Feeding in the first year of infancy / by Joseph E. Winters.

  • Winters, Joseph Edcil, 1848-1922.
Date:
[1903]
Catalogue details

Licence: In copyright

Credit: Feeding in the first year of infancy / by Joseph E. Winters. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    pylorus. Giving water between feedings is a prolific source of vomiting. Distension and pressure by flatulency, which is often due to emptiness from a weak, watery food. Unphysiological feeding—cereal before the sixth month. Hunger is not an uncommon cause. Tight bands, constricting and interfering with free abdominal and thoracic movement. Malposition; a cramped, distorted position of a young child will cause the stomach to eject its contents. In a recent case this was pointed out to the nurse as the cause. The nurse failed to relieve. With another nurse vomiting ceased at once a/ud has not recurred. Fast nipple, too free flow and choking. Too small opening in nipple, child becomes tired out and retches, or becomes irritated and annoyed, which ends in vomit- ing. Handling, playing with, or merely talking to after feeding. Changing a napkin after feeding. The pernicious practice of stomach-washing and of repeated intestinal irrigation; the recourse to enemas where food should correct bowel action, set up irrita- bility of the stomach and pyloric spasm, and as an epiphe- nomenon, nervous susceptibility, which only the most conservative, gentlest management can allay. As a result of a misconception, pyloric spasm is designated pyloric stenosis. Management. Food: When acidulated at about 98^° to 100° F., the proteid constituent must form light, feathery flocks, which readily emulsify on stirring. A nurse whose necessary handling does not induce, but ameliorates, nervous susceptibility. No handling [13]
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