applied. The object of its use is to protect the child's abdomen against
cold, and to keep the dressing of the cord in its position. The nature,
shape, and size of the binder have been described. It should be pinned
in front, three pins being generally sufficient. The rest of the
clothing before enumerated is then put on.
The child is now to be _applied to the breast at once_. This is to be
done, for three reasons. First, it very often prevents flooding, which
is apt otherwise to occur. Secondly, it tends to prevent milk fever, by
averting the violent rush of the milk on the third day, and the
consequent engorgement of the breast and constitutional disturbance.
The third reason is, that there is always a secretion in the breast from
the first, which it is desirable for the child to have; for it acts as a
cathartic, stimulating the liver, and cleansing the bowels from the
secretions which fill them at the time of birth. There is generally
sufficient nourishment in the breasts for the child for the first few
days. The mother may lie on the one side or the other, and receive the
child upon the arm of that upon which she is lying. If the nipple be not
perfectly drawn out so that the child can grasp it in its mouth, the
difficulty may be overcome by filling a porter-bottle with hot water,
emptying it, and then placing the mouth of the bottle immediately over
the nipple. This will cause, as the bottle cools, a sufficient amount of
suction to elevate the sunken nipple. The bottle should then be removed
and the child substituted,--a little sugar and water or sweetened milk
being applied, if necessary, to tempt the child to take the breast.
FURTHER ATTENTION TO THE MOTHER.
The patient should be cleansed every _four or five hours_. A soft
napkin, wet with warm soap and water, should for this purpose be passed
underneath the bed-clothing, without exposing the surface to a draft of
air. After using the soap and water, apply again the dilute claret wine
and the goose grease. Much of the safety of the mother depends upon the
observation of cleanliness. The napkin should not be allowed to remain
so long as to become saturated with the discharges.
The mother should maintain rigidly the recumbent position for the first
few days, not raising her shoulders from the pillow for any purpose, and
should abstain from receiving visitors, and from any social conversation
for the first twenty-four hours.
For the first three or four da
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