Daycare.com Forum Kidacare by Minute Menu Force of Nature Disinfectant HiMama Childcare App

Go Back   Daycare.com Forum > Main Category > Daycare Center and Family Home Forum

Daycare Center and Family Home Forum Daycare Center and Family Home owners, Directors, Operators and Assistants should post and ask questions here.

Reply
 
Thread Tools Display Modes
  #1  
Old 12-29-2014, 10:44 AM
Jack Sprat's Avatar
Jack Sprat Jack Sprat is offline
New Daycare.com Member
 
Join Date: Jul 2013
Location: God's Country
Posts: 879
Default Diluting Formula Question

Has anyone ever heard of diluting a babies formula because he isn't getting enough fluids? DCM informed me last night that her dr instructed her to dilute formula 1/2 and 1/2 because baby was dehydrated and has double ear infections. I found it odd but, was wondering if anyone else has ever heard of this.

**I also asked for written orders from the dr as I didn't think we could alter their formula like that**
Reply With Quote
  #2  
Old 12-29-2014, 10:55 AM
Shell's Avatar
Shell Shell is offline
Daycare.com Member
 
Join Date: Jul 2013
Posts: 1,743
Default

I've never heard of this. Usually watered down juice or pedialyte would be recommended- I think?!
Reply With Quote
  #3  
Old 12-29-2014, 10:56 AM
permanentvacation's Avatar
permanentvacation permanentvacation is offline
Advanced Daycare.com Member
 
Join Date: Jun 2011
Location: Maryland
Posts: 2,456
Default

I've never heard of that.

If it's 'doctor's orders', then I would require a doctor's note to do so.

If it's just what mom wants, then I would tell her I can't do that. I have to feed the baby properly according to the directions on the formula container.

Also, if the baby were dehydrated, I might tell the mother that the baby needed to stay home until he/she is back to proper health.

For a baby being dehydrated, all I've ever heard of is they are given Pedialyte to re-hydrate them. I've never been told to do anything different with their formula.

Last edited by permanentvacation; 12-29-2014 at 10:59 AM. Reason: added last lines.
Reply With Quote
  #4  
Old 12-29-2014, 11:01 AM
Angelsj's Avatar
Angelsj Angelsj is offline
Daycare.com Member
 
Join Date: Aug 2012
Location: Minnesota
Posts: 1,323
Default

I would ask for written orders from the doc, but I don't find this too strange for a short term concept. I wouldn't do it all the time, but while the baby is getting over whatever is happening, perhaps the formula full strength is too strong?
Reply With Quote
  #5  
Old 12-29-2014, 11:03 AM
Jack Sprat's Avatar
Jack Sprat Jack Sprat is offline
New Daycare.com Member
 
Join Date: Jul 2013
Location: God's Country
Posts: 879
Default

I told her yesterday I would need the Dr's orders. He isn't drinking much at all. He's been here 5 hours and has had 3 oz. Happy enough but, not drinking as much as he usually does.
Reply With Quote
  #6  
Old 12-29-2014, 11:15 AM
daycarediva's Avatar
daycarediva daycarediva is offline
Daycare.com Member
 
Join Date: Jul 2012
Posts: 11,353
Default

I would send home. NO WAY would I want a dehydrated infant refusing fluids on my watch. I would also want him eating/drinking normally before he returns to care.

I've also never heard of this. Pedialyte, yes.
Reply With Quote
  #7  
Old 12-29-2014, 11:25 AM
Jack Sprat's Avatar
Jack Sprat Jack Sprat is offline
New Daycare.com Member
 
Join Date: Jul 2013
Location: God's Country
Posts: 879
Default

I texted dcm to let her know. She says she is going to call the dr. and also said to give him a regular bottle when he wakes up. I did let her know he is sleeping a lot more then normal.

It does have me concerned.
Reply With Quote
  #8  
Old 12-29-2014, 11:56 AM
CraftyMom's Avatar
CraftyMom CraftyMom is offline
Daycare.com Member
 
Join Date: Jan 2014
Posts: 2,277
Default

So did mom bring you the dr's orders stating to dilute the formula?

