Posts tagged Edmonton Sleep Coach
Introduction to solids
 
 
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Introduction to solids: What the heck should can I feed my baby?

Helping mamas thrive in motherhood is my passion and because I have a background in nutrition, health & wellness, mamas will often ask about the introduction of solids for their babies. I’ve decided to address this question in a brief blog post for mamas.  My hope in doing so is that mamas will gain some knowledge and can feel empowered and ultimately thrive in motherhood while raising their little ones. Introducing solids can be stressful and as such, I hope this will help mamas by giving them some insight on a very important topic that is often not spoken about in their well visits with their family physician or paediatrician which is gastrointestinal (gut) health.

Most mamas are advised after 6 months that their breastmilk (if choosing to breastfeed) cannot provide the appropriate amount of iron needed for the development of their babe. While this is absolutely true, mamas are often told the best way to optimize this critical mineral for brain development is through iron fortified cereal. There are a few issues with this suggestion and I will go through them briefly.

Whenever we want to obtain nutrients from our diet for our body to absorb, we must not only consider the quantity of the nutrient in our diet but also the quality of the nutrient within the foods we choose to give our babies and whether the body can absorb these nutrients efficiently. Unfortunately, iron fortified cereals often contain heavy metals such as arsenic and lead in exceeding amounts which are both neurotoxins and affect brain development. A national study in 2017,  found 95% of baby foods that were tested contained toxic chemicals that lower babies’ IQ. The easiest and simplest way to reduce the impact of chemical and neurotoxin exposure to our young babies is to provide them with unprocessed, organic wholesome food.

What does unprocessed, organic wholesome food really mean?

For babies starting solid foods, this means choosing (to the best of your ability) organic foods as these foods will have significantly less chemicals and toxins as they are not sprayed with pesticides, herbicides or other chemicals such as the well known glyphosate (roundup). This is crucial in the first few years of life because heavy toxic exposure on the developing body systems and organs can impact the overall health and wellness as they grow. 

Wholesome foods, for me, refers to the most natural and unrefined state. When introducing foods to your little, think about how much processing has occurred before it hits your baby’s mouth. The processing of food not only removes important nutrients but it usually adds preservatives, sugar, unhealthy fats and other potential chemicals that are not important or healthy for a developing baby. In a time where each bite counts in optimizing their nutritional intake, choosing unrefined whole food increases their nutritional demand for certain nutrients. 

So what about gut health and introduction to solid food?

Heavy toxic exposure through processed foods not only impacts brain development but also impacts our guts. Babies are naturally born with “open guts” which allows antibodies from mom’s milk to pass through the gut lining and reach the baby’s bloodstream. This is a good thing as this is one of the ways that breastmilk provides babies with immune support and protection; however, we want to reduce the amount of other potential proteins that can slip through their “open guts” and create an unwanted inflammatory or immune response. This can create food allergies.  Often, moms will see skin reactions which can be an indicator of a food allergy as the body will create a response to the allergen and it will present on the skin. 

Our skin health can be a good indicator of the integrity of our gut lining as our skin is the largest organ of elimination and detoxification. Our body will push out toxins through the skin and this can be evident in children with food allergies and skin irritations as the body has mounted an immune response to that type of food protein that the body has determined to be a threat as it slipped through the intestinal wall. While this maturing of the gut lining starts to happen after 6 months; being careful with the introduction of solids can reduce the risk of immune responses to certain food proteins.

Additionally, the research has now proven that our gut health plays a significant role on our overall health and wellness but it has now been determined that our gut microbiome is set within the first 2-3 years of life. 

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What does this really mean for babies? 

I like to explain this like an ecosystem. We are all born with certain bugs within our guts, our lungs, our skin, etc. and this is determined  how we are birthed into the world (vaginal vs c-section and mother’s flora). An ecosystem that has varying species thrives compared to an ecosystem with very little species. We are made up of way more viruses, bacteria, fungi and protozoa than human cells and just like an ecosystem, diversity is key in flourishing. Our ecosystem can have different “bugs” as we age but they will be transient (meaning they will not colonize and stay in our gut). The exception to this is in the beginning years of development where we can influence “the ecosystem”, or our gut microbiome by introducing as many species as we can to set in a powerful and diversified gut. This is crucial for our babies as we can literally set the stage for their health by influencing their gut and creating a broad spectrum of gut bugs to help them thrive in life. Once that window closes, we cannot change the terrain. 

