_History of Artificial Feeding._--It is uncertain during what
respective periods of human history the practice of rearing infants
by means of wet-nurses, and the practice of rearing them by
artificial feeding, first made their appearance. To-day, certainly,
both these methods of rearing infants prevail very widely--far more
widely than at any former time. No official statistics exist showing
the proportion of all infants born alive that are suckled by the
mother, suckled by wet-nurses, and artificially fed, respectively.
According to some private investigators, in large towns less than
half of all infants are suckled by their own mothers, and in France
the proportion of those which are otherwise nourished is said to
range from 60 per cent. to 70 per cent. Certainly, the conditions
with regard to this matter are worse in France than they are
elsewhere.
Many physicians believe that the constitutional incapacity of women
to suckle their children is increasing. They point out that an unused
organ tends to atrophy; and they consider, not merely that the
incapacity to suckle is transmitted by inheritance, but that when
so transmitted, the incapacity persists throughout all subsequent
generations. But this view, whose soundness would deprive us of
our most effective weapon in our campaign against excessive infant
mortality, is erroneous. The recent investigations of various medical
practitioners especially interested in the diseases of children
have shown that (even in districts in which for generations mothers
have almost completely abandoned the practice of suckling their
children), when properly advised, 90 per cent. of all women proved
capable of suckling, if not for the full nine months, at any rate
for a considerable period, before it was necessary to have recourse
to cow’s milk. There are doubtless women who are really unable to
suckle their children; and there are others who could do so, but in
whom suckling is contra-indicated, either in their own interest or in
that of the child. For example, a woman who is pregnant cannot give
suck, for the human organism is not adapted to bear the common strain
of pregnancy and of lactation. In the interest of the child that
is being suckled, it is necessary that weaning should be effected
directly a new pregnancy begins. Women suffering from chronic
alcoholism and those addicted to morphine should not suckle their
children, for the reason that a comparatively large quantity of the
alcohol ingested, or of the morphine, as the case may be, is excreted
in the milk. A child suffering from an infective disease, such as
syphilis or tuberculosis, should be artificially fed, owing to the
danger of infection.
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