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
Dr. Jacob Hvoslof: I would like to ask about the value of lime-water
added to the milk. I recently had an experience where I mixed an ounce
of lime-water to a pint of milk, as I thought that would improve it.
but for some reason or other the baby would not digest his milk. After
a while I left the lime-water out, and everything went well. Whether
this is a “post” or “propter” I should like to find out.
Dr. O. R. Bryant: In case of an exudative diathesis, where you
probably will start solids early, you will also be able to use meat
earlier. An infant that does well on solids at six months can probably
have meat once a day at fifteen months and show a normal stool.
Dr. S. R. Maxeiner: I would like to ask Dr. Huenekens where he classes
eggs and egg albumin.
Dr. C. G. Weston: I have been very much interested in Dr. Hueneken’s
paper. I care only for the babies during the three or four weeks after
birth; and of late years many of them have passed from me directly
into the hands of the pediatrists. I formerly had the babies nursed
every three hours, but finding that the baby specialist immediately,
on assuming charge, put them on the four-hour schedule, I changed,
about a year and a half ago, to that interval; and I thought my
troubles would cease, but such has not been the case, and it has been
my impression, as well as that of the nurses who have had the care of
the infants, that it has made very little difference.
The four-hour schedule is not a new thing in Minneapolis. Many of the
older members of this Society may remember that twenty years ago Dr.
R. O. Beard always fed his babies in this way.
It seems to me that we should make no hard and fast rules for the
feeding of babies, except the one that mother’s milk should be used
whenever possible. We should individualize with the babies. If they
do well on the four-hour schedule, follow it, as it makes the care of
the child easier for the mother; if, however, the child does not get
sufficient milk on this interval to properly nourish it, diminish the
latter to three hours.
The only way to accurately determine how much milk the nursing infant
is getting, is to weigh the baby before and after nursing. One is
often surprised at the varying amounts obtained by the same baby at
different nursings with no obvious difference in the condition of the
breasts. We have had a baby obtain as much as three ounces in the
first five minutes of nursing, and at the next feeding take only one
or one and a half ounces in twenty minutes.
The green and frequent stools, with evidences of colic, etc., are
often found to be due to too much milk, or taking it too rapidly; and
the weighing method is the only way to determine this.
Public-domain text, read in full here on John Shaqi.
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