Professional Documents
Culture Documents
Raj Sachdev
PLYMOUTH STATE UNIVERSITY
Page iv
DIGITAL MARKETING
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ISBN 978-1-266-14309-0
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Page v
BRIEF CONTENTS
CHAPTER 1
Digital Marketing in a Digital World 2
CHAPTER 2
Creating Value through Digital Marketing Strategy 30
CHAPTER 3
Digital Consumer Behavior and Customer Relationship and Experience
Management 60
CHAPTER 4
Website Marketing Strategy 92
CHAPTER 5
Search Engine Optimization (SEO) Strategy 130
CHAPTER 6
Search Engine Marketing (SEM) Strategy 160
CHAPTER 7
Email Marketing Strategy 196
CHAPTER 8
Social Media and Community Marketing Strategy 230
CHAPTER 9
Mobile Marketing Strategy 284
CHAPTER 10
Digital Brand, Trust, and Reputation Management Strategy 324
CHAPTER 11
Digital Marketing Legal, Ethical, Privacy, and Security Considerations 346
CHAPTER 12
Trends and the Future of Digital Marketing 386
APPENDIX TO CHAPTER 2
Sample Strategic Digital Marketing Plan (Simplified) 406
GLOSSARY 423
INDEX 439
Page vi
CONTENTS
CHAPTER 1
Digital Marketing in a Digital World 2
Digital Marketing in a Digital World 3
CHAPTER 2
Creating Value through Digital Marketing Strategy 30
adidas Digital Marketing Strategy 31
CHAPTER 3
Digital Consumer Behavior and Customer Relationship and
Experience Management 60
From Digital Consumer to Digital Customer and Beyond 61
Digital Consumer Behavior and Influences 62
Who Is the Digital Consumer? 62
Digital Consumer Behavior 62
Influences on the Digital Consumer 63
Digital Conversion Funnel 67
Digital Conversion Funnel in Action 68
Digital Marketing Consumer Decision-Making Process 69
Digital Consumer Decision-Making Process in Action 70
Digital Buyer Persona 71
Digital Customer Relationship Management 74
Digital Customer Experience (DCX) Management 78
User Experience (UX) 78
User Interface (UI) 80
Interaction Design (IxD) 81
Information Architecture (IA) 81
Microanimation and Microinteraction 81
Minimalism and Simplified Experiences 82
Language, Voice, Tone, and Style 82
Colors, Contrast, Icons, and Shape Experiences 82
Consistent and Transparent Experience 85
Key Terms 85
Chapter Summary and Learning Objectives 86
Questions for Review 87
Mini Group Exercise/In-Class Discussion 87
Digital Marketing Case Study 88
Notes 89
CHAPTER 4
Website Marketing Strategy 92
Amazon.com 93
CHAPTER 5
Search Engine Optimization (SEO) Strategy 130
“Google It” 131
CHAPTER 6
Search Engine Marketing (SEM) Strategy 160
“Come In, We’re Open” 161
Page ix
CHAPTER 7
Email Marketing Strategy 196
Target Email Campaign 197
CHAPTER 8
Social Media and Community Marketing Strategy 230
Social and Community Marketing Value Creation at Tokyo Restaurant
Takazawa 231
CHAPTER 9
Mobile Marketing Strategy 284
Starbucks App 285
CHAPTER 10
Digital Brand, Trust, and Reputation Management Strategy
324
Brand Switching Online 325
CHAPTER 11
Digital Marketing Legal, Ethical, Privacy, and Security
Considerations 346
Legal, Ethical, Privacy and Security Considerations in Digital Marketing 347
CHAPTER 12
Trends and the Future of Digital Marketing 386
The Internet of Senses by 2030? 387
APPENDIX TO CHAPTER 2
Sample Strategic Digital Marketing Plan (Simplified) 406
GLOSSARY 423
INDEX 439
Page xii
Dr. Raj Sachdev, MSc (Oxford), M.B.A., LL.M, D.B.A., PCM (Digital Marketing),
CIPP/US, is an Assistant Professor of Marketing at Plymouth State University (PSU),
an Assistant Facilitator at Cornell University, a strategic digital marketing consultant,
an interdisciplinary researcher, a speaker, and an international lawyer (California,
England, and Wales). Having more than 26 years of industry and academic
experience, he has served in many capacities including in a number of marketing
and managerial roles. A graduate of Oxford University, he holds various degrees
from different institutions in the areas of marketing, business, technology, and law.
