652 
tion necessary to regular growth, the intervals between nursing 
should not be too sholt. Xor, on the other hand, in the earlier 
months at least, should the} 7 be too long. In the first instance, the 
milk is apt to be too rich and concentrated (Rotch), thus causing 
overfeeding, and in the second, it is apt to be deficient in nutritive 
elements. Huebner is of the opinion that the number of nursings in 
the twenty-four hours usually advocated is too great, and a less num- 
ber is productive of better results. In this view he is confirmed by 
Czerny, Keller, and others. 
The following schedule seems to fulfill the best practice in this 
direction : 
Age. 
Number of 
nursings 
in 24 hours. 
Interval 
| during 
day. 
Night. 
First day 
4 
6 
1 
Second day 
6 
4 
1 
Third to twenty-eighth day 
8 
2 \ 
1 
Fourth to thirteenth week 
7 
3 
1 
Third to fifth month 
6 
3 
0 
Fifth to twelfth month 
5 
4 
0 
It may not always be possible to carry this schedule into effect, but 
every effort should be made to do so. In the majority of cases, how- 
ever, no difficulty will be experienced, provided the child be always 
awakened, if necessary, when the time comes to put it to the breast. 
Regularity in nursing intervals is of great assistance to the mother 
in providing for her adequate recuperation, and the unbroken sleep 
at night permits her to continue lactation long after the time she 
would otherwise have to abandon it. 
Mode of giving the child the breast . — It is surprising to note the 
ignorance of some mothers even in such essential details as this. It 
is, therefore, necessary to see that the breast is properly presented to 
the child. The child should be held in such a position that it can 
seize squarely upon the nipple, which should not be presented ob- 
liquely to it. It is important to avoid pressing the child’s nose into 
the breast, in order to allow it free respiration. 
Signs of successful breast feeding . — The child who is receiving 
adequate nourishment from the breast performs all its functions with 
the optimum of regularity. Its sleep is peaceful, its appetite is keen, 
and it presents a general appearance of contentment and bien etre. 
The bowel movements are free, and consist of two or three golden, 
smooth, salve-like discharges a day. The urine is odorless, limpid 
and adequate in amount. The body tissues are firm and elastic, and 
their outlines plump and rounded. Most important of all. the child 
gains steadily and constantly in weight. If an infant cease to gain 
in weight something is always wrong. On the other hand, sudden 
