The Young Mother: Management of Children in Regard to Health

William A. Alcott

The Young Mother: Management of Children in Regard to Health

PREFACE

There is a prejudice abroad, to some extent, against agitating the questions—"What shall we eat? What shall we drink? and Wherewithal shall we be clothed?"—not so much because the Scriptures have charged us not to be over "anxious" on the subject, as because those who pay the least attention to what they eat and drink, are supposed to be, after all, the most healthy.

It is not difficult to ascertain how this opinion originated. There are a few individuals who are perpetually thinking and talking on this subject, and who would fain comply with appropriate rules, if they knew what they were, and if a certain definite course, pursued a few days only, would change their whole condition, and completely restore a shattered or ruined constitution. But their ignorance of the laws which govern the human frame, both in sickness and in health, and their indisposition to pursue any proposed plan for their improvement long enough to receive much permanent benefit from it, keep them, notwithstanding all they say or do, always deteriorating.

Then, on the other hand, there are a few who, in consequence of possessing by nature very strong constitutions, and laboring at some active and peculiarly healthy employment, are able for a few, and perhaps even for many years, to set all the rules of health at defiance.

Now, strange as it may seem, these cases, though they are only exceptions (and those more apparent than real) to the general rule, are always dwelt upon, by those who are determined to live as they please, and to put no restraint either upon themselves or their appetites. For nothing can be plainer—so it seems to me—than that, taking mankind by families, or what is still better, by larger portions, they are most free from pain and disease, as well as most healthy and happy, who pay the most attention to the laws of human health, that is, those laws or rules by whose observance alone, that health can be certainly and permanently secured.

But these families and communities are most healthy and happy, not because they live in a proper manner, by fits and starts, but because they have, from some cause or other, adopted and persevered in HABITS which, compared with the habits of other families, or other communities, are preferable; that is, more in obedience to the laws which govern the human constitution. Not that even they are "without sin" or error on this subject—gross error too—but because their errors are fewer or less destructive than those of their neighbors.

Now is it possible that any intelligent father or mother of a family, whose diet, clothing, exercise, &c. are thus comparatively well regulated, would derive no benefit from the perusal of works which treat candidly, rationally, and dispassionately, on these points? Is there a mother in the community who is so destitute of reason and common sense as not to desire the light of a broader experience in regard to the tendency of things than she has had, or possibly can have, in her own family? Is there one who will not be aided by understanding not only that a certain thing or course is better than another, but also WHY it is so?

It is by no means the object of this little work to set people to watching their stomachs from meal to meal, in regard to the effects of food, drink, &c.; for nothing in the world is better calculated to make dyspeptics than this. It is true, indeed, that some things may be obviously and greatly injurious, taken only once; and when they are so, they should be avoided. But in general, it is the effect of a habitual use of certain things for a long time together—and the longer the experiment the better—which we are to observe.

A book to guide mothers in the formation of early good habits in their offspring, should be the result of long observation and much experiment on these points, but more especially of a thorough understanding of human physiology. It should not consist so much of the conceits of a single brain—perhaps half turned—as of the logical deductions of severe science, and facts gleaned from the world's history.

Here is a nation, or tribe of men, bringing up children to certain habits, from generation to generation—and such and such is their character. Here, again, is another large portion of our race, who, under similar circumstances of climate, &c. &c., have, for several hundred years, educated their children very differently, and with different results. A comparison of things on a large scale, together with a close attention to the constitution and relations of the human system, affords ground for drawing conclusions which are or may be useful. If this book shall not afford light derived from such sources, it were far better that it had never been written. If it only sets people to watching over the effects of things taken or used only for a single day, instead of leading them from early infancy to form in their children such habits as will preclude, in a great measure, the necessity of watching ourselves daily, then let the day perish from the memory of the writer, in which the plan of bringing it forth to the world was conceived. But he is confident of better things. He does not believe that a work which, to such an extent, GIVES THE REASON WHY, will be productive of more evil than good. On the contrary, it must, if read, have the opposite effect.

I do not deny that even after the formation of the best habits, there will be a necessity of paying some attention to what we eat and what we drink, from day to day, and from hour to hour; but only that the tendency of this work is not to increase this necessity, but on the contrary, to diminish it. In my own view; these occasions of inquiry in regard to what is right, physically as well as morally, are one part of our trials in this world—one means of forming our characters. We are constantly tempted to excess and to error, in spite of the most firm habits of self-denial which can be formed. If we resist temptation, our characters are improved. And it is by self-denial and self-government in these smaller matters, that we are to hope for nearly all the progress we can ever make in the great work of self-education. Great trials of character come but seldom; and when they come, we are often armed against them; but these little trials and temptations, coming upon us every hour—these it is, after all, that give shape to our characters, and make us constantly growing either better or worse, both in the sight of God and man. But, as I have repeatedly said, the object of this work is to diminish rather than to increase the frequency of these trials, useful though they may be, if duly improved, in the formation of virtuous, and even of holy character.

