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Breastmilk not enough??


Forum: Breastfeeding

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  #1  
August 24th, 2008, 07:39 AM
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I read a comment on another board here from a breastfeeding mommy who said that after the first 6 months BM doesn't have enough iron and thats why they tell moms to give cereals or supplements. I was confused by this statement and didn't know where to find out if that was true or not. So I was reading the AAP Policy regarding breastfeeding and it states under the section "RECOMMENDATIONS ON BREASTFEEDING FOR HEALTHY TERM INFANTS " #10 that
Quote:
Complementary foods rich in iron should be introduced gradually beginning around 6 months of age.[/b]
and regarding vitamin D #12
Quote:
All breastfed infants should receive 200 IU of oral vitamin D drops daily beginning during the first 2 months of life and continuing until the daily consumption of vitamin D-fortified formula or milk is 500 mL[/b]
I was just curious as to what all of you BTDT moms have done. I wanted to delay introducing Julian to cereal and other solids for as long as possible because I thought BM was all he needed but based on this policy, he would be deficient in iron and vitamin D. The Vitamin D I am not as concerned about because he does get some exposure to sunlight even though apparently that is not recommended by the AAP. What are your thoughts on this?
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  #2  
August 24th, 2008, 08:40 AM
Karlie's Avatar Mega Super Mommy
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I haven't BTDT but yup - 6 months is the recommended time that supplementation should begin as per the Australian Breastfeeding Association. I've also read studies from the American Pediatric Academy that suggest exclusive breastfeeding past 9 months risks your baby developing deficiencies.
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  #3  
August 24th, 2008, 09:41 AM
KimberlyD0
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I am from Canada and its the same here. 6 months is recomended, after 9 months can become problimatic. BM is wonderfull and all the need for the first 6 months of life, and is still the main sorce of nutrition up to the first year, but foods that are rich in iron or other vitamines can only benifit your LO after 6 months. When you start them its not to replace BM right away, but to help your child get used to them and to the different tastes and textures of foods for when BM is no longer needed.

Babies are born with enough iron to make it through the first 6 months. After that the supply they have is depleated and they need it in their diet, either through iron fortified formula (for FF of course) supplimenting with drops, or cereals. If this isn't done your LO would take what they need from you. Just like if you don't have enough calcium in your diet it would be leached from your bones. Your body will give your LO what they need, but it could lead to a defficiency in yourself. Iron is vital for the trancfer of oxogin to the blood and through the body.


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  #4  
August 24th, 2008, 03:35 PM
JCat's Avatar Mega Super Mommy
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Don't flame me...I know the recommondations but I have been told by MORE then one doc that supplements are unnecessary in bf babes (usually). In fact DD first pedi said that there was NO need for solids before 1 year. The iron in bm is little but WAY more absorbable then in iron fortified foods/formula and it does not constipate baby.

I personally don't supplement and won't without tests proving a defenency(SP). Iron overdose is a leading cause of accidental death in kids under 5 (this warning is on every iron pill I've ever seen) so I'd be very careful about supplementing with it.

If you're worried about or suspect anemia ask for a test to check iron levels. Otherwise I don't think there is NEED

ETA the rec is just a blanket rec to protect the buts of HCP
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  #5  
August 24th, 2008, 03:58 PM
Girl_interrupted
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Quote:
Don't flame me...I know the recommondations but I have been told by MORE then one doc that supplements are unnecessary in bf babes (usually). In fact DD first pedi said that there was NO need for solids before 1 year. The iron in bm is little but WAY more absorbable then in iron fortified foods/formula and it does not constipate baby.[/b]
This is almost exactly what I was going to say...

Quote:
Delaying solids helps to protect baby from iron-deficiency anemia.
The introduction of iron supplements and iron-fortified foods, particularly during the first six months, reduces the efficiency of baby's iron absorption. Healthy, full-term infants who are breastfed exclusively for periods of 6-9 months have been shown to maintain normal hemoglobin values and normal iron stores. In one study (Pisacane, 1995), the researchers concluded that babies who were exclusively breastfed for 7 months (and were not give iron supplements or iron-fortified cereals) had significantly higher hemoglobin levels at one year than breastfed babies who received solid foods earlier than seven months. The researchers found no cases of anemia within the first year in babies breastfed exclusively for seven months and concluded that breastfeeding exclusively for seven months reduces the risk of anemia. See Is Iron-Supplementation Necessary? for more information.[/b]

http://www.kellymom.com/nutrition/so...ay-solids.html


My second daughter was exclusively BF until about 10 months, and even when she started eating-she never ate cereal. It was all fruits and veggies.

My little guy started eating fruits at 6 months, but he didn't start eating cereal until about 7.5 months. He's just fine.
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  #6  
August 24th, 2008, 04:26 PM
KimberlyD0
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I would never flame you

now please don't flame me...


I don't understand why you would want to wait untill 12 months to introduce foods... It doesn't make sence to me. I mean its not like your giving foods to replace BM but if the older they are the more they usually resist new things... well thats been my experience at least.

I think its something I will just never get...
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  #7  
August 25th, 2008, 06:50 AM
moon~maiden's Avatar Cheryl~ birth truster
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From what I understand, introducing solids before a year is really only a social thing. Babies don't need anything more than milk- they do not rely on the actual nutrition of food as far as regular vitamins go. I did start giving vitamin D about a month ago, and I give her whole grain cereal for breakfast because I worry about the iron she may or may not be getting from me. She really doesn't eat a whole lot of it, some days she refuses it all together. She really just wants milk.


So I don't have an actual answer for you. I wonder though myself....I know I would not give her an actual iron supplement. I did read last night in my holistic child health guide that at 9 months, babies should be tested for anemia.
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  #8  
August 25th, 2008, 07:07 AM
Girl_interrupted
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Quote:
I don't understand why you would want to wait untill 12 months to introduce foods... It doesn't make sence to me. I mean its not like your giving foods to replace BM but if the older they are the more they usually resist new things... well thats been my experience at least.[/b]

That's actually not true. They experience all kinds of flavors in the breastmilk. Breast milk is the only food necessary for the entire first year of life.

My oldest daughter was only BF until she was 6.5 months-she started food at about 3.5-4 months (it was a while back; they didn't have the same recommendations they do now). She had formula kind of early on too. She is the PICKIEST eater alive, I think. My next one nursed (AND HAD FORMULA WHILE I WORKED) exclusively until edging on to a year, and she's nearly as picky. My third had only BM until 6 months, and NEVER HAD FORMULA. She eats things that my big girls won't even consider. My little man was delayed and has only just really started to eat (he's 8 months), and he'll eat spinach, fruits, cereals made with soy milk, etc. He's also never had formula. I'd be more inclined to think that it has more to do with formula, but that's just a personal feeling... the taste of formula never changes. BM changes constantly. They always get new, exciting flavors in the BM that just don't exist in formula. *shrugs*



Quote:
It is a known fact that breast milk, and even formula, contains the proper combination of essential nutrients to sustain a baby's healthy growth and development well into the 9 month age range or longer. While your grandmother may have been fed rice and milk gruel at 2 weeks of age, science now tells us that solid foods should not replace breast milk or formula too early. Introducing solid foods early will deprive a baby of these crucial nutrients and also replace the amounts of breast milk or formula a baby needs.[/b]
http://www.wholesomebabyfood.com/early-sol...ood-feeding.htm


I'm sure that LaLa could come up with better information. Most of mine is anecdotal.
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  #9  
August 25th, 2008, 07:55 AM
KimberlyD0
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Quote:
Quote:
I don't understand why you would want to wait untill 12 months to introduce foods... It doesn't make sence to me. I mean its not like your giving foods to replace BM but if the older they are the more they usually resist new things... well thats been my experience at least.[/b]

That's actually not true. They experience all kinds of flavors in the breastmilk. Breast milk is the only food necessary for the entire first year of life.

My oldest daughter was only BF until she was 6.5 months-she started food at about 3.5-4 months (it was a while back; they didn't have the same recommendations they do now). She had formula kind of early on too. She is the PICKIEST eater alive, I think. My next one nursed (AND HAD FORMULA WHILE I WORKED) exclusively until edging on to a year, and she's nearly as picky. My third had only BM until 6 months, and NEVER HAD FORMULA. She eats things that my big girls won't even consider. My little man was delayed and has only just really started to eat (he's 8 months), and he'll eat spinach, fruits, cereals made with soy milk, etc. He's also never had formula. I'd be more inclined to think that it has more to do with formula, but that's just a personal feeling... the taste of formula never changes. BM changes constantly. They always get new, exciting flavors in the BM that just don't exist in formula. *shrugs*



Quote:
It is a known fact that breast milk, and even formula, contains the proper combination of essential nutrients to sustain a baby's healthy growth and development well into the 9 month age range or longer. While your grandmother may have been fed rice and milk gruel at 2 weeks of age, science now tells us that solid foods should not replace breast milk or formula too early. Introducing solid foods early will deprive a baby of these crucial nutrients and also replace the amounts of breast milk or formula a baby needs.[/b]
http://www.wholesomebabyfood.com/early-sol...ood-feeding.htm


I'm sure that LaLa could come up with better information. Most of mine is anecdotal.
[/b]

My first was 100% formula fed and her fav food is brocolli... She'll eat anything and everything if I let her LOL

I don't think that it matters if they had BM or FF or solids to early, I think it more depends on the child. But I have seen many who are more risistend at an olde age. However that may not be the full reason either. Who knows...
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  #10  
August 25th, 2008, 10:54 AM
Moldovandish's Avatar Mega Super Mommy
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I just wanted to add that a feeding specialist told us that the introduction of solids at 6 months of age is important for babies' feeding skills and discovery of new textures. We have some friends whose two year old is still on a bottle and refuses to eat any solids except some pureed spoon-fed jar-food and all of that started with them delaying his solids and not letting him learn to self-feed at the time he was interested and would have learned easily.
So obviously some kids are fine with a later introduction of solids, but others may suffer some consequences. There is the right timing for everyone, I guess, and the parents can see when their LO is ready for the next step.
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  #11  
August 25th, 2008, 12:07 PM
KimberlyD0
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Quote:
I just wanted to add that a feeding specialist told us that the introduction of solids at 6 months of age is important for babies' feeding skills and discovery of new textures. We have some friends whose two year old is still on a bottle and refuses to eat any solids except some pureed spoon-fed jar-food and all of that started with them delaying his solids and not letting him learn to self-feed at the time he was interested and would have learned easily.
So obviously some kids are fine with a later introduction of solids, but others may suffer some consequences. There is the right timing for everyone, I guess, and the parents can see when their LO is ready for the next step.[/b]

Thats what I would be afread of

A new thing in feeding now is Baby led feeding. Where you let your child explore and eat whole foods when they want. Its something I wouldn't mind looking into. I think we sort of did that with our first.

She started baby food at 6 months, but by 8 months wasn't interested and we moved to finger foods. She still got cereal in the AM when she was calmer and more excepting of us feeding her. By 1 she was able to readily feed herself and self weaned from the bottle. It felt very natural.

Kayla was and is VERY independed though. She has always hated us doing anything for her it has its good points and its bad.. LOL
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  #12  
August 25th, 2008, 02:12 PM
JCat's Avatar Mega Super Mommy
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I do baby led feeding (so far both of the kids have gotten inerested in tasting things around 7 months. DD became really interest in solids at around 11 months). Don't bother with cereals or prurees. I introduce mushy table foods (finger foods) with DC's interest. I don't spoon feed unless it's something like mash potatos.

Good luck
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  #13  
August 25th, 2008, 09:59 PM
Girl_interrupted
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A new thing in feeding now is Baby led feeding. Where you let your child explore and eat whole foods when they want. Its something I wouldn't mind looking into. I think we sort of did that with our first.[/b]
That's probably what I'm doing...Luke was interested (and tried to grab food) at about four months. I waited until 6, and he LOVES IT. His very first food was yogurt. Then graham crackers. Then fruit. I just started him on the baby oatmeal mixed with soy milk about a week ago. He loves it. He loves cheerios, too. I pretty much let him have what he wants. Tonight, he had some tiny pieces of chicken and broccoli because he was trying to grab the food off my plate. He liked that too. I would never have pushed him, but since he was interested and was sitting up (and crawling and pulling up! ) by six months, we just went with it. My initial intention was to delay until 9 months or so. *shrugs*
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  #14  
August 26th, 2008, 09:26 AM
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lily's pediatrician told me that she doesn't recommend vitamin d drops until at least 6 months of age and that i can start solids when lily starts showing interest. she said that is usually around 6 months, but it could be longer. she said that bm was fine until then.
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