Baby-led Weaning: A method to introduce solids and encourage self-feeding for infants (Episode 181)
Nov 21, 2024
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Kary Rappaport, a senior feeding and swallowing specialist at Solid Starts, shares nearly two decades of expertise in infant feeding. She explains the concept of baby-led weaning, highlighting how it encourages self-feeding and helps infants explore solid foods. Kary contrasts choking with gagging, stresses the importance of introducing allergens early, and offers practical tips for parents on portion sizes and food textures. She emphasizes using a variety of nourishing foods, including meats on the bone, to enhance mealtime experiences.
Baby-led weaning promotes self-feeding by allowing infants to explore solid foods from around six months of age, diverging from traditional purees.
Understanding the differences between gagging and choking helps parents support their babies in learning to eat safely while addressing common feeding challenges.
Deep dives
Understanding Baby-Led Weaning
Baby-led weaning is a method of starting solids that encourages infants to self-feed by picking up food and feeding themselves from around six months of age. This approach diverges from the traditional method of introducing purees first, allowing infants to skip that phase entirely. Gagging is a natural and protective reflex in babies as they learn to chew, helping to keep their airways safe while they experiment with different textures and food pieces. This understanding alleviates parental fears about choking and highlights that baby-led weaning does not increase the risk of choking compared to conventional methods.
When to Introduce Solids
It is beneficial to start discussing the introduction of solid foods at the four-month visit, even though most babies are ready by six months. Starting this conversation early prepares new parents by planting the necessary foundational knowledge about developmental readiness signs. Parents often feel pressured by family and friends to start solids earlier, so early discussions help them to rely on professional guidance rather than external pressures. A more in-depth discussion can occur during the six-month check-up, emphasizing that timely counseling is essential in addressing their concerns about feeding.
Recommended First Foods for Babies
Contrary to outdated practices that suggest starting with infant cereals, there is no specific best first food for babies; any nutritious food that the family enjoys can work well. This flexibility allows parents to introduce foods that are culturally and seasonally relevant to their family's dietary practices. Soft foods that can be easily mashed, such as avocados or well-cooked vegetables, help babies learn to chew while providing sensory input. Introducing meats, particularly bone-in meats, can also be beneficial due to their iron content and their ability to engage babies in meaningful exploration of food textures.
Recognizing Feeding Challenges
It’s essential for parents to monitor their baby's reactions to solid foods, noting signs of interest or fullness while encouraging a feeding routine. Parents should be aware of the differences between gagging and choking, as gagging is often a normal part of the learning process, while choking is a serious concern. Babies who are resistant to trying solids or display significant distress during meals may require referral to feeding specialists for additional support. Observing feeding behaviors and consulting healthcare professionals when challenges arise can lead to better outcomes in a baby's feeding journey.
Have you ever seen a baby eating a chicken drumstick? Or gnawing on a whole strawberry or broccoli floret? Many healthcare providers may not have learned about baby-led weaning and therefore, may not teach parents about this method of introducing solids and teaching babies about self-feeding. In this episode, Dr. Katie Lockwood and Kary Rappaport, OTR/L, MS, SCFES, IBCLC, a senior feeding and swallowing specialist on the team at Solid Starts, discuss the differences between choking and gagging, serving sizes at different ages, feeding challenges, handling allergens, and more, just in time for Thanksgiving!
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