Mothering › Forums › Parenting › Adoptive and Foster Parenting › Questions
New Posts  All Forums:Forum Nav:

Questions - Page 2

post #21 of 26
Quote:
Originally Posted by Polliwog View Post
I disagree, in this instance. I wouldn't take away her bottles or her formula (if she's not eating enough in food to get at least 1,000 a day.)
I wouldn't take away her bottles or forumla right away, but I do think it is time to begin a slow transition away from bottles and formula. Babies over the age of one should be starting to use cups and can drink whole milk (or milk alternatives). Developmentally the child should be self feeding and participating in family meal times.

I'm suggesting that the parents allow the child to eat as much food as she wants. Part of what the parents need to figure out is whether their daughter is hungry or whether she is comforted by the bottle and wanting more bottles for comfort. The parents need to slowly help the baby learn how to eat to meet her needs and to look for comfort in something other than food.

I do think the parents need to allow their daughter to eat more food. I think transitioning towards mostly self-feeding is important. When the little one eats with her fingers, she will naturally slow down a little and I think this may help her identify when she is no longer hungry.

Another strategy while the baby is still having formula in bottles, maybe before her nap and bedtime, is to "bottle nurse". Some of the other posters have more experience with this, but the basic idea would be to feed the baby the bottle skin to skin in a quiet environment, cuddled together as if you were breastfeeding. The point is to help the baby associate not only the bottle but mom, the calm space, a soft blanket or toy, the time together, with comfort. Eventually, bottles could be replaced by reading books together or cuddling or talking.

I honestly would consider looking for another pediatrician too. I'm blown away that this pediatrician has put a baby on a diet where the goal is weight loss.
post #22 of 26
Quote:
Originally Posted by sbrinton View Post
I wouldn't take away her bottles or forumla right away, but I do think it is time to begin a slow transition away from bottles and formula. Babies over the age of one should be starting to use cups and can drink whole milk (or milk alternatives). Developmentally the child should be self feeding and participating in family meal time.
I dont know what the situation is with the OP...but i did want to point out that toddlers can use bottles AND cups, as i wrote in my previous post. One does not preclude the other. Maybe because we bottlenursed, i tend to compare bottlefeeding and breastfeeding situations, and tend to avoid having expectations for one that i wouldnt have for another. (For example, i bottlenursed "on demand" just as i would breastfeeding)...

Is there a reason you prefer whole milk/alternatives to formula? It seems to me that a child that isnt eating much food for whatever reason could benefit from the added stuff in formula that plain milk doesnt have.

Quote:
One of America's top pediatric hematologists (blood specialist), the late Dr. Frank Oski , Professor and Chairman of the Department of Pediatrics at Johns Hopkin University (and co-author of a book entitled: Don't Drink Your Milk) advised parents to be cautious and not rush into the use of cow's milk, even during the second year of life. At present it would seem prudent to continue giving your baby iron-fortified formula during the second year of life and very gradually wean him to dairy products, beginning with yogurt. If your toddler generally has a balanced diet and routine hemoglobin tests show that he is not even close to being anemic, then switch from formula to whole milk sometime during the second year, but don't be in a hurry.
Formula is expensive and i wish my son tolerated alternatives but her strongly prefers his formula.

That being said, i absolutely agree that a baby of any age can be included in mealtimes at the table, esp a toddler. I just dont want any parents reading to think that a toddler cant sit and enjoy a meal with his family and ALSO enjoy his bottles at bedtime or naptime or whenever he needs the comfort. Maybe its just a hot button issue for me to read a child "should" be doing this or that...my first son's pedi said he was too skinny and i should give formula instead of breastmilk (since mine clearly wasnt enough for him ), my second son's dr said he was too fat (at TWO MONTHS old ) and i should offer bottles of water to stretch out his frequent feedings, just about everyone seems to frown on bottles to bed (but my baby wouldnt have gone to sleep any other way, of course he biologically expected to breastfeed to sleep and it wasnt his fault he was a foster child). I just dont see why having a bottle is such a big deal, its not like they will be taking it to college...why be in such a hurry? It made me so sad to run into a new mom at the store, she was talking about how she wanted to wean her young (six months maybe?) baby to a cup....