He is a PCM in Digital Marketing from the American Marketing Association (AMA); is
or previously has been certified in Google Analytics, Google Ads, digital marketing
(Google, HubSpot), social media (Hootsuite and HubSpot), email marketing
(Mailchimp), cybersecurity (GCHQ degree), and privacy (CIPP/US); and holds law
licenses. He holds membership in a number of organizations and thoroughly values
continuous learning.
Over the past 20 years, Dr. Sachdev has had the opportunity to teach/facilitate 50+
courses at different institutions, including at Oxford University, Stanford CSP, Cornell
University, and Columbia College among others. Having been awarded for his
teaching excellence, he has mentored students to win a national marketing-
simulation competition and has been a founding advisor to an AMA Collegiate
Chapter.
His TEDx talk at Northwestern University, “Value Creating Our Way to the Smart
Home of 2050,” focused on marketing in smart digital environments with emerging
and futuristic technologies. His keynote talk at AMA’s The Year Ahead 2021
conference covered “The Future of Smart Digital Marketing Amidst Cybersecurity
and Privacy Challenges.” He has also spoken at other major industry conferences
and events and has been a guest speaker at renowned universities such as Oxford,
Harvard, Cambridge, and Stanford.
Page xiii
As an interdisciplinary researcher, Dr. Sachdev is most interested in digital
marketing and the areas of emerging and futuristic technologies, privacy/security,
and law. He has written general and peer-reviewed articles, as well as short pieces
on avoiding “dumb” digital marketing in a smart world (The Marketing
Journal), smart robots and AI with strategies for digital marketing (Journal of AI,
Robotics, and Workplace Automation, forthcoming), smart home value creation
(IPMA Journal), social media trademark law (Thomson Reuters Carswell), and digital
marketing strategies related to privacy and security (AMA Marketing News), among
others. He proposed and created a new legal control for the Cloud Security Alliance
(CSA) IoT Security Controls Framework Version 2. He researches e-commerce
websites, search advertising, social media, and mobile app trademark law at
Maastricht University and was a visiting researcher at UC Berkeley.
Page xiv
PREFACE
Digital Marketing is targeted primarily at undergraduate courses in Digital Marketing,
however it may also be used in certificate and graduate programs. It is grounded in
marketing theory and concepts and adopts a strategic and analytical approach with global
examples. The material can be used in any teaching format: in-class, online, and hybrid. Not
only does it reference some of the latest digital marketing tools, it also emphasizes current
marketing trends and shows how these may be applied.
Digital Marketing is sized to work in most course formats. Its 12 chapters include three
foundational chapters that introduce students to the general topic of digital marketing in a
digital world (Chapter 1), how to create value through strategic digital marketing (Chapter
2), with a sample strategic digital marketing plan (Appendix to Chapter 2), and digital
consumer behavior (Chapter 3). The product’s two concluding chapters look at the
important legal, ethical, privacy, and security issues relating to digital marketing (Chapter
11) and the trends and future of digital marketing (Chapter 12).
The middle chapters—Chapters 4 through 10—are “doing chapters.” These seven chapters
focus on how to use marketing theory and concepts, in combination with digital marketing
tools, to “do digital marketing.” Each of these chapters has a content structure that looks
first at value creation and objectives, and next at considerations, strategies, and tactics for
digital marketing related to the chapter topic. The strategies and tactics sections show
applications of marketing theory and concepts, using examples and references to popular and
effective digital marketing tools. They then look specifically at content strategy related to the
chapter topic.
Each of the “doing chapters” ends with a section on analytics, showing which analytics are
appropriate for monitoring the effectiveness of the digital marketing related to the chapter
topic. Where relevant, a summary table of the analytic measures appropriate for a specific
type of digital marketing is included.
Depending on the length and focus of their course, instructors can use any combination of
chapters in pretty much any sequence. The chapter content is primarily U.S.-based, but with
many global examples included in the text as well as additional feature boxes that highlight
specific global issues. (See the discussion of the feature boxes in the next paragraph.) As a
brand-new, first edition, the text is also very up-to-date, with a multitude of current
references, examples, screenshots, and (in Chapter 8) discussion of the current social media
platforms that students are familiar with.
Throughout relevant chapters, various feature boxes highlight relevant issues in Digital
Marketing:
• Legal and Ethical Issues in Digital Marketing boxes introduce students to key
laws, regulations, rules, and ethical issues in digital marketing relating to the
use of legal content and imagery, location targeting, influencers, intellectual
property, ethical search marketing, email marketing, and various other areas.
• Thinking about Global Digital Marketing boxes illustrate ways in which digital
marketing is practiced for consumers in countries outside of the United
States.
Each chapter offers useful end-of-chapter review and learning content including: key terms,
chapter summary with learning objectives, review questions, mini group exercise/in-class
discussion, and a digital marketing case study. Select chapters also offer a chapter project.
