king at a breast which has not yet begun to
secrete readily. The suction that is devoted to the bottle is removed
from the breast, and the natural delay in the coming in of the milk is
increased indefinitely. At the worst, the supply of milk fails almost
at its first appearance. We must devote our attention to quieting the
nervous unrest by removing all unnecessary sensory stimulation from
the baby. He must be in a warm cot, in a warm, well-aired, darkened,
and silent room, and the necessary handling must be reduced to a
minimum. Sometimes sound sleep will come for the first time if he is
placed gently in his mother's bed, close to her warm body. If he is
apt to bungle at the breast from eagerness and restlessness, it is not
wise always to choose the moment when he has roused himself into a
passion of crying to attempt the difficult task. So far as is possible
he should be carried to the breast when he is drowsy and sleepy, not
when he is crying furiously, and then the reflex sucking act may
proceed undisturbed.

In the second place, we must guard against the ill effect which the
ceaseless crying of these nervous babies has upon the mother. She may
be so exhausted by the labour that her nerves are all on edge, and she
grows apprehensive and frightened over all manner of little things.
The tired mother is apt to fear that she will have no milk, and her
agitation grows with each failure on the part of the child. Now the
first secretion of milk is very closely dependent upon the nervous
system of the mother. We have said that within wide limits her
physical condition is of less importance, but her peace of mind is
essential. And so it is wise for some part of the day to keep the
nervous baby out of hearing of the mother, and so far as possible to
choose moments when the child is quiet to put him to the breast. A
nurse with a confident, hopeful manner will effect most; a fussy,
over-anxious, or despondent attitude will do untold harm. We shall
sometimes fail if the nervous unrest is very obstinate either in
mother or in child, but we shall fail less often if we diagnose the
cause correctly in the cases we are considering. Lastly, it is
possible to control the condition in both mother and child by the
careful use of bromide or chloral.

It is not, of course, suggested that these drugs should be given
freely or as a routine to every hungry baby wailing for the breast, or
that we can hope to combat or ward off an inherited n