Two thirds of the nurses in this country greatly err in this respect, and suppose that the more tightly a bandage is drawn, the better. It should be firm, but yet gently yielding; and therefore a piece of flannel cut "bias," as it is termed, or, obliquely with respect to the threads of which it is composed, is the most appropriate material.
If the attention of the mother were necessary nowhere else, it would be indispensable in the application of this article. If she do not take special pains to prevent it, the erring though well meaning nurse may so compress the body with the bandage as to produce pain and uneasiness, and sometimes severe colic. Nay, worse evils than even this have been known to arise. When a child sneezes, or coughs, or cries, the abdomen should naturally yield gently; but if it is so confined that it cannot yield where the band is applied, it will yield in an unnatural proportion below, to the great danger of producing a species of rupture, no less troublesome than the one which such tight swathing is designed to prevent.
But besides the bandage already mentioned, no other restraint of the body and limbs of a child is at all admissible. The Creator has kindly ordained that the human body and limbs, and especially its muscles, or moving powers, shall be developed by exercise. Confine an arm or a leg, even in a child of ten years of age, and the limb will not increase either in strength or size as it otherwise would, because its muscles are not exercised; and the fact is still more obvious in infancy.
There is a still deeper evil. On all the limbs are fixed two sets of muscles; one to extend, the other to draw up or bend the limb. If you keep a limb extended for a considerable time, you weaken the one set of muscles; if you keep it bent, you weaken the other. This weakness may become so great that the limb will be rendered useless. There are cases on record--well authenticated--where children, by being obliged to sit in one place on a hard floor, have been made cripples for life. Hundreds of others are injured, though they may not become absolutely crippled.
I repeat it, therefore, their dress should be so free and loose that they may use their little limbs, their neck and their bodies, as much as they please; and in every desired direction. The practices of confining their arms while they lie down, for fear they should scratch themselves with their nails, and of pinning the clothes round their feet, are therefore highly reprehensible. Better that they should even occasionally scratch themselves with their nails, than that they should be made the victims of injurious restraint. Who would think of tying up or m.u.f.fling the young lamb or kid? And even the young plant--what think you would be the effect, if its leaves and branches could not move gently with the soft breezes? Would the fluids circulate, and health be promoted: or would they stagnate, and a morbid, sickly and dwarfish state be the consequence?
Those whose object is to make infancy, as well as any other period of existence, a season of happiness, will not fail to find an additional motive for giving the little stranger entire freedom in the land whither he has so recently arrived, especially when he seems to enjoy it so much. Who can be so hardened as to confine him, unless compelled by the most pressing necessity?
SEC. 2. _Form of the Dress._
On this subject a writer in the London Literary Gazette of some eight or ten years ago, lays down the following general directions, to which, in cold weather, there can be but one possible objection, which is, they are not _alamode_, and are not, therefore, likely to be followed.
"All that a child requires, so far as regards clothing, in the first month of its existence, is a simple covering for the trunk and extremities of the body, made of a material soft and agreeable to the skin, and which can retain, in an equable degree, the animal temperature. These qualities are to be found in perfection in fine flannel; and I recommend that the only clothing, for the first month or six weeks, be a square piece of flannel, large enough to involve fully and overlap the whole of the babe, with the exception of the head, which should be left totally uncovered. This wrapper should be fixed by a b.u.t.ton near the breast, and left so loose as to permit the arms and legs to be freely stretched, and moved in every direction. It should be succeeded by a loose flannel gown with sleeves, which should be worn till the end of the second month; after which it may be changed to the common clothing used by children of this age."
The advantages of such a dress are, that the movements of the infant will be, as we have already seen, free and unrestrained, and we shall escape the misery of hearing the screams which now so frequently accompany the dressing and undressing of almost every child. No chafings from friction, moreover, can occur; and as the insensible perspiration is in this way promoted over the whole surface of the body, the sympathy between the stomach and skin is happily maintained. A healthy sympathy of this kind, duly kept up, does much towards preserving the stomach in a good state, and the skin from eruptions and sores.
