If the mother has had serious complications in pregnancy or
parturition, the physician must decide on the advisability of natural
or artificial feeding.
In case of nephritis, except perhaps in a very mild form, the milk is
toxic and therefore nursing from the breast should be prohibited.
Sometimes in acute contagious disease it is safer to nurse the baby
than to subject it to the dangers of artificial food. However, when the
mother’s temperature exceeds 101 or 102 degrees, the milk will probably
possess toxic qualities and disagree with the infant.
* * * * *
[Sidenote: Anatomy and Physiology of the Infant]
Every nursing mother should acquaint herself with the process of the
infant’s digestion, as many of the infantile difficulties are caused by
overfeeding or underfeeding, due to ignorance on this subject.
The alimentary tract of the new-born infant differs in many ways from
that of the adult.
As compared with other mammals, the human infant is the most helpless
and undeveloped and therefore the most delicate and easily affected.
It is practically dependent on its mother for nourishment which will
completely supply its needs.
The capacity of the stomach, after careful study, has been placed at
from 1 to 2 ounces at birth, 2 to 3 ounces at the end of the first
month, 6 ounces at the 6th month, and from 9 to 10 ounces at the end
of the first year. This is simply an average guide, as stomachs vary
somewhat in size. Quantities somewhat larger than the foregoing are
sometimes fed, but some of the food has passed beyond the pylorus
before the last of it is taken. Digestion begins as soon as the food
enters the stomach.
The secretion of bile begins within 12 hours after birth, increases
rapidly, and is fully established within a week or ten days.
The pancreatic ferments which digest starches and sugar are present
in the new-born, although scanty; the sucking movements of the child
when nursing exercise the salivary glands so that saliva is secreted;
but starch digestion is not completed in the mouth, hence starch and a
greater proportion of sugar than is in the mother’s milk are difficult
for the infant to digest.
The intestines, when compared with the length of the body, are
relatively long in infants, but the muscular coat is comparatively
weak; digestion is therefore relatively slow and more subject to
derangement by substances that influence peristalsis.
The fact that infants vomit with comparatively little effort, the food
overflowing from an overloaded stomach, is due to the relatively feeble
closure of the cardiac orifice.
The stomach contents are kept germ-free by the secretion of
hydrochloric acid and the upper intestine is nearly free from bacteria
in breast-fed infants, because of the antibacterial nature of the
intestinal secretion. In some digestive disturbances this safeguard
fails and bacteria develop rapidly.
[Sidenote: Intestinal Disturbances]
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account