I have never heard of this. Of course that doesn't mean much just that I've never heard it before
Reply With Quote
  #9  
Old 12-29-2014, 12:08 PM
Cradle2crayons's Avatar
Cradle2crayons Cradle2crayons is offline
Advanced Daycare.com Member
 
Join Date: Apr 2013
Location: Deep in the woods....
Posts: 3,634
Default

I would absolutely NOT dilute formula. If a dr ordered that I would question his credentials.

Pedialyte is made to rehydrate.

Secondly, I exclude infants who are not drinking normally, who aren't peeing normally, or who are sleeping more than normal.

Also, I'd question fever hiding. Babies don't get dehydrated simply from ear infections.
Reply With Quote
  #10  
Old 12-29-2014, 12:52 PM
Jack Sprat's Avatar
Jack Sprat Jack Sprat is offline
New Daycare.com Member
 
Join Date: Jul 2013
Location: God's Country
Posts: 879
Default

Thank you for you input everyone! It seemed odd to me and I was wondering how he became dehydrated from ear infections as well. It didn't make sense to me at all. Dcm was very persistent that it was from ear infections and they were caused by first and second hand smoke. That is what she says the Dr said. I don't know who smokes around him. I do know he goes to bed with a bottle and is in a garage heated with a wood burning stove for hours on end. I know the first can lead to ear infections not sure about the second.
Reply With Quote
  #11  
Old 12-29-2014, 02:44 PM
momtomany74's Avatar
momtomany74 momtomany74 is offline
Daycare.com Member
 
Join Date: Aug 2014
Location: Northern California
Posts: 44
Default

Could baby be dehydrated because of the pain from swallowing while having ear infections? I wonder
Doc didn't just order water in between feedings
Reply With Quote
  #12  
Old 12-29-2014, 04:22 PM
Meeko's Avatar
Meeko Meeko is online now
Advanced Daycare.com Member
 
Join Date: Mar 2011
Location: Utah
Posts: 4,163
Default

Be careful....mom may be trying to save money by having you water down the formula. Demand a note from the doctor on official paper or RX pad.
Reply With Quote
  #13  
Old 12-29-2014, 05:56 PM
CraftyMom's Avatar
CraftyMom CraftyMom is offline
Daycare.com Member
 
Join Date: Jan 2014
Posts: 2,277
Default

My own experience...when my now 7 year old was a little baby, I had a bit of trouble at night where she seemed to want to suck on the bottle, but not necessarily eat, the formula would be wasted because she didn't drink it. I tried different pacifiers, but she liked the nipple on the bottle. So I tried letting her just suck on the nipple but I guess it wasn't the same since it felt different with no liquid behind the nipple.

I knew she wasn't eating and was just suckling, so I put water in the bottle and let her suckle at night. The bottle remained full, she just kind of sucked a little, maybe drank a small amount.

Anyway, I mentioned it at the dr one day, looking for suggestions, and got scolded. I was told she receives plenty of water in her formula, which should always be measured correctly and never diluted, which will make the baby still hungry and they will receive more water than their body needs and could actually be harmful if the baby is young.

I ended up letting her cry it out. I felt she was too young, only 2 months, but she wasn't hungry, hurt or in need of changing and I didn't want any night time habits, so the doc recommended cry it out, and it worked.

Anyway, that's just my experience, being told NEVER to give an infant more water than necessary. It might have been just my pediatrician's opinion.

Usually if an infant is dehydrated they will give pedialyte. Diluting the formula reduces the child's daily nutrition intake, making the situation worse
Reply With Quote
  #14  
Old 01-01-2015, 04:16 PM
renodeb's Avatar
renodeb renodeb is offline
Daycare.com Member
 
Join Date: Jan 2011
Location: Reno, Nv
Posts: 837
Default

I have never heard of that. How old is the baby?
Debbie
Reply With Quote
  #15  
Old 01-01-2015, 06:35 PM
nannyde's Avatar
nannyde nannyde is offline
All powerful, all knowing daycare whisperer
 
Join Date: Mar 2010
Location: Des Moines
Posts: 7,292
Default

No. Babies can't have extra water.
Reply With Quote
  #16  
Old 01-02-2015, 03:39 AM
Angelsj's Avatar
Angelsj Angelsj is offline
Daycare.com Member
 
