Ms. Liu, a citizen, reported to Xinmin Bangnong that she stayed in a confinement club after giving birth, but unexpectedly, the baby was once seriously sent to the hospital for treatment due to "flatulence". Ms. Liu and her husband questioned whether there was a problem of "overfeeding" in the confinement club, a claim they disagreed.
Caption: Yuexi Confinement Club Source/Interview Subject Provided (the same below)
Baby is sent to the doctor for bloating
On August 21 this year, Ms. Liu gave birth to a baby boy by caesarean section at term, who weighed 3,790 grams at birth.
Prior to this, Ms. Liu's husband, Mr. Jin, had helped the mother and son contact a Shanghai Yuexi Confinement Club located at 1888 Puming Road, Pudong New Area. After being discharged from the hospital, the mother and son were admitted to the confinement club on August 24.
Caption: Inside the room
During the stay in the clubhouse, the baby often cried, and also appeared frequent vomiting, spitting up milk and smell, abdominal swelling, excessive stool count and other phenomena. For this reason, Ms. Liu is worried, "I can't sleep well every night, and I often wake up from sleep. ”
On September 18, Ms. Liu and her husband took their child to Shanghai Children's Medical Center for medical treatment. "The outpatient diagnosis was 'neonatal bloating', and the doctor told us that it was too much feeding, criticized the feeding plan, and recommended appropriate control of milk volume."
Ms. Liu said that at this time, she realized that there might be a problem with the feeding in the confinement club.
Parents questioned how much milk was being fed
Mr. Jin showed the reporter the daily "feeding record sheet" of the Shanghai Yuexi Confinement Club. It shows that after the baby was admitted to the confinement club, the daily formula milk gradually dropped from 320 ml to 350 ml and 400 ml, dropped sharply on the 7th day, and then rose sharply, and the formula jumped to 540 ml (8th day of birth), 590 ml (10th day), 600 ml (13th day), and basically maintained at more than 500 ml after that.
Mr. Jin said that in addition to eating formula, the baby also sucks breast milk and breast milk bottle feeding, if the amount of sucking is not counted (difficult to estimate accurately), the daily milk volume is roughly calculated: the total amount on the 8th day reached 665 ml, the 9th day 675 ml, and the 10th day 775 ml, "Since then, the milk volume has been maintained." ”
Caption: Day 10 775ml (formula + breast milk bottle feeding)
According to Mr. Jin, if you add the amount of milk that the baby pumps, sometimes the total milk volume in a day can reach about 1000 ml.
How much milk should I give my baby per day? This is not a profound question, and as a feeding common sense answer seems easy to find. Mr. Jin's inquiry found that according to the Sears Intimate Parenting Encyclopedia, newborns are recommended to feed 125-150 ml per kilogram of body weight; According to the popular science of the Chinese Journal of Neonatology, when the mother cannot breastfeed the infant for various reasons, she can feed according to formula milk, and recommends about 150 ml per kilogram of formula milk per day.
Caption: According to the Sears Encyclopedia of Intimate Parenting
Caption: According to the popular science of the Chinese Journal of Neonatology, it is recommended that daily formula milk is about 150 ml (milk) per kilogram (infant weight)
According to Mr. Jin's calculations, the feeding standard of the Yuexi Confinement Club seems to be relatively high, with a factor of about 200 milliliters per kilogram. According to Mr. Jin's analysis, the baby's weight was 3840 grams on the 13th day of birth, and the total milk volume should be 576 ml according to the ratio of 150 ml of milk powder per kilogram, "and the formula milk of the day was 600 ml, and the amount of breast milk bottle feeding reached 190 ml, if you add the amount of milk directly fed by the baby, the total milk volume must be a lot more." ”
Caption: Mr. Jin's WeChat screenshot
What happens if I feed too much? The reporter saw in the article released by the official public account of some hospitals that "overfeeding, abdominal distention symptoms may aggravate" and "one of the causes of flatulence: eating too much milk".
Mr. Jin believes that because the baby eats a lot of milk, the intestines and stomach are fragile and sensitive, it is easy to cry and cry, and the weight gain is also abnormal. "After a few days of weight loss, the baby's weight increased rapidly from the eighth day, with a single day gain of 110 grams, and the average daily weight gain in the later period was as high as 64 grams, which deviated from the reasonable value of normal daily weight gain. The clubhouse seems to be concerned only with weight indicators when the baby is full-moon. ”
Caption: Overfeeding, abdominal distention symptoms may be exacerbated
The clubhouse insists on proper feeding
The reporter contacted the Yuexi confinement club, and the head nurse clearly responded that the club did not "overfeed".
The other party explained that the reasonable feeding milk standard of the baby inquired by Mr. Jin was only a "reference value". Every baby is different and cannot be "scripted". The daily feeding milk volume of 125 ml to 150 ml per kilogram is for premature and low-weight children, while Mr. Jin's baby has a birth weight of 3790 grams, and the standard implemented by the confinement club is 180 ml to 200 ml per kilogram, which is close to the upper limit, but it is still within a reasonable range. On the other hand, Mr. Jin's child is a crying, irritable baby, sleeps less, crying is easy to consume physical strength, and for the sake of calming, appropriate "more feeding" is also reasonable.
In addition, the baby is prone to "February trouble" after 25 days, which is not a disease but a symptom, flatulence and crying are more serious, but it cannot be directly linked to "overfeeding".
The head nurse pointed out that Mr. Kim's daily milk volume figures were "inflated". "Babies are very intelligent, breastfeeding and bottle feeding, there is a difference in the difficulty of sucking for children; And breast milk has a lot of water, children suck breast milk, more as a pacifier, sucking more like 'water full'. This part of the breast milk feeding volume is basically negligible, so the total milk volume is not as high as Mr. Kim said. ”
At the same time, the other party insisted that the weight data did not support the "overfeeding" theory. After 29 days, when the baby left the confinement club, he gained 1210 grams, which is reasonable and not high, just above the standard line of weight gain (1200 grams). "Mr. Jin's calculation of the average daily gain weight is also wrong, not 64 grams, but about 40 grams. Your baby does not return to his birth weight until 12 days later. The entire growth curve is also within the normal range. ”
The head nurse said that the baby's flatulence was indeed a fact, and although the doctor recommended "appropriate control of milk volume", it was not enough to show that there was a problem with the previous milk volume. The confinement club will continue to communicate patiently with parents, and will further standardize the scientific feeding process in the future.
Xinmin Evening News reporter Chen Hao