Focusing on students and incorporating their learning process, Digital Marketing has been
written as a resource with hands-on digital marketing exercises. Exercises are explained and
instructions are provided to guide students to understand what is required and to apply what
they have learned. With the student in mind, tools or technology are used for all relevant
practical exercises.
Some chapters recommend the completion of an industry certification, such as Google Ads,
Social Media, and Email Marketing. To gain these certifications, students will need to
engage in additional study beyond the relevant chapter. Instructor materials will detail
additional information about these certifications.
Instructor Support
The instructor material covers tips for each teaching format, including incorporating
material into online courses. The Instructor’s Manual includes many hands-on activities,
including hands-on projects and assignment questions for relevant chapters, information on
optional certifications, and additional tips for advanced or graduate courses. For example,
hands-on projects include creating a digital buyer persona, building a website (using tools,
not programming), and creating an SEM plan with keyword research, a social media plan,
an email marketing plan, a mobile marketing plan, and relevant reports. In Chapter 2, there
is an outline of a strategic digital marketing plan that can be used for a semester project,
with a sample provided in Appendix to Chapter 2.
The online Testbank content—offering 75 auto-gradable questions per chapter and quizzes
providing 25 auto-gradable questions per chapter—allows for assessment of students’ skill
level. Accessible PowerPoint® presentations support in-class instruction. All support
materials can be found within McGraw Hill’s Connect platform.
Page xvi
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Page xviii
ACKNOWLEDGMENTS
Many dedicated instructors offered their time and expertise to evaluate and shape
the content for this first edition. Their thoughtful feedback helped refine the text,
and I am grateful and thank them for their support and useful recommendations. I
would like to extend a special thanks to Ann Torbert, content editor, for her careful
review, guidance, and support throughout the writing process.
I would also like to thank the McGraw Hill team: Tim Vertovec, managing director;
Michele Janicek, senior product development manager; Meredith Fossel, former
portfolio manager (currently director of market development); Jessica Dimitrijevic,
portfolio manager; Kelly Delso, lead product developer; Michelle Sweeden,
marketing manager; Marianne Musni, program manager; Susan Trentacosti and
Emily Windelborn, content project managers; Matt Diamond, designer; Sandy
Ludovissy, manufacturing project manager; and Traci Vaski, content licensing
specialist.
CHAPTER 1 Page 2
LEARNING OBJECTIVES
Page 3
PopTika/Shutterstock
As a consumer in a digital world, you are exposed to digital marketing every day. You likely are familiar with shopping on an e-
commerce website, searching for products or services on Google, engaging with Facebook ads, or downloading an app from
the App Store to make a purchase. The average U.S. household has access to more than 10 digital devices. These might
include mobile phones, laptops, tablets, smart TVs, and others. This means that digital marketers have great opportunity to
reach consumers through various mediums, and each requires an understanding of digital marketing considerations.
Digital marketing has never been as important as it is today. Businesses of all kinds and sizes, from technology giants to a local
family restaurant, benefit from different types of digital marketing. Consumers rely on digital marketing to find, purchase, and
consume many types of products and services. It is hard to imagine a product or service that could not be marketed digitally.
Consumers digitally try on items such as clothes and glasses. They purchase groceries online. They are now even buying cars
online for quick delivery—and can even return the car within 30 days if they don’t like it and meet the return requirements.
Source: Lionel S. Vailshery, “Average Number of Connected Devices Residents Have Access to in U.S. Households in 2020, by Device,” Statista, last modified January 22, 2021,
https://www.statista.com/statistics/1107206/average-number-of-connected-devices-us-house/; “Carmax Home Delivery,” Carmax, accessed January 2, 2022, https://www.carmax.com/home-delivery.
Page 4
To understand digital marketing, we must start with the definition of marketing in general.
According to the American Marketing Association (AMA), marketing is “the activity, set of
institutions, and processes for creating, communicating, delivering, and exchanging offerings
that have value for customers, clients, partners, and society at large.”1 It seeks to identify
and meet both human and social needs. A common element of many definitions of
marketing is value. One definition of value is that which a consumer receives for what the
consumer pays or provides.2
What is important about digital marketing is that it is always a changing, dynamic process.4
The true challenge is providing value within a fixed budget. As you will see in this chapter,
the many types of digital marketing are a major driving force behind many organizations’
marketing and can have substantial reach.
