A nurse's handbook of obstetrics, for use in training-schools . 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 severecases he will often deem it best to call an oculist in consultation. Icterus neonatorum (jaundice of the new-born) is a fairlycommon condition of somewhat uncertain origin, but believed bymany to be due to infection at the umbilicus. It often appearsin its milder forms among strong, healthy i
A nurse's handbook of obstetrics, for use in training-schools . 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 severecases he will often deem it best to call an oculist in consultation. Icterus neonatorum (jaundice of the new-born) is a fairlycommon condition of somewhat uncertain origin, but believed bymany to be due to infection at the umbilicus. It often appearsin its milder forms among strong, healthy infants, the yellowcolor of the skin showing first on the second or third day andincreasing in intensity until the ninth or tenth, when it begins SPINA BIFIDA. 305 to disappear. No treatment is required unless the infant showssymptoms of severe constitutional disturbance, and in the vastmajority of cases a favorable outcome may be expected. Spina bifida (Fig. 162) is due to the congenital absence ofone or more vertebral arches, usually at the lower part of the. Fig. 162.—Spina bifida of dorsal lumbar region. Infant forty-eight hours days old. (Rotch.) Died when spine. This allows the membranes covering the spinal cord tobulge outward, forming a soft fluctuating tumor filled withcerebrospinal fluid. The tumor is diminished by pressure andenlarges when the infant cries. The disease is usually fatal,although a certain few cases have been cured (Fig. 163). Themost common outcome is ulceration of the sac followed by itsrupture and the escape of its contents. Convulsions then occur,and death follows within a few hours. When the tumor is very small and shows no signs of in-creasing in size, it may merely be protected from injury andinfection by carefully applied dressings, but the more severecases are treated surgically if at all. Mastitis (inflammation of the breast) is occasionally seen invery young infants of either sex. The affected breast becomesswollen, tense, hot, red,
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