Daycare and Bottles - Mothering Forums
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#1 of 10 Old 03-11-2013, 02:47 PM - Thread Starter
 
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My twins turn 1 this month and are still BFing every 2-3 hours when with me.  They go to daycare PT and I've asked daycare to try sippy cups with them, but daycare seems to be giving ever-increasing amounts of BM to them.  They have always taken about 3.3 oz by breast, but daycare has given 4, 5 and 6 oz bottles recently.  They are eating 2 times when away from me for 5-6 hours.  I'm not sure if it is a product of the fast flow sippy or what's going on.  I guess I'm worried that 6 oz is really over-feeding... should I be?  They started solids at about 8mos and still don't eat a lot of food at a time.

 

I guess I'm looking for help figuring out what's appropriate.  I was always home with DD1 and so this is new to me.  I'm not sure if I need to be concerned with over feeding by bottle at this age (as I would with a younger baby)  My instincts say probably???  

 

Please help.


Me and DH, parents to:

DD1 (06/09), Twin DD2 and DS1 (born 3/12- 6 weeks early due to IUGR)

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#2 of 10 Old 03-11-2013, 03:54 PM
 
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My worry would be them nursing less when with you, having to pump more to meet demand and your supply taking a hit. What I'd do is provide 2 4oz sippies each and tell DCP to offer solids and water instead as needed. If they burn through the given BM early then they will have to deal with the aftermath. At 1, my DD nursed lots but was also happy to have some water and loved finger foods. Hth

ETA: after their birthday I'd also be comfortable not pumping/providing EBM for those 5-6 hours and catching up on nursing before and after daycare.
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#3 of 10 Old 03-11-2013, 04:32 PM - Thread Starter
 
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Thanks!  I'm cutting back on pumping--trying to decide whether to stop and just use my freezer stash, but I think they have to either have BM or some other milk due to CACFP. :-/

 

I'd like for them to have my milk rather than animal milk or milk alternative at least for a while.  I just don't know if there is such a thing as too much at a time at their age or whether I should be concerned.  I don't know that they will offer solids other than at their designated times (its a center).  I guess I just don't know if I have a valid reason to be concerned or not.  My thought is I don't want them to over eat and learn to ignore their internal hunger signals--6oz seems like an awful lot... is it?


Me and DH, parents to:

DD1 (06/09), Twin DD2 and DS1 (born 3/12- 6 weeks early due to IUGR)

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#4 of 10 Old 03-11-2013, 05:17 PM
 
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6oz is a lot for little infants but I don't think it's huge for a one year old. As they grow, you'll see the wonder of the toddler belly: surviving on a bite and sip here and there one day, putting away an adult portion and chugging a 16 oz cup of water in one sitting the next. What I'd look into is how they're fed/given sippies. If they are in a highchair and sippy is available to them but not pushed then if they drink it, they choose it and presumably want it. If they are held like bottle feeding infants then there's a temptation for the DCP to encourage them to finish the cup. I'd simply provide the sippies premeasured at home, labelled for each child and leave it at that. They won't open the second sippy to top up the first, I imagine. I looked over the cacfp plans and I didnt see water mentioned anywhere. I find it pretty ridiculous and would try to talk to a director to explain about breastfeeding beyond infancy and how 12-16oz of EBM in 5-6 hours is undermining that. Honestly even when EBF, babies won't be taking more than about 8oz from the breast in 6oz. I'd try to go to the higher ups and if that fails, shop around for a daycare not too caught up in red tape to meet the kids' needs.
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#5 of 10 Old 03-11-2013, 08:46 PM
 
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I've worked as an early childhood specialist, and have been in many, many, infant/toddler programs. It's not a matter of being "caught up in red tape." Programs accepting CACFP HAVE to follow all the guidelines or risk losing funding. They just have to offer 6-8 ounces of breastmilk/formula at breakfast and lunch, the child can drink it or not.

Once they turn one, they switch from the infant meal pattern to the child one. Then the amount of milk required to be offered at breakfast and lunch drops down to four ounces. But there needs to be more available in case the child requests more.

Obviously breast and cows milk are very different. But really, six ounces isn't that much milk for a young toddler. Two six ounce sippy cups of milk is only 1 1/2 cups.
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#6 of 10 Old 03-11-2013, 08:48 PM
 
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BTW, you can absolutely offer water (and most places require it to be available throughout the day.) It can't replace food, though.
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#7 of 10 Old 03-12-2013, 12:34 AM
 
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Polliwog, risking losing funding to me is being caught in red tape. I absolutely would not consent to 6-8oz bottles for my nursing child. The rigid timing and schedule is my issue which does not support ongoing nursing. This is why bottle preference is such a major issue with nursing and working mothers. I would have no problem with my infant/young toddler consuming 6 or 8oz of EBM in two sittings, separated by at least an hour. That would be a reasonable plan but unfortunately is not within the guidelines. If there was no leeway or flexibility, I would be absolutely shopping for another daycare.
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#8 of 10 Old 03-12-2013, 03:26 AM
 
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have you read this

http://kellymom.com/bf/pumpingmoms/pumping/milkcalc/#solids

 

From that page "Several studies have measured breastmilk intake for babies between 12 and 24 months and found typical amounts to be 14-19 oz per day (400-550 mL per day). Studies looking at breastmilk intake between 24 and 36 months have found typical amounts to be 10-12 oz per day (300-360 mL per day)."

 

That would make the 12 - 16oz they've had some days seem a lot.
 

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#9 of 10 Old 03-12-2013, 04:42 AM
 
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Quote:
Originally Posted by skycheattraffic View Post

Polliwog, risking losing funding to me is being caught in red tape. I absolutely would not consent to 6-8oz bottles for my nursing child. The rigid timing and schedule is my issue which does not support ongoing nursing. This is why bottle preference is such a major issue with nursing and working mothers. I would have no problem with my infant/young toddler consuming 6 or 8oz of EBM in two sittings, separated by at least an hour. That would be a reasonable plan but unfortunately is not within the guidelines. If there was no leeway or flexibility, I would be absolutely shopping for another daycare.

I don't see a problem with that. Most programs for young toddlers would be ok with that. Once they turn one, all they need to be offered at a meal/snack is four ounces. And if that's not appropriate for a child, the parent should supply a doctor's note stating what should be provided to that child. But the program has to have more available, in case it's needed.

I'm in NC and here it's required that individualized feeding plans be filled out (by the parent) for children under 15 months.
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#10 of 10 Old 03-16-2013, 01:11 PM - Thread Starter
 
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Thanks for the responses.  I think ill keep an eye on it and, if it continues, I will send just enough milk for the day rather than having a lot of extra.  The problem is that they eat very little solids so I don't want to short them if they wanted another bottle.  I prefer 2 3oz bottles over a couple of hours vs. 1 6oz bottle all at once.  I think most other little ones at this age are on formula or cow milk there...


Me and DH, parents to:

DD1 (06/09), Twin DD2 and DS1 (born 3/12- 6 weeks early due to IUGR)

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