Evolution and Environment of Digital
Marketing
While the terms World Wide Web (www), also known as the web, and Internet are used
interchangeably, they do not mean the same thing.5 The Internet includes the web, in a
global network that permits users to communicate, share, and obtain information from
anywhere the Internet is accessible.6 The World Wide Web is a part of the Internet and
includes various connected documents.7
The development of the web in the 1990s started with Web 1.0, otherwise known as the
“read-only web.”10 Over time the web evolved, moving into the current Web 4.0, and the
next generation, Web 5.0, is now anticipated. Various types of digital marketing shown in
Exhibit 1-1 were used throughout the evolution of the web. In Web 1.0, websites became
popular and soon were used for marketing even in their most basic form. Advertising in the
form of banner ads on websites was prevalent and involved a display of an ad within
websites and by digital means. Mobile phones also started to gain popularity.11
Page 5
This era was followed by Web 2.0 in the years 2000–2009, during which social media
and interaction became widespread and the average consumer participated in adding
content to the web through user-generated content (UGC).12 This was also when the
individual consumer’s voice was heard through online channels such as MySpace,
Facebook, forums, and blogs. As mobile phones continued to gain popularity and became
capable of doing much more than earlier versions, mobile apps and mobile marketing
expanded the ability to market to users of these devices.
Web 3.0, otherwise known as the “semantic web,” involved a “web of data” and was
dominant in 2010–2019. Advertising based on a consumer’s online behavior and activity
became important in this phase, as did human–machine interaction, as computers became
more useful and performed some tasks based on data. Currently, Web 4.0, also known as the
“symbiotic web,” involves “intelligent interactions” between people and machines.13
Eventually we will enter Web 5.0, described by some as “sensory and emotive,” which will
take the web to a new level.14 What shape this may take is yet to be seen. Existing,
emerging, and futuristic technologies all affect digital marketing in many ways. In particular,
marketing to smart devices results in smart-environment marketing, which is changing the
way marketing is done. Yet, the oldest forms of digital marketing are still being used as
futuristic ones are always being contemplated.
Digital marketing is affected by forces in both the macro- and the micro-environments, as
described next.
Political
Political factors, including policies relating to foreign trade, may affect digital marketing.
Digital marketers must bear in mind import and export costs and shipping considerations
relating to specific countries. E-commerce websites that serve international audiences
especially need to consider such particularities. When countries or regions experience
political instability, digital marketers may be compelled to reconsider their strategies. In
some countries, government policies toward digital platforms may also affect whether a
digital marketer may use these successfully in those countries, if at all.
Economic
Digital marketing can serve to boost economic development; some even say that social
media fuels the economy.17 The economic status of certain countries, or across regions or
states within countries, may affect which countries or regions should be targeted in the
digital marketing strategy.
Disposable income of consumers is very relevant, because digital marketing helps to fulfill
everyday needs as well as wants of consumers. High unemployment may result in the need
to assess what consumers most value. Organizations must carefully measure fluctuations in
demand and supply.
Social
Differences in social attitudes toward digital marketing across regions must also be
considered. For example, it is a social norm in many regions to make purchases through
digital channels such as smart devices, where available. Lifestyle choices and social trends
can also compel digital marketers to be creative in their approaches
Consumers decide what they consider to be socially acceptable, and digital marketers Page 6
must cater to their target market’s understanding and avoid communicating in ways
that may offend those understandings.18 Some brands that directly take on social issues
may get a positive response from consumers, although such strategy can also backfire.19
Cultural considerations are key when presenting digital marketing to wide audiences. It may
not be the case that a single communication will be appropriate in an international setting.
Technical
Technology plays a huge role in the field of digital marketing. Existing, emerging, and
futuristic technologies allow digital marketers to provide exceptional personalized and
convenient experiences to consumers in ways that would never have been expected just a few
years ago. As smart environments become more advanced, digital marketing is likely to play
an increasing role.
Technologies will be discussed throughout the chapters as relevant to each type of digital
marketing, and the future of digital marketing will be discussed in depth in Chapter 12.
Environmental
Organizations are finding ways to promote environmental factors and be sustainable. Digital
marketing can help reduce paper waste, as much activity is conducted via the Internet.20
Amazon, for example, is working to reduce carbon emissions, aiming for all of its power
usage to be from “100% renewable energy” and other initiatives by 2024.21
However, organizations providing services through the latest technologies and those
providing the most up-to-date devices must also consider digital waste (or e-waste) from the
perspective of older devices and electronics.22 Additionally, because much data is stored in
the cloud, it is important to consider cloud recycling, which involves recycling equipment
used in cloud data centers as organizations upgrade such equipment.23
Legal
Digital marketers must be aware of a number of legal considerations. Laws and regulations
concerning privacy and cybersecurity are on the rise. Digital marketers must adhere to
various requirements set out in these laws, such as the California Consumer Privacy Act
(CCPA) and the General Data Protection Regulation (GDPR) in the EU. Also, digital
marketing must adhere to advertising rules under the Federal Trade Commission Act and
enforced by the Federal Trade Commission (FTC), including prohibitions against “unfair and
deceptive practices.”24
Some products and advertising that may be legal in one country may not be legal in another.
