Category Archives: Feeding

The Soda Culture

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The first graders at my daughters’ school took a field trip to see Dr. Seuss’ The Lorax. I’m all for field trips. If this one got kids excited about Dr. Seuss and reading, so much the better.

There was one thing about the field trip announcement that bothered me, though. The movie snack pack would include popcorn, soda and a treat.

This note describes a school field trip to see The Lorax.

Am I alone in the universe in thinking that giving 5- to 7-year-old children soda to drink crosses a line? The popcorn, and even the candy, don’t bother me much. We eat both these things at home, in moderation. Adding soda to that, though, seemed like too much. All the more astonishing to me was that my girls weren’t even offered water, even though I’d jotted a note on both their permission slips requesting water for them. At lunch, too, they told me that they were only offered sodas.

J and M’s first exposure to sugary sodas was soon after we moved to El Paso. They were given it at daycare. They then stopped going to daycare, and fast. Once they’d had a taste, I didn’t think that forbidding sugary drinks would accomplish the goal of good decision-making. Instead, we struck a deal. When I drank soda, they could drink soda. This has been keeping us all honest. We limit ourselves to a sweet drink, other than juice or milk, once a month, just as we limit chocolate and other candy to once or twice a week.

Obviously, kids drinking soda is part of the culture here, but is it any surprise that we have an obesity problem? How can I encourage the kids to choose healthy options when their peers often don’t?

How do you go about bucking trends or local culture when you want your kids to choose differently?

Sadia, her husband, and their twin 5-year-old daughters, M and J, are still learning about the culture of the Borderlands, following a move to El Paso from Central Texas in August 2011.

Teach a Child to Grocery Shop…

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My husband has a very physical job, and our daughters, M and J, are incredibly active kids. It takes a little more effort on my part to fit exercise into my day, since I have a desk job, but I do my best. I will admit that I haven’t been good about working out since we moved to El Paso, so I’m thankful for Goddess in Progress‘s weight loss contest giving me the push I need to get back in shape. I like aerobics and Pilates, with the guidance of exercise videos in the privacy of my home. The twins and our cat join in with differing levels of effort.

Alongside intellectual curiosity, critical thinking, social responsibility, and self esteem, my husband and I believe that it is our responsibility to teach our children about physical well-being.

Unfortunately, our daughters’ school isn’t helping. Although they have daily physical education, they’re teaching the kids all about junk food. Cookies and slushies are available to purchase at lunch time. No carrots. No sliced apples or bananas. After school, there are cupcakes and cookies on sale, tempting the kids right before they exit the school and are handed over to their parents. On Halloween, each child was asked to bring a bag of candy for the school trick-or-treat event. Every classmate’s birthday heralds cupcakes with neon icing.

The other day, J volunteered to accompany me to the grocery store while M stayed home with Daddy. As I reached for the box of Cheerios M had requested, J asked whether she could choose her own cereal.

“Sure,” I told her, “But you have to choose one that has 6 grams or fewer of sugar per serving. Any more than that makes it a treat cereal instead of a breakfast cereal.”

I showed J the nutrition facts on the side of cereal box I was holding, pointing out where the sugar grams were. She picked one brightly coloured sugary cereal after another, rejecting each one for having too much sugar. I suggested that she’d have better luck if she looked at some granola boxes. She finally settled on Kashi Honey Sunshine.

6 grams of sugar“Mommy,” J asked me, “can I teach M how to look at sugar next time when she comes shopping with us?”

She had her chance tonight at dinner, when M asked for a third serving of Welch’s sparkling grape juice. My husband told her that he thought she’d had enough sugar for the day, and offered her water instead. J showed M how to read the label and exclaimed, “38 sugars! That’s a whole bunch.”

“That’s true,” I told her. “This juice is a treat. We drink it for the flavour, not because it’s feeding our bodies. It’s fine to have a treat every so often, but it’s very important to make sure that we get all the different things our bodies need. We need protein to be strong, and fiber not to have hurty poops. Our body needs some fat to stay healthy, but not too much.”

For the rest of meal, the girls pored over the nutrition label on the juice bottle, asking about the different nutrients. My favourite was J’s reading of calcium as “Colosseum.” There was something quite lovely about the image of ancient architecture bolstering our bones.

