The Mother and Her Child

The head and face toilet are identical with that described before, and with the baby undressed and wrapped in a warm towel placed inside the warm blanket on the pillow or comfort as before mentioned, we proceed with a good lather of castile soap and water to lather the baby's body all over—under the arms, the neck, chest, groins, thighs, buttocks, legs, feet, and between the toes, while the genitals also receive their share of attention. The foreskin of the boy baby is gently pushed back and cleansed thoroughly; while the vulva of the little girl baby, having first been swabbed with boracic acid, is now gently lathered and cleansed. Now grasp the ankles and legs with the right hand and support the upper back and neck and shoulders with the left and gently lower the baby into the water in a semi-reclining position (See Fig. 13). The water should cover the shoulders. Keep a good firm supporting left hand under the head, neck, and shoulders, and with the right, rinse all soap from the body.

After this is thoroughly done, lift the baby out onto a fresh warm towel inside the warm blanket on the pillow, and remain standing, while you gently pat (never rub) the baby dry. All the little folds, creases, and places between fingers and toes, are carefully patted dry, and where any two skin surfaces rub together put on a bit of talcum.

The dressing takes place in the manner already described—first the shirt, then the band (sewed on), the diaper, stockings, skirt, and gown.

Please note that the soap bath is contra-indicated (should not be given) in case of eczema.

BABY'S DAILY RUB

This soap bath should be administered for cleanliness only, and should be given twice a week. If a tub bath is to be given on other days, after the routine head and face toilet, the baby is simply dipped into the water and the soft skin gently rubbed.

If the sponge or tub bath is given in the afternoon just before the long sleep at night, then the oil rub should take place before the mid-forenoon meal; and likewise, if the sponge or tub bath is given during the mid forenoon, then the oil rub or dry hand rub is given before the going-to-bed time. The rub should be a daily procedure for the first two years. Nothing rougher than the soft palm of the hand should be rubbed on baby's soft skin.

USE AND ABUSE OF TALCUM

Babies have come to my clinic with cakes of talcum under their arms, and particularly between their thighs and in the crease of the buttocks. Here the well-meaning but thoughtless mother had reasoned, "a little is good; more is better" which is not always the case.

Talcum is not used to replace careful drying, and it should never be found in quantities on the baby's skin any more than you would expect to find quantities of face powder caked in the creases of the neck or behind the ears of an adult. The skin is first cleaned, then patted entirely dry, and, as a finishing touch, a bit of talcum is put on by means of a puff.

TONIC AND MEDICATED BATHS

Tonic baths are usually given to older children when they are able to enter into the sport and frolic of a cool bath. Baths are called tonic because they call forth from the body a reaction—a sort of circulatory rebound. This rebound or reaction brings the blood to the skin, increases the circulation, and tones up the nerves. The room should be properly warmed and, if necessary, some form of exercise be continued after the bath to prevent the chill that sometimes follows a poorly administered bath.

In the case of the anemic child, after six months of age, the mother's hand dipped in cold water may briskly rub the chest and back until it glows or becomes red. The child should enjoy this bath. Never frighten a child by throwing cold water on it or by giving it a too sudden cold plunge; great harm may be permanently done by these efforts to "toughen the baby."

The simple medicated baths may be administered according to the following directions:

Salt. Use half a teacup of common salt or sea salt to each gallon of water. The salt should first be dissolved in a cup of warm water to prevent the sharp particles from pricking the skin. The doctor sometimes orders a salt bath.

Starch. Add a cup of ordinary, cooked laundry starch for every gallon of water in the bath.

Soda. A soda bath requires two tablespoons of ordinary baking soda to a gallon of water, dissolving it in a little water before adding it to the bath.

Bran. Make a cotton bag of cheesecloth or other thin material, six inches square. Fill loosely with bran. Soak the bag in the bath water, squeezing it frequently until the water becomes milky.

Starch, soda, and bran baths are often used in place of the ordinary soap and water bath when the skin is inflamed, as in cases of chafing or prickly heat.

FEAR OF BATHS

Force and harshness are not likely to cause baby to overcome very much of the fear of a tub bath. Patience, perseverance, and purposeful diversion of mind will bring sure results.

In the case of a very young baby, have a helper stretch a towel across the filled baby tub, lay the baby in it, with its head well supported, and then gently lower the towel into the water, keeping the head out. (Most anyone would fear an all-over ducking, if he had ever been completely ducked into water by a careless or mischievous friend).

In the case of older children, celluloid ducks, fish, or boats may float about on the water, and the entire bath be forgotten by the little fellow's enjoyment of "his boats."

OUT OF DOOR BATHING

Although a baby under two years should never be given a sea bath, a word of caution about sea bathing for young children may not be amiss. The cruelty with which well-meaning parents treat young, tender children by forcibly dragging them into the surf, a practice which may be seen at any seaside resort in the summer, can have no justification. The fright and shock that a sensitive child is thus subjected to is more than sufficient to undo any conceivable good resulting from the plunge. On the other hand, a child who is allowed to play on the warm sand and becomes accustomed to the water slowly and naturally will soon learn to take delight in the buffeting of the smaller waves, but he should not be permitted to remain more than a minute or two in the water, and should be thoroughly dried, dressed immediately, and not left to run about the beach in wet clothing.