Digital marketers must also respect intellectual property laws of the legal jurisdictions in
which they operate or market. Digital contracts must consider the legal rules of the places
where digital marketing is being conducted depending on local rules.
Organization
The organization itself is the key component of the micro-environment; it must be well
suited to engage in digital marketing and have a well-defined strategic plan backed by top
management. It must be able and willing to engage in certain risks and adapt its strategy to
changing circumstances. Hiring marketing employees and leadership who are well versed in
digital marketing can have a profound impact on the success of an organization.
Organizations that draw talent and input from across functional areas to consider optimal
digital marketing strategies often flourish.
Suppliers
Suppliers are those individuals or organizations that offer inputs, goods, or services that the
organization needs to manufacture or provide an end product or service to consumers.
Managing supplier relationships, expectations, and negotiation enables an organization to
be valuable to consumers. Walmart’s ability to purchase in large volumes, for example,
allows it to negotiate low prices with its suppliers as well as share data with suppliers to help
with inventory management.27
Intermediaries
Digital marketing intermediaries are those individuals, organizations, online services, and
platforms that assist in the marketing of products and services of one or more
organizations.28 Online retailers, search engines, social media platforms, portals, mobile
app stores, online lists, aggregators, networks, coupon sites, and many others may be
intermediaries.29 These intermediaries can be crucial to digital marketers, and carefully
selecting appropriate ones should be a part of ongoing strategic planning.
Competitors
The competitive landscape in a digital context can be substantial. The Internet has opened
doors to global competitors that may show up in search engine result pages (SERPs).
Finding ways to sustain a competitive advantage—the “superior position” an organization has
over its competitors because of the value it provides—is challenging. It is important to
regularly check the digital platforms that competitors are using and even learn from their
digital marketing activity, including what their customers are saying.30 Digital marketers
may employ various competitive strategies to sustain such advantage, which will be
discussed in Chapter 3
Publics
Publics include individuals or groups who have a stake in or influence on the ability of an
organization to attain its goals and purpose. Consumer groups can be a vocal public against
organizations that do not meet their understanding of products and services or the digital
marketing of these. Government publics such as the FTC regulate advertising and may
pursue action against organizations that violate relevant rules. The media may help boost or
hinder an organization through media reports of its activities, products, or services.
Customers
Understanding customers is paramount in digital marketing. Organizations must not only
provide value consistently but also deliver excellent customer experiences. Some customers
who face negative experiences are not shy to display their dissatisfaction through digital
channels; they may provide negative reviews that can hurt sales and the image of an
organization. Managing relationships with customers is crucial in digital marketing. These
matters are considered in Chapter 3.
Page 8
The options for conducting digital marketing are many, and Exhibit 1-2 shows various
types of digital marketing. This section introduces the types of digital marketing. Each type
is also discussed in depth, along with key strategies, in the various chapters that follow.
An email subject line will likely play a key role in determining whether the consumer will
open a marketing email. Whether the email will be read will depend on various factors,
including strategies used in email marketing. For example, Dropbox sent an email using the
subject line Dropbox and Paper, together. It used email marketing to promote a specific
service consumers may not have been aware of. Its email clearly indicated the value of the
service, Make working together easier, while describing what the service is. It also showed an
example while succinctly outlining key benefits. A conspicuously placed button appears for
consumers to Try Paper. Such a strategy is known as a call-to-action (CTA), an item that
promotes a desired action. Email marketing is discussed in detail in Chapter 7.
Another random document with
no related content on Scribd:
Take of—Compound Powdered Chalk with Opium, ten grains;
Oil of Dill, five drops;
Simple Syrup, three drachms;
Water, nine drachms:
Make a Mixture. A teaspoonful to be taken every four hours, first well shaking
the bottle.
A warm bath, at the commencement of the disease, is very
efficacious; but it must be given at the commencement. If he has had
dysentery for a day or two, he will be too weak to have a warm bath;
then, instead of the bath, try the following: Wrap him in a blanket
which has been previously wrung out of hot water, over which
envelop him in a dry blanket. Keep him in this hot, damp blanket for
half an hour; then take him out, put on his night-gown and place him
in bed, which has been, if it be winter time, previously warmed. The
above “blanket treatment” will frequently give great relief, and will
sometimes cause him to fall into a sweet sleep. A flannel bag filled
with hot powdered table salt, made hot in the oven, applied to the
bowels, will afford much comfort.
