10

The cutting of the navel-string, which is the nurse's duty, is a matter calling for no little care and skill. For not only in cases of difficult labour must she be able to render assistance with skilful hand, but she must also have her wits about her in all contingencies, and especially in the operation of tying the cord. For if the afterbirth have come away, the navel is ligatured off from the afterbirth with a woollen thread and is then cut above the ligature; and at the place where it has been tied it heals up, and the remaining portion drops off. (If the ligature come loose the child dies from loss of blood.) But if the afterbirth has not yet come away, but remains after the child itself is extruded, it is cut away within after the ligaturing of the cord.

It often happens that the child appears to have been born dead when it is merely weak, and when before the umbilical cord has been ligatured, the blood has run out into the cord and its surroundings. But experienced midwives have been known to squeeze back the blood into the child's body from the cord, and immediately the child that a moment before was bloodless came back to life again.

It is the natural rule, as we have mentioned above, for all animals to come into the world head foremost, and children, moreover, have their hands stretched out by their sides. And the child gives a cry and puts its hands up to its mouth as soon as it issues forth.

Moreover the child voids excrement sometimes at once, sometimes a little later, but in all cases during the first day; and this excrement is unduly copious in comparison with the size of the child; it is what the midwives call the meconium or 'poppy-juice'. In colour it resembles blood, extremely dark and pitch-like, but later on it becomes milky, for the child takes at once to the breast. Before birth the child makes no sound, even though in difficult labour it put forth its head while the rest of the body remains within.

In cases where flooding takes place rather before its time, it is apt to be followed by difficult parturition. But if discharge take place after birth in small quantity, and in cases where it only takes place at the beginning and does not continue till the fortieth day, then in such cases women make a better recovery and are the sooner ready to conceive again.

Until the child is forty days old it neither laughs nor weeps during waking hours, but of nights it sometimes does both; and for the most part it does not even notice being tickled, but passes most of its time in sleep. As it keeps on growing, it gets more and more wakeful; and moreover it shows signs of dreaming, though it is long afterwards before it remembers what it dreams.

In other animals there is no contrasting difference between one bone and another, but all are properly formed; but in children the front part of the head is soft and late of ossifying. And by the way, some animals are born with teeth, but children begin to cut their teeth in the seventh month; and the front teeth are the first to come through, sometimes the upper and sometimes the lower ones. And the warmer the nurses' milk so much the quicker are the children's teeth to come.