I taught myself about healthy eating in my early 20s. Both my parents developed high blood pressure in their 30s, and I didn’t want to go down that path. Rich, fatty Bengali curries with massive quantities of rice must have contributed to their cardiovascular issues and my father’s subsequent Type II diabetes.

It certainly helps that both my husband and I love to cook. It’s hard to put too much junk in our bodies when we’re aware of every ingredient we eat. We don’t tend to count calories, and we’re not averse to eating out, but we try to be responsible, while allowing ourselves our treats. I’m fond of chocolate, and my husband of red wine.

I hadn’t planned to teach our girls to read nutrition labels at 5. I imagined that the model we set at home would show them how to make good food decisions. Peer pressure, though, is a strong force, and M told us today that she had bought 6 cookies at lunch to share with her friends. We don’t want the girls to feel like they need to diet or deny themselves the occasional sweet treat. However, we do want them to understand that while eating is a social and pleasurable activity, nutrition is the primary role of food. Food for taste alone is an extra, and to be taken in moderation.

Are you surprised to hear that junk food is being sold in elementary schools? What would you do if you discovered this in the school your children were to attend?

Our Speech Therapy Journey(s)

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M has successfully completed two programs with a speech therapist, and we’re considering having her evaluated again. Twin sister J joined her for the second of those programs, and also benefitted greatly. Watching both my daughters work their way through speech therapy has taught me a few new things, and convinced me all the more of others.

  • There are more things in heaven and earth, Horatio, than are dreamt of in your philosophy.
  • Follow your gut.
  • It never hurts to get a second opinion.
  • Some lessons are more likely to stick if they come from someone other than a child’s parent.
  • Things are often more complicated than they appear.
  • There is such a thing as knowing too much about something.

The first time we visited a speech therapist was at the recommendation of the family pediatrician. When M was nearly 3 years old, I became concerned about how slowly she ate. I once timed her spending 17 minutes chewing a single piece of meat, and finally had her spit it out. The pediatrician suggested that she had dysphagia, or trouble swallowing. I had imagined that a couple of degrees in linguistics gave me a basic understanding of what speech therapists do, but I was wrong. Speech therapists deal with all sorts of oral motor issues, including problems with chewing or swallowing.

It turned out that M had never quite figured out how to use her tongue to effectively move food around in her mouth as she chewed. Because of that, foods that required chewing would cause her to choke. After six sessions of feeding therapy with an amazing speech therapist and a lot of reinforcement at home and daycare, she could eat successfully. Meals became enjoyable again. It’s been over 2 years, and we haven’t seen any backsliding. In fact, M enjoys food so much now that she plans to open a restaurant when she grows up. Bonus: military medical insurance covered 100% of speech therapy session costs.

It was during feeding therapy that the therapist raised a concern that M might have articulation delays. It had never occurred to me that there was anything off in her speech, since the child talked incessantly and no one who knew her—I, her teachers, or our neighbours—had any trouble understanding her. I thought her pronunciation of yellow as “lellow” was darling, rather than worrisome. The linguist in me had always ignored the nagging doubts, knowing full well that there was variation in the timing of pronunciation mastery, but there should be no cause for alarm as long as the order of acquisition were being followed.

When my husband returned from Iraq and need me or J to translate for him so that he could understand M, it was clearly time to revisit the speech therapist. My MA in theoretical linguistics hadn’t taught me as much about the practicalities of language development as I’d thought. The practice we’d been to for feeding therapy no longer took our insurance, so we had to find a new therapist. We had both girls, now 3 months shy of turning 4, evaluated at the new practice. They ended up being evaluated by different therapists, and we learned how incredibly subjective these evaluations can be.

J was determined to be 2 standard deviations above the norm for her age when it came to grammar, vocabulary and comprehension, but 2 standard deviations below the norm for articulation, the production of mature speech sounds. She sounded more like a child just turned 3 than one soon to be 4. M, on the other hand, was evaluated only for articulation, and declared to be just dandy. These results didn’t ring true for us. M was, to our ears, far less clear in her speech than J. My husband insisted that M be reevaluated, this time by the therapist who had seen J. When the office staff let us know that they were concerned that insurance might not pay for a second evaluation, we offered to pay out of pocket. Insurance did end up covering it, though. The second set of results was more in line with our expectations. Although J’s need for speech therapy was a judgment call, M definitely needed it. Where the first evaluation had her placed her in the 43rd percentile, the reevaluation placed her in the 2nd percentile for articulation.

