Hello,

Dr. Tieman asks about what to do for a 3 mo child who is ingesting 20-24 
ounces of EBM at a daycare.. and then is completely unhappy.  

I find this unsettling for a number of reasons. First they over feed this 
infant 8 ounces every 3 hours then they overfeed smaller amounts every 
hour---then complain when he cries because he has a stomach ache, then they have too 
many other children around to pay him the attention he needs???  Then they want 
to drug him and/or expose him to cereal to fix the problem they have created???
Short term I would tell them to offer him 4 ounces every 3 hours offering one 
ounce more if he cues to feed within the hour.  Then I would ask about how 
much time the spend holding/rocking etc with him???   

 My long term solution would be to take my child out of this daycare.  They 
are probably propping the bottle as well.  

Chris

Christine Betzold NP IBCLC MSN

www.theBFclinic.com

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