PEDIATRICS Vol. 39 No. 3 March 1967, pp. 347
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CASE OF A REMARKABLY SMALL INFANT

T. E. C. JR. M.D.

A. G., a healthy woman, aged thirty-four years; has had five children; her youngest now two years old; pregnant, and expected to be confined some time in the early part of the month of January. She laboured under great anxiety of mind for the last four months, and was seized with labour-pains on the 8th instant. On the 10th, after forty-six hours of severe labour, she was delivered of a female child, of so very small a size, that it did not appear to have attained the sixth month, agreeing in this particular with the woman's calculation as to the time she should be confined. Not expecting it could survive more than an hour or so, it was rolled in a piece of fine flannel, and laid in a warm place. Contrary to all expectation, she survived, sucked vigorously, and was healthy in every respect. The ossification of the bones of the head was very imperfect; the sutures were broad enough to admit of the middle finger being laid between the bone; the fontanelles were of a correspondingly large size; and she has inguinal hernia on the left side. On the 14th [of November], she being then four days old, I weighed her accurately; the actual weight of the child was two pounds thirteen ounces.

Dec. 14, she being 34 days old, weighed 3 lb. 7 oz.

Dec. 27, she being 47 days old, weighed 4 lb, 4 oz.

Jan. 10, she being 61 days old, weighed 5 lb, 4 oz.

Jan. 25, she being 76 days old, weighed 5 lb, 12 oz.

March 4, she being 114 days old, weighed 8 lb, 8 oz.

It will be perceived that, in the first thirty days, she gained but ten ounces; in the thirteen that followed she gained thirteen ounces, averaging one ounce per diem. About the 1st of January she suffered a good deal from the hernia, and continued ill for four weeks, during which time she acquired only twenty-four ounces additional weight. From the 25th of January to the 4th of March, the period at which I weighed her last, her health had been very good, and during that time (thirty-eight days), she acquired forty-four ounces of additional weight, something more than an ounce in the day. She left this part of the country about the date of my last observation.—Cavan, April 18th, 1846. (From Dublin Quarterly Journal of Medical Science, 1:562, May 1846.)