MILK CRUST

Any roughness on the scalp must receive immediate attention. This roughness, or milk crust, is entirely avoidable; it is the result of accumulated oil and dirt. When it has formed a complete crust or cake, it may quickly become eczematous and require a physician's advice; however, in the beginning, at the first sight of brown patches or roughness, oil the scalp thoroughly at night with vaseline or cold cream, which should be gently rubbed off in the morning.

This vaseline or cold cream should be applied repeatedly, several nights in succession, followed by the morning's gentle rubbing and daily washing of the head. Often the washing with water must be entirely avoided; only sweet oil or vaseline being used in those cases where the crusting seems to be persistent.

THE EYES, EARS, AND NOSE

At birth the eyes are particularly cared for. First, the mucus is gently swabbed off the closed lids from the nose side outward, and then follows the application of one drop of twenty per cent argyrol or two per cent silver nitrate, either of which thoroughly disinfects the eye and prevents the growth or development of any bacteria that may have gotten into the child's eye during the descent of the head through the birth canal. The neglect of this procedure may sometimes result in lifelong blindness.

Under no circumstances should "a mere cold in the eyes" be neglected; it may result in blindness. Call your physician at once, and if he is not at hand, wash out the eye thoroughly every hour with warmed ten per cent boracic acid solution, by means of a medicine dropper, using a separate piece of cotton for each eye, for if the slightest bit of discharge be carried from one eye to the other an inflammation will quickly appear.

From birth, especially during the first week, baby's eyes are very sensitive to light; hence they must be carefully protected. Babies should be so placed during their outings, sleep, or naps, that they do not directly gaze at either the sunlight or sky. The lining of the hood of the carriage should be green, instead of white, as much eye strain is thus prevented.

The daily care of the normal, well eye has been already described, and while it need not be reiterated, we may say, in passing, that if the eyelid be at all inclined to be sticky or adherent, never use force, but instead, gently swab with boracic acid. As a preventive of this condition, a little vaseline from the tube may be rubbed on the edges of the lids at night.

In the toilet of the ears, never attempt to introduce anything beyond the external ear, which may be carefully cleansed with a soft cloth. It is often found necessary to apply oil to the creases behind the ears before the daily bath. There should be no irritation, redness, or roughness present, all such conditions being readily prevented by the use of oil or vaseline before the bath.

With the sharp point removed, make a cotton applicator out of a toothpick, and gently (with no force, whatever) introduce vaseline or oil into the nose. This should be a part of baby's daily toilet. Any stoppage of mucus or snuffiness in the nose should be reported at once to baby's physician. Young babies often have adenoids.

CARE OF THE MOUTH

Leave the well mouth alone until the teeth appear, and then keep the teeth very clean (allowing no particles of milk to accumulate at their bases) with a soft bit of cotton and gentle rubbing. When a child attains the age of two, he should have his own toothbrush; previous to this time all food particles should be removed from between the teeth with waxed silk floss. All decay should be promptly attended to by a competent dentist.

Thrush and ulcers are often caused, not prevented, by the frequent wiping out of baby's tender mouth. The treatment of thrush and other mouth infections will be considered in a later chapter, "The Common Disorders of Infancy."

THE CARE OF THE GENITAL ORGANS

Before the bath, the baby girl's genitals are carefully swabbed between all the folds with boracic acid solution. The foreskin of the boy baby should be pushed well back and washed gently with water. If the foreskin of the male child be long, tight, or adherent, circumcision is advised. See our chapter, "Teaching Truth."

The genitals of both the boy and girl should be kept scrupulously clean every day, with as little handling as possible, and, upon the appearance of the least swelling, discharge, or even redness, the physician's attention should be at once called to it. In a later chapter, the subject of irregularities of sex habits will be taken up.

CARE OF THE BUTTOCKS

Often, because of irritating bowel movements, the buttocks become reddened, chafed, and sometimes raw in places. Some poor little babies are sometimes roughly rubbed—scoured on the buttocks—much like the kitchen sink, many times a day, and it is not surprising that they become reddened, chafed, and very much inflamed.

The buttocks require a gentle swabbing and thoroughgoing "patting dry" after each soiling or wetting of the diaper, but no soap is required in this region but once a day, and even then it should be used sparingly.

When the buttocks are inflamed, after a good cleansing with water and a thorough drying, vaseline or zinc ointment should be applied on a piece of sterile cotton, and this application should be repeated after each changing of the diaper. Wet diapers should be removed at once, for the acidity of the urine causes more chafing. A dusting powder composed of starch two parts, and boracic acid one part, may be dusted on after a cleansing with oil.

Great care should be exercised in the thorough daily rinsing of the diapers as well as in the tri-weekly boil in the laundry. White soap only should be used in their cleansings; no washing sodas or other powders should be used.

