This section is from the "The Young Mother. Management of Children in Regard to Health" book, by William A. Alcott. Also available from Amazon: The Young Mother
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.
4. Sometimes the milk, at first abundant, fails suddenly, owing to some accidental or constitutional defect; and this failure becomes habitual. In all these circumstances, the proper resort is to a sucking bottle, or a hired nurse. I generally prefer the latter. The cases which seem to me to admit of the former, will be pointed out in the next section.
"When the bottle is used," says Dr. Dewees, "much care is requisite to preserve it sweet and free from all impurities, or the remains of the former food, by which the present may be rendered impure or sour; for which purpose a great deal of caution must be observed."
The business of feeding a child, whether by the bottle or the spoon, should never be hurried: the slower it is, the better. We should stop from time to time, during the process. Nor should the nourishment be given while lying down; it is much more pleasant, as well as more safe, to sit up.
A few thoughts more on the character and condition of the milk which we give to the young, will conclude the second division of this section.
Some are fond of boiling milk for infants; but to this I am decidedly opposed, so long as they are in health. Boiling takes away, or appears to take away, some of the best properties of the milk.
It is true that milk which is boiled does not turn sour so readily in hot weather; but it is quite unnecessary to boil milk in the common manner in order to present its changing, since such a result can be prevented by another process. You have only to put your milk in a kettle, cover it closely, and heat it quickly to the boiling point, and then remove and cool it as speedily as possible. This plan prevents the rising to the surface of that coat or pellicle which contains some of the most valuable properties of the milk.
I have already said that it was as necessary that the stomach should have rest as any other muscular organ. Some writers say that the infant should be kept perfectly quiet, at least half an hour, after each meal. This is certainly necessary with feeble children, but I question its necessity in the case of those who are strong and robust. I would not recommend, however, nor even tolerate, for one moment, the absurd practice of jolting, so common with a few ignorant nurses and, mothers, as if they could jolt down the food in the stomach with just as much safety as they can shake down the contents of a farmer's bag of produce. Such mothers as these should go and reside among the native tribes of Indians in Guiana, in South America, where they make it a point not only to stuff their children's stomachs as long as they will hold, but actually to shake it down.
 
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