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Subject:
From:
Maureen Lopina <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 4 Oct 2014 00:24:46 -0400
Content-Type:
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Just had to share the experience of my third baby.....he absolutely wanted
nothing to do with solid foods until he was 12.5 months old.  I was an
experienced nursing mother and very confident since he was a robustly
healthy, exclusively breastfed baby.  I never once mentioned it to a
doctor......I'm sure they would have been horrified.  "Baby" is now a 20
yr. old college student, 6 ft. tall, muscular athlete, who eats a wide
variety of healthy foods and enjoys cooking for himself.

Maureen Lopina, IBCLC and longtime LLL Leader
practicing in Northern Virginia/Washington, D.C.
On Sat, Oct 4, 2014 at 12:00 AM, LACTNET automatic digest system <
[log in to unmask]> wrote:

> There are 3 messages totaling 167 lines in this issue.
>
> Topics of the day:
>
>   1. starting solids
>   2. Fighting at the breast
>   3. Early Solids
>
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> ----------------------------------------------------------------------
>
> Date:    Fri, 3 Oct 2014 11:46:03 +0000
> From:    Cindy Garrison BS IBCLC RLC <[log in to unmask]>
> Subject: Re: starting solids
>
> Just sharing from my own experience. My oldest son came at a time solids
> were given very early and started cereal at less than one month of age. I
> had the original bluee WAB passed along from my dear sister-in-law but knew
> no one else who was breastfeeding, so when the doctor said start, I
> started. Kept shoveling it in thinking this was going well - and then
> he sneezed and all the cereal that had been held in his cheeks came
> spraying out. But we persisted and spent many feedings shaving it off his
> chin and spooning it back in.
>
> I found an LLL Group right before son #2 was born and loved the idea of
> starting when the baby showed signs of needing more, around the middle of
> the first year. I was eager to go six months with just breastfeeding. #2
> had different ideas and was reaching out for food, waking extra at night,
> and showing other cues described by LLL so we started him at 4 months. (We
> have a great picture of him at 4 months gnawing on a turkey bone at
> Thanksgiving). Baby #3 took a similar path. He wanted the social aspect of
> eating at the table and as I would nurse, his free hand would creep up to
> the plate.
>
> From my experience of starting solids and the experience of other mothers
> and Leaders I've met along the way, I grew to more fully appreciate the LLL
> approach of "middle of the first year" because it encompasses ages from 3
> or 4 months to 8-9 months. Any of those ages can be "right" depending on
> which baby you have.
>
>
>
> Cindy Garrison, BS IBCLC and longtime LLL Leader
>
> Practicing in Pittsburgh, PA
>
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> ------------------------------
>
> Date:    Fri, 3 Oct 2014 08:25:35 -0400
> From:    Wendy Jordan <[log in to unmask]>
> Subject: Fighting at the breast
>
> Fighting at the breastPTP: I have been working with a mom who experienced
> a non-medicated spontaneous vaginal birth, infant was stuck for a while
> (unspecified) but no other complications. They had trouble with feeding
> while in the hospital and was pumping and bottle feeding when I saw them at
> day 5. She was discharged with a feeding plan which included pumping prior
> to feeding (for flat nipples), feed with a nipple shield, and provide a
> bottle if feeding is unsuccessful. During my visit we were able to latch
> the baby without the shield. Mom needed a lot of coaching on positioning,
> hand placement, and latch technique but just seemed to need practice to
> ease the awkwardness. The baby is one of those quick tempered, o to 60
> types and mom has struggled to find the best time to feed him so that he
> will come to the breast in a calm manner. He immediately starts to fight
> when put to the breast, any time of day and in any position. During my
> follow up visit, I helped mom get him positioned and latched more quickly
> and in a modified (half sitting) football hold. Any thoughts or suggestions
> for things to investigate. Oral assessment was normal and he looks
> symmetrical, wondering if CST would help??Appreciate any help or
> suggestions from all of your great minds.
> (I think that I sent this incorrectly the first time and apologize if this
> is a repetitive)
> Wendy Jordan, BS, IBCLCPrivate Practice Lactation Consultant
> http://www.seacoastlactation.com/
>              ***********************************************
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> ------------------------------
>
> Date:    Fri, 3 Oct 2014 08:53:56 -0400
> From:    Susan Burger <[log in to unmask]>
> Subject: Re: Early Solids
>
> Dear all:
>
> There is a wide body of research on how introducing solids too much too
> early can DECREASE weight gain.  The vast majority of solids that are
> typically offered to infants as starter foods are simply are not
> calorically dense enough to compensate for lack of enough human milk.  Some
> of the strategies to increase caloric content are ultimately not healthy -
> such as offering lots of sugary or fatty foods which have a different
> composition of fat than human milk.
>
> There is also the issue of how much solids can a four month old gut
> tolerate when it was meant to handle a predominately liquid diet?  What
> happens to a baby whose mother's milk supply is less than 50%?  What
> happens to the digestive tract of a baby who suddenly has to deal with
> drinking a lot more water to compensate for the lack of liquid in the diet?
>
> There is also the question of readiness to feed.  An infant who is not
> ready to consume solid foods who is pushed to eat it may be vulnerable to
> disregulation of their hunger and satiety cues.
>
> Babies were meant to be on a milk only diet to AROUND six months of age.
> We are the only mammals whose infants start consuming solids before we have
> a full set of teeth - but around six months our infants typically start
> getting some teeth.  Medical anthropologist believe we may have been
> chewing up bits of meat and putting it into our infants mouths for infants
> to meet the iron and zinc needs that usually outstrip consumption from
> human milk around six months.  Typically at that age the caloric needs of
> an infant are really still met by human milk, not solids.
>
> Those of us in the generation whose parents were told to give us solids at
> ridiculously early ages do not seem to be fairing well in terms of
> inflammatory disease at older ages.  I think the jury is clear cut on use
> of solids before "around" six months in areas with poor sanitation, clear
> cut on use of solids before four months in areas of good sanitation.  I
> haven't read anything peer reviewed article yet that has convinced me of a
> compelling reason that introduction of solids before "around" six months in
> areas of good sanitation is beneficial.  Furthermore, I think there is an
> increasingly plausible amount of emerging research on gut flora that we do
> not yet understand fully how solids before six months will affect future
> health.
>
> I think the debate over "solids versus formula" before six months is sheer
> speculation regardless of which side you "believe" in.
>
> While I really appreciate Jack Newman's advocacy for breastfeeding and his
> generally good advice, he and I have agreed to disagree on test weighing.
> I think on the topic of pushing solids before four months with no good
> evidence one way or another is another one where I will respectfully
> disagree with him as well because he is providing a "blanket"
> recommendation.  My discussions with mothers in such situations are
> entirely on a case by case basis where a lot more than the infant's age is
> taken into consideration.
>
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> ------------------------------
>
> End of LACTNET Digest - 2 Oct 2014 to 3 Oct 2014 (#2014-469)
> ************************************************************
>

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