Author Topic: how to start solids  (Read 1233 times)

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Offline hjrmom01

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how to start solids
« on: January 13, 2009, 19:28:30 pm »
My DS is almost 20 weeks ( adjusted 15 weeks).  He has reflux that we are working on controlling, has a peds GI appt in March.  Our Pediatrician said that we could start solids but I don't know how.  I have read that you give them 1 hr after milk feeds.  Our problem, DS  doesn't stay awake much longer than an hour.  We are working on getting back on track after illness...battling short naps, etc, etc, etc.  How do we go about starting solids?  Any advice?


Offline ~Alexa~

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Re: how to start solids
« Reply #1 on: January 13, 2009, 19:40:44 pm »
Hi Again hjrmon01! I hope your LO is doing better.

When introducing solids, I think you should wait until they turn 6 months old.  At least that's what I had heard!  Their digestive system isn't mature enough for handling the solids.  If you introduce them too early, they can develop allergies and their sleep gets disturbed.   Have you asked your ped?



Offline hjrmom01

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Re: how to start solids
« Reply #2 on: January 13, 2009, 19:46:49 pm »
Hi again!  Hunter really isn't doing any better.  Well, he's better in regards to the bowel obstruction.  Not sure about his reflux...don't know if it's that or he's just WAY WAY WAY OT from the whole ordeal.  Our Ped. actually did say that we could try to give him some rice cereal (we'd do oatmeal instead because we tried rice in his bottle to help with reflux but it gave him gas we thought)...she said it'd be more for developmental purposes not nutritional.


Offline Mimi 2

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Re: how to start solids
« Reply #3 on: January 13, 2009, 22:41:25 pm »
she said it'd be more for developmental purposes not nutritional.

If this is her reason, then I would really wait till at least 6 mos (adjusted age).  There's lot of research about the benefit of waiting till 6 mos to introduce solids.  Have a look at the FAQs

http://babywhispererforums.com/index.php?board=94.0
http://www.kellymom.com/nutrition/solids/delay-solids.html

Solids is just for fun and taste in the first year.  Milk feeds should be the main source of nutrition for babies until 12 mos.  When you do decide to introduce solids, think of the A in EASY as the time to introduce solids.  You could try 30-60 min after the milk feed.

FYI, our ped also recommended that dd starts solids at 4 mos (she had reflux).  It didn't turn out as I expected so I decided to take on a more relaxed view of introducing solids (BLW style http://babywhispererforums.com/index.php?topic=92560.0).


HTH
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Offline Karen:)

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Re: how to start solids
« Reply #4 on: January 14, 2009, 00:20:46 am »
Hi there.  Hope you're doing better.  I know how frustrating it can be to get contradicting infos.  I think you'll have to eval the benefits here.  Lets work through this. 

If all is well, I also don't see a need to start solids earlier than 6 months.  Rice cereal is usually introduced for its added iron, but your baby's iron level does not drop excessively until after 6 months.  Your LO's digestive system may not be fully ready for solids.  However, since your LO has reflux issue, adding solids would help a great deal.  The reflux is caused by the upper sphincter not being fully function.  It does not close fully as in adults and will not until about age 1.  If your DS's diet is milk only, when he lays down, the milk will back flow through the slightly opened sphincter.  If he has some solids, resulting in a thicker mixture, he will have less back flow through the sphincter.  I think since your DS has reflux issue, the benefit for starting solids early may outweight waiting.

With that being said.  Since he is yonger than 6 months, you may want to easy him into solids.  First of all, let me confirm that rice cereal does cause gas.  My LO woke up every 2 hours the two nights we tried rice cereal.  She slept through the night again once we switched to oatmeal.  Also, it may be easier for your DS if you feed the oatmeal with a spoon.  Feeding through a bottle may cause him to choke or inhale some particles.  If you do prefer bottles, make sure that the nipple has a big enough opening for thick fluid.

To start solids, cereal would be a good first food, followed by stage 1 baby food.
Day 1: 1 tblsp cereal with 4 tblsp of milk for the mid morning feeding
Day 2: 2 tabsp C with 8 tblsp M for mid morning
Day 3: 3 tabsp C with 12 tblsp M for mid morning
Day 4 and beyond: 3 tabsp of cereal with decrease milk for a consistency your DS prefers.

Have cereal in the mid morning feeding for 1 week, then increase the cereal feeding to twice a day.  Once in mid morning and once in mid afternoon. 

After the second week you could start other stage 1 food.  Try 1/4 jar the 1st day, 1/4 the second day, and 1/2 for the 3rd day.  Try each flavor for 5 days before moving to a new flavor, so that it easier to keep track of what you fed should your DS have allergic reaction.  Always try new flavor in the mid morning feeding.  Once you've tried a flavor, you could move it to the afternoon feeding. 

This is a start, hope it'll help you.

Offline Mimi 2

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Re: how to start solids
« Reply #5 on: January 14, 2009, 01:00:04 am »
Thank you Karen for your contribution.  BW is a great place to be as it provides support and info for both new and experienced moms.

However, I must caution about feeding cereal through a bottle.  Many drs recommend cereal in the bottle so that there would be less spit up.  Solids should not be the source of nutrition at this age.  If your lo is not showing signs of being ready for solids then wait.  http://babywhispererforums.com/index.php?topic=36922.0  It will not make her a bad or picky eater if you do.  There are many babies with reflux that does better with solids when it is introduce at a later age (8+mos). 

Also as to the amount of solids, there really is no need to increase the amount quickly.  A couple of teaspoons would be suffice as a "meal" until she is ready for more.  Milk feeds are much more important than solids.

HTH
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Offline JennŠ

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Re: how to start solids
« Reply #6 on: January 14, 2009, 01:21:28 am »
I really caution against cereal in the bottle.  Some swallows will be thicker than others, can lead to choking.  With a preemie, you go by adjusted age for solids as well. So, by that thought, your little may not developmentally be ready yet.  I know we tried my preemie at 4.5 months adjusted, no go.  6.5 months, much better.  Mine was 5 weeks early and a 'fluxer too.   Also, if the reflux is not under control yet, babe may have more symptoms when you add solids to the diet.  If things are off track because of illness, OT, etc it might be a good idea to let everything else settle a bit first.  You want babe to be in a situation to do ok with solids, not be uncomfortable.  Does any of this make sense?  :) 
 When you're soaring through the air, I'll be your solid ground.  Take every chance you dare.  I'll still be there when you come back down.

Offline DebMcGee

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Re: how to start solids
« Reply #7 on: January 14, 2009, 09:34:34 am »
Can I just say - if her doctor has advised her to start solids then I think she should. They know the baby better than we do and i've read that reflux babies are better off with solids if they start earlier. I think general advice is great to act as a guideline but every baby is different and should be looked at as an individual.

Regarding your question - I think you should give half the milk feed, try a couple of baby spoons of cereal then finish the feed for the first couple of weeks - maybe once or twice a day. Go slow and at your baby's pace. Or you could give the milk feed, then wait 30mins, and try then. There are no hard and fast rules as all babies are different. You know your baby - watch him and read/respond to his signs. Speak to your docs if you have any concerns/questions.

I totally agree with the advice against putting cereal in the bottle. A lot of my older friends have done that with their babies but I really wouldn't do that with mine....

Good luck and try not to stress out over it. Milk is the most important food right now.

xxx



Offline hjrmom01

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Re: how to start solids
« Reply #8 on: January 14, 2009, 13:13:08 pm »
Thanks SO much for all the great advice.  Wouldn't you figure that DH would take it upon himself to decide to go ahead and give solids a try while I was at work!  DS woke up this morning, took 1 oz from his bottle and then was kinda pushing it away so DH said, "why not give solids a try!"  He said DS took quite a few spoonfuls! Said he opened his mouth like he knew what he was doing!  And then went on to finish another 2.5 oz of milk!!!  We're still working on the milk part...he's really not liking it since we're trying to transition to Nutramigen...tried going straight to it but he refused to drink it at all so we've been mixing it with breastmilk and slowly decreasing the amt of breastmilk to formula ratio.  So, I guess we'll see!  From what I understand, solids should be the midmorning feed, correct?  And I think our ped. said to start with just one feeding for a week and see how that goes before trying to add more.  Wish us good luck!!!!


Offline JennŠ

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Re: how to start solids
« Reply #9 on: January 14, 2009, 13:27:11 pm »
Can't say I blame him on the nutramigen.  Yes, start with midmorning, and one feeding/day for a while.  :)   
 When you're soaring through the air, I'll be your solid ground.  Take every chance you dare.  I'll still be there when you come back down.

Offline ~Alexa~

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Re: how to start solids
« Reply #10 on: January 14, 2009, 14:57:20 pm »
Good luck with solids, then!!  :D Hope everything works perfectly!!!
Let us know how you are doing!

Alexa