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If a nursing baby has frequent colic attacks, what should be done? The food is probably too strong. The mother should eat food that will produce less fat (cream) in her milk. The baby can be nursed at longer periods for a time; or give an ounce of hot water just before nursing. The mother should take plenty of exercise, enough sleep and have a free movement of her bowels, so as to keep well and free from nervousness.
WEANING.
When and how should this be done? This may usually be begun at nine or ten months by subst.i.tuting one feeding a day for one nursing. Later two feedings, etc., until weaning is gradually accomplished. Some advise one bottle feeding regularly each day much earlier, as before stated.
Give reasons for weaning earlier? Some serious illness of the mother, pregnancy, but the main reasons usually are that the child is not thriving.
When should the weaning be completed? Generally at one year, It may be advisable to wait longer in warm, damp weather.
Is there any danger in nursing longer? Yes, as the milk is scanty; the child may get rickets or anemia.
Is gradual weaning the best method? Yes.
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Should a wet nurse be preferred to bottle feeding? Yes, if you are sure you can get a good and perfectly healthy wet nurse. Her habits, etc., must be un.o.bjectionable--she should be chosen by a physician.
When should a "weaned" child use the bottle, and when the cup? If the weaning is done at the eighth or ninth month the bottle should be used; if weaning is done from the tenth to the eleventh month, the baby should be taught to drink or be fed with a spoon.
How can you overcome some of the difficulties of weaning? As before recommended, by feeding every nursing infant once a day or by giving water regularly from out a feeding bottle, as this accustoms the baby to the bottle. This is very good, for the mother is sometimes away at nursing time, for a few hours and the baby can be fed, and when weaning comes, it is much easier.
How soon should a child stop nursing from a bottle? If the child is well this should be begun at the end of the first year, and after it is fourteen months old, it should not have the bottle except at the night feeding.
What is the objection to longer bottle nursing? They become attached to the bottle and refuse solid food when it is proper to give it. They get the bottle habit; also, it is troublesome and unnecessary. Then they will not take milk in the future, when the bottle is finally taken from them; an exclusive milk diet for children of two to three years old often results in poor nutrition and anemia.
Give the process of training a child to give up the bottle? There is little trouble if it is begun at the right time; pour the milk in a small cup or gla.s.s and the child will drink little by little. Give only a small portion of the food in this way, at first, and the balance from the bottle. The child will in a few weeks time learn to drink out of the cup without difficulty. If the child is two or three years old, take the bottle away entirely and let the child get hungry, and give it only milk in the cup and nothing else. Some children may go for a day without food, but hunger will master them finally. As soon as he has learned to drink milk from his cup, cereals and other solid foods are gradually added to his dietary and the child has not only been taught to give up his bottle, but he has also a training which is often necessary.
Can you give a baby just weaned as strong cows' milk as one of the same age who has been fed upon cows' milk from birth? Not generally; it would be almost certain to cause indigestion. You must remember that the change in food is a great one, and the feeding should be begun with a weak milk and increased gradually in strength as the baby becomes accustomed to the cows' milk.
What are the proper proportions for an infant weaned at four or five months? About the same as that given to a healthy bottle-fed baby of two months, except the quant.i.ty should be larger. The food can be gradually increased, in most cases, so that by the end of two or three weeks the usual strength can be given.
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What strength is given to a bottle-fed baby of two months? From the top of a quart bottle of pure milk, that has stood from three to six hours, skim carefully off the top six ounces and then pour off three ounces of milk and mix them with the top milk (first skimmed off) making nine ounces in all; add to this nine ounces twenty-four ounces of boiled water in which you should have dissolved four teaspoonfuls of granulated sugar, or six or seven teaspoonfuls of milk sugar; add a pinch of salt and a pinch of bicarbonate of soda, or else two ounces of lime water.
Give the proper proportion for a baby who is weaned at nine or ten months?
About the same as for a bottle-fed baby of four or five months. The increase to be as above given.
What is the formula for a bottle-fed baby of four months? For a healthy baby, six ounces of top milk skimmed from the top of a quart bottle of milk, six ounces of milk, then poured off, twenty-four ounces of barley or oatmeal gruel, six teaspoonfuls of milk sugar or three of granulated sugar, a pinch of salt and a pinch of bicarbonate of soda or if lime-water is used instead take one ounce of lime-water to each twenty of the milk or gruel. He should have four ounces of this mixture every three hours up to ten p. m., and then one meal at about two a. m.; none until six or seven a. m.