What NOT to do.—Do not give aperients, unless it be, as before
advised, the castor oil guarded with the opium; do not stuff him with
artificial food; do not fail to send for a judicious and an experienced
medical man; for, remember, it requires a skillful doctor to treat a
case of dysentery, more especially in a child.
105. What are the symptoms, the causes, and the treatment of
Nettle-rash?
Nettle-rash consists of several irregular raised wheals, red at the
base and white on the summit, on different parts of the body; but it
seldom attacks the face. It is not contagious, and it may occur at all
ages and many times. It comes and goes, remaining only a short time
in a place. It puts on very much the appearance of the child having
been stung by nettles—hence its name. It produces great heat,
itching, and irritation, sometimes to such a degree as to make him
feverish, sick, and fretful. He is generally worse when he is warm in
bed, or when the surface of his body is suddenly exposed to the air.
Rubbing the skin, too, always aggravates the itching and the tingling,
and brings out a fresh crop.
The cause of nettle-rash may commonly be traced to improper
feeding; although, occasionally, it proceeds from teething.
What to do.—It is a complaint of no danger, and readily gives way
to a mild aperient, and to attention to diet. There is nothing better to
relieve the irritation of the skin than a warm bath. If it be a severe
attack of nettle-rash, by all means call in a medical man.
What NOT to do.—Do not apply cold applications to his skin, and
do not wash him (while the rash is out) in quite cold water. Do not
allow him to be in a draught, but let him be in a well-ventilated
room. If he be old enough to eat meat, keep it from him for a few
days, and let him live on milk and farinaceous diet. Avoid strong
purgatives, and calomel, and gray powder.
106. What are the symptoms and the treatment of Red-gum?
Red-gum, tooth-rash, red-gown, is usually owing to irritation from
teething; not always from the cutting, but from the evolution, the
“breeding,” of the teeth. It is also sometimes owing to unhealthy
stools irritating the bowels, and showing itself, by sympathy, on the
skin. Red-gum consists of several small papulæ, or pimples, about
the size of pins’ heads, and may be known from measles—the only
disease for which it is at all likely to be mistaken—by its being
unattended by symptoms of cold, such as sneezing, running, and
redness of the eyes, etc., and by the patches not assuming a
crescentic, half-moon shape; red-gum, in short, may readily be
known by the child’s health being unaffected, unless, indeed, there
be a great crop of pimples; then there will be slight feverishness.
What to do.—Little need be done. If there be a good deal of
irritation, a mild aperient should be given. The child ought to be kept
moderately but not very warm.
What NOT to do.—Draughts of air, or cold, should be carefully
avoided; as, by sending the eruption suddenly in, either convulsions
or disordered bowels might be produced. Do not dose him with gray
powder.
107. How would you prevent “Stuffing of the nose” in a new-born
babe?
Rubbing a little tallow on the bridge of the nose is the old-
fashioned remedy, and answers the purpose. It ought to be applied
every evening just before putting him to bed.
If the “stuffing” be severe, dip a sponge in hot water, as hot as he
can comfortably bear; ascertain that it be not too hot, by previously
applying it to your own face, and then put it for a few minutes to the
bridge of his nose. As soon as the hard mucus is within reach, it
should be carefully removed.
108. Do you consider sickness injurious to an infant?
Many thriving babies are, after taking the breast, frequently sick;
still we cannot look upon sickness otherwise than as an index of
either a disordered or of an overloaded stomach. If the child be sick,
and yet be thriving, it is a proof that he overloads his stomach. A
mother, then, must not allow him to suck so much at a time. She
should, until he retains all he takes, lessen the quantity of milk. If he
be sick and does not thrive, the mother should notice if the milk he
throws up has a sour smell; if it has, she must first of all look to her
own health; she ought to ascertain if her own stomach be out of
order; for if such be the case, it is impossible for her to make good
milk. She should observe whether, in the morning, her own tongue
be furred and dry; whether she have a disagreeable taste in her
mouth, or pains at her stomach, or heartburn, or flatulence. If she
have all, or any of these symptoms, the mystery is explained why he
is sick and does not thrive. She ought then to seek advice, and a
medical man will soon put her stomach into good order; and, by so
doing, will, at the same time, benefit the child.
But if the mother be in the enjoyment of good health, she must
then look to the babe herself, and ascertain if he be cutting his teeth;
if the gums require lancing; if the secretions from the bowels be
proper both in quantity and in quality; and, if he have had artificial
food—it being absolutely necessary to give such food—whether it
agree with him.
