Swat the Flies and Save the BabiesSWAT THE FLIES AND SAVE THE BABIES.
Swat the Flies and Save the BabiesSWAT THE FLIES AND SAVE THE BABIES.
Joan of ArcJOAN OF ARC
Joan of ArcJOAN OF ARC
1.Excessive Pleasures and Pains.—A woman during her time of pregnancy should of all women be most carefully tended, and kept from violent and excessive pleasures and pains; and at that time she should cultivate gentleness, benevolence and kindness.
2.Hereditary Effects.—Those who are born to become insane do not necessarily spring from insane parents, or from any ancestry having any apparent taint of lunacy in their blood, but they do receive from their progenitors certain impressions upon their mental and moral, as well as their physical beings, which impressions, like an iron mould, fix and shape their subsequent destinies. Hysteria in the mother may develop insanity in the child, while drunkenness in the father may impel epilepsy, or mania, in the son. Ungoverned passions in the parents may unloose the furies of unrestrained madness in the minds of their children, and the bad treatment of the wife may produce sickly or weak-minded children.
3. The influence of predominant passion may be transmitted from the parent to the child, just as surely a similarity of looks. It has been truly said that "the faculties which predominate in power and activity in the parents, when the organic existence of the child commences, determine its future mental disposition." A bad mental condition of the mother may produce serious defects upon her unborn child.
4. The singular effects produced on the unborn child by the sudden mental emotions of the mother are remarkable examples of a kind of electrotyping on the sensitive surfaces of living forms. It is doubtless true that the mind's action in such cases may increase or diminish the molecular deposits in the several portions of the system. The precise place which each separate particle assumes in the new organic structure may be determined by the influence of thought or feeling. Perfect love and perfect harmony should exist between wife and husband during this vital period.
5.An Illustration.—If a sudden and powerful emotion of a woman's mind exerts such an influence upon her stomach as to excite vomiting, and upon her heart as almost to arrest its motion and induce fainting, can we believe that it will have no effect upon her womb and the fragile being contained within it? Facts and reason then, alike demonstrate the reality of the influence, and much practical advantage would result to both parent and child, were the conditions and extent of its operations better understood.
6. Pregnant women should not be exposed to causes likely to distress or otherwise strongly impress their minds. A consistent life with worthy objects constantly kept in mind should be the aim and purpose of every expectant mother.
Ninety-four babies out of every thousand born in New York died last year. Only thirty-eight babies died in Montclair, N.J., out of every thousand born during the same period. Much credit for this low rate of infant mortality in the latter city is given the Montclair Day Nursery which prescribes the following decade of baby health rules:
1. Give a baby pure milk and watch its feeding very closely.
2. Keep everything connected with a baby absolutely clean. Cleanliness in the house accounts for a baby's health. Untidy babies are usually sick babies.
3. Never let a baby get chilled. Keep its hands and feet warm.
4. Regulate a baby's day by the clock. Everything about its wants should be attended to on schedule time.
5. Diminish a baby's food the minute signs of illness appear. Most babies are overfed anyway.
6. Weigh a baby every week until it is a year old. Its weight is an index of its health.
7. Every mother should get daily out-door exercise. It means better health for her babies.
8. Every baby should be "mothered" more and mauled less. Babies thrive on cuddling but they can get along on a lot less kissing.
9. Don't amuse or play with your baby too much. Its regular daily routine is all the stimulation its little brain needs at first.
10. Don't let too many different people take care of the baby. Even members of the same family make a baby nervous if they fuss around him too much.
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Man Weighing Infant in Hand Scale
Man Weighing Infant in Hand Scale
1. The first thing to be done ordinarily is to give the little stranger a bath by using soap and warm water. To remove the white material that usually covers the child use olive oil, goose oil or lard, and apply it with a soft piece of worn flannel, and when the child is entirely clean rub all off with a fresh piece of flannel.
2. Many physicians in the United States recommend a thorough oiling of the child with pure lard or olive oil, and then rub dry as above stated. By these means water is avoided, and with it much risk of taking cold.
3. The application of brandy or liquor is entirely unnecessary, and generally does more injury than good.
4. If an infant should breathe feebly, or exhibit other signs of great feebleness, it should not be washed at once, but allowed to remain quiet and undisturbed, warmly wrapped up until the vital actions have acquired a fair degree of activity.