Since their delays were along the same continuum, the therapist offered to work both twins together in weekly sessions. The sessions were great fun for the girls. The therapist pulled out board games, and let them each take a turn after they completed a pronunciation exercise. She focused on making them aware of how the sounds coming out of their mouths were different than hers. Soon enough, they could say ‘sh’ and ‘v’ easily. It was extraordinary to see how those two sounds alone helped with others’ comprehension of their endless chatter.

After 3 months, both the girls graduated from speech therapy. All J had left to master were ‘l’ and ‘r’, and the speech therapist didn’t think those needed to be rushed. M had a lisp to work on too, but we were comfortable with the exercises she needed to do at home to help with that. We should keep an eye on the girls, she told us, and consider revisiting a speech therapist if they didn’t appear to be making any headway after a while.

My husband and I think that we’ve given it long enough, and both girls’ ‘r’s are still very baby-like. At this point, speech evaluations are often conducted through the school district, so we need to ask both their classroom teachers what they think of their speech before we go hunting for yet another speech therapist.

If you’re curious about what precisely goes on in a speech therapist’s office, feel free to peruse the detailed tales of feeding therapy and speech therapy sessions on my personal blog.

Sadia and her 5-year-old girls, M and J, do their talking, lisps and all, in El Paso, TX, much to the exhaustion of her soldier husband. They try not to talk while eating, but it’s tough when there’s so much to say. They are happy to report that chewing challenges are no longer to blame for the length of conversations around the dinner table.

Medium and Happy

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(Leila and Rahul are turning 2 in a few days. They are doing very well, happy and healthy, other than a cold they have been fighting for the last week.  I would like to share something I wrote when they turned one-and-a-half.)

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Rahul and Leila have come a long way since their birth at 31 weeks gestation. At 18 months they have caught up with other children their age physically, emotionally and developmentally.

Leila recently jumped from the 5th to the 10th percentile in weight, and Rahul is steady at the 10th.  In height they are both at the 50th percentile. All in all, according to the charts (which might be slightly different that the US standard ones?), they are light weight children of average height. Not that it means much anymore. Last month I met a five month old baby who weighed as much as Leila. At their NICU there was a baby born at 24 weeks, much tinier than them. Now however, when I see them play amongst toddlers their own age, they merge right in, size-wise as well as ability-wise.

Since they were born a couple of months early it was normal, even necessary to closely monitor their weight gain. Thankfully we have had no serious problems since they left the NICU. They are both running, playing, and talking a lot. They are full of energy.

It’s time for me to let go of the obsessive monitoring. They need a break from being scrutinized and compared. They inevitably get a lot of it just for being twins. They don’t need any more, and especially not from me. In the big picture a little delay here or there is not a big deal. I have noticed that they are eating a little more than before, sleeping a little bit better, and enjoying each other.

I have found that comparing healthy babies growth and development is useless, and even silly. We all do it though. It’s natural. Parents often compare how soon their babies sit up, crawl, start sprouting teeth, walk, and talk in relation to others. Discussing these things with other mums and dads is important, especially for first time parents. It is necessary to follow-up on certain milestone achievements. If a real problem is caught soon enough it could be addressed more effectively.

There is a wide range of normal. I can see that just by having two babies. Leila crawled by 7 months, Rahul started after 9. They both had issues with digestion in the NICU. They digest differently. R has a strong reflux, Leila a poor appetite. Now L eats all the time and R eats only when he can feed himself! They both got their first teeth around the same time. According to Dr. Sear’s “The Baby Book”, when teeth come out is a genetic trait. Speech seems to be a big “issue”, and especially when there is more than one language spoken. We have 3 languages around us, and so far they are both saying words in all.

My brother didn’t speak until he was 2. My grandmother forced my parents to see doctors about this. Neither did he eat. What a catastrophe. My parents were easy-going enough to let him be. When he was ready he spoke and when he was hungry he ate. Now he talks a lot, and eats a lot. He is a professional sportsman, and a big guy. My brother-in-law spoke “late”, but apparently when he did it was in full grammatically correct sentences!

