n lungs.
When the chest of the child has been thus distended, it is to be
compressed gently with the hand, so as to empty the lungs; and then the
inflation, with the alternately compressing the chest, must be repeated
again and again, until either the commencement of natural respiration
is announced by a sneeze or deep sigh, or until after long-continued,
steady, persevering, but unavailing, efforts to effect this object
shall have removed all ground of hope for a successful issue.
Whilst these efforts are being made, some other individual must
endeavour to maintain or restore the warmth of the infant's body, by
gently but constantly pressing and rubbing its limbs between his warm
hands. And after respiration is established, the face must still be
freely exposed to the air, whilst the warmth of the limbs and body is
carefully sustained.
It will sometimes happen--and to this circumstance the operator should
be fully alive--that when the child begins to manifest symptoms of
returning animation, its tongue will be drawn backwards and upwards
against the roof of the mouth, filling up the passage to the throat,
and preventing further inflation of the lungs. This is to be remedied
by the introduction of the fore-finger to the upper and back part of
the child's tongue, and gently pressing it downwards and forwards, by
which the difficulty will be removed, and the air again passes.
THE WARM BATH.--More reliance may be placed upon the above measure to
restore animation, than upon the warm bath. Still this is sometimes
useful, and therefore must not be neglected. Whilst inflation is going
on, the bath may be got ready, then resorted to, and if unsuccessful,
inflation may and ought again to be followed up.[FN#28] If the bath is
useful at all, it will be so immediately upon putting the infant into
it; respiration will be excited, followed by a cry; and if this does
not occur at once, it would be wrong to keep the child longer in the
bath, as it would be only losing valuable time which ought to be
devoted to other efforts. The temperature of the bath should be about
100 degrees; and if, upon plunging the infant into it, it fortunately
excite the respiratory effort, it should then be taken out, rubbed with
dry but hot flannels, and, when breathing is fully established, laid in
a warm bed, or, what is still better, in its mother's bosom; letting
it, however, have plenty of air.
[FN#28] We should not relinquish our end
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