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Breastfeeding "not enough" for 1 year old

899 Views 21 Replies 17 Participants Last post by  HelloKitty
So, those were the words of my pedi last week at DD's 1 year appointment. She's "only" 20lbs 7ounces and 30 inches tall.

According to the dr's CDC charts, being less than 21lbs at 1 year means she's only in the 39th percentile for weight. He is very happy we are still nursing, but wants DD to eat more solids. Thankfully, he uses his eyes and saw that she is very healthy and by no means thin.

My question for you all is this: How can I get her to eat more without pushing food or thwarting breastfeeding? We still nurse on request and I do offer if I think she is hungry/tired or both.

We sit down for 3 meals a day together. In the morning, we eat breakfast before we nurse. Is it "normal" for her to continue breastfeeding a lot at this age (and prefer it over food)?

Anyone have thoughts on all of this?
TIA!

P.S. She really only wants to eat things she can pick up with her fingers. Her preference is crunchy items - cereal, crackers, etc. Although she does LOVE fresh mozzarella
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My toddlers have always been snackers more than big meal eaters - if I have snacks out they will munch all day long. Maybe try making up some snack selections and having them available throughout the day? Have some calorie / fat heavy items like hard boiled eggs (my 14 year old LOVES them), avocado pieces, things like that.

Good luck!
She doesn't need more solids just because of their stupid charts. She will need more solids when she wants more solids.
huh? Your ped is actually telling you he's worried that she's only in the 39th%? Would he only be happy if she was 50%? I bet if she was over 50% he'd be on you to wean because breastmilk was fattening. She is fine. Let her eat at her own pace. My 19mo old doesn't eat 3 meals of solids most days and she's fine. She nurses 8-12 times a day. She still usually nurses before meals. She's healthy and fine.

Time for a new ped.

-Angela
I'm very skeptical about that 39th percentile, it seems like every doctor has a different chart or different interpretation...my DD was just in for her 1-year appointment today and she weighs 22.5 lbs, which my doctor said was 75th percentile. My DD had also only gained 9 ounces in the past 3 months and I worried that the doctor was going to tell me to nurse less and give her more solids (and she eats a huge amount at each meal already), but I was pleasantly surpised that she said it wasn't a problem at all with their increased activity at this age, and pointed out how my DD had been wiggling and climbing all over me the whole time we were in there.

Anyway, I'm happy to tell you what my DD likes eating, and she only like finger foods, too; she eats lots of grapes (cut into quarters), bananas, we just started strawberries, cheese cubes, peas, green beans. You could also do cheese toast, good nutrition and very crunchy.

I think your daughter sounds like she's doing fine to me, and anyway, not all babies are going to be big!
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Aren't those charts based on formula fed babies anyway? There are growth charts at kellymom.com that are based on typical growth for breastfed babies. If you're concerned about her growth, you could check over there for those charts. I think you're fine though. I think it's so silly for docs to recommend pushing solids and cutting back on breastfeeding when there are weight gain issues because breastmilk has more calories/good fats than just about any solid foods. There is also a lot of information about solids on kellymom.com too.

Keep up the great work, mama!!
Why do you want her to eat more?

To answer your question "Is it "normal" for her to continue breastfeeding a lot at this age (and prefer it over food)?", yes it is. My daughter is 18 months old and gets most of her calories still from breastmilk, and she is absolutely healthy and developing normally.

The babies, they know what they need.
I'm very confused about your ped's attitude. There need to be kids who are bigger than average and kids that are smaller than average--- that is how averages WORK. We see a lot of people come in concerned because their child is only in the 3rd or 5th percentile... but "only" the 39th? I wouldn't be concerned at all.

When I was researching the matter several years ago (when I had a 20lb 30.5" tall 12 month old, lol, who had dropped 50 percentiles in just a few months) I learned that the optimal diet for a one year old includes *at least* 75% of their calories from bmilk. Both of my children were definately over 90-95% bfed at that age and have grown into healthy children (at 4.5 & 7) who are exactly the size they are supposed to be.

