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December 11, 1897


Author Affiliations

Professor of Diseases of Children, New York School of Clinical Medicine; Attending Physician to the Children's Department of the German Poliklinik, to the Children's Department of the West Side German Dispensary, to the Messiah Home for Children; Consulting Physician to the Children's Department of the United Hebrew Charities of New York, etc. NEW YORK, N. Y.

JAMA. 1897;XXIX(24):1196-1202. doi:10.1001/jama.1897.02440500010002c

To properly determine the value of an infant's food be it breast fed or hand fed, we must note the following factors:

1. Does the child appear satisfied and go to sleep after its feeding. 2. How are the stools? a, their color; b, frequency; c, consistency. 3. Is there any flatulence or colic? 4. Does the child increase in weight, to be determined by the scales once a week, and is the food properly assimilated?

A growing child needs far more food than its weight alone would indicate, for its income must exceed its expenditure so that it may grow. An infant for the first seven months or first one-half year of life should have nothing but milk. Up to this age vegetable food is unsuited to it; it is purely a carnivorous animal.

Human milk contains about 4 per cent. of proteids (casein), 2.6 per cent. fat, 4.3