The increase in weight of the new-born child during the first days of its life, may constitute a valuable prognostic of the child's life. That is to say, through its successive gains it reveals the vitality, the state of health of this new human being.
Here also the pediatrists can furnish us with valuable experimental data, which serve to formulate the "laws of growth." These are:
1. From the moment of a child's birth, throughout the first two days, it suffers a loss in weight of about 200 grams, due to various causes, such as the emission of substances accumulated in the intestines during the intrauterine life (meconium), and the difficulties of adaptation to a new environment and to nutrition. But by the end of the first week a normal child should have regained its original weight; so that after the seventh day the normal child weighs the same as at the moment of birth.
On the contrary, children born prematurely, or those having at the time of birth a weight below the average, or those that are affected with latent syphilis, or are weak from any other cause whatever, regain their original weight only by the end of the second week.
Accordingly, in one or two weeks the family may form a prognosis regarding future life of the new-born child: a matter of fundamental and evident importance.
Furthermore, an antecedent detail of this sort may be valuable in the progressive history of subjects who, having attained the age for attendance at school, come to be passed upon by the teachers.
To this end, in the more progressive countries, the carnet maternel, or mother's note-book, has begun to come into fashion, for the use of mothers belonging to the upper social classes (as, for instance, in England): it consists of a book of suitable design, in the form of an album, and more or less de luxe in quality, in which the most minute notes are to be registered regarding the lives of the children from the moment of their birth onward. Various authors, especially in France, now give models for the maternal registration of the child's physiological progress; true biographic volumes that would form a precious supplement to the biographic charts of the schools: and the efforts of the family would round out and complete those of the school for the protection of the lives of the new generations. Such assistance, however, is only an ideal, because nothing short of a great and far distant social progress could place all mothers (the working women, and the illiterate of Italy) in a position to compile their carnet maternel. Auvard advocates, for registering the weight of the child during the first days of its life, a table in which the successive days from the first to the forty-fifth are marked along a horizontal line, while a vertical column gives a series of weights, with 25-gram intervals, covering a range of 700 grams, the multiples of a hundred being left blank, to be determined by the actual weight of the child and filled in by the mother or whoever takes her place.
Fig. 36.
In such a table, the graphic sign indicating the changes in weight ought to fall rapidly and rise again to the point of departure by the seventh day, if the child is robust.