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We must pay less attention to changes of diet and explore our management of the child to try and find how we can make his environment more restful. It is wise to accustom a nervous child from a very early age to take a little water or fruit juice from a spoon every day. Otherwise when breast-feeding or bottle-feeding is abandoned one may meet with the most formidable resistance.
At the Consultations infants are examined and weighed weekly, and the mothers advised and encouraged to suckle their children. The Gouttes are practically milk dispensaries where infants for whom breast-feeding is impossible are fed with milk under medical supervision.
This treatment consisted in dressing the cord with iodoform powder and antiseptic wool, the breast-feeding of the baby from the first, and the administration of one-grain doses of potassium bromid at short intervals. The infant death-rate on the island of St. Kilda has, consequently, been much reduced. The author suggests the use of a new iodin-preparation called loretin for dressing the cord.
It was found that the majority carry on their employment right up to the time of confinement and resume it from ten to fourteen days later. The results are said to be excellent, not only on the health of the mothers, but in the diminution of premature births, the decrease of infantile deaths, and the general prevalence of breast-feeding.
If the suggestion regarding the daily substitution of one bottle for the mother's milk has been adopted, there will be no difficulty in discontinuing breast-feeding whenever it is desirable; otherwise an infant may raise strong objection to the change. The mother, on the other hand, will not be seriously inconvenienced by the weaning, provided she leaves her breasts alone.
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