9 mo. old anemic breastfed. What foods?

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My thirty something daughter has a 9 month old. This is her first child. She intends to breast feed until he weans himself. I visited a week ago (I only get to see him about ever 3 months) I suspected that he might be borderline anemic.

I did not express my suspicions to her. Now I have an email from here saying that he is "just slightly anemic" She added a disclaimer though that the "nurse said the test might show that because she was not able to get enought blood on that draw." I can handle explaining that part to her. The test only takes a drop from the tube the amount for a glucose monitor and they are looking at the quality not quantity, the color or the hemoglobin.

I have enough lab background to let her know this.

However, it is his diet that I am concerned about. His primary source of nutrition is still breast milk. I told her, much to her surprise that back when she was a baby Laleche promoted starting the baby on meat around 6 months. She said that meat is not recomended today until much later. (was it a year she said?)

She does not feed consistently nor regular meals. Some days all he has is a few cheerios. The only foods she gives him are. carrots, brochli, peaches, white grape juice (rarely), squash, I think he may have had green beans, has not had peas yet. rice cereal, barley cereal.

She told me her peditrician said she can introduce new foods more frequently than ever 4 days (actually she said that he told her that you do not have to waite four days after introducing a new food. I did not ask for an explaination on what she meant by "waiting")

She said that she is waiting anyway because Daddy has so many food allergies and she does not want to introduce an allergy. OK I can accept her concern.

She is totally opposed to supplementing with formula. Or giving suplemental vitimines.

She admits to her emoational reluctance to let him get nourishment from anything other than her milk. Daddy was initially the one to start feeding him as she just could not beare to.

Since the newest thing according to her is not to feed meat yet how can I help her find ways to get some iron into this little guy. As I said there are days he only gets cheerios or bits and I do mean bits of bread. Yes as grandma I know bread is a choaking hazard.

Remember I am grandma and so I am limited because I can easily seem interfering and critical.

What is the rational for not giving meat yet? What can I suggest she give to increase his iron that will go along with current guidelines (what ever they are) ?

She is intelligent. a bit militant about her baby's breast nutrition. And I think she pretty much calls the shots with the doctor. Though she does like her doctor as he is supportive and lets her lead from what I am told.

Most babies get mildy anemic - I wouldn't worry. She is seeing a doctor and no doctor I know is "led" around by a patient. If the baby is meeting growth expectations, the baby is probably fine.

steph

I agree with steph most babies are mildly anemic even the ones eating soilid foods.

My second child would not take solid foods of any kind until he was nine months old...at first I was a little concerned but my doctor said as long as he was still gaining weight and at the expected areas on the growth chart there was nothing to worry about. I was also breast feeding him and did so until he was almost three and a half, when he weaned himself. He is now a healthy four and half year old.

It really sounds like your daughter-in-law cooks nutritious foods and wouldn't purposely deprive the baby. Keep in mind that many of us with our first children were extra cautious and stressed a lot about doing everything just right with this child.

So basically as long as the baby is gaining weight and meeting all of the growth chart requirements..don't fret and just enjoy the time you get to spend with your grandchild.:)

Specializes in ER.

Back when I did pediatrics we gave iron supplements to all breast fed babies. We also had multiple admissions from kids that took in so much milk they didn't get enough solid food. The cure was a supplement or a change in diet.

Most babies get mildy anemic - I wouldn't worry. She is seeing a doctor and no doctor I know is "led" around by a patient. If the baby is meeting growth expectations, the baby is probably fine.

steph

I agree with steph most babies are mildly anemic even the ones eating soilid foods.

My second child would not take solid foods of any kind until he was nine months old...at first I was a little concerned but my doctor said as long as he was still gaining weight and at the expected areas on the growth chart there was nothing to worry about. I was also breast feeding him and did so until he was almost three and a half, when he weaned himself. He is now a healthy four and half year old.

