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Sun, 8 May 2005 21:59:22 -0400 |
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The WHO recommendations are just that, and apply to healthy, full term
infants. Not this mom's concern.
I am unconvinced that starting solids, especially if there is concern
about babies digestion at present, will solve the problem. In part
because the typical early solids, in western culture anyway, tend to be
very low KCal, and nutrient poor. Even healthy infants will stop
gaining, or lose weight, after solids are introduced. So solids may be
a better choice in some places than others. :)
Other ideas that might be more beneficial include the very frequent
nursing that this baby needs. Keeping them very easy, with rest
periods, and lots of breast compression when the baby is ready for the
extra flow.
I would also consider using an SNS, and fat fortified EBM. THe mom
would need to really work to do this. Pumping twice, skimming the first
milk and adding the fat to the second milk, which is then used during
feedings to increase intake. Probably need to start with the slow flow
setting. The skimmed milk could be frozen for later use with cereals
etc. as baby gets older.
If all of the pumping and supplementing seem to be too much for this
mom, an appropriate formula could be used instead, the key is a few
extra Calories per feed.
Victoria Fisher
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