Ingathered Rotating Header Image

breastfeeding

The Mystery Factor in Mother’s Milk

Have you ever considered why is it that mother’s milk cannot be measured? Wouldn’t it be nice to be able to feed the baby and know exactly how much she has eaten?

The idea hit me while responding to comment on my posting about my baby’s feeding troubles. All of a sudden I realized that common advice to stop nursing, given by doctors whenever a baby doesn’t seem to follow textbook development patterns, is not rooted in opposition to Mother Nature. It is simple: formula can be measured in grams (or pints), making it possible to know just how much the baby has eaten. Armed with this knowledge, a doctor can analyze the data in terms of calorie, vitamin, and mineral intake and develop a treatment plan.

All of that is impossible with breast milk. How many grams are in a 5-minute feed? And how many calories? Unless you resort to weighing the baby before and after every feeding, as my mother had been instructed to do when I was a baby, the exact amounts remain a mystery. And what is in that breast milk anyway? It has not undergone chemical lab analysis, so who can vouch for its quality?!

There used to be a time when doctors could make diagnose an illness using just their five senses. Today, with the advent of futuristic technologies, this ability is gradually becoming extinct. So too with breast milk; if you can’t see it, measure it, take it apart in a lab, it is as if it doesn’t exist. Is it any wonder then, that when faced with a possibility of a problem, doctors prefer to play it safe and rely on quantifiable formula, rather than something as amorphic as breast milk. At least this way, there is a measure of control.

To me, surrounding breast milk with a bit of mystery makes perfect sense. From the Talmud we learn that, “[divine] blessing is not found not in that which has been weighed, not in that which has been measured, not in that which has been counted, but in that which is hidden from the eye.”  In His infinite wisdom, g-d has taken care of every detail of nursing, including leaving weights and measures out of it. This way, mothers can rely on their babies to eat as much as they want, without worrying about “filling the quota” and comparing their babies’ feeding needs with those of others. By keeping parental neurosis over food out of the equation, babies are given a chance to develop healthy eating habits from the start.

Don’t get me wrong. I have no intention of undermining doctors’ expertise or opposing the use of formula when things do not work out. That said, there is more to the decision than control over variables. After all, mother’s milk is not only immeasurable, it is also irreplaceable.

On Breastfeeding and Growth Charts

Last week, I posted an item about my baby’s seeming diagnosis of Failure to Thrive (FTT). The dietitian was adamant that I should stop nursing, give her 3 bottles of formula a day, etc, etc.

After talking this over with my husband (the most vociferous male supporter of nursing I’ve ever come across), I decided to check the facts once again. Here is what I found.

The Israeli Ministry of Health uses growth charts developed by the US Center for Disease Control  (CDC) in 2000. These charts were developed following observations of both breastfed and formula-fed babies. Based on these charts, my baby, who was born in the 25th percentile, dropped to the 3rd percentile by the age of one (this means that she weighs less than 97% of babies of her age).

However, in 2006 the World Health Organization (WHO) introduced new charts, reflecting the suggested development of breastfed babies. More recently, UK health authorities used WHO data to develop their own charts for nursing babies. The revised charts show that breastfed babies tend to gain weight fast in the early months, then taper off in their growth.

On WHO’s charts, my baby is in the 15th percentile, gaining significantly after her dip at the age of 6 months. Combine that with her steady growth in height and normal development and the picture becomes all that less worrisome.

What I’d like to know is how is it possible for a pediatric dietitian not to be aware of this information released over three years ago and widely available in both English and Hebrew. Furthermore, even if the Ministry of Health doesn’t deem it necessary to update the charts the way the Brits have done, why doesn’t it, at the very least, inform practitioners (including Mother and Child  Care – Tipat Chalav nurses) of these new standards?

As for us, we’ll continue to monitor our daughter’s growth. I have another appointment with the dietitian next month with printed charts ready and waiting for her perusal.

What in the World do I Feed my Kids? (Part I)

The other day, I took my one-year-old to a pediatric dietitian.  Over the last several months, her weight hasn’t been keeping up with her height, so the pediatrician thought it wise to get some nutritional guidance.

I got plenty of guidance at that visit, but how do I apply it? The dietitian thought I should:

  • wean the baby off breastfeeding and feed her plenty of formula
  • feed her every 4 hours (no snacks of any kind in between – not even fruit)
  • stay away from whole grains and opt for refined flours instead.

I left the office contemplating which one of the suggestions was the most bizarre.  On the face of it, the advice goes against everything we seem to know about nutrition. Whole grains are more nutritious than white, breast milk is preferable to formula, and many small meals better than three  square ones.

The last point really took me by surprise, but from conversations with several other people, including a registered dietitian, it seems that the extra fiber in whole grains interferes with absorption of certain minerals and causes babies to feel full faster, preventing them from eating more calories.

But as much as I didn’t welcome the idea of setting up a separate pantry for the little one, it was the first suggestion that left me clueless. Unlike our other four kids, this one has a host of allergies, including… milk, making milk-based formula a non-option. And as long as the jury is out on the safety of soy, I have no intention of pumping her with a quart of soy-based formula each day.

So now what do I do? Any ideas?

Powered by Netfirms