hes from the body of
the child, and again two inches from the former ligature, and then
dividing the cord with a pair of scissors between the two. And now the
means for its restoration are to be made use of, which are detailed
below, viz. inflation of the lungs, and perhaps the warm bath. If, with
the above circumstances, the child's face be livid and swollen, some
drops of blood should previously be allowed to escape before the
ligature is applied to that part of the navel-string which is now only
attached to the child.
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. The
lungs of the child are now to be filled with air, by the operator
applying his own lips--with a fold of silk or muslin intervening, for
the sake of cleanliness--to those of the child, and then simply blowing
in its mouth, he is to propel the air from his own chest into that of
the infant. Previously, however, to his doing this, he should make
several deep and rapid inspirations, and, finally, a full inspiration,
in order to obtain greater purity of air in his ow
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