The Young Mother: Management of Children in Regard to Health. Alcott William Andrus
as it is called, nothing can be more idle. This part of the head requires no more covering than any other part; and if it did, all the dress in the world could not affect it in the least, except to retard the growth of the bones, which, in due time, ought to close up the space; and this effect, anything which keeps the head too hot might help to produce. Of the folly of wetting the head with spirits, or any other medicated lotions, and of making daily efforts to bring it into shape, it is unnecessary to speak in the present chapter.
The hats worn in this country are almost universally too warm. But if it is a great mistake in adults to wear thick, heavy hats, it is much more so in the case of children.
The infant in the nursery, as we have already seen, needs no covering of the kind. It is absolutely necessary that the head should be kept as cool as possible; and absolutely dangerous to cover it too warmly. At a later period, however, the danger greatly diminishes, because the circulation of the blood becomes more equal, and does not tend so much towards the brain.
Still, however, the head is hotter than the limbs, especially the hands and feet; and I cannot help thinking that the hair is the only covering which is perfectly safe, either in childhood or age; except in the sunshine or in the storm. There may be—there probably is—some danger in going without hat or bonnet in the hot sun; though I have known many children, and some grown persons, who were constantly exposed in this way, and yet appeared not to suffer from it.
But this may be the proper place to state that we are ever in great danger of deceiving ourselves on this subject. If the individuals who follow practices usually regarded as pernicious, while their habits in other respects are just like those of other persons around them who have similar strength, &c. of constitution,—if these individuals, I say, were wholly to escape disease, through life, or if they were to be so much more free from it, and live to an age so much greater than others as to constitute a striking and obvious difference in their favor, we might then safely argue that the practices which they follow are at least without dangers, if not of obvious advantage. But when we see them beset with ills, like other people, it is not safe to pronounce their habits favorable to health, since it is impossible to know whether some of the ills which they suffer are not produced by them.
These remarks are applicable to the disuse of any covering for the head in the sun and in the rain. For you will find those who adopt this practice from early infancy,2 subject to as many diseases as those around them with similar constitutions, but with habits somewhat different; and as our diseases are generally the consequences of our errors in one way or another, it is impossible to say with certainty that some of them might not have arisen from exposure of the head.
I should not hesitate, therefore, to advise all mothers to put a light hat or bonnet on the heads of their children, whenever they are to be exposed to the direct rays of the summer sun, or to the rain. And as we cannot always foresee when and where these exposures will arise, and as it is believed that these coverings, if light, will never be productive of much injury while we are abroad in the open air, it will follow that it is better to wear than to omit them.
But while I contend for their use as consistent with health and sound philosophy, I must not be understood as admitting the use of such hats as are worn at present, even by children. They are, as I have said before, too hot. What should be substituted, I am unable to determine; but until something can be supplied, which would not be half so oppressive as our common wool hats, I should regard it as the lesser evil to omit them entirely. The danger of going bare-headed, if the practice is commenced early, we know from the customs of some savage nations, can never be very great.
The same reason for avoiding the use of any covering for the head, in early infancy, is a sufficient reason for covering the feet well. For just in proportion as the blood is sent to the head in superabundance, and keeps up in it an undue degree of heat, just in the same proportion is it sent to the feet in too small a quantity, leaving these parts liable to cold. Now it is a fundamental law with medical men, that the feet ought to be kept warmer than the head, if possible; especially while the child is very young, and exposed to brain diseases.
So long, therefore, as children are young, and unable to exercise their feet, stockings ought to be used, both in summer and winter; but I prefer to have them short, unless long ones can be used without garters. Everything in the shape of a garter or ligature round the limbs, body, or neck of a child, except a single body-band, already mentioned in another chapter, ought forever to be banished.
It has often been objected, I know, that stockings will make the feet tender. But as no child was ever hardened by continued and severe cold applied to any part of the body, but the contrary, so no one was ever made more tender by being kept moderately warm. Excess of heat, like excess of cold, will alike weaken either children or adults; but there is little danger of heating the feet and legs of infants too much during the first year of infancy.
It is also said that stockings are apt to receive and retain wet. But as I shall show in another place that wet clothes should be frequently changed, this objection would be equally strong against wearing coats and diapers.
As to shoes, there is some variety of opinion among medical men. A few hold that they cramp the feet, and prevent children from learning to walk as early as they otherwise would. If it were best for children that they should learn to walk as early as possible, the last objection might have weight. But it seems to me not at all desirable to be in haste about their walking. Indeed, I greatly prefer to retard their progress, in this respect, rather than to hasten it.
As to the first objection, that shoes cramp the feet too much, nearly its whole force turns upon the question whether they are made of proper materials or not. There is no need of making them of cow-hide, or any other thick leather. The soles are the most important part. These will defend the feet against pins, needles, and such other sharp substances as are usually found on the floor; and the upper part of the shoe, so long as the wearer remains in the nursery, may be made of the softest and most yielding material—even of cloth. Infants' shoes should always be made on two lasts, one for each foot.
The philosopher Locke held, that in order to harden the young, their shoes ought to be "so that they might leak and let in water, whenever they came near it." There may be and probably is, no harm in having a child wet his feet occasionally, provided he is soon supplied with dry stockings again; but it is hazardous for either children or adults to go too long in wet stockings, and especially to sit long in them, after they have been using much active exercise. I am in favor of good, substantial shoes and stockings for people of all ages and conditions, and at all seasons; and believe it entirely in accordance with sound economy and the laws of the human constitution.
The custom of using ten or a dozen pins in the dressing of children, ought by all means to be set aside. They not only often wound the skin, but they have occasionally been known to penetrate the body and the joints of the limbs. So many of these dreadful accidents occur, and where no accident happens, so much pain is occasionally given by their sharp points to the little sufferer, who cannot tell what the matter is, that it is quite time the practice were abolished.
Do you ask what can be substituted?—The following mode is adopted by Dr. Dewees in his own family, as mentioned in his work on the "Physical and Medical Treatment of Children," at page 86.
"The belly-band and the petticoat have strings; and not a single pin is used in their adjustment. The little shirt, which is always made much larger than the infant's body, is folded on the back and bosom, and these folds kept in their places by properly adjusting the body of the petticoat: so far not a pin is used. The diaper requires one, but this should be of a large size, and made to serve the double purpose of holding the folds of this article, as well as keeping the belly-band in its proper place; the latter having a small tag of double linen depending from its lower margin, by which it is secured to the diaper, by the same pin.
"Should an extraordinary display of best 'bib and tucker' be required upon any special occasion, a third pin may be admitted to ensure the well-sitting of the 'frock' waist in front;—this last pin, however, is applied externally; so that the risk of its getting into the child's body is very small, even if it should
I say, from early infancy; because we may adopt the best habits in mature years, after our constitutions have been broken up by error and vice, without effecting anything more than to keep us from actually sinking at once. Indeed, in most cases we ought not to expect more.