Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Westminster, City of]
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Table III.
.Number of -Cases. | Mother's Work. | (a) Mother's Health. | (b.) Confinement. | |||||||
---|---|---|---|---|---|---|---|---|---|---|
Healthy. | Delicate. | Normal. | Abnormal. | |||||||
934 | No occupation | 710 | 224 | 865 | 69 | |||||
76.0 | 23.9 | 92.6 | 7.3 | |||||||
135 | Home work* | 95 | 40 | 121 | 14 | |||||
70.3 | 29.6 | 89.6 | 10.3 | |||||||
168 | Out work* | 121 | 47 | 145 | 23 | |||||
72.0 | 27.9 | 86.3 | 13.7 | |||||||
1,237 | ||||||||||
Number of Cases. | (a.) Mode of Feeding.t | (d.) Care of Home.‡ | ||||||||
Mother's Work. | Breast. | Partly | Bottle. | Good. | Indifferent. | Bad. | ||||
a. | b. | c. | ||||||||
934 | No occupation | 665 | 78 | 45 | 25 | 95 | 633 | 194 | 93 | |
73.2 | 8.6 | 4.9 | 2.7 | 10.4 | 68.8 | 2 1.0 | l0.1 | |||
135 | Home work* | 92 | 12 | 10 | 2 | 14 | 77 | 30 | 19 | |
70.7 | 9.2 | 7.6 | 1.5 | 10.7 | 61.1 | 23.8 | 15.0 | |||
168 | Out work* | 87 | 24 | 15 | 4 | 31 | 73 | 44 | 49 | |
54.0 | 14.9 | 9.3 | 2.4 | 19.3 | 43.9 | 26.5 | 29.5 | |||
1,237 |
* See Table IV.
† 38 infants—20 still-born, 18 dying within 1 week, excluded.
‡ 25 unstated—9 home work, 2 out work, 14 no occupation.
The superior health and low mortality of breast-fed infants is very
striking in Table II/, and it is satisfactory to find that this mode of
feeding is the universal practice among the poor where circumstances
permit (nearly 75 per cent, of the babies were breast-fed). The high
death-rate of infants weaned under six weeks has already been referred
to, but it should perhaps be noted that many infants fall into this
class who are already in a dying state at the time of weaning
(Table IV). The death rate of infants bottle-fed from birth is again a
high one, but in this case also, a certain number of mothers unable to
nurse from constitutional weakness (phthisis, heart, &c.), and whose
health presumes a high rate of delicacy among their infant?, must be
borne in mind (Table IV). Yet after making the fullest allowance for
these facts, the death-rate of hand-fed infants remain an unduly high
one and is undoubtedly to a large extent directly traceable to the
mode of feeding.