Spring has [finally] sprung here in Madison! So, what have the quints been up to while they awaited spring?
The V-5 want to thank Culvers for these stylish onesies and their support since day 1!
Well, they have been eating like champs and are up to 3 solid meals per day. A typical day of meals would be 2-3 T of oatmeal with yogurt and bananas for breakfast, 2-3 T of beef or chicken with squash and potatoes for lunch, and dinner rounds out the day with 2-3 T of a green veggie, vegetarian protein (chickpeas, tofu or eggs) and a healthy fat (avocado).
When the kids aren’t feasting at meals, they tend to be trying to gum each other or anything within 5 inches of their mouth, munch on their toes, or blow raspberries.
Theo’s constantly going for those toes!
…Or his sister’s hair! Poor Kali Mae.
Another favorite past-time at 8 months is teething. Frank and I joke that getting teeth is a very inefficient process… 2 years of tears times five, well may be times seven. When all start moaning and groaning, hoping for those choppers, we gently ask them for results, and no more excuses. All are also working hard on learning how to crawl. They are all pros at the infamous Sphynx pose, as well as, rolling over. Theo is the closest to getting wheels. His efforts and dedication to learning to crawl are truly admirable. However, at this point he is easily frustrated and tends to opt for rolling like a log to get to and fro.
The kids are also barely big enough to fit into their dining table, which- for now- is a play place.
Smiley EllieCute KaliLillian GraceGoofy Bella
It is also the official meeting space for Girl’s Club Meetings…sorry no boys allowed!
The V-5 have also been patiently awaiting their first adventure around the neighborhood. They took their first stroll this past weekend…and they appeared to be less than thrilled about it.
Theo, Kali and lil Red Riding Hood (Elliott)
Lily, the garden gnome, and Bella ready for a stroll.
Despite, the lack of smiles and giggles that we anticipated, they looked pretty darn cute sporting their new spring jackets!
The V-5 definitely “Enjoy the Taste of Eating Right.” As a registered dietitian nutritionist (RDN) I couldn’t miss the opportunity of featuring my beautiful children during National Nutrition Month®!
Lily enjoying some pre-meal tummy time.
Eating well is a pillar in the pursuit of overall wellness, especially if you are/were a premature infant. I attribute my children’s well-being to their healthcare team’s (which includes Mommy & Daddy) dedication to feeding them well from day one.
I have bragged on and on about breast milk in past posts, including Mommy Nutrition and 2 Simple Acts, so the following will feature the best solid foods for infants, or Baby’s Super Foods. These also happen to be super foods for the oldest of children- aka adults. I selected the following foods based on their nutrient density, ease of digestion and preparation and friendliness to the young palate.
Meat and poultry are great first foods due to their iron content. Baby’s stores of iron begin to fade around 6 months so, a food rich in iron is important. Additionally, iron from animal sources (heme-iron) is much easier to absorb and use by the body. Meat also is loaded with B-vitamins and zinc. If you opt for grass-fed over grain-fed cattle, you will also get meat with more healthy omega-3 fats, vitamins A and E, and less of the unhealthy saturated fats, hormones and antibiotics. Organic poultry is ideal for the same reasons; basically more time and attention are directed towards the birds living quarters and nutrition creating a better quality end product.
Lentils may be small but they are mighty. They are loaded with protein, fiber, iron, zinc and a host of B-vitamins. They are also a good source of copper, potassium and molybdenum. These legumes are quick and easy to prepare and generally more tender than other types of dried beans.
This nutritional powerhouse can be made by boiling chicken or beef bones in water and a touch of vinegar. It is a significant source of GAGs, or glycosaminoglycans, chondroitin sulfate, keratan sulfate and hyaluronic acid, which are all “ingredients” for cartilage. Additionally, the red marrow has myeloid stem cells, which supports red blood cell development and the immune system. This broth also is a great source of glycine and proline, which are the building blocks for other amino acids (protein). Glycine and proline are also used by the body to aid digestion, promote healing, and create healthy plasma. Logically, bone broth also provides a good source of minerals found in bone: calcium, phosphorus and magnesium to aid in bone development and maintenance.
This fatty fruit is a good source of fiber, vitamins K, E and C, a few B-vitamins, as well as, potassium, and copper. Avocadoes provide a host of anti-inflammatory phytochemicals (antioxidants from plants) and can help with absorption of other nutrients, like carotenoids (orange, yellow and red phytochemicals). Besides aiding in blood sugar regulation and heart health, they also make a great beauty product.
