Pye Henry Chavasse

Advice to a Mother on the Management of Her Children


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the proportion of one table-spoonful of salt, of one of oil, and a tea-cupful of gruel—ought then to be administered, and should, until the bowels have been well opened, be repeated every quarter of an hour; as soon as he comes to himself a dose of aperient medicine ought to be given.

      It may be well, for the comfort of a mother, to state that a child in convulsions is perfectly insensible to all pain whatever; indeed, a return to consciousness speedily puts convulsions to the rout.

      64. A nurse is in the habit of giving a child, who is teething, either coral, or ivory, to bite: do you approve of the plan?

      I think it a bad practice to give him any hard, unyielding substance, as it tends to harden the gums, and, by so doing, causes the teeth to come through with greater difficulty. I have found softer substances, such as either a piece of wax taper, or an India-rubber ring, or a piece of the best bridle leather, or a crust of bread, of great service. If a piece of crust be given as a gum-stick, he must, while biting it, be well watched, or by accident he might loosen a large piece of it, which might choke him. The pressure of any of these excites a more rapid absorption of the gum, and thus causes the tooth to come through more easily and quickly.

      65. Have you any objection to my baby, when he is cutting his teeth, sucking his thumb?

      Certainly not: the thumb is the best gum-stick in the world:—it is convenient; it is handy (in every sense of the word): it is of the right size, and of the proper consistence, neither too hard nor too soft; there is no danger, as of some artificial gum-sticks, of its being swallowed, and thus of its choking the child. The sucking of the thumb causes the salivary glands to pour out their contents, and thus not only to moisten the dry mouth, but assist the digestion; the pressure of the thumb eases, while the teeth are "breeding," the pain and irritation of the gums, and helps, when the teeth are sufficiently advanced, to bring them through the gums. Sucking of the thumb will often make a cross infant contended and happy, and will frequently induce a restless babe to fall into a sweet refreshing sleep. Truly may the thumb be called a baby's comfort. By all means, then, let your child suck his thumb whenever he likes, and as long as he chooses to do so.

      There is a charming, bewitching little picture of a babe sucking his thumb in Kingsley's Water Babies, which I heartily commend to your favourable notice and study.

      66. But if an infant be allowed to suck his thumb, will it not be likely to become a habit, and stick to him for years—until, indeed, he become a big boy?

      After he have cut the whole of his first set of teeth, that is to say, when he is about two years and a half old, he might, if it be likely to become a habit, be readily cured by the following method, namely, by making a paste of aloes and water, and smearing it upon his thumb. One or two dressings will suffice as after just tasting the bitter aloes he will take a disgust to his former enjoyment, and the habit will at once be broken.

      Many persons I know have an objection to children sucking their thumbs, as for instance—

      "Perhaps it's as well to keep children from plums, And from pears in the season, and sucking their thumbs." [Footnote: Ingoldsby Legends.]

      My reply is—

      P'rhaps 'tis as well to keep children from pears;

       The pain they might cause, is oft follow'd by tears;

       'Tis certainly well to keep them from plums;

       But certainly not from sucking their thumbs!

       If a babe suck his thumb

       'Tis an ease to his gum;

       A comfort; a boon; a calmer of grief;

       A friend in his need—affording relief;

       A solace; a good; a soother of pain;

       A composer to sleep; a charm; and a gain.

      'Tis handy, at once, to his sweet mouth to glide;

       When done with, drops gently down by his side;

       'Tis fix'd, like an anchor, while the babe sleeps.

       And the mother, with joy, her still vigil keeps.

      67. A child who is teething dribbles, and thereby wets his chest, which frequently causes him to catch cold; what had better be done?

      Have in readiness to put on several flannel dribbling bibs, so that they may be changed as often as they become wet; or, if he dribble very much, the oiled silk dribbling-bibs, instead of the flannel ones, may be used, and which may be procured at any baby-linen ware house.

      68. Do you approve of giving a child, during teething, much fruit?

      No; unless it be a few ripe strawberries or raspberries, or a roasted apple, or the juice of five or six grapes—taking care that he does not swallow either the seeds or the skin—or the insides of ripe gooseberries, or an orange. Such fruits, if the bowels be in a costive state, will be particularly useful.

      All stone fruit, raw apples or pears, ought to be carefully avoided, as they not only disorder the stomach and the bowels—causing convulsions, gripings, &c.—but they have the effect of weakening the bowels, and thus of engendering worms.

      69. Is a child, during teething, more subject to disease, and, if so, to what complaints, and in what manner may they be prevented?

      The teeth are a fruitful source of suffering and of disease; and are, with truth, styled "our first and our last plagues." Dentition is the most important period of a child's life, and is the exciting cause of many infantile diseases; during this period, therefore, he requires constant and careful watching. When we consider how the teeth elongate and enlarge in his gums, pressing on the nerves and on the surrounding parts, and thus how frequently they produce pain, irritation, and inflammation; when we further contemplate what sympathy there is in the nervous system, and how susceptible the young are to pain, no surprise can be felt, at the immense disturbance, and the consequent suffering and danger frequently experienced by children while cutting their first set of teeth. The complaints or the diseases induced by dentition are numberless, affecting almost every organ of the body—the brain, occasioning convulsions, water on the brain, &c.; the lungs, producing congestion, inflammation, cough, &c.; the stomach, exciting sickness, flatulence, acidity, &c,; the bowels, inducing griping, at one time costiveness, and at another time purging; the skin, causing "breakings-out."

      To prevent these diseases, means ought to be used to invigorate a child's constitution by plain, wholesome food, as recommended under the article of diet; by exercise and fresh air; [Footnote: The young of animals seldom suffer from cutting their teeth—and what is the reason? Because they live in the open air, and take plenty of exercise; while children are frequently cooped up in close rooms, and are not allowed the free use of their limbs. The value of fresh air is well exemplified in the Registrar-General's Report for 1843; he says that in 1,000,000 deaths, from all diseases, 616 occur in the town from teething while 120 only take place in the country from the same cause.] by allowing him, weather permitting, to be out of doors a great part of every day; by lancing the gums when they get red, hot, and swollen; by attention to the bowels, and if he suffer more than usual, by keeping them rather in a relaxed state by any simple aperient, such as either castor oil, or magnesia and rhubarb, &c.; and, let me add, by attention to his temper: many children are made feverish and ill by petting and spoiling them. On this subject I cannot do better than refer you to an excellent little work entitled Abbot's Mother of Home, wherein the author proves the great importance of early training.

      70. Have the goodness to describe the symptoms and the treatment of Painful Dentition?

      Painful dentition may be divided into two forms—(1) the Mild; and (2) the Severe. In the mild form the child is peevish and fretful, and puts his fingers, and everything within reach, to his mouth, he likes to have his gums rubbed, and takes the breast with avidity, indeed it seems a greater comfort to him than ever. There is generally a considerable flow of saliva, and he has frequently a more loose state of bowels than is his wont.

      Now,