Science has found a link between the gut bacteria in little ones and the prevalence in health conditions such as asthma, eczema, allergies, ear aches, colds, inflammatory bowel disease to name a few. In my opinion, this is fascinating and although the research in nutrition and the gut microbiome is only scratching the surface, it makes sense to include foods high in probiotics, prebiotics (feed the gut bugs) and foods that nourish the gut lining along with adequate iron, protein and healthy fats as first foods for babies. 

So what is an alternative to iron fortified cereal as a first food for baby?

Instead of iron fortified cereal which only has a 4% absorption rate for iron, moms can choose animal protein foods such as liver. The iron in liver will be much better absorbed since baby’s readily make the enzyme necessary to digest protein and fat once introduction to solids begin compared to the starch enzyme, amylase which is not readily available for babies to fully digest starch until later on (closer to 8-12 months or when the first molars come in which is much later). 

Bone broth is another gold star for baby’s first foods. It provides an abundance of nutritional support; however, one main important role is its ability to nourish the gut lining. Without a doubt, I’d encourage moms to introduce fermented foods such a raw unpasteurized sauerkraut to their babies early on. Moms can slowly introduce by giving a tiny amount of the juice from the sauerkraut and the continue with whole sauerkraut. A little amount goes a long way in helping establish a wide range of gut bugs. 

Cod liver oil is also a superfood for babies as it provides healthy DHA for brain health and  nervous system support. It  also provides anti-inflammatory support for the gut lining  and helps colonizes probiotics in the gut. Always ensure it is a high quality supplement when purchasing by looking at the ingredients, the purity and testing of the product. Cod liver oil also naturally provides vitamin A and D. 

Some tips when introducing solid foods the wholesome way:

  • Freeze raw liver in small batches, grate frozen liver and add to other animal protein while cooking. Adding breastmilk or bone broth after cooking for desired consistency can help.

  • Put homemade bone broth in a cup or sippy cup at meal time instead of water all the time.

  • When giving vegetables, ensure they are steamed well and add healthy fats such as butter, ghee, coconut oil or other animal fat to help with absorption and fat intake.

For any moms reading this, my intention is not to place any sort of guilt if this is not the way you have introduced solids to your little ones. What we do not know, we cannot possibly understand and we make choices based on the information we have at hand. When we know better, we do better as cliche as it may sound. So, mama the best thing you can do for your little one is NOT TO STRESS about the introduction of solids as stress greatly impacts our gut health and as I mentioned above, my passion is in helping mama’s thrive in motherhood. Trust your gut and if you have any reservations, questions or doubt, do not hesitate to reach out to your healthcare professional.

Wishing you an abundance of love, peace, health and happiness as you journey through motherhood and get into the messy food stage!

Xo

Karla, BScN, C.H.N.C

Website: https://www.nourishingyoukindly.com/

Instagram: @karla_nourishing_you_kindly

***Karla is a certified holistic nutritional consultant and Registered Nurse with additional training in maternal mental health and owner of Nourishing You Kindly (NYK). NYK is not providing information as a medical doctor, naturopath, psychologist, herbalist or dietitian. The information provided is for educational purposes only with the intent to encourage, empower and teach you how to nourish your little one.***

References

Anderson, S. C., Cryan, J. F., Dinan, T., (2017). The Psychobiotic Revolution. Washington, DC: National Geographic Partners.

Erlich, K. Genzlinger, K. (2018). Super Nutrition for babies: The best to nourish your baby from brith to 24 months. Beverly, MA: Quatro Publishing Group USA Inc.

Houlihan, J. Brody, C. (October 2019) What’s in my baby’s food? Retrieved from: https://www.healthybabyfood.org/sites/healthybabyfoods.org/files/2019-10/BabyFoodReport_FULLREPORT_ENGLISH_R5b.pdf

Walker, A., (May 2019). Microbiome: The first 1000 days. Retrieved from 

https://www.health.harvard.edu/blog/microbiome-the-first-1000-days-2019051516627?fbclid=IwAR1zfR9Gfg34wrrbkX9qsRKZiYtwV3XiiofuZVBka4sQEZ1iYWuNu_ysP4o

 
 
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Does my baby have colic?
 
