Should I continue breastfeeding or introduce formula?
Topic: Should I continue breastfeeding or introduce formula?
June 25, 2019 / By Bryanna Question:
I'm in a tough situation. My girls are 7 weeks. Two of my girls have been nursing and doing just fine. However, it has been rough with one. We think she has allergies. I have been working with my doctor cutting this and that out of my diet. We have found that it is wheat and dairy. When I cut those two things out she does just fine. If I have been eating anything from those groups she spits up, has runny BM's, sometimes breaks out in rashes and is generally just irritable. However, I feel cutting those things out may not be ideal for my other two. My doctor said as long as I was finding an alternative source of calcium it should be fine. That's a huge change to my diet though, those are two big groups. Should I suck it up and do that, or should I formula feed only this baby and try nursing again in a couple months? My doctor said babies generally will get over these triggers in about 2-4 months. What to do? With three infants it's hard to plan my diet so carefully, It's hard to find time.
Best Answers: Should I continue breastfeeding or introduce formula?
Allannah | 5 days ago
"My doctor said babies generally will get over these triggers in about 2-4 months."
Relative trivia for you for something relatively critical for your daughter. I love pizza but would manage to find a way to deal for such a short period.
An infamous picture of interest here: http://www.npsydney.com.au/files/parenting/u1/BF___Bottle_twins.png
(Mom was told to bottle-feed one twin...)
👍 238 | 👎 5
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Originally Answered: Breastfeeding-Formula Question(s)?
OK, I think you need to take a look at the Dr. Thomas Hale books, he has written several on medications and breastfeeding. I will try to get you some info, but your best bet might be locating the Hale books and sharing the information with your health care provider to come to the best decision.
A keynote speech given by Dr. Hale on Antidepressants and nursing:
Psychotropic medications and breastfeeding:
There are several great PDFs linked from this site that should help you make the decision
From what I'm finding, Seroquel is a brand name for a dibenzothiazepine, the generic name is quetiapine fumarate
UPDATE! I found an article specifically dealing with Seroquel (AKA quetiapine) and nursing:
"No adverse effect in the infant....Although limited, the data shown here support the prescription of quetiapine to a breast-feeding mother following a careful individual risk/benefit analysis. We suggest regular monitoring of infant progress and occasional measurement of quetiapine in the infant's plasma."
An article on Medscape by Dr Mohammad Masud Iqbal et al makes these recommendations:
* Lithium - Should be avoided by breastfeeding mothers.
* Depakote - Generally safe for breastfeeding, but monitoring of infant serum concentrations is advisable.
* Tegretol - Considered safe.
* Lamictal - A risk of life-threatening rashes in infants. Breastfeeding should be discontinued if this is observed.
* Topamax - The potential for adverse reactions while breastfeeding is unknown.
* Antipsychotics - Should be used for breastfeeding only "when the potential benefits justify the possible risks to the infant."
So it would appear that Depakote and Tegretol are considered compatible with nursing with monitoring.
Yes, most medications pass through to breastmilk, but they pass through at small amounts depending on the molecular construction of the medication and how it is metabolized by the mother. Hale has a great way of figuring out if medications are safe depending on the structure of the med. Generally, and this is by no means an endorsement, if you were on a medication while pregnant, it is OK to take while nursing. It is also recommended that you take a medication immediately after a nursing session to allow your body to metabolize it before baby will nurse again.
Most of all, you will need to do most of the advocating. I have no idea what your medical care is like, but if you have a provider that will respect your wishes and help you do the research, that is invaluable. Too many doctors automatically assume you can't nurse while taking XYZ drug without bothering to look up the chemical content and how it metabolizes. Don't let your doctor be lazy. You will want to make sure that your doctor and your son's pediatrician are working together.
Ow, you are breastfeeding triplets??? Wow, and no formula as of yet? Wow! Kudos to you and your girls!!!
Are all the girls gaining weight well? How is your health?
If you believe you can handle it then continue breastfeeding... If you feel over extended and having a hard time with the diet and juggling 3 babies... Then maybe formula feed the "special diet baby" and breastfeed the other two.....
It is all up to you and what you can handle. You have 3 babies! Wow!
Good luck in whichever you decide!
Edit: the propaganda photo posted by another user is obviously false or the mother did not use the formula correctly.....
Like I said before continue nursing but if it gets too much then it is okay to supplement forr the special diet baby....
Personally, one baby is hard for me sometimes but 3 must be very difficult indeed.... Good luck and GOD bless.
👍 100 | 👎 -2
Keep nursing, it's the best for your little girl, especially since she has allergies. Chances are she might have a very hard time with formula as well, considering that formula is based on cow's milk. And once formula is introduced, it is very hard to keep the milk production up. You still can give the other two wheat and milk, even if you don't consume these ingredients. It's likely to be only for two months anyways.
There are quite a few alternative products on the market, since both milk and wheat allergies are not rare. Soy milk isn't quite as tasty if drunken straight, but in puddings, yogurt, pancakes, waffles (you can substitute oat for wheat flour) and ice cream it's okay. There are lots of calcium & vitamin D added orange juices around. There are rice or bean noodles you can substitute for normal wheat noodles. You should be able to find these things in every normal supermarket. Bread is the most difficult part, since pure rye bread is not always available, however if your grocery store doesn't have a pure rye bread for two months you could switch to oat based cereal plus soy yogurt.
👍 96 | 👎 -9
I really think you should just cut them out of your diet and continue breast feeding. You've started already, and it so healthy for your baby girls. Like the doctor said they usually out grow them after a few months. Take supplements to make sure you are getting what you need, but there are some good alternative foods out there.
👍 92 | 👎 -16
Originally Answered: Is there a formula for finding a cubics' zeros like the quadratic formula for quadratics?
You pretty much nailed it with your second sentence. What's important to mathematicians is:
1. There are formulas using square roots and cube roots that give you the exact answer for cubics.
2. There are similar formulas giving the exact answer to 4th degree polynomials.
3. There Is NO general solution using radicals to a 5th degree polynomial. Certain such polynomials may have solutions expressible using radicals (like x^5 - 32 = 0), but there are 5th degree polynomials whose roots are simply not expressible using radicals of any power (square, cubic, 4th or 5th roots, etc.).
The 3rd result comes from abstract algebra. See http://en.wikipedia.org/wiki/Abel%E2%80%93Ruffini_theorem . This theory is commonly taught in advance undergrad or early grad courses in abstract algebra. It's not basic, but it's not super-advanced either. It uses techniques that go far beyond what the 16th century mathematicians were using to solve 3rd and 4th degree equations.
I've never had a call for using these techniques as an undergrad or graduate student. Or knew anyone who did. Generally one wants a numerical solution anyway, so Newton's method is sufficient if not just as good. It's certainly a lot quicker, especially if you set up an Excel worksheet where you can graph the function, find suitable starting solutions for each root, and let Excel crank it out. I did that once some time ago, and just call it up whenever I need to use Newton's method. All I have to do is enter the formula and the derivative, copy them down, pick a seed value and ... voila: 15 significant digit answer. Only drawback is that only gives me the real root(s). I'd have to use synthetic division and quadratic formula to get any complex roots.
The easiest way to find the exact solutions is to let Wolfram MathWorld do it for you. E.g.:
Click on the "Exact Forms" buttons for the answers using radicals.