A system of surgery : theoretical and practical . lutition isoften impaired. The intellectual functions sometimes suffei^, from the slightest im-pairment, which the fond parent unwillingly acknowledges or fails to perceive, up toentire imbecility or idiocy. The functions of organic life are unaffected, exceptperhaps that of development of caloric, although the depression of temperature maybe more dependent on the want of proper exercise. The appetite is good ; the framegenerally, in average cases, is well nourished, although with less than the avei-ageadipose deposit. The child is often descri
A system of surgery : theoretical and practical . lutition isoften impaired. The intellectual functions sometimes suffei^, from the slightest im-pairment, which the fond parent unwillingly acknowledges or fails to perceive, up toentire imbecility or idiocy. The functions of organic life are unaffected, exceptperhaps that of development of caloric, although the depression of temperature maybe more dependent on the want of proper exercise. The appetite is good ; the framegenerally, in average cases, is well nourished, although with less than the avei-ageadipose deposit. The child is often described as the healthiest of the family, escapingepidemics, or having these disorders less severely than the brothers and subjects often lead, a more precarious existence during the first weeks afterbirth; at first even vegetative life languishes, often because premature birth ordifiicult labour, by impairing the maternal supply of nutriment, renders moredifficult the infants recovery from the shock the system has received. However, in. ^ See Little, On the Influence of Abnormal Parturition on the Mental and Bodily Con-dition of the Infant, Transactions of the Obstetrical Society, 1862. DISTORTIONS PRODUCED AT BIRTH. 249 the majority of instances, after resto]ation of the vegetative functions, a gradualaoielioration of all the functions of animal life is perceptible. Although at first convulsions are the rule, the sjKostic contractions are notpresent, or are not observed, imtil some weeks after birth. The childs limbs aresimply weaker; the convulsions and the question of viability alone occupy thethoughts of the attendants. Before the age of three or four months, thoughsometimes in slight cases not until the oi-dinary time for locomotion has ariived, thenurse perceives that she is unable properly to separate the thighs or knees forpurposes of cleanliness ; that the child never thoroughly straightens the knees; thathe does not attempt to stand, or is incapable of stand
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