 
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a definition of colic is: 

  • Crying for more than 3 hours a day

  • More than 3 days a week

  • Over 3 weeks straight

Colic affects approximately 10 to 40% of infants.  It is associated with high pitched, inconsolable crying, especially in the evening. Colic makes feeding and sleeping VERY challenging, if not impossible.  Colic typically begins in the first few weeks of life and usually resolves by three to six months of age.

Some possible causes of colic include: 

  • Stress including prenatal stressors 

  • Underfed/overfed

  • Overstimulated/overtired

  • Altered gut flora leading to cramping and bloating 

  • Trapped gas 

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Improving feeding techniques can help improve the infant’s comfort and decrease crying. 

A few strategies to try with colic:

  • Frequent burping during a feed

  • “Paced bottle” feeding

  • Remain in an upright position for 20 to 30 minutes following feeds

  • Feeding on demand

  • Feeding with early cues such as, mouth opening, stirring, turning head/stirring

  • Improving latch at the breast

  • Ensuring bottles and equipment are sterilized 

To help soothe a crying baby 

  • Warm baths

  • “Tiger in a tree” positioning (holding baby facing outwards, with your hand on their tummy for pressure)

  • Massage

  • Frequent, small feeds instead of large feeds infrequently

  • Loosen clothing around abdomen

  • Burping frequently during breastfeeds (every few minutes with a fast let-down) 

  • Change burping positions

  • Multi-sensory techniques such as shushing, rocking, sucking and swaddling

  • Optimizing naps and paying close attention to “early” sleep cues 

  • Try lying them on his/her back, bend the knees and legs toward the abdomen and apply gentle pressure to help pass gas.

I hope that this information helps bring some comfort, even just a little bit. The first year can be a very stressful time. Remember to breath. You will make it through this. Check out our Community Page for a quick access to trained Edmonton healthcare professionals who specialize in infant care.

Just a quick reminder, you are amazing!

Mychelle RN, IBCLC

 
 
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Oral Restrictions
 

Guest Blog Article

By Dr. James Thomas, DDS, MS
Founder of the ​health:latch circle​ and the ​health:latch clinic

Dr. James Thomas, DDS, MS

Dr. James Thomas, DDS, MS

Dear Moms,

We know how painful it can be, both physically and emotionally, if you and your baby are struggling with breastfeeding.

You may have heard about tongue tie and are wondering whether an oral restriction could be at the root of your breastfeeding challenges.

As a pediatric dentist who specializes in diagnosing and releasing oral restrictions in babies, I have had the honor of collaborating with amazing lactation consultants to support thousands of mothers and infants on their breastfeeding journeys.

This article will help you understand the basics of ​oral restrictions​ such as ​tongue tie​, how they can impact ​breastfeeding​, and ​what to do next​ if you suspect your baby could have an oral restriction.

What is an oral restriction?
Tongue tie is the common term for a medical condition called ​ankyloglossia​ that restricts the tongue’s range of motion. The most common types of oral restrictions are ​tongue tie, lip tie, and buccal tie. These conditions are conditions present at birth and impact the normal movement and function of the tongue and mouth​.

●  A ​tongue tie​ is when the band of tissue connecting the tongue to the bottom of the mouth is too short, too thick, or too tight, restricting the tongue’s normal range of motion.

●  A ​lip tie ​is when the tissue connecting the upper lip to the gum is too stiff or too thick, preventing the upper lip from moving freely.

●  A​ buccal tie ​refers to tissues that attach the inside of the cheeks to the gums, restricting normal movement.

How can an oral restriction affect breastfeeding?

Many oral restrictions are discovered and diagnosed due to difficulties with breastfeeding. An oral restriction can impair a baby’s ability to properly latch, suck, and swallow. If you are having issues such as mastitis, decreasing milk supply, or clogged ducts, or if your baby is having difficulty latching or losing weight, it is a great idea to check if your infant has an oral restriction.

What signs should I look for?

An oral restriction can hamper your baby’s ability to breastfeed, leading to important symptoms for both you and your baby.

