deodorant ant "Holland's Biolyticand Deodor- Saline," is a very reliable and cheap of the eminently destructive that constitute infective matter; germs be less harm- be to "Holland's preparation,and may fect, disin- and deodorise both yet be in such condition,as a mixture the that shall used either and deodorisation as solid a disinfection of and, For fluid. or nursery ganic or- the pans, offensive evacuations,and For all drains, sewers, rough purposes, diapers it is invaluable. sinks,and water-closets,and the iron saline should but, for the disinfection of calico saline should would can always iron-mould. only be obtained be For used, as or be used ; linen,the zinc the iron the present these at my saline salines privatelaboratory. iy ' Wr^ APPENDIX. Minor Operations usually the on devolving Nurse. The Preparation of Poppy Fomentations." py Pop- and are frequently required, best preparedby takingthe heads of half a dozen ing breakas bought at the druggists', large poppies, fomentations are them open so as to expose the seeds,and then boilingthe husks and seeds gentlyfor half an hour, The liquorshould be dark in pintof water. colour, and strained before use by passingit through muslin; and should be appliedhot by folded so as to absorb a good of flannel, means and wrung, so as to prevent dripping. quantity, It is a good plan to wrap some macintosh sheeting in a the flannel when over the heat of the it is desirable to maintain the greatestcare should alwaysbe taken to prevent wettingthe bed or application ; and and chilling of the patient.' body linen, The Turpentine Stupe." This useful application and ordered by medical men frequently will vary accordingto strengthand efficiency is iy its the 82 goodness of the For method delicate of found be of the women following" of flannel of the table, sprinklethe and and roll up to littledelay as fomented the over maintain the the possible,unroll with the Allow stupe well bear a to remain it,or on pentine, tur- as the skin ; to oil silk that as the part to be it on pieceof outside the patientcan heat; and, with turpentinesurface stupe place a the with five diffuse the turpentine the stupe to sheeting, and flannel. surface upper will stitch size and same soak the flannel in as hot water together, bear to wring it dry,then spread it out can you a skin used. amount preparing and applying-the stupe the most generally suitable. Take thicknesses them turpentineand the the or tosh macin- piece of dry on as until the long as skin be (usuallyan affair of minutes),and it. If the subsequentsmarting and then remove burning be unduly severe, the inflamed skin should be gentlysponged with soap and -water, dried and well reddened, smeared with fresh lard. Ventilation much be of importance admitted this,without to a the that the risk Lying-in an Room." abundance It is of of fresh air lying-in-room,and, to effect of givingcold to the patient, it iy 83 will the requireprudence time summer and face covered and the or 6 minutes in but, at the with up thick shawl a window be winter time, ventilate by head her blanket, freelyopened, for in or In nurse. or time, at intervals of 6 a will be safer to the part of the on patientshould have the and door * or 8 hours weather, severe the door and 5 : it chimney only. In all Wounds." Dressing lying-in-woman the hands clean,the nails short,and It will used. wash with In tow, lint,or rag, use never scrupulously brush, frequently and prudence fluid before wound them burn to ling hand- pieces use afterwards, especiallythe ordinary toilet caution in washing and extreme all the disinfecting a be the nail Condy's washing a a sponges, Use sponges. should commendable wound. any of hands your show manipulationswith wound, and utensils you resort only water use to in that has sing dresbeen previouslywell-boiled. Dressing very clean by washing the an and Ulcerated free from it every part, dress $ or. Navel." Keep the part decomposing discharges 12 hours ; and, after drying it with the oxide of zinc ointG2 84 ment ; under and, \\ it should the notice of the Medical Application of the child around who the who but bandage or in its use their recover for a may and those month are in use, depend that will it be of 4 constitute a women the only are of them some or convey wash. You even may simpler your binder is,the better for all concerned. ft. 6 to difficult to calico fr^om 14 new about the applied bought in the shops ; grounds, they are many object to these on complicated,easily soiled,apt infection,and be must be I breed the birth of perfectfigure. There of binders which costly, very After flaccid abdomen, varieties many Attendant. Binder." the binder a persevere ones rapidlyheal,bring- it not in. Half dozen a 16 inches to long, and a few wide, and blanket-pins, simple,cheap, wholesome, and for every strips cient suffi- and during the be changed frequently, first few days they must as they become soiled or displaced. In applying the binder you must consult your patient's feelings at which as to the degree of tightness you pin it. armament Bandaging veins, or when the case; Legs." When the legsare there are varicose ulcerated,bandages iy 86 have If you Haemorrhage." extensive any tice prac- have to assuredly, this alarming- difficulty, and should be encounter prepared to treat your patient on sound principles as a nurse will,most you immediately available. When the subject of or patientis flooding, your undue haemorrhage, you will easily notice the paleness of her face, her anxiety, restlessness, as and doctor no crying out make If it be as you patientflat with cold whilst ' her water to doctor. to the soon patient a glass of you a understand piece of should to occupy iced spare Application observe wait arrives to and fetch the give your drink; and, may these for in if introduce being done medical aid; I and washing freelyyour hands of Leeches." a ice water moments externallyit is to third to a window, the open vagina : to you wetted parts, and outer business,you your face,chest patient's you the ice into the advise to one ice,and as going-on. apply cloths bellyand this direct is now bandages, lay the all and back, must you what see undo ge^t some As and eyes suppose, on doing another I shall faint7 ; and " of your use be may with cold water. When necessary leeches to your success varietyof little details. iy are plied apfor Firstly 87 the leeches should firm when rolled very active in be dried with on The use. part the leeches held glass,or and leeched the tail end fingeruntil they internal part, a tube in a If thumb the applied speculum must a to any first be the skin of the long pair of lightforceps. Disinfection chloride clean