Contributor

Mary Grace Quirimit, Philippines

RN | a mother of TWO!

About Mary Grace Quirimit

Posts(94)Replies(2365)Photos(34)

source: Breastfeeding Pinays FB grp

ADMIN NOTE aka LONG READ: Weight Gain in Babies The general standards: - The Minimum expected weight gain in the first six months per month is around 500 grams and/or - birth weight has to be doubled by 3-5 months, tripled by age 1. - minimum acceptable weight gain between age 1 and 2 is 2kgs What does this mean? A baby born with a birth weight of 3 kgs, ideally should be around 6 kgs by 5 months and 9 kgs at 1 year old. And 11 kgs at age 2. Ideally. If a baby was born with birth weight of 3.5 kgs, then e should weigh 7 kgs at 5 months and 10.5 kgs at 1 year and 12.5 kgs at 2 yrs old. Now... With preemies, you have to consult with your pedia because there will be many factors affecting baby's weight gain. And if he was severely underweight, "fattening" him up might be a priority (using breast milk). Now... It is COMMON for babies to be gaining around 1 kg every month in the first 3 months or so. First, this is the time babies really feed a lot as newborns. Also, they hit their 1st/2nd growth spurts around this time. If you express milk, you will see a lot of cream. Then suddenly, weight gain starts slowing down. Remember that during this same time, babies hit a point in their development wherein they see better, realize they can interact with their world, start turning/rolling over and try to sit up. All of those bring stress. Plus, They are distracted. So, yes, they may feed less. But also, and more probably, it means the baby's body recognized that he doesn't have to grow that much anymore (having achieved most of the target growth), told Mama's breasts that, and Mama's breasts responded in kind by changing milk composition (less fats for growing). You have to remember that Nature designed our milk to facilitate survival (first and foremost). If the natural imperative for human babies is to start rolling and crawling starting 5 months or so, then the controlled weight gain ensures a baby CAN roll, sit up, later on -- stand. The controlled weight gain ensures that the baby can support himself and grow into his independence (from having to be carried all the time to being able to sit/walk on their own). Have faith. If, because of the enteromammary pathway, our babies can tell us what particular antibodies they need, what more how much protein/fats they need to grow right? Unfortunately... ... Birth weight and baby's weight gain will be affected by one or a combination of the following: 1) parents' genes 2) mom's health prior to pregnancy 3) quality of pregnancy 4) conditions of birth 5) quality of breastfeeding/infant feeding 6) quality of complementary feeding (at 6 months onwards) 7) illnesses 8) special conditions and/or limitations (like Tongue-tie, cerebral palsy, Down's syndrome, cleft palate) 9) environment 10) habits Remember also... Weight gain is just one health indicator but it isn't the only one (hitting milestones, alertness are better ones). That's why we always say, LOOK AT YOUR BABY, not just his weight. Be concerned if: 1) baby is really feeding less (less number of feedings, shorter duration, less poop and pee and it ain't summer) 2) there are signs of dehydration (really dry skin, chapped lips that doesn't improve, fever) 3) baby stops gaining weight without particular reason 4) baby starts losing weight What to do when you notice the decline in weight gain? 1) THINK... Is he becoming more physical, playing more, rolling, etcetera... Was he feeding less? Did he get sick? Routines disrupted? 2) Improve breastfeeding (like latch might have become shallow from bottlefeeding so re-train baby for deep latch... or you're allowing too much acrobatic feeding that baby plays more than feeds so train baby to settle and focus... Or baby keeps getting distracted so go back to quiet feedings in the dark) 3) Improve Complementary Feeding (for babies 6 months beyond)... Offer only energy dense food, offer small meals every hour during waking hours, no empty calories (juice, crackers, white bread, sweets) 4) Consult with and work with doctor. It is sad and hard that there will be slow weight-gaining and sickly babies. It's important you find a doctor who believes in breastfeeding and its power to protect and heal. And it will require a lot of patience before you might see improvements. Now... We will reiterate that EVEN in cases of stunting, even in cases of slow-weight gaining babies... FORMULA IS NOT THE ANSWER/SOLUTION. This is according to WHO, IBFAN and DOH. Some might choose the gain-weight-quick approach offered by formula BUT weight gain from fats/sugar (as in taba) and not good bone density (which happens over time and offered by breast milk) is just invoking health problems because bone density affects and is affected by immunity. Para magka-idea kayo Ano ang bone density.... May payat na mabigat (sinasabi naging siksik). At Yung payat nating anak, Iba ang payat sa payat ng may matinding sakit o Sobrang hikahos. (FYI, cow's milk leeches off calcium from our bones... And sugar affects bone density negatively.) Preemies are also put at serious risk when you introduce formula, especially in the early days, as their systems cannot manage the processing required just to get nutrition from formula... And they are exposed to contaminants. So... Moms and Dads, BE ALERT for signs baby is not thriving (because weight gain does affect development) but do not worry overmuch over the conservative weight gain your baby shows (if he is alert, a happy baby, hitting milestones, not sickly, not lethargic, sleeps well, has healthy skin, interactive). Let them find their own body size. Don't be pressured by numbers because good health isn't just an issue of weight gain. Calm down and Breathe, parents. LOOK AT YOUR BABY instead. Parents... This post is not supposed to make you complacent ha! Baka your toddler of 2 years old is 11 kgs (from a birth weight of 3 kgs) Nga but is mostly eating processed food or not eating well. Think of bone density. Think of anemia. And emphasis on consulting experts (doctors or nutritionists) if you feel something needs to be looked into. Most healthy, breastfed babies will have conservative weight gain (no matter the race) but babies with special conditions may NEED a specific feeding regimen and/or supplements. - #adminmec CTTO