This orange, winter squash may require some extra prep work but the sweet flavor and benefits are well worth it. Although squash are a starchy vegetable, their carbohydrate is much different than a potato; it has anti-oxidant and anti-inflammatory properties. The orange color gives away that it is a great source of vitamin A, but it is also loaded with vitamins C, B6 and several minerals.
This hardy cereal is a great first food for infants. My vote goes to oats over rice for an infant cereal because it is rich in iron, zinc, phosphorus, fiber and protein, as well as, several other vitamins and minerals. It also comes without the worry of arsenic toxicity.
Why gluten-free? Well, gluten is a very inflammatory agent that is found in wheat, rye, barley and some oats and can be difficult to digest. Often times, traditional oats can also be “contaminated” with wheat due to shared processing equipment. I feel it is best for babies to be wheat-free until their first birthdays when they dive into that cake! Overall, I opt for gluten-free because it is much nicer to the kiddos’ digestive tract.
I had to include at least one common fruit. Bananas are a great first fruit because they are a good source of vitamins C, B6, B2 and of course, potassium. They also provide bone-building minerals, including magnesium, calcium and phosphorus. Besides the benefit of being very convenient to prepare, they are also known as nature’s antacid because they contain a substance that can help the stomach and intestines produce the mucus lining.
Another bonus of the foods mentioned above is that when they are pureed they contain at least 20 calories per Tablespoon, which is equivalent to the average amount of calories in one-ounce of breast milk. When you have picky bottle-feeders who love solids this can be a huge lifesaver!
Ellie loves to help feed herself, too.
Whether these foods are old favorites or perhaps news ones to try, I encourage children of all ages to serve up these super foods and “Enjoy the Taste of Eating Right!”
At 7 months the kiddos are expressive, talkative and almost mobile! All of the quints have rolled from their tummies to their backs and only Theo has made it from his back to his stomach. They are all really good at what we call the “sphinx pose,” or more commonly known as the cobra pose for you yogis out there. I have my money on Lily to crawl first.
Their choppers are definitely on their way in so drooling, chewing, and whining are popular past times. Beware; if you get too close you’re bound to get “gummed.” We have employed several tactics to soothe them including:
Nutrition is also a bit different nowadays. The quints have maxed out on their daily milk at 5-6 ounces per feeding, or 24-32 ounces per day, and are now chowing down on solids. Brunch consists of gluten-free oatmeal with banana or apples and Linner is beef or poultry in bone broth or steamed green vegetable with a side of squash or sweet potato. Kali continues to be the best guzzler, but Lily takes the cake (almost literally) when it comes to mowing through her solids, and well everyone’s leftovers, too!
It is amazing how big they are getting. I remember receiving the 6 month sleepers as gifts not believing they would ever be that big. But, now they are almost too big for those same sleepers! There is not a day that goes by that I don’t think back to those days in the NICU and thank God for how far these children have come.
T is for TheoB is for BellaL is for LilyK is for KaliE is for Ellie
They are certainly our pride and joy! We promise you that Theo and Bella are the goofiest of the bunch, but apparently not big fans of impromptu photo shoots before lunch.
Our little peanut is no longer the smallest of the bunch. She is the longest and weighs the 2nd most of the ladies. She is still our little emergency. She can go from zero to 60 in a few seconds. However, she is also our best self-soother. She is our little siren who is able to win over everyone she meets. Ellie is our first to start teething and thus her favorite toy is now her fingers. This little girl also loves her tummy time! She is one of our quieter quints, but if she observes any inefficiencies in her care she is sure to let you know it. This one definitely has a C-suite in her future!
Nicknames: Ellie, ER, Eliie Belly
Birth Length: 16.9 in
Current Length: 23.1 in
Birth Weight: 2.41 lb
Current Weight: 13 lb
Favorite toy: Her fingers
Favorite Past-time: Hanging out with her older brother
This sweet heart has a smile that could melt anyone’s heart. She is known for her little half-smile, smirk and high-pitched screech. Kāli-Mae is also the most expressive of the V-5. Her face cannot lie. We know when she is everything from scared, upset, happy, and even ready to cause trouble. She also is consistently wearing a bib, but simply because she has more drool than a girl can handle. She loves to eat and can down a bottle quicker than her brother. We joke that competitive eating may be in this little one’s future- watch out Joey Chestnut! She also is quite the talker and although we haven’t heard any true words, yet, her babble is getting close.
