
There
is no hard and fast rule up to when a baby can be breast or bottle-fed
but a good rule of thumb is to wean the child around one year of
age. Remember however, each baby and mother is different and you
should only wean because one of you wants to or needs to and not
because friends or family members think you should.
Sometimes
a baby gradually loses interest in the breast. This is a signal
to initiate weaning. This should not however, be confused with temporary
milk refusals which are sudden and abrupt, and often due to outside
factors like a cold or a change in the taste of the mother's milk.
Mostly,
it is the mother who initiates weaning. This kind of weaning requires
planning and preparation.
-
Don't start weaning if the baby is teething or ill or there is
any major change in the normal family routine.
-
Don't quit abruptly. Eliminate one feed at a time. Try eliminating
the least loved feed first.
-
Wait a few days before eliminating the next feeding. Allow 3-4
weeks for full weaning.
- If
you feel any discomfort, express the milk.
Don't
get upset if the stools change colour from yellow-green
to brown.
They will also begin to smell and appear more firm. This
is normal. |
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- f
diarrhoea or severe vomiting develops, call the paediatrician
and consider cutting back on the weaning process for a few days.
I
| As
the weaning process continues not only will milk production
gradually stop, you may also experience some feelings
of sadness and loss. This is caused both by changes in
hormone level and because of emotional adjustments needed
as an important phase of babyhood is left behind. |
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What to
wean to - bottle or cup?
-
If the child is below six months you can wean her to a bottle
or a katori. In general a bottle should be discouraged as it can
cause infection, is an important cause of
tooth decay, and is habit
forming .
-
Between 6-12 months weaning should preferably be to a cup.
What kind of milk should be introduced - cow's milk or formula
milk?
Before six months, it may be preferable to wean to formula milk
because it is more hygienic and there are fewer chances of allergic
infections.
After about six months cow's milk can be introduced.
| Regardless
of the type of milk used, unnecessary water should not
be added as this will reduce the strength of the milk |
|
Do
not store left over milk in the fridge for use in the next feed.
Use up excess milk by putting it in an adult's tea.
The
time to start weaning to a cup is around one year when
the toddler is more flexible.
- Bottle drinkers send to consume unnecessarily large
quantities of milk and juice. At a time when toddlers
normally start eating less, this could create havoc for
her appetite.
- Bottle induced tooth decay is a very real problem at
this stage. This occurs when milk, juice or other sweet
liquids are allowed to pool in a child's mouth. This normally
happens when sucking from a bottle but not when sipping
from a cup. The sugars in the fluid are broken down by
bacteria in the mouth releasing an acid which attacks
tooth enamel. |
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Tips on
weaning
- If
you toddler is easy going and smoothly accepts transitions then
pick a day when nothing else major is happening and you have time
for him. Announce that he is now a big boy (with lots of fanfare
& applause) and like all other adults (give examples) he can
now drink from a cup.
- Let
him choose his own cup style and colours. Let him play with it
and become familiar with it.
-
If he wants his bottle back give water in it (which won't harm
his teeth), but make it clear that milk or juice will now be available
only from the cup.
-
Withdraw the bottle gradually. starting with the least liked bottle
first and the best loved one last
-
Make drinking from the bottle less appealing by putting him in
a chair and preventing him from playing with it. Don't let him
hold it or take it to bed to help him sleep.
-
Simultaneously make drinking from the cup a happy time, with small
treats and lots of cuddling.
-
Keep him busy and occupied so he has less time to miss the bottle.
-
Give extra love and attention to your child at this time.
-
Always offer the glass first but don't put excessive pressure
on the child to accept. A slightly casual approach will work best.
- Serve
a liquid she is not accustomed to drinking from the bottle. Once
drinking from the cup becomes a habit, introduce milk from the
cup.
-
Don't make weaning dependant upon acceptance of the cup. If you
cut out the bottle gradually, soon the child will accept the cup
if only out of thirst / hunger. Let the child make a mess. If
you get angry at sloppy cup sipping your child will have another
reason to hate the cup.
-
Make sure during this time extra attention is given to fulfilling
calcium needs through yoghurt etc.
- The
biggest fear of parents weaning their baby from the bottle is
that the intake of milk will go down. However
- Once
the child has started eating proper food he is getting calcium
from many other sources.
- Because
of overemphasis on milk the child often suffers from iron-deficiency
anaemia.
-
According to experts the ratio should be about 80% food and 20%
milk for proper nutrition.
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