Read more
Write a reply

CTTO

? ???? ???? ?????? ???? ???????.. ?? 1-2 weeks after a baby is born, wag na lagyan ng mittens para mapractice ang hand and eye coordination nila. Malaking factor ito kapag mag stastart na silang mag solids. ?? Akala ng karamihan kapag ngumunguya na si baby eh ready nang mag solids. May ibang babies na hindi pa kaya kumain pagkatungtong ng 6 months. Hindi po lahat ng babies ay parehas kaya wag po kayo mag worry kung madedelay ang pag start ng solids ni baby. Check for signs of readiness tulad ng kung kaya na bang umupo at kontrolin ni baby ang ulo niya. ?? Minsan kapag ayaw kumain ni baby subukan niyo sila ilabas. (Hindi sa mga mall kundi sa park) Hayaan niyo sila mag explore, madumihan at madiscover ang iba't ibang textures ng mga bagay bagay sa paligid like leaves, stones, sticks. Sign din daw kasi ng batang nakakulong sa bahay ang pagiging butnutin kaya ayaw kumain. ?? Eto pinaka nagustuhan ko na sinabi sa seminar. FOLLOW-ON MILK IS NOT NECESSARY according sa World Health Organization. Kapag nag wean na si baby sa pag brebreastfeed, you don’t need to buy them any formula milk like Nido 3+, Bearbrand Jr, etc. Hindi po milk ang kailangan nila kundi CALCIUM which can be found sa mga solid food. Make sure to offer calcium rich food like malunggay. It has 4x the calcium than milk. Magpasalamat tayo dahil napaka abundant ng malunggay dito sa atin at napakamura lang. Iniisip ko nga na kapag nag wean na ba si Sage need pa ba namin siya bilhan ng milk pero mabuti nang hindi na pala, makakatipid na ulit kami lalo haha thank God natutunan ko to sa seminar at napanatag ang loob ko. ?? 1-3 years old pinaka nag pepeak ang sakit dahil age of exploration nila ito kaya dapat mas pinapabreastfeed natin sila para lumakas lalo ang immune system nila. ?? Make eating time a fun and stress free environment. Babies can feel when there’s tension. Introduce cognitive activities while eating like counting or teaching them different colors & shapes. In our case, we bought Sage a table na may design na numbers and alphabet kaya sa tuwing kakain siya tinuturuan din naming siya mag count kaya naeenjoy niya lalo ang meal time. ? ?? May emotional effect po sa bata ang pag foforce feed. Madalas ito mangyari kapag naiiwan si baby sa caregiver. Educate them na kapag ayaw ng bata sumubo wag pilitin, try ang try lang after every 2 hours. Mas ok nang naka isa o dalawang subo every 2 hours kesa walang laman ang tiyan nila the whole day. Mas mainam ang small and frequent meals kesa isang kainan ng madami. Hindi kailangang lagi ubos ang pagkain na nasa plato. Again, not all babies are the same. Some may finish their food in one sitting while others may take a few hours. Learn to know the queues of your child nang sa ganun ay sakto lang ang maihain niyong food sa kanila. ?? As long as they are eating healthy, it’s ok kahit di mataba si baby. Nakaugalian na kasi na kapag mataba ay healthy na agad. Nasa lahi din po ng parents yan kung tabain ba o hindi. Tandaan na hindi lahat ng mataba ay healthy at hindi lahat ng payat ay sakitin. ?? Sugar is highly addicting, hindi ito naiiba ng epekto gaya ng sigarilyo at drugs sa atin that’s why it’s not advisable to offer your baby sweets below 2 years old. Kapag nasobrahan sa sugar eh tataas ang sugar level ng isang tao then eventually magdedecrease kaya nga diba kapag nag susugar rush ka eh ang hyper hyper pero di magtatanggal bababa ang energy level mo. ?? High chair is not a must. Kung pagiging practical lang din, pwede na sa pinatong patong na monoblock chairs then i-assist na lang si baby habang nakaupo. ?? Normal lang na makalat sa tuwing kakain si baby. Wag mafrustrate dahil minsan nakakalimutan natin na babies sila. Maging pasensyoso at linisin na lang ang kalat after kumain. Embrace the mess. ? ?? No forms of distractions sa tuwing kakain. Turn off the tv, iligpit ang toys or gadgets. Ilapag ang pagkain sa mesa at hindi sa harapan ng tv. Nalilihis ang concentration ng bata kapag ganun kaya kung mapapansin niyo minsan na nakababad na lang sa loob ng