CHAPTER IV.

THE BETTER MODE OF WASHING THE NEW-BORN.

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

for the new.

How to proceed: A soft, white, all-wool blanket, about two yards square,

should be always in readiness when a birth is expected. Not necessarily

new, but pure, never having been used about fever patients, or about the

dead. A metallic slop-pail with cover, that all secundine particles may

be put out of sight; the same serving as a vessel for the woman to sit

over. As soon as the babe is freed from the mother, it should be wrapped

in the blanket and laid aside in a comfortable place. After the mother’s

safety is assured of, prepare thus to clean and dress the babe: Secure a

comfortable position, with plenty of light and ventilation, as far from

the confinement bed as possible. Have a stand or covered chair, upon

which to place the half of a small teacupful of fresh hog’s lard or

sweet oil. If in a cold room, warm the grease by setting the cup in hot

water for a few minutes. Have a piece of soft, all-wool flannel, about

the size of your pocket-handkerchief, another piece half as large, and

two pieces of soft linen or cotton about as large as your hand. A piece

of lamp wicking or several strands of white spool cotton, to be used in

re-tying, in case of bleeding from the cut end of the cord. The infant

may then be brought forth, held on the lap, or laid on two chairs. As

many babes have open eyes as soon born, it is best to dip a small piece

of the soft linen or cotton in the grease, and wipe the inner edges of

the lids first of all, as the drying on of the chalky substance or other

matter with which the child’s face may have had contact, while coming

into the world, may, as I have before said, be the first cause of sore

or inflamed eyes. Then proceed with the small piece of flannel, well

saturated with oil, to clean the face, ears, nose,—avoiding the

eyes,—neck, chest, under the arms and between the fingers. Wipe dry with

the clean, large piece of flannel. Those parts can then be covered with

a part of the blanket, and the lower extremities cleaned with care.

Should there be dried blood from the cut end of the cord, moisten with

warm water, and wipe it off. Then proceed to clean and examine well all

the private parts. When done, cut a hole in the piece of cotton, linen

or batting, as it may suit, about the size of your hand, through which

slip the cord, fold it closely, but flat and smooth, and lay it over to

the left side of the belly, that it may not intercept the circulation of

the liver, which is situated on the right side. Then secure it with an

all-wool flannel band. The band should be made so as to include a shirt

with long sleeves. It should extend from over the teats down below the

hips. There never would be swelling of the breasts of infants if the

bands were purposely made wide. The natural office of the mamma in

girl-children, has been destroyed by repeated pressing of the teats with

the mistaken purpose of “getting out the milk.” Narrow bands are

worthless. If they shrink they should be pieced out or replaced with

new. The band securely placed,—a flannel roller, plain slip and napkin,

is all that is required for the first dressing. It often happens that,

after “washing” and dressing by present methods, blood oozes from the

cut end of the cord. Seldom does this happen by the new method,—I should

say, my method. Sometimes the fault is in the manner of tying, or from

imperfection of the cord itself. In any case the cord should be re-tied,

or the bleeding otherwise stopped, and the infant kept warm till medical

aid can be summoned. To return to first dressing: After the wraps have

been drawn up over the feet, the head should be thoroughly greased and

cleaned, taking care not to press the bones in the least. Pressure upon

the head at birth may be the means of stupidity, or even idiocy, during

life. The baby’s mouth should then be swabbed out with a clean, wet

cloth, and the little one laid down in quiet. Babies usually sleep

during the procedure, as does the mother, she waking only to find her

babe by her side, “all warm, sweet and clean,” and “mamma didn’t even

hear it cry once.” One trial of this method is convincing of its

benefits. If soap is used with grease, it acts the same as suds into

which new cotton cloth is put. No good laundress will meet with such an

accident, if possible to avoid it. And surely no careful nurse will

allow her little charge to suffer by having to stop and change the

water. Moreover, in the absence of soap, there is no liability to

chapped skin, glandular sores, sore eyes, ears, and crusty scalp.

Especially should the scalp be well cleaned, and kept so; as it not only

adds to the tidy appearance of the child, but favors an even, healthy

growth of the hair bulbs. The foundation for a love of cleanliness can

best be laid in infancy. There are many adults who desire good hair, yet

do not or will not know that combing the hair daily, and keeping the

scalp clean and cool, promotes a healthy growth of the hair.

A Book of Medical Discourses, in Two Parts · 第 4 / 14 章