water applied under introduced,and the leeches held by back thoroughly between fasten. or ready for be last with rolled or should be either be may by Hkely and soap, be they should movements, will most to be cleansed,firstwith and fingers,and cloth,and gently rubbed they feel they should " the between all their a it,when selected be Condy's fluid, liquidare chiefly Evacuations." of the of lime, and Burnet's but have disinfecting processes, many I defects,and some dangers attendingtheir use. have devised an easilymanageable deodorant and in the form of a dry powder, which disinfectant, is free from danger, and venient. very effectiveand con- used for It is alluded I advise to a put into the commode, little after,and to under little of the of the evacuation. to be into contact of "disinfectants." powder previously to the commode bring the powder the head use, to be and a so agitated, with every as tion por- 88 Administration The of The Enemas." used for The apparatus should be cleansed fluids into the bowels should be carefully injection prepared,and administered at a temperature, varying,according to the objectin view, from no degrees "Fahr." to the temperature of iced water. all occasions,and before its action understood. In use on giving to an infant,be careful that /the bowel injection smooth, and elastic;and, before pipe is perfect, dip it into warm you introduce it into the bowel and smear itwith lard ; introduce it water : dry it, and gently,with a wriggling sort of movement, than two or three tablespoonfuls never injectmore In administering adult at a time. to an an enema used ; which be a different pipeis generally must warmed, larded, and carefully introduced, in a and direction upwards backwards, whilst the side. The amount patientlies on one you inject will vary much, but, as a rule,a pintwill be quite an sufficient. Vaginal Injections and, a specialelastic If used for the purpose addition frequently required pipe should always be used. are very of charges, correctingoffensive disthey should be made disinfectant by,the of a littleCondy's fluid. All vaginal in- iy 8g jectionsshould whilst flufd. A of the temperature object,but should of the I catheter Assuming to supple have it with oil or prepare the side back, as using your eyes, the Provide as you As turning the the bladder must the stop and yourselfwith case so will be allowed the into urine empties draw the smear a to and small on do, troduce in- wards back- bladder, and, will out as and, now, " gently upwards stop pare pre- water, warm suits the most catheter female elastic, patientby laying her your along the urethra on it in use operation. silver stop, you a lard. its bladder, and, the proper, dry it,turn basin, and or a by washing it ; then the tant impor- an able to be distended a brieflydescribe that you use It is should nurse catheter, fitted with it for " Catheter." relieve shall therefore ingreturn- be hot. never Female and the thing and, depend on proper injectionmust that every matter a is the bidet up, in full stream, to catch provisionis made some Use high be thrown freelyflow. the catheter slowly. Suppositories introduced into are the composing pillsor bowel for the masses relief of local iy go In pain. preparing to introduce a suppository, the patientshould be placed on her side,and an oiled fingerfirst passed,and, as this is withdrawn the suppositorymay be pushed into,and little a up, the way bowel, Pessaries are allowed and instruments displacementsof to internally and womb, shape medy re- they precomposition. and should They use, used the the greatest varietyin .sent to remain. always be thoroughly cleansed before If they occasion well oiled. pain and and uneasiness, bowels or interfere or with the bladder, they should action be at of the once moved re- by the finger. Taking a the Temperature." In almost bodily heat is essential to of the record of disease an4 though the as morning well and as to every case the criminati dis- its treatment evening record ; are it is often necessary to make usually sufficient, In taking temperatures you hourly observations. be exact. be extremely careful,and you must must The thermometer and so should constructed fixed,and the be a that the readingeasy. which contains the self-registering one, index The is bulb immovably of the thermometer should mercury iy be 91 carefully kept very tested for three four minutes, and or special attention You tongue and to press his you place may In all bulb the it in the groin,or in cases faithful record a patient'sbody for three Report of the its 12 specimen of the medical Analysis expected to it in Urine." to be prepared or ; their tain con- excess passed with it. You state " note a clean the should the exact its colour, turbidness,and readiness,in attendant of or with they blood, matter, 24 hours or smell, its clearness should the motions whether and in vagina,or curate requiresac- instrument You patient'sknowledge, or without the to measure urine, so as passed the smell ; whether and anything unusual, as mucous, the side,or four minutes. frequencyof colour,consistence slimy or Excretions." the to state amount the under tightto arm of the bulb of the contact of false direct the and bring -pit, arm pay will make you place the may must you and patientto close the lips, it with his tongue. You place it in may rectum. the this, or to * records. with the, part to% be in contact have a glass,for examine. The hospital nurse be able to ascertain the is *now specific grav- iy 92 ity,the reaction, and the absence or presence of albumen. The gravity specific urinometer,*which the has only number be to at the is easily has scale a in the floated level of the The refers reaction alkaline. coloured called papers determining the bluish and colour into acid the deeper changed is is of paper red when a ped drop- greater the acidity Turmeric when brown to the urine, and the redness. is turned and Litmus for used are or Two reaction. papers reaction. case. being acid urine test the added iooo every is of acid Healthy urine it, and upon liquidwith the to by urine, when, it,gives the specific gravity in to determined thrown paper is into urine yellow that is alkaline in reaction. Take Albumen. tube, add test to a small it four then well boil the fluid be a as time present it will be heavy white a spiritlamp men ; if albu- and coagulated cloud, that will settle in appear a short to the bottom. Concluding will, of your over quantityof urine in a drops of nitric acid, and Remarks." course, confidential observe As all a faithful nurse you possible secrecy to' duties; keep strictly iy in your
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