When asked, I usually responded to questions about my children’s age, weight, birth order etc. And then I asked similar questions back. Sometimes I even initiated such dialogues. I knew it was silly, but I needed to hear that Leila and Rahul are smaller than others to validate their experience of early birth, as well as mine being their primary care-giver. It has not been easy with their tiny milk feeds. After birth they wouldn’t drink more than 1 to 3 ml of milk at a time. By 1 year R could take 120ml. But because of his reflux he had to stop and burp every 30 ml. Each feed was drink, burp, drink, burp…  Leila woke up every 2 to 3 hours to drink at night, and still does. Most babies around us sleep through the night and eat comfortably. I couldn’t help comparing.

I was listening to a studio talk by Richard Freeman, an inspiring senior Ashtanga teacher the other day. I am paraphrasing what I understood from it. He said as soon as we realise that our Asana posture is medium, that it could look better, and it could also look worse, there is a release. The pressure dissolves and the breathing starts. It is no longer about having the perfect posture. It is more intrinsic and personal. That’s when the suffering stops and the practice can deepen.

The same goes for size. As soon as we can acknowledge that we are medium, that we could be taller or shorter, fatter or thinner, there is a release. We can move on and think about other things. I once told a close friend that her son was tall. “No” she responded, “he is average height.” Her honesty struck me.

Rahul and Leila are changing all the time, as I am. When I am around them I want to be actually present. I want to encourage them to have fun, and to laugh. They have enough time to follow curriculae and perform in the future. We can all stack 4 blocks and order rings according to size. It makes no difference to me if they can do it now, or in a few months. They are full of love and energy and that is what really matters. I want them to be Medium and Happy.

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Natasha lives in Chengdu, China with her husband Maher. She is mum of  twins Leila and Rahul, and was an Ashtanga Yoga teacher until her little yogis became the teachers. You can find more of her thoughts and stories at Our Little Yogis.

 

Kids in the Kitchen

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Every time that I start to stress about J and M’s eating habits, I remind myself of our parenting goal: Healthy, happy, whole adults.

Of course I want our children to have a healthy diet in the here and now, but it’s far more important to me that they be equipped to make good food choices even when I’m not around. I’ve taken three basic approaches that have worked for us:

  1. Educating our daughters on what makes up a balanced diet, and how different foods contribute to their healthy growth.
  2. Including them in food purchase and preparation decisions and activities.
  3. Demonstrating that listening to their bodies is valuable and taking a non-combative approach to food.

I keep meaning to copy a friend’s brilliant idea of displaying the USDA food guidelines—the old pyramid, or the new plate—on the refrigerator.

ChooseMyPlate.gov image of a healthy food breakdown.

Even though we don’t have the picture up, we have always talked about meals in terms of needing a protein, a fruit or veggie, and a starch. We’ve also talked about the need for dairy, but since the girls drink milk morning and night, I haven’t required that they include dairy in every meal. I try to keep my explanations of why food choices are important accurate, but simple. We need protein for strong muscles. Fruits and vegetables help our bodies fight germs, and help us with healthy skin, hair, eyes and nails. We need carbohydrates from energy. Milk products help our bones be strong. Our body needs some fat so that it can get all the goodness out of other foods, but too much can be unhealthy. There’s nothing inherently wrong with sweet or fatty foods, but they are just for flavour, rather than nutrition. I’ve rarely turned down the girls’ requests for sweets, because they ask for very reasonable portions: a cookie or a single piece of chocolate.

Our whole family enjoys food: eating it, preparing and cooking it, even playing with it. If only mine wasn’t the Great Black Thumb, we might enjoy growing it. The kitchen is the heart of our home; I’m old-school like that. It should come as no surprise that our daughters have always been welcome in the kitchen.

My husband may have shortened my life by a year or two by placing our infants in their bouncy seats on the kitchen counter while he cooked. In retrospect, though, I’m glad we’ve always had them with us. Once they could sit, I’d pull the girls’ highchairs into the kitchen, and give them each a plastic bowl and spoon to bang while I made our meals. When I had cleanup time on my hands, they would help me stir. If I needed to get my hands dirty, J and M could splash their hands in the bubble-filled kitchen sink.