But as I apprehend that christianity is not yet very deeply rooted in the minds and hearts of parents, I have already expressed my doubts whether they are prepared to receive and profit by advice at once rational and physiological. Still I cannot help hoping that I shall succeed in persuading mothers to have every part of a child"s dress perfectly loose, except the band already referred to; and that should be but moderately tight.
Common humanity ought to teach us better than to put the body of a helpless infant into a _vise_, and press it to death, as the first mark of our attention. Who has not been struck with a strange inconsistency in the conduct of mothers and nurses, who, while they are so exceedingly tender towards the infant in some points as to injure it by their kindness, are yet almost insensible to its cries of distress while dressing it? So far, indeed, are they from feeling emotions of pity, that they often make light of its cries, regarding them as signs of health and vigor.
There can be no doubt, I confess, that the first cries of an infant, if strong, both indicate and promote a healthy state of the lungs, to a certain extent; but there will always be unavoidable occasions enough for crying to promote health, even after we have done all we can in the way of avoiding pain. They who only draw the child"s dress the tighter, the more it cries, are guilty of a crime of little less enormity than murder.
"Think," says Dr. Buchan, "of the immense number of children that die of convulsions soon after birth; and be a.s.sured that these (its cries) are much oftener owing to galling pressure, or some external injury, than to any inward cause." This same writer adds, that he has known a child which was "seized with convulsion fits" soon after being "swaddled,"
immediately relieved by taking off the rollers and bandages; and he says that a loose dress prevented the return of the disease.
I think it is obvious that the utmost extent to which we ought to go, in yielding to the fashion, as it regards form, is to use three pieces of clothing--the shirt, the petticoat and the frock; all of which must be as loose as possible; and before the infant begins to crawl about much, the latter should be long, for the salve of covering the feet and legs.
At four or five years of age, loose trowsers, with boys, may be subst.i.tuted for the petticoat; but it is a question whether something like the frock might not, with every individual, be usefully retained through life.
I wish it were unnecessary, in a book like this, to join in the general complaint against tight lacing any part of the body, but especially the chest. But as this work of torture is sometimes begun almost from the cradle, and as prevention is better than cure, the hope of preventing that for which no cure appears yet to have been found, leads me to make a few remarks on the subject.
As it has long been my opinion that one reason why mothers continue to overlook the subject is, that they do not understand the structure and motion of the chest, I have attempted the following explanation and ill.u.s.tration.
I have already said, that if we bandage tightly, for a considerable time, any part of the human frame, it is apt to become weaker. The more a portion of the frame which is furnished with muscles, those curious instruments of motion, is used, provided it is not _over_-exerted, the more vigorous it is. Bind up an arm, or a hand, or a foot, and keep it bound for twelve hours of the day for many years, and think you it will be as strong as it otherwise would have been? Facts prove the contrary.
The Chinese swathe the feet of their infant females; and they are not only small, but weak.
I have said their feet are smaller for being bandaged. So is a hand or an arm. Action--healthy, constant action--is indispensable to the perfect development of the body and limbs. Why it is so, is another thing. But so it is; and it is a principle or law of the great Creator which cannot be evaded. More than this; if you bind some parts of the body tightly, so as to compress them as much as you can without producing actual pain, you will find that the part not only ceases to grow, but actually dwindles away. I have seen this tried again and again. Even the solid parts perish under pressure. When a person first wears a false head of hair, the clasp which rests upon the head, at the upper part of the forehead, being new and elastic, and pressing rather closely, will, in a few months, often make quite an indentation in the cranium or bone of the head.
Now is it probable--nay, is it possible--that the lungs, especially those of young persons, can expand and come to their full and natural size under pressure, even though the pressure should be slight? Must they not be weakened? And if the pressure be strong, as it sometimes is, must they not dwindle away?
