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I am sooo soo confused. My DS is six months old and at our well baby visit the doctor told me I should have started him on rice cereal at FOUR months because my breast milk no longer has sufficient stores of it. Now I am totally floored since other doctors and literature I have read all say to delay solids until six months.<br><br>
I have a history of diabetes in my family, and I am so hesitant to feed my son a processed carbohydrate product. The nurse who runs my mom's group told me just cook some brown rice and mash it finely with breast milk--but regular rice isn't fortified with iron. Also, I don't know if the fiber will be an irritant.<br><br>
I'm really confused. The doctor told me to make sure and start right away since I should have at 4 months. He told me that infants who are iron-deficient suffer developmentally and do not catch up. That scared me. I also read somewhere on here to check under their eyelid, and if it's red they have enough iron. Well, DS's eyelid is pinkk.<br><br>
I gave DS applesauce last night just to try the whole solids thing and he spit it right back out. He doesn't even seem ready.<br><br>
Any advice?
 

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Yeah, at 4 months babies spit things out for a reason <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol">. Means they are not ready to eat! I figure there is a reason we don't get teeth so early (usually, I guess the ocassional baby who gets them really early). THere really is no need for food untill sometime around a year. My DD is 6 months and wants to eat anything in sight so i've started her 'tasting' things, but my DS didn't eat a thing till he was like 14 months I think...except for a little yogurt or a lick of a banana or something.<br><br>
The ONLY reason ped's tell you to give them solids so early is they want babies to be grown up by oh, 6 months is it? I think by 4 months they say 'they should be sleeping all night', and by like 6-9 months be eating 3 meals a day and 2 snacks? There is a reason you are questioning it, go with your instincts.<br><br>
And I'm not saying there is anything wrong with an older baby eating solids, so long as it is not filling their belly, it's really just for the experience of getting used to food. Also they tell you to start the rice cereal, green veggies first sometimes, whihc I also tend to disagree....I think you will have a more positive experience starting with something sweeter(as applesauce like you said) becaus e they are used to sweet breastmilk
 

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And please don't take offense to this, but if I were you, I might be looking for another doctor. If he/she is so adiment about something that could be 1)detrimental to babies health, and 2) interrupt your nursing relationship, how are you to know that down the road this doctor may not be able to adequately care for your babe in other scenarios? Our first ped was awful!! I love our ped since DS was on his 3rd baby check, he is great<br><br>
There ARE docs who support an more AP friendly standpoint. You need someone who will let you care for your child the way YOU see fit.
 

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Quick post..<br><br>
Our old pediatrician, who was awesome and was really crunchy, said that not only was iron totally unnecessary for breastfed babies, but also confirmed that store bought baby cereal is just processed garbage.<br><br>
Your baby is probably just fine...<br><br>
If baby spits, then baby's saying no.<br><br>
Keep the boob a coming! Baby will be just fine!
 

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If you're concerned about iron, they can check the levels in the blood with a simple pinprick test. I'd demand that from the Dr., and switch if he refuses.
 

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Kellymom.com has some great info about the bio-availability of iron in breastmilk. You'll have to search around a bit, but it states that fortified foods can actually interfere with the absorption of the iron in breastmilk. It also lists some foods that are rich in iron naturally.
 

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Moving to Breastfeeding. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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Fortified foods include formula.<br><br>
Remember the amount of iron in a food does not equal the bioavailability of the iron in the food to a human.<br><br>
Human milk is for human babies.
 

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Don't let your doctor confuse you. He's wrong.<br><br>
Remember, when being offered advice in nutrition by your MD, they had MAYBE one or two classes in it, in their entire schooling. And that's only if they were graduated in the last 10 or so years. Before then, no nutrition classes whatsoever.<br><br>
If you have nutrition concerns, find a nutritionist. If you have disease concerns, the MD's your guy.<br><br>
Don't get confused by his unschooled words.
 

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Breastfed infants do NOT need iron supplements!!!! <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/hopmad.gif" style="border:0px solid;" title="hopping mad">: The iron that is present in your breastmilk is absorbed perfectly by your baby, and its all they need. I have never given my children supplements of ANY kind, and they have never been deficient in anything.
 

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The other day I called my hospital's lactation consultant (don't ask me why - since she was part of why we failed at breastfeeding and I have to pump). Anyway, I just had some questions about hospital grade pumps, wanting to improve my suuply. She started in on how she should be eating lots of solids by now (almost 9 months old), and why I *must* give her cereals, b/c BF babies lose their iron stores at 6 months. She also seemed to imply my baby should be sleeping through the night.<br><br>
I told her that my husband and I don't eat crappy processed cereals, that in other countries they never give babes such things as first foods, and that there is good evidence for it starting poor eating habits and being linked to obesity and diabetes later in life. She did concede that point, by saying she had read such a thing, and suggested we try brown rice or something organic. I told her I do get my baby to eat beans (my babe LOVES beans of all kinds), but that the quantity probably isn't huge.<br><br>
I told my husband that I don't want to stick to my guns just out of stubborness. I figure usually that babies have survived many eons without all this stuff (iron fortified foods), but then I also rmember that malnutrition and rickets weren't entirely uncommon in the "old days." So, I am confused on the issue.<br><br>
Our doc wants to test her iron in two weeks, and I am not even sure I want them to do that. Is it even necessary to check at under one year?
 

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From what you've written, there is a WHOLE LOT that your doctor doesn't know about infant nutrition.<br><br>
Does he not know that the AAP changed its recommendations on the introduction of complementary foods, um, about 3 years ago? The previous recommendation used to be to introduce solids "between 4 and 6 months". It is now to start solids no earlier than 6 months. This is also in line with guidelines on infant feeding from the WHO, as well as the Canadian Pediatric Society.<br><br>
Its not the iron stores in your breastmilk that dwindle over time, its your baby's iron stores. A healthy, full term baby is born with enough iron to keep them healthy for AT LEAST the first 6 months of life. For many baby's its longer. (IMHO, we will probably see the age for introduction of solids to get pushed back even farther in the coming years.) If you or anyone has concerns about your baby's iron stores, a simple blood test, done with a pin prick, is all that is needed to verify whether or not there's a problem before introducing an iron supplement.<br><br>
As PP have posted, bm may be lower in iron levels, but it is more bioavailable - meaning that its in the perfect form for your baby to best absorb into his body. Giving your baby additional iron, either in the form of a straight supplement or enriched processed foods, interferes with your baby's ability to best absorb the iron that is already in your breastmilk.<br><br>
If your baby is spitting out the solids you've offered, that's a classic sign that he has not lost his tongue thrust, and is not ready for solids yet.<br><br>
When he IS ready for solids, there are many foods that infants can manage that have waaaaay more to offer nutritionally than cereals, especially processed packaged cereals. I'm thinking of bananas, avocado, sweet potato (loaded with iron) to name a few.
 
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