L.G. asks from Dublin, PA on March 12, 2008
Doc Says to Start Rice Cereal at 4 Mo
Hi moms,
At my son's 4 month check up appt this morning, the doctor recommended starting rice cereal. I'm just a bit weary of this and here is why.... Brayden was born 3 1/2 weeks early, and I have noticed in the last few months that he is slightly behind in his developmental milestones- Not anything to worry about as he catches up quickly. He is also in the low percentiles for growth, but again, I was told that he is within normal limits and that it takes a little time to "catch up" when they are preemies.
ALSO, Brayden also has ezcemca that flares up with certain foods that I eat. I have been on a soy, dairy, egg, wheat/gluten and peanut free diet since he was 3 months old. We have seen a big change in his flare ups since I took out the "offending" foods, with help from hydrocortisone creams.
This being said, I don't think I feel comfortable starting him on cereal and baby foods just yet. I thought this was done around 6 months (although many start earlier...) Considering he is slightly "behind" in growth and development, is his body and digestive system necessarily ready to try this? I've never experienced him being hungry after nursing, so I know he's getting what he needs to be full... I'm just concerned about bombarding his body with new things before he's really ready.
Is it OK to wait a bit longer before starting cereal? Are there any advantages to starting now verses waiting?
*side note* I haven't been happy with this doc (she's a young, new doctor, with no chilidren) and I don't think she looks at each child as an individual. it seems like she just follows the text books... :( I have seen other doctors in the practice who i like better, but I had to schedule with this particular doc this time because of scheduling issues...
any advice is appreciated!
So What Happened?™
Wow! Thanks everyone for the advice and support!!
After reading all the messages and doing some additional research on my own, I'm going to stick with my "motherly intution" and wait on the cereal. Brayden isn't showing ANY of the signs that he is ready for food- can't sit up yet, still has strong thrust reflex, isn't interested in my food yet, and is content with the amount of breastmilk he is receiving. Maybe things will change in a week and half, and I'll decide to start him on something, but I just don't think he's ready yet! :)
Thank you to all who recommended local docs, recipes/cook books, remedies for ezcema and other nutritional "substitutes" to rice cereal. I appreciate the natural/organic/green suggestions!!
Again, I think we'll move into "big people food" slowly and maybe skip the rice cereal (or at least use organic) and start with something that has more nutritional value. :)
THANKS!
More Answers
L.O. answers from Pittsburgh on March 13, 2008
Hi L.,
I am impressed with your knowledge about allergies and your awareness of your son's needs! As for your doctor, I cannot say the same. My understanding of the guidelines for starting cereal in families with a history of allergies/asthma is to wait six months. That's what I did with all three of my children while I was nursing them. My best advice to you is to keep doing what you are doing: educating yourself, paying attention to your child's individual needs and trusting your instincts. And find a better doctor!
Best wishes from our family to yours.
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J.B. answers from Johnstown on March 13, 2008
Hi L.~
The cereal thing is somewhat of an issue with me... not sure why, but your concern caught my attention. I say go with your gut. You know your baby best. I never gave my babies cereal as a main food. I only ever used it when just introducing foods, such as applesauce (unsweetened) and mashed bananas.... probably to mellow the flavor, since cereal has none! Our ped. actually says "it tastes like paper~ who wants to eat that?!" I guess I am lucky that I really like him and agree with his suggestions 99% of the time.
My son was 2 weeks early and in the 5th percentile in the growth chart most of the time. We nursed until he was a year and I really only gave him "real" foods, not that jar stuff. I also didn't start with the mashed bananas, applesauce or any other solids until 6 months or later with both babies. They will show you the signs. If he is content with nursing, I would not rush anything.
Wishing you the best! ~J. B
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S.M. answers from Philadelphia on March 13, 2008
L.,
By all means wait! Especially if you don't think the little one is ready. My daughter was born 6 weeks early and is a few days shy of 6 months right now. She is exclusively breastfeed at this point. We're going to be waiting a good bit longer to introduce solids - she's not showing any signs of being ready - sitting up on her own (holding the position, not necessarily getting there by herself), losing the tongue thrust reflex, showing interest (she likes sitting with us, but is perfectly happy with a spoon, sippy cup of mamas milk, or toy), and having a pincer grasp (not palmar/raking grasp).
