I agree what others have written. I think the baby misses it's mom. Home
daycare is probably a better set up than center based day care. I made a
mistake with my older daughter when I went back to work. The day care was
constantly feeding her and she was going through large volumes of milk. I
couldn't keep up with pumping for her. Many daycares think crying baby must
be hungry. They don't hold them enough.
My particular daycare often "forgot" to check if I had frozen milk in their
freezer and just gave her E... My second child was only away from me 6 hrs.
a week until she was 15 months. The baby sitter we used then had to put up
with her refusing the bottle for 5 hours and then she gave in and did fine.
That mom didn't mind holding my baby. The day care didn't have time to give
daughter #1 the time she needed.
It's hard to find a good baby day care. I'd ask other breastfeeding mom's
where they used or see if home care is available. Another funny thing that
happened with my first daughter was the bad day care kept sending her with
diarrhea. I had to get a pediatrician note saying her stool was NORMAL for a
breast fed baby.
----- Original Message -----
From: "Jennifer tieman" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, November 18, 2005 11:54 PM
Subject: Daycare and the breastfed baby
>I have been asked for advice by a mom in my practice who has 3 small
> children. She works full-time and her children are all cared for in a
> local
> childcare center. She is breastfeeding her 3rd child, an infant boy who
> is
> now just under 3 mos old. This baby was born at term, weighing 9 lbs 5
> oz,
> and has been exclusively breastmmilk fed - at the breast at home, and
> receiving bottles in daycare. His growth has been excellent, in fact he
> is
> already 15 lbs. He has had some issues which suggest oversupply/OMER,
> especially early on when he struggled a little with fast flow, and he does
> spit up a fair amount. He is content and happy for mom though.
> The main issue surrounds the amount this baby is being fed at daycare.
> Initially, when I saw him for a 2 month old well baby check, his parents
> were concerned that daycare reported he was spitting up (they said
> vomiting)
> large volumes after every feed. On taking a history, it turned out that
> the
> daycare teacher was feeding this baby 8 full ounces about every 3 hours.
> As
> a result, he was drinking 24 ounces of pumped milk during an 8 hour day,
> and
> spitting up all the time. Daycare was really pushing the mom to add
> cereal
> to the milk to thicken it, and asked her to ask me for a prescription for
> Zantac to "stop his vomiting." The baby does spit quite a bit, but he is
> happy and content, growing well, and has no respiratory issues. I
> encouraged the parents to ask the daycare to feed smaller amounts, pace
> his
> feeds, and keep him upright after feeds. Mom called me in a week and
> reported that he was doing much better, spitting less, and not using
> nearly
> so much milk at daycare.
> Today she called again looking for advice. Daycare now reports that
> although they are offering 3 ounce bottles, he is crying and unhappy all
> day
> long, and the only way they say they can console him is to feed him. As a
> result, he is now being fed 3 ounces every HOUR! He's back up to taking
> 20-24 ounces in 8 hours. The mom wonders if he really needs this volume
> of
> milk. At home, she reports he is content and happy, nurses about every 3
> hours, with occasional appropriate cluster feeds, and is easily
> entertained.
> At daycare, they tell her he screams continuously unless he is being fed,
> or has just been fed. They are still wanting her to start cereal, now to
> "stretch out his feedings."
> Does this less than 3 month old baby really need 24 ounces in 8 hours?
> Especially when he is averaging 5 or more feeds when with mom also? I've
> suggested that she ask the daycare providers to try some soothing
> behaviors
> with this baby, including carrying him in a soft baby carrier or sling,
> giving him time to lie on a blanket and look around (which he enjoys at
> home, but can't frequently do at daycare due to several toddlers in the
> same
> room disturbing him) or even using a swing. He is already using a slow
> flow
> nipple, and he refuses all pacifiers. This mom is quite sad thinking
> about
> her baby being so unhappy without her, but not working is not an option
> right now. She of course wants him to have what he needs to eat, but we
> both have a hard time believing he needs that much, and she reports that
> even when he was consuming 24 oz a day, the daycare teachers thought even
> then that he needed more.
> Anyone have any ideas of how to deal with this situation?
>
> Jennifer Tieman
> Family Physician
> Mom to 4, including my nursling Caroline Rose, age 2 1/2
>
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