5.Dressing the Navel.—There is nothing better for dressing the navel than absorbent antiseptic cotton. There needs be no grease or oil upon the cotton. After the separation of the cord the navel should be dressed with a little cosmoline, still using the absorbent cotton. The navel string usually separates in a week's time; it may be delayed for twice this length of time, this will make no material difference, and the rule is to allow it to drop off of its own accord.
6.The Clothing of the Infant.—The clothing of the infant should be light, soft andperfectlyloose. A soft flannel band is necessaryonlyuntil the navel is healed. Afterwards discard bands entirely if you wish your babe to be happy and well. Make the dresses "Mother Hubbard"—Put on first a soft woolen shirt, then prepare the flannel skirts to hang from the neck like a slip. Make one kind with sleeves and one just like it without sleeves, then white muslin skirts (if they are desired), all the same way. Then baby is ready for any weather. In intense heat simply put on the one flannel slip with sleeves, leaving off the shirt. In Spring and Fall the shirt and skirt with no sleeves. In Cold weather shirt and both skirts. These garments can be all put on at once, thus making the process of dressing very quick and easy. These are the most approved modern styles for dressing infants, and with long cashmere stockings pinned to the diapers the little feet are free to kick with no old-fashioned pinning blanket to torture the naturally active, healthy child, and retard its development. If tight bands are an injury to grown people, then in the name of pity emancipate the poor little infant from their torture!
7.The Diaper.—Diapers should be of soft linen, and great care should be exercised not to pin them too tightly. Never dry them, but always wash them thoroughly before being used again.
8. The band need not be worn after the navel has healed so that it requires no dressing, as it serves no purpose save to keep in place the dressing of the navel. The child's body should be kept thoroughly warm around the chest, bowels and feet. Give the heart and lungs plenty of room to heave.
9. The proper time for shortening the clothes is about three months in Summer and six months in Winter.
10.Infant Bathing.—The first week of a child's life it should not be entirely stripped and washed. It is too exhausting. After a child is over a week old it should be bathed every day; after a child is three weeks old it may be put in the water and supported with one hand while it is being washed with the other. Never, however, allow it to remain too long in the water. From ten to twenty minutes is the limit. Use Pears' soap or castile soap, and with a sponge wipe quickly, or use a soft towel.
Mother Holding Infant Surrounded by Other ChildrenNURSING
Mother Holding Infant Surrounded by Other ChildrenNURSING
1. The new-born infant requires only the mother's milk. The true mother will nurse her child if it is a possibility. The infant will thrive better and have many more chances for life.
2. The mother's milk is the natural food, and nothing can fully take its place. It needs no feeding for the first few days as it was commonly deemed necessary a few years ago. The secretions in the mother's breast are sufficient.
3. Artificial Food.—Tokology says: "The best artificial food is cream reduced and sweetened with sugar of mill. Analysis shows that human milk contains more cream and sugar and less casein than the milk of animals."
4. Milk should form the basis of all preparations of food. If the milk is too strong, indigestion will follow, and the child will lose instead of gaining strength.
Weaning.—The weaning of the child depends much upon the strength and condition of the mother. If it does not occur in hot weather, from nine to twelve months is as long as any child should be nursed.
Food in Weaning.—Infants cry a great deal during weaning, but a few days of patient perseverance will overcome all difficulties. Give the child purely a milk diet, Graham bread, milk crackers and milk, or a little milk thickened with boiled rice, a little jelly, apple sauce, etc., may be safely used. Cracked wheat, oatmeal, wheat germ, or anything of that kind thoroughly cooked and served with a little cream and sugar, is an excellent food.
Milk Drawn from the Breasts.—If the mother suffers considerably from the milk gathering in the breast after weaning the child, withdraw it by taking a bottle that holds about a pint or a quart, putting a piece of cloth wrung out in warm water around the bottle, then fill it with boiling water, pour the water out and apply the bottle to the breast, and the bottle cooling will form a vacuum and will withdraw the milk into the bottle. This is one of the best methods now in use.
Return of the Menses.—If the menses return while the mother is nursing, the child should at once be weaned, for the mother's milk no longer contains sufficient nourishment. In case the mother should become pregnant while the child is nursing it should at once be weaned, or serious results will follow to the health of the child. A mother's milk is no longer sufficiently rich to nourish the child or keep it in good health.
Care of the Bottle.—If the child is fed on the bottle great care should be taken in keeping it absolutely clean. Never use white rubber nipples. A plain form of bottle with a black rubber nipple is preferable.
CHILDREN should not be permitted to come to the table until two years of age.
Chafing.—One of the best remedies is powdered lycopodium; apply it every time the babe is cleaned; but first wash with pure castile soap; Pears' soap is also good. A preparation of oxide of zinc is also highly recommended. Chafing sometimes results from an acid condition of the stomach; in that case give a few doses of castoria.
Colic.—If an infant is seriously troubled with colic, there is nothing better than camomile or catnip tea. Procure the leaves and make tea and give it as warm as the babe can bear.
1. The best food for infants is mother's milk; next best is cow's milk. Cow's milk contains about three times as much curd and one-half as much sugar, and it should be reduced with two parts of water.
2. In feeding cow's milk there is too little cream and too little sugar, and there is no doubt no better preparation than Mellin's food to mix it with (according to directions).
3. Children being fed on food lacking fat generally have their teeth come late; their muscles will be flabby and bones soft. Children will be too fat when their food contains too much sugar. Sugar always makes their flesh soft and flabby.
4. During the first two months the baby should be fed every two hours during the day, and two or three times during the night, but no more. Ten or eleven feedings for twenty-four hours are all a child will bear and remain healthy. At three months the child may be fed every three hours instead of every two.
5. Children can be taught regular habits by being fed and put to sleep at the same time every day and evening. Nervous diseases are caused by irregular hours of sleep and diet, and the use of soothing medicines.
6. A child five or six months old should not be fed during the night—from nine in the evening until six or seven in the morning, as overfeeding causes most of the wakefulness and nervousness of children during the night.
7. If a child vomits soon after taking the bottle, and there is an appearance of undigested food in the stool, it is a sign of overfeeding. If a large part of the bottle has been vomited, avoid the next bottle at regular time and pass over one bottle. If the child is nursing the same principles apply.
8. If a child empties its bottle and sucks vigorously its fingers after the bottle is emptied, it is very evident that the child is not fed enough, and should have its food gradually increased.
9. Give the baby a little cold water several times a day.
Definition.—An infantile convulsion corresponds to a chill in an adult, and is the most common brain affection among children.
Causes.—Anything that irritates the nervous system may cause convulsions in the child, as teething, indigestible food, worms, dropsy of the brain, hereditary constitution, or they may be the accompanying symptom in nearly all the acute diseases of children, or when the eruption is suppressed in eruptive diseases.
Symptoms.—In case of convulsions of a child parents usually become frightened, and very rarely do the things that should be done in order to afford relief. The child, previous to the fit, is usually irritable, and the twitching of the muscles of the face may be noticed, or it may come on suddenly without warning. The child becomes insensible, clenches its hands tightly, lips turn blue, and the eyes become fixed, usually frothing from the mouth with head turned back. The convulsion generally lasts two or three minutes; sometimes, however, as long as ten or fifteen minutes, but rarely.
Remedy.—Give the child a warm bath and rub gently. Clothes wrung out of cold water and applied to the lower and back part of the head and plenty of fresh air will usually relieve the convulsion. Be sure and loosen the clothing around the child's neck. After the convulsion is over, give the child a few doses of potassic bromide, and an injection of castor oil if the abdomen is swollen. Potassic bromide should be kept in the house, to use in case of necessity.
Young Girl Pushing a Toddler in a Wagon
Young Girl Pushing a Toddler in a Wagon
POOR CHILDREN FROM TENEMENTPOOR CHILDREN FROM TENEMENT
POOR CHILDREN FROM TENEMENTPOOR CHILDREN FROM TENEMENT
1.Sore Nipples.—If a lady, during the latter few months of her pregnancy, where to adopt "means to harden the nipples," sore nipples during the period of suckling would not be so prevalent as they are.
2.Cause.—A sore nipple is frequently produced by the injudicious custom of allowing the child to have the nipple almost constantly in his mouth. Another frequent cause of a sore nipple is from the babe having the canker. Another cause of a sore nipple is from the mother, after the babe has been sucking, putting up the nipple wet. She, therefore, ought always to dry the nipple, not by rubbing, but by dabbing it with a soft cambric or lawn handkerchief, or with a piece of soft linen rag—one or the other of which ought always to be at hand—every time directly after the child has done sucking, and just before applying any of the following powders or lotions to the nipple.
