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Old 05-01-2013, 12:04 AM   #1
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Ped told me to decrease nursing and increase solids

My lo is 15 months. When he was first born, he was at 95th percentile for height and 80th percentile for weight. He has been gradually dropping and the last two visits (12 month and 15 month), he was at 75th percentile for height and 50th percentile for weight. Ped had a 3rd year medical student with him. The nurse asked if I minded allowing her in the visit. I try to be flexible so I said sure. She saw me first and seemed surprised that I'm still nursing. She even asked if I minded telling her why I still nurse (as if that's something bizarre). I explained that the WHO encouraged nursing past 1 year of age and that I was going to nurse my lo until 2 yrs if he still wanted to nurse up until that point. If ds wants to wean earlier than that, I'm fine with it. She mentioned that she thought that he might be getting too much breast milk rather than solids and that might be why he hasn't been gaining much weight. She told me that it was possible to not gain weight from drinking too much whole milk too (so that this wasn't something against breastmilk). I told her that I don't think he's getting too much milk from me as oversupply has never been an issue. I've struggled with undersupply. I explained that I try to feed him as much solids as he wants because I know he needs more nutrition as he gets older and that I know that my body is not capable of meeting that demand. She suggested that I feed solids first and then nurse. I could do that but I also worry about my supply drying up if I do that.

My lo's table food diet isn't all that balanced either. In the beginning, he couldn't tolerate dairy so I had to have a dairy free diet. I've gradually started eating dairy again which he seems to be doing o.k. with now. I've also just started introducing him to dairy foods. I tried whole yogurt today. He thought it was disgusting. I tried to disquise it w/ fruit. No go. I tried cheese today but he actually preferred my lowfat mozarella rather than his organic colby. Still, he only ate two bites. Also, he doesn't like avocadoes. I finally gave up and just gave him as much peanut butter as he would eat. Not exactly nutrionally balanced. He does like fruit and vegetables but he isn't interested in meat or dairy.

Anyway, the student steps out of the room. She communicates what we've talked about to the ped. Ped comes in and tells me that he wants me to nurse lo only three times a day. That will kill my supply for sure. I'm still nursing my lo on demand. But how to I get him to gain more weight w/out killing our nursing relationship? I'm open to suggestions, mamas!

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Old 05-01-2013, 12:19 AM   #2
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Re: Ped told me to decrease nursing and increase solids

Your baby is normal. Unfortunately many doctors don't know much if anything about breastfeeding. My middle child was born at 10lbs 8oz and 22 1/2" long. I don't know the percentile but I do think his weight was off the charts. He reached 20lbs by the time he was only 7 months old. Not overly huge but still high on the charts. He gradually began to decrease on the chart. By the time he was around 2-2 1/2 he was in the 25% for both weight and height. Now at nearly 10 years of age he is barely 65lbs but still really healthy and very active. At the age your son is he was only eating maybe 1-2 TABLESPOONS of solids a day. I too was told to cut back on nursing. Actually I was told to quit cold turkey to encourage increased solid intake. I ignored this advice. I was worried about him still refusing solids and then having no milk for him either.
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Old 05-01-2013, 12:26 AM   #3
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Re: Ped told me to decrease nursing and increase solids

Reread your post. I wanted to say my kids were uninterested in meat until close to 5 years of age. I often said they would have been happy vegetarians. As for dairy my daughter would have nothing to do with it until after she weaned at almost 4 years of age.

The weight discrepancy. At times my son would swing up to 50% for height and still be only 25% for weight. Sometimes it reversed depending on where he was in growth.
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Old 05-01-2013, 08:17 AM   #4
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Re: Ped told me to decrease nursing and increase solids

Our pedi said the same thing. I ignored her My son rather nurse than eat. He is growing, so who cares. I would just offer more food if you are really concerned. If not, then keep nursing on demand.
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Old 05-01-2013, 08:31 AM   #5
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Re: Ped told me to decrease nursing and increase solids

Breastmilk is VERY nutritionally dense. If you were to wean, your doctor would want your baby to take in 16-24 ounces of whole milk daily. Chances are, that is what your baby is taking from your body. Not everyone can store 8 ounces of breastmilk, so frequent nursing makes up for it.

