Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her BabyVan Blarcom, Carolyn Conant
Science
Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her Baby
Van Blarcom, Carolyn Conant
Infants -- Care; Maternity nursing; Pregnancy
=Treatment.= Cod-liver oil and sunshine, together with proper food, are
the essentials in treating rickets. When cod-liver oil is given to a
baby whose diet is faulty, it exerts a marked tendency toward enabling
the bones to develop satisfactorily even when the mineral content of the
food is unfavorable. The use of sunshine, either by moving the baby from
a dark to a light house, or by exposing his body to the direct rays of
the sun is found to be of pronounced therapeutic value. These factors,
in addition to general good care constitute the treatment, but it is a
long slow process, taking from three to fifteen months, and it is
doubtful if the damage which the disease works can ever be entirely
repaired.
Rickets is more common during the cold months of the year, winter and
spring, than during the milder summer and autumn seasons. A possible
explanation for this lies in the higher value of the cows’ food during
the warm months when green things form the diets of animals. Since it is
now recognized that milk is not a constant product, but that its
properties vary with the food of the animals that produce it, cows’ milk
would be favorably influenced by their being put to pasture.
Similar evidence of such an influence is seen in the fact that although
rickets is not seen among breast-fed babies whose mothers are on
satisfactory diets, it may and does occur in breast-fed babies who are
nourished by mothers who are, themselves, on dietaries which are poor in
milk and fresh fruit and vegetables.
Drs. Hess and Unger made a study of the occurrence of rickets among
colored babies in a section of New York City and the value of cod-liver
oil as a preventive of this disease. In commenting upon their findings,
they state, “This tendency is so marked that it may be safely stated
that over ninety per cent. of the colored babies have rickets, and that
even a majority of those that are breast-fed show some signs of this
disorder.” They ascertained that the average diet of the mothers of
these rickety babies was largely made up of carbohydrates and proteins,
being poor in fats, although the diets yielded a daily quota of calories
which represented almost the requisite amount for their individual
weights. But they took little fresh milk or fresh fruit or vegetables,
using canned and dried products freely.
It is important to note here that it is a diet of heated milk, rich in
carbohydrates but poor in fats, that produces rickets in a bottle-fed
baby—almost the same type of diet which in a nursing mother results in
rickets in a breast-fed baby.
Public-domain text, read in full here on John Shaqi.
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