We know, too, from the nature and structure of the lungs themselves, that tight lacing must injure them. Many mothers have very imperfect notions of what physicians mean, when they say that corsets impede the circulation, by preventing the full and undisturbed action of the lungs.
They get no higher ideas of the _motion_ of the _chest_, than what is connected with bending the body forward and backward, from right to left, &c. They know that, if dressed too tightly, _this_ motion is not so free as it otherwise would be; but if they are not so closely laced as to prevent that free bending of the body of which I have been speaking, they think there can be no danger; or at least, none of consequence.
Now it happens that this sort of motion is not that to which physicians refer, when they complain of corsets. Strictly speaking, this bending of the whole body is performed by the muscles of the back, and not those of the chest. The latter have very little to do with it. It is true, that even _this_ motion ought not to be hindered; but if it is, the evil is one of little comparative magnitude.
Every time we breathe naturally, all the ribs, together with the breast bone, have motion. The ribs rise, and spread a little outward, especially towards the fore part. The breast bone not only rises, but swings forward a little, like a pendulum. But the moment the chest is swathed or bandaged, this motion must be hindered; and the more, in proportion to the tightness.
On this point, those persons make a sad mistake, who say that "a busk not too wide nor too rigid seems to correspond to the supporting spine, and to a.s.sist, rather than impede the efforts of nature, to keep the body erect."
Can we seriously compare the offices of the spine with those of the ribs, and suppose that because the former is fixed like a post, at the back part of the lungs, therefore an artificial post in front would be useful? Why, we might just as well argue in favor of hanging weights to a door, or a clog to a pendulum, in order to make it swing backwards and forwards more easily. We might almost as well say that the elbow ought to be made firm, to correspond with the shoulders, and thus become advocates for letting the stays or bandages enclose the arm above the elbow, and fasten it firmly to the side. Indeed, the consequences in the latter case, aside from a little inconvenience, would not be half so destructive to health as in the former. The ribs, where they join to the back bone, form hinges; and hinges are made for motion. But if you fasten them to a post in front, of what value are the hinges?
If mothers ask, of what use this motion of the lungs is, it is only necessary to refer them to the chapter on Ventilation, in which I trust the subject is made intelligible, and a satisfactory answer afforded.
But I might appeal to facts. Let us look at females around us generally.
Do their countenances indicate that they enjoy as good health as they did when dress was worn more loosely? Have they not oftener a leaden hue, as if the blood in them was darker? Are they not oftener short-breathed than formerly? As they advance in life, have they not more chronic diseases? Are not their chests smaller and weaker? And as the doctrine that if one member suffers, all the other members suffer with it, is not less true in physiology than in morals, do we not find other organs besides the lungs weakened? Surgeons and physicians, who, like faithful sentinels, have watched at their post half a century, tell us, moreover, that if these foolish and injurious practices to which I refer are tolerated two centuries longer, every female will be deformed, and the whole race greatly degenerated, physically and morally.
Those with whom no arguments will avail, are recommended to read the following remarks from the first volume of the Library of Health, p.
119:
"It is related, on the authority of Macgill, that in Tunis, after a girl is engaged, or betrothed, she is then _fattened_. For this purpose, she is cooped up in a small room, and shackles of gold and silver are placed upon her ancles and wrists, as a piece of dress. If she is to be married to a man who has discharged, despatched, or lost a former wife, the shackles which the former wife wore are put on the new bride"s limbs, and she is fed till they are filled up to a proper thickness. The food used for this custom worthy of the barbarians is called _drough_, which is of an extraordinary fattening quality, and also famous for rendering the milk of the nurse rich and abundant. With this and their national dish, _cuscasoo_, the bride is literally crammed, and many actually die under the spoon."
We laugh at all this, and well we may; but there are customs not very far from home, no less ridiculous.