As they approached age 2.5, M and J could be trusted not to put everything in their mouths, so their kitchen repertoire broadened significantly. They could help me measure out ingredients, even plan meals. I’d let them choose between fish and chicken, for example, or rice and couscous. Another great option was chef’s salad. I’d chop up lunchmeat and cheese, boil some eggs, grill some croutons, and present a selection of vegetables. As long as they included some of each food group, they were good. It’s easy to do the same with sandwiches, too. We baked cookies and muffins, too, but that was more of a game.

Now, at 5, J and M often help me plan our weekly grocery list. M recently observed that lasagne is a balanced meal in itself. J refused dessert at lunch yesterday because she was full. She knew there would be another ice cream opportunity soon enough. The girls came home from daycare recently telling me that they had been given soda at school. (Let me tell you that we’re not going back to that center.) They were as horrified as I was, but confessed that the cola was “sweet and yummy.” I told them that soda was a sweet treat, and they could have some when I did, a couple of times a month. There was no argument.

When the girls are full, we let them leave the table. If they’re not hungry, they don’t have to eat. They know that they won’t get anything until the next snack or meal. My husband and I both fight the urge to nag at them to eat more or clear their plates. I think it’s a natural parental impulse. We just have to keep reminding ourself that we want our daughters to stay as healthy, happy and whole as they are now.

How do you include your children in the kitchen?

Mum Connections

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A month ago, we had dinner at the Calgary Airport. What better restaurant to have our last meal in oil and beef-heaven than at a steakhouse?

The waitress greets us with a cheery smile, asks us how many we are. “Four adults, two children,” I answer, pointing out L and R. My parents are sending us off before they head to Montreal the next day.  As the waitress walks us to a booth, she asks if I prefer high-chairs or booster-seats for the children.

“What are booster-seats?” I ask, fully aware of my ignorance. “Little seats that you can move around. They add height to any other regular seat,” she replies, without a hint of condescension.

The booster-seats sound perfect. My kids hate high-chairs.

“Great! Come on over this way. I’ll get the brown paper laid out first, and then bring out the crayons.” She smiles as she walks away in her black pants, and black t-shirt; her blond pony-tail bobbing along behind her.

“Here’s the crayons, and some menus. You need anything else, give me a shout. I’ll be back for the order in a few minutes,” she assures us. How wonderful! L and R sit at the table happily, unrestricted; and they draw pictures with my parents.

When she returns, Maher asks if she can suggest any vegetarian options for my mum. She pulls her pen out of her apron and uses it as a pointer, “There’s the garden salad, the coleslaw, there’s a veggie fajita, and we can do most any of the starters’ vegetarian. You just ask me, and I’ll request it in the kitchen.”

“Fantastic!” he replies.

“One chicken fajita should be enough for the two children right?” I ask her.

“Plenty. Portion’s big here.”

We place the rest of the order, and just before she turns around to leave, she asks if we want the fries out first. Maher and I looked at each other and then up at her. She understands. “Yes please, and the guacamole, and anything that’s ready. They’re hungry.” We didn’t mention that they won’t stay put for very long.

She smiles, winks, and asks, “They twins?”
“Yes, 23 months old,” I reply.
“I have three kids. A four year-old, and two year-old twins. All boys.” She says with a gleam in her eyes.
“Really? That’s wonderful. So you know!” I sigh with a sense of relief that sweeps across me.

I don’t usually stress out about being at a restaurant with my toddlers. In China it’s easy. Children are welcome everywhere, easy-going restaurants for sure, fancy places are no exception. The hosts, even the guests happily chat and play with them. That’s not to say that I’ve had any criticism in Canada over the last 3 weeks, neither in Montreal nor in Calgary; but it’s on my mind that they have to behave a bit differently. I do my best to keep the situation as much under-control as possible, without making a big deal out of it. And with my parents there to help, at least we’ll all get to eat.  But the mess we leave is always bigger than at the other tables, and our sweet waitress is the one who’s got to take care of it.

My stress dissipates after she hangs out longer, and after she tells us about her children. I feel a connection with her just for being a Mum of Twins. It’s not rational. But she understands what it’s like to be at a restaurant with excited twin toddlers. She’s not fazed by their loud chatter, their need to switch seats as they spill the water, and their desire to reach for the knives.

