Nursing the Child—The Mother's Diet—Weaning—The Nursing-bottle—Milk for the Baby—Graduated Approach to Solid Diet—The Baby's Table Manners—His Bath—Cleansing His Eyes and Nose—Relief of Colic—Care of the Diaper.
But one upon earth is more beautiful and better than the wife—that is the mother.—L. SCHEFER.
Tennyson says, "The bearing and the training of a child is woman's wisdom." Herein nature is ever urging her to the proper course. Thus the love of the newborn infant prompts the mother to feed him with her own milk, and this supplies exactly the elements he requires for healthy development. No other milk, however skillfully modulated, no "infant's food," however scientifically prepared, can fully take its place.
Unless illness prevents her from feeding her own child, or she is of a moody and unhappy disposition, it is the mother's place to give her breast to the infant. The condition of mind of the mother has a great deal to do with the quality of the milk. A despondent and excitable temperament is often more productive of harm than a low physical condition. It is hardly necessary to warn the mother to be careful of her diet, as this has immediate effect on the quality of the milk. Of course, any drink containing alcohol must be avoided. Tea and coffee, except when taken in weak strength, have also a deleterious effect. Milk, and next to it, cocoa, are the best beverages for the mother. Mothers should also avoid taking medicine except when positively required.
There is no need for the mother to vary greatly her solid diet. She will naturally select that which is most nutritious and easily digested. Anything that tends to make her costive, such as fruits or green vegetables, should be partaken of with discrimination.
The baby should be fed with systematic regularity from the beginning. While a child does not need food for the first day after birth, nevertheless it is well to put it to the breast about six hours after birth, since for the first few days after child-birth the breasts secrete a laxative element which acts as a sort of physic upon the child, clearing its bowels of a black, tarry substance, that fills them. The full supply of normal milk comes after the third day. After the first feeding the baby should be put to the breast every four hours for the first day and after that every two hours, being kept there about twenty minutes each time. The mother should be watchful and see that the child is awake and is nursing. Even at this early age it can be compelled to learn a good habit. Unless it learns this habit, the mother will be put to great inconvenience and the baby will suffer because of the disarrangement of the systematic feeding. If he is allowed to nurse at his own pleasure, the results will quickly make themselves manifest in the form of colic, leading to wakefulness and bad temper.
A baby should not remain awake more than four hours in the day on the whole, and he should be so trained that the eight hours from ten o'clock at night to six in the morning, when his mother is sleeping, should be for him also an uninterrupted period of slumber.
The baby should be weaned at ten months unless he is unwell at the time or the weaning comes in the heat of the summer, when there is danger of his becoming sickly or peevish. Preparatory to weaning, the baby should be accustomed to the bottle. Provided the bottle holds half a pint or four glasses, the number of bottles may be increased from one a day at four months to two or six at eight months. The baby should certainly be weaned by the time it is a year old, as, even though the mother continues to have a plentiful supply of milk, this is not suited to his needs at this stage of his physical development. By this method of approach the act of permanently refusing the breast to the child will not greatly offend him. After a little crying he will philosophically accept the situation and reconcile himself to the substitute.
Weaning is rendered easier by selecting a nursing-bottle which has the nipple in the shape of the breast. Care should be taken that the hole in the nipple is not too large, supplying more milk than the stomach can take care of as it comes, and so causing stomachic disorder. The nursing bottle should at all times be kept thoroughly clean by rinsing in hot water and washing in hot soapsuds. The milk for the child's bottle should, wherever possible, be what is called "certified," that is, the milk from a herd of cows which have been declared by the proper authorities to be all in good health, and which have been milked under sanitary conditions. This milk is delivered in clean, sealed bottles, preventing the admission of any dirt or deleterious substance from the time it leaves the dairy till opened. The milk for the baby should not be purchased from the can.
Milk that has been sterilized, that is, bottled and put in boiling water for an hour, is not so good for the baby as pasteurized milk; that is, milk kept at something less than the boiling point for half an hour, since the higher temperature causes the milk to lose some of the qualities beneficial to the child.
Since cow's milk differs in its constituents from mother's, having more fat and less sugar, there will be need at first to modify the cow's milk, weakening and sweetening it somewhat. One good recipe for modifying cows' milk is: One part milk, two parts cream, two parts lime-water, three parts sugar water, the sugar water being made by putting two even teaspoonfuls of sugar of milk in a pint of water.
Condensed milk, which is often used as a substitute for cows' milk, is not nearly so good, since it has lost in the process of condensation one of the most important elements, that which forms bone tissue. Accordingly, babies fed upon condensed milk are apt to be "rickety," and they lack in general power to resist disease, which is primarily the mark of a baby fed on mother's milk, and to a slightly lesser degree, one fed upon cows' milk.