Will a child lose weight when placed upon this diet? It will often do so for a week or more, but he will soon gain gradually and regularly.
SPECIAL MONTHLY RULES FOR A BOTTLE-FED BABY.
Formula of food.--For the first month: skim off carefully the top six ounces from a quart bottle of pure milk, add to this twenty-four ounces of boiled water, in which water three teaspoonfuls of granulated or six teaspoonfuls of milk sugar have been dissolved, and then add a pinch of soda, or else one and one-half ounces of lime-water. Mix all these ingredients thoroughly, and then pour the correct quant.i.ty into each of ten clean nursing bottles. Tightly cork these bottles with clean cotton, and they can all be pasteurized or heated to a temperature of 155 degrees F. (Some say higher).
What strength is given to a bottle-fed baby of two months? From the top of a quart bottle of pure milk that has stood from three to six to eight hours, skim carefully off the top six ounces and then pour off three ounces of milk and mix them with the top milk (first skimmed off) making nine ounces in all; add to the nine ounces, twenty-four ounces of boiled water in which you should have dissolved four teaspoonfuls of granulated sugar, or six or seven teaspoonfuls of milk sugar; add a pinch of salt and a pinch of bicarbonate of soda, or two ounces of lime-water.
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Formula for the third month.--(This is often used), Carefully skim off the top six ounces from a quart bottle of pure milk, then pour off six ounces of milk, twelve ounces in all, and now add twelve ounces of boiled water in which three teaspoonfuls of granulated or six of milk sugar have been dissolved, with a pinch of soda or else two ounces of lime-water; add then twelve ounces of barley or oatmeal gruel, divide into eight bottles, pasteurize, etc.; cool quickly and place where the temperature is 50 degrees F., until meal time, when one of the bottles should be warmed by placing it in warm water. Pour a little out in a spoon to test the warmth, etc.; when the milk is lukewarm remove the cotton cork and attach the rubber nipple. He should be fed regularly and equally every three hours up to ten p. m., then have one at two or three a. m., and nothing until seven a. m. He should get three and one-half to four ounces at each meal, so that much should be put in each bottle.
What is the formula for a bottle-fed baby of four months? For a healthy baby, six ounces of top milk skimmed from the top of a quart bottle of milk, six ounces of milk then poured off, twenty-four ounces of barley or oatmeal gruel, six teaspoonfuls of milk sugar or three of granulated sugar, a pinch of salt and a pinch of bicarbonate of soda; or if lime-water is used instead, take one ounce of lime-water to each twenty of the milk and gruel. He should have four or five ounces of this mixture every three hours up to 10 p. m., then one meal at about 2 a. m. None until 6 or 7 a. m.
Will a child lose weight when placed upon this diet? It will often do so for a week or more, but he will soon gain gradually and regularly.
Formula for the fifth month.--Skim off the top six ounces as before, then pour off nine ounces of milk and mix it with the top-milk, add twenty-four ounces of barley or oatmeal gruel, a pinch of salt, four teaspoonfuls of granulated or seven of milk sugar, a pinch of bicarbonate of soda and proceed as before. He should be fed every three hours during the day until 10 p. m. Give five to six and one-half ounces at each meal, making six meals in the whole twenty-four hours.
Formula for sixth month.--Six ounces of the top-milk skimmed off from a quart of pure milk, ten ounces of milk then poured off. Twenty-four ounces of barley or oatmeal gruel, in which has been thoroughly dissolved four teaspoonfuls of granulated or seven of milk sugar, a pinch of bicarbonate of soda, and a pinch of salt. Pasteurized as before, etc. Give baby from four to six ounces at each meal every three hours up to 9 or 10 p. m. If the day is exceedingly warm, pour out one or even two ounces from each bottle of the regular mixture and subst.i.tute boiled water for it. If the baby is inclined to vomit, it will be better during the hot weather to use less of the top milk, four, or five ounces instead of six or eight, and add so much more gruel. Barley gruel is better than oatmeal gruel unless baby is constipated. Again if the baby has delicate digestive organs, one meal each day during the very hot weather, can be made of mutton broth prepared as follows: Cut up one pound of neck of mutton, one pint of cold water and a pinch of salt; this is cooked very slowly for three hours until half a pint is left, adding a little water from time to time as it boils away; strain through muslin and allow to cool, and when cool take off all of the fat. Add this to an equal quant.i.ty of barley water and feed lukewarm to the baby from the nursing bottle. These measures may ward off summer complaint and a.s.sist in teething.
