Bizarre Medical Practices: An Era Gone By

If you have a child, you remember the first bath. How carefully you placed the baby in the infant tub with the water temperature just right. The slippery feel of skin under your fingers as you soap your baby clean. In this fourth “Era Gone By” article we will take a look at how Dr. Fisher taught nurses to instruct their new moms in bathing an infant.

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Dorothy's hands shook as she prepared each item for her newborn's bath. The list of needed articles and instructions she received from the hospital was as long as her sleeve. After reading the paper five times, she was still nervous. What would she do if she forgot something? I can't do this, she thought to herself. Looking around the room, she recounted in a whisper everything on the list as she saw it on the counter: vaseline, paper-mache bathtub, two large towels, two sponges, bath water thermometer, olive oil soap (she smiled when she saw the soap, she had made it herself), pure talcum powder, alcohol, toothpicks and cotton, and the large flannel bathing apron that lay on her lap ready for baby.

Hearing a coo from Robert in the bassinet, Dorothy almost dropped the thermometer on the floor. Wiping the sweat from her forehead, she tested the water. 98.8 degrees, that was just the right temperature. Picking her newborn up from the bassinet, she put him on her lap on top of the flannel blanket to undress him. Once he was stripped, his eyes widened and his legs began kicking with force that she remembered fondly. After wrapping him in the flannel, she gently soaped his face and then his hair. Glancing at her instructions, she read, " after washing the scalp and hair, place the baby in the tub for one to three minutes to finish washing".

Feeling the ache in her back, Dorothy leaned over Robert to sponge his body down. After wrapping him back up in the flannel, she brought him over to the bed to dry him. Just as she was instructed she dried every nook and cranny. Robert flailed his tiny arms and legs in his newfound freedom making Dorothy giggle in spite of her nerves.

Reaching for the glass bottle, Dorothy began rubbing alcohol on Robert followed by talcum powder. She was careful not to put too much talcum powder behind his knees and especially around private area just as her instructions said because she surely didn't want him to get irritated skin. Everyone knew that if he began scratching his private it would lead to masturbation and she couldn't let her son begin such a bad habit at such an early age.

Once Robert was dressed and swaddled in his blanket, Dorothy took great care to wrap a toothpick end with cotton. Ever so gently she inserted it into his ears and twisted it to clean the ear canal. He turned his head in the direction of the ear she was swabbing then began to whimper. Pulling out the swab, she gasped at the site of the blood on the end of it, the sharp end exposed. Picking up another toothpick, she swabbed the ear again, then each nostril. She was determined to do everything correctly.


A mother's intentions over the years have remained the same; to love and care for their child to the best of our ability. Modern techniques and improved baby supplies have revolutionized the safety and health of babies. Once again we look to Louis Fischer and his book, The Healthcare of the Baby to help us see how far we have come in such a short time. He adamantly instructs nurses to teach new mothers to avoid any drafts in the room when bathing a baby. It was thought that the baby would catch a cold or some other illness from circulating air.

Rubbing alcohol nowadays is used for rubbing tired feet of an adult, but Fischer recommended it after every bath. Seems like the infant would lose a lot of heat, much needed heat directly after a bath. Powder may still be used but not to the degree it used to due to respiratory problems from the powder.

During this era, there was a lot of misconceptions about human nature as you may have noticed that Dorothy was supposed to prevent the baby from touching himself. It was thought of as a "bad habit" to masturbate, something that was looked at as unhealthy. It seems silly to us that a baby touching their genitals would be called masturbation rather than a natural progression of a baby recognizing their own body.

Let us not forget the horror (I felt horror) when Dorothy reaches for the toothpick! Wrapped in cotton or not, even if the toothpick was blunt ended, sticking a piece of wood up an infant's nose or in their ear is not a good idea. If that wasn't bad enough, he instructs new moms to pour talcum powder in the naval area, put several layers of cheesecloth over that and wrap their abdomen in a binder. That was 1930 navel cord care, to wrap it up because it could "rupture". When the baby coughs, sneezes or pushes with a bowel movement, a hernia could appear at the navel area.

In this "Era Gone By", we have looked at newborn bath care. Some of the techniques seem absurd to us, even dangerous. What will they say one hundred years from now about our baby care? What are your thoughts?

References

Fischer, Louis. The Healthcare Of the Baby. New York and London: Funk and Wagnalls Company, 1929. Print.

Read my other "Era Gone By" articles:

Prenatal Care Practices: An Era Gone By

Nursemaids and Common Medical Conditions: An Era Gone By

Disease Transmission and Treatment: An Era Gone By

Butter on burns?

Specializes in Geriatrics, Dialysis.
Farawyn said:
Butter on burns?

And Vick's on everthing else!