It really sounds like your daughter-in-law cooks nutritious foods and wouldn't purposely deprive the baby. Keep in mind that many of us with our first children were extra cautious and stressed a lot about doing everything just right with this child.

So basically as long as the baby is gaining weight and meeting all of the growth chart requirements..don't fret and just enjoy the time you get to spend with your grandchild.:)

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Nice post.

steph:)

Hmmm! How anemic is anemic? I am a Pedi RN and a Lactation Consultant. Many mothers begin foods between 6 and 9 months. I would advise to contine to nurse, give iron-fortified cereals mixed with breast milk, if she's already giving fruits amd some veggies, continue and introduce other veggies like spinach, or other dark leafy ones. Tofu, cottage cheese, and yogart are good choices. If she's ok with dairy. Babies also like textures, like avocado and tofu. Try it! Try making her own baby foods rather than jar type the baby make prefer that. And use a spoon. She can introduce meats at this time, small amts. at first than increase. She should RC the blood test in 6 months or as recommended by her provider. Some good resources are books by Dr. Sears; The Baby Book: Everything you need to know about baby from birth to age two. A good information site is The American Academy of Pediatrics www.aap.org. They recommend breastfeeding for 6 months to one year or longer in their new policy statement on breastfeeding. They have information on the web site about feeding and parenting. Good Luck!

Pedi RN 25 years! RN IBCLC:)

Specializes in pediatric ER.

I worked at a pediatric office for a few months, and we tested all of our 9 mo. old's blood because they are growing so quickly at this age that they are often anemic. If their hematocrit wasn't below 34-33 something like that, can't remember exact numbers, we didn't prescribe any type of iron drops or anything. We simply told mom to increase protein... the suggestions in the above post are very good food-wise and are the foods that we would recommend. Best of luck!

Specializes in ICU, ER, HH, NICU, now FNP.

There are many babies - both breast and formula fed - who become anemic as the iron stores reserved from pregnancy wear off over time.

Actually, I wouldnt change much - except to add an iron supplemented baby vitamin.

Many children may breastfeed for a year or so as well - without taking solid foods. This is ok too! As long as mom is eating well, no problem, they WILL eat solids eventually! He just isn't interested at this point. If she is concerned about this borderline anemia, but does not want to add a vitamin, then you have a problem. There is NO REASON to push solids at this time if she can get him to take the vitamin.

No reason to create problems where there is none. Just add the vitamin. Even some formula kids need that. Some kids are interested in solid foods earlier than others, but breastmilk is a complete diet for those who are not.

Specializes in ER.

I told her, much to her surprise that back when she was a baby Laleche promoted starting the baby on meat around 6 months. She said that meat is not recomended today until much later. (was it a year she said?)

LLL still recommends meat as one of the first foods.

T

I told her, much to her surprise that back when she was a baby Laleche promoted starting the baby on meat around 6 months. She said that meat is not recomended today until much later. (was it a year she said?)

LLL still recommends meat as one of the first foods.

T

Would you mind linking that source? If memory serves, I believe rice cereal is first . . .

Thanks.

steph

Specializes in ER.
Would you mind linking that source? If memory serves, I believe rice cereal is first . . .

Thanks.

steph

Steph,

I don't have a link but would be happy to type the info up:)

From The Breastfeeding Answer Book

When starting solids, the following progression works well for most babies:

Ripe banana, avocado, yam, or sweet potato

Meat

Whole-grain breads and cereals

Fresh fruits

Vegatables

Dairy products

Under each of these it also gives more info as to why and how, and also conditions that may not make a particular food a good idea for a certain baby.

Hope this helps!

T

Specializes in ER.
Child-led weaning isn't a bad thing.

Yea, a voice of wisdom!!!!!

T

What about suggesting those iron-fortified cereals mixed with breast milk? That was the first thing both of my children had as babies - cereal with breast milk ;-) That way, baby *is* nourished by mom (may help her feel better) but the cereals are iron-fortified.

HTH

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