Formula, Breast Feeding, & First Foods (Pediatric Advice)

hi i'm dr. paul and welcome to another

episode of ask your pediatrician today

i'm going to talk about formula

breastfeeding and first foods


so moms dads parents you know that

breast is best there is absolutely no

question about it but in case you were


and I'm not promoting any formula

absolutely not

breast is best and here's why just take

a look and I'm not picking on any

particular kin or or manufacturer of a

given formula but you can look at the

ingredient list and what you'll notice

is a list about a mile long

now these ingredients include things

like partially hydrogenated vegetable

oils that kind of reminds me of fast

food that kind of thing

the reason the fats have to be partially

hydrogenated is they would spoil you

cannot put fresh natural fat on the

shelf for months and years so this is

the same reason the ants and cockroaches

won't eat Twinkies I believe because of

the partially hydrogenated fats

sorry that's a gross example but my

point is if you can have healthy natural

breast milk why wouldn't you so moms I

will never put any pressure on you to

breastfeed if it's just something you

cannot do there are moms who've had

breast reductions and it just plain old

doesn't work often not always but most

of the time you're gonna have to

supplement with some formula there are

lots of good formulas I prefer organic

but there's some issues with those as

well so it's a discussion we would need

to have because for example the

sweetener used in some organic formulas

if they're using a rice syrup we now

know that most of the rice products are

very high in arsenic which is a terrible

toxin but with regards to breast versus

formula I hope I helped you to think

about the fact that if you can possibly

breastfeed and breastfeed exclusively if

possible you need to do so and we can

have a separate video just talking about

breastfeeding and I'm gonna bring in an

expert for that I have all the

theoretical advice but no practical

experience so we'll bring in an expert

for moms just to support you in issues

like getting a good

and getting off to a good start whether

you're using formula or breast milk the

question comes when do we start solid

foods actually before that question how

much should my baby eat I would say you

want your baby to eat about well enough

to gain weight is the simple solution

your baby needs to eat enough to gain

weight and we need to see your baby a

few days after you get out of the

hospital when they've bottomed out and

their weight is at the lowest it might

possibly be again at two weeks again at

two months and at least at four months

six months nine months twelve months

tracking weight development normal

development that kind of thing this is

what pediatricians do but as far as how

much formula in general you feed your

baby till they're full it's almost

unheard of for a baby to overeat it is

possible to under eat if they're not

getting enough so if you're

breastfeeding sometimes it's hard to

know how much they're getting again this

is a way with tracking weights we would

know how much they're getting when they

breastfeed formula you're actually

knowing the volume if your baby weighs 8

pounds divide that by 2 that's for 4

ounces every 3 to 4 hours if they weigh

12 pounds divided by 2 that's 6 6 ounces

every 3 to 4 hours if they weigh 16

pounds divided by 2 that's 8 8 ounces

every 3 to 4 hours on average for the

typical child now that's just a

guideline there's rarely a kid at any

age that will take more than 8 ounces at

a time probably why they make 8 ounce

bottles but if you're breastfeeding the

beauty of nature is supply and demand

the more you nurse the more you'll make

almost always occasionally if you have a

supply challenge what you do to increase

your supply is eat enough drink enough

get enough rest and have enough

stimulation that's direct nursing and

possibly pumping so the issue of when to

add solid foods for the first 20 years I

practice medicine up until very recently

we were saying wait until 6 months if

you introduce food too soon your child

might have allergies this made

absolutely no sense and yet I followed

the pack and said this is what you're

supposed to do I never felt right about

it here's why the hygiene hypothesis

tells us that

kids if you've ever watched that movie

babies you've got to watch it I grew up

in Africa I grew up in a village I mean

babies do sit in the dirt flies all over

the place I mean it they are surrounded

by dirt and that is part of what helps

their immune system we know that

children who are around pets as infants

are have less allergies to pets if you

live in a farm and you're around hay and

barn you have less allergy to grasses

and hay and animals and those sorts of

things so I always wondered why wasn't

that true for food it turns out it is

some great research in the last couple

years showing that the earlier we

introduce foods the less allergies there

are so I would throw out the old

information start solid foods around

four months I remember being told by one

of my grandparents that their parents

started food at six weeks so you know

there's been a whole pendulum shift but

the bottom line is feed early at leasts

get started around four months if you

want to some people want to breastfeed

exclusively until six months or so you

can do that but there's absolutely no

harm in adding solids but here's what

you need to keep in mind forget the rice

cereal it's just so high in arsenic

unfortunately it's grown in soils that

are high in our snick gets into the food

we just don't need that in fact I would

be careful of all the cereals and grains

let's just go with real food fruits and

vegetables go organic to avoid the GMO

issue genetically modified foods and

pesticides that are very high

unfortunately our foods are

mass-produced and nutrients are lacking

and pesticides are common unless you go


so fruits and vegetables one new thing

at a time start around four months you

get a little plastic coated spoon you

put a little in babies have a tongue

thrust and they don't know what to do

with it as long as they're not choking

just spoon it back in within two three

weeks they get it they enjoy it have

mealtime any time you're eating your

babies sitting on your lap they're

enjoying it with you and that's really

when to get going with solid foods I


helpful I'm dr. Paul thank you for