What to do.—In the first place, if the gums are red, hot, and
swollen, let them be lanced; in the second, if the secretions from the
bowels are either unhealthy or scanty, give him a dose of aperient
medicine, such as castor oil, or the following: Take two or three
grains of powdered Turkey rhubarb, three grains of pure carbonate
of magnesia, and one grain of aromatic powder. Mix. The powder to
be taken at bedtime, mixed in a teaspoonful of sugar and water, and
which should, if necessary, be repeated the following night. In the
third place, if the food he be taking does not agree with him, change
it (vide answer to question 33). Give it in smaller quantities at a time,
and not so frequently; or, what will be better still, if it be possible,
keep him, for awhile, entirely to the breast.
What NOT to do.—Do not let him overload his stomach either with
breast-milk or with artificial food. Let the mother avoid, until his
sickness be relieved, greens, cabbage, and all other green vegetables.
109. What are the causes, the symptoms, the prevention, and the
cure of Thrush?
The thrush is a frequent disease of an infant, and is often brought
on either by stuffing him or by giving him improper food. A child
brought up entirely, for the first three or four months, on the breast,
seldom suffers from this complaint. The thrush consists of several
irregular, roundish, white specks on the lips, the tongue, the inside
and the angles of the mouth, giving the parts affected the appearance
of curds and whey having been smeared upon them. The mouth is
hot and painful, and he is afraid to suck: the moment the nipple is
put into his mouth he begins to cry. The thrush sometimes, although
but rarely, runs through the whole of the alimentary canal. It should
be borne in mind that nearly every child who is sucking has his or
her tongue white or “frosted” as it is sometimes called. The thrush
may be mild or very severe.
Now with regard to What to do.—As the thrush is generally owing
to improper and to artificial feeding, if the child be at the breast,
keep him, for a time, entirely to it. Do not let him be always sucking,
as that will not only fret his mouth, but will likewise irritate and
make sore the mother’s nipple.
If he be not at the breast, but has been weaned, then keep him for
a few days entirely to a milk diet—to the milk of ONE cow—either
boiled, if it be hot weather, to keep it sweet; or unboiled, in cool
weather—fresh as it comes from the cow.
The best medicine is the old-fashioned one of borax, a
combination of powdered lump sugar and borax being a good one for
the purpose: the powdered lump sugar increases the efficacy and the
cleansing properties of the borax; it tends, moreover, to make it more
palatable:
Take of—Biborate of Soda, half a drachm;
Lump sugar, two scruples:
To be well mixed together, and made into twelve powders. One of the powders to
be put dry on the tongue every four hours.
The best local remedy is honey of borax, which ought to be
smeared frequently, by means of the finger, on the parts affected.
Thorough ventilation of the apartment must be observed; and
great cleanliness of the vessels containing the milk should be insisted
upon.
In a bad case of thrush, change of air to the country is most
desirable; the effect is sometimes, in such cases, truly magical.
If the thrush be brought on either by too much or by improper
food, in the first case, of course, a mother must lessen the quantity;
and, in the second, she should be more careful in her selection.
What NOT to do.—Do not use either a calf’s teat or wash-leather for
the feeding-bottle; fortunately, since the invention of india-rubber
teats, they are now nearly exploded; they were, in olden times,
fruitful causes of thrush. Do not mind the trouble of ascertaining that
the cooking-vessels connected with the baby’s food are perfectly
clean and sweet. Do not leave the purity and the goodness of the
cow’s milk (it being absolutely necessary to feed him on artificial
food) to be judged either by the milkman or by the nurse, but taste
and prove it yourself. Do not keep the milk in a warm place, but
either in the dairy or in the cellar; and, if it be summer time, let the
jug holding the milk be put in a crock containing lumps of ice. Do not
use milk that has been milked longer than twelve hours, but, if
practicable, have it milked direct from the cow, and use it
immediately—let it be really and truly fresh and genuine milk.
When the disease is severe, it may require more active treatment—
such as a dose of calomel; which medicine must never be given,
unless it be either under the direction of a medical man, or unless it
be in an extreme case,—such as dysentery;[181] therefore, the mother
had better seek advice.
In a severe case of thrush, where the complaint has been brought
on by artificial feeding—the babe not having the advantage of the
mother’s milk—it is really surprising how rapidly a wet-nurse—if the
case has not been too long deferred—will effect a cure, where all
other means have been tried and have failed. The effect has been
truly magical! In a severe case of thrush, pure air and thorough
ventilation are essential to recovery.