Part way through the meal, L needs a change of diaper. As we walk back from the washroom, the appropriately positioned toy store – right across from the restaurant — with a large poster of a crocodile eating a monkey, sucks Leila in. Before long, Rahul and two adults in our group join her. 15 minutes into the discovery, and a number of different dynamics later, I am back at the restaurant finishing up my meal, with my mum. I pick at the colourful bell peppers and onions from the children’s fajita, after I’m done with my own dish. It’s time to go though; time to say goodbye to my parents. I ask for the bill.

While I pay, the sweet waitress and I have a little chat. She’s the kind of woman who calls you honey. Not in a patronising sense.

“Who helps you with the kids?” I ask.

“My husband. He takes care of them in the day while I’m here, and he works at night. I was just talking to my co-worker over there,” she tilts her head towards another waitress, “Was just tellin’ her it’s been a week since I saw him. ‘N’ we live in the same house.”

“Man, that’s not easy,” I sympathise. She looks up at me, shrugs her shoulders and smiles. That’s when I notice the dark circles around her eyes.

“Have a good flight!” She waves.

“Thanks, and good luck with it all,” I pat her shoulder, and push our over-packed stroller out of the restaurant.

My mum and I walk over to the crocodile and monkey toy shop to pick up the rest of the gang. We slowly make our way to the security check.

Just this morning, L and R talked about a crocodile eating a monkey.

Have you had random mum connections that you still remember?

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Natasha, mum of Leila and Rahul was an Ashtanga Yoga teacher until her little yogis became the teachers. You can find more of her thoughts and stories at Our Little Yogis.

Ask the Readers: Handling Picky Eaters

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It’s been a while since we’ve Asked the Readers. Please, help us out in the comments!

What is your favourite trick for tempting a picky child at mealtime?

I was quietly ecstatic when my kids first took to solid food. Fish, spinach, fennel—they loved them all. I thought they were set for a lifetime of adventurous eating. I hadn’t read far enough into child development books, though.

At around age 2, kids tend to get pickier in their eating habits. It makes sense. The hunter-gatherer argument is a compelling one. 2-year-olds stop putting anything and everything in their mouths, including many foods, because that is the age they would start straying farther from their mothers in hunter-gatherer societies. This pickiness is a survival instinct that lasts until they are old enough to make mature choices regarding what is safe to eat.

Whether their pickiness is explainable or not, picky eaters present an enormous challenge to parents. When M was at her pickiest, she could go two days on nothing but milk if nothing struck her fancy. I worried that she would starve. She’s only recently begun enjoying food again.

Please share how you deal (or would deal) with picky eaters.

"We did it!" Breastfeeding Multiples

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Whether or not to breast feed is a difficult decision to make and for mothers of multiples because it is also complicated by the need to adjust to caring for multiples.

Tandem nursing our twins with 18 month old big brother supervising

I found that for me, the advantages of breastfeeding far outweighed the disadvantages. Nutritional value and money savings aside, I love how breast feeding allows for closeness between mother and baby. After the babies were born, I never felt like I had the same quality time that I enjoyed with their 18 month old brother. Yes, things were crazy, but the 30 minutes we had together to nurse helped me to connect with the babies. First we connected as a team, “We can do this!” Now that they are bigger and eat much faster, I enjoy my one on one time with each baby.

Physical exhaustion will play a toll and make you want to quit at times, however I felt wiped out just thinking about the alternative pumping and bottle feeding. Things were not easy for us at first. My boys were born at 32 weeks gestation and spend two weeks in the NICU. The best thing you can do in that situation is not to panic when you are not able to breastfeed. I know there is a lot of discussion on the interwebs about people lamenting about how they weren’t able to breastfeed because the baby had to have formula first. Preemies will most likely start out with a feeding tube and progress to bottles, but I want you to know that just because they can’t nurse directly from your breast does not mean that they never will.

Kangaroo Care in the NICU with feeding tubes

 

So how do you prepare once you decide that you want to breast feed your multiples?

Prepare to Pump: The average gestational age at birth for twins is 36 weeks and the average NICU stay for premature twins is 14 days. Mothers who deliver their babies at 40 weeks should consider themselves lucky, although they may not be feeling all that lucky by 40 weeks (Yikes!)

The reality is that your multiples will be born earlier than a singleton baby and will likely spend a week or so in the NICU. If you decide that you want to breastfeed your babies, your first goal should be to prepare to pump because it is very likely that your babies will not be ready to nurse from the breast the minute they are born.