Join Date: Aug 2012
Location: Minnesota
Posts: 1,323
Default

Quote:
Originally Posted by nannyde View Post
No. Babies can't have extra water.
I don't know if I would just throw that out there without explanation, Nan. Most of my kids were breastfed, but one did have formula for a bit, and coming back from a vomiting/diarrhea episode, we did pedialyte for a day, then diluted formula, slowly making each bottle stronger as tolerated. (all doc approved)

I would say the large majority of the time, babies should not have extra water, but I don't think I would blanket statement that idea.
Reply With Quote
  #17  
Old 01-03-2015, 03:03 PM
cheerfuldom's Avatar
cheerfuldom cheerfuldom is offline
Advanced Daycare.com Member
 
Join Date: Dec 2010
Posts: 7,415
Default

I have never heard of a doctor recommending to dilute the formula.
Reply With Quote
  #18  
Old 01-03-2015, 06:30 PM
Unregistered
Guest
 
Posts: n/a
Default

I was curious so I googled diluting formula. I found that there is a site that recommends diluting the formula by half for the first 24 hours only then it back to regular formula to aid with dehydration. Otherwise it is damaging to the kidneys if formula is diluted for too long.
Reply With Quote
  #19  
Old 01-04-2015, 12:24 PM
nannyde's Avatar
nannyde nannyde is offline
All powerful, all knowing daycare whisperer
 
Join Date: Mar 2010
Location: Des Moines
Posts: 7,292
Default

http://babygooroo.com/2012/03/extra-...ul-for-babies/


an article on formula stretching and water.
Reply With Quote
  #20  
Old 01-05-2015, 11:19 AM
Jack Sprat's Avatar
Jack Sprat Jack Sprat is offline
New Daycare.com Member
 
Join Date: Jul 2013
Location: God's Country
Posts: 879
Default

DCM came today with a note written on a script pad saying baby can have formula. I explained to dcm I hoped he could have formula since that is all I give him. She told me that the nurse practitioner at the same day care told her to give dcb the diluted formula, not his regular dr. I told her that I wouldn't dilute his formula as this was not an acceptable note from the dr. Also, inquired if she was still diluting as a week has passed and surely he isn't still dehydrated. She is, she said she is adding 3oz of extra water per bottle. When asked why she said she thought he was dehydrated since his meds were giving him diarrhea. I haven't seen any diarrhea today.
Reply With Quote
  #21  
Old 01-05-2015, 11:21 AM
Jack Sprat's Avatar
Jack Sprat Jack Sprat is offline
New Daycare.com Member
 
Join Date: Jul 2013
Location: God's Country
Posts: 879
Default

Quote:
Originally Posted by nannyde View Post
http://babygooroo.com/2012/03/extra-...ul-for-babies/


an article on formula stretching and water.
At our last food program in-service this was talked about. I have explained this to dcm but, it seems to fall on deaf ears.
Reply With Quote
  #22  
Old 01-05-2015, 11:28 AM
nannyde's Avatar
nannyde nannyde is offline
All powerful, all knowing daycare whisperer
 
Join Date: Mar 2010
Location: Des Moines
Posts: 7,292
Default

Quote:
Originally Posted by Jack Sprat View Post
At our last food program in-service this was talked about. I have explained this to dcm but, it seems to fall on deaf ears.
She's formula stretching. Tell her you will either have to have a Doc order regarding it or you will be forced to contact DHS. You could send her info on hyponatrenia and ask that she review and sign that she has been given it. It may be too risky to care for the baby if she doesn't stop it. How old is the infant and weight please.
Reply With Quote
  #23  
Old 01-05-2015, 11:35 AM
Jack Sprat's Avatar
Jack Sprat Jack Sprat is offline
New Daycare.com Member
 
Join Date: Jul 2013
Location: God's Country
Posts: 879
Default

He is 8m olds (last Friday) and weighs 18lbs.
Reply With Quote
  #24  
Old 01-05-2015, 11:44 AM
Unregistered
Guest
 