You may notice that your baby is:

  • acting irritable or fussy during or after feeding

  • experiencing gassiness or frequently spitting up

  • having difficulty creating a secure latch during nursing

  • losing weight or having poor weight gain

  • falling off the breast frequently during nursing

  • frequent feedings without feeling “satisfied”

If you are nursing your baby, you may notice:

  • breast pain

  • plugged milk ducts (which can lead to mastitis)

  • engorgement

  •  cracked or blistered nipples

  •  a feeling that your baby is chewing or biting on the breast

  • recurrent thrush or infections

Of course, not all breastfeeding issues are related to an oral restriction. Your lactation consultant can help you find solutions to issues such as milk supply, positioning, shallow latch, inverted or flat nipples etc.

What does tongue tie look like in a baby?

When it comes to oral restrictions, there’s no “one size fits all” presentation. Oral restrictions are diverse in their appearance, which is why it is important to seek care from a healthcare professional who is knowledgeable about this condition.

How common is tongue tie?

It’s hard to say for sure because more research and better statistics are needed. Some research indicates that up to 10 percent of babies are born with an oral restriction and up to 25 percent of nursing infants can be affected by shallow latch caused by this condition. Many oral restrictions go undiagnosed even into adulthood, mainly because of the lack of education among healthcare professionals about this condition.

What is the treatment for an oral restriction?

Oral restrictions can be treated​ with a quick outpatient procedure to release the tie, sometimes referred to as a tongue tie surgery.

A release procedure known as ​frenectomy​ is usually done with a laser and may completely eliminate (“ablate”) the tissue restricting the tongue or lip. This differs from a ​frenotomy​, which is usually done with sterile scissors and involves “clipping” or “snipping” the tissue.

What types of healthcare professionals can help my tongue tied baby?

Lactation consultants are often the first to notice breastfeeding-related symptoms that could point to an oral restriction. Although they cannot diagnose, your lactation consultant can help you by referring you to a Proceduralist who can identify and treat the condition.

Proceduralists​ are trained and licensed to diagnose oral restrictions and perform the release procedure. They include dentists, doctors, naturopaths, nurse practitioners, and oral surgeons.

When is the best time to diagnose and treat an oral restriction?

As soon as possible! In the best of circumstances, a tongue tied baby can be diagnosed and treated shortly after birth. The longer we wait, the more problems can arise. For example, if a baby’s oral muscles are restricted and they compensate by using other muscles not intended for suck and swallow, the brain quickly memorizes these dysfunctional patterns. Thankfully, with the right support from healthcare professionals, after a release procedure babies can learn healthy suck and swallow patterns. Lactation consultants can provide critical support after a release procedure by helping you adjust your feeding plan and breastfeeding technique.

What causes oral restrictions?

As a fetus develops in the womb, tissue forms to anchor the tongue to the base of the mouth. Usually, this tissue dissolves naturally over time. At around the 12th week of pregnancy all that is left is a small, flexible tether. For reasons that have yet to be fully understood, in some fetuses, this tissue does not dissolve. These babies are born with an oral tether that is especially short, tight or thick.

Although much research is needed to better understand what causes oral restrictions, some evidence points to a genetic mutation known as MTHFR (​methylenetetrahydrofolate reductase)​.

Oral restrictions:

  •  are conditions present at birth

  •  appear to be hereditary

  •  are common in babies who are born prematurely

  • are common in babies who are born with other mid-line traits like “stork bite” birthmarks

What are the possible long-term effects of tongue tie?

Even small components (such as the tiny tether under your tongue) can affect the entire body over time. Oral restrictions can be indirectly related to a cascade of developmental issues in the mouth and even in the rest of the body.

If left untreated​, oral restrictions may affect your child’s:

  • airway development

  • breathing

  • eating

  • sleeping

  • chewing

  • tooth and jaw development

  • oral hygiene

Much research needed to understand the long term effects of oral restrictions. Some specialists suspect that oral restrictions could play a role in serious, chronic conditions in adulthood such as sleep apnea, asthma and heart problems.

Trust your instincts

It is very common for parents to be dismissed, have their concerns be minimized, or told their baby is not tongue tied because their practitioner lacked specific training and experience in diagnosing oral restrictions.

At the ​health:latch circle​ ​we are advocates for parents and patients. We believe you know your body and your baby better than anyone. Listen to your gut and continue to ask questions until you are satisfied with the answers.

