I’m sorry to those of you who visit this blog, looking for something noteworthy to read.
I need to whine again. (If not on my blog then where else?)
This time it’s about MS starting solids and the different wavelength of the pediatricians here compared to back home. Not quite N@zi lah, but I thought it gave a nice ring to the title of the post, haha.
Initially, MS was pretty enthusiastic about trying new foods. I knew he was ready because whenever I put a spoon of food to my mouth or took a sip from my glass, he’d stare at my every movement with awe and often ended up licking his lips.
When he turned 6 months, we were travelling, so I just gave him baby apple juice at first. Apprehensive initially, then he slowly warmed up to the idea, but just in small amounts. Once we got to our travel destination, I tried out cerelac and he took it willingly.
Once we came home, this mommy started getting enthusiastic. I would give him small amounts of cereal in the evenings (all of which he finished with gusto) and gave him some pureed avocado mixed with EBM in the morning. He found the avocado a bit iffy, so some days would accept it, some days not.
When I saw how enthusiastic he was with the cerelac, I started to give him more, and still he scoffed it all up. As for the fruit department however, he wasn’t too great. After a few days of avocado, I tried out pureed banana with some EBM. That didn’t do well either.
Then I did a bad thing.
I tried to force him to take the food. By ‘force’ I mean that sometimes I tried to ‘open’ his mouth with the spoon when he clammed it shut as he saw me approaching with the spoon. Not that I got very much food in that way, at most, just another spoon or so.
What I did get out of all that was a lot of stress because he was losing interest and just refused. I on the other hand, was such a hopelessly impatient mom.
On my mom’s earlier suggestion, I had also added some nutrients into his cerelac, one chl0rella pill each time, pounded to a fine dust that mixed into the cereal. This made the cereal green, strange looking and smelling. The first time he ate it he was oblivious to it and downed the cereal happily, but the 2nd and 3rd times were complete disasters. At this point, he went completely off cerelac too.
At the same time, MS looked like he was having problems passing motion. A few days passed with a lot of f@rting and straining on his part, but nothing came out. When he did poo a few times, the poo was pasty and dry. He was constipated. I tried to get him to drink more juice and water, and I tried to feed him more pureed fruit. Of course, the latter failed miserably and it became a battle between him and me.
One day (I think it was either on the day he rejected cerelac or the day after that), he finally managed to poo a substantial sum. It started off pasty and dry and required so much effort on his part, then as I was changing him, he started crying like he never did before (like there was some pain involved) and his poo came oozing out like soft green slush as if he could have been having stomach pains.
I figured then that he was perhaps taking in a little too much cerelac, too little fruits, and not enough juice and water. Add on to that recipe for disaster the fact that he was beginning to lose interest in trying solids, but yet mommy kept trying to force him.
Seeing the way he was, I decided to lay off solids completely for a while. Give MS a chance to recover and for me to take it easy.
So over the next few weeks thereafter, it was back to just bf, but once in a while I’d try to sneak in some pureed fruit when he seemed up to it (I completely cut out cerelac at this point). Sometimes he’d take in a few small spoons, most days he’d just lock his mouth shut and turn away. Juice and water were the only things he would consider, and even then, sparingly.
He began to pass motion regularly again after that, except about a week ago. This morning, I was left with no choice but to insert an infant suppository because he had not passed motion for 6 days, despite having been given prune juice and lots of water to help him ‘go’.
Now that you’ve read about my ’starting solids faux pas’, this is where the pediatrician bit comes in.
Times like this, I wish I was on more familiar turf. Yes, there are other mommies here, but each one has a baby with a different temperament, and different needs. There are also loads of pediatricians, but their approach is different I feel, from back home. That’s probably because they view raising a baby differently - more cut and dry, not like how we are back home. I think we tend to be a bit more indulgent of our babies as compared to Egypti@ns. Or perhaps, they take on a more “mat salleh” approach to things.
For example:-
(1) When I visited the Diva Tua when MS was 5 months and asked her how I could help break the ‘nursing to sleep’ association, the first thing she did was to reprimand me (in a motherly way lah, she is tua, after all) and tell me that MS shouldn’t be nursing at night anymore in the first place. I asked her how she proposed I stop him because he’d scream and wail if I tried that. Her response was curt, “You need to instil discipline, if not it will be very difficult for you later on and you won’t get your rest”.
Diva Tua’s method was that I gave the final bf to MS when he was going to bed and then not give him anymore milk until 6am the next morning. If he awoke at night, just give him water. “It will be difficult for a few days, but after a while he won’t wake up anymore because he knows he’s only going to get water”.
Easy for her to say, I thought, she’s not the one who has a strong-minded little bub who is more than capable of screaming his lungs out for hours and drive his mommy close to jumping off the window ledge!
So when I went home, I opened Ferber’s book again. I felt that his method of removing night feeds was more humane, ie to gradually space out the night feeds over a week or so until eventually, there are no more feeds left in the night time. I adopted this method when MS was 5 months, and over the course of 2 weeks (and some heavy crying of course), I eventually succeeded. The good part about this method was that it also prevented me from getting engorged.
