Budin recommends one-tenth of the body-weight daily of milk and reports
excellent results in infants after the fifth or sixth month, weighing
from thirteen to fifteen pounds.
Most infants under the age of nine months are more or less incapable of
digesting cow’s milk undiluted. If artificial food is resorted to from
the start, practically all physicians agree that the milk should be
diluted or otherwise modified during the first few months at least.
Milk diluted with water is often given, one part of milk to two parts
of water. This reduces the protein to about the amount found in breast
milk.
It is necessary to keep up the proportion of protein, as this alone
contains the important food element, nitrogen. From one-half to
three-fourths of an ounce of milk-sugar is added to the twenty-four
hours’ supply of food to approximate the seven per cent. found in
breast milk.
The proportion of milk and milk-sugar is gradually increased and the
water decreased, so that at the end of the first or second month the
baby gets equal parts of milk and water and about an ounce more of
milk-sugar. This process is continued until, near the end of the first
year, the child is on whole milk. The sugar is lessened as the water is
omitted.
If, after a few months, it is desired to give a baby starch in its
food, cereal waters made of barley, rice, wheat, or oatmeal may be used
in place of plain water.
As cow’s milk leaves the stomach more slowly than mother’s milk, longer
intervals between feeding seem advisable. When the breast-fed infant
receives nourishment every two and one-half to three hours, an infant
given a cow’s-milk preparation would be fed every three and one-half or
four hours.
The most important thing is to prevent both overfeeding and
underfeeding as these are often the greatest factors in producing
infantile disturbances. A too rapid gain in weight, (from 8 to 12
ounces a week), which often occurs in artificially fed infants, is not
a good sign.
Milk prepared according to the formula desired by the physician can now
be secured from milk laboratories in all of our larger cities. However,
the milk is apt to spoil in transit, and to secure its freshness when
one is not in or near a large city, it is best to prepare it at home.
Any intelligent mother or nurse can do this very satisfactorily if the
physician gives definite instructions.
Its careful preparation is quite as important as the correct formula.
Mineral (calcium) and protein are bone and other tissue builders, and
it is a significant fact that cow’s milk contains about twice as much
protein and a little more than twice as much of the mineral as mother’s
milk, indicating that the growth of the human infant is to be slow.
The calf requires about four years for full growth and the human being
twenty-one years. Both human and cow’s milk, however, contain an equal
amount of fat, the heat-producing element, as Nature intended that the
infant should be warm and active.
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