The Journal-Lancet, Vol. XXXV, No. 5, March 1, 1915: The Journal of the Minnesota State Medical Association and Official Organ of the North Dakota and South Dakota State Medical AssociationsVarious
Science
The Journal-Lancet, Vol. XXXV, No. 5, March 1, 1915: The Journal of the Minnesota State Medical Association and Official Organ of the North Dakota and South Dakota State Medical Associations
Various
Medicine -- Periodicals
Where artificial feeding must be started early, cow’s milk is almost
universally employed. Whenever possible, “certified milk” should be
used; the ordinary milk, however, can be boiled with little or no
harm. In diluting and preparing this milk, we have the choice of
several methods. The so-called percentage feeding, favored in America,
is difficult and cumbersome, and has no advantages over its simpler
rivals. Pfaundler’s rule may be safely employed. It is as follows:
One-tenth body-weight of milk, one one-hundredth body-weight of sugar
diluted up to one liter; give 200 c.c. five times in twenty-four
hours. Even simpler is the following: One-third milk for the first
month, one-half for the second month, two-thirds for the third and
fourth months, each with the addition of 4 to 6 per cent sugar. Either
milk-sugar or ordinary granulated sugar may be employed. The malt
sugars and extracts should be reserved for sick children. After the
second month, oatmeal water may be used as a diluent in place of plain
water.
Recently Friedenthal, a Berlin physiologist, has attempted an exact
imitation of mother’s milk, including that important element, the
salt, which had, until recently, been entirely neglected. Langstein is
very enthusiastic over this milk as a food for healthy infants; but
Finkelstein, in a personal communication, assured me that it has not
as yet proved itself. Schloss, dissatisfied with the results of the
Friedenthal milk, has modified it in the direction of casein milk by
replacing the milk-sugar with the malt preparations, and increasing
the protein content. He claims good results, and is supported by
Leopold, of New York, who has used it extensively. But we must leave
the final word as to both these milks for the future to decide. From
the sixth to the ninth month for both breast-fed and bottle-fed
babies, cooked cereals, toast, and vegetables should be gradually
added to the diet. At the ninth month, unless this is one of the hot
summer months, the nursling should be weaned, and a small amount of
cow’s milk substituted. The weaning should be gradual by omitting one
nursing period each week. The one important exception to the foregoing
rules for the first year of life, is the premature infant. In the
ninth month of fetal life, reserves of calcium and iron are stored
up in the body, which the infant gradually uses up during the first
nine months of extra-uterine life. The premature infant lacks this
store, and manifests it in different ways. As early as the second or
third month a breast-fed premature infant may develop a most extensive
craniotabes. This is not due to a true rachitis, i.e., disturbance of
calcium metabolism, but to a want of calcium in the body. Small amounts
of cow’s milk, which contains much more calcium than human milk, or
calcium in the form of calcium lactate or chloride, will remedy this
condition. A similar process happens in the case of iron. The premature
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