On Feeding before Teething

The Young Mother: Management of Children in Regard to Health
by William A. Alcott

(Page 11 of 37)

Having laid down the general rule, that until the appearance of teeth, the sole food of an infant should be the milk of its own mother, I proceed to speak of some of the more common exceptions to it.

EXCEPTION 1. - The first of these is when the supply furnished by the mother is scanty. There may be two causes of the scantiness of this supply; 1st, the want of suitable nourishment by the mother; and, 2dly, a feeble constitution, or bad health. In the former case, it should be her first object, as it undoubtedly will be that of her physician, to improve the quality of her diet; and in the latter, to restore her health, or at least invigorate her constitution.

In regard to the proper diet of a mother, as such, as well as the general management which her case requires, a volume might be written without exhausting the subject. But I have already said as much on this subject, in another place, as my limits will permit.

But we cannot wait for the mother's health to improve, and allow the infant to suffer, in the mean time, for a due supply of food. The appropriate question now is, How shall such a supply be furnished?

This should be done by means of an article resembling in its properties, as closely as possible, the mother's milk. For this purpose, we have only to mix with a suitable quantity of new cow's milk, one third of water, and sweeten it a little with loaf sugar. This is to be given to the child, at suitable intervals, and in proper quantities, by means of a common sucking bottle. It is, indeed, sometimes given with the spoon; but the bottle is better.

To the question, whether the child should be confined to this, till the period of weaning, Dr. Dewees answers, No. I am surprised at this; and my surprise is increased, when I find him, almost in the very next breath, urging with all his might, numerous reasons against the very common notion, that children in early life require a variety of food. He even insists on the importance of confining the child to a single article of food when it is practicable. Yet he has not given us so much as one reason why it is not practicable in the case before us; but has gone on to speak of barley water, gum arabic water, rice water, arrowroot, &c. I venture, therefore, to dissent from him, and to answer the foregoing question in the affirmative. When one good and substantial reason can be given for change, the decision will, however, be reconsidered.

I have already stated the general rule for preparing this substitute for the mother's milk. But there are several minor directions, which may be useful to those who are wholly without experience on the subject.

If possible, the milk used should not only be just taken from the cow, but should always be from the same cow; for it is well known, that the quality of milk often differs very materially, even among cows feeding in the same pasture, or from the same pile of hay; and the stomach becomes most easily reconciled to the mixture when it is uniform in its qualities. Great care should also be taken to see that the cow whose milk is used is young and healthy.

The mixture should not be prepared any faster than it is wanted, and should always be prepared in vessels perfectly clean and sweet, and given as soon as possible after it is prepared, to prevent any degree of fermentation. It is never so well to heat it by the fire. If taken from the cow just before it is used, and if the water to be added is warm enough, the temperature will hardly need to be raised any higher.

When it is impracticable, in all cases, to take milk for this purpose immediately from the cow, it should be kept, in winter, where it will not freeze; and in summer, where there will be no tendency to acidity.

Some mothers and nurses are addicted to the practice of passing the food through their own mouths, before they give it to the child - with a view, no doubt, to see that it is at a proper temperature. This practice is not only wholly unnecessary, but altogether disgusting, and even ridiculous. A thermometer would answer every purpose; and save even the trouble of another disgusting practice - that of blowing it with the breath.

The most proper season for giving the child this preparation, is immediately after it has been nursing. It is better for both mother and child, that the latter should nurse just as often as though the supply of food was adequate to his wants. And when his first supply is exhausted, then let him make up his meal from the sucking bottle. The great advantage of this plan is, that he will not be so likely in this way to be over-fed. If he is really needy, he will accept the bottle, even if he do not like it quite so well; if he refuse it, let him go without till he is hungry enough to receive it.

In regard to the water used in the preparation, only one thing needs to be said; which is, that it should be pure. If it is not, it should by all means be boiled. The sugar used should be of the very best kind; and the quantity not large; since if the preparation be too sweet, it readily becomes acid in the stomach.

There has been, and still is, a controversy going on among medical men, whether sugar is or is not hurtful to the young. "Who shall decide, when doctors disagree?" has often been asked. Without undertaking the task myself, I may perhaps be permitted to say, that I cannot see any reason why a substance so pure, and so highly nutritious as sugar - if given in very small quantity only - should prove injurious: though I do not regard the reasoning of Dr. Dewees as very conclusive on the subject, when, in reply to Dr. Cadogan, he has the following language - "If sugar be improper, why does it so largely enter into the composition of the early food of all animals? It is in vain that physicians declaim against this article, since it forms between seven and eight per cent of the mother's milk." - Now with me, the fact that milk and almost all other kinds of food are furnished with a measure of this substance, is the strongest reason I am acquainted with for making no additions. I believe, however, that they may sometimes be made, but not for these reasons.

EXCEPTION 2. - The second striking exception to the general rule that has been laid down, is when the mother is unable to nurse her own child from positive ill health, or when circumstances exist which render it obviously improper that she should do it. The following are some of the circumstances which render such a departure from nature indispensable.

1. When the mother is affected strongly with a hereditary disease, such as consumption or scrofula; or when her constitution is tainted, as it were, with venereal disease, or other permanent affections.

2. When nursing produces, uniformly, some very troublesome or dangerous disease in the mother; as cough, colic, &c.

3. There are a few instances in which the milk of the mother, owing to an unknown cause, has been found by experience to disagree with the child. In these circumstances, it is the unquestionable duty of the mother to resort wholly to feeding.