I guess i'm just not seeing a problem with..if the baby cries and is frantic when she sees a bottle or other food, and is content when she has it, why not give it to her? IF she does begin to eat until she throws up (which seems to be a possible concern for the OP but she has not tried it yet) then reassess....?

She hasnt been home that long, and it seems a little sad to me to start weaning her from an object that seems to make her happy.
post #23 of 26
I haven't read all the latter posts, but I have some ideas.

I know for many children that have had to transition early in their lives (your dd from Ethiopia, foster children, etc... my experience is with foster children, so I know it is not entirely the same) they cling to their bottles fiercely. Is it possible to let her have her bottle whenever she likes, just fill it with water? It was unclear to me (sorry if I skimmed this part) if the baby is 14 months right now or 8 months. At 14 months, my thought is that she should be drinking whole milk which, for my dd at least, was more satisfying than formula.

Also, I agree with the pp who said that children can fear not having enough to eat and so get panicked around food time. My concern with your dd is that, with your rationing food, she cannot tell that there is always more. She knows she gets a finite amount that she feels is not enough. Maybe let her have as much as she likes of healthier snacks? Perhaps allowing her to eat when she wants and as much as she wants will allow her to realize that her food supply is not going anywhere and perhaps allow her to relax a bit in her eating and urgency. My thought is that if she has all access to food and drink, and can control when and how much of each she wants (within reason of course, I am thinking like fruit and water or cereal or something) that she will eventually grow comfortable with the availability of food and be able to better listen to her internal regulation regarding full vs hungry.
post #24 of 26
I think from a nutritional stand point, it makes sense (from all of the reading and research I have done) to start weaning a kid away from a bottle/formula around a year and onto food. It doesn't have to be sudden. Obviously, all kids are different and have different backgrounds and emotional needs - so that is really important to factor in, too. An individual toddler's emotional need for the comfort of a bottle, I think, is even more important to factor in. It sounds like sbrinton was saying that - you wouldn't take away her bottle right away, but slowly work in more whole foods and less bottle in order to meet her nutritional needs.

My son took formula from a bottle until he was 2.5. I would have rather moved him away form the formula and onto milk a lot earlier because formula is a processed food - but he couldn't tolerate cows milk. My son also had sensory issues and so we had a hard time finding a balanced diet because he couldn't stand a lot of textures. Luckily, our ped has made nutrition and working with over weight children a sub-specialty of his and was really, really helpful. Something we talked about, that really made an impression on my thinking, was to look at traditional cultures and how they feed their children. Many, many still breastfeed toddlers, but as more of a supplement rather than a main source of food/energy. Ideally, bottle feeding/formula would be used similarly. It really made sense to me. But, the child in the OP has a huge emotional component to her eating that needs to be addressed.
post #25 of 26
Here is my disclaimer--I have 3 boys, 2 adopted. My bio and youngest adopted son both had/have significant feeding issues (one due to motor and sensory issues, the other due to swallowing problems and probably some learned sensory issues/aversions due to choking and severe allergies). Between the two, I have worked with OT's, SLP's, my wonderful pediatrician, and a very good nutritionist. I am also a grad student SLP. My middle adopted child, OTOH, came home at 5 1/2m weighing 25.5 lbs, and was and is off the charts for height and weight even now. He is a tall skinny, healthy thing, wearing size 6 clothes at 4y! He was drinking over 50 oz of formula a day (and Korean formula is higher cal that US!), plus 3 1-1/2 C meals and 2 snacks a day when he came home. Korean FM have a reputation for fattening babies on purpose, as it is considered a mark of a well cared for baby, so he was fed on a schedule, but probably a litle more often that he would have naturally done. When I went to demand feeding, he gradually removed about 2 8oz bottles a day over the first month.