110. Is anything to be learned from the cry of an infant?
There is a language in the cry of an infant which a thoughtful
medical man can well interpret. The cry of hunger, for instance, is
very characteristic,—it is unaccompanied with tears, and is a wailing
cry; the cry of teething, is a fretful cry; the cry of earache is short,
sharp, piercing, and decisive, the head being moved about from side
to side, and the little hand being often put up to the affected side of
the head; the cry of bowelache is also expressive,—the cry is not so
piercing as from earache, and is an interrupted, straining cry,
accompanied with a drawing up of the legs to the belly; the cry of
bronchitis is a gruff and phlegmatic cry; the cry of inflammation of
the lungs is more a moan than a cry; the cry of croup is hoarse, and
rough, and ringing, and is so characteristic that it may truly be called
“the croupy cry,” moreover, he breathes as though he breathed
through muslin; the cry of inflammation of the membranes of the
brain is a piercing shriek—a danger signal—most painful to hear; the
cry of a child recovering from a severe illness is a cross, and
wayward, and tearful cry; he may truly be said to be in a quarrelsome
mood; he bursts out without rhyme or reason into a passionate flood
of tears; tears are always, in a severe illness, to be looked upon as a
good omen, as a sign of amendment: tears, when a child is
dangerously ill, are rarely if ever seen; a cry at night, for light—a
frequent cause of a babe crying—is a restless cry:
“An infant crying in the night:
An infant crying for the light:
And with no language but a cry.”[182]
To make a Liniment.
Do not let him be put on his feet early; but allow him to crawl, and
sprawl, and kick about the floor, until his ankles become strong.
Do not, on any account, without having competent advice on the
subject, use iron instruments or mechanical supports of any kind:
the ankles are generally, by such artificial supports, made worse, in
consequence of the pressure causing a further dwindling away and
enfeebling of the ligaments of the ankles, already wasted and
weakened.
Let him wear shoes, with straps over the insteps to keep them on,
and not boots: boots will only, by wasting the ligaments, increase the
weakness of the ankles.
113. Sometimes there is a difficulty in restraining the bleeding of
leech-bites. What is the best method?
The difficulty in these cases generally arises from the improper
method of performing it. For example—a mother endeavors to stop
the hemorrhage by loading the part with rag; the more the bites
discharge, the more rag she applies. At the same time, the child
probably is in a room with a large fire, with two or three candles,
with the doors closed, and with perhaps a dozen people in the
apartment, whom the mother has, in her fright, sent for. This
practice is strongly reprehensible.
If the bleeding cannot be stopped,—in the first place, the fire must
be extinguished, the door and windows should be thrown open, and
the room ought to be cleared of persons, with the exception of one,
or, at the most, two; and every rag should be removed. “Stopping of
leech-bites.—The simplest and most certain way, till the proper
assistance is obtained, is the pressure of the finger, with nothing
intervening. It cannot bleed through that.”[183]
Many babies have lost their lives by excessive loss of blood from
leech-bites, from a mother not knowing how to act, and also from the
medical man either living at a distance, or not being at hand.
Fortunately for the infantile community, leeches are now very
seldom ordered by doctors.
114. Supposing a baby to be poorly, have you any advice to give
to his mother as to her own management?
She must endeavor to calm her feelings, or her milk will be
disordered, and she will thus materially increase his illness. If he be
laboring under any inflammatory disorder, she ought to refrain from
the taking of beer, wine, and spirits, and from all stimulating food;
otherwise, she will feed his disease.
Before concluding the first part of my subject—the Management of
Infancy—let me again urge upon you the importance—the
paramount importance—if you wish your babe to be strong and
hearty,—of giving him as little opening physic as possible. The best
physic for him is Nature’s physic—fresh air and exercise and
simplicity of living. A mother who is herself always drugging her
child, can only do good to two persons—the doctor and the druggist!
If an infant from his birth be properly managed,—if he has an
abundance of fresh air for his lungs,—if he has plenty of exercise for
his muscles (by allowing him to kick and sprawl on the floor),—if he
has a good swilling and sousing of water for his skin,—if, during the
early months of his life, he has nothing but the mother’s milk for his
stomach,—he will require very little medicine—the less the better! He
does not want his stomach to be made into a doctor’s shop! The
grand thing is not to take every opportunity of administering physic,
but of using every means of withholding it! And if physic be
necessary, not to doctor him yourself, unless it be in extreme and
urgent cases (which in preceding and succeeding Conversations I
either have or will indicate), but to employ an experienced medical
man. A babe who is always, without rhyme or reason, being
physicked, is sure to be puny, delicate, and unhealthy, and is ready,
at any moment, to drop into an untimely grave!
ABLUTION.
CLOTHING.