OTHER SPECIAL CARE

Under the arms and in the creases of the neck the skin sometimes becomes irritated because of neglect. To prevent such chafing the following program should be carefully carried out:

1. Not too much soap—and no strong soap.
2. Careful rinsing of the skin area.
3. Avoid harsh rubbing, but thoroughly dry.
4. The use of talcum powder in all folds of the skin.

With a fine camel's hair brush the hair should receive its brushing after the cleansing of the scalp. Combs are for just one purpose and that is to part the hair. The brush should be used to do all the smoothing.

While the frequent trimming of the hair has no marked effect upon its growth, yet the comfort the little girls enjoy, especially during the warm-weather months, should not be denied them.

And certainly the boy should become a boy when he puts on trousers and not be made the laughing stock of his mirthful companions just because his "beautiful long curls are much admired by the mother and his aunts."

The finger nails should be trimmed round with the scissors, while all hangnails are properly cared for every day. Toe nails should be cut straight across and the corners never rounded off. Many ingrowing nails may be thus avoided.

The Eden story suggests that in the beginning of our racial experience artificial clothing was unnecessary; but after a time, in that selfsame garden, proper clothing became an important problem and has remained so ever since. Everybody seems to agree, however, that baby's clothing in particular should at least be comfortable. It may give the child great discomfort because it may be too warm, or it may not be warm enough, or it may be too tight, and so, in the discussion of baby's clothing in this chapter, we are going to keep in mind these two things—comfort and heat.

GENERAL SUGGESTIONS

The choice of material demands some thought and attention. As a rule, baby's clothing materials should be light in weight, good moisture absorbers, and at the same time able to retain the body heat. Most layettes have the common fault of being prematurely outgrown; and so it is well to allow for ample growth in making baby's first clothes. Since the principal object of clothing is to insure a uniform body temperature, it is important that the mother be constantly on her guard to keep the baby cool enough in the summer and warm enough in the winter.

The mothers of various races and nations have their own ideas concerning the clothing of their babies. One mother will wrap her baby in cotton, which is held in place by means of a roller bandage, and as you visit this home during the first week of baby's life, you will be handed a little mummy-shaped creature—straight as a little poker—all wrapped up in cotton and a roller bandage. The surprising feature is that the baby does not seem to complain.

In another district of the city we find the baby dressed in starched clothes, ribbon sashes, bright ribbon bows on its arms and around its neck. At first glance you wonder if the little child is not many years older and is about to make a visit to a county fair, but on inquiry we find that he has only been prepared for the event of circumcision on the eighth day.

And if you go into the forest of primeval days you will find another mother bandaging her baby to a board, head and all, and he seems to live and thrive in his little woven nest strapped on the back of his Indian mother.

Other babies in the warmer portions of the earth have almost less than nothing on, and are left to be swung by the breezes in little baskets tied to the boughs of trees; being taken up only when it is time to feed.

BABY'S LAYETTE

In preparing an outfit for the newcomer it is wise to provide for the necessities only, because of the fact that since the baby grows very fast the layette will soon have to be discarded; it is always possible to get more clothing after the baby is here and started on his little career. We offer the following list of essentials for the new born baby:

BANDS AND SHIRTS

The binder should be made of an unhemmed strip of flannel six inches wide and twenty inches long, so that it goes around the abdomen once with a small overlap. This binder should be sewed on instead of being pinned, and serves the purpose of holding the dressings of the cord in place. It is usually worn from four to six weeks, when it is replaced by a silk and wool barrel-shaped band with shoulder straps and tabs at the bottom, both front and back, to which may be pinned the diaper. This band is worn through the first three or four years to protect the abdomen from drafts and chilling, thus guarding against those intestinal disturbances which are caused by sudden weather changes.

There is great danger of having the bellyband too tight, and, in the early weeks, it is often the cause of great discomfort—often interfering with the normal expansion of the stomach at meal time.

No matter what the season, the new-born baby should be clothed in a light-weight silk and wool shirt, preferably the second size. After the first month, if the weather is exceedingly warm, this woolen shirt may be displaced by a thin silk or lisle shirt. In buying the second-size shirts always secure the stretchers at the same time, for in the laundering they soon shrink so that they are very uncomfortable for the young babe.

DIAPERS

There are a number of materials on the market from which comfortable diapers may be made for the baby. The cotton stockinet (ready-made shaped diaper) is excellent, fitting smoothly at the waist, while it is large and baggy at the seat, thus permitting not only a comfortable feeling but the free use of the hips, without the bulkiness of the ordinary diaper.

The large square of cheesecloth is easily laundered, and if an inside pad is used makes a very acceptable diaper.

The stork diapers are made of materials resembling turkish toweling and are used to some extent. This diaper should not be confused with the stork rubber diaper which will be spoken of later.

Birdseye cotton is popular and extensively used. It absorbs quickly, and is much lighter in weight than linen. The first- and third-size widths should be purchased as a part of the layette, and the number of diapers needed depends upon the opportunities to wash them out, for diapers are never used but once without washing; they should always be quickly rinsed and dried in the sunshine if possible. So if there are good laundry privileges, and daily washing is possible, the mother can get along with fewer diapers, but no less than four dozen should be provided.