My opinion is that is way not enough food/calories. Being generous with the portion sizes (lg jars of baby food and 1/2C of cheerios or sweetened yogurt, for example) you are only at 735 calories (and probably closer to 500 on the low side)! This AHA site lists 900 calories as a minimum for 1 year olds. I also feel like that is not very much liquid, a total of 15 oz, or less than a pint a day. Babies, even chunky monkeys, should never lose weight. If they are truly overweight, as compared to their height, not just their age!!! ( I have had some misguided individuals try to tell me my middle child was obese, despite his ribs showing because he was overweight for age--but he is also overheight, and perfectly proportioned!) then they need to grow into their weight. Our ped feels very strongly that even very fat babies will grow out of it provided they are given healthy foods and opportunities for plenty of activities once they are mobile. My youngest was overly heavy, as compared to his height (although he is very tall) and yet because he was not eating much solids (eating only snack puffs at 1 yr), had him on 4-6 bottles of pediasure a day at 2yo to meet nutrient requirements. It was too high calorie, but nutrition comes before excess calories. As he increased his solids, we decreased his amount of pediasure to milk, we have also been know to water down his milk slightly if he was having so much that it caused him to be constipated.

So here is how I would modify your feeding plan: I would give unlimited amounts of fruits and veggies at every meal and snack, whether in purees or steamed finger food veggies/diced soft fruits. They are relatively low cal, so you are not going to get a huge calorie boost even if she eats tons, but you would have a whole lot more nutrition and she would feel a lot more full volumewise. I would add healthy fats and proteins--avocado, eggs, whole milk yogurt, pieces of cheese, small bits of soft chicken, slightly mashed beans (just push each one until she gets the hang of breaking the skin). I would switch from baby cereal to regular oatmeal (baby oatmeal has no fiber), brown rice (mash with a little gravy, cheese sauce, or milk and butter if the texture is dificult), whole wheat toast with a little butter or even dry. Really, you could offer her (modified as needed) whatever your family is eating at this age, if it is healthy and nutritious. My kids were eating bites of Pho noodle soup, curries, food processored stir fries with rice etc by that age I would also offer a sippy or regular cup with water at every meal and available throughout the day.

To work on self-regulation, encourage finger feeding or utensil feeding (depnding on her skills at this point) and give unlimited water, on request. I would also increase the amount of formula--babies/toddlers that age need 2-3 c of milk (if they have a full 3meal/2snack pattern), so you are barely making the minimum. I would not get rid of a bottle just yet--since she has some feeding and regulation issues, taking away is the last thing you want to do right now. I would give her a bottle on demand--if she is really and truly gaining weight excessively, water down the milk/formula slightly, so that she gets her comfort needs met by longer sucking time, without the huge amount of calories. If you are working on decreasing the amount of bottles (and concurrently increasing liquids in a cup) give solids, then a bottle at meals. If you are not worried about bottled weaning yet, give bottles before food, or at completely separate times.

To increase the comfort and bonding (and transfer the security of the bottle to security in you) work on bottle nursing. The sticky at the top of this forum has some great info so I won't repeat it here. Also consider going to a slow flow nipple on the bottle as it will slow her down and let the feelings of fullness register a little better. Another thing to consider is the flavors/seasonings of the foods may be different, so she may be wanting to continue to eat in an attempt to find something familiar. If you can reproduce some baby friendly Ethiopian foods, that might help. ALso, a switch from bland baby foods to stronger flavored regular foods. My middle child would have almost nothing to do with baby foods, but happily ate modified (small dice, etc) table food (like he did in Korea!) at 6m old.


Good luck, and sorry so long, just wanted to share from our experiences!
post #26 of 26
Carrie, I'm glad you weighed into this discussion. Your suggestions match those of my Early Head Start (at risk infants and toddlers) Health and Nutrition Coordinator friend.
New Posts  All Forums:Forum Nav:
  Return Home
  Back to Forum: Adoptive and Foster Parenting
Mothering › Forums › Parenting › Adoptive and Foster Parenting › Questions