Remarks on the Subject of Lactation — A Closer Reading

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In Category - Nursing Hygiene
Morton, Edward Project Gutenberg 2007 Not confirmed
Lactation; Breastfeeding Readers of public-domain and historical texts
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Edition facts

Words 13,150
Reading time 58 min
Text sections 2

Remarks on the Subject of Lactation — A Closer Reading can be approached with a clearer sense of reading commitment from its source measurements: 13,150 words, 58 min estimated reading time, and 2 detected text sections.

The text analysis averages about 30.0 words per sentence, while the detected sections provide another way to judge how the source is divided.

Project Gutenberg metadata also associates the work with “Lactation,” connecting these edition facts with the source record’s subject description.

Edward Morton's 1831 medical treatise argues that prolonged breastfeeding causes hydrocephalus in children, based on clinical cases and physiological reasoning. The work combines case histories, deductive argument, and citations to contemporary physicians, revealing early 19th-century medical methodology.
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Editorial Edition Score 4.5/5

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Read the Text

CHAPTER I. Page Of the Breast-Milk, &c. &c. 1

On Lactation, and the Disorders frequently produced in Women by that process 14

On the various Diseases which arise in Children from Lactation, especially when protracted 24

Page 10, line 3, _for_ two _read_ a few.

" 52, " 19, dele comma between the words Tabes and Mesenterica.

Transcriber's Note: The above corrections have been applied to this text, in addition _headach_ has been corrected to _headache_ on page 18, line 11.

_Of the Breast-Milk, &c. &c._

No sooner has the child been ushered into the world than the breasts of the mother pour forth their milk for its sustenance. This bland fluid is secreted from the blood, and varies, in quality and quantity, according to the time which has elapsed from delivery, being peculiarly and wonderfully adapted at every period to the wants of the individual for whose use it is destined. Thus, that first secreted, called _colostrum_, possesses a purgative quality evidently intended by the all-wise Author of our being for the purpose of removing _the meconium_[A],--a process which experience has sufficiently proved to be necessary for the welfare of the newly-born infant. Afterwards, ceasing to possess this aperient property, it is calculated solely for affording nutrition; and finally, at a certain period from delivery, it gradually becomes impoverished, loses its former healthy qualities altogether, and acquires others which are injurious to life. This important change, as above noticed, generally happens at a certain period after delivery; varying, however, somewhat in particular women, and in the same female on different occasions: but, from disease, or other circumstances, the milk may become deteriorated before the time to which reference has just been made. If, for instance, the mother labour under any serious disorder, it is universally admitted that her milk may also become unhealthy; and this may take place even a short interval after delivery.

Although we cannot explain how the brain and nerves act, and probably never shall be able to do so, yet we are well aware that their influence is absolutely requisite for the healthy performance of every function in the human body.

That mental inquietude will impede digestion is a fact familiar to almost every one; but, I believe, it is not so generally known, that it will with no less certainty retard and alter the nature of the secretion furnished by the breasts of the lactescent female. Violent affections of the mind will cause the milk to become thin and yellowish, and to acquire noxious properties: even the fond mother's anxiety, while hanging over the couch of her sick infant, will be sufficient to render it unfit for the sustenance of the object of her solicitude.

The state also of the stomach and bowels and the diet of the nurse materially and constantly influence the nature of the lacteal secretion.

The milk, besides, is liable to deterioration from another cause, namely, the recurrence of the usual periodical appearance--for should this take place in a nurse, it is agreed that her milk is liable to produce disorders in the child who imbibes it; which could not happen, if the former possessed its ordinary component parts, and retained its natural properties.

The recurrence, moreover, of pregnancy in the lactescent female may render the milk of a bad quality, and will invariably lessen its quantity. Mr. Burns asserts that in these cases the milk 'does not become hurtful,' but in this opinion I must beg leave to differ from him; since I have repeatedly seen it, from this cause, palpably altered in appearance, and have observed diarrhœa and great debility produced in the children who were suckled with it.

