London's Pulse: Medical Officer of Health reports 1848-1972

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Hackney 1911

Report on the sanitary condition of the Hackney District for the year 1911

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154
Condensed milk should only be used under medical advice, as
it is likely to lead not only to rickets but other forms of disease.
Condensed skim milk or condensed separate milk must not be
used on any account.
If cow's milk diluted and prepared as above does not suit the
child, humanised milk—i.e., cow's milk so prepared as to have the
average composition of human milk—should be tried. Sterilized
humanised milk may be obtained in London from several wellknown
firms, who will be pleased to supply any customer daily.
It cannot be too clearly understood, that infants from the
beginning of life should be taught to have their food at stated
intervals; and to feed an infant whenever it cries is a most pernicious
habit, which leads in most cases to chronic indigestion,
vomiting, and wasting.
2. Seventh month.—Infants, if thriving, may be kept on the
above diet until the seventh month of life, but at this time the
digestive organs of the child are able to deal with a small quantity
of starchy food, so a teaspoonful of wheaten flour, which must be
thoroughly cooked, should now be added to the milk once a day.
3. Ninth month.—At nine months old one of the infants' foods
may be added to the diet, either Liebig's, Mellins, Savory and
Moore's or Nestle's, with an occasional cup of beef tea or broth, or
yolk of an egg, but the main bulk of the food must still be cow's
milk.
The Feeding Bottle.—Of course artificial feeding requires
the use of a bottle. This should be one having a smooth internal
surface, free from angles and crevices, and provided with a teat
capable of being easily cleaned. The bottle should not have any
tubes, because it is impossible to keep these clean. It is very
convenient if the bottle is also marked in tablespoon measurements.
The advantage of a bottle of this kind is, that it can easily be
kept scrupulously clean, and it must be held by the mother or nurse
whilst feeding, who can thus prevent the child from bolting its food,