It sounds like she eats perfectly normally and it also sounds like she likes a wide variety of foods. Honestly, it sounds like you are doing perfectly
I'd just keep doing what you are doing and she will slowly increase the amount of solids she eats on her own.

Take care.
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She sounds normal to me! Healthy too!


My two eldest would not touch solids -- period -- until 18 months old. They were healthy, growing, happy little guys. And oh yeah, their %? In the 30-50% range.

(My third started grabbing all manner of food from my plate at age 7 months. Really shocked me!!
).
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Quote:

Originally Posted by TiredX2
I'm very confused about your ped's attitude. There need to be kids who are bigger than average and kids that are smaller than average--- that is how averages WORK. We see a lot of people come in concerned because their child is only in the 3rd or 5th percentile... but "only" the 39th? I wouldn't be concerned at all.

When I was researching the matter several years ago (when I had a 20lb 30.5" tall 12 month old, lol, who had dropped 50 percentiles in just a few months) I learned that the optimal diet for a one year old includes *at least* 75% of their calories from bmilk. Both of my children were definately over 90-95% bfed at that age and have grown into healthy children (at 4.5 & 7) who are exactly the size they are supposed to be.

It sounds like she eats perfectly normally and it also sounds like she likes a wide variety of foods. Honestly, it sounds like you are doing perfectly
I'd just keep doing what you are doing and she will slowly increase the amount of solids she eats on her own.

Take care.
Thanks everyone for the feedback. I just needed some reassurance, I think


DD was has always been above the 80th percentile on the chart, so perhaps the large drop worried the ped? I'm not too sure - he just kept repeating that she should eat more solids. However, he did not suggest to cut back on nursing (good for him, or we would have had a "discussion" on our hands
)

She is also cruising and wall walking ALL the time now - so I'm sure the increased activity plays a roll too.

I plan on checking out kellymom too. As another poster suggested, I think those charts are for formula-fed babies.

Again, thanks everyone for the support. I won't change our nursing/eating habits. Sometimes I wish I would just follow my gut more and not let the dr make me second guess myself...
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She sounds like shes fine! It's your ped I'd be more concerned about.
: I have learned to just not discuss breastfeeding issues with our ped. She's a good ped,but there's alot of things I don't take her advice on,and nursing/solids is one of them. Think about it: If you hadn't told your ped she was still mainly getting all her nutrition from BM,I am willing to bet he wouldn't be making out the 39th percentile as a bad thing. It probably just wouldn't be an issue.
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My DD was only ~20 lbs at 1 year (she's about 22lbs at almost 14 mos now) and not a big solids eater. Unfortunately, I had to stop BF at 8.5 months because of (my) medical reasons so she's been FF since then. Yes, I'm still giving her formula. We don't do well-baby visits so I don't know if the Ped would have said anything or not, and frankly, I don't care. I can tell by looking at her that she's not skinny or unhealthy. She still doesn't have much interest in solids but is up to eating at least 2 meals each day.

Babies eat when they're ready. As long as your daughter isn't seriously underweight and malnourished (she's not) I wouldn't worry about it.
Quote:

Originally Posted by L&IsMama
She sounds like shes fine! It's your ped I'd be more concerned about.
: I have learned to just not discuss breastfeeding issues with our ped. She's a good ped,but there's alot of things I don't take her advice on,and nursing/solids is one of them. Think about it: If you hadn't told your ped she was still mainly getting all her nutrition from BM,I am willing to bet he wouldn't be making out the 39th percentile as a bad thing. It probably just wouldn't be an issue.
Hehehe, there are a lot of things we don't talk to our ped about already -- co-sleeping, non-CIO, etc. Our visits are going to be nearly silent soon


(I have to say, our ped is pretty good - never a rush for antibiotics, and he's friendly to our very delayed/selective vax schedule. I imagine he doesn't see too many babes that are breastfed past one year though
)
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Quote:

Originally Posted by TiredX2
I'm very confused about your ped's attitude. There need to be kids who are bigger than average and kids that are smaller than average--- that is how averages WORK. We see a lot of people come in concerned because their child is only in the 3rd or 5th percentile... but "only" the 39th? I wouldn't be concerned at all.
ITA The thought of being worried about being "only" in the 39th percentile is so strange to me. I was so excited at my dd's 1 year appt because she was back on the charts, at the 3rd percentile, I believe. I'm SO glad to have the Dr we do. His office staff are horrible, but he is so pro-bf and is actually knowledgeable.

