A little background before my questions:
> My DD has had chronic ear infections (at least once a month since she was 6 months old) and we just found out this week that she needs tubes.
> She is a VERY picky eater. She will eat what she wants to eat (mostly bread products--no veggies or fruits unless pureed--but only a few bites at a time) and she will throw the rest off the tray. She LOVES nursing, absolutely loves to nurse. But, over a year of age, is this healthy? To mostly nurse with next to no solids?
> Her weight gain has stopped at 12 months at 17 lbs. 14 ounces (she was weighed this week at the ENT's office with clothes and shoes on and she was 18 lbs 1 oz. which tells me she has not gained any weight, possibly even lost weight, because I am sure her clothes/shoes weigh more than 3 ozs.)
> Nursing/Bottle Schedule:
3 am--Nurses on one side (Sometimes)
5 am--Nurses on the other side
7 am--Sometimes she will nurse but not always; when she doesn't I pump 2-4 ounces that DH feeds to her later in the day while I am at work
9 am--4-5 ounces from a bottle (3 ozs BM combined with 1-2 ounces of cow's milk)
12 pm--4 ounces from a bottle (3 ounces BM; 1 ounce cow's milk)
3 pm--3-4 ounces from bottle (3 ounces BM; with maybe one ounce cow's milk)
6 pm--Nurses on one side
8 pm--Nurses on the other side
11 pm--Nurses on one side (Sometimes)
**In my mind (don't know if that is correct or not), I count two one sided nursings as one session. Am I wrong? With my line of thinking, she nurses 4-6 times in a day; on weekends it is more frequent. I pump three times a day for approximately 8-10 ounces (but for every three ounces of BM we have been adding an ounce or so of cow's milk).
This question has been on my mind since DD's 12 month appointment. Is my DD drinking too much breastmilk for her age? The pediatrician recommends 16-24 ounces a day...is this based on cow's milk and/or formula standards? If so, what does that equate to in terms of breast milk? She is obviously getting plenty of breastmilk (according to these standards I would safely say she is easily getting 16 ounces a day), but I wonder if she is getting so much she has no interest in solids. Should I back off a pumping session during the day and instead have DH give DD a sippy of water/cow's milk/juice for thirst? The pediatrician recommended juice because of her not gaining weight...I personally would prefer cow's milk because of the sugar in juice. My MIL (who takes care of DD a few days a week) just told me she thinks DD would drop the 3 pm bottle if she didn't go looking to feed DD. I am scared to back off of any feeding with her not eating solids, because of her zero weight gain. Or, am I doing the wrong thing?! Should we back off the bottles during the day to give her the opportunity to be hungry more? Does that mean get rid of the bottles completely and instead provide only sippy cups for thirst and what she drinks from there is all she gets while I am away for 11 hours a day? Or will that drop her wet diaper count too far?
**NOTE: I am not trying to encourage her to wean but I do want to give her the opportunity to grow at a normal rate.
Sorry so long!!! I am a first time long term nursing Mom looking for advice!!