In a message dated 9/8/2007 10:33:20 A.M. Eastern Daylight Time,  
[log in to unmask] writes:

To-day the  baby's took 200 mls at 0730 feed, 120 mls  at 1130, is now 5 
hours since  the last feed and still not interested in feeding. 


~~
Hmm, I agree this baby is a poor feeder, but not for the reasons most would  
say. Most bottlefed babies are fed poorly, I notice, and therefore become  
poor feeders themselves.  I think this baby feeds much too much at one  time, by 
my calculations over 6 ounces/feed.If that bottle goes down in less  than 15 
minutes, and there is often gulping and gasping, even more so.  I describe this 
as "Stuffed and Fast" cycling, or "eating as if every meal  was Thanksg
iving", which in the US often means stuffing oneself til one can't  eat anymore then 
falling asleep to digest, except that babies don't do it while  American 
football games are on.  I tell parents whose baby's feed this way  that their 
babies don't eat frequently because they have to power down, and get  lethargic to 
direct their energies to digesting such an abnormally large amount  of food. 
Most of today's nutritionists are advising grown-ups to eat three- five  
smaller meals with some healthy snacks to maintain healthy energy and blood  sugar 
levels. And these are beings who are not trying to gain weight and develop  
monumentally. If the parents are interested and the baby isn't too conditioned  
to eating like this they can often switch to slower flow bottles and pacing to 
 help the baby actually enjoy spending time eating. Babies with reflux might 
do a  lot better this way, especially since they can take what they want and 
stop when  they start experiencing pain. I have seen some babies with reflux 
know exactly  how much their bellies can take, if we watch and let them show us. 
 
Peace,
Judy  

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA




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