A nurse's handbook of obstetrics . rum is a serious condition which mayresult in total blindness, but if suitable treatment is adopted atthe very outset of the disease and intelligently carried out thesight can usually be saved. The entire treatment is, of course,under the direct supervision of the physician, and in severe caseshe will often deem it best to call an oculist in consultation. A NURSES HANDBOOK OF OBSTETRICS. Icterus neonatorum (jaundice of the new-born) is afairly common condition of somewhat uncertain origin, but be-lieved by many to be due to infection of the umbilicus. Itoften
A nurse's handbook of obstetrics . rum is a serious condition which mayresult in total blindness, but if suitable treatment is adopted atthe very outset of the disease and intelligently carried out thesight can usually be saved. The entire treatment is, of course,under the direct supervision of the physician, and in severe caseshe will often deem it best to call an oculist in consultation. A NURSES HANDBOOK OF OBSTETRICS. Icterus neonatorum (jaundice of the new-born) is afairly common condition of somewhat uncertain origin, but be-lieved by many to be due to infection of the umbilicus. Itoften appears in its milder forms among strong, healthy infants,the yellow color of the skin showing first on the second or thirdday and increasing in intensity until the ninth or tenth, whenit begins to disappear. No treatment is required unless the in-fant shows symptoms of severe constitutional disturbance, andin the vast majority of cases a favorable outcome may be ex-pected. Winckels Disease.—This is a very rare and fatal septic. Fig. 167.—Spina bifida of dorsal lumbar region. Infant forty-eight hours old. Died whenten days old. (Rotch.) disease of new-born infants, marked by icterus, hemorrhage,bloody urine and cyanosis with malignant jaundice. The causeis not clearly known. The poisons which cause these symptomsare said to be connected with the rapid metabolism of symptoms resemble pernicious vomiting or acute atrophyof the liver. The intense jaundice is found with hemorrhageor fatty degeneration. Among other causes suggested are over-doses of chloroform to the mother, and asphyxia, which isusually associated with it. The nurse by close observation ofsymptoms may secure immediate orders, and prompt measuresmay possibly prevent the development of this condition. Spina bifida (Fig. 167) is due to the congenital absence of SPINA BIFIDA. 341 one or more vertebral arches, usually at the lower part of thespine. This allows the membranes covering the spinal cord tobulg
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