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Posts for: November, 2018

The holidays are upon us and with them often come big, holiday meals.   These meals typically include long standing family traditions and often times the food can be a source of a major break down for a picky eater. We know that Thanksgiving can be extra challenging for parents of picky eaters.  In order to prevent dinner from turning into a battle zone, check out these tips below to keep your Thanksgiving dinner fun for all!

 

Prepare something your picky eater eat will.  Choose at least one food you know your child will like and make enough to imply that anyone can eat it, even if it’s unlikely that they actually will.  This allows you to have something your child will eat without sending a message that he or she has their own special food.   This way, your child is guaranteed to eat something during the meal and it also shows your child you care about his or her preferences when planning meals. 

 

Prepare your child.  Let your child know that you plan to offer at least one protein, grain, vegetable and fruit and tell them about any foods you are definitely planning on including (such as a turkey as a protein and stuffing as a grain).  Make a few dishes ahead of time that your child will see Thanksgiving day on the table one at a time and let them try them during a normal family dinner.

 

Involve your child in meal planning.  Kids are much more likely to eat foods that they have helped planned themselves.  Ask your child if he or she has any ideas for the other food groups.  For example, “What type of vegetable do you think we should include?”  Then together, find recipes that use those foods as ingredients.  

 

Invite your child to help with meal prep.  When kids help to cook food, they will often sample what they are preparing which helps to make them more likely to eat their masterpieces later.   Ask your picky eater to help you work behind the scenes washing vegetables, mixing ingredients or putting together a fancy cheese tray. 

 

Use food bridges.  Once a food is accepted by your picky eater, find similarly colored, flavored or textured “food bridges” to expand the variety of foods your child is willing to eat.  For example, if your child likes pumpkin pie, try including mashed sweet potatoes on his or her Thanksgiving plate.  

 

Give holiday foods fun names and make the food smell, taste and look delicious.  We know it sounds silly, but studies have shown that kids are much more likely to eat “Magical Mashed Potatoes” or “Superpower Sweet Potatoes” over plain-old mashed potatoes.  Many times, kids have made up their mind about a food before actually trying it.  By adding a “cool” name and making the dish smell, takes, and look delicious, you’re already increasing the odds that your child will try it.  For example, when preparing a veggie tray, try arranging the veggies in the shape of a turkey. 

 

Don’t make it a battle.  Focus on enjoying your time together with family or friends.  Try not to worry if and what your child is eating, you have done your job.  Go easy on yourself and your child and celebrate this day of gratitude.  

 

As natural as we are all told breast feeding is, it is important to remember that it doesn't always come easy for a new mom or baby.  Here are the top 5 most common problems mothers face with breast feeding and tips from our Lactation Counselor, Susan Cohen.

Engorgement

Pain swollen breasts, happen to most women when their milk "comes in" which is typically three to five days after birth.  Engorgement typically lasts for a day or two and then subsides.  

We are commonly asked what mothers can do to help with the discomfort they often experience during these early days:

  1. Use heat and massage before pumping or nursing followed by ice or cool cabbage leaves afterwards
  2. Take warm showers or do warm baths to help relax the breast and then massage them to allow the milk to flow. 
  3. Ibuprofen can help with pain relief as well
Know that even though your breasts may feel full, it is normal for breast production to be low during the first few days and then increase.  If you start to experience flu-like symptoms, please call your provider.  
 

Low Milk Supply

One concern we hear from parents a lot is, is my baby getting enough milk?  Here are some indications your baby is eating enough:
  1. You are breast feeding on demand 8-10 times/day or pumping 7-8 times/day (or a combination of pumping and breastfeeding)
  2. Your baby is making 6-8 wet diapers per day, having yellow, curdy stools and gaining weight
  3. Moms who pump breast milk can expect 1 oz total at each pump session by the end of the first week post-partum and 2-3 oz per session after 2-3 weeks. 
If you do not pump or nurse at night or if you offer bottles and don't pump at that time to keep up your supply, your supply may decrease.  As a rule of thumb: the more you pump or breastfeed, the more milk you will make.  Some things that can affect your milk supply are: decongestants, breast reductions, PCOS or thyroid disease. 
 

Sore/Cracked Nipples

Breastfeeding should not be painful and pain with breast feeding may mean that the baby is not latching properly.  The baby's mouth should cover your areola (the brown skin around your nipple), not just be latched on the nipple.  In order for milk to be released, your baby needs to pull on the ducts behind the nipple to release milk and needs a wide open mouth to get a deep latch.  To help accomplish this, remember to bring your baby to the breast, not to put your nipple in the baby's mouth. 
 
Other causes of sore nipples can include:
  1. A yeast infection on the nipple - This is a condition that can be treated by your provider
  2. Baby's tongue tie - This is a condition diagnosed by your provider
  3. Flat nipples - This can make it hard to center the breast in the baby's mouth.  A nipple shield can help as well as a manual hand pump for inverted nipples
  4. Too much pressure on a breast pump - Remember to only turn the pump pressure up as high as is comfortable and productive

Painful Breasts

When your baby latches, it may initially be painful but if the pain persists or comes back after the engorgement phase, there may be a problem.

  • Red, painful breasts may indicate mastitis -- an infection of the breast that will required antibiotics to treat.  This does not affect milk quality so it is recommended to keep pumping or nursing to ensure your supply stays up. 
  • A clogged milk duct can be relieved with warm compresses and massage while pumping of breast feeding on that breast. 
  • Avoid underwire bras as these can lead to clogged milk ducts.  Keep your breasts as empty as you can by using hand massage while you pump and by nursing early and often.

Where Can I Turn for Reliable Information on Breast Feeding?

We know that between corporate promotions, social media and blogs, it can be confusing to make sure your source for health care information is reliable.  We recommend these reliable resources for accurate and research-based information:
  • Our certified lactation counselor at Cherry Creek Pediatrics
  • Stanford University - offers helpful videos on breastfeeding in the first hour, latching, hand-expressing milk and much more
  • New Mother's Guide to Breastfeeding - a book published by the AAP
    (has up-to-date information on how to establish a breastfeeding routine, as well as troubleshooting tips)

We want you to enjoy your breastfeeding experience and help you through the process of providing the best nutrition for your infant and growing child. If you have any concerns about how your baby is feeding or are worried about your milk supply, please contact our office. 

If you would like to schedule an appointment with Susan, please contact our office at 303-756-0101


By [email protected]reekpeds.com
November 06, 2018
Category: Featured Articles
Tags: sleep   Lifestyle  

From infants and toddlers to school-aged children and teens, one of the most common questions we get is how much sleep should my child be getting?  While it's true that sleep needs vary from person to person, there are some very reasonable, science-based guidelines to help you determine if your child is getting the sleep he or she needs to grow, learn and play!

The American Academy of Sleep Medicine (AASM) provides some helpful guidelines regarding just how much sleep children need at different stages in their development.  Don't forget though that these numbers reflect TOTAL sleep hours in a 24-hour period, this includes naps

Do These Numbers Surprise You?

It's important to remember that all children thrive on a regular bedtime routine.  Regular sleep deprivation can result in difficult behaviors and health problems such as: irritability, difficulty concentrating, hypertension, obesity, headaches and depression.  Children who get enough sleep have a healthier immune system and better school performance, behavior, memory and mental health!!