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Bull, Thomas, M.D.

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



THE MODE OF ARRESTING THE BLEEDING.--The clothes of the child and the
flannel roller must be taken off;--the whole cord without delay must be
unwrapped, and then a second ligature be applied below the original
one, (viz. nearer to the body of the infant,) taking great care that
it shall not cut through the cord when drawn very tight, but at the
same time drawing it sufficiently tight to compress the vessels.
The ligature should be composed of fine linen threads, three or four
thicknesses, and not of tape or bobbin, or any substance of this
nature, as it cannot be relied on for this purpose.

ULCERATION OR IMPERFECT HEALING OF THE NAVEL.

The cord separates from the navel generally some time between the
fifth and fifteenth day from delivery, and the part usually heals
without giving the slightest trouble.
This, however, is not always the case, for sometimes a thin discharge
will take place, which, if the part be examined, will be found to
proceed from a small growth about the size, perhaps, of a pea, or even
less. This must be removed by applying a little powdered alum,--or, if
this fail, it should be once or twice slightly touched with blue-stone,
and afterwards dressed with calamine cerate.
At other times, though fortunately very rarely, excoriation of the
navel and the parts around takes place, which quickly spreads, and
assumes an angry and threatening character.


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