Mbak Sugrawati (juga untuk Mbak Ella),
 
Saya punya beberapa artikel ttg menyapih.
Maaf belum sempat translate ke Indonesia mbak.
Mudah-mudahan bisa membantu.
Mbak Ella, sekalian juga artikel ini untuk mbak.
Hope this info may help you to wean Farhan.
 
Ringkasannya kurang lebih berikut :
Intinya sih proses menyapih harus dilakukan secara bertahap / perlahan.
Menyapih secara drastis berakibat buruk pada ibu & anak.
Menurut para ahli breastfeeding, menyapih secara mendadak mengakibatkan
mastitis (infeksi pada saluran ASI) bagi sang ibu. Belum lagi resiko psikologisnya.
Secara kejiwaan, menyapih secara mendadak mengakibatkan trauma mendalam
bagi anak.  Ada beberapa cara menyapih :
  • Skip a feeding (lewati satu kali jam menyusui).
  • Shorten nursing time (kurangi waktu menyusui).
  • Postpone & distract (alihkan perhatian anak dari  menyusu).
Kondisi tsb di atas tidak berlaku untuk ibu dengan kondisi khusus sperti hamil.
JAdi ibu hamil yg masih menyusui harus segera menyapih anaknya segera.
Agar janin yg dikandung tidak terganggu.
 
Saya sendiri masih menyusui Alyssa (18 bl). Beberapa bulan lalu sempat mau manyapih.
Tapi saya tunda sampai paling tidak alyssa berumur 24 bl.
Sambil melihat tanda2 kesiapan dia untuk disapih.
Good luck ya moms....
 
Mamanya Alyssa
 
 
----- Original Message -----
From: Sugrawati . <[EMAIL PROTECTED]>
Sent: Wednesday, February 11, 2004 2:03 PM
Subject: [balita-anda] Menyapi anak

Putri pertama saya sudah hampir dua tahun ,,rencana saya April mendatang saya akan menyapi-nya karena usianya genap dua tahun,, saya mohon tips  dari mailing list bagaimana cara menyapi paling jitu,,,
Terimaaksih,,,,


Best regards
Sugrawati Ilham
Ext.47864
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http://www.caringforkids.cps.ca/babies/Weaning.htm.
 
Weaning your child from breastfeeding

When you start to give your baby foods other than breast milk, it’s called weaning. Most parents consider weaning to mean completely stopping breastfeeding.

Weaning is a natural stage in your baby’s development. Still, many mothers have mixed emotions. It’s normal to feel excited at the new independence you can both enjoy, as well as some sadness as your baby moves to another stage in her life.

When it is time to wean, it’s better to do it gradually rather than all of a sudden. And while there is no right or wrong age to wean, it’s best to continue breastfeeding until your baby is at least 6 months old. Prolonged breastfeeding, whenever possible, is good for your baby.

When you and your baby are ready to wean, there are few things to remember that will make the experience a more positive one for both of you: 

  • If you can, it’s easiest for you and your baby if weaning is gradual—over several weeks, months or even longer. A sudden, abrupt wean should only be considered in extreme circumstances and will be hard on both of you (see below, “Abrupt or emergency weaning”). 
  • The transition to weaning may be easier if you first introduce your baby to a cup instead of a bottle. Breastfed babies easily learn to drink from a cup as early as 6 months of age (try expressed breast milk). 
  • Start off by substituting one feed, the least “favorite” one of the day. Someone else may need to offer this feed for your baby to accept it. 
  • When you’re ready to wean even more, substitute the next least favoured feed at the opposite time of the day. Continue this way, substituting one feed at a time. The pace of weaning is up to you and your baby, but in general, the slower the better. Wait at least a few days in between each new feed before substituting another one.
  • You may want to try a “partial” wean instead. This means you substitute one or more feedings with a cup or bottle, and you breastfeed at other times. This can work well if you are going back to work but still want to breastfeed. When you do this, make sure you check your baby’s weight gain regularly.
  • If your breasts are uncomfortable while you are weaning, try expressing enough milk so that you are comfortable. Over-the-counter medications like acetaminophen or ibuprofen can also help. Cold compresses or gel packs applied to your breasts can also be of some comfort. 
  • You shouldn’t bind your breasts or drink less fluids while you’re weaning. Check your breasts regularly to make sure you aren’t developing a blocked duct, which will feel like a firm tender area of the breast. If you do, see your doctor or lactation consultant. These problems are more likely to occur during an abrupt wean.
  • Watch the cues you give to your baby. If you sit in the same chair you usually use when you’re nursing, he’ll likely want to breastfeed. He probably won’t be satisfied with a cup or a cuddle. 
  • Some mothers choose what is called “infant-led weaning.” This means watching your baby’s cues and weaning at his pace (that is, never refusing the breast but also not offering the breast when he is not interested). With infant-led weaning, breastfeeding may continue for 2 to 4 years. This type of weaning is practiced by many non-Western cultures.

Nursing strikes
Sometimes your baby goes on a “nursing strike,” suddenly refusing to breastfeed. This doesn’t mean your baby is ready to wean. It can be caused by many different factors, such as teething, an ear infection, or other illness; the onset of your period, a change in your diet, soap, or even deodorant. 