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Formula for the seventh month.--From a quart of pure milk carefully skim off the top six ounces, pour off fifteen ounces of the milk and add twenty-one ounces of barley or oatmeal gruel to which has been added dissolved four teaspoonfuls of granulated or seven of milk sugar, a pinch of bicarbonate of soda. Give six or seven ounces at each meal and six meals in twenty-four hours.
Formula for the eighth month.--Skim six ounces of top-milk as before directed, pour off seventeen ounces of milk, add twenty-one ounces of barley or oatmeal gruel, four of granulated or seven teaspoonfuls of milk sugar, a pinch of salt and bicarbonate of soda. Give six and one-half to seven ounces every three hours up to 10 p. m.
Formula for the ninth month.--Use six ounces of top-milk skimmed off as before, twenty ounces of milk poured off, twenty-two ounces of either barley or oatmeal gruel, a pinch of bicarbonate of soda and salt added to the gruel, and five teaspoonfuls of granulated or eight of milk sugar dissolved in boiled water and put in the gruel. Give seven or eight ounces of this every three hours up to 10 p. m.
Formula for tenth month.--The milk in a quart bottle is stirred and thirty ounces of this is taken and twenty ounces of either barley or oatmeal gruel is added to it, to which three teaspoonfuls of granulated or seven of milk sugar, a pinch of salt and a pinch of bicarbonate of soda have been added. Feed the child every three and a half hours up to 10 p. m., making five meals in twenty-four hours, and seven to eight ounces at each meal.
Formula for eleventh month.--Stir up the entire quart of milk, add thirteen ounces barley or oatmeal gruel and to this add one tablespoonful of granulated or two of milk sugar dissolved in boiled water, a pinch of salt and a pinch of bicarbonate of soda. Treat as used; eight or nine ounces are given at each feeding, and five feedings given during the twenty-four hours.
Formula for twelfth month.--Stir up the entire quart of milk; add eleven ounces of gruel, one tablespoonful of granulated or two of milk sugar, a pinch of salt and bicarbonate of soda. The child should now have five regular meals daily, arranged about as follows: Six a. m., nine ounces of this modified milk; 8 a. m., teaspoonful of prune jelly or strained juice of an orange; 10 a. m., seven ounces of the modified milk and two tablespoonfuls of a well cooked cereal; 2 p. m., five ounces of beef juice or six ounces of mutton or chicken broth, or else a coddled egg (alternate on different days), five or six ounces of modified milk and a small piece of zwieback; 6 p. m., nine ounces of modified milk; 10 p. m., ten ounces of modified milk.
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BARLEY AND OATMEAL GRUELS.
How is barley gruel made? Rub up one teaspoonful of the flour with a little cold water, and then stir this into a pint of boiling water, add a pinch of salt and boil it fifteen minutes, strain if it is at all lumpy.
How is oatmeal gruel made? In the same way, but use two teaspoonfuls of the flour.
SPECIAL RULES OF FEEDING AND NURSING FOR EACH MONTH IN CONNECTION WITH THE FORMULA GIVEN.
How can milk be pasteurized? A regular pasteurizer can be bought for three dollars; or the bottles, ten or less, can be placed in a pot partly filled with water which is rapidly brought to the boiling point about 155 degrees F. These bottles are filled with each regular feeding before being put in the water. The milk should not boil. Then remove the pot from the fire and allow the bottles to stand in it for one-half hour, then take them out and cool them as quickly as possible by allowing first warm and then cold water to run over the outside of the bottles; when they are cold, place them on ice or where the temperature is about 50 degrees F., and keep them until meal-time. Then one of the bottles is placed in warm water until the milk is lukewarm, the cork can then be removed and the nipple applied.
These ten bottles were equally filled with the modified milk as prepared under the formula for the first month.
How much modified milk should be placed in each bottle? For the first week of life one to two and one-half ounces are placed in each of the ten bottles, and two or three and one-half ounces for the last two weeks of the first month.
What should be done if the baby vomits or has curds in his stools? Use a little less cream and a little more water. Remember, two tablespoonfuls equal one ounce.