Thursday, February 3, 2011

Baby-led Weaning




Baby-led Weaning:
Helping your baby to love good food.
By Gill Rapley and Tracey Murkett



I know it probably seems like we do everything different, and apparently feeding baby proves to be no exception. I always thought that I would make my own baby food, but when I learned about baby-led weaning, I thought it was even a better idea. I came across baby-led weaning accidently. Another blog website I frequent had a small excerpt about it since that was how they fed their babies. I looked it up and thought it was pure genius. Actually I really thought it seemed like common sense.

"Weaning" does not refer to weaning from the breast so much as it refers to the process of starting solid foods from exclusive milk feeds and eventually eating only solids. It is just that instead of being parent led i.e. the parent is in control of when, what, and how much baby eats, the baby is in control of this (solids and milk feeds).

"Forget baby purees, ice cube trays, and weaning spoons, and simply let your baby feed himself." The concept is that you offer your baby table food. Whatever you are eating (with a few exceptions), as long as it is healthy, whole food, you let your baby eat, in easy to grab shapes. The baby starts eating solids as actual solid food, at six months, or whenever the baby appears to be ready. At first the baby doesn't actually "eat" much. Meal times are considered play time, and the baby picks food up, sticks it in their mouth, gives it a gnaw and decides what to do with it. It will mostly get spit back out. As the baby learns more about food, that it tastes good, that it can be swallowed, and that it helps fill her up, more will be ingested.

I've found that there are more baby food myths than can be counted. A few include:
1) A baby has to start with mushy food, they will choke otherwise.
The book says that a baby in control of what she puts in her mouth is less likely to choke than a spoon-fed baby. This is due to where the gag-reflex is on an infant - not very far back. The baby would put food in her mouth at the opening, not in the middle where a spoon would go and this keeps the baby in control so the food does not go too far back. The baby may gag, but that is to move the food forward so they will not choke. The book also says that when a baby traditionally is allowed to feed themselves (8+ months) they are more likely to choke because they have not learned how to control the food and the gag reflex has moved back on the tongue.

2) You have to introduce one food at a time to see if they are allergic.
The book says that this old rule was based on the recommendation of feeding four month old infants solid foods. A four month old's digestive system is not mature enough to handle food at all, so the foods did have to be runny, mushy, one at a time, and simple. Until around six months, an infants digestive track is "open" allowing foods to pass through the intestines into the blood stream. This does cause many allergies, and parents had to be very careful. Because the recommended age is now six months, which is based on scientific learning of a baby's digestion, this one food at a time rule doesn't apply. However, if you have allergies in your family, it would be wise to introduce that food carefully, otherwise, there is no need to watch for a reaction for each food. If you still have reservations or are nervous, there is nothing wrong with following a 3-day wait when introducing new foods.

3) You have to introduce vegetables first. If you do fruit first the baby will develop a sweet tooth.
This is an old wive's tale. I've even heard that you have to introduce fruit first because the baby is used to sweet foods (breastmilk). A lot of pediatricians still recommend delaying fruits until after vegetables because that is what they were taught and it gets passed down the line. The AAP says that this has no scientific basis. Besides, breastmilk is the sweetest baby food around. As sweet as many fruits. Plus, how many toddlers do you know that refuse to eat any vegetables at all, and were still introduced to vegetables first as a baby?

4) A baby doesn't understand nutrition and needs their parent to feed them what they need.
This is true and false. A baby doesn't understand nutrition, but doesn't need you to feed them what they need. Rather, they need you to offer what they need. If offered a wide variety of healthy food, a baby will choose a variety of what they need. The book says that a baby actually will go for what they need at a particular time. Babies are not picky. They don't know they aren't supposed to like broccoli. In fact, broccoli is particularly interesting to a baby. Its bright, it has different textures and looks fun. The book also warns to be careful not to get into an eating rut. For instance, I have oatmeal every single morning. A baby would need a few different breakfasts throughout the week. A baby's nutritional needs should be judged weekly, not daily. A baby, left to her own devices, will pick a variety throughout the week. So even if they only eat banana one day, they will most likely try something else another day. Breastmilk (or formula) is a baby's main source of nourishment for the first year. Even if a baby is not truly "eating" much solid food, the milk feeds are perfectly adequate.

Benefits of allowing a baby to feed herself include: its enjoyable and natural, a baby is allowed to learn about food, learn to eat safely, gain confidence, they trust food, they are a part of the family meal, better nutrition, long-term health, they learn how to deal with textures and learn to chew, they experience real food, its easier and less complicated, no mealtime battles, less pickiness as a toddler, and finally, it is cheaper. The disadvantage: its messy.

I think the less pickiness as a toddler point is key. A baby is less likely to have food-related and eating issues if they are able to explore real food from the start. A lot of a child's food issues stems from texture, but a BLW baby explores food texture from the beginning so this doesn't become a problem later.

We just now started baby-led weaning. Mary Abilene is one week shy of six months. I don't know if six months is hard a rule, but she was really showing signs of readiness to start solids. She can sit upright on her own. She reaches for our food and she can chew, though she has no teeth. We have only been offering her solids for three days and already she has eaten, or rather, tried apples, carrots, deconstructed tostada, dahl (a lentil, onion, tomato puree), banana, orange, and stir fry. She loves oranges. Oranges are one of the only foods that she has really eaten so far. She takes the little wedge and sucks all the pulp out of the membrane. It is absolutely amazing. I did find broccoli in her poo too, so I know some of that got in her!

I am going to chronicle our baby-led weaning journey. We are doing good so far. She did gag the first two days a little. The first day was our fault because we gave her a raw apple and it was breaking off into little chunks. The gagging is scary, but she coughed it up then went about her business. We cook the apple for just a bit in the microwave and she is able to gnaw and suck on it much better. Day three she didn't gag at all. So she must be learning how to manage the food.

Baby-led Weaning is not new. I think a lot of people used to feed their baby this way before Gerber and the AAP. I also think a lot of people feed their baby this way now, they just do not talk about it for fear they will be seen as lazy or negligent. The weaning and the feeding could be two different subjects. This method combines them so the baby decides when she wants to nurse, when she wants to eat solids, or when she wants to give up nursing entirely. I think it will be easier and less stressful for me (as I love nursing) and for Mary Abilene since the breast will not just suddenly be off-limits. So will Mary Abilene still be nursing by the time she's three? Maybe. Probably. Depends on the child. That's just fine with me.

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