The Prospective Mother, a Handbook for Women During PregnancySlemons, J. Morris (Josiah Morris)
Science
The Prospective Mother, a Handbook for Women During Pregnancy
Slemons, J. Morris (Josiah Morris)
Obstetrics; Pregnancy
Generally the breasts are employed alternately, but both may be used
at each nursing if one is insufficient. To fix the duration of the
nursings arbitrarily is impossible; from ten to fifteen minutes
generally proves satisfactory, but in each case systematic
observations of the change in the baby's weight, of the character of
its stools, and of its general condition must determine how long to
leave it at the breast. The common error, unfortunately, is to be
over-indulgent, and, as a result, infants are more frequently ill
because the nursings are too long, than too short. Furthermore, the
duration of the feedings can never be gauged accurately if the infant
is allowed to nap while nursing.
The successful training of a baby begins with the development of
regular habits of nursing. The old-fashioned custom of allowing the
baby to nurse whenever it cried, tacitly--and incorrectly--assumed
that it could have no other sensation than hunger. As a matter of
fact an infant may have pain from overfeeding. Again, it may be
thirsty, or uncomfortable from the pricking of a pin, from the
monotony of one position, from a soiled napkin, or from neglect of
many simple details in its care. Any of these things make a baby cry,
for it has no other means by which it can express disapproval.
So long as the breasts contain colostrum the nursings should be at
least three hours apart during the day; at night it is preferable not
to disturb the mother at all. As soon as milk appears the interval is
usually shortened to two hours during the day. In many cases,
however, the three-hour interval will be retained even after the milk
appears, for otherwise the infant may not become hungry and will fail
to nurse as strongly as it should. The following schedule is adapted
to the average infant:
Age Interval During Total Number
the Day of Feedings
From 1st to 4th week 2 hours 9
" 4th " 8th " 2-1/2 " 8
" 2nd " 4th month 3 " 7
" 4th " 10th " 3 " 6
" 10th " 12th " 4 " 5
After the first few days most young infants require one feeding in
the middle of the night, which is usually given about 2 A.M. The day
feedings then begin at 6 A.M., and are repeated at regular intervals
until 9 or 10 P.M. The daily bath should be scheduled so that a
feeding will be due just after the bath has been completed. If asleep
when the next succeeding feeding falls due, the infant should not be
waked, but at other times nothing should interfere with the
regularity of the schedule. Occasionally there may be difficulty in
getting the child to nurse during the day, but it must be taught to
do so; otherwise it will want to nurse throughout the night.
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