Try making feeding time quiet, and spend more time cuddling your child. Don’t “starve” him, but instead, try offering the breast when he is sleepy. If you can’t figure out the reason for the strike, see your doctor. Remember that a nursing strike does not mean your baby is rejecting you.  

If this happens, be sure to pump your milk so you don’t develop a blocked duct.

Abrupt or emergency weaning
If possible, avoid an abrupt wean, which can be uncomfortable for you and upsetting for your baby. 

Sometimes you may have no choice, such as: you are very sick, you and your baby have to be separated for a long time, or you have to take certain drugs, like chemotherapy. If that’s the case, try some of the suggestions above. If your breasts get uncomfortable, express your milk to avoid blocked ducts, mastitis, or a breast abscess. 

Babies who are sick should not be abruptly weaned.

What substitute foods should I use?
Appropriate substitute feedings depend on how old your baby is when you start to wean:  

  • Under 12 months: iron-fortified infant formula
  • 12-18 months: follow-up formula or whole milk (3.25%)
  • 18-24 months: whole milk
  • 2 years and over:  whole or 2% milk  

After 12 months of age, your baby should not take more than 24 ounces of milk products per day. Otherwise, she’ll fill up and won’t want to eat solid foods. Also, she may develop iron deficiency anemia.

If your baby has a milk allergy, talk to your doctor about appropriate substitute feedings.

What about other foods?
Between 4 and 6 months, you’ll start to introduce solid foods into your baby’s diet. When this happens, your baby will begin to take less breast milk.
 

Introduce solid foods one at a time and in small amounts at the beginning. Some babies get very constipated if they are given too much solid food early on.

You can also offer your baby small amounts of water once or twice a day, usually after 6 months of age. You can give 100% fruit juice, usually diluted with water, but it has no real advantage over water and should not exceed a few ounces per day (2-4). Too much juice can lead to dental cavities, obesity or even poor weight gain and diarrhea.  

Your weaning experience is ultimately up to you and your baby. Try to follow his cues whenever possible. If you’re feeling “blue” or if the baby is not taking what you consider to be enough other foods or liquids, you should see your doctor.

For more information
You probably have many questions about breastfeeding and your baby’s nutrition. There are many sources of information, including your paediatrician, family doctor,
community health nurse, breastfeeding clinic, lactation consultant and La Leche League.

Source: Developed by the CPS Community Paediatrics Committee, and reviewed by the CPS Public Education Subcommittee.

Last updated January 2004


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http://www.babycenter.com/refcap/3272.html
 
What does it mean to have weaned a child?
When your baby stops nursing and she gets all her nutrition from sources other than the breast, then she is considered weaned. Although babies are also weaned from the bottle, the term primarily refers to when a baby stops breastfeeding.

Weaning usually requires heaps of patience, and can take time, depending on how well and how quickly your child adjusts. Some moms say it takes only a few weeks, especially if their baby seems bored with nursing. Others say it takes at least a month, up to six months, and everything in between. The experience is different for everyone.

Weaning is a long goodbye — emotional, sometimes painful, and freeing at the same time. But weaning needn't signal an end to the intimacy you and your child have established through breastfeeding. It just means you have to replace breastfeeding with other nurturing activities. If you've often nursed your child to comfort her, find other ways to make her feel better. Read a book or sing a song together, or play outside instead.

When should I start weaning?
You're the best judge of when it's time to wean, and you don't have to set a deadline unless you and your child are ready to do so. The American Academy of Pediatrics recommends that mothers breastfeed their babies for at least a year. Despite what friends, relatives, or even strangers may say, there is no right or wrong time to wean. If you feel it's the right time, then it is.

How do I wean?
Slowly. Experts advise you not abruptly withhold your breast from your baby, which can be traumatic. A weekend away from the baby with your husband, for example, is not a good way to end the breastfeeding relationship.

If your child shows no sign of slowing down, weaning will likely be met with some resistance. Try to be patient. Prepare your child by telling her during a feeding that it'll soon be time to stop. You may think she's too young to understand, but talking about it in soothing tones will help her. Understand that your baby views nursing not only as a source of nutrition but also of comfort. With this in mind, you can help her adjust. Try these methods:

Skip a feeding. If your child seems uninterested or distracted when you nurse her, or latches on for only a few seconds, she may be signaling that it's a good time to wean. Skip a feeding and see what happens. Offer a cup or bottle of milk instead. You can use your own pumped milk as a substitute, formula, or cow's milk if your child is at least a year old. If you gradually reduce feedings one at a time, your child will have time to adjust to the changes. Your milk supply will also diminish, without leaving your breasts engorged or giving you possible mastitis, a breast infection.

One mother in Ann Arbor, Michigan, who nursed and weaned two sons successfully, cut out a feeding every two or three weeks. She started when each child was 9 months old, and in four or five months, they were completely off the breast.

Shorten nursing time. Start by cutting the length of time your child is actually on the breast. If she usually nurses for five minutes, try three. Depending on her age, follow the feeding with a healthy snack such as unsweetened applesauce or a cup of milk or juice. (Note, however, that babies 6 months or younger may not be ready for solids.) Bedtime feedings may be more difficult to curb; they are usually the last to go.

Postpone and distract. Try postponing feedings if you're only nursing intermittently. When your toddler asks for the breast, tell her you'll feed her later and distract her. This method works well if you have an older child you can reason with. Instead of nursing in the early evening, you could tell her to wait until bedtime.


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