A clinical report on the chemical examination of two hundred cases of human breast milk / by Vanderpoel Adriance ... and John S. Adriance.

  • Adriance, Vanderpoel, 1869-1949.
Date:
[between 1890 and 1899?]
Catalogue details

Licence: Public Domain Mark

Credit: A clinical report on the chemical examination of two hundred cases of human breast milk / by Vanderpoel Adriance ... and John S. Adriance. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

    32/60 (page 24)
    Right breast. Fat, . . . . . 3.11 Carboh., . . . . . 7.33 Proteids, .... .98 Ash, . . . . .15 Total Solids, . . . . 11.60 Water, ..... 88.39 The baby is eight months, ten days old, perfectly healthy, and above the normal weight. The case demonstrates that one healthy breast can provide enough good milk for an infant's nourishment. Among our cases are those of mothers who are nursing only their own children, those who are nursing their own and half nursing a foster-child beside, and those nursing two children. After careful analysis and compilation of these cases, no evidence was found to show that increased frequency of the nursings modified, in any way, the character of the milk. A review of the foregoing observations leads to the following conclusions: (1) The fat shows no constant changes during lactation. Its most marked characteristic is its variability. (2) The carbohydrate, on the second day of lactation, is low, but rises rapidly during the first few days. This increase con- tinues, but less rapidly, up to the end of lactation. (3) The proteids pursue a course the reverse of the carbo- hydrate. (4) The salts diminish similarly to the proteids. (5) The total solids are represented by 12.20 percent, till the later months of lactation, when they decrease steadily. (6) The colostrum period has low carbohydrate, with a tendency to increase rapidly, and high proteids and salts, with a tendency to decrease rapidly. (7) The milk of the later months of lactation shows a de- ficiency in proteids, ash, and total solids. (A study of Abnormal Milks will be reported in the next number.) * Beitrage zur Physiologie der Muttermilch und ihren Beziehungen zur Kinderunahrung.—Jarb. f. Kinderh., Leip., 1883, n. F. xx., 359-402. f Ueber Veranderungen der Frauenmilch und des Colostrums bei Krankheiten der Wochnerinnen.—Arch. f. Gynaek., Berl., 1894, xlvi.. 342- 357- X Rotch's Pediatrics. § Rotch's Pediatrics.