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My ped wants me to wean

post #1 of 16
Thread Starter 
Bless her heart, as we say here. The backstory is that about three weeks ago, ds (3.5) developed a startling decrease in appetite. He has never been a picky eater, and has always eaten a lot--regular meals and snacks during the day. For the last few weeks, he has been eating about a third of what he would eat before. One day he might eat a small handful of grape tomatoes, half a slice of toast, and a couple of small turkey sausages. Another day, it might be a small bowl of cereal and two slices of apple.

He is reacting to dairy again, and had a cold, but his appetite never bounced back. Since this has been going on for a few weeks, I went ahead and called, and they asked me to bring him in. The good news is that somehow, despite all this, he has gained weight in the last month and a half. The ped asked detailed questions about everything he would eat or drink during a day, and as soon as I mentioned that he was nursing twice a day still, she got an "aha!" look on her face.

Not too surprisingly, she asked me to wean. She compared it to formula, saying that we wouldn't be giving him a bottle at this age. Which is true--but breastmilk is very, very different from formula, and breastfeeding is very different from getting a bottle. There really is no comparison.

The thing is, the rest of her exam showed that he was perfectly healthy and growing exactly as he should. So why mess with that? He was nursing more when he was eating more foods, so it isn't that breastfeeding is taking away from that or preventing him from trying new foods, etc.

I pointed that out to her, and explained that breastfeeding is still very important to him. He still asks to nurse at least a few times a day. Of course, he sees dd2 nursing all the time, so he isn't likely to forget about it. She agreed that he was doing great with what we were doing, and suggested that we just have him eat solid foods before nursing, which he does anyway.

So, overall, it wasn't bad. I would like to send her more info on the benefits of nursing past infancy. I know that most pediatricians have never studied it. Still, I felt like she respected our choices, and she also gave us some good tips on nutrition and portion sizes. So, I'll take the good info and not throw out the baby with the breastmilk...er, bath water. Whatever.
post #2 of 16
So, she wants you to stop offering human milk and start offering cow's milk instead? Plus I can think of plenty of cases where children who won't eat much ARE fed "formula"- but they call it "pediasure" instead. Heck, my dad (71) gets most of his calories from "formula" (ensure or generic equivilent) these days!

I'm glad she's not insistent on your weaning him, after a longer discussion of the matter.
post #3 of 16
There is no evidence that weaning will increase intake of solids. None.

I have a detailed handout on the benefits of nursing past infancy that I would be happy to share. It is specifically written for parents to share with their health care providers. You can find it at the bottom of this post on my blog, or feel free to PM me with your email address and I can send it to you.
post #4 of 16
If you wean, he might still have VERY little appetite, but then not be getting the whole and natural nutrition of breastmilk. Kellymom has excellent stats on how much a part of a toddler's dietary needs are STILL being met by breastmilk.

Your ped probably just doesn't KNOW.
Follow your instincts.

Adding link:
http://www.kellymom.com/nutrition/so...ler-foods.html
http://www.kellymom.com/bf/bfextended/ebf-benefits.html
post #5 of 16
This one drives me crazy too! When the baby isn't eating enough, why on earth would you take away the one thing that he is eating, and is keeping him healthy?!? I don't understand why we hear that so often from nurses and docs.
post #6 of 16
sounds like you are tandem nursing, right?
We had a situation where ds2 was not gaining weight. Our great doc mentioned that maybe he would gain more if he wasn't nursing (2-3 x a day). He said that often the older child that weans does end up gaining more but that in my case that prob wasn't the case bcs he was still getting the great high fat baby milk (his words). So after we talked he said keep doing what we are doing.
Remember if you are nursing a younger child your older child is getting the higher calorie, fattier milk that is made for the younger child, which could be why he is not losing weight. Just something to keep in mind.
Kuddos to your doc for being open to your decisions, unfortunately they aren't all like that.
post #7 of 16
Thread Starter 
Thank you so, so much for the support and also for the great links! It helps so much to be encouraged by those who actually know what they are talking about!
post #8 of 16
Just want to say to you for being so well informed and for tandem nursing! Hopefully you are able to educate that doctor on the benefits of nursing past infancy.
post #9 of 16

Oh

It drives me crazy how WE have to educate THEM about the benefits of breastfeeding. Shouldn't a pediatric doctor be an expert in what is and isn't healthy for children and families?
post #10 of 16
Quote:
Originally Posted by craft_media_hero View Post
Shouldn't a pediatric doctor be an expert in what is and isn't healthy for children and families?
Well said!

I just found these modules that look to be made for health care professionals - http://www.wellstart.org/ Hopefully they'll be used!
post #11 of 16
Kudos to you for standing your ground!

You're much braver than I am. Once my girls were past three, I became pretty secretive about our breastfeeding relationship. Especially with people in the medical profession, since I was scared they'd hotline me or something.

One exception was when my oldest was almost 4, and in severe pain at the doctor's office with her first ear infection. I knew it was the right thing to nurse her, but felt a little scared that the receptionists who saw might see it differently (but of course did it anyway).

I guess where I live in the Midwest, I've been affected by hearing of people who see it as "molestation" after a certain age.
post #12 of 16
If your 3.5 year old *gained* weight in the last month even while having no appetite, there is NOTHING wrong! My 3.5 year old hasn't gained a thing since Christmas. None of her pants fit - lengthwise - she's shot up about an inch and a half at least and outgrown all her shoes - but she's only 31 lbs. At her annual checkup in November I think she was just under 30 lbs. And she has no appetite problems, quite the opposite in fact... she eats more than most of her friends.

My point (and I do have one) is that toddlers are weird. They can eat nothing and gain weight, or eat anything that isn't nailed down and not gain weight. As long as they look healthy and are bouncy and annoy you regularly, they're fine.
post #13 of 16
Toddlers are funny. Some weeks I cannot keep enough food in front of him (he's 4) like one day I kept track and he ate 3 bowls of oatmeal, 12 cheese/crackers, a PB&J sandwich, 3 cheese quesadilias (sp?), and some chicken nuggets...and that was all before 2pm!

Then he has weeks where I swear the kid survives on AIR.

He's growing (up) like a weed, I can't keep a pair of shoes in the house for more than 2 months before he out grows them and I've just started buying his pants up a size (in slim) so they fit in the length for more than 3 months. But he literally hasn't gained an ounce in 6 months *shrug*

If your DS actually gained weight, keep up the good work mama!!
post #14 of 16
Quote:
Originally Posted by JamesMama View Post
Toddlers are funny. Some weeks I cannot keep enough food in front of him (he's 4) like one day I kept track and he ate 3 bowls of oatmeal, 12 cheese/crackers, a PB&J sandwich, 3 cheese quesadilias (sp?), and some chicken nuggets...and that was all before 2pm!

Then he has weeks where I swear the kid survives on AIR. (...)
That sounds familiar!
Good for you for "educating" your pediatrician. I guess we just like to know "why?", and your ped probably hasn't been exposed to a whole lot of breastfeeding toddlers - so BF was a handy explanation.
post #15 of 16
Quote:
Originally Posted by proudmomof4 View Post
That sounds familiar!
Good for you for "educating" your pediatrician. I guess we just like to know "why?", and your ped probably hasn't been exposed to a whole lot of breastfeeding toddlers - so BF was a handy explanation.
ITA my 4yo sister is like this. We've taken to asking her, "Ok, how much food do you want today?" when serving a plate. lol
post #16 of 16
Great post. Good Pedi. Be sure to send her some info, maybe even a magazine or pamphlet she can have out. But also thank her for respecting your choices!
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