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149
The child developed profuse nasal discharge and was referred to the
special department for open air management and information about the
feeds. These were found to be scanty—3 to 3½ ozs. No progress made
until the respiratory condition improved. Strong suction then became
possible and the yield soon rose, reaching an average of nearly 6 ozs.
per feed. Progress uninterrupted.
Attendance—9 weeks.
E. B.—First-born male child. Brought at 2 weeks of age weighing
5½ lbs. Anxiety about lack of progress. Breast fed. No crying. Stools
infrequent and urine scanty. Known to have weighed 7 lbs. at birth.
The infant showed extreme emaciation. This had occurred so rapidly
that the skin was cracked wherever it fell in folds. The abdomen was
scaphoid and coils of bowel showed. The baby was lethargic and failed
with exhaustion to suck for more than a few seconds.
Referred to special department. Test weighing showed nothing
was being obtained from the breasts, which were tense and the nipples
partly inverted. Human milk from volunteers was given with a mixture