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A textbook of obstetrics . of the bowel, the threads runningparallel with one another and with the long axis of the bowel,tin- two ends of each stitch entering and emerging from thebowel-wall about a quarter of an inch apart; incise the bowelbetween the two stitches, pulling it well down below the abdom-inal wound, to guard the peritoneal cavity from contamination,as meconium and gas make their escape. Making the wound inthe bowel gape by pulling upon the ligatures through its wall,a few interrupted sutures are passed through the bowel at thesite of the opening and the abdominal wall, fastenin
A textbook of obstetrics . of the bowel, the threads runningparallel with one another and with the long axis of the bowel,tin- two ends of each stitch entering and emerging from thebowel-wall about a quarter of an inch apart; incise the bowelbetween the two stitches, pulling it well down below the abdom-inal wound, to guard the peritoneal cavity from contamination,as meconium and gas make their escape. Making the wound inthe bowel gape by pulling upon the ligatures through its wall,a few interrupted sutures are passed through the bowel at thesite of the opening and the abdominal wall, fastening the twotogether. Finally, the edges of the abdominal and bowel woundare whipped together with a continuous catgut stitch, to preventhemorrhage from the former. An anesthetic is not absolutelyjsary. I have seen the infant nursing contentedly from itsmothers breast five minutes after such an operation. Later,the rectum may be probed from above to determine the depthof the incision necessary to reach it from the anus. PLATE. Gonorrhea of the mouth in the new-born (Rosinski). DISEASES OF THE NEW-BORN INFANT. 8 I 3 Nasal Catarrh ( Snuffles ).— Causes.—When the disease isnot syphilitic, it is due, usually, to fault} clothing or to draftsof air. The crib should be protected, and the child should weara thin lawn cap until its head is covered by a growth of hair. Diseases of the Mouth.—Aphtha; are rounded, pearl-coloredvesicles seen in the mouth and on the lips. Washing the mouthdaily with a clean linen towel will prevent them. Boric acid, to the ounce, as a wash, is curative. In true thrush there is a coalescence of white spots, with anareola of reddened mucous membrane. The disease is often seenin hospital practice, or in infants whose hygienic surroundingsare bad. It is due to the presence of a parasite, the saccharo-myces albicans. Treatment.—Boric acid, gr. xvj-xx to 5J of honey. One-halfof a dram of this mixture is put in the mouth three or four timesa day. The as
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics