A Book of Medical Discourses, in Two Parts
CHAPTER XI.
PRECAUTIONS AFTER THE MONTH.—PROPER AND IMPROPER DIET.
There are many families in moderate circumstances who, no doubt, feel unable to keep more than one fire going during the cold season; yet nevertheless subject themselves and children to frequent and severe colds by the sudden change from a hot room to a cold sleeping-apartment. This might in a great measure be prevented by a little extra care to secure tenements with sufficient rooms on one floor.
An infant should never be allowed to take its regular naps in a hot kitchen, amid steam and dust; or in an ironing-room, with all of its day-clothes on, beside extra cover, and then be undressed and put to bed in a room that no heat, not even that of the sun, is allowed to enter. Piling on heavy comforters renders the breathing heavy. No baby’s face should be covered while asleep. It is wonderful to see how hard some of these little victims struggle to breathe while they sleep, if sleep it can be called. Some babes kick off the cover, and after being very warm get very cold; to avoid which, soft flannel night-drawers, made so as to include socks and all, should be used.
Comfortable sleeping apartments without fire are healthy. The lungs of grown persons break down from cause of too much pressure, much more infants; yet from all such exciting causes the air-tubes may escape, and the liver, stomach or bowels receive the whole mischief.
The sleep of children cannot be healthful if their clothes remain pinned down beneath and around them, and, it may be, tight leather shoes on. Besides, it cultivates untidyness to oblige them to submit to such management. On the contrary, every effort, even at the sacrifice of personal pleasure, should be put forth to insure that clean, sweet and undisturbed repose so much required, and without which few, if any, are perfectly developed.
When it is remembered that from the air we inhale come the principles of life, and how much it is in our power to avoid the contact with injurious particles or substances therein contained, many disadvantages in the matter of rearing the babe will disappear. The air they breathe should be as much one way as possible; no sudden gusts of wind should be forced upon them by hoisting a window when they are over-warm.
Children, of any age, should not be permitted to sleep in the open air, unless it might be for a few minutes, and where the air is extremely bland; which it seldom is, on our New England parks and gardens. A gradual change in the matter of bathing, dressing, feeding, and putting to sleep should be the rule.
The mother may at any time during lactation communicate cold to a child. My first experience in this matter was about thirty-five years ago, when assisting in the care of a child that was nursing. The mother being very warm one summer day, drank freely of ice-cold water while the babe of about six months was sucking. She had not much more than time to set the glass down when the babe was seized with rigid convulsions, and dropped from the breast. The mother became almost helpless with fright, and as the next farm was some distance off, I had to use my young brain. Therefore, I procured a tub with some warm water and a little mustard; it may have been a “fearful lot,” but the infant was all right when I got through with it.
Over-work or great fatigue in any way should be avoided by women that suckle their children. If obliged to work and scrub, at home or elsewhere, they should endeavor to keep a strict watch over the condition of that life fountain, the breast-milk. There is no known law preventing carefulness.
Again, it is a mistake to indulge in drinking beers or other alcoholic slops to prevent the child’s nursing cold. Early subsistence from the strength of whiskey, rum, beers and ales, like tobacco, tends to stunt the intellect and dwarf the stature of the youth of our land. It is much better to eat warm soups, or such solid food as will give permanent warmth to the blood, and insure a clear character to the being. When it is a babe’s meal-time, it should be served with the most exquisite care, as upon that depends its proper growth and length of days. To prove this a fact, take, for instance, an old woman or old man upon whom adversity may have made some telling marks in their younger days, and whose days appear nearly at an end, and let such be well cared for in a neat, quiet, comfortable home; the chances are they will live on in brightness of hope for a number of years.
Contrary to the teachings of some so-called missionaries, I believe that neatness in arranging food, dress, or whatever pertains to order and pleasantness, is the most essential part of a Christian duty. For surely if the body is cherished as the image of our Maker, the soul-salvation is a possibility.
I alluded in Chap. II. to putting the new-born in a crib. Not that I oppose their lying alone—on the contrary, I deem it highly conducive both to health and good morals for every one, when at a proper age, to sleep alone.
Now since we have noticed to some extent how sudden emotions, as of grief, anger or fright may shock the child at the breast through the agency of those little organs called nerves,—we will pass on to notice some of the causes of bowel complaints arising from the nature of the food eaten by the nurse. Probably there is no cause more frequently productive of infantile bowel complaints, both during and after the month, than that of the too early indulgence in a mixed diet. It may be well to enumerate some of the more objectionable articles of diet from the first day of confinement to the seventh or ninth month, or time for weaning. Of the vegetables,—beans, dry or green, cabbage, cooked or raw, beets, turnips, cucumbers, green peas, dandelions, spinach and Carolina potatoes. Pickles of all kinds. All of the finny tribe; oysters and lobsters being the most dangerous. Of the meats, fresh pork and veal. Of the desserts, egg custards, pastry, cheese and preserved fruits. Of the fluids—coffee—unless ordered for medicinal purposes—raw milk, wines, ales or beers. As a matter of convenience I will introduce what in reason should constitute the proper diet for the same period of time; the modes of preparation being left to those acting as nurses. A large number of women detest gruel, or “baby-food,” as they term it. In this, many, no doubt, are excusable, owing to the condition in which it may previously have been presented to them; you can make a horse leave his oats by sprinkling pepper over them. But to the point: There are about an equal number who enjoy it, and it is always best to try and avoid whims and deny one’s self in every possible manner till after the milk flows freely.
A woman cannot sink on plenty of nice oat, corn-meal, or flour-gruel, minute pudding or toast panada, given often in small quantities. Of course if any article, however well liked, is made by the gallon, so to speak, and warmed over and again, it will become to be loathed; and too great quantities taken may cause much distress in the stomach. Gruels of all kinds should be well mixed with boiling water in a clean, block tin, covered pail; then set in a clean vessel of water to boil, stirring it till well done. Coarse grain porridges should always be strained; as also should broths.
For fluids:—Shells, broma, hot milk, pure or watered to suit, are each of themselves nourishing. If the mother’s milk is scant, a tea made of Indian posy or life everlasting, and drunk as table tea, with milk and sugar, if desirable, is good to increase it. The diet should become gradually solid, say in the early part of the day a broiled lamb chop, broiled beef, liver, tripe, sirloin steak, or broths without vegetables. Broiled meats retain the nutritive principles better than when otherwise cooked. If tea or coffee is found to lessen the flow of milk, it may be inferred that if continued, all of the fluids of the body will materially change.
A strict adherence to the aforesaid rules would, in a great measure, be the means of preventing cholera of infants at the breast, particularly in our crowded cities. By all means should child-bearing women eat more freely of Indian or bran bread. Brown bread can be made fresh every day where meals have to be prepared. Bread, cakes, or pastries that are puffed with soda, or whitened, or colored with any chemical substance, is not good for the health. Too much soda thins the blood; also induces baldness. Mothers of former days delighted in preparing good bread, which is the staff of life. Constipation seldom if ever troubles those that use coarse bread, and avoid much salt meat. Giving infants just a taste of every suspicious article as a sort of initiation does not always prove a sure preventive against colic. It is an old custom, and was doubtless adapted to its times and places, better knowledge, better acts. Self-denial is required of us in the Holy Writ as the only alternative, if we would be wise.