Some days, all my 14 month old does is follow everyone around wanting what we all have to eat (even though I always offer her a plate of her own, it just tastes better off of her brother's plate I guess.
) and some days she only wants to nurse all day long.
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39th percentile seems fine and very healthy to me!! My daughter is 16 months old and nurses every few hours through the night and every few hours all day. Less when we are out running around, and more when she is tired. I always keeps snacks around. Some of our favs are fresh fruit (bananas and peeled sliced apples are clean and easy), slightly cooked vegis (since they are easier to chew), organic cheese crackers, string cheese or chedder cheese cubes, and cereal. I also give her yogurt daily and scrambled eggs and almond butter toast a few times a week. She also takes a few bites of EVERYTHING that I eat, but the above mentioned foods are ones that I prepare especially for her.

Remember, offer foods often, even if they only take a few bites. Over time they will eat more and as long as you continue to offer your breast, they will not stop nursing for a while longer.
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My 22 month old still BF on demand. It took her a while to pick up steam on the solids. I'd say she was 17 months old before she really got the hang, and she just started feeding herself within the past month. Have you looked up the BF percentile charts? They are different than the one's peds use. The one the AAP uses is off because it is saturated with formula fed children who are bigger by their 1st birthdays. My DD is in the 30th percentile and is just fine, she was actually smaller at 1 year than yours and her ped saw no problem with that. Unless your DC is losing substantial amounts of weight, there is no reason to worry.
I always thought that, as long as the height and weight numbers were in the same neighborhood, your kid was pretty much ok. Alex is in the 80th percentile for height and the 70th percentile for weight. Of course, he runs everywhere and only eats when he wants to. No toddler ever starved him/herself in the presence of food, whether mama's milk or anything else. I agree with the folks who say pooh to the pediatrician.
Well I will have to disagree if she's droped from the 80% down to the 39% then the ped was right to voice a concern. Sure it's healthy if thats where she had always been but she hasn't.

Quote:
DD was has always been above the 80th percentile on the chart, so perhaps the large drop worried the ped?
Yes I recon it would, that could be caused by all kinds of things, if she has been ill, becoming extra active such as learning to walk. But maybe also something else. I'de be offering her cheese, avocado, pasta and some kind of high calorie spread on bread. My ds loves peanut butter, but I know not everyone is comfortable with that at one. If not you could try the avocado with some cream cheese.
Quote:

Originally Posted by joandsarah77
Well I will have to disagree if she's droped from the 80% down to the 39% then the ped was right to voice a concern. Sure it's healthy if thats where she had always been but she hasn't.

Yes I recon it would, that could be caused by all kinds of things, if she has been ill, becoming extra active such as learning to walk. But maybe also something else. I'de be offering her cheese, avocado, pasta and some kind of high calorie spread on bread. My ds loves peanut butter, but I know not everyone is comfortable with that at one. If not you could try the avocado with some cream cheese.
Breastfed babies naturally drop percentiles in the second half of the first year and the second year. The charts are made from info on FF babies- an UN-natural growth pattern.

-Angela
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Hi mama!
Fwiw, my dd just saw her ped last week (11.5 months) and was 20 pounds 6 ounces (30.5 inches.) Our ped didn't even pull out the growth chart or say anything about her weight. She is obviously healthy, not fat, not thin...just right...as I'm sure your dd is
My dd is 99.9% breastfed. I really don't think you need to change anything. Sounds like you're doing a wonderful job!
Michelle
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