The diaper pad will be found convenient and serviceable in the early days when the skin of the child is so very tender. This pad should be pieces of clean old linen or small pads of absorbent cotton.

CHANGING THE DIAPER

During the mother's waking hours, the diaper should be changed as soon as it is soiled or wet. If the child cries during the night it should be changed immediately, but the mother should not feel called upon to lay awake nights merely to change the baby's napkin when it is soiled. If she places a pad underneath the baby, which will absorb the urine quickly, he often does not awaken or become chilled. The pad should be sufficiently thick to ensure that the nightgown does not get wet.

RUBBER DIAPERS

Rubber sheeting diapers of any description should never be used. Avoid all patent diapers with a covering or an inner lining of rubber, for, like the rubber diaper, they not only irritate the child but also retain moisture and heat, which produce such irritation and itching that the subsequent "habit-scratching" often lays the foundation for future bad practices. It is far better for the mother to carry about with her, whenever it is necessary to take the baby away from home, a rubber pad which she puts on her lap underneath the little fellow, thus affording ample protection to herself without in the least harming the baby.

STOCKINGS AND BOOTIES

During the winter months merino stockings are required, while during the summer months a thin wool or silk stocking is sufficient; on the extremely hot days thin cotton hose may be worn. During infancy, the stockings should be fastened to the diaper with safety pins, while on the second-year child, hose supporters attached to the waist are found very convenient.

A friend told me the other day of a mother who told her the following story: "Do you know, I don't have any trouble any more about my baby keeping up his socks for I have fixed it so they won't come off any more. Every time I looked at his feet he had kicked off his socks and they were no good to him at all, so I took little chunks of brown laundry soap, moistened them and rubbed his legs, as well as the inside of his socks and I never, never have any more trouble with them coming off."

It does not seem possible in this enlightened age that a mother could be so ignorant as to keep the socks up with brown soap, but the friend assured me it was a true story, and while it may shock some of my readers as it did me, I must add, in passing to another subject, that the use of round garters on little babies and young children is just about as shocking.

During the fall, winter, and spring, booties are worn on top of the stockings. These booties should be crocheted or knitted out of the heavy Germantown yarn, and there should be enough of them so that the child may have a clean pair on every day.

SKIRTS AND PETTICOATS

The flannel petticoat is made with yokes instead of bands, and during the fall, winter, and spring these yokes are made of flannel like the skirt and should have long sleeves of the same material. The yokes should be made large enough so that they may be used during the entire first year (the plait in the front can easily be taken out when the baby is six months old so that it may be used much longer than if the yoke is made without a plait). For the hot summer months, the yokes should be a thin cotton material without sleeves; and, if the baby is housed in an over-heated apartment, this fact should be borne in mind and the winter skirt should be made accordingly. We have found, however, that the baby who is amply protected and uniformly dressed, does not require the outer bundlings that the poorly dressed child requires. Part wool and cotton materials are very comfortable in the overheated city apartments. White skirts are not necessary for small babies. They only add extra weight and it is always foolish to put anything on a small baby simply for looks.

NIGHTGOWNS, WRAPPERS, AND SLIPS

The nightgowns should be made of soft cotton flannel or stockinet. The latter is really the better, and can be purchased in sizes up to two years; it is absorbent, easily laundered, and may be conveniently drawn up at the bottom by means of a drawstring.

At least seven nightgowns are needed. A fresh nightgown should be used each day and each night during the first four or five weeks of baby's life; while as he gets older (two or three years), the night drawers with feet in them are used to advantage.

The wrappers are usually made of challis, nun's veiling, cashmere, or other light woolen materials which can be readily washed. They are very serviceable to wear over the baby's thin slips and on cool nights they may be used over the nightdress. They should be simply made, containing no heavy seams, and at the neck there should be the simplest kind of a soft band that will in no way produce friction or in any other way irritate the baby's skin.

Slips are usually made of some very soft material such as nainsook, batiste, pearline, or sheer lawn cloth. Twenty-seven inches is the length that will be found both comfortable and convenient. All laces, ruffles, and heavy bands which will scratch or irritate should be avoided as eczema is often caused by such mistakes.

SLEEPING BAG

The sleeping bag is of inestimable value, affording extra and secure covering for the child, and peace of mind for the mother. In the early weeks it should be made of light flannel, but as the child gets older the sleeping blanket is made according to illustration (See Fig. 7) by merely folding a blanket in such a manner that the child cannot possibly uncover himself. The mother can sleep undisturbed, knowing that the baby is always safely protected by at least one warm blanket cover.

COMMON FAULTS WITH MOST LAYETTES

As a usual thing the first clothes are made too small. The sleeves are too short as well as too small around. There is nothing more uncomfortable than a tight sleeve. Everyone of our readers knows that, and we recall one poor little fellow who kept up a fretful cry until we took the scissors and cut the tightly stretched sleeve up to and including the arm hole. He then relaxed and went to sleep. Sleeves should be made two inches longer than they are needed at first, and it is a very simple matter to pin them up or turn them back at the wrist. They should be loose and roomy.