The stomach grows very rapidly during infancy, increasing from a capacity of one ounce soon after birth to eight ounces at the end of the year, and this should be taken into account by the increase of the amount supplied it. After the first week, a baby should increase in weight at the rate of one pound a month for the first six months. If he falls behind this rate and remains healthy, more sugar and fat may be introduced into his milk. If, however, he fails to gain weight and is sickly, the milk should be diluted and modified so as to make it easier of digestion.
Every mother should be warned against a common practice of starting the flow of milk from the nipple of the bottle by putting it in her mouth. Gums and teeth are rarely perfectly clean, and so form the favorite lurking place for disease germs, which, though they may not produce disease in the stronger body of the adult, may do so and often do so in the more susceptible physique of the child.
Just as the child was trained to the bottle while it was still taking the mother's milk, so it should be taught gradually to eat solids while it is fed upon the bottle. After the child has been weaned at the tenth month, he can be fed occasionally on broths or beef juice as a substitute for one of the milk feedings. The broth is more of a stimulant than a food, aiding digestion rather than supplying nourishment.
During the eleventh month, the yolk of a soft boiled egg, mixed with stale bread crumbs, may be added to the diet, together with a little orange juice or prune jelly. The latter will tend to keep his bowels free.
After twelve months, the child may be gradually accustomed to eat stale bread, biscuit or toast, broken in milk, thoroughly cooked oatmeal and similar cereals, baked potatoes moistened with broth, mashed potatoes moistened with gravy, and rice pudding. The pudding is made of two tablespoonfuls of clean rice, half a teaspoonful of salt, one-third of a cupful of sugar in five cups of milk. Bake in buttered pudding dish from two to three hours in slow oven, stirring frequently to prevent rice from settling.
At the age of two years and a half the child may be permitted to eat meat, preferably roast beef or mutton, cooked rare, or minced roast poultry.
Even though sugar is a very essential ingredient in the child's diet, it is very unwise to let it have this outside of its regular diet. Pure candy does not hurt the child by impairing its digestion so much as by interfering with its appetite for plain food. The child should never be allowed to form an inordinate appetite for anything, as this is certain to cause a corresponding deficiency elsewhere in his diet.
Even worse than the practice of giving candy to very young children is that of teaching them to drink tea and coffee. These are pure stimulants, supplying no tissue-building element, and taking the place of nutritious beverages that do, such as milk and cocoa.
After a child is old enough to be permitted to partake with discrimination of the general food of the table, he should be allowed to eat with the family. From the beginning he should be taught table manners, the use of knife and fork and napkin, and the subordination of his wishes to those of older people.
Next to feeding the baby properly, the most important duty of the mother is to see that it is kept clean. Even in its nursing days, after each feeding, she should rinse its mouth out by a weak boracic acid solution, since particles of milk may remain there which may become a source of infection. It is well for similar reason to wash her own breasts with the solution.
A baby should be bathed regularly at about the same time each day. During the first days of a child's life, he should be sponged in a warm room, with water at blood heat. In removing the garments, the mother should roll the infant gently from side to side, rather than lift him bodily. It is well to have a flannel cloth or apron ready to cover the child when it is being undressed. The baby's face should be washed in clear water, firmly and thoroughly with a damp cloth, and dried by patting with the towel. Then soap should be added to the water and the other parts of the baby's body washed in it; first, the head, ears and neck, then the arms, one uncovered at a time, then, with the mother's hand reaching under the cover, the back, during which process the baby is laid flat on the stomach, then the stomach, and last, the legs, one at a time, the baby being kept covered by the flannel as much as these operations permit.
The eyes of infants are prone to inflammation, and therefore require special attention in the way of cleansing. This can be done best by the use of the boracic solution upon a fresh pledget of cotton. Be careful not to use the same piece of cotton for both eyes, and to burn it after use. When the nose is stopped with mucous, a similar means can be used for cleansing it.
Every mother should study the individual nature and disposition of her child, in order to know what to do for it when it cries, for a cry may mean over-feeding as well as under-feeding, colic, or a wet diaper. Colic is often quickly relieved by turning the baby upon his stomach and rubbing his back, or by holding him in front of the fire, or wrapping him in a heated blanket. In drying the baby his comfort will be greatly increased by the use of talcum powder. Of course, soiled diapers should not be put on a child again until they are thoroughly washed. It will save the mother much trouble if absorbent cotton is placed within the diapers to receive the discharges from the bowels. These should be afterwards burned.
Too many clothes is bad for a young baby. If his stomach be well protected by a flannel band and he is kept from draughts, his other clothing may be very light, especially in summer.
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