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Jan
2008
Izzy

Needing solids?

by IzzyComment Published at 10:2710:275 comments5 comments120 Visits120 VisitsReport

I am in a unique position because I have twins and so far, they are different enough that even though I do the same thing for both of them, things do not end up the same way. So I'm starting to question certain things.

When I took the girls to their 6 month old check/shots, the pediatrician asked if they were in solids yet. I said no. He said it is about time to introduce solids because they are to the point that they are needing more calories. I didn't mention it to him, but the reason I delayed solids (whereas I gave my son solid food at 4-5 months), was that they were preemies. I thought I would keep them on exclusive breatsmilk until I see signs that they are ready.

Over the Christmas holiday, I finally introduced solid food and the girls took to it very well. But over the weeks, Katie is not getting very much because she keeps blowing the food out - not pushing it out with her tongue, but actually blowing it out. Jordan on the other hand gobbles the food up. 

For the past week, the girls have been waking up and wanting to be fed every 3 hours at night, whereas they have already started sleeping through until about 4am since about 5 months old. I thought they may be going through a growth spurt, but it's been more than a week now and still the same.  But when I started giving baby food, Jordan is now back to sleeping through until about 3-4am. Katie, who spits her food out, is keeping the 3 hour feeding schedule.

So, is there such a thing that babies get to the point where they NEED baby food because the breastmilk isn't giving enough calories?? What do you think? What have you heard?

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edithelizabeth2007
5.00 (Excellent) | January 2008 | edithelizabeth2007
Re: Needing solids?

Hi Izzy,

You've got the right idea....solids only need to be incorporated into the babies' diet when their need for calories out matches a mom's greatest milk making capacity...

Whether a mom has reached her greatest milk-making capacity depends on how intensively she is breastfeeding...

Nursing just 8 times a day is the cusp between full lactation and weaning. A mom nursing just 7 times a day is definitely in weaning mode.

So moms nursing just 8 times a day can increase their milk-making if they want too just by nursing more, and that may mean their babies don't need any solids yet.

Moms who are already nursing ten or more times a day are already very close too, if not at , their upper limit of milk-making so if their babies are still hungry after nursing they can be offered solids if they are over six months of age. (Under six months babies would need formula not solids if their mom's milk making ability couldn't keep up with demand)

It is normal for many babies to start going one long stretch at night during months 2-4 because they can get all the milk they need during the rest of the day, but it is also normal for babies to pick back up on their night nursing around the middle of the first year  for two reasons,

1) they are bigger and just need more milk, and

2) the milk is higher in fat at night and that extra fat helps myelinate the nerves that are responsible for the big developmental changes like learning to sit and crawl...

Growth spurts are another of those things that are ubiquitous myth- babies' growth rate does nothing but slow down the first year...

There are periods in an older child's life where they grow more rapidly than others, but they don't last just a few days or weeks like we think of when we think of "growth spurts" that seem to happen to babies while we are breastfeeding them...

All the good breastfeeding literature refers to "frequency days" because the increase in breastfeeding during these times has more to do with a mother's milk supply than a baby's growth rate, and these books want to be accurate without discounting the mother's perception of what is going on...

As babies get older we moms feel like doing more and sometimes we get so busy doing others things that we nurse less often or for shorter periods of time so that our milk supply goes down...we don't perceive that this is what we are doing but the babies do...

The babies have to have "growth spurts" where they make us sit down and nurse them intensively for a few days so that we will recover our full milk supply.

So do either of your girls need solids? How can you tell?

One of the girls is exhibiting that she isn't coordinated enough for solids yet so if 8 nursings a day isn't enough for her you have the capapcity to make more milk for her simply by adding in a nursing or two.

With your other daughter if  you are nursing her 8- 10 times a day and she still seems hungry  you can offer solids AFTER nursing her.

"Nurse first for the first year" is a practice that helps ensure that babies get all the nutrient dense breastmilk they need with minimal dsiplacement by solid food.

So if a mom is nursing more than 8 times a day and nursing first before offering solids she is doing what she can to make sure that she has a plentiful milk supply, and that solids are being offered in additiion to breastmilk and not displacing breastmilk too much from the baby's diet.

If with frequent nursing a baby still wants solids than it is a sign her caloric need has finally outstripped her moms milk-making capacity, but most mothers find that with good breastfeeding management babies under a year old consume some but not a lot of solids.

Mothers of twins might encounter this a little sooner or to a little greater to degree than moms of singeltons but not by much because while a mom of twins does have two babies she usually has a lot more active glandular tissue than the mom of one because she had more glandular development during pregnancy and more stimulation after the babies were born.

After a year of nursing it is okay to let solids slowly displace breastmilk. The World Health Organization recommends that babies one to two years of age get 4-5 breastfeeds a day and 3-4 meals of solid food. If a mom conceives again then the toddler would need to eat more solid food because the milk supply dwindles during the first trimester and there is only colostrum there by the second trimester.

Sorry this was so long but I hate to just make a recommendation to a mom without giving her all the reasons behind it.



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      Izzy
January 2008 | Izzy
Re: Needing solids?

Wow. Thank you for all the info. This is a lot to digest, and I am trying to see where I fit in this.

I am definitely not nursing 8 times a day, and have not been for a while. Since the girls started sleeping a long stretch, we have fallen behind the 8 feedings a day. I let them wake me up to feed at night, and during the day, I nurse every 3 hours or so.

The only time I got up to 8 feedings (and maybe more) is when they want more, like I've mentioned above. Katie started waking up every 3 hours at night again.

I guess they are wanting my milk to "catch up", like you said.

It's also interesting that you said if they still want to eat solids after breastfeeding, then they must need a lot more calories. This, I think is the true for us now, too. I give them solids 2x a day, in between the 3 hour nursing schedule and they gobble up the food. Today, we got up a little late so I gave them baby food after I nursed and they still gobbled up the food. And then an hour later, they were sleepy and so I nursed again, and they STILL nursed. LOL   I have hungry girls!  And interestingly enough, I noticed myself nursing longer than I usually do.

I am now very curious about their weight gain in the last 4 weeks. (they get weighed every 28 days when they get RSV antibody shots). So far, for the last 4 months, they've been gaining 1 lb every 4 weeks (except for the last one, since they battled stomach flu).



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           edithelizabeth2007
January 2008 | edithelizabeth2007
Re: Needing solids?

Hi Izzy,

You can download the growth charts for breastfed girls from the World Health Organization website.

If they are not falling off the curves thye have been on for the last couple months than everything is fine...

It is normal for babies growth rate to slow down but as long as they are staying on the curves they were on when you were nursing more often they are doing well...

Don't consider the curve they plot on right at birth because the were premies...kind of look to see what curves they got on by a months or two of age and go from there...

Perhaps the WHO has charts for premies...I don't know...but I do know you shouldn't use charts from formula companies because those charts expect too slow of growtht the first 4-6 months and too much growth after six months....



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      lillkatheryn
January 2008 | lillkatheryn
Re: Needing solids?
All I can say is wow!  I have been struggling with the issue of starting solids, but after all with my firl born, I really don't want to.  Though the pressure from in-laws is hard at times.  Thank you for giving this recomendation as this is something that is really important!  Thank you!


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lillkatheryn
5.00 (Excellent) | January 2008 | lillkatheryn
Re: Needing solids?
One thing I asked my son's doc was about solid foods and premies.  She told me that she feels that it does make a difference whether or not a baby is a premie and starting solids at the 4-6m mark, as thier digestive system can not be ready like that of fullterm babies.  If you take your due date and then add 4-6m that would give you an idea as to when you could try to give them solids.  She also told me to wait for my son to weight more since he drop in weight and wanted to make sure he was gaining weight steadily before starting food...Not sure how that works though.  But it just may be that she is not ready for solid food, maybe at least not from a spoon.  My girl was taking ceral in the bottle at 3m and at 4 she was having it one the spoon.  You could try that so she can get used to the new taste and texture.  I read somewhere that babies don't really need food until about 9 m as all their nutrition comes from  the breast or bottle, it could be that she just needs to eat more per feeding cause she is getting bigger...Hope this helps you.....


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