as i put isaac down for a nap today, it hit me. i haven't given him a bottle in ages! until several weeks ago, he was getting a bottle before nap and one before bed (before brushing his pearly whites!). for a while i kept filling his bottles up to the 6-8 oz mark. but he drank less and less. by the time i gave him his last bottle, i was only filling them up to 3 or 4 oz, and even that wasn't disappearing down his gullet. in fact, half of the milk would dribble down his face since he really just wanted to play with the bottle.
since i hadn't processed that his two reliable daily sources of dairy intake had fallen out of routine, i hadn't been paying specific attention to whether or not he was getting enough... until now!
i couldn't find anything about daily dairy or milk intake on the site of our favorite online pediatrician, dr. greene. so i hopped on over the the american academy of pediatrics where i found this guideline. pretty general, though it does emphasize the importance of calcium, of which milk (including goat's milk) is a great source. (they also touch on calcium sources for kids who can't or don't drink cow's milk.)
this brings up a great point--it isn't milk, per se, that children need, but calcium and vitamin D which are readily available in milk. both are vitally important to healthy development, and it can be difficult to get them in necessary amounts through other dietary sources. maybe that's why fortified drinks and foods are often recommended in tandem with foods rich in calcium and vitamin D for lactose-intolerant children. if milk (and yogurt and cheese) aren't part of your child's diet, talk to your pediatrician about what you can feed them to ensure they are getting what they need. you can also check out the world's healthiest foods entries on calcium and vitamin d. both provide a list of food sources (eg, eat spinach, mustard greens, turnip greens or collards for calcium, and salmon, shrimp, cod or eggs for vitamin d).
Kidshealth.org (a site with doctor-approved kids health info by the Nemours Foundation) provides a useful, easy to read chart on what 2- and 3-year-olds should be eating across food groups. it says that they should be getting 2 cups of dairy daily, with 1 cup being equal to a cup of milk or yogurt, 1 1/2 ounces of natural cheese, or 2 ounces of processed cheese. (the one time those two words will ever appear together on this blog! please note that it takes double the amount of processed cheese to get the same benefits as the natural version--enough to skip it?)
as it turns out, isaac is getting what he needs. i've been giving him milk in a cup (we've been drinking mostly cow's milk, though goat's milk shows up from time to time). and he loves yogurt and cheese. and one last note that is more about the bottle than the contents of the bottle: in the US, we encourage parents to wean children from the bottle (and the breast, for that matter) much earlier than elsewhere in the world. i know every kid is different. and i must admit that isaac has naturally grown out of every attachment on his own. but maybe (?) it's because we let him. i definitely felt weird that he was approaching two and still totally attached to a bottle. but instead of projecting that onto him, we put some rules in place (e.g., we didn't carry it around, but made it a part of a routine) and let him have his comfort (the sucking instinct that we all accept and respect in infancy is strong through 24 months). while not every child will let you know when they don't need something anymore as clearly as isaac did, a conversation can be had if you listen to your kids. i hope that sharing our story eases some of anxiety around feeling like there is some fixed milestone your kid has to hit. because there isn't!
-S
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