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  • Formula to calculate how much EBM & solids Q

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    Old 07-21-2006, 09:56 PM   #1
    Dalgi
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    Formula to calculate how much EBM & solids Q

    Hi!
    I know this question's been asked before, but I can't find the thread. There was a formula about body weight and age, I think, to calculate how much a baby should drink during 24 hours. Can anybody pls post it? I need to know whether I'm on the right track or not.

    I'm going back to work on Monday. I've been giving my 15 week old DD a bottle of EBM a couple of times a day to get her used to taking a bottle. But I have no idea how much she should be taking. I started her on 100 ml. Each day I increased it to see how much she needs and she took 180 ml today, no problem. (I think - hope! - this will also make her go a little longer between feedings.) Will she stop drinking when she's full or will she always finish how ever much is in the bottle?

    This whole issue of feeding her EBM is confusing at times.

    She has almost doubled her birth weight - from 3,5 kg to 7 kg. Should I start thinking about introducing solids? She's our first, so I'm rolling with the punches. But I really want what's best for her. Who doesn't? I was thinking that I want to wait until she can at least sit up by herself before I start feeding her some rice cereal. Is that wise?

    This board has been SOOO helpful - since pregnancy. Thanks everybody!

     
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    Old 07-22-2006, 07:54 AM   #2
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    Re: Formula to calculate how much EBM & solids Q

    Quote:
    Originally Posted by Dalgi
    Should I start thinking about introducing solids? I was thinking that I want to wait until she can at least sit up by herself before I start feeding her some rice cereal. Is that wise?
    You're very wise in that decision. Sitting unassisted is just one way of being sure your baby is ready for solids. The others are a keen interest in what you're eating, mimicking your chewing motions, and most importantly, loss of the tongue thrust reflex. This reflux causes the tongue to move in back to front motion, which is how they massage the areola of your breast to elicit the let down of your milk. It can take as long as 8 months to loos this reflex, though by 6 months most babies are ready to *try* solids. By that time they're able to move the food, with their tongue, from front to back without pushing it out. Trying to force feed an infant with a strong tongue thrust reflux can result in choking, but mostly it's an indication that they're only able to drink, not eat.

    As for cereal, personally, I'm choosing to skip it all together. It's a highly processed grain with very little nutritional benefit. All it does is detract from a healthy breast milk diet by making them fuller so they drink less BM. Personally, I am choosing to wait until she can self feed and chew her own food. I really don't see the point in transitional foods. Babies don't have teeth for a reason. As an adult I use my hands to place food in my mouth, then I chew it with my teeth and swallow it. I think not having teeth, and not having the dexterity to self feed at 4-6 months is natures way of telling me my baby should only have milk. And that is fine! Breast milk is MORE then capable of providing a complete and healthy diet for the first year of life. Solids before that are simply for practice.

    I also would not worry about a formula for how much breast milk to leave behind when you return to work. It really has little to do with what your baby will end up preferring. Many babies prefer mamma and will not eat the "recommended" amount, so a formula is pretty useless. Or on the other side of the spectrum they'll guzzle a bottle and end up nursing less. Your best bet is to provide several small amounts so that it doesn't get wasted, that way your child care provider can feed when baby is hungry without wasting any.

    My own daughter has never taken more then 2 ounces at a time, and according to her weight and age she should be drinking 4-5 ounces, so it just goes to show that every baby is different.

     
    Old 07-22-2006, 08:01 AM   #3
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    Re: Formula to calculate how much EBM & solids Q

    My lactation consultant gave me a formula for calculate this. I have since thrown away that paperwork & can't remember how I did it. That calculation is simply a guildeline anyway...a good place to start so you can make adjustments on how much your baby actually eats.

    I used that calculation in addition to recommendations on what my Ped said she should be taking in at the different Ped visits. In my case, the calculation & Ped recomemndations were about the same...give or take an ounce or 2 over the course of a 24-hour period.

    There are also calculators on the web for this. I never used them, so I cannot attest to their accuracy...as I had a handwritten formula to use and the ones on the web do the math for you...so not sure if it's done the same way. I personally don't trust everything I read on the web...but it would be worth checking out on your own.

    Have you talked to your Ped about giving solids? I got the okay for solids at 4 months. There are some Peds out there who are adamant about not introducing solids earlier than 6 mo. You should talk to your Ped and go from there.

    15 weeks is just a couple weeks short of 4 months old...you're due for a Ped visit soon (if you live in the US). Good luck.

     
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