60% of mothers used a breast pump at some time. You will probably need to use a pump. If you can’t afford to rent or buy a hospital grade pump, check with your local WIC department. You may be eligible to use one of their hospital grade pumps for free. If you are planning on returning to work, you may want to consider buying a double electric pump if you can afford it.

Just a side note, you cannot stock up breast milk before your babies are born (well, at least your own). I have heard several anxious mothers express a desire to do this, but your milk will not come in until after the babies have been born. It may take a few days for it to arrive, but keep pumping. I went from having a drop of milk a day after my twins were born to coming home two weeks later with five gallon size Zip-lock bags filled with frozen breast milk containers.

 Plan to Eat: Breastfeeding is a workout girls and you’ve got to be properly fueled for the burn. The nursing mother burns an average of 500 calories per baby breastfeeding. Non lactating women need a minimum of 1200 calories a day so lactating women need to be eating at least 1700 calories a day.  If you find that you are having trouble with your milk supply or you are not losing weight, track your food on a free program like myfitnesspal.com and make sure you are getting enough to eat.

Prepare for challenges: Nursing twins has a whole slew of unique challenges that you will have to work through. I highly recommend synchronizing your babies schedules at first and nursing at the same time once they are able to nurse from the breast. If one baby is not ready to nurse from the breast, you could give him a bottle while the other is nursing. Mothering Multiples: Breastfeeding and Caring for Twins or More! (La Leche League International Book) is a great breast feeding resource from La Leche specifically for mothers of multiples.

Just because you have twins does not mean that you get a free pass from some of the other breast feeding obstacles. Our boys both had really bad tongue tie that we had to work through before they could nurse. A resources like kellymom.com or even finding a local La Leche group or lactation consultant is a great idea. You may even want to consider getting connected with local lactation specialist prior to the arrival of your multiples. They may be able to help you develop a game plan for breast feeding your babies, and you may feel comfortable contacting them when you need help if you have already met them.

We just made it through our first six months of exclusively breastfeeding and now we are beginning our journey by introducing solid foods. Although it is nice to be able to feed them from a spoon, I still look forward to each one of my ten mini nursing sessions each day (five for each baby).

If you are planning to breastfeed, I hope this article will help. If there are any moms who want to comment with tips for breastfeeding twins after going back to work, please do so in the comments below. I know there are several moms who would love to hear from you.

 What helped you when breastfeeding two or more?

Jamie is the mini van rocking mama to three lively boys, big brother age 2 and identical twins age 6 months. Check out Jamie’s blog and podcast, The Playdate Crashers. 

what I wish someone told me

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I was asked if I could talk to a mom who is expecting twins by a teacher at our preschool drop in.  Long story short, the expectant mom is a neighbour who I see almost daily walking her two kids to school though we have never got beyond a nod and a “hello, how are you?” before.  She is usually walking by while I’m wrestling my toddlers into their stroller and yelling at the dog to just “BE QUIET ALREADY!”  (It’s been surprisingly difficult to tone down my language and drop the “shut ups” now that we have kids but that’s another post. I never say “shut up” to people, just my dog. He’s very yappy.  Anyway.)

So we finally had a “quiet” moment to talk while all our kids were busy playing or at school.  My new friend already has two kids, one in school and one still home.  She appears to me to be overwhelmed by the surprise of two babies on the way and I feel real sympathy for what is ahead of her in the next year.

When I had my twins almost 19 months ago, they were my first and I was lucky enough to be able to stay home on (almost) bed rest for two months before they arrived.  I could just nap and eat. And once they were here, it was challenging to say the least, but I had no other little ones to care for.

What did I need to hear when I was pregnant with two?  That it would be OK.  That it would be hard, but that we would get through it.

My friends with kids warned me that “You’ll never sleep again!  Ha! Ha!”  The sleep deprivation was no joke.

That breastfeeding can be very challenging for some and that most likely you will need to supplement with formula until your milk comes in and you get yourself some rest. That there are ways to boost your milk supply with diet, herbs, pumping, and/or medication.  See a lactation consultant before you even leave the hospital if need be.  Oh, and pumping sucks.  You just gotta do it.

That if you can afford it (and I couldn’t) get yourself a night nanny so that you can take care of your babies with a clear head.  That they will stop crying.