The yokes of the dresses usually are too tight before the slips are discarded. Heavy seams and raw seams irritate and often make ugly impressions on the baby's skin.

Usually the first layette is profusely embroidered, and, while it is beautiful to look at, the mother feels when she sees it outgrown so quickly that a lot of vital energy was wasted on garments that mattered so little as long as baby was comfortable. Baby is dear and sweet enough without the fuss and furbelows of such elaborate garments.

Heavy materials are sometimes used where lighter ones would serve better.

ERRORS IN CLOTHING

A soiled garment should never be put back on the baby. Dirt draws flies, and flies are breeders of disease. Sour-smelling garments should be changed at once. They are likely to make the baby sick and interfere with his appetite if left on indefinitely. The care of the diaper has already been mentioned.

The main symptom of too much clothing is sweating, and when the baby sweats something must come off. If he has perspired so much that his clothes are moist, the clothing should be changed and the skin well dried with talcum powder. The feet and hands should be kept warm, but the little head should always be kept cool. When the baby is crying and getting his daily exercise, remove some of the covering, loosen his diaper, and let him kick and wave his arms in perfect freedom.

When the baby's feet and hands are cool he is not warm enough. Cotton underskirts cannot be used in the dead of winter on little babies. They do not hold the body heat as woolen garments do. The baby's feet should always be warm and this is particularly necessary in poorly nourished children. The outer wrapper of woolen material should be added to such baby's clothing. It is a safe rule to follow that if baby's hands are warm and he is not sweating, he is "just about right."

SHORT CLOTHES

At the age from four to six months, baby's clothes are shortened. This should not take place at the beginning of winter if it can be avoided. If the first layette has consisted of only the necessary garments, they are nearly worn out by the time the short clothes are due; of those that do remain, the sleeves should be lengthened, the arm holes enlarged, and all the little waists let out. Creeping garments and bibs are now added to baby's outfit, as well as leggings and other necessities for outdoor wear. Remember that all garments must be loose—then baby is happy.

About the same number of garments are found necessary for the short clothes as were required at first; except that a large number of creeping rompers should be added. These creeping rompers should not be made of dark materials that do not show the soil. We desire the dirt to be seen that we may keep the baby clean, and if the creeping romper is made of a firm, white material it may be boiled in the laundry, thus affording ample and thorough cleansing.

We attributed a sick spell of one baby to the dark-blue calico creeping romper which he wore day in and day out because it "did not show" the soil. White ones are much to be preferred, not only for looks but chiefly for sanitary reasons.

CAPS AND WRAPS

The cap should be made of a material that will protect from drafts and cold air, but not of such heavy materials as will cause too much sweating. There are a number of outside wraps that can be purchased ready-made and which are comfortable, convenient, and warm. They should be long enough not only to cover the baby's feet well, but to pin up over the feet, thus giving good protection from winds and drafts.

During the summer months nainsook caps or other thin materials are to be preferred to the heavy crocheted caps that are sometimes worn by babies. No starch should be used in the caps or strings, and there should be no ruffles to scratch the delicate skin of the baby. In all these outer garments, as well as the under garments, the irritation of the skin must be constantly borne in mind, as eczema is often produced in this manner.

THE FIRST SHOES

The first shoe that is usually worn during the creeping days is a soft kid shoe without hard soles. It is important that this soft shoe be worn to protect the child's foot from chilling drafts while creeping about.

As the baby nears one year of age the hard-sole shoe is secured which must be wide, plenty long and comfortable in every respect, and without heels. Rubbers and overshoes may be worn on damp and cold days. Moccasins and slippers do not give sufficient support to the ankles, so, when the baby begins to walk, the shoes should be high and of sufficient support to the tender ankles.

PLAY SUITS

As the baby grows up into the child, the tiny clothes are laid aside and the boy is given substantial garments that in no way remind him of girls' clothing. A child's feelings should be respected in this manner, and while it often adds joy to the mother's heart to see her boy "a baby still," remember that he is not only chagrined but is nervously upset by these "sissy clothes."

A child three or four years of age should still wear the woolen binder supported from the shoulders, over which is the union suit, stockings, and the buttoned waist from which hang the hose supporters. The most comfortable and easily laundered garment we know of for the small lad is the "romper," which should be made of washable materials that may be readily boiled. For cool days a Buster Brown coat of the same material, with patent-leather belt, may be slipped on over this washable romper—which completes the boyish outfit.

We recall the pleasant days with our own little fellow when he was between the ages of two and one-half and five years. We were often compelled to be away from home—on the train, in the hotel—and when traveling we used a black, smooth silk material which was made up into rompers with low neck and short sleeves. There were three such rompers, and two Buster Brown coats with wide, black, patent-leather belts which completed the traveling outfit. During the warm days on the train the coat was folded carefully and laid aside. In the early morning and in the cool of the evening the coat was put on, and he always looked neat and clean. At night, before undressing him, the entire front of the romper was cleansed with a soapy washcloth, rinsed, and rubbed dry with a towel, and, after carefully spreading to avoid wrinkles, it was hung over the foot of the bed. The coats were sponged or pressed once or twice a week, and this simple outfit served its purpose so well that it was repeated three different summers.

