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

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Malden and Coombe 1914

[Report of the Medical Officer of Health for Malden and Coombe]

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37
be yellow; if they become green give half-teaspoonful of castor-oil.
If not right after a few days consult a doctor.
Weigh the baby once a week; if not increasing in weight take
it to see a doctor.
When the Child Ails.
Consult the doctor early, not the chemist; otherwise it may be
too late.
Take greater care in cleaning everything used for the milk.
Read these rules again and find out which is not being kept.
Specially keep the child warm and dry. Avoid sudden changes
of air.
Hand Feeding.
When the breast is not enough, give cows' milk and water or
barley-water as well. Use only new milk.
Much more trouble must be taken to bring a baby up by hand
than by the breast.
Preparatiofi.—As soon as milk is delivered mix enough of it to
last for 24 hours with the right .amount of water; in hot weather
bring it to the boil in a clean saucepan; pour into clean scalded jug,
cover with clean piece of muslin; stand it in a cool place, not near a
sink or drain.
Never leave the milk uncovered; nor put your fingers in it; nor
put it into any jug, bottle, or saucepan that has not been first
scalded.
At each feed during the first two months add half a small
lump of white sugar; during the later months add the whole of a
small lump.
Feed by common sense, not by rule. If the baby seems
unsatisfied, try the milk stronger. If the baby cannot digest it,
try it weaker.
Amounts.—The general rules for an average child in good
health are as follows:—