Nicknames: K-Mae, Monkey
Birth Length: 13 in
Current Length: 22.8 in
Birth Weight: 2.29 lb
Current Weight: 13.3 lb
Favorite toy: Colorful ball and Ziggy the Zebra (Mobile toys)
Favorite Past-time: Chilling in her jungle boppy with a firm grasp on her ball
This little love bug already has a heart made of gold. She is the most sensitive of the quints, and quite empathetic. She loves to smile and hold hands with her siblings in distress. She also is very sensitive to sounds and the smallest sneeze can send her jumping. She has crystal blue eyes and a genuine smile. She’s usually sporting a bib because drinking milk (and keeping it down) is not one of her fortes. But, when it comes to chowing solid foods- she’s the best! Ms. Lillian is now growing with the rest of her siblings and appears to have left the threats of developmental delays in the past.
Nicknames: Lil, Lily Bug
Birth Length: 14.6 in
Current Length: 22.6 in
Birth Weight: 2.69 lb
Current Weight: 11.6 lb
Favorite toy: Stuffed Eeyore
Favorite Past-time: Hanging out with Mommy and Daddy in the kitchen swing
This pretty princess is still our Sleeping Beauty, or Bella addormentata in Italian who is known to catch some zzz’s mid-feeding, or while snuggled up on Daddy’s shoulder. She’s also a bit of a drama queen who tends to exaggerate most activities, and has come to love blowing raspberries. She also is our most active quint and loves to run with flash-like speed. With such a love for action, she grows bored quite easily and often let’s out her characteristic Bella sigh when she has had enough. She is going to be a beautiful older sister full of energy and attitude.
Nicknames: Bella, Bella Bean, Bells, Sarge
Birth Length: 15.7 in
Current Length: 23 in
Birth Weight: 2.49 lb
Current Weight: 12.4 lb
Favorite toy: Musical Sea horse, it’s her Kryptonite
Favorite past time: Running and knocking birds in the Forest Play Mat, fondly known as “Sherwood Forest”
Mr. Theo is 110% boy! This little man is certainly the rough and tumble type equipped with all the loud and smelly bodily functions. His features strongly resemble Frank, including those beautiful blue eyes. He also is growing to be quite strong and can now hold up that 97th percentile noggin with ease. He loves to swing his arms, pound his feet and beat his chest, which can make him quite a threat if left too close to his sisters. But, he also is as sweet as pie and loves to smile, snuggle and hold hands with all of his sisters. He’s already an amazing older brother!
Nicknames: Theo, Thor “god of thunder,” Nana’s Lil Buddy
Birth Length: 14.5 in
Current Length: 24.8 in
Birth Weight: 2.87 lb
Current Weight: 16.1 lb
Favorite toy: Abigail, the rattling bird who resides in Sherwood Forest and Ziggy the Zebra
Favorite past time: Making noise! Whether it be by knocking a rattle, pounding his fists or making sounds with his sweet mouth
They’re a handful! (Left to Right: Bella, Ellie, Lily, Theo, Kali)
The Vanderwall Five are halfway to a year!
This past Monday the V5 turned 6 months old. It truly was a celebration to see how far these munchkins have come. Each month we review their milestones and continues to see these children hit their mark, despite their gestational age of 3 months. According to the CDC, a 6 month old child can:
Social/Emotional
Knows familiar faces and begins to know if someone is a stranger (Definitely true for Kali! She sounds the Stranger Danger alarm at first site)
Likes to play with others, especially parents (All of them love to play; they are social butterflies)
Responds to other people’s emotions and often seems happy (These monkeys see and do)
Likes to look at self in a mirror (Their look of amazement is priceless)
Language/Communication
Responds to sounds by making sounds (They are all progressing here, but Bella and Kali take the lead)
Strings vowels together when babbling (“ah,” “eh,” “oh”) and likes taking turns with parent while making sounds (We have some chatterboxes on our hands)
Responds to own name (We are still working on this one, but I believe Kali & Lily know their names. I also think Bella knows her name and chooses whether or not she wants to respond…little stinker)
Makes sounds to show joy and displeasure (Definitely!)
Begins to say consonant sounds (jabbering with “m,” “b”) (Another popular consonant is “g”)
Cognitive (learning, thinking, problem-solving)
Looks around at things nearby (They are curious little ones)
Brings things to mouth (Especially their fingers and rubber ball)
Shows curiosity about things and tries to get things that are out of reach (They love to reach and swat at their mobile birds)
Begins to pass things from one hand to the other (They are paci passing pros!)
