It's very easy to blame breastfeeding for clinicians who don't see a lot of
it, especially in toddlers. After all, in life it is common to be
suspicious of what one doesn't understand - very human.

Blaming breastfeeding and demanding weaning delays doing investigations to
find another cause, which might be something unusual. Has this child
become a-tonic, is there declining muscle strength? It's rare, but has
anyone thought of SMA Type I (Spinal Muscular Atrophy), which usually has
an earlier onset? Has the child had a work-up for low-grade infection, or
for metabolic conditions? Or for other conditions? A thorough blood work-up
makes sense to try to identify cause/s and thereby know what to treat.

Virginia
in Ipswich, Queensland


Date:    Thu, 24 Sep 2015 21:44:06 -0400
From:    mary westra <>
Subject:

Hi all,
Can anyone help me figure out how to help a mother who has been told by her
pediatrician and a pediatric dietician to wean night breastfeeding her 17
month old daughter?  The child did not gain any weight in a month and has
been slowly dropping in her weight percentile from 50% when she was 9
months old to 5% now.  Her height has remained in 50%.  Sorry, i didn’t ask
her about the head circumference.  The doctor feels that the night nursing
is interfering with the child consuming calories from solid foods during
the day.  Ped wants child to consume protein rich foods during day time.
Mother reports that she eats 3 small meals a day plus a few snacks.  Mother
cosleeps with child and feels it would be impossible to wean night feedings
(duh).  Child does not breastfeed often during day.  Can anyone explain
what might be this doctor and dietitian’s rationale? Are their any
pediatric dietitians on the list?
thanks,
Mary Westra RN, IBCLC

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