Obstetrics for NursesReed, Charles B. (Charles Bert)
Science
Obstetrics for Nurses
Reed, Charles B. (Charles Bert)
Maternity nursing
=Proprietaries.=—Baby foods are not to be recommended nor condemned.
They are placed on the market as substitutes for mother’s milk with
definite instructions as to preparation. They are also very expensive.
They are not to be condemned, because many of them are invaluable when
used in connection with cow’s milk. Sometimes a child will not tolerate
anything but malted or condensed milk, or Nestle’s food, for example.
The malt sugars, such as Horlick’s and Mellin’s, are easily assimilated,
fattening, and laxative.
All foods in the modification of milk should be of the best. The
standard sugars are Merck’s milk sugar, Mead’s Dextri Maltose,
Nährzucker, cane sugar, and Mellin’s and Horlick’s foods. Robinson’s
barley flour or Johnson’s are the best known. Imperial granum is a
partially dextrinized flour and corresponds to the home-made “flour
ball.”
FOOD PREPARATION
=Buttermilk Made from a Culture.=—Bring two quarts of milk to a boil,
cool to the temperature required for inoculation (80° to 100° F.,
depending on the culture employed). Introduce the culture, and allow it
to stand at the temperature of the room until a solid clabber forms.
Place on ice, whip with an egg beater or break up with a churn before
using. If a fat-free buttermilk is desired, use skimmed instead of whole
milk.
There are many kinds of buttermilk cultures on the market, but Hansen’s
is considered one of the best, because it is not too acid, besides
which, it has a good flavor, and the culture can be utilized over and
over for a week or ten days.
In preparing a subsequent portion, it is only necessary to use two or
three ounces of the first buttermilk, which may be reserved for the
purpose. This amount is introduced into the freshly boiled milk, instead
of the original powder, and the preparation is continued exactly as
described for the mother culture.
In every case the mixture must be placed on ice as soon as the clabber
forms, as it becomes too sour otherwise.
=Eiweiss Milk.=—Heat one quart of whole milk to 145° F. and coagulate
with pepsin, rennin, or chymogen, which is 10 per cent rennin. Let it
stand until clabbered, which takes about ten minutes. Pour into a gauze
bag and let it stand until all the whey is drained off. To the dry curd,
add ½ ounce of flour ball, and one pint of skimmed buttermilk, the whole
to be rubbed through a very fine wire mesh sieve (as fine as a
tea-strainer, at least), three separate times; or, it may be ground
twice through a special mill to break up the curd as minutely as
possible. Add a pint of water and measure. There should be a quart and
three or four ounces over. Place upon a slow fire and bring to a boil
while stirring constantly. Boil two minutes, then cool, strain, measure,
and add water to make up for evaporation. Shake well before measuring,
as the curd is heavy and settles to the bottom.
=Peptonized Milk.=—(See p. 338.)
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