Handbook for Midwives

Cover Handbook for Midwives
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The part should be bathed with cold water, night and morning, and care taken, whenever the rupture appears, to lay the child down with its thighs bent upwards, and to press the bowel back into the belly, and readjust the truss, which may be covered with oiled silk to prevent its rotting by the urine.
240. A soft swelling of the scalp, called ' caput succeda- neum,' is found when the head of the child has been sub- jected to considerable pressure during its progress through the mouth of the womb
... and along the ' front passage ' or vagina. The swelling occurs at that part of the scalp which has advanced first, and has been unprotected by the bag of the waters, either because the waters have not collected in front of the head, and so formed a dilating wedge, or have run off on early rupture of the membranes. The size and shape depend on the pressure which the mouth of the womb and vagina have exercised on the scalp. The swelling if large may alarm the parents, but the midwife will under- stand that it is of no real consequence — that it is in no way connected with the brain, but is wholly outside the head, and that it will gradually subside if left quite alone, and that it requires no treatment.

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