← The Care and Feeding of Children / A Catechism for the Use of Mothers and Children's Nurses
Chapter 39
Milk and Cream
What part of the diet should milk form during childhood?
It should form a very important part up to the tenth year; nothing can take its place. There are comparatively few children who cannot take and digest milk if it is properly fed.
Why is milk so advantageous?
Because no food that we possess has so high a nutritive value as milk, for the amount of work required of the organs of digestion. It is, therefore, peculiarly adapted to the diet of the child.
What are the essential points in the use of milk?
It should be clean and fresh, but not too rich. It is a mistake to select for any children the rich milk of a Jersey herd and use it as though it were an ordinary milk. For children who have difficulty in digesting milk, it should be somewhat diluted, i.e., one part of water to four parts of milk, or salt or bicarbonate of soda should be added. It is also important not to give milk at meals when fruits, especially sour fruits, are allowed.
How much milk may advantageously be given?
The average child with good digestion should take from one and one half pints to one quart of milk daily, this including not only what the child drinks but what is served upon cereals and in other ways. It is seldom wise to allow a child to take as much as two quarts daily, as a more mixed diet for most children is better.
To what extent may cream be used?
Older children do not require so large a proportion of fat in their food as do infants, and the use of cream, especially very rich cream, often results in disturbances of digestion. The use of too much or too rich cream is a common cause of the coated tongue, foul breath and pale gray stools, often called "biliousness."
Is not cream useful in overcoming the constipation of children?
With infants it is valuable to a certain point, but with older children only to a limited degree, and if such symptoms as those above described are present, cream should not be given.