The little girl as she leaves her babyhood days should be put into garments that do not necessitate the constant admonition, "Keep your dress down, dear." We like to see knickerbockers, the exact color of the dress, made for every outfit, in which the little girl may kick, lie down, jump, dance, climb—do anything she pleases—unmindful of the fact that her "dress is not down." The same undergarments are used for the little girl as were mentioned for the little boy.

WINTER GARMENTS

Always bear in mind the over-heating of the child with heavy garments indoors, and the danger of skin chilling and drafts on going out to play in this over-heated condition. Let the children dress comfortably cool in the house, and as they go out to play add rubber boots or leggings and rubbers, sweaters, caps with ear laps or the stockinet cap. Allow them the utmost freedom in clothes, and always encourage romping in the cool frosty air.

CLOTHING RULES

Do not overload the baby with clothing.
Dress according to the temperature of the day and not the season of the year.
Avoid starched garments.
Avoid tight bellybands or old-fashioned pinning blankets.
Change all clothes night and morning.
Use woolen shirts and bands.
See that hands and feet are always warm.
Protect the abdomen night and day with the band.
Use the sleeping bag on cold nights.
Baby should sleep in loose stockings at night.
Avoid chilling the child.
Use hot water bags if necessary.

Fresh air is just as important and necessary for the baby as for the adult. Neither baby, youth, nor adult can receive the full benefit of his food—in fact it can not be burned up without the oxygen—without an abundance of fresh air. During the early weeks of life, the air baby breathes must be warm; nevertheless, it must be warmed fresh air, for baby requires fresh air just as much as he needs pure food.

INDOOR AIRING

The delicate child often requires more fresh air than does the normal baby. Both appetite and sleep are improved by fresh air. The digestion is better, the cheeks become pink, and all the signs of health are seen in the child who is privileged to breathe fresh air.

During the early days, say after the third week, baby should be well wrapped up with blanket and hood, tucked snugly in his basinet or carriage, while the windows are opened wide and the little fellow is permitted to enjoy a good airing. Even in the winter months the windows may be raised in this way for a few minutes each day. These "airings" may be for ten minutes at first, and, as the child grows older, they may be gradually increased to four or five hours daily. The carriage or basket should stand near the window, but not in a direct draft.

OUTDOOR LIFE

In summer, a baby one week old may be taken out of doors for a few minutes each day; in the spring and fall, when baby is one month old, it may go out for an airing; while, during the winter months, the airing had better be taken indoors until he is about two months old, and even at that age he should go out only on pleasant days and should always be well protected from the wind.

A young baby may enjoy the fresh air in his carriage or crib on the porch, on the roof under suitable awnings, in the yard, under the trees, and even on the fire escape. In fact, at proper age and in season, he may spend most of his time out of doors in the fresh air, if he has proper protection from the sun, wind, and insects.

BEST HOURS FOR AIRING

During the balmy days of summer and early autumn, baby may spend most of the time outdoors between seven in the morning and sunset. During the cooler days of winter and the cool and windy days of spring, the best hours for the airing are to be found between eleven in the morning and three in the afternoon.

At six weeks, perhaps an hour a day in the fresh air is sufficient; while at six months, four to six hours a day are a necessity, and from then on—the more the better.

Now we realize that the mother of the farm household does not always have as much time to take the baby out for his airings as many of our city mothers; but we suggest to this busy mother that the baby be rolled out on the porch or in the yard, within her sight and hearing, and allowed to enjoy the fresh air while the mother continues her work.

It is virtually a crime to try to keep baby in the kitchen, hour after hour, while the busy mother is engaged at her tasks. A hammock, a crib on casters, or a carriage, is just the coziest place in the world for baby—out on the porch.

THE COUNTRY BABY

The average city baby really gets more fresh air than ninety per cent of the country babies. Our city apartments are usually steam heated, and our windows are open in the winter nearly as much as in the summer. The country home is often only partially heated by two or three stoves. The windows are closed in summer to keep out the dust, heat, and flies, in the winter to shut out the cold, and so the baby who lives in such a home has little chance to get fresh air.

The city mother is constantly talked to about the benefits of fresh air. The daily paper brings its health column to her, her pastor talks of it on Sunday, and—best of all—the older children come home from school and reiterate the doctrine of fresh air that is constantly being preached to them at school.

Screen the windows, rural mother, and oil the roads in front of your residence, and then keep your windows open. Remember that baby's health is of more value than the meadow lot or even a fortune later on in life. Plan for a new heating plant, if necessary, so that the home can be both warmed and ventilated during the winter.

