the parts frequently with finely powdered Native Carbonate of Zinc-Calamine Powder. The best way of using this powder is, tying up a little of it in a piece of muslin, and then gently dabbing the parts with it.
Remember excoriations are generally owing to the want of water—to the want of an abundance of water. An infant who is every morning well soused and well swilled with water seldom suffers either from excoriations, or from any other of the numerous skin diseases. Cleanliness, then, is the grand preventative of, and the best remedy for excoriations. Naaman the Syrian was ordered "to wash and be clean," and he was healed, "and his flesh came again like unto the flesh of a little child and he was clean." This was, of course, a miracle; but how often does water, without any special intervention, act miraculously both in preventing and in curing skin diseases!
An infant's clothes, napkins especially, ought never to be washed with soda; the washing of napkins with soda is apt to produce excoriations and breakings-out. "As washerwomen often deny that they use soda, it can be easily detected by simply soaking a clean white napkin in fresh water and then tasting the water; if it be brackish and salt, soda has been employed." [Footnote: Communicated by Sir Charles Locock to the Author.]
10. Who is the proper person to wash and dress the babe?
The monthly nurse, as long as she is in attendance; but afterwards the mother, unless she should happen to have an experienced, sensible, thoughtful nurse, which, unfortunately, is seldom the case. [Footnote: "The Princess of Wales might have been seen on Thursday taking an airing in a brougham in Hyde Park with her baby—the future King of England—on her lap, without a nurse, and accompanied only by Mrs. Brace. The Princess seems a very pattern of mothers, and it is whispered among the ladies of the Court that every evening the mother of this young gentleman may be seen in a flannel dress, in order that she may properly wash and put on baby's night clothes, and see him safely in bed. It is a pretty subject for a picture."—Pall Mall Gazette.]
11. What is the best kind of apron for a mother, or for a nurse, to wear, while washing the infant?
Flannel—a good, thick, soft flannel, usually called bathcoating—apron, made long and full, and which of course ought to be well dried every time before it is used.
12. Perhaps you will kindly recapitulate, and give me further advice on the subject of the ablution of my babe.
Let him by all means, then, as soon as the navel-string has separated from the body, be bathed either in his tub, or in his bath, or in his large nursery-basin, for if he is to be strong and hearty, in the water every morning he must go. The water ought to be slightly warmer than new milk. It us dangerous for him to remain for a long period in his bath, this, of course, holds good in a ten fold degree if the child have either a cold or pain in his bowels. Take care that, immediately after he comes out of his tub, he is well dried with warm towels. It is well to let him have his bath the first thing in the morning, and before he has been put to the breast, let him be washed before he has his breakfast, it will refresh him and give him an appetite. Besides, he ought to have his morning ablution on an empty stomach, or it may interfere with digestion, and might produce sickness and pain. In putting him in his tub, let his head be the first part washed. We all know, that in bathing in the sea, now much better we can bear the water if we first wet our head, if we do not do so, we feel shivering and starved and miserable. Let there be no dawdling in the washing, let it be quickly over. When he is thoroughly dried with warm dry towels, let him be well rubbed with the warm hand of the mother or of the nurse. As I previously recommended, while drying him and while rubbing him, let him repose and kick and stretch either on the warm flannel apron, or else on a small blanket placed on the lap. One bathing in the tub, and that in the morning, is sufficient, and better than night and morning. During the day, as I before observed, he may, after the action either of his bowels or of his bladder, require several spongings of lukewarm water, for cleanliness is a grand incentive to health and comeliness.
Remember it is absolutely necessary to every child from his earliest babyhood to have a bath, to be immersed every morning of his life in the water. This advice, unless in cases of severe illness, admits of no exception. Water to the body—to the whole body—is a necessity of life, of health, and of happiness, it wards off disease, it brace? the nerves, it hardens the frame, it is the finest tonic in the world. Oh, if every mother would follow to the very letter this counsel how much misery, how much ill-health might then be averted!
MANAGEMENT OF THE NAVEL.
13. Should the navel-string be wrapped in SINGED rag?
There is nothing better than a piece of fine old linen rag, unsinged; when singed, it frequently irritates the infant's skin.
14. How ought the navel-string to be wrapped in the rag?
Take a piece of soft linen rag, about three inches wide and four inches long, and wrap it neatly round the navel string, in the same manner you would around a cut finger, and then, to keep on the rag, tie it with a few rounds of whity-brown thread. The navel-string thus covered should, pointing upwards, be placed on the belly of the child, and must be secured in its place by means of a flannel belly-band.
15. If after the navel-string has been secured, bleeding should (in the absence of the medical man) occur, how must it be restrained?
The nurse or the attendant ought immediately to take off the rag, and tightly, with a ligature composed of four or five whity-brown threads, retie the navel-string; and to make assurance doubly sure, after once tying it, she should pass the threads a second time around the navel-string, and tie it again; and after carefully ascertaining that it no longer bleeds, fasten it up in the rag as before. Bleeding of the navel-string rarely occurs, yet, if it should do so—the medical man not being at hand—the child's after-health, or even his life, may, if the above directions be not adopted, be endangered.
16. When does the navel-string separate from the child?
From five days to a week after birth; in some cases not until ten days or a fortnight, or even, in rare cases, not until three weeks.
17. If the navel-string does not at the end of a week came away, ought any means to be used to cause the separation?
Certainly not, it ought always to be allowed to drop off, which, when in a fit state, it will readily do. Meddling with the navel string has frequently cost the babe a great deal of suffering, and in some cases even his life.
18. The navel is sometimes a little sore, after the navel-string comes away, what ought then to be done?
A little simple cerate should be spread on lint, and be applied every morning to the part affected, and a white-bread poultice, every night, until it is quite healed.
NAVEL RUPTURE—GROIN RUPTURE.
19. What are the causes of a rupture of the navel? What ought to be done? Can it be cured?
(1) A rupture of the navel is sometimes occasioned by a meddlesome nurse. She is very anxious to cause the navel-string to separate from the infant's body, more especially when it is longer in coming away than usual. She, therefore, before it is in a fit state to drop off, forces it away. (2) The rapture, at another time, is occasioned by the child incessantly crying. A mother, then, should always bear in mind, that a rupture of the navel is often caused by much crying, and that it occasions much crying, indeed, it is a frequent cause of incessant crying. A child, therefore, who, without any assignable cause, is constantly crying, should have his navel carefully examined.
A rupture of the navel ought always to be treated early—the earlier the better. Ruptures of the navel can only be cured in infancy and in childhood. If it be allowed to run on until adult age, a cure is impossible. Palliative means can then only be adopted.
The best treatment is a Burgundy pitch plaster, spread on a soft piece of wash leather, about the size of the top of a tumbler, with a properly-adjusted pad (made from the plaster) fastened on the centre of the plaster, which will effectually keep up the rupture, and in a few weeks will cure it.