Alright, so we got james weighed today.
If you haven't been following PFB (Project Fat Baby), get the back story here.
Or, to make a long story short, the doctor was slightly concerned about james weight at his 6 month appointment, so I made a plan to fatten him. My doc suggested feeding him two "meals" a day, but this basically immediately made him constipated, and seeing as he is eating just fruits and veggies, those aren't really very fattening anyway . . . especially compared to the alternative (whole human milk straight from the tap).
So my plan to fatten him was to breastfeed him more often for longer and to bed-share with him to allow frequent nighttime nursing.
So today we had his weigh-in!
He was 17 lbs even, up 1 pound 2 ozs from less than a month ago (5/18). I think we did pretty darn good, because he only gained 1 lb, 5 ozs between 4 and 6 months, so you could say that over the last month, he gained twice as quickly as he had been gained.
So I'm back looking on the growth charts, but I found more detailed ones, so I could get really down to the nitty gritty in terms of what was going on here.
Born November 19th, 2010; 8 lbs, 7 oz (80%)
Two Months Old: 12 lbs, 6 ozs (60%)
Four Months Old: 14 lbs, 9 ozs (30%)
Six Months Old: 15 lbs, 14 ozs (20%)
Seven Months Old: 17 lbs (30%)
I think the approximation I was doing off of the less detailed chart missed the real story here. His main percentile loss was between two and four months actually, NOT between four and six months. This makes PERFECT sense because that was the absolute worst time for us in terms of the food allergies. We didn't diagnose him and start treating him until he was around 3 months old, and then it took us another month at least to get things under control, so between 2-4 months he was basically spitting up and/or vomiting huge amounts of each meal. He probably would have lost even more weight than he did except I have a nice full supply so he was somewhat able to make up for all the spitting up . . .
Anyway, I succeeded in pulling his percentage up 10 points in less than a month, which is pretty darn good!
So if you have a baby who is not gaining well . . . FIRST rule out any food sensitivity or other health issues that could be a factor. SECOND breastfeed the baby more, especially during the night. (And THIRD, look at the baby as a whole person--losing percentiles can be NORMAL in a breastfed baby, especially between 4-12 months, while they find their "real" place on the chart.
Personally I think the size of a baby usually has to do with the Mom and the way her body builds a baby, but the size of the child (over one and definitely over 2) is a totally different thing. We all have a tiny friend that was a HUGE baby, and at some point he/she needed to transition from one to the other, right? Alternatively, sometimes babies are very small but then completely pork and grow up between 6-18 months. So I think adjustments to percentiles is NORMAL.
One other thing, though, is that I definitely was not being patient enough with james' nursing between 5-6 months. That lazy half-asleep sucking is where the MOST fat is, but when I have things I want to do it's easy to cut him off when he's so slow and leisurely. Furthermore, he was really distracted at this time, and I had the mentality at that point that if he needed to eat then he would. And while I still think that is true, making an effort to put more focus and importance on his nursing, I think, has caused him to do the same. Your baby gets signals from you, and if you want him/her to nurse more, better, and for longer, that will be very encouraging for them. Meanwhile, if you act like nursing is a chore to get through and are impatient with it (as I was being), your baby will get that signal too.
I honestly think if I'd continued the way I was going, especially if I was trying to get him to sleep through the night in his own room, and especially if I'd given him unlimited access to food, he definitely would have weaned early (as I did).
But since it is important to me to nurse him until he is at least two, I needed to change and do something different. So far it is working great! Next update on PFB for our nine month appointment. At this point I think the 30% is about where he needs to be, so my goal for 9 months is to keep him at that percentage, which may be a challenge as he begins to crawl and discover the world!
That's one great thing about bed-sharing, though, is that I have confidence that james will make up any calories he misses during the day by nursing more at night . . . so I'm not worried.
So for now I would declare PFB a great success! I honestly don't think it is very easy to make up 10 percentage points in a month, I'm proud of myself and "the ladies", hehe.
Expecting our Little Brother in November!
Showing posts with label Weaning. Show all posts
Showing posts with label Weaning. Show all posts
Thursday, June 16, 2011
Thursday, May 26, 2011
Preventing Early Weaning/Update on PFB
Mare Asks Q: I don't get it - isn't the point of baby led weaning for the baby to go at its own pace? So like if the child is exciting about eating and wants to eat more - why wouldn't you get them naturally do that if that is what they want to do? It seems like you are trying to force him to breastfeed more?
