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Breaking it Down...

Breastfeeding... the struggle can be real

3/30/2018

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Working as a pediatrician in Manhattan, many of the families I work with choose to breastfeed.   We’ve all heard the facts; breastfed infants are healthier, they have fewer ear infections, fewer stomach viruses, their intestines work better and they might be thinner and smarter when they grow up. The research does, indeed, show that in the short term there are many benefits to breastfeeding.  What the research does not communicate, however, is how difficult this can be for the woman w,ho has these breasts attached to her body
The majority of women I work with who want to breastfeed are able to breastfeed.  Often with the first child it takes a couple of weeks to get it down, but after a fortnight of sore nipples and a few visits with the Lactation Consultant it all usually works out.  There are a few babies who have a tough time latching, and never really get the hang of it… and some of those women will end up pumping and giving bottles.

If it’s working for you, that’s great.  It can be convenient, it’s free and when it works, it can be enjoyable, easy and as stated before quite good for your infant.  But, I am trying to get through to those women who after a few weeks of giving it their all the baby still isn’t on the breast, he/she is not growing, and you are in tears.

Last week I had two women in my office who I had been working with for a few months, each, separately, had “breakthroughs.”  Meaning, they finally realized that they had been prioritizing the act of breastfeeding their infant over their own well being and sanity, their baby’s health and their families’ ability to function.  
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Breastfeeding usually works.. but sometimes it doesn’t.  And when it doesn’t that does not mean you are a bad mother, robbing your infant of ever being healthy, thin or smart.  Formula may not be ideal, but they spend a lot of time and money trying to make it as close to human milk as possible.  And in this day and age there are even human milk banks if you can’t stomach the idea of formula. 

​Women, having a baby is hard.  If you didn’t know that before you had one you know that now.  Be kind to yourself.  Be kind to your friends when they are unable to breastfeed.  And also be kind to your infant, who needs a somewhat rested mother over one who is beating herself up constantly and in tears over trying to breastfeed.


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Are you a mess about starting solids?

3/27/2018

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Most of you love food and eating, and hopefully you can pass this onto your little one.  Many parents find starting solids overwhelming or stressful at first, we are hoping this information helps to make this process fun. A few key points:
  • Solid foods are usually introduced between 4-6 months of age, based on parental preference and the infant’s desire to eat solids.
  • Your infant should be able to hold his/ her head up before starting solids, it is not necessary for them to sit independently before starting solids, but you should be able to prop them up comfortably
  • The only hard rule about what to avoid is honey.  No honey before one year of age.
  • If there is a strong family history of food allergies ( first degree relative) or your child has severe eczema or milk protein allergy you should consult your provider before introducing solids.
  • If you are breastfeeding at 6 months, you need to provide some extra iron in the baby’s diet via solid foods; dark meats, fortified oatmeal cereal, leafy greens, beans, peas.
Babies usually start to show some interest in your food between four and six months of age.  Keep in mind initially your baby will not eat a large volume of food, the first two month or so is all about teaching him/ her how to eat and allowing them to experience food.  There should be no pressure to get a certain volume of food into your child, especially at the beginning.  If you start before six months of age we recommend giving mostly fruits and vegetables.  Start one new thing at a time in case your child has a reaction, then you will be able to identify what the source is.  Between six and nine months your child will gradually start eating more and more food, and tolerating different textures.  By nine months he/ she can start taking some “finger foods” (small pieces) and table foods.  By twelve months children should be offered three solid food meals a day, and the milk intake should be 12-20 oz.  Below is a quick summary:
4-6 months: Tastes of fruits and vegetables, let baby have as much as he/ she wants, offer food 1-2 times per day.  It is not necessary to start solids before 6 months but if your baby is showing that they want it, feel free to give!
6-9 months: Fruits, vegetables, meats, bread, pasta, dairy, eggs, fish, cereals… Everything and anything other than honey.  With eggs, start with the yolk and if they tolerate it you can offer the whole thing. Start slow, introducing one new thing at a time.  As your child tolerates it, offer chunkier and chunkier things.  Around 8-9 months some finger foods
9-12 months: Start to transition away from purees onto more finger foods and table foods.  By 12 months most of his/ her nutrition should come from food rather than milk.
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Welcome to the med/Psych blog!

3/27/2018

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Thanks for visiting.  Ariella and I are new to the blogging world.  We want this blog to be useful to you.  We are hoping to include educational content, as well as thoughts/ideas about parenting, psychology, the practice of pediatrics. Please feel free to comment, give feedback and  suggestions about what you want to learn more about.  
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