Next steps

As soon as you suspect that tongue tie is a possibility, or even better, if you just want a preventative evaluation - it's time to gather together resources and prepare for the decisions that you will have to make.

You need caring, kind, and knowledgeable professionals who can guide and advise you through the sometimes bumpy road of education, examination, diagnosis, treatment, and follow-up therapy.

Creating your circle of support

We created the health:latch circle as a place for parents like you to surround yourself with support and for providers to connect with parents.

The ​health:latch circle is a radically kind, community-based online platform that allows interested parents and professionals to learn together and connect to trusted professionals who are committed to helping families thrive.

Learn more about the health:latch circle and create your free parent account here.

 
Breastfeeding Or Formula - Which Will Give Me More Sleep?
 

Today we are delighted to talk about breastfeeding, formula feeding and sleep. We all love our sleep, right!? Probably the hardest thing about becoming a new parent is losing sleep and having to function the next day….and this can go on for weeks, months or even years! It’s no surprise that parents are desperate to find ways to increase the amount of their little ones sleep.

Parents often ask us the question, “if I give my baby formula, will they sleep through the night?”. They get advice from their formula feeding friends, grandparents and other relatives that they should “give them formula; they’ll sleep longer.” And if you do a google search you can find plenty of people backing this belief up. This results in many sleep deprived, desperate parents prematurely giving up breastfeeding or night weaning altogether, just in the hope of more sleep. So is this advice accurate - does formula feeding mean more sleep? This article aims to give you the facts so that you can make an informed choice that is right for you and your family. 

Sleeping Baby

Firstly, let’s look at what biologically normal  sleep looks like. All children, and adults, sleep in cycles, and as they enter the light phase at the end of each cycle they may partially or fully wake. So no-one actually ‘sleeps through the night’ ever! As adults if we have a need then we can attend to it ourselves - but if a baby is hungry or thirsty (or has any other need) then they will signal to an adult to help them. And so until a baby is able to sustain a full nights sleep without needing food, they will wake and signal to their parent. The point at which this is varies from child to child, but the evidence suggests that many babies need food at night up to 18 months old. And so if your child is waking up and feeding several times a night, whether via breast or bottle, they are behaving completely normally, and you are not creating bad habits by feeding them.

So next let’s look at whether giving formula will mean that babies will wake less.  Formula fed babies can often take larger volumes per feed than breastfed babies, and this milk also takes longer to digest than breast milk . For this reason, some formula-fed babies do sleep for slightly longer stretches than breastfed babies. However, research confirms that although breastfed babies wake more frequently, breastfeeding mothers actually get more overall sleep. This is because of a combination of factors. Firstly, breast milk is full or hormones that help a baby feel both satisfied and tired - it is basically mother nature’s amazing tool to get babies back to sleep quickly and easily. Secondly, making up bottles is a bigger job for the mother - they have to get out of bed, go downstairs, make the bottle etc. This means that it often takes longer, and wakes the mother and baby more, than breastfeeding, which, as we’ve said can be very quick and easy. 

Remember also that babies wake for more reasons than just hunger - feeling cold, needing a diaper change, needing a cuddle - so even if you are bottle feeding, it doesn’t not necessarily mean they will sleep longer as if they have another need they will still wake up. 

Here are some other interesting points about breastmilk and sleep:

* Tryptophan is in breast milk and helps develop a babies’ circadian rhythm. This will help your newborn learn day from night. 

* Breastfed infants have more Non-Rapid Eye Movement (NREM) sleep than formula fed infants. NREM sleep, known as lighter sleep, is thought to protect infants from Sudden Infant Death Syndrome (SIDS). 

* Night feeds, in the early weeks, are especially important to build milk supply. 

* In cultures where co-sleeping is the norm, babies feed lots at night. Sometimes up to 4 times per night; taking in almost half of their daily amount of milk.  

So, in the end, if your baby is breastfeeding and this is working for you then, adding a bottle of formula isn’t guaranteed to help her or you sleep any better, in fact it can sometimes make things harder. But ultimately the decision as to how to feed your baby is yours, and you should do what is right for your family given the facts. Never feel pressured into giving up breastfeeding before you are ready, instead work on establishing good, healthy sleep habits with your baby.

Melissa Alexander RN, IBCLC

Sarah Mabbutt | Baby Sleep Well Program