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Medical questions about Breastfeeding



Dr. Ruth Lawrence, professor, author and researcher, serves on Breastfeeding.com's medical advisory board.  Dr. Lawrence is a professor of pediatrics, obstetrics and gynecology at the University of Rochester.  She is also director of the university's Breastfeeding and Human Lactation Study Center.  Dr. Lawrence has answered many of your medical questions about breastfeeding

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Daughter on a food strike - help!

NAME: Kym
BABY'S NAME: Olivia
BABY'S AGE: 6 1/2 months
BIRTH WEIGHT: 6 lbs, 5 oz
CURRENT WEIGHT: 16 lbs, 4 oz

My daughter was started on solids at 4 1/2 months because of a reflux problem.  We started with rice and moved on down the line of first stage foods. She would eat solids two times a day and breastfeed the rest of the day.  After a few weeks, she stopped eating except for one solid feeding of about 2 tablespoons and 2-3 breastfeedings for about 5 minutes each.  Her pediatrician told me to stop the solids and at her 6 month check up I was told to start her on solids again.  I have done this, and for the first 3-4 days she was okay but now she is going back to not eating.  I have tried to give her juice and water so she won't get dehydrated, but she vomits this up every time.  (She refuses the breast during her food strike.)  I feel compelled to stop the solids again, and continue breastfeeding her exclusively and to offer food only on occasion.  But my daughter loves food and wants mine all the time!  I was wondering if my breastmilk is not appetizing to her when she has food to compare it to or what? Any input would be greatly appreciated!  Thanks!!





At this age, I wonder if your baby still has reflux or not. Often, this disappears at about 6 months or begins to improve, so how you handle the solids would really depend on what the status of the reflux is. Six months is the time that solids are recommended for all babies, so your baby has arrived at a time that it is appropriate to be introducing them.

Your comment about your daughter loving your food is an interesting one, and it may be a social issue.  There are certainly foods that adults eat that babies can try too, such as small pieces of banana or other soft fruits or cooked vegetables.  Sometimes that is a way to get babies interested in solids - to have them eat what other people are eating.

In terms of the food strike, I would continue to offer the breast and to offer solids, but not both together.  Usually, if you are trying to get a baby to eat solids, you should try to give them solids, then offer the breast shortly thereafter.  If you are concerned that your baby is not getting enough breastmilk, you would try the reverse.  Don't offer solids and breastmilk at the same time, though - make each a separate episode.

In terms of growth, we like a baby to double birth weight by about 4 months.  Your baby has gone beyond this at 6 1/2 months, so her weight seems about right.  She should approximately triple her birth weight by the time she is 1 year old.  At 6 1/2 months, skipping a few feedings isn't going to make a big difference in her hydration or growth.  However, if she stops having bowel movements for more than several days or has fewer than six wet diapers each day, you should contact your pediatrician as these are signs of dehydration.



 

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