Edward Morton opens his 1831 treatise with a bold claim: protracted lactation can produce inflammation of the brain in children. The preface recounts how several cases first led him to suspect this connection, and how later hospital experience at the Western Dispensary and Royal Metropolitan Infirmary for Children confirmed it. Morton frames his work as an extension of a brief 1827 paper, now expanded with arguments and illustrative cases. The dedication to Sir Henry Halford, President of the Royal College of Physicians, signals the author's desire for professional legitimacy. Morton's language is measured but insistent: he states he has 'no doubt whatever' that the disease arises secondarily from deranged abdominal viscera caused by depraved milk.

A Physician's Rhetorical Strategy

Morton builds his case through a chain of reasoning he calls 'generally admitted data.' He first asserts that prolonged lactation deteriorates milk quality, then cites Mr. Burns on how irritation of the chylopoietic viscera can cause hydrocephalus. The syllogism is explicit: bad food deranges digestion; deranged digestion irritates the brain; therefore protracted lactation causes meningitis. To preempt skepticism, Morton invokes Harvey's discovery of circulation—'until Harvey pointed out the circulation of the blood, no one ever suspected the existence of such a phenomenon'—implying that his own overlooked finding may be equally revolutionary. He also quotes Dendy's work on cutaneous diseases as independent corroboration, weaving external testimony into his own argument.

Case Narratives as Evidence

The excerpts include two case titles: 'Case of Meningitis produced in consequence of the Child being suckled from its birth by a Woman who had at that time been delivered one Year' and 'Ellen Willoughby, aged nine months, admitted for Meningitis; at present suckled by a woman who has been delivered one year and nine months.' These terse entries reveal Morton's method: each case links a specific duration of lactation to a specific diagnosis. The repetition of 'suckled one year' and 'one year and nine months' underscores his focus on temporal thresholds. The cases are not narrated in full in the excerpts, but their structure—patient identifier, age, diagnosis, feeding history—suggests a clinical, almost tabular approach to evidence.

The Vocabulary of Deterioration

Morton's diction repeatedly emphasizes decline and corruption. Milk becomes 'deteriorated,' 'depraved,' of 'bad quality or improper description.' The abdominal viscera are 'deranged,' the brain suffers 'sympathetic irritation.' This lexical field of decay supports his causal argument: prolonged nursing transforms a natural substance into a pathogenic one. The phrase 'grows by what it feeds on,' quoted from Dendy, encapsulates the paradox of nourishment turning harmful. Morton also uses the technical term 'chylopoietic viscera' (digestive organs) and 'effusion of serum' to describe hydrocephalus, grounding his argument in the pathological anatomy of his era.

Audience and Professional Context

The treatise is addressed to both 'the Profession and the Public,' but its rhetorical appeals target medical readers. Morton cites the Medico-Chirurgical Review and Gazette of Health as having noticed his earlier paper, and he thanks colleagues who spoke 'in flattering terms.' The dedication to Sir Henry Halford—a prominent figure—is a bid for institutional endorsement. Morton anticipates objections from 'medical men of more advanced age and far greater experience,' and his Harvey analogy is clearly aimed at peers who might dismiss his novelty. The work thus functions as a professional intervention, not merely a clinical report.

Readers approaching Morton's text should attend to how he weaves case histories, physiological reasoning, and professional appeals into a single argument. The excerpts offer only fragments of the full case series, but the pattern is clear: each observation is marshaled to support a single, controversial thesis. Morton's voice is that of a younger physician seeking to establish a finding against established custom. His treatise rewards attention to its rhetorical structure as much as its medical claims.

Holding my daughter, I recalled Morton’s grave certainty about nursing, the way he turned maternal care into worry. It reminded me of another quiet evening, when I first read Vitality Supreme — Reading Notes, and felt that same strange tenderness—how old books still breathe, softly, onto my own ordinary moments.

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