The maternal management of children, in health and diseaseBull, Thomas
Science
The maternal management of children, in health and disease
Bull, Thomas
Child care
WHAT IS THE CONDITION OF THE BREAST?--A good breast should be firm and
well formed; its size not dependent upon a large quantity of fat, which
will generally take away from its firmness, giving it a flabby
appearance, but upon its glandular structure, which conveys to the
touch a knotted, irregular, and hard feel; and the nipple must be
perfect, of moderate size, but well developed.
WHAT IS THE QUALITY OF THE MILK?--It should be thin, and of a bluish-
white colour; sweet to the taste; and when allowed to stand, should
throw up a considerable quantity of cream.
WHAT IS ITS AGE?--If the lying-in month of the patient has scarcely
expired, the wet-nurse to be hired ought certainly not to have reached
her second month. At this time, the nearer the birth of the child, and
the delivery of its foster-parent, the better: the reason for which
is, that during the first few weeks the milk is thinner and more watery
than it afterwards becomes. If, consequently, a new-born infant be
provided with a nurse, who has been delivered three or four months, the
natural relation between its stomach and the quality of the milk is
destroyed, and the infant suffers from the oppression of food too heavy
for its digestive power.
On the other hand, if you are seeking a wet-nurse for an infant of
four or five months old, it would be very prejudicial to transfer the
child to a woman recently delivered; the milk would be too watery for
its support, and its health in consequence would give way.
THE NURSE HERSELF SHOULD NOT BE TOO OLD!--A vigorous young woman from
twenty-one to thirty admits of no question. And the woman who has had
one or two children before is always to be preferred, as she will be
likely to have more milk, and may also be supposed to have acquired
some experience in the management of infants.
INQUIRE WHETHER SHE IS EVER UNWELL WHILE NURSING?--If so, reject her
at once. You will have no difficulty in ascertaining this point; for
this class of persons have an idea that their milk is renewed, as they
term it, by this circumstance, monthly; and, therefore, that it is a
recommendation, rendering their milk fitter for younger children than
it would otherwise have been. It produces, however, quite a contrary
effect; it much impairs the milk, which will be found to disagree with
the child, rendering it at first fretful,--after a time being vomited
up, and productive of frequent watery dark green motions.
Last of all, WHAT IS THE CONDITION OF THE CHILD?--It ought to have the
sprightly appearance of health, to bear the marks of being well
nourished, its flesh firm, its skin clean and free from eruptions. It
should be examined in this respect, particularly about the head, neck,
and gums.
If a medical man finds that both mother and child answer to the above
description, he has no hesitation in recommending the former as likely
to prove a good wet-nurse.
DIET AND REGIMEN OF A WET-NURSE.
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