Couldn't he still get the benefits of breast milk through things like breastmilk "yogurt" (if you did that) and cereal with breastmilk, things like that? So he feels like he is "eating" but still with breastmilk involved?
A: The point of baby led weaning is for them to eat food at their own pace. However, like I said, there is a lot of evidence that too much solids too soon (especially with an active and interested in food sort of baby) can lead to early weaning (which to me means before 2 years old). I was, in fact, one such baby who had three meals of pureed food a day from 6 months and loved it, and also was extremely active. It was easy for me to decide not to nurse (I think around 9/10 months old). But I don't want james to wean early, so what interventions can I put into place now?
As he starts eating cereal with milk and more solids I will definitely give him breast milk that way, too, but I would prefer if I could keep him nursing as well until he is at least two--that is the ideal way for him to take at least some of his daily breast milk. If he wasn't still nursing I would feel like I needed to give him some other kind of milk which I don't want to do. If we weren't vegan MAYBE it wouldn't be such a big deal to me, but it still might be.
According to the WHO, 80-90% of a toddler's nutrition at one year should come from breast milk (ideally)--meaning nursing pretty much as often as you had always been, MAYBE dropping ONE feeding by a year; and 25% of their nutrition at TWO should STILL come from breast milk--which is nursing at least once or twice per day. So I'm going to do all I can to keep him nursing until then, including adding night feeds if I have to.
You cannot FORCE a child to breast feed, and just as an overtired child can refuse to sleep even though it's what he needs, an overstimulated and hungry baby can not initially seem interested in nursing, but it might be exactly what he needs. As parents, one responsibility is to anticipate and meet your child's needs even when your child doesn't know that that is what he needs/wants.
I have seen many people wean sooner than they planned (which might end up working out for them, or they might have regrets and wonder what they could have done to keep the child nursing). So part of what I am having this intervention is to see, if you are in the position of seeing your baby begin to nurse less, if there are things you could do to turn them back to nursing more . . .
(Transitioning into an update on Project Fat Baby (PFB) now . . . )
So even though I've only been doing these things for a week or so now, I think it is already making a difference. Here's where I have implemented changes and what the effect has been:
1. I have stopped attempting to do anything else while nursing him. I have resigned myself to the fact that nursing is a two person job requiring both of our 100% focus. I have stopped attempting to (watch TV, read book or kindle, text, take pictures, go online, etc) while nursing. I stare at the baby so he can focus on eating.
Due to this intervention, I can more often get james to have a full feeding in between naps if he gets hungry. Before this intervention, he would only stick around for one letdown max--now I can get 2-4 into him.
2. I have started laying down to nurse him to sleep (or nearly) for every nap. I was doing this sometimes before, but if he's eaten recently I would skip it. Now I do it every time.
Due to this intervention, I have added some feeds to his day, and most importantly, these before nap/falling asleep feeds are usually really long. That's why it helps so much to lay down with him--I'm able to be patient and let him nurse as long as he wants. When I was holding him sitting up, I would cut him off at some point when he slowed down because I was tired, but this way he keeps eating for longer more often. The milk at the very end of the feed (when the breast feels empty) is the fattiest, so it should make a difference to get some WHOLE (fatty) milk into the boy.
3. We have started bed-sharing full time.
This helps a TON, I think. Specifically, it adds one feed when we go to bed (which I would sometimes do before, too), and he nurses sort of non-stop or over and over from like (5? 6? I couldn't even say), maybe every hour or half hour, until I decide to get up, usually like 9 or so. Before we were bed-sharing, we would move him over to his swing a lot for the early morning and he wouldn't nurse as much, though obviously at least still twice in that time (first wake up and again a couple hours later). Overall I would say he could be eating as much as twice during this time, and definitely more high-fat milk.
So, our next appointment is on June 15th--then we'll see if this has worked at all! ;-)
Couldn't he still get the benefits of breast milk through things like breastmilk "yogurt" (if you did that) and cereal with breastmilk, things like that? So he feels like he is "eating" but still with breastmilk involved?
A: The point of baby led weaning is for them to eat food at their own pace. However, like I said, there is a lot of evidence that too much solids too soon (especially with an active and interested in food sort of baby) can lead to early weaning (which to me means before 2 years old). I was, in fact, one such baby who had three meals of pureed food a day from 6 months and loved it, and also was extremely active. It was easy for me to decide not to nurse (I think around 9/10 months old). But I don't want james to wean early, so what interventions can I put into place now?
