Sometimes a more restricted diet together with specially directed
exercises to relieve any digestive disturbance and correct
constipation, and relaxing exercises for the nerves, will do more than
anything else to improve the quality of the milk.
Mothers should particularly avoid becoming overtired.
When the milk is good, but the quantity deficient, massage of the
breasts three or four times a day for five or ten minutes will increase
the supply. One effective means of increasing the secretion of the
mammary glands is the mechanical stimulus of suction. If a robust baby
can be put to the breast for a time it may develop an ample flow of
milk for a puny infant whose powers of suction are feeble.
A good malt extract with meals sometimes tends to increase the flow
of milk. When the quality and quantity of the milk are deficient, the
physician usually advises a very nourishing diet and a tonic. This
nourishment does not of necessity require an excessive amount of liquid.
When the quantity is sufficient, but the quality poor, it is usually
necessary to wean the baby, if it is several months old, although
mother’s milk, even if below standard in quality, is better for the
infant than cow’s milk, at least during the first few months.
Nervousness, sleeplessness, worry, and grief have a decided effect on
the milk supply and on the baby. Nervous mothers are apt to have an
abundance of milk one day and little the next day; frequently the milk
will disappear suddenly.
* * * * *
[Sidenote: Weaning]
When it is possible, the baby should be weaned gradually. Although
there is no set time for weaning, it is not advisable to feed the child
exclusively from the breast after the eighth or tenth month. Bunge
holds that human milk contains too little iron at this period and the
babies are apt to become pale and undernourished.
When additional feeding is decided on, the physician should prescribe
the preparation. A bottle a day should be substituted for the breast
feeding at first and, gradually, additional bottle feedings, until,
after about a month the breast is entirely withdrawn.
After the eighth month and until the age of twelve months, as a general
rule, cow’s milk should be diluted and sweetened by mixing eight
ounces of barley water and thirty-two ounces of milk, adding an ounce
of cane-sugar or milk-sugar, and dividing the whole into five 8-ounce
portions.
Additional food may be given to the healthy child after the eighth
or ninth month. Orange juice or other fruit juice one or twice a
day should be given about an hour before feeding. A teaspoonful may
be given at first and the amount gradually increased to about two
tablespoonfuls a day.
Orange juice is a specific in conditions of scurvy resulting from
improper feeding. The child usually improves rapidly after it begins to
take the juice.
Beef juice, meat broths, or strained vegetable soup may be given in
increasing amounts up to 5 or 6 ounces daily.
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