WHEN NOT TO TAKE BABY OUT

If a sheltered corner of the porch is within the reach of the mother, we can hardly think of a time when the baby cannot be taken out. It may rain, the wind may blow, it may snow or even hail, but baby lies in his snug little bed with a hot water bottle or a warmed soapstone at his feet. As long as the finger tips are warm, we may know he is warm all over, and a long nap is thus enjoyed in the cool fresh air. When the sheltered corner of the porch is lacking, we wish to caution the mother concerning the following weather conditions:

1. When the weather is excessively hot, take him out only in the early morning and late in the afternoon.

2. In extremely cold, below zero, weather, let his airing be indoors.

3. Sharp and cold winds may do much mischief to baby's ears, as well as blow much mischief-making dust into his nose and eyes. In the case of dust or sand storms, baby remains in the house.

4. All little people enjoy the rain, and only when the raincoat, rubbers, and umbrella are missing should they be robbed of the "rainy-day fun". In the case of baby's outing on rainy days, ample roof protection is the only factor to be considered; if it is adequate, then take him out; if it is lacking, let the airing be done indoors.

WINTER OUTINGS

The very young baby is taken out for a fifteen-minute airing during the noon hour when he is two months old; before this time he receives his airing indoors. The interval is gradually lengthened until most of the time between eleven and three is spent out of doors. The reddened cheeks, the increased appetite, all tell the story of the invigorating benefits of cool, fresh air. Most babies dislike heavy veils, and they may be avoided by a fold of the blanket arranged as a protection shield from the wind.

The wind shield, procurable wherever baby carriages are sold, should be a part of the outdoor equipment, as it greatly helps in the protection of the baby.

The wind should never blow in his face; neither should he lie, unprotected, asleep or awake to gaze up into the sunshine or the sky—or even at a white lining of the hood of his carriage. The lining should be a shade of green, preferably dark green. And while it may be necessary during the summer to suspend a netting over the carriage to protect from flies, mosquitoes, etc., it should never lie on his face.

OPEN WINDOWS

Many of our readers recall with sadness of heart a little hunchback child or a life-long invalid confined to a bed or wheel chair because some careless but well-meaning caretaker or mother left an open window unguarded; and—in an unlooked for moment—baby crawled too near, leaned out too far, and fell to the ground. The little fellow was picked up crippled for life; and so while it is very essential to baby's health to have open windows, admitting fresh air, they should be amply guarded. Screens afford protection if well fastened, and in their absence a slat three inches wide and one inch thick may be securely fastened across the opening, thus preventing all such tragedies with their life-long regrets.

SLEEP

If any of our readers have seen a new-born baby immediately after he has been washed, dressed, and comfortably warmed, they have observed that he usually goes to sleep at once, and that he generally sleeps from four to six hours. Babies, especially new-born babies, need just four things: warmth, food, water, and sleep.

And while the babies sleep they are not to be disturbed by the fond mother's caresses and cuddling—feeling of the tiny hands, smoothing out the soft cheek, or stroking his silky hair—for all such mothers are truly sowing for future trouble. Let baby absolutely alone while sleeping, and let this rule be maintained even if some important guest must be disappointed. If such cannot wait till baby wakens, then he must be content with the mental picture drawn from the mother's vivid description of baby—his first smile, his first tooth, his first recognition of the light, etc. The wise mother cat never disturbs her sleeping kittens.

SLEEP REQUIREMENTS

Sleeping, eating, and growing occupy the whole time of young babies. Until they are two months old they need from eighteen to twenty hours sleep out of each twenty-four; and not less than sixteen hours up to the end of the first year.

At six months, baby should sleep right through the night from six in the evening until six in the morning, with a ten o'clock feed, which should be given quietly, in a darkened room, the babe being immediately returned to his bed.

At two or three years of age, twelve to fourteen hours of sleep is required; while at four to five years, eleven to twelve hours are needed; when they attain the age of thirteen years they should still have ten hours of unbroken sleep each night.

As a general rule, children should sleep alone; even in the case of two brothers or two sisters, separate beds are far better than a double bed for both hygienic and moral reasons.

Baby should have a separate bed. The temptation to nurse him on the least provocation, as well as the danger of overlying, are reasons enough for such an arrangement.

PUTTING BABY TO SLEEP

At five-thirty in the afternoon, baby should be undressed, rubbed or bathed, made perfectly comfortable, and fed; then, my mother reader, he should be laid down in his little bed and allowed to go to sleep, without any coaxing, singing, rocking, or even holding his hand. Babies will do this very thing and continue to do it if you never begin to rock, jolt, bounce, or sing to them; and, mind you, if you do sing to them or rock them, or even sit near without doing anything but "just hold their tiny hands," there will come a time when you greatly desire to do something else—you have many urgent duties awaiting you—and baby not being old enough to understand the circumstances, begins to wail out his feeling of neglect and abuse. It is nothing short of wicked thus to spoil a child.

We have seen so many beautiful babies go to sleep by themselves without any patting, dangling, or rocking, that we encourage and urge every mother to begin right, for if the little one never knows anything about rocking and pattings he will never miss them; and even if the baby is spoiled through extra attention which sickness often makes necessary, then at the first observance of the tendency on the part of the child to insist on the rocking, or the presence of a light in the sleeping-room, or the craving for a pacifier, we most strongly urge the mothers to stick to the heroic work of "letting him cry it out."