As he starts eating cereal with milk and more solids I will definitely give him breast milk that way, too, but I would prefer if I could keep him nursing as well until he is at least two--that is the ideal way for him to take at least some of his daily breast milk. If he wasn't still nursing I would feel like I needed to give him some other kind of milk which I don't want to do. If we weren't vegan MAYBE it wouldn't be such a big deal to me, but it still might be.
According to the WHO, 80-90% of a toddler's nutrition at one year should come from breast milk (ideally)--meaning nursing pretty much as often as you had always been, MAYBE dropping ONE feeding by a year; and 25% of their nutrition at TWO should STILL come from breast milk--which is nursing at least once or twice per day. So I'm going to do all I can to keep him nursing until then, including adding night feeds if I have to.
You cannot FORCE a child to breast feed, and just as an overtired child can refuse to sleep even though it's what he needs, an overstimulated and hungry baby can not initially seem interested in nursing, but it might be exactly what he needs. As parents, one responsibility is to anticipate and meet your child's needs even when your child doesn't know that that is what he needs/wants.
I have seen many people wean sooner than they planned (which might end up working out for them, or they might have regrets and wonder what they could have done to keep the child nursing). So part of what I am having this intervention is to see, if you are in the position of seeing your baby begin to nurse less, if there are things you could do to turn them back to nursing more . . .
(Transitioning into an update on Project Fat Baby (PFB) now . . . )
So even though I've only been doing these things for a week or so now, I think it is already making a difference. Here's where I have implemented changes and what the effect has been:
1. I have stopped attempting to do anything else while nursing him. I have resigned myself to the fact that nursing is a two person job requiring both of our 100% focus. I have stopped attempting to (watch TV, read book or kindle, text, take pictures, go online, etc) while nursing. I stare at the baby so he can focus on eating.
Due to this intervention, I can more often get james to have a full feeding in between naps if he gets hungry. Before this intervention, he would only stick around for one letdown max--now I can get 2-4 into him.
2. I have started laying down to nurse him to sleep (or nearly) for every nap. I was doing this sometimes before, but if he's eaten recently I would skip it. Now I do it every time.
Due to this intervention, I have added some feeds to his day, and most importantly, these before nap/falling asleep feeds are usually really long. That's why it helps so much to lay down with him--I'm able to be patient and let him nurse as long as he wants. When I was holding him sitting up, I would cut him off at some point when he slowed down because I was tired, but this way he keeps eating for longer more often. The milk at the very end of the feed (when the breast feels empty) is the fattiest, so it should make a difference to get some WHOLE (fatty) milk into the boy.
3. We have started bed-sharing full time.
This helps a TON, I think. Specifically, it adds one feed when we go to bed (which I would sometimes do before, too), and he nurses sort of non-stop or over and over from like (5? 6? I couldn't even say), maybe every hour or half hour, until I decide to get up, usually like 9 or so. Before we were bed-sharing, we would move him over to his swing a lot for the early morning and he wouldn't nurse as much, though obviously at least still twice in that time (first wake up and again a couple hours later). Overall I would say he could be eating as much as twice during this time, and definitely more high-fat milk.
So, our next appointment is on June 15th--then we'll see if this has worked at all! ;-)
Monday, January 3, 2011
Why do people Breastfeed their Toddler?
Aww, I was watching the acclaimed "Extraordinary Breastfeeding" Documentary, and at exactly 5 mins into this part, it follows a Mom who is trying to wean her two year old twins. God I was like crying from 5:58 mins into it, when the little girl is crying and asking for her Mommy, and then it just got worse and worse!! I don't know if it is the nursing hormones or what but I was so upset about this! Ak!
Obviously people need to stop when they are ready, but I can't imagine James crying like that and wanting to nurse and me not letting him! He will probably nurse as long as he wants to because of that, hehe. Which is normal, honestly--the average weaning age worldwide is four.
But seriously, TEARJERKER. (Unless it's just me.)
Actually I already know that there is no way (big) James could deal with it. He hates it when James David is upset and he'll bring him to me and tell me to nurse him. There's no way he would put up with a weaning scene like that! Eeek.
Obviously people need to stop when they are ready, but I can't imagine James crying like that and wanting to nurse and me not letting him! He will probably nurse as long as he wants to because of that, hehe. Which is normal, honestly--the average weaning age worldwide is four.
But seriously, TEARJERKER. (Unless it's just me.)
Actually I already know that there is no way (big) James could deal with it. He hates it when James David is upset and he'll bring him to me and tell me to nurse him. There's no way he would put up with a weaning scene like that! Eeek.
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