bunganga nila yung food kasi ang concentration nila nasa tv instead na nasa pagkain. ?? Kapag nag 1 year old na si baby pwede na sila bigyan ng sarili nilang cup para matuto sila uminom ng tubig mag isa. Yung maliit na baso lang para shallow at madali dumaloy yung tubig sa tuwing iinom sila. ?? Eto ang pinaka madalas kong napapansin sa mga bata ngayon. Sila ang kumokontrol sa mga magulang nila kung anong pagkain ang gusto nila ipabili like hotdogs, ham, etc. Hindi dapat ganun, tayong mga magulang ang dapat na nagdedesisyon kung ano ang ihahanda at ipapakain sa kanila. Wag silang tanungin kung ano ang gusto nilang kainin sa halip sanayin sila na kung ano lang ang nasa hapag kainan yun lang ang dapat na kainin. Bilang mga magulang obligasyon natin na hainan sila ng masusustansyang pagkain. ?? Wag na wag susuhulan ang bata para lang kumain. Eto madalas ang ginagawa ng karamihan kaya naiispoiled ang mga bata at di nila naaappreciate ang tunay na essence ng pag kain. ?? Kapag sabay sabay kayong kakain, wag na wag kayong magtatalo mag asawa sa hapag kainan. It will create a negative impression sa bata hanggang sa paglaki nila. Or kahit mag discuss about money or any other problems is a big no no. ?? Junk foods like chips, biscuits, softdrinks, commercial baby food, etc. are dangerous for your child’s health dahil puno ito ng msg, sugar, salt at iba pang preservatives na pwedeng makapinsala sa kanilang musmos na organs. Isa pang effect nito ay ang pagtanggi ng bata sa natural na pagkain, obesity, diabetes at iba pang sakit. ?? Artificial vitamins are not necessary kung wala namang vitamin deficiency ang bata. Doble trabaho lang po ito sa liver nila sa pag proproseso ng synthetic vitamins. ?? Food should be mashed not pureed. Dapat po may texture para matuto pong makarecognize ng different textures si baby at makakatulong ito sa pagkatuto nila magsalita in the long run. ?? Its ok to follow or not follow the 3-day rule. ?? Mas ok po na bumili ng buong prutas sa palengke kesa yung mga chopped na nasa groceries dahil iniispray-an nila ito ng chemical para tumagal ang freshness at hindi natin alam kung malinis ba ang tubig na pinang banlaw nila sa mga yun. ?? Nakita ko yung post ni mommy Joselle nung nakaraan about sa Miswa kasi ang ingredients nun ay flour, water at salt kaya tinanong ko yung about dun nung seminar at chenenenen! Maalat po pala sobra ang miswa kaya pang 1 year old above na po pala ito dapat i-offer. Salamat mommy Joselle sa pag post nun at least alam na nating lahat hehe. ? Eto po ang iilan sa mga pagkain na kasama sa Tamang Kain. (Mga locally grown food) - Talong - Pipino - Kalabasa - Papaya - Okra - Kamote - Buko - Saging - Mais (White Corn instead na yellow dahil nilalagyan po ng food coloring yung iba para magmukhang matingkad) - Brown/Red Rice - Mangga - Kalamansi - Malunggay - Munggo - Sayote - Patola Basta lahat po ng nasa kantang Bahay Kubo eh locally grown food at pwede i-offer kay baby except sa mani dahil malakas poi to maka-cause ng allergy. Tsaka na po kapag 1 year old pataas na. Mga di po kasali sa TK na hindi alam ng karamihan (gaya ko nung una haha) - Apple - Grapes - Strawberries - Blueberries - Rolled Oats - Cream Dory - Dairy Products (milk, cheese, yogurt) - Basta mga iniimport na vegetables at fruits galing sa ibang bansa papunta dito sa atin ay hindi kasali sa TK dahil may mga preservatives nang nilagay doon para mapanatili ang freshness hanggang sa pagdating dito sa Pinas. P.S Ang group po na ito ay hindi solely TK ang sinusunod kasi hindi naman po sa atin yung Tamang Kain, sa BFP po yun kaya halo halo po ang shinashare na recipes. Mapa-TK or Baby-Led Weaning, spoon feeding or offering your babies finger food, ang importante healthy food ang pinapakain natin sa babies natin at hindi yung mga commercial baby food. Baka lang kasi mag cause ng confusion sa inyo hehe. At the end of the day kayo pa din po bahala kung anong style ang susundin niyo sa pagpapakain sa lo's niyo ? ??????? ?? ??. ??? ???? (? ???? ???? ????????????? ???????? ?????) ?

Read more
Write a reply