3.Remedies.—One of the best remedies for a sore nipple is the following powder:
Take of—Borax, one drachm;Powdered Starch, seven drachms.
Take of—Borax, one drachm;Powdered Starch, seven drachms.
Take of—Borax, one drachm;
Powdered Starch, seven drachms.
Mix.—A pinch of the powder to be frequently applied to the nipple.
If the above does not cure, try Glycerine by applying it each time after nursing.
4.Gathered Breast.—A healthy woman with a well-developed breast and a good nipple, scarcely, if ever, has a gathered bosom; it is the delicate, the ill-developed breasted and worse-developed nippled lady who usually suffers from this painful complaint. And why? The evil can generally be traced to girlhood. If she be brought up luxuriously, her health and her breasts are sure to be weakened, and thus to suffer, more especially if the development of the bosoms and nipples has been arrested and interfered with by tight stays and corsets. Why, the nipple is by them drawn in, and retained on the level with the breast—countersunk—as though it were of no consequence to her future well-being, as though it were a thing of nought.
5.Tight Lacers.—Tight lacers will have to pay the penalties of which they little dream. Oh, the monstrous folly of such proceedings! When will mothers awake from their lethargy? It is high time that they did so! From the mother having "no nipple," the effects of tight lacing, many a home has been made childless, the babe not being able to procure its proper nourishment, and dying in consequence! It is a frightful state of things! But fashion, unfortunately, blinds the eyes and deafens the ears of its votaries!
6.Bad Breast.—A gathered bosom, or "bad breast," as it is sometimes called, is more likely to occur after a first confinement and during the first month. Great care, therefore, ought to be taken to avoid such a misfortune. A gathered breast is frequently owing to the carelessness of a mother in not covering her bosoms during the time she is suckling. Too much attention cannot be paid to keeping the breasts comfortably warm. This, during the act of nursing, should be done by throwing either a shawl or a square of flannel over the neck, shoulders, and bosoms.
7.Another Cause.—Another cause of gathered breasts arises from a mother sitting up in bed to suckle her babe. He ought to be accustomed to take the bosom while she is lying down; if this habit is not at first instituted, it will be difficult to adopt it afterwards. Good habits may be taught a child from earliest babyhood.
8.Faintness.—When a nursing mother feels faint, she ought immediately to lie down and take a little nourishment; a cup of tea with the yolk of an egg beaten up in it, or a cup of warm milk, or some beef-tea, any of which will answer the purpose extremely well. Brandy, or any other spirit we would not recommend, as it would only cause, as soon as the immediate effects of the stimulant had gone off, a greater depression to ensue; not only so, but the frequent taking of brandy might become a habit—a necessity—which would be a calamity deeply to be deplored!
9.Strong Purgatives.—Strong purgatives during this period are highly improper, as they are apt to give pain to the infant, as well as to injure the mother. If it be absolutely necessary to give physic, the mildest, such as a dose of castor oil, should be chosen.
10.Habitually Costive.—When a lady who is nursing is habitually costive, she ought to eat brown instead of white bread. This will, in the majority of cases, enable her to do without an aperient. The brown bread may be made with flour finely ground all one way; or by mixing one part of bran and three parts of fine wheaten flour together, and then making it in the usual way into bread. Treacle instead of butter, on the brown bread increases its efficacy as an aperient; and raw should be substituted for lump sugar in her tea.
11.To Prevent Constipation.—Stewed prunes, or stewed French plums, or stewed Normandy pippins, are excellent remedies to prevent constipation. The patient ought to eat, every morning, a dozen or fifteen of them. The best way to stew either prunes or French plums, is the following:—Put a pound of either prunes or French plums, and two tablespoonfuls of raw sugar, into a brown jar; cover them with water; put them into a slow oven, and stew them for three or four hours. Both stewed rhubarb and stewed pears often act as mild and gentle aperients. Muscatel raisins, eaten at dessert, will oftentimes without medicine relieve the bowels.
12.Cold Water—A tumblerful of cold water, taken early every morning, sometimes effectually relieves the bowels; indeed, few people know the value of cold water as an aperient—it is one of the best we possess, and, unlike drug aperients, can never by any possibility do any harm. An injection of warm water is one of the best ways to relieve the bowels.