For the first year, solids are really more for play rather than for nutrition. When we do start solids, we will not be using cereal. It's an overprocessed carb with little, if any, nutritional value. We're going to be starting with avocado followed by sweet potato then banana. I'm just going to mush it up with some breastmilk for consistency.
I really think that waiting for her to be ready will be so much easier, not to mention wiser from a food allergy standpoint. By waiting, she can start eating from our plates at dinner and I don't have to really even deal too much with purees. Prior to six months (and that's a generalization with kids falling on either side of it for readiness), which is the recommended start time from both the World Health Organization and The American Academy of Pediatrics (although the AAP does support differing opinions on this), children are prone to having an open gut, where the intestines are not totally ready for solid foods and starting solids early is thought to encourage the formation of food allergies/sensitivites. Also, at 1 year old, only about 25% of the childs nutrition should be made up of solids, the rest should still be breastmilk or formula.
S.
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T.H. answers from Pittsburgh on March 14, 2008
I have a son now 3 years old (also named Brayden)and a daughter 8 weeks old. I strictly breast fed Brayden until he was 6 months old. At 6 months, I slowly started in cereal. My doctor said that it was fine to strictly breast feed for the first 6 months and then after that I should start cereal. My Brayden was in the 95th percentile for both height and weight and is currently in the 95th for height and 50th for weight and has always been very healthy. So, as you can see he did just fine growing with only breast milk for the first 6 months.
I will also only breast feed my daughter for th first 6 months. I feel that the breast is best for the first 6 months and as long as your producing enought milk for your baby than why start cereal before.
I hope this helps.
Andrea
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N.K. answers from Allentown on March 16, 2008
Our doctor also told us to start our second little girl on oatmeal first at 4 months and with our first daughter were not told to start until she was 6 months and to start with rice. We tried this time at 4 months but she had no idea what was going on so we stopped it wasn't worth the mess. At a little over 5 months old we were eating dinner and I noticed her smacking her lips watching us eat. I went ahead and took the chance and she started eating like a champ but was allergic to the oatmeal so we quickly switched to rice with no side effects. She is also on soy formula. We had alot of trouble with the milk based formulas. I don't know much about preemies my girls were 8 lbs 3oz and 8 lbs 10 oz but I say go by his development. I hope everything works out.
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M.A. answers from Philadelphia on March 13, 2008
Hi L.:
Whether or not you start feeding rice now is up to you. I know I started feeding my daughter rice cereal at this time because she was so small. She was not premature, however, is was the smallest full term baby they had ever seen. She weighed 5lbs when we left the hospital. The rice is not a subitute for breastmilk or formula. Would not start with much more than 1/2 tsp to 1 tsp. I mixed it with expressed breast milk. If you want to do it but unsure just start really small, sprinkle it in like you would sugar in your coffee or salt in pot of pasta. You are the mother and knows what is best. Update-my teeny-tiny baby is 10 now and strong and beautiful. Good Luck-and always listen to yourself, you know what is best for you and your baby.
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S.B. answers from Pittsburgh on March 13, 2008
L.,
I am a SAHM of two wonderful little boys,one is 3years and I also have a 4 1/2 month old. I just took him to the doctor to day for his 4month check up. He also is allergic to dairy products and has severe eczema, my doctor said not to rush anything. Their practice hands out a little schedule to follow for eating, but he said since Dylan is special that we should wait a month or two for everything. If you are concerned their is no benefit in feeding him rice cereal now compared to 1-2 months later. Do what you feel is comfortable. Also, I belong to gerber's website and just got a pamphlet on feeding. If he is not a supported sitter and has not acted like he wants food( I think there was a few others to), not to give your child food yet.
So I guess what I am trying to say is, you are the mom and with his allergy I would not feed him cereal, quite yet. Good Luck!
Stephanie
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T.M. answers from Philadelphia on March 13, 2008
My sister Jill gave me good advice. She says when the baby starts grabbing for your food, it's time to start giving him some!
My first son I starting feeding at 8 months and he was fine. I nursed up to then and he had those fat, chubby thighs everyone likes to squeeze.
Follow you're own instincts, they are good.
P.S. My first pediatrician was them same way. She gave me advice but it wasn't from experience. I switched to a female Dr. who has 3 kids and she is great.
P.S.S. You didn't ask for this advice, but I wait until my kids are one year old before giving them any vaccines. It gives them time for their nervous system to mature. Then I only give them one shot at a time with three months in between. The autism link to vacinnes hasn't been "proven" but my instincts say there is a link. Boys are especially at risk.
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