576 MANAGEMENT OF THE CHILD. 



the circulation has returned to its natural state, the respiration is no 

 longer doubtful, and the foetus cries and moves freely; the bleeding 

 must be stopped, provided it should not have stopped of itself. After 

 this we proceed as if the child had been born well. On the contrary, 

 should there still remain some obstruction in the pulmonary and cere- 

 bral functions, as have too frequently been noticed, especially where 

 we have been unable to procure a sufficient quantity of blood, leeches 

 ought again to be applied, and are almost the only agents upon 

 which we can place any reliance, in cases where congestion, a sort 

 of secondary apoplexy, does not come on until twelve, twenty-four, 

 or forty-eight hours, or even, as has happened, until three or four 

 days after its birth. 



§. ni. ®f gome other Morbid States of the neiF- 

 born Child. 



1230. It is not a part of my subject here to treat of the contusions, 

 wounds, luxations, and fractures which take place in certain difficult 

 labors; neither have I occasion to speak of what is called tongue-tied, 

 adhesion of the tongue, occlusion of the palpebrae or lips, imperfora- 

 tion of the urethra, vagina or anus, of jaundice, induration of the 

 cellular tissue, nor any of the faulty conformations or numerous dis- 

 eases to which the infant is subject; but I cannot pass over in silence 

 the deformity of the head and some other accidents which depend di- 

 rectly upon the compression of the head during its passage through 

 the straits. 



1231. The depression of the parietal or frontal bone with or 

 without fracture, has been several times observed at the Maternite 

 at Paris by Chaussier, M. Duges, and Madame Lachapelle; there 

 is reason to fear its occurrence when the head rests against the 

 sacro-vertebral angle, and is for a long time subjected to violent 

 effiarts, when the strait is reniform, and when a pretty large head is 

 forced to mould itself to the form of the pelvis through which it 

 passes. 



If the fracture or depression of the bones is not accompanied with 

 extravasation, nature ordinarily succeeds in restoring every thing to 

 its proper condition, and performs the .cure herself; otherwise, death 

 is the common consequence, or at least, there ensues stupor and a 

 very great tendency to convulsions. 



1232. By moulding itself according to the contracted straits, the 

 head may be elongated without its bones being depressed or fractured, 

 but in such a way that their edges cross and over-ride one another, 

 more or less; in these cases they pretty often recover their natural 

 position after the delivery; but they may also continue to over-ride. 