And don’t do it by yourself.  When people offer to help, take it.  When people want to visit the babies, ask them to bring food.  Do the dishes, wash the bottles, walk the dog, fold the laundry, take the babies for a walk in the stroller.  You don’t need to  do it all yourself.  People want to help you, they just need you to tell them how.

We are in year two now, and though it has it’s own challenges, life is so much easier than in those early days with two newborns.

It does get better.  And you can do it.  And it’s so worth it.

What do you wish someone told you when you were pregnant with multiples?

You can catch up with me and my toddler twin boys at http://littlegrovers.blogspot.com/

Homemade Baby Food

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This post on homemade baby food was previously published on my personal blog in April 2009. Still, I decided to commit the sin of republishing a stale post in the interest of this week’s theme of trimming the budget with multiples.

A very messy baby.I made a lot, though not all, of our twins’ food when they first started solids.

I had nothing against jarred baby foods, but I wanted to provide M and J with fresh foods and more variety than I could get from the baby food shelves at the store. I started out using the jarred stuff, but soon realized that with two enormous baby appetites, it was far cheaper to make purées in larger quantities. At age 18 months, our twins averaged an even 12 lbs in weight, but could down the equivalent of three jars of baby food per meal, three times a day, each. That could easily have me spending over $100 per week on baby food.

The girls’ daycare didn’t start providing meals until kids started table foods, and was very accommodating of the frozen or fresh purées I’d bring in every day. It actually wasn’t that much work. Once M and J were exposed to a pretty large variety of foods, I’d simply leave half of each dish unpuréed, salt it, and eat it myself. I don’t think the girls were any better nourished than kids fed Gerber or Earth’s Best goodness, but it worked for us.

There were definitely folks who found my choice to minimize prepared baby food in the girls’ diet to be pretentious. Perhaps it was. One thing that raising identical twins who are far from identical has taught me is that there is no right way to parent.

When new and expectant mothers tell me that they’re considering it and ask how I made it work, I give them a list of my favourite tools. Here’s what goes in my baby shower gift for friends who’ve asked my advice on how to start making their own baby food:

  • Annabel Karmel‘s book, Top 100 Baby Purees. The recipes were good, but even more helpful to me was the idea that baby food didn’t have to be bland. Onions and garlic in baby food? Cinnamon in fruit purées? Why not? I didn’t introduce salt or refined sugar until after Jess and Mel’s first birthday, but used other more mature flavours with abandon. Note that Karmel is British and follows Great Ormond Street guidelines on introducing new foods to children, so the age guides don’t always correspond to the recommendations of the American medical establishment.
  • KidCo food mill. This produces food that corresponds to a Gerber Stage 2 texture. The mill comes apart completely and can be washed in the dishwasher. There are no sharp edges, which is a necessity for someone as clumsy as me. It’s perfect for taking to restaurants so that you can share your meal with your baby. You turn the mill upside down, pop in your food, insert the base and set it on the table. Then you push down gently while turning the handle, and the ground up food gets pushed up into the bowl at the top of the mill. You can feed baby straight from the mill, and then pack it up in its carrying case to take home and wash. It’s the perfect size for one child; I did have to refill it to get enough food for both girls.
  • Ikea flexible icecube trays. Unfortunately, Ikea no longer carries the triangular icecube trays for portions that fit perfectly in Ziplock sandwich bags. Whenever I made a new batch of baby food, I’d keep out enough for a couple of meals, and freeze the remainder. Once the cubes were solid, I’d pop them out and store them in the freezer in Ziplock bags labeled with the contents and date. Three to four fully defrosted cubes made a full meal for both J and M.

There are a few generic tools that I consider a necessity.

  • A good quality blender. This is how you get the smoothest purées for a first introduction to solid foods.
  • A full-scale food mill. I used a handcrank food mill that I still use for applesauce and apple-pear-sauce. When I first started to introduce texture in the girls’ food, I’d process half of each batch of food through the blender and half through the food mill and mix them back together. Once they were ready for chunkier foods, I switched to the food mill.
  • Small bowls with lids and, yes, baby food jars. You’ll want to transport baby food from time to time. Baby food comes in jars for a reason! They’re a great size and very sturdy. I reused baby food jars many many times. I also loved Gerber Bunch-a-Bowls with lids.

Do you have any other tips or recommendations for cutting food costs without compromising nutrition and taste? Please share!