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Hi Mamas,<br><br>
Here's the scoop...and I am livid and need Mama's to tell me what they have gone through.<br><br>
DD is 9 months old. Was always skinny (is just over 15 lbs, and 27.5 inches long). She's breastfed (morning, lunch, dinner, for naps, at night wakings, whenever she wants) and has solids (but mosty picks at her food).<br><br>
The Dr. said that following:<br>
-at 9 months my breastmilk does not have enough calories to sustain her<br>
-I should only breastfeed her 1-2 times per day, and not at all during the night<br>
-that I should give her water to supplement her thirst instead of breastmilk<br>
-that I should put butter and cream on everything she eats so that she gains more weight.<br>
-that I should always give solids before breastfeeding her.<br>
- I told her that if I followed her advice, I would worry that my supply would diminish. She said that I was treating DD like a newborn...that she didn't need to nurse that many times in a day.<br><br>
I think there was some more crasy advice she gave...My gut feeling is to ignore everything she said. I need some reassurance from the Mamas.<br><br>
Thanks.
 

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so the doctor said instead of continuing to give her PERFECT nutrition, made just for her, you should give her water. Because it has so many calories? Your doctor is wrong, and needs to be straightened out.<br><br>
keep nursing. You can offer higher calorie foods, but stick to something with naturally high fats, such as avacado.<br><br>
you should also nurse before solids. You can wait anhour or so after nursing before offering solids, but the Bm is best.
 

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Huggs to you mama,<br>
You are doing everything you need to be doing, your mama's milk is just what yolur daughter needs, forget what the pedi said and go with your gut. Your doing great!
 

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I would do exactly that!!! Ignore her. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"><br>
Some babies are just small. My dd is small and her dr says, "she's just gonna be small like her mama."<br>
as long as you know she is eating/drinking enough I wouldnt worry. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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I think your Doc needs to go back to University!!! I would ignore everthing she/he said. Here's a good site to read: StorkNetFamily.comsite, belive that's it. Okay that's not it someone here had a link to that site, but I can't remember what thread it was.
 

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You are doing everything right. and Hayes had good tips above.<br><br>
Your doc is wrong (and actually offering potentially dangerous advice) on every point.<br><br>
Ditch the doctor and stick to your instincts.
 

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If your dr is that ignorant about breastfeeding, I'd run screaming the other way!!!! Yikes, that's some of the worst advice I've ever read about a dr giving re: breastfeeding.<br><br><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">, you are doing everything right.
 

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Wow that there is some really bad advice. 9 month olds are babies, they need BM and not much else. Why must Ped. continue to give out this awful advice. It makes me nuts. I had a similar conversation w/ my "old" ped and totally ignored him. I should have educated him but I just moved on and ignored his advice instead. He is probably still spewing that hogwash to new moms 6 years later.
 

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Ignor the ignorant.<br>
If you would like to have some solid advice read La Leche Leagues The Womanly Art of Breastfeeding. It covers introducing solids etc. and when to breastfeed and when to feed solids, if I remember correctly it was breast feed a little to take the edge off, feed solids, then nurse again.<br>
My almost 24 mo old dd nurses 3 to 5 times a day, it might be more if I gave in every time she asked (but a lot of times she is just checking to see if they are still there<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"> ). We have days of little nursing to days of lots of nursing. I'm ready for her to wean, she is not.<br>
Your doc needs to read the new AAP breastfeeding guidelines or the breastfeeding guidelines from WHO -- 2 yrs min recommendation!<br>
I would never recommend dairy products to a child under 1, cream and butter = dairy! What is the obsession w/ fat babies -- we live in a fat world, does anyone see the connection? Family history should play more of a role in a healthy weight for baby than some ideal set on a chart. Our kids are skinny, 18lbs at 1yr. My dh is tall &skinny, always has been. I wasn't always fat until I had kids, I'm tall. Although don't throw the charts out the window, they did help a doctor to dx our ds2 with Celiac Disease. So they aren't all evil<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"><br>
Maybe you could find a Family Practice Physician or new Pedi. FP docs are often times more influenced by their own experiences with children than what school taught them 100 years ago.
 