The notion that the household must move about on tiptoes is not only unnecessary but perfectly ridiculous. From the very hour of his birth, let the child become accustomed to the ordinary noises of the home, and if this plan is early started he will prove a blessing and a ray of sunshine to the family and not an autocrat to whom all must bow and bend the knee.

BEDTIME AND SLEEPING POSITION

Bedtime is regulated somewhat by the hour of rising in the morning. Usually, up to two years, baby is put to bed from five to six p. m. Regularity is urged in maintaining the bedtime hour.

The seven o'clock bedtime hour is later established and continued until the young child attains school age, when retiring at the curfew hour of eight o'clock gives our boy or girl from ten to eleven hours of sleep, which is essential to proper growth, calm nerves, and an unruffled temper.

The first few days finds our little fellow sleeping nine-tenths of his time. Let him lie on his right side, for this favors the complete closure of the fetal heart valve, the foramen ovale.

Whether baby lies on his stomach, his side, or with the hands over his head is of little or no consequence. His position should be changed first from one side to the other until he is old enough to turn himself.

WAKING UP AT NIGHT

Before baby is three months old, he should receive nourishment during the night at nine and twelve, and again at six in the morning. After four or five months a healthy child should not be fed between the hours of ten p. m. and six a. m. At this age, many children sleep right through from six p. m. to six a. m. without food.

After five months, if a healthy baby awakens between ten p. m. and six a. m. warm water may be given from a bottle; he soon forgets about this and the night's sleep becomes unbroken. There are many other reasons than the need of food that cause the wakefulness of the child; and since the baby should, after a few months, sleep undisturbed and peacefully, if he is wakeful and restless—crying out in a peevish whine—and then quiets down for a few moments only to cry out again, you may suspect one of a half-dozen different things. Let us, therefore, summarize the things which may disturb baby's sleep:

1. Lack of Fresh Air. Babies cannot sleep peacefully in a hot, stuffy room, or in a room filled with the fumes of an oil lamp turned low. A crying fretful baby often quiets down as if by magic, providing he is not hungry and the diaper is dry, when taken into a cool room with fresh air. After the first two months the temperature of the sleeping room should be fairly cool and fresh.

2. Clothes and Bedding. The night clothes may be irritating and causing perspiration, while the bedding may be wrapped too snugly about the child. If baby's neck is warm and moist, you may know that he is too warm. If the diaper is wet it should be changed at once. One of the worst habits a baby can possibly get into is to become so accustomed to a wet diaper that it does not annoy him. In cold weather he is changed under the bed clothing without exposure or chilling. It may be the bedding is cold and, if so, it should be warmed up by the use of the photophore previously described, or by means of the flannel-covered hot water bottle.

3. The Food. Too little, too much, or the wrong kind of food, will disturb baby's sleep. Indigestion is very easily produced in babies who are improperly fed. For instance, the mother's milk may be lacking in nourishment and baby may really be hungry; or, as in the case of a bottle-fed baby, it is usually due to over feeding. Many mothers we have known who sleep with their babies or who sleep very near them, nurse them every time they wake up or murmur, and this soon becomes one of the biggest causes of disturbed sleep.

4. Spoiling. A lighted nursery or bedroom, rocking to sleep, jolting the carriage over a door sill or up and down, the habit of picking baby up the moment he cries, late rompings—any and all of these may disturb sleep, as well as unsettle the tender nervous system of the child, thus laying the foundation for future nervousness, neurasthenia, and possibly hysteria. This is particularly true in the case of the children who have nervous parents.

5. Reflex Causes. Wakefulness is sometimes due to reflex nervous causes such as the need for circumcision, or the presence of adenoids, enlarged tonsils or worms. Does baby have to breathe through his mouth? Then you may suspect adenoids or other conditions which should be removed.

6. Chronic Disorders. The presence of scurvy or syphilis causes the child to cry out sharply as if in acute pain, while in older children tuberculosis of the spine or hip is attended by a sharp, painful crying out during sleep. Malnutrition or anemia are also conditions which greatly disturb sleep.

7. Soothing Syrups. Untold trouble, both physical and nervous, is bound to follow the giving of soothing syrups. These medicines soothe by knocking the nerves senseless and never by removing the cause. They contain morphin, opium, cocain, heroin, and other drugs which deaden pain, and are most dangerous to give baby.

DAILY NAPS

The morning nap from the sixth month on should be from two to three hours long, out on the porch, well protected; while the afternoon nap may be from one to one and a half hours long with an interval of two or three hours before bedtime. The child should be wakened at regular intervals for feedings during the day—every three hours until he is six months old, and then every four hours. These naps should be taken in a cool place—on the porch, on the roof, in the yard, under a tree, or on the protected fire escape.

If the nap is to be taken indoors, then lower the windows from the top and darken the room. All children should take daily naps until they are five or six years old.