Susan writes:
I think that these completely abnormal feeding patterns as much as the
content of the formula which we already know is inadequate, increases the risk
of obesity. So, we are now ALSO seeing an increase in the risk of obesity
among infants who are being bottle fed their own mother's milk in patterns
that are similar to the old recommendations for formula followed by feeding
patterns and foods that contribute to obesity as well.
~~~
Susan brings up an interesting issue. I also wonder if we will see any
difference in obesity among children who, as infants, needed to super-size
feeds after being trained to ignore their nighttime needs by sleep training.
If the need among breastfeeding infants is quite stable between 4-6 weeks
and 6 months ( or even up to 9ish months by extrapolating from the
information from studies in Breastfeeding Management for the Clinician, which I
reference constantly regarding this issue,) then it would make sense that babies
who are no longer allowed to be nourished ( physiologically or
emotionally) for 10-12 hours in any 24 hour cycle, would have to either feed more at
every feeding, or feed up to twice as often. I have not heard of many babies
coping with this kind of strict scheduling by nursing twice as often, so
it stands to reason that a baby would have to make up the difference by
doubling at each feeding ( unless they are allowed to breastfeed more often and
also take in a little bit more and split the difference somehow.) I wonder
what ramifications on future eating patterns, understanding of hunger and
satiety, etc, that might have over time. This is a timely topic as I just
spent a chain of emails trying to repeatedly explain to a second-time mom (
whose first child became FTT after being sleep-trained at 3 months) that
her second child, now 6 months and waking up once between 7 PM and 4AM, is
actually a normal baby for waking up at night, and that her "goal to nurse 5
times a day" does not usually match normal needs of a child this age...
Peace, and a Happy Thanksgiving to all celebrating that,
Judy
Judy LeVan Fram, PT, IBCLC, LLLL
Brooklyn, NY, USA
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