Specializes in Gastrointestinal Nursing.
anon456 said:
Years ago I found a small book that was given to my grandma to take to the doctor when my dad needed checkups. My dad was born in 1953. It had weekly tips and instructions. My grandma wrote in other instructions given to her by the doctor that were specific to my dad's needs or her questions. One of the things in the book was to start feeding a baby finely pureed meats and egg yolks by age 6 weeks, and introducing pureed veggies by 2 months of age. Another talked about how mother's milk was inadequate and formula was better. It gave instructions on how to make the formula, which seemed to be lacking in a lot of nutrients compared to formula made today. It is probably why they had to supplement with the pureed foods. It gave instructions to always wear a clean apron when feeding the baby its bottles. Overall quite fascinating stuff.

Also, referring to the title of the article, preventing masturbation was one of the main reasons circumcisions became so popular in Victorian times and became a routine procedure for the educated upper class. Masturbation was thought to lead to mental illness and moral failings. It also defined the upper class from lower class, who could not afford the procedure or didn't see why it was necessary. This is aside, of course, from the minority religious groups who saw it a necessary part of their religious practices.

Yes! That generation thought that breastfeeding was for the lower class. Not sure what led to this thinking, but I'm glad the tide has turned the other way. Yeah, for some reason, masturbation used to be misunderstood and to think they didn't want babies to even touch themselves must have led to body image problems. Thank you for your input, very interesting!

Specializes in Gastrointestinal Nursing.
Emergent said:
I have a great collection of vintage books, many of which are medically oriented. From The Care of the Baby, by J.P. Crozer Griffith MD 1905:

Crazy right? I remember my Aunt telling me that she had her son trained before he was a year old. I didn't argue, because, well, she was my Aunt. This must have led to a lot of frustration for mothers and babies. Thank you for sharing, great info!

Specializes in Gastrointestinal Nursing.
kbrn2002 said:
I'm not that old...really. There were no car seats used when my sister and I grew up, we didn't use seat belts and cars weren't air conditioned so during Summer trips there were my dads cigarette ashes and random papers flying all over the car. Dad also always had a beer open after he was done with coffee. We took an over 3000 mile round trip to the Grandparents every Summer, looking back it's kind of miracle nothing bad ever happened.

I remember the no corificeat days too, I wonder what the infant mortality rate was before car seats compared to after?.......

Specializes in Gastrointestinal Nursing.
Coralbell said:
As a new Mom 25+ years ago, my "helpful" mother in law told me that my cat would suck all the air of my baby's lungs and suffocate him! She also said that a fan blowing on a baby would cause the infant to have a heart attack!

I know! I was told the same about the cat from mom and mom in law. Plus, my husband's grandmother freaked out when a draft hit my baby daughter's head, she was going to get pneumonia. (That was about 29 years ago). LOL, my mother in law told my kids that they would get a "kidney cold" from sitting on cool concrete (in Florida no less) I ask, what is a kidney cold?

Specializes in Gastrointestinal Nursing.
Farawyn said:
Butter on burns?

Butter just cooks the skin more, have a friend that her baby brother got burned and they rubbed him down in butter and unfortunately passed away. This was a long time ago, thank goodness we don't do that any more.

Specializes in Anesthesia.
Red Kryptonite said:
:whistling: :whistling:

A hundred years from now our continuing practice of infant circumcision will be regarded like we currently view lobotomy. Europeans already look askance at us and some go so far as to call us barbarians over it.

The World Health Organization recognizes circumcision as effective treatment for the reduction of HIV. It is doubtful that circumcision will end in the next 100 years unless you believe people will stop having STI and stop practicing religion.

Specializes in hospice.
wtbcrna said:
The World Health Organization recognizes circumcision as effective treatment for the reduction of HIV. It is doubtful that circumcision will end in the next 100 years unless you believe people will stop having STI and stop practicing religion.

Due to concerns about the quality of several of the studies done, I'd say further research is needed. There is also the question of whether interventions effective against heterosexual transmission of HIV, which are the majority of new cases in Africa, are relatable to a country where the majority of new cases are homosexually transmitted, or from IV drug use, as is the case in the United States.

From WHO: "male circumcision should be considered an efficacious intervention for HIV prevention in countries with heterosexual epidemics"

However, I said INFANT circumcision. If adult males who are able to consent to the procedure and have been informed of its risks and possible benefits want to avail themselves of the procedure, fine. But imposing that choice on infants is unethical and a violation of human rights.

Specializes in hospice.

For research that deals with HIV transmission in a developed country and circumcision status:

https://apps.dtic.mil/dtic/tr/fulltext/u2/a458066.pdf

Specializes in hospice.

Also, consistent, correct condom usage has been found to reduce HIV transmission by 80% and gives that protection in homosexual situations as well as heterosexual. Compare that to claims of 60% reduction for circumcision, and that only applies to heterosexual transmission in one direction (female to male). Seems to me we can do a lot better in HIV prevention than cutting off body parts.

Specializes in Anesthesia.

Red I don't think you are qualified to judge the quality of a peer reviewed scientific study. Your better off just stating that you don't agree with male infant circumcision, because although it has greatly reduced in some places. The rates of male circumcision are holding steady and with all the available recommendations and research has shown a resurgence in some areas.