There is a sense in which every infant may be said to be born healthy, so that we may not only adopt the language of the poet, Bowring, and say

—"a child is born;Take it, and make it a bud of moral beauty,"

but we may also add—Take it and make it beautiful physically. For though a hereditary predisposition undoubtedly renders some individuals more susceptible than others to particular diseases, yet when the bodily organization of an infant is complete, and the degree of vitality which nature gives it is sufficient to propel the machinery of the frame, it can scarcely be regarded as in any other state than that of health.

Now if it be the intention of divine Providence (and who will doubt that it is?) that the animal body should be capable of resisting with impunity the impressions of heat, cold, light, air, and the various external influences to which, at birth, it is subjected, it may be properly asked why this primitive state of health cannot be maintained, and diseases, and medicines, and even PREVENTIVES wholly avoided.

But the reason is obvious. Civilized society has placed the human race in artificial circumstances. Instead of listening to the dictates of reason, making ourselves acquainted with the nature of the human constitution, and studying to preserve it in health and vigor, we yield to the government of ignorance and presumption. The first moment, even, in which we draw breath, sees us placed under the control of individuals who are totally inadequate to the important charge of preserving the infant constitution in its original state, and aiding its progress to maturity. And thus it is that though infants, as a general rule, may be said to be born healthy, few actually remain so. Seldom, indeed, do we find a person who has arrived at maturity wholly free from disease, even in those parts of our country which are reckoned to have the most healthy climate.

It is indeed commonly said, that a large proportion, both of children and adults, among the agricultural portion of our population, are healthy. But it is not so. There is room for doubt whether, on the whole, the farmers of this country are healthier than the mechanics, or much more so than the manufacturers; or the whole mass of the country population healthier than that of the crowded city. The causes of disease are sufficiently numerous, in all places and conditions; and this will continue to be the fact, not merely until parents and teachers shall become more enlightened, but until many generations have been trained under their enlightened influence.

If the children and adults among our agricultural population derive from their employments in the open air a more ruddy appearance than those either of the city or country who are confined more to their rooms; or to a vitiated atmosphere, and to numerous other sources of disease, and if they appear more favored with health, I have learned, by accurate observation, that these appearances are somewhat deceptive. Their active sports and employments in the open air give them a stronger appetite than any other class of people; and the indulgence of this appetite, not only with articles which are heating or indigestible in their nature, but with an unreasonable quantity even of those which are considered highly proper, is almost in an exact proportion. And it is hence scarcely possible for the causes of disease and premature death to be more operative in factories and in cities than in farm houses and the country. Indeed it may be questioned whether the abuses of the ANIMAL part of man—more common in some of their forms in country than in city—though they may be less conspicuous, are not more certainly and even more immediately destructive than those abuses which, in city life, and bustle, and competition, affect more the MORAL nature.

Be that as it may, however—for this is not the place for the grave discussion of so broad a question—one thing, to my mind, is perfectly clear, namely, that until physical education shall receive more attention from all those who hold the sacred office of instructors of the young, humanity can neither be much elevated nor improved. Mothers and schoolmasters especially—they who, as Dr. Rush says, plant the seeds of nearly all the good or evil in the world—must understand, most deeply and thoroughly, the laws which regulate the various provinces of the little world in which the soul resides, and which, like so many states of a great confederacy, have not only their separate interests and rights, but certain common and general ones; as well as those laws by which the human constitution is related to and connected with the objects which everywhere surround, and influence, and limit, and extend it.

This book contains little, if anything, new to those who are already familiar with anatomy and physiology. Indeed, whatever may be its claims, its merits or its demerits, it disclaims novelty. It is, indeed, in one point of view, original;—I mean in its form, manner, and arrangement. What I have written is chiefly from my own resources—the results of patient study and observation, and careful reflection; but that study and observation of human nature, and this reflection, have been greatly aided by reading the writings of others.

In the prosecution of the task which I had assigned myself, no work has been of more service to me than an octavo volume of 548 pages, by Dr. Wm. P. Dewees, of Philadelphia, entitled, "A Treatise on the Physical and Medical Treatment of Children." It is one of the most valuable works on Physical Education in the English language, as is evident from the fact that notwithstanding its expense—three or four dollars—it has, in nine years, gone through five editions. If it were written in such a style, and published at such a price as would bring it within reach of the minds and purses of the mass of the community, its sale would have been, I think, much greater still; and the good which it has accomplished would have been increased ten-fold.

If the "YOUNG MOTHER" should be favorably received by the American community, and prove extensively useful, it will undoubtedly be owing to the fact that it presents so large a collection of facts and principles on the great subject of physical education, in a manner so practical, and at a price which is very low. To accomplish an object so desirable is by no means an easy task. It was once said by the author of a huge volume, that he wrote so large a work because he had not time to prepare a smaller one. And however unaccountable it may be to those who have not made the trial, it may be safely asserted, that to present, within limits so small, anything like a system of Physical Education for the guidance of young mothers, requires much more time, and labor, and patience, than to prepare a work on the same subject twice as large.

Nor is it to be expected, after all, that the work is, in all respects, perfect. I have indeed done what I could to render it so; but am conscious that future inquiries may lead to the discovery of errors. Should such discoveries be made, they will be cheerfully acknowledged and corrected; truth being, as it should be, the leading object.

THE YOUNG MOTHER

CHAPTER I.

THE NURSERY

General remarks. Importance of a Nursery—generally overlooked. Its walls—ceiling—windows—chimney. Two apartments. Sliding partition. Reasons for this arrangement. Objections to carpets. Furniture, &c. Feather beds. Holes or crevices. Currents of air. Cats and dogs. "Sucking the child's breath." Brilliant objects. Squinting. Causes of blindness.

It is far from being in the power of every young mother to procure a suitable room for a nursery. In the present state of society, the majority must be contented with such places as they can get. Still there are various reasons for saying what a nursery should be. 1. It may be of service to those who have the power of selection. 2. Information cannot injure those who have not. 3. It may lead those who have wealth to extend the hand of charity in this important direction; for there are not a few who have little sympathy with the wants and distresses of the adult poor, who will yet open their hearts and unfold their hands for the relief of suffering infancy.

Among those who have what is called a nursery, few select for this purpose the most appropriate part of the building. It is not unfrequently the one that can best be spared, is most retired, or most convenient. Whether it is most favorable to the health and happiness of its occupants, is usually at best a secondary consideration.

But this ought not so to be. A nursery should never, for example, be on a ground floor, or in a shaded situation, or in any circumstances which expose it to dampness, or hinder the occasional approach of the light of the sun. It should be spacious, with dry walls, high ceiling, and tight windows. The latter should always be so constructed that the upper sash can be lowered when we wish to admit or exclude air. It should have a chimney, if possible; but if not, there should be suitable holes in the ceiling, for the purposes of ventilation.

The windows should have shutters, so that the room, when necessary, can be darkened—and green curtains. Some writers say that the windows should have cross bars before them; but if they do not descend within three feet of the floor, such an arrangement can hardly be required.

It is highly desirable that every nursery should consist of two rooms, opening into each other; or what is still better, of one large room, with a sliding or swinging partition in the middle. The use of this is, that the mother and child may retire to one, while the other is being swept or ventilated. They would thus avoid damp air, currents, and dust. Such an arrangement would also give the occupants a room, fresh, clean and sweet, in the morning, (which is a very great advantage,) after having rendered the air of the other foul by sleeping in it.

In winter, and while there is an infant in the nursery, just beginning to walk, it is recommended by many to cover the floor with a carpet. The only advantage which they mention is, that it secures the child from injury if it falls. But I have seldom seen lasting injury inflicted by simple falls on the hard floor; and there are so many objections to carpeting a nursery, since it favors an accumulation of dust, bad air, damp, grease, and other impurities, that it seems to me preferable to omit it. Many physicians, I must own, recommend carpets during winter, though not in summer; and in no case, unless they are well shaken and aired, at least once a week.

No furniture should be admissible, except the beds for the mother and child, a table, and a few chairs. With the best writers and highest authorities on the subject, I am decidedly of opinion that all feather beds ought effectually and forever to be excluded from nurseries. The reasons for this prohibition will appear hereafter.

Every nursery should, if possible, be free from holes or crevices; otherwise the occupants will be exposed to currents of air, and their sometimes terrible and always injurious consequences. The room may, in this way, be kept at a lower medium temperature—a point of very great importance.

Cats and dogs, I believe, are usually excluded from the nursery; if not, they ought to be. For though the apprehension of cats "sucking the child's breath," is wholly groundless, yet they may be provoked by the rude attacks of a child to inflict upon it a lasting injury. Besides, they assist, by respiration, in contaminating the air, like all other animals.

If there are, in the nursery, objects which, from the vivacity or brilliancy of their colors, attract the attention of the child, they should never be presented to them sideways, or immediately over their heads. The reason for this caution is, that children seek, and pursue almost instinctively, bright objects; and are thus liable to contract a habit of moving their eyes in an oblique direction, which may terminate in squinting.

Many parents seem to take great pleasure in indulging the young infant in looking at these bright objects; especially a lamp or a candle. If the child is naturally strong and vigorous, no immediate perceptible injury may arise; but I am confident in the opinion that the result is often quite otherwise. For many weeks, if not many months of their early existence, they should not be permitted to sit or lie and gaze at any bright object, be it ever so weak or distant, unless placed exactly before their eyes; and even in the latter case, it were better to avoid it.

Heat is also injurious to the eyes of all, and of course not less so to children than to adults. But when a strong light and heat are conjoined, as is the case of sitting around a large blazing fire—the former custom of New England—it is no wonder if the infantile eyes become early injured. No wonder that the generation now on the stage, early subjected to these abuses, should be found almost universally in the use of spectacles.

This may be the most proper place for observing that great care ought to be taken, at the birth of the child, to prevent a too sudden exposure of the tender organ of vision to the light. We believe this caution is generally omitted by the American physician, though it is one which accords with the plainest dictates of common sense. Who of us has not experienced the pain of emerging suddenly from the darkness of a cellar to the ordinary light of day? The strongest eyes of the adult are scarcely able to bear the transition. How much more painful to the tender organs of the new-born infant must be the change to which it is so frequently subjected? And how easy it is to prevent the pain and danger of the change, by more effectually darkening the room into which it is introduced!

But we have testimony on this point. A distinguished German physician states that he has known many cases of permanent blindness from this very cause to which we have referred. The Principal of the Institution for the Blind, at Vienna, says he is confident that most children who appear to be born blind, are actually made blind by neglecting this same precaution.

CHAPTER II.

TEMPERATURE

General principle—"Keep cool." Our own sensations not always to be trusted. Thermometer. Why infants require more external heat than adults. Means of warmth. Air heated in other apartments. Clothes taking fire. Stove—railing around it. Excess of heat—its dangers.

There is one general principle, on this subject, which is alike applicable to all persons and circumstances. It is, to keep a little too cool, rather than in the slightest degree too warm. In other words, the lowest temperature which is compatible with comfort, is, in all cases, best adapted to health; and a slight degree of coldness, provided it amount not to a chill, and is not long continued, is more safe than the smallest unnecessary degree of warmth.

But the application of this rule to those over whom we have control, is not without its difficulties. Our own sensations are so variable, independently of external and obvious causes, that we cannot at all times judge for others, especially for infants. The absolute and real state of temperature in a room can only be ascertained by the aid of a thermometer; and no nursery should ever be without one. It should be placed, however, in such a situation as to indicate the real temperature of the atmosphere, and not where it will give a false result.

No mother should forget that the infant, at birth, has not the power of generating heat, internally, to the extent which it possesses afterward. The lungs have as yet but a feeble, inefficient action. The purification of the blood, through their agency, is not only incomplete, but the heat evolved is as yet inconsiderable. In the absence of internal heat, then, there is an increased demand externally. If 60° be deemed suitable for most other persons, the new-born infant may, for a few days, require 65° or even 70°.

Much may and should be done in preserving the child in a proper temperature by means of its clothing. On this point I shall speak at length, in another part of this work. My present purpose is simply to treat of the temperature of the nursery.

The best way of warming a nursery—or indeed any other room, where MERE warmth is demanded—is by means of air heated in other apartments, and admitted through openings in the floor or fire-place. The air is not only thus made more pure, but every possibility of accidents, such as having the clothes take fire, is precluded. This last consideration is one of very great importance, and I hope will not be much longer overlooked in infantile education.

Next to that, in point of usefulness and safety, is a stove, placed near or IN the fire-place, and defended by an iron railing. Most people prefer an open stove; and on some accounts it is indeed preferable, especially where it is desirable to burn coal. Still I think that the direct rays of the heat, and the glare of light from open stoves and fire-places, particularly for the young, form a very serious objection to their use.

One of the strongest objections to open stoves and fire-places in the nursery is, the increased exposure to accidents. I know it is said that this evil may be avoided by laying aside the use of cotton, and wearing nothing but worsted or flannel. This is indeed true; but I do not like the idea of being compelled to dress children in flannel or worsted, at all times when the least particle of fire is demanded; for this would be to wear this stimulating kind of clothing, in our climate, the greater part of the year.

Besides, I write for many mothers who are compelled to use cotton, on account of the expense of flannel. And if the stove be a close one, and well defended by a railing, cotton will seldom expose to danger. Still, as has been already said, the introduction of heated air from another apartment, whenever it can possibly be afforded, is incomparably better than either stoves or fire-places.