Another law of growth which may serve as a prognostic document in the child's physiological history is the following:
2. "Children nourished at their mother's breast double their weight at the fifth month and triple it at the twelfth." In other words, before the middle of its first year a healthy child, normally nourished, will have doubled its weight.
On the contrary, "Artificial feeding retards this doubling of weight in children, which is attained only by the end of the first year; so that the weight is not tripled until some time in the course of the second year."
And this gives us pretty safe principles on which to judge of the personality in the course of formation, at an epoch when stature does not yet exist.
Undoubtedly a great moral and social progress would be accomplished through a wide dissemination of very simple and economical carnets maternels; which should contain not only tables designed to facilitate the keeping of the required records, but also a statement of the laws of infant hygiene; or at least, simple and clear explanations of the significance of such phenomena, in relation to the life and health of the child; and also as to the causes which produce weakness in new-born children; or in other words, advice regarding the fundamental laws of the hygiene of generation. All that would be needed, in such case, would be a progressive exposition by means of the carnets, through lessons made as simple and as objective as possible, such as the weighing of small babies, to make the much desired "education of the mothers" both possible and practical.
But without this practical means; without this new sort of syllabarium on hand, to serve as a constant and luminous guide for married women, I do not believe that we shall have much success with the scattered lectures, obscure and soon forgotten, that at present are being multiplied in an attempt to reach the mothers of the lower classes.
In conclusion, I note this last contribution that comes to us from the pediatrists:
3. "There are certain maladies that cause a daily and very notable loss in weight"; they are the intestinal maladies; there may be an average loss of from 180 to 200 grams a day; but even in cases of simple loss of appetite (dyspepsia) the weight may decrease by about 35 grams a day. But when a child suffering from acute febrile intestinal trouble (cholera infantum), loses a tenth of his weight in twenty-four hours, the illness is mortal.
Now from the point of view of the educator this fact ought to be of serious interest, because we very frequently find among the recorded details of sickly children, or those suffering from arrested or retarded development, a mention of some intestinal malady incurred in early infancy.
Still one further observation: Meunier has noted a fact of extreme importance: that while children are passing through the period of incubation of an infectious disease, and before they show any symptoms likely to cause a suspicion of the latent illness, they sustain a daily loss in weight, from the fourth or fifth day after exposure to contagion until the appearance of decisive symptoms. In children between one and four years old, the daily loss is about fifty grams, and the total about 300; but such a loss may rise as high as 700 gr. The most numerous observations were taken in cases of measles.