I was a happy camper for those two weeks. MS would still wake up once or twice in the middle of the night, but he’d protest just a little bit and then promptly fall back to sleep on his own. Unfortunately, at the end of those two weeks, he started waking up for feeds again, at first for one, then two, then three, .. and now it’s back to every 1.5-2 hours, right until morning. In the initial stages, I opted to just let him cry and not give it to him - remember me relating an incident where he wailed for 2 hours non-stop? Then guilt overcame me and H, because we were thinking that perhaps he was teething and needed comforting, wasn’t feeling too well (he had had his immunisations recently too), so thought tak pa lah, kesian MS nangis so much. But as a result, he’s back to his regular routine.
Why can’t I just try to reintroduce Ferber’s night feed reduction method again, you ask? After that 2-hour-non-stop-crying episode plus the fact that MS has certainly become more opinionated and aware of what he wants (or doesn’t want) in comparison to when he was 5 months (plus he doesn’t cry anymore, he screams (ie mengamuk)), I don’t think I have the energy to go through that process again.
(2) The next time I visited the Diva Tua after MS reverted back to his normal night-time feeding pattern, she gave me a schedule to introduce solids to MS. This was her proposition:-
6am: BF
10am: Pureed fruits (in the 1st week)
2pm: BF (in the 3rd week, substitute with pureed vegetables)
6pm: BF
8pm: BF (in the 2nd week, substitute with cereal)
11pm: BF
MS has generally always been BF every 2 hours, day and night. Some days, he has 3-hour stretches. Diva Tua was asking me to not just stretch his feeding time to every 4 hours, but to do away with MS’ beloved milk from some of the feeding sessions.
At one glance, her proposition seems workable, but what do you do when your child has rejected all solids, as MS has done now? Plus, MS doesn’t look like he’s particularly keen on the idea of filling himself up with something other than BM, and I’ve often been told, even by my mom, that sometimes, we need to just let the child decide his own pace.
When I told Diva Tua that it would be difficult to follow her schedule because MS has rejected solids, she told me to just let MS go hungry for 4 hours. “He will be hungry and will take the solids when you offer it.” What if he doesn’t? He will, she asserted. If not, then wait a little longer.
Oh if only it was that simple. Or is it that my threshold for my son’s screaming tantrums are low, and the Egypti@ns have higher pain thresholds? But even my maid said that Diva Tua is “gila” to suggest that I make MS go hungry for that long. “Dia tak tau MS tu macam mana” was her short but spot-on comment.
Besides, I fear that using such regimented methods on MS might scare him off eating solids even more. What do you think?
When I told Diva Tua that MS had reverted back to his night-time feeds, she said it was because I wasn’t feeding him enough cereal before he went to bed. Sigh.
(3) So I consulted another paed. Not tua, and not a diva. Consulting her was by default because Diva Tua ran out of the vaccines which were due for MS and she had asked me to look for another paed in the area who had supplies of the vaccines.
When I asked this 2nd paed why MS was beginning to wake up at night again, and he may or may not be teething (some days I think he is, some days not), she replied that she didn’t know, but agreed that MS shouldn’t feed past midnight anymore. Her suggestion was lain pulak - she said I should give him one last BF at midnight, and then if he wakes up in the middle of the night, give him this special herbal tea preparation for babies that they have in Egypt (known as “Baby Calm”). That will help him sleep till morning, she said.
Of course, that meant that I would have to endure more screams and protests from MS in the middle of the night when he finds out that he’s not getting his bonbons but some silly herbal tea instead. You just have to, came this 2nd paed’s calm reply - it’s for their own good. Not much different from Diva Tua’s suggestion that I give him water, huh?
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When I consult the other Malaysian mommies who have babies, or consult friends back home, they all agree that some Egypti@n paeds are rather unorthodox. At least for us Asians. It isn’t the Asian way, some have claimed. Back home, most mommies just allow their babies to feed through the night until the baby itself is ready to drop it (if at all).
I can whine to these other Asian mommies, but unfortunately, they all pretty much have text book babies, who follow their growth and feeding charts on schedule. Often what I get in return are reassurances that things will eventually get better and MS will eventually take to solids, and go back to sleeping through the night again (or at least waking less often). Oh I hope so, because I am tired of having to constantly battle things out with my clever little runt. Mommy always ends up on the losing end.
I’ve reached a point that I don’t care if I have to feed MS all through the night as well, but it would be nice to get some support from your paed, rather than them going tsk tsk at your methods and not actually providing you with the support you need and help you figure out how to solve the predicaments you’re in. Ish.
Times like this, or if there’s a medical emergency with your baby, as I’ve seen some of the other mommies here experience with their babies (hopefully we won’t with MS, insha’Allah) - it really makes me wish that we were back home in Malaysia, where emergency services at the hospitals (the private ones at least) are fast, people understand what you are trying to say, there are loads of doctors available (even if your paed is on holiday or refuses to pick up her mobile or answer your SMSes), and medical care is just so much better.
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On a different note, when I observe the methods the Egypti@ns employ in raising their infants and toddlers, I wonder whether this could be one of the reasons as to why the children grow up to be very forceful and strong-willed (traits which of course, carry into adulthood, ahem). I mean, methods like just leaving the babies to cry it out each night for days/weeks on end because you want them to stop night feeding, and again letting them cry it out for hours because you want them to follow a certain feeding routine. Inevitably, this will toughen up the little tykes, I reckon.
Standing joke among some of the Asian mommies here with toddlers who attend nurseries and kindies here: They leave the house Asian, they come home Egypti@n. Hahaha.
Oh well, I don’t have to worry about all that just yet. MS still has some way to go before toddlerhood, and by that time, we’ll most likely be back home in Malaysia, YAY!!