Diet during the first week:

Gravity cream* (16%). .

Whey.................

Water, 98°-100° F......

Milk sugar.............

2 teaspoonfuls.

3 teaspoonfuls. 3 teaspoonfuls.

1/3 teaspoonful.

* Gravity cream is obtained by skimming after milk has stood for twenty-four hours. Ordinary centrifugal cream has 18-20 per cent. fat. Heavy centrifugal cream has 35-40 per cent. fat.

For each portion; to be given every two hours from 5 a.m. to 11 p.m., and in some cases once or twice at night; amounting to twelve fluidounces of food per diem.

Diet from the second to the sixth week:

Gravity cream (16%)...

Milk..................

Milk sugar.............

Water.................

2 teaspoonfuls (fld. oz. 1/4).

1 tablespoonful (fld. oz. 1/2). 1/3 teaspoonful.

2 tablespoonfuls (fld. oz. 1).

For one portion; to be given every two hours from 6 a.m. to 10 p.m. and once during the night; amounting to seventeen fluid-ounces of food per diem.

Diet from the sixth week to the end of the second month:

Gravity cream (16%).. .

Milk..................

Milk sugar.............

Water.................

1 tablespoonful (fld. oz. 1/2). 2 1/2 tablespoonfuls (fld. oz. 1 1/4).

1/2 teaspoonful. 2 1/2 tablespoonfuls (fld. oz. 1 1/4).

For each portion; to be given every two hours; amounting to thirty fluidounces per diem.

Diet from the beginning of the third month to the sixth month:

Gravity cream (16%)...

Milk..................

Milk sugar.............

Water.................

1 tablespoonful (fld. oz. 1/2). 4 tablespoonfuls (fld. oz. 2 ). 1 teaspoonful. 3 tablespoonfuls (fld. oz. 1 1/2).

tor each portion; to be given every two and one-half hours; thirty-two fluidounces per diem.

Diet during the sixth and seventh months; six meals daily:

Gravity cream (16%).. .

Milk..................

Milk sugar.............

Water.................

1 tablespoonful (fld. oz. 1/2). 7 tablespoonfuls (fld. oz. 3 1/2). 1 teaspoonful. 4 tablespoonfuls (fld. oz. 2 ).

For each portion; to be given every three hours from 6 or 7 a.m. to 9 or 10 p.m.; thirty-six fluidounces per diem.

Often a pinch - gr. 2 to 5 - of table salt is of service, and may be added, after the second week, to each portion of food.

A table of the dietary, as far as it has been carried, may be useful for convenience of reference (page 187).

Throughout the eighth and ninth months five meals a day will be sufficient, each meal composed of

Gravity cream (16%).. .

Milk..................

Milk sugar.............

Water.................

1 tablespoonful (fld. oz. 1/2). 12 tablespoonfuls (fld. oz. 6 ). 1 teaspoonful. 3 tablespoonfuls (fld. oz. 1 1/2).

This allows forty fluidounces of food per diem.

At this age it is sometimes advisable to supplement the milk mixture with one of the reliable infants' foods (Liebig foods); thus, two teaspoonfuls of Mellin's food may be added to the second, third, and fourth meals, the milk sugar being then omitted. Instead of Liebig food, one of the wheat or barley

Table Of Ingredients, Hours And Intervals Of Feeding, And Total Quantity Of Food For A Healthy Artificially Fed Infant From Birth To The End Of The Seventh Month

* f 3 = Fluidrachm or 1 teaspoonful. + f 3 = Fluidounce or 2 tablespoonfuls. + gr. xx = about one-third level teaspoonful + ss = 1/2. 13 i = one level teaspoonful.

flours prepared by baking or by diastase digestion may be used. Baking at a temperature of 300 to 400° converts the starch into dextrin; treatment with diastase produces maltose and dextrin. The best examples of the baked flours are Blair's Wheat Flour, Imperial Granum, and Robinson's Barley. In selecting a Liebig food or baked flour as an adjuvant, one must be influenced by the condition of the infant to be fed. A baked flour is indicated when there is a tendency to too frequent and liquid faecal evacuations, as it has a somewhat astringent action, and is to be avoided in cases of sluggish bowels and constipation. Under the latter conditions a Liebig food - Mellin's, for instance - should be used, as a laxative action is desirable.

Diet from the tenth to the fourteenth month, five meals daily:

Gravity cream (16%).......

Milk......................

Milk sugar.................

(Flour-ball or barley jelly* Water.....................

1 tablespoonful (fld. oz. 1/2). 15 tablespoonfuls (fld. oz. 7 1/2).

1 teaspoonful.

2 teaspoonfuls.)

3 tablespoonfuls (fld. oz. 1 1/2).

In using flour-ball, rub two teaspoonfuls of the powder with a tablespoonful of milk into a smooth paste, then add a second tablespoonful of milk, constantly rubbing until a cream-like mixture is obtained; finally, stir into the mixture of cream, milk milk sugar and water.

* See Chapter IX (Dietary).

Occasionally, about the end of the first year, a child may require a more varied and substantial diet; for example:

First meal, 7 a.m. - Milk mixture as above.

Second meal, 10.30 a.m. - A breakfast-cupful of warm milk (eight fluidounces).

Third meal, 2 p.m. - The yolk of an egg lightly boiled, with stale bread crumbs.

Fourth meal, 6 p.m. - Same as first.

Fifth meal, 10 p.m. - Same as second.

On alternate days the third meal may consist of a teacupful (six fluidounces) of beef-, mutton-, or chicken-broth, containing a few stale bread crumbs.