Obstetrics for NursesReed, Charles B. (Charles Bert)
Science
Obstetrics for Nurses
Reed, Charles B. (Charles Bert)
Maternity nursing
Breast feeding has been taken up elsewhere, but the same care should be
taken in feeding from the bottle as in feeding from the breast, so far
as concerns the intervals between the feedings and the duration of the
same. Since it takes from one to two hours longer for cow’s milk to
digest than it does for mother’s milk the longer interval of three or
four hours between feedings is better for the artificially fed child.
With such an interval there will be less vomiting, less colic, less
tendency to overfeed, and a better natured baby.
One feeding should be omitted at night, and if possible, two.
Length of time for taking the bottle depends somewhat on the child, but
it should not exceed fifteen minutes, as a rule.
=Supplemental Feeding.=—A mother who has too little milk may have it
supplemented by a modified mixture in one of two ways.
First, the quantity furnished by the breast must be determined by
weighing the infant before and after feeding, and then the total amount
for twenty-four hours can be deduced. With this information, it is not
difficult for the doctor to know how much cow’s milk to prescribe. The
supplemental feeding may be given by alternating the bottle and the
breast, or by giving the breast and following it immediately with the
bottle. In the meantime, the mother must be put on tonics with an
abundance of fluids, and a generous diet that will raise the blood
pressure, in the hope that the milk will increase sufficiently to enable
her to feed the child entirely from the breast.
When it becomes necessary to substitute some other food for the breast
milk, it means that the milk of some other mammal must be modified for
the purpose. The most convenient and abundant source of supply is the
cow.
While in many respects cow’s milk is similar to mother’s milk, it is in
reality quite a different product. Mother’s milk is taken, undiluted,
directly from the breast, while cow’s milk is given from a bottle, hours
after milking, and not only must it be diluted, but certain ingredients
must be added to aid its digestibility.
When taken into the stomach in its natural state, mother’s milk is a
liquid, while under the same conditions, cow’s milk forms a semisolid
gelatinous mass.
It is essential that the milk should be as fresh, clean, and free from
bacteria as possible, and this can be approximated only in certified
milk. This milk is required by law to have its constituents definitely
standardized. Thus, there must be 4 per cent of fat, 4 per cent of
protein, and 4 per cent of sugar, and it must be so free from bacteria
that not more than 10,000 per cubic centimeter can be found. The cattle
also are tuberculin tested. The following comparison is from Holt:
_Mother’s Milk_ _Cow’s Milk_
Public-domain text, read in full here on John Shaqi.
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