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Wow, he really made you feel like a supermom didn't he?<br><br>
My ped told us at 3 months that I can start dd on cereal. She should only BF every 4-5 hours.<br>
At 4 months, to start her on veggies, at 5 start fruits, at 6 start meat.<br><br>
I just listen quietly. She is 7 1/2 month, just started eating solid at around 6 months, never had meat yet, some days I forget to offer solids all together, and she still breastfeeds 5-6 times during the day, and every 1-2 hours all night (like all her life). She is off the charts in weight over 21 lbs now, but slowed down gaining since we started solids drastically.<br><br>
If your baby is happy and active, there's nothing wrong with her. Just follow your heart. I just ignore my ped, don't want to explain why I'm doing what I'm doing. Just let him say whatever he wants, and just nod for his advice.
 

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That's just insane "advice" (I also love the idea of giving your 9 mo. dd dairy to "fatten her up"...ummm, allergies?). Go to the AAP website and, better yet, kellymom.com, and arm yourself with some REAL information on bfing.<br><br>
Just because someone went to medical school is no guarantee that they are well educated about bfing. My sister's ped told her that there are "no real benefits to bfing after 3 mos"--despite decades of research to the contrary and the recommendations of her own organization (the AAP). Stories like this make me want to tear my hair out.
 

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Remember that docs in N. America have shamefully little education in nutrition, and very little knowledge on the subject of lactation. (I have heard far too many stories of Canadian and American docs giving pregnant or breastfeeding moms absolutely WRONG advice on breastfeeding.)<br><br>
You are doing just what your baby needs--and have gotten great advice from the other moms on this thread. Good luck, and keep trusting your instincts! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngbiggrin.gif" style="border:0px solid;" title="orange big grin">
 

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Discussion Starter · #15 ·
Thank you everyone for your support and advice. I really needed to hear from you <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/hug2.gif" style="border:0px solid;" title="Hug2"><br><br>
I always seem to second guess my instincts when I return from a visit...I know my DD, and I know what she needs...and you're right...I need a new Ped.
 

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Call the ped back. Ask how many nutrition classes she took. Ask how many infant nutrition classes she took. Ask how many breastfeeding/infant/nutrition classes she took.<br><br>
Our ped is a naturopath and nursed two babies until they self-weaned, so her advice and knowledge is pretty sound, but still, I feel quite free to ignore lots of what she says about anything not having to do with illness. To me, doctors have nothing to do with health, they are there for disease-care.<br><br>
I went searching for nutrition courses in medical schools, and found that only Case Western (of those I looked at) had an infant nutrition department. Guess who runs it? A Registered Dietician. If you're concerned about your baby's intake, get it from someone EDUCATED.<br><br>
Your ped is incredibly wrong, and is likely sabotaging nursing babies throughout her practice. If you can, please try to educate her. And if she is unwilling, try to switch practices. Don't let her make money from your visits, when she's advocating things that will harm babies.
 

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I had heard that most doctors have such a tiny time frame( I heard a week , but dont quote me on that!)of nutrition class. I have heard this time and time again (this type of advice). Every person that I know with a child that falls under the 30th percentile or so goes through this. One ped even told a friend of min=e to feed her son soda and chocolate bars... " that should fatten him up". I have had this problem with both of my boys. We eat a very healthy whole foods diet. The doctor looked at what my littlest guy eats in a day.... he puts away as much as any grown woman I know... and rolled his eyes." Now I see why he is so slim" I was sent to a nutritionist. She looked at me like I was crazy " why are you here???? you know more than I do!!!" Ped visits can be super frusteratng, and stressful, and make you question everything you do. At least you have great support here. You are doing the right thing.
 

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Your pediatrician is completely ignorant on the facts regarding infant nutrition and breastfeeding. I second the above suggestions to check out kellymom.com and the La Leche League.<br><br>
Pediatricians receive zero training in breastfeeding and its benefits. Zero.<br><br>
This is horrible, harmful "advice."
 

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Ugh. I have a son who is only a little older, and if I did not bf him 7 times a day (or more if he decides he doesn't want to eat solids), he would be failure to thrive. My ped said that because he IS skinny, I need to continue with the night feedings. He eats every 2 hours during the day, and every 3-4 at night.<br><br>
As for peds getting nutrition training, they get about one week in medical school. Whether or not they get any during their peds residency is up to the program they are in and the choices of electives they make. Most get some experience during their 1 month on newborn nursery. But it varies widely. I have to say, I gave a ton of breastfeeding advice to my dh's colleagues when he was in residency. But it is never anything all too formal.
 
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