13.Well-Cooked Vegetables.—Although a nursing mother ought, more especially if she be costive, to take a variety of well-cooked vegetables, such as potatoes, asparagus, cauliflower, French beans, spinach, stewed celery and turnips; she should avoid eating greens, cabbages, and pickles, as they would be likely to affect the babe, and might cause him to suffer from gripings, from pain, and "looseness" of the bowels.
14.Supersede the Necessity of Taking Physic.—Let me again—for it cannot be too urgently insisted upon—strongly advise a nursing mother to use every means in the way of diet, etc., to supersede the necessity of taking physic (opening medicine), as the repetition of aperients injures, and that severely, both herself and child. Moreover, the more opening medicine she swallows, the more she requires; so that if she once gets into the habit of regularly taking physic, the bowels will not act without them. What a miserable existence to be always swallowing physic!
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HEALTHY YOUTH AND RIPE OLD AGE
HEALTHY YOUTH AND RIPE OLD AGE
1.Mismanagement.—Every doctor knows that a large share of the ills to which infancy is subject are directly traceable to mismanagement. Troubles of the digestive system are, for the most part due to errors, either in the selection of the food or in the preparation of it.
2.Respiratory Diseases.—Respiratory diseases or the diseases of the throat and lungs have their origin, as a rule, in want of care and judgment in matters of clothing, bathing and exposure to cold and drafts. A child should always be dressed to suit the existing temperature of the weather.
3.Nervous Diseases.—Nervous diseases are often aggravated if not caused by over-stimulation of the brain, by irregular hours of sleep, or by the use of "soothing" medicines, or eating indigestible food.
4.Skin Affections.—Skin affections are generally due to want of proper care of the skin, to improper clothing or feeding, or to indiscriminate association with nurses and Children, who are the carriers of contagious diseases.
5.Permanent Injury.—Permanent injury is often caused by lifting the child by one hand, allowing it to fall, permitting it to play with sharp instruments, etc.
6.Rules and Principles.—Every mother should understand the rules and principles of home nursing. Children are very tender plants and the want of proper knowledge is often very disastrous if not fatal. Study carefully and follow the principles and rules which are laid down in the different parts of this work on nursing and cooking for the sick.
7.What a Mother Should Know:
I. INFANT FEEDING.—The care of milk, milk sterilization, care of bottles, preparation of commonly employed infant foods, the general principles of infant feeding, with rules as to quality and frequency.
II. BATHING.—The daily bath; the use of hot, cold and mustard baths.
III. HYGIENE OF THE SKIN. Care of the mouth, eyes and ears. Ventilation, temperature, cleanliness, care of napkins, etc.
IV. TRAINING OF CHILDREN in proper bodily habits. Simple means of treatment in sickness, etc.
8.The Cry of the Sick Child.—The cry of the child is a language by which the character of its suffering to some extent may be ascertained. The manner in which the cry is uttered, or the pitch and tone is generally a symptom of a certain kind of disease.
9.Stomachache.—The cry of the child in suffering with pain of the stomach is loud, excitable and spasmodic. The legs are drawn up and as the pain ceases, they are relaxed and the child sobs itself to sleep, and rests until awakened again by pain.
10.Lung Trouble.—When a child is suffering an affection of the lungs or throat, it never cries loudly or continuously. A distress in breathing causes a sort of subdued cry and low moaning. If there is a slight cough it is generally a sign that there is some complication with the lungs.
11.Disease of the Brain.—In disease of the brain the cry is always sharp, short and piercing. Drowsiness generally follows each spasm of pain.
12.Fevers.—Children rarely cry when suffering with fever unless they are disturbed. They should be handled very gently and spoken to in a very quiet and tender tone of voice.
13.The Chamber of the Sick Room.—The room of the sick child should be kept scrupulously clean. No noise should disturb the quiet and rest of the child. If the weather is mild, plenty of fresh air should be admitted; the temperature should be kept at about 70 degrees. A thermometer should be kept in the room, and the air should be changed several times during the day. This may be done with safety to the child by covering it up with woolen blankets to protect it from draft, while the windows and doors are opened. Fresh air often does more to restore the sick child than the doctor's medicine. Take the best room in the house. If necessary take the parlor, always make the room pleasant for the sick.
