From the primary moment the babe is applied to the breast,
it should be suckled upon an explicit set up. this is often necessary to the
well-doing of the kid, and can contribute primarily to preserve the health of
the parent, UN agency can therefore be rendered an honest nurse, and her duty
at a similar time can become a pleasure.
This implies, however, a careful attention on the a part of
the mother to her own health; for that of her kid is actually dependent upon
it. Healthy, nourishing, and digestible can be procured solely from a healthy
parent; and it's against good judgment to expect that, if a mother impairs her
health and digestion by improper diet, neglect of exercise, and impure air, she
can, however, offer as wholesome and uncontaminated a fluid for her kid, as if
she were diligently alert to these details. each instance of indisposition
within the nurse is vulnerable to have an effect on the babe.
And this leads American state to look at, that it's a
typical mistake to suppose that, as a result of a lady is nursing, she ought so
to measure terribly totally, associate degreed to feature an allowance of wine,
porter, or alternative soured liquor, to her usual diet. the sole results of
this set up is, to cause associate degree unnatural degree of fulness within
the system, that places the nurse on the brink of sickness, and that of itself
oft puts a stop to the secretion of the milk, rather than increasing it. the
correct set up of continuing is apparent enough; solely let attention be paid
to the standard laws of health, and also the mother, if she have a sound
constitution, can build a stronger nurse than by any foolish deviation
supported on content and desire.
The following case proves the correctness of this statement:
A young lady, confined with her first child, left the
lying-in room at the expiration of the third week, a good nurse, and in perfect
health. She had had some slight trouble with her nipples, but this was soon
overcome.
The porter system was now commenced, and from a pint to a
pint and a half of this beverage was taken in the four and twenty hours. This
was resorted to, not because there was any deficiency in the supply of milk,
for it was ample, and the infant thriving upon it; but because, having become a
nurse, she was told that it was usual and necessary, and that without it her
milk and strength would ere long fail.
After this plan had been followed for a few days, the mother
became drowsy and disposed to sleep in the daytime; and headach, thirst, a hot
skin, in fact, fever supervened; the milk diminished in quantity, and, for the
first time, the stomach and bowels of the infant became disordered. The porter
was ordered to be left off; remedial measures were prescribed; and all
symptoms, both in parent and child, were after a while removed, and health
restored.
Having been accustomed, prior to becoming a mother, to take
a glass or two of wine, and occasionally a tumbler of table beer, she was
advised to follow precisely her former dietetic plan, but with the addition of
half a pint of barley-milk morning and night. Both parent and child continued
in excellent health during the remaining period of suckling, and the latter did
not taste artificial food until the ninth month, the parent's milk being all-sufficient
for its wants.
No one can doubt that the porter was in this case the source
of the mischief. The patient had gone into the lying-in-room in full health,
had had a good time, and came out from her chamber (comparatively) as strong as
she entered it. Her constitution had not been previously worn down by repeated
child-bearing and nursing, she had an ample supply of milk, and was fully
capable, therefore, of performing the duties which now devolved upon her,
without resorting to any unusual stimulant or support. Her previous habits were
totally at variance with the plan which was adopted; her system became too
full, disease was produced, and the result experienced was nothing more than
what might be expected.
The plan to be followed for the first six months. Until the
breast- milk is fully established, which may not be until the second or third
day subsequent to delivery (almost invariably so in a first confinement), the
infant must be fed upon a little thin gruel, or upon one third water and two
thirds milk, sweetened with loaf sugar.
After this time it must obtain its nourishment from the
breast alone, and for a week or ten days the appetite of the infant must be the
mother's guide, as to the frequency in offering the breast. The stomach at birth
is feeble, and as yet unaccustomed to food; its wants, therefore, are easily
satisfied, but they are frequently renewed. An interval, however, sufficient
for digesting the little swallowed, is obtained before the appetite again
revives, and a fresh supply is demanded.
At the expiration of a week or so it is essentially
necessary, and with some children this may be done with safety from the first
day of suckling, to nurse the infant at regular intervals of three or four
hours, day and night. This allows sufficient time for each meal to be digested,
and tends to keep the bowels of the child in order. Such regularity, moreover,
will do much to obviate fretfulness, and that constant cry, which seems as if
it could be allayed only by constantly putting the child to the breast. A young
mother very frequently runs into a serious error in this particular,
considering every expression of uneasiness as an indication of appetite, and
whenever the infant cries offering it the breast, although ten minutes may not
have elapsed since its last meal. This is an injurious and even dangerous
practice, for, by overloading the stomach, the food remains undigested, the
child's bowels are always out of order, it soon becomes restless and feverish,
and is, perhaps, eventually lost; when, by simply attending to the above rules
of nursing, the infant might have become healthy and vigorous.
For the same reason, the infant that sleeps with its parent
must not be allowed to have the nipple remaining in its mouth all night. If
nursed as suggested, it will be found to awaken, as the hour for its meal
approaches, with great regularity. In reference to night-nursing, I would
suggest suckling the babe as late as ten o'clock p. m., and not putting it to
the breast again until five o'clock the next morning. Many mothers have adopted
this hint, with great advantage to their own health, and without the slightest
detriment to that of the child. With the latter it soon becomes a habit; to
induce it, however, it must be taught early.
The foregoing plan, and without variation, must be pursued
to the sixth month.
After the sixth month to the time of weaning, if the parent
has a large supply of good and nourishing milk, and her child is healthy and
evidently flourishing upon it, no change in its diet ought to be made. If
otherwise, however, (and this will but too frequently be the case, even before
the sixth month) the child may be fed twice in the course of the day, and that
kind of food chosen which, after a little trial, is found to agree best.

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