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.

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    milk. This can be determined by weighing before and after each nursing. The milk should be analyzed, and if the total solids and proteids are found low, their absence must be supplied. Treatment of Normal Cases in the Later Months of Lactation. The hygiene of the mother's life must be carefully regulated. On account of certain deficiencies which we have seen occur normally in human milk of this period, certain additions must be made to the diet. By the seventh or eighth month the infant's pancreas is functionating so well that we can rely upon it to con- vert starch, and some carbohydrate, such as barley gruel, should be given in addition to the milk. On account of the lack of pro- teids, we must give a substitute of some form of animal food. In this way a deficiency in the mother's milk can be partially supplied. Weaning should begin at the ninth month, and in the early stages of this process we should use a modified milk containing low proteids, taking care not to force upon the infant's digestion an amount of cow's proteids equal to or greater than that which the mother has been offering, for it is known that the proteids of cow's milk form a tough curd, which are indigestible in compari- son with human proteids. The number of bottle feedings and the amount of proteids should be gradually increased. Under this treatment, even if the child continues to lose weight for a time, we can feel that the stomach is gradually becoming accustomed, and eventually will be able to digest a stronger diet. At any rate we shall have the satisfaction of keeping the child from gastro-enteritis, to which its constitution would be particularly susceptible at this time. Management of Abnormal Cases in the Later Months of Lactation. If the mother is anaemic, a tonic containing iron is indicated. Holt has shown that malt increases the total solids in human milk, and we have found its use very beneficial at this time. The form we have used has been Maltine. The mother's diet should be increased with the addition of cow's milk. A good form in which to prescribe the latter is a milk punch. Exercise in the fresh air is important. Antiseptic massage of the breast