14.Visitors.—Carefully avoid the conversation of visitors or the loud and boisterous playing of children in the house. If there is much noise about the house that cannot be avoided, it is a good plan to put cotton in the ears of the patient.
15.Light in the Room.—Light has a tendency to produce nervous irritability, consequently it is best to exclude as much daylight as possible and keep the room in a sort of twilight until the child begins to improve. Be careful to avoid any odor coming from a burning lamp in the night. When the child begins to recover, give it plenty of sunlight. After the child begins to get better let in all the sunlight the windows will admit. Take a south room for the sick bed.
16.Sickness in Summer.—If the weather is very hot it is a good plan to dampen the floors with cold water, or set several dishes of water in the room, but be careful to keep the patient out of the draft, and avoid any sudden change of temperature.
17.Bathing.—Bathe every sick child in warm water once a day unless prohibited by the doctor. If the child has a spasm or any attack of a serious nervous character in absence of the doctor, place him in a hot bath at once. Hot water is one of the finest agencies for the cure of nervous diseases.
Line Drawing of a Naked Infant
Line Drawing of a Naked Infant
18.Scarlet Fever and Measles.—Bathe the child in warm water to bring out the rash, and put in about a dessertspoonsful of mustard into each bath.
19.Drinks.—If a child is suffering with fevers, let it have all the water it wants. Toast-water will be found nourishing. When the stomach of the child is in an irritable condition, nourishments containing milk or any other fluid should be given very sparingly. Barley-water and rice-water are very soothing to an irritable stomach.
20.Food.—Mellin's Food and milk is very nourishing if the child will take it. Oatmeal gruel, white of eggs, etc. are excellent and nourishing articles. See "How to cook for the Sick."
21.Eating Fruit.—Let children who are recovering from sickness eat moderately of good fresh fruit. Never let a child, whether well or sick, eat the skins of any kind of fruit. The outer covering of fruit was not made to eat, and often has poisonous matter very injurious to health upon its surface. Contagious and infectious diseases are often communicated in that way.
22.Sudden Startingswith the thumbs drawn into the palms, portend trouble with the brain, and often end in convulsions, which are far more serious in infants than in children. Convulsions in children often result from a suppression of urine. If you have occasion to believe that such is the case, get the patient to sweating as soon as possible. Give it a hot bath, after which cover it up in bed and put bags of hot salt over the lower part of the abdomen.
23.Symptoms of Indigestion.—If the baby shows symptoms of indigestion, do not begin giving it medicine. It is wiser to decrease the quantity and quality of the food and let the little one omit one meal entirely, that his stomach may rest. Avoid all starchy foods, as the organs of digestion are not sufficiently developed to receive them.
Table for Feeding Modified MilkTable for Feeding Modified Milk
Table for Feeding Modified Milk
2d week:
Top Milk 1-1/2 oz.
Milk Sugar 4 teaspoons
Barley Gruel 10 oz.
Cream 2-3/4 oz.
Lime Water 2 oz.
1-1/2 oz. at feeding
10 times a day
3d week:
Top Milk 6 oz.
Milk Sugar 5-1/2 teaspoons
Barley Gruel 18 oz.
Lime Water 4 oz.
2 oz. at feeding
10 times a day
4th to 8th week:
Top Milk 9 oz.
Milk Sugar 8 teaspoons
Barley Gruel to make a quart
Lime Water 4 oz.
3 oz. at feeding
8 times a day
9th to 12th week:
Top Milk 11 oz.
Milk Sugar 7-1/2 teaspoons
Barley Gruel to make a quart
Lime Water 4 oz.
3 oz. at feeding
8 times a day
4th month:
Top Milk 13 oz.
Milk Sugar 7 teaspoons
Barley Gruel to make a quart
Lime Water 4 oz.
3 to 4 oz. at feeding
7 times a day
5th to 7th month:
Top Milk 15 oz.
Milk Sugar 6-1/2 teaspoons
Barley Gruel to make a quart
Lime Water 4 oz.
4 to 5 oz. at feeding
6 times a day
7th to 9th month:
Top Milk 17 oz.
Milk Sugar 6 teaspoons
Barley Gruel to make a quart
Lime Water 4 oz.
6 to 7 oz. at feeding
6 times a day
Top Milk--Let your quart of milk stand until the cream has risen, then pour off number of ounces required.