Movement/Physical Development
Rolls over in both directions (front to back, back to front) (More work to be done here, but all are getting close)
Begins to sit without support (The bumbo seats have done wonders for their cores)
When standing, supports weight on legs and might bounce (Theo and Lily are great at holding their weight)
Rocks back and forth, sometimes crawling backward before moving forward (Everyone is scooting and spinning. Watch out Manny (the cat) crawling is definitely in sight)
It’s been awhile since we checked in with each quint individually, so we thought we would launch a series beginning with Mr. Theo!
There are several signs that a child is ready to start solids:
At least 4 months old (Check!)
Significant weight gain.
The quints have definitely doubled their birth weights)
Theo is now 14½ lbs.,
Bella is 11lbs,
Lily is our little one at 10½ lbs.,
Kali is 12 lbs., and
Ellie is just shy of 12 lbs.
Able to make chewing motions and loss of “extrusion reflex.”
The extrusion reflex is when an infant uses their tongue to push solids from their mouth. An infant’s mouth develops in sync with their digestive tract. Therefore, if the little one is able to push food to the back of their mouth with their tongue and simultaneously swallow their gut is ready to accept the food.
Able to support their own heads with good neck strength.
In preparation for solid food we began feeding the kids in their bumbo seats. At first this was a disaster! The bumbo is designed to teach little ones to use their core to sit up, so you can imagine what happens when they are all tensing their abs during mealtime. Spit ups and blowouts galore! But, thank goodness this did not last long. A week’s worth of feedings and they got the hang of it.
I attribute the great gains in their neck and head strength to their time in the bumbo seats. Even big brother, Theo, with his 95th percentile noggin can hold that coconut up proudly!
Good appetite and often still hungry after their feeding.
This is definitely the case for Theo, Kali and Lily who often are quite upset to be sucking air at the end of their bottles.
Curious with what Mom and Dad are munching on.
So, needless to say after reviewing the list above, I was confident that the quints were physically ready for solids.
Which foods do you start with?
There is a bit of a debate on which food is best to start with. Currently, there is no strong evidence to support a specific sequence of introduction. Nutritionally, the best foods to start with are those that are highest in iron. This is because around 4-6 months of age a child’s iron stores are becoming depleted. This is especially true for premature infants because their time to accrue these stores was cut-short. Additionally, foods high in zinc and vitamin D are especially important because these nutrients are traditionally low in breast milk.
Traditionally, people start with iron fortified rice cereal. However, from my research this appears to be merely a generational tradition and in fact meat is a much better first food. This article from Dr. Greer, one of the quints’ physicians at the Madison NICU, offers a great explanation! Rice cereal is very easy to digest and has a very low allergy risk, but the iron from the food is not as easily absorbed and this food is high calories and low in nutrition. Plant-based iron (non-heme iron) is not used by the body as easily as that from an animal source (heme iron). Additionally, meat is a great source of zinc. I believe that chicken is a fantastic first food, followed by beef.
The quint’s sequence will be as follows, with a new food every three days:
I chose butternut squash and sweet potatoes because they are fairly high in vitamin C. The body uses vitamin C to help the absorption and use of iron. Zucchini was next as their first dark green vegetable because it is easy to digest and a low allergy risk. Their first grain will be gluten-free oatmeal because it is naturally high in iron and B-vitamins.
This delicious faire will be homemade with an awesome Baby Bullet, courtesy of a fellow quint mom. I puree the vegetables using breast milk and the meats using bone broth. Both are fantastic sources of vitamins and minerals and freeze very well! In just one hour, I had a month’s worth of food for the kiddos.
Let the games begin!
Frank and I thought we would catch this monumental meal on film. This video illustrates why it is important to feed your little one their bottle before trying solids. Can you guess which quints had eaten first?
If you guessed Theo and Lily you were right! They were cool and calm during their trial. Ellie and Bella were quite the opposite and approached meltdown mode. Kali, well, Kali enjoys mealtime in whatever order it is presented.
The other very important reason to offer solids after their milk is because breast milk should remain the primary source of nutrition for infants until at least 1 year of age, and thus you don’t want to ruin a feeding with an unfortunate food trial. I do promise you that Theo, Ellie and Bella all recovered from this feeding experience.
So, at the conclusion of food trial #1, all of the quints tolerated chicken. I would say that Lily, Ellie and Kali even liked it. I believe Bella will come around to liking it, too. As for Mr. Theo…I’m pretty sure he just wants a butter burger and some crinkle cut fries.
Bump 2 Bab[y]ies 