Posts: n/a
Default

Quote:
Originally Posted by Jack Sprat View Post
Thank you for you input everyone! It seemed odd to me and I was wondering how he became dehydrated from ear infections as well. It didn't make sense to me at all. Dcm was very persistent that it was from ear infections and they were caused by first and second hand smoke. That is what she says the Dr said. I don't know who smokes around him. I do know he goes to bed with a bottle and is in a garage heated with a wood burning stove for hours on end. I know the first can lead to ear infections not sure about the second.
How is the baby? I hope mom took the baby in. Especially if the baby's dehydrated. That could become a medical emergency. Dilute NOTHING.... but, when I had ill kids not really wanting to feed, I fed a tad bit of pedialyte between feedings (even a few sips is better than nothing) if they seemed like they needed more fluids. They loved the taste of the Gerber form of pedialyte better than actual pedialyte, but IDK if Gerber makes it anymore. This was YEARS ago and I never saw it again.
Reply With Quote
  #25  
Old 01-05-2015, 01:30 PM
nannyde's Avatar
nannyde nannyde is offline
All powerful, all knowing daycare whisperer
 
Join Date: Mar 2010
Location: Des Moines
Posts: 7,292
Default

Quote:
Originally Posted by Unregistered View Post
How is the baby? I hope mom took the baby in. Especially if the baby's dehydrated. That could become a medical emergency. Dilute NOTHING.... but, when I had ill kids not really wanting to feed, I fed a tad bit of pedialyte between feedings (even a few sips is better than nothing) if they seemed like they needed more fluids. They loved the taste of the Gerber form of pedialyte better than actual pedialyte, but IDK if Gerber makes it anymore. This was YEARS ago and I never saw it again.
Water is not used to rehydrate infants. Pedialyte is.

This mom is formula stretching and saying words like Doctor and dehydration to the provider.
Reply With Quote
  #26  
Old 01-05-2015, 01:33 PM
nannyde's Avatar
nannyde nannyde is offline
All powerful, all knowing daycare whisperer
 
Join Date: Mar 2010
Location: Des Moines
Posts: 7,292
Default

Quote:
Originally Posted by Jack Sprat View Post
He is 8m olds (last Friday) and weighs 18lbs.
Nope. I personally would require a Doctors note. Three ounces of water with each bottle at home is a lot for an 8 month old. Ask her if she is having issues buying formula. If she is on WIC then she may be used to all of his formula being free and now she has to buy it. Usually around six months they don't receive enough to cover the month.
Reply With Quote
  #27  
Old 01-05-2015, 06:34 PM
Angelsj's Avatar
Angelsj Angelsj is offline
Daycare.com Member
 
Join Date: Aug 2012
Location: Minnesota
Posts: 1,323
Default

Quote:
Originally Posted by Jack Sprat View Post
DCM came today with a note written on a script pad saying baby can have formula. I explained to dcm I hoped he could have formula since that is all I give him. She told me that the nurse practitioner at the same day care told her to give dcb the diluted formula, not his regular dr. I told her that I wouldn't dilute his formula as this was not an acceptable note from the dr. Also, inquired if she was still diluting as a week has passed and surely he isn't still dehydrated. She is, she said she is adding 3oz of extra water per bottle. When asked why she said she thought he was dehydrated since his meds were giving him diarrhea. I haven't seen any diarrhea today.
Mercy...no.
We did 24-36 hours as he was coming off vomiting/diarrhea. That I could see, but still, that should be mom's deal to handle. At this point, I have to go along with Nan; she is formula stretching. Highly dangerous.
Reply With Quote
  #28  
Old 01-06-2015, 12:04 PM
Jack Sprat's Avatar
Jack Sprat Jack Sprat is offline
New Daycare.com Member
 
Join Date: Jul 2013
Location: God's Country
Posts: 879
Default

I gave dcm the article on that NannyDe referenced. She read it and said she doesn't buy it and she is following what they told her to do. I explained that is was dangerous and I found it very odd they would tell her to do that. I did tell that I still won't dilute his formula. She was okay with that. Which makes me wonder if it is a cost issue. I provide his formula here. But, won't be for long unless she allows him to start solids here. I am only reimbursed for two snacks since he isn't eating anything but, formula here. I don't think she is on WIC or has ever been. I know she is aware of the program.
Reply With Quote
  #29  
Old 01-06-2015, 12:11 PM
cheerfuldom's Avatar
cheerfuldom cheerfuldom is offline
Advanced Daycare.com Member
 
