Tuesday, February 26, 2008

email to the pediatrician...

Subject: Feeding adjustment

Hi Dr. JJ- I have several questions regarding feeding 5 month old Alexander. My frozen supply of milk is rapidly disappearing, and when I pump I am getting much less than I used to. Also, when I breastfeed him in the evening, he does not seem to get full- and fusses until I give him a bottle with 2-3 ounces of breastmilk to settle him down and get ready to sleep.

I plan to start Alex on rice cereal twice per day starting tomorrow to help satisfy his appetite.

My questions pertain to supplementing him with formula. Alex would get very fussy/gassy early on (I had observed it was after I would have milk) and you advised me to stop drinking milk myself- that he was sensitive to the milk proteins- and not to start again until he was 6 months old.

In this, should I try Alex on regular cow milk formula or start with a soy based product? And after naming which, is there a brand you feel would be better for him? I was thinking I would try to always keep him nursing, but when he is being watched by the nanny and in the evening to give him formula to help satisfy his appetite. He is a big boy- I believe almost 18 pounds at this point at just about 5 months old.

I want to try to continue nursing as long as I can, and I realize that the more demand there is the greater the supply- so I will keep him on the breast and try to pump what I can get out of myself in the next several months!

Please advise with a strategy for moving forward to feed Alex. Thank you Dr. JJ-Julie


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