"There is a country four or five thousand miles westward of Tunis, where the females, to a very great extent, are emaciated for marriage, instead being fattened. This process is begun, in part, by shackles--not of gold and silver, perhaps, but of wood--but instead of being put on loosely, and causing the body or limbs to fill them, they are made to compress the body in the outset; and as the size of the latter diminishes, the shackles are contracted or tightened. As with the eastern, so with the western females, many of them die under the process; though a far greater number die at a remote period, as the consequence of it."
SEC. 3. _Material._
I have already committed myself to the reader as favoring the use of soft flannel in cold weather, especially for children who are not yet able to run about freely in the open air. The advantages of an early use of this material, at least for under-clothes, are numerous. The following are a few of them.
1. Flannel, next to the skin, is a pleasant flesh brush; keeping up a gentle and equable irritation, and promoting perspiration and every other function which it is the office of the skin to perform, or a.s.sist in performing.
2. It guards the body against the cooling effects of evaporation, when in a state of profuse perspiration.
3. By preventing the heat of the body from escaping too rapidly, it keeps up a steadier temperature on the surface than any other known substance. The importance of the last consideration is greater, in a climate like our own, than elsewhere.
But there are limits to the use of this article of clothing. Whenever the temperature of the atmosphere is so great, even without artificial heat, that we no longer wish to retain the heat of the body by the clothing, then all flannel should be removed at once, and linen should be subst.i.tuted; taking care to replace the flannel whenever the temperature of the atmosphere, as indicated by the thermometer, or by the child"s feelings, may seem to require it.
It should also be kept clean. There is a very general mistake abroad on this subject. Many suppose that flannel can be worn longer without washing than other kinds of cloth. On the contrary, it should be changed oftener than cotton, or even linen, because it will absorb a great deal of fluid, especially the matter of perspiration, which, if long retained, is believed to ferment, and produce unhealthy, if not poisonous gases. For this reason, too, flannel for children"s clothing should be white, that it may show dirt the more readily, and obtain the more frequent washing; although it is for this very reason--its liability to exhibit the least particles of dirt--that it is commonly rejected.
One caution more in regard to the use of flannel may be necessary. With some children, owing to a peculiarity of const.i.tution, flannel will produce eruptions on the skin, which are very troublesome. Whenever this is the case, the flannel should be immediately laid aside; upon which the eruptions usually disappear.
If parents would take proper pains to get the lighter, softer kinds of flannel for this purpose, and be particular about its looseness and quant.i.ty, I should prefer, as I have already intimated, to have very young children, in our climate, wear this material the greater part of the year, excepting perhaps July and August.
My reasons for this course would be, first, that I like the stimulus of soft flannel on the skin, if changed sufficiently often, better than that of any other kind of clothing. Secondly, cotton is so liable to take fire, that its use in the nursery and among little children seems very hazardous. Thirdly, silk is not quite the appropriate material, as a general thing, besides being too expensive; and fourthly, linen is not warm enough, except in mid-summer.
Except, therefore, in July and August, and in cases of idiosyncracy, such as have just been alluded to, I would use flannel for the under-clothes of young children, throughout the year. But whenever they acquire sufficient strength to walk and run, and play much in the open air, I would gradually lay aside the use of all flannel, even in winter.
Great attention, however, must be paid to the _quant.i.ty_. The parent who, guided by this rule, should keep on her child the same amount of flannel, and of the same thickness, from January to June 30th, and then, on the first of July, should suddenly exchange it for thin linen, in moderate quant.i.ty, might find trouble from it. It is better to make the changes more gradually; otherwise, whatever may be the material of the dress, the child will be likely to suffer.
SEC. 4. _Quant.i.ty._
The quant.i.ty of clothing used by different individuals of the same age, in the same climate, possessing const.i.tutions nearly alike, and following similar occupations, is so different as to strike us with surprise when we first observe the fact.
One will wear nothing but a coa.r.s.e linen or cotton shirt, coa.r.s.e coat, waistcoat, and pantaloons, and boots, in the coldest weather. He never, unless it be on the Sabbath, puts on even a cravat, and never in any case stockings or mittens.