Join Date: Dec 2010
Posts: 7,415
Default

Quote:
Originally Posted by Jack Sprat View Post
I gave dcm the article on that NannyDe referenced. She read it and said she doesn't buy it and she is following what they told her to do. I explained that is was dangerous and I found it very odd they would tell her to do that. I did tell that I still won't dilute his formula. She was okay with that. Which makes me wonder if it is a cost issue. I provide his formula here. But, won't be for long unless she allows him to start solids here. I am only reimbursed for two snacks since he isn't eating anything but, formula here. I don't think she is on WIC or has ever been. I know she is aware of the program.
If she is really worried about his health, she would insist that you both follow the same plan of action. Since she is completely fine with you giving him normal formula at daycare, this issue is clearly not about getting him healthy but about saving money by watering formula.....a very common occurrence unfortunately. Now that you know what she is doing, you know it is unsafe, and she cannot provide documentation from the doctor, you should report with the situation to child services. If she is comfortable doing stuff like this, who knows what she is doing in order to save money or skimp on child needs. You report and leave it up to them if it is something to intervene on.
Reply With Quote
  #30  
Old 01-06-2015, 12:19 PM
mommyneedsadayoff's Avatar
mommyneedsadayoff mommyneedsadayoff is online now
Daycare.com Member
 
Join Date: Jan 2015
Posts: 1,750
Default

I agree with the pp. If she doesn't care about it being consistent between home and daycare, I highly doubt it was ever a medical issue. I personally wouldn't want to care for the child anymore, knowing she is diluting at home. Too much liability! I would terminate to protect myself from her actions. I know it probably sounds extreme, but if she is doing that at home and he comes to dc and starts to have issues, that could be a big problem. If nothing else, I would make her sign a form stating what she is doing just to cover my booty.
Reply With Quote
  #31  
Old 01-06-2015, 04:15 PM
choirlady76's Avatar
choirlady76 choirlady76 is offline
New Daycare.com Member
 
Join Date: Sep 2010
Location: Missouri
Posts: 57
Default

I've never heard of diluting an infants formula to ensure more fluids. If this is what a parent is requesting the staff to do, I'd require a doctors note. The formula ratios are a certain way to ensure adequate nutrition.
Reply With Quote
  #32  
Old 01-07-2015, 06:07 AM
Shell's Avatar
Shell Shell is offline
Daycare.com Member
 
Join Date: Jul 2013
Posts: 1,743
Default

I wouldn't want to care for this child anymore, knowing that mom is purposely denying the child if what he needs in order to save money. I would term and report- we all like to save money where we can, but Never at the expense of a child!
Reply With Quote
  #33  
Old 01-08-2015, 08:18 AM
Jack Sprat's Avatar
Jack Sprat Jack Sprat is offline
New Daycare.com Member
 
Join Date: Jul 2013
Location: God's Country
Posts: 879
Default

I sent dcm a message letting her know that I would need a signed note from her. Her response was that I didn't need to dilute at daycare she would at home. She isn't getting it. So now I'm calling state.
Reply With Quote
Reply

Tags
formula

Thread Tools
Display Modes

Posting Rules
You may post new threads
You may post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Forum Jump

Similar Threads
Thread Thread Starter Forum Replies Last Post
Using DC-Supplied Formula spinnymarie Daycare Center and Family Home Forum 6 08-18-2014 04:03 PM
9 month old off formula EntropyControlSpecialist Daycare Center and Family Home Forum 12 04-29-2013 10:40 AM
I'm Not Claiming Formula Anymore Because.... Oneluckymom Daycare Center and Family Home Forum 6 02-07-2013 09:31 AM
Daycare Payment Formula Question daycare Daycare Center and Family Home Forum 7 12-18-2012 09:54 PM
Soy Or Milk Based Formula? Blackcat31 Daycare Center and Family Home Forum 11 09-18-2012 04:14 PM


All times are GMT -7. The time now is 08:06 PM.



Daycare.com         Find A Daycare         List Your Daycare         Toys & Products                 About Us

Daycare.com
Please read our Disclaimer before continuing.

Topics pertain mainly to the following States:

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming