12 ounces
Sugar of milk 4-1/2 level tbs.
From this point on the formula may be increased by replacing the
boiled water with whole milk, two ounces each month up to thirteen
months. At this age the boiled water may be omitted from the formula
one ounce each week. Beginning at the age of eight months the sugar
may be eliminated from the formula, one tablespoonful each month.
_Barley Water._--At the age of five months, or at any time thereafter,
barley water may be substituted for boiled water in the formula. This
should be substituted when the baby is not gaining in weight. It may
be substituted in many instances when the movements are not well
digested.
_Lime Water._--It is frequently found to be advisable to add lime
water. It is not necessary in every instance, but should be given if
the baby is inclined to spit up, or in cases where the stools are too
frequent in number and are slightly green in color.
* * * * *
~Determining the Fuel Value of a Formula.~--The computation of the
fuel value of a formula is very essential since the growth and
development of the infant depends largely upon whether or not its
energy expenditures are well covered. The method is simple, requiring
the same methods used in the computing of other dietaries. Take the
formula just calculated, its fuel value would be estimated as follows:
Thirty-two ounces are equal to 960 grams. In each 100 grams there
would be 3 grams of fat, 2 grams of protein and 6 grains of sugar.
Hence in 9.6 one-hundred-calorie portions there would be 9.6 x 3--28.8
grams of fat, 9.6 x 2--19.2 grams of protein, and 9.6 x 6--57.6 grams
of sugar, in a thirty-two-ounce mixture.
To determine the fuel value of the formula, these results must be
multiplied by their physiological fuel factors, 9 and 4 and 4
respectively. Thus:
29 x 9 = 261 calories from fat
19 x 4 = 76 calories from protein
58 x 4 = 232 calories from sugar, or a total of
----
569 calories for the entire mixture.
~Scheme for Adding Solids to Infants' Diet.~--
From 9th to 15th month:
6 A.M.--Milk formula (bottle).
8 A.M.--Orange juice 1/2 ounce, or prune pulp or prune
juice.
10 A.M.--Bottle, cereal (strained) and bread and butter
or zwieback.
2 P.M.--Mutton, chicken, or veal soup cooked with
cereal; small portion of baked pot
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