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Bull, Thomas, M.D.

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

[FN#30]

[FN#30] See "Artificial Feeding," p. 34.

CAUTION IN REFERENCE TO THE OPERATION.--With regard to the operation
for the removal of this deformity, I would strongly warn parents
against desiring its too early performance. Various considerations
contribute to make the distressed parents anxious for this. But very
seldom indeed--except the deformity be very great, and implicating other
parts beside the lip--will the operation be required, or ought it to be
resorted to, before the second year and a half of the infant's life;
and for this very cogent reasons exist. For instance, convulsions may
thus be induced, which often terminate fatally.
The most proper age for removing this deformity by operation, is from
that of two years and a half to four years.

BLEEDING FROM THE NAVEL-STRING.

Bleeding from the navel-string will sometime take place hours after it
has been supposed to be carefully secured. This will arise, either from
the cord being carelessly tied, or from its being unusually large at
birth, and in a few hours shrinking so much that the ligature no
longer sufficiently presses on the vessels. In either case, it is of
importance that the attendants in the lying-in-room should understand
how to manage this accident when it occurs, that it may not prove
injurious or fatal to the child.


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