Cutting your baby off may or may not increase solids intake. It could actually make his weight gain go down! It is normal that they don't eat tons of "food". It is also normal that his weight is slowing down. Plot him against the WHO growth chart and see if that makes a difference (It generally does.)
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Old 05-01-2013, 08:35 AM   #6
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Re: Ped told me to decrease nursing and increase solids

I won't say the ped is right or wrong. What I will say is that this is EXACTLY what peds often tell moms of babies who are getting milk from a bottle as well. The idea being that the kids aren't interested in making the transition from milk to table food because they are filling up on the milk because it's familiar and comfortable. So, I don't know that it's really about docs being educated about breastfeeding, so much as it's docs wanting to get kids comfortable with table foods ASAP. Again, not saying what is right or wrong, I personally think this is more of a do what works for the kid thing, rather than a right way or wrong way thing. I don't think there's some magical switch right at one year that says you HAVE to go all table foods and regular meals immediately. I think it's more of a gradual thing and that what you have going on is all part of the process.
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Old 05-01-2013, 08:38 AM   #7
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Re: Ped told me to decrease nursing and increase solids

I start feeding food around 6ish months, and we feed bits of whatever we are eating, when we are eating, no special meals or baby foods or anything. I agree with feeding foods before breastfeeding, it may cut back your supply a little but really your body will just adjust. I bf my second for over 2 1/2 years, and she is and always has been a good healthy eater, so it really had no effect on the BFing aspect. We don't supplement with cow milk here.
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Old 05-01-2013, 09:23 AM   #8
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Re: Ped told me to decrease nursing and increase solids

Quote:
Originally Posted by happysmileylady View Post
I won't say the ped is right or wrong. What I will say is that this is EXACTLY what peds often tell moms of babies who are getting milk from a bottle as well. The idea being that the kids aren't interested in making the transition from milk to table food because they are filling up on the milk because it's familiar and comfortable. So, I don't know that it's really about docs being educated about breastfeeding, so much as it's docs wanting to get kids comfortable with table foods ASAP. Again, not saying what is right or wrong, I personally think this is more of a do what works for the kid thing, rather than a right way or wrong way thing. I don't think there's some magical switch right at one year that says you HAVE to go all table foods and regular meals immediately. I think it's more of a gradual thing and that what you have going on is all part of the process.
This. I currently ebf my son, but my 4yo DD was FF as a baby and once we switched her to whole milk after a year her growth started to really slow down. In fact she fell off the growth chart! She was a peanut to begin with, born at 6lb 1 oz and 18 in long. I was told she was getting too much milk and not enough solids and was sent to a nutritionist and put on a special diet to help her gain weight (she weighed 17lb at 18 mths of age). It didn't help, of course, she is growing at her own rate regardless of how much or how little she eats. But I'm telling you this because I don't think this was a direct attack on you still bf'ing your lo. Toddlers are supposed to get a certain amount of DAIRY per day, not just milk- so this includes yogurt, cheese, and other dairy products. I don't see why you should only bf 3 times a day though, cuz I gave my daughter WM at each meal and at snack times. You do what you feel is best for your lo!
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Old 05-01-2013, 09:32 AM   #9
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I have not read the replies since I don't have much time, but I wanted to chime in. With ds1 (he was ff) I got so frustrated with doctors and wic. He was consistently in the 90+ percentile He had a VERY SPECIFIC pattern of growing out and then up. We always seemed to hit the appointments during an "out" growth spurt. They told me he was eating too much. They made me see nutritionists. "Make sure he's not eating because he's bored!" (I fed him healthy homemade meals and the nutritionist told me he eats better than 90% of the kids she meets with!) anyways, at 4years even I started to worry because he was looking pudgy. He was 60 lbs!! Well here he is a year later, several inches taller and still around the same weight. Healthy as can be.

So I say, watch him for a few months. See if a growth spurt hits. More than Likely it will. If the pattern continues maybe consider reevaluating. But always trust your mama gut. I personally think your dr is full of it.

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Old 05-01-2013, 09:41 AM   #10
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Never mind.

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