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Bull, Thomas, M.D.

"The Maternal Management of Children, in Health and Disease."



IF THERE IS PULSATION IN THE CORD, BUT RESPIRATION IS NOT FULLY
ESTABLISHED, it must not be divided; and as long as pulsation
continues, and the child does not breathe perfectly and regularly, no
ligature should be applied. The first thing to be done here, is to pass
the finger, covered with the fold of a handkerchief or soft napkin, to
the back of the child's mouth, to remove any mucus which might obstruct
the passage of air into the lungs, and at the same time to tickle
those parts, and thereby excite respiratory movements. The chest
should then be rubbed by the hand, and a gentle shock given to the body
by slapping the back. If these means fail, the chest and soles of the
feet must next be rubbed with spirits, the nostrils and back of the
throat irritated with a feather previously dipped in spirits of wine,
and ammonia or hartshorn may be held to the nose.

INFLATION OF THE LUNGS.--These means not having been successful, and
the pulsation in the cord having ceased, the infant must be separated,
and inflation of the lungs resorted to. This is to be effected gently
and cautiously as follows:--
The child, wrapped in flannel, is to be laid on its back upon a table
placed near the fire. Its head is to be slightly extended, and the
nostrils held between the fingers and thumb of one hand, whilst with
the fingers of the other slight pressure is to be made upon the pit of
the stomach, so as to prevent the air from passing into that organ.


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