How to spoon feed baby for first time
Spoon, Cup and Paced Bottle Feeding
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Spoon feeding
Cup feeding
Paced Bottle Feeding
Supplemental Nursing System (SNS) and Nipple Shields
Some reasons for different feeding methods include:
- Baby or mother's health and medical condition
- Mother is not making enough milk for a number of reasons including breast injury, and surgery
- Separation of mother and baby (for example, illness, surgery, or adoption)
- Use of necessary medication that is not safe to take while breastfeeding/nursing.
How do I know if my baby is hungry? | ||||||||
Babies need to feed a lot in the early days. Your baby has many ways to tell you they are hungry. These signs are called feeding cues. Your baby is hungry when you see these feeding cues:
Your baby is full when:
Following your baby's feeding cues will:
Remember.
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Skin-to-Skin: Get to know your baby | ||||||||
What is Skin-to-Skin?
Skin-to-Skin Right after Birth
Older Babies Enjoy Skin-to-Skin too | ||||||||
How do I know my baby is getting enough milk? | ||||||||
Most mothers will make as much milk as their baby wants. The amount of milk made depends on the amount of milk removed from the breast by feeding, pumping or expressing.
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Spoon feeding
You can give expressed breast milk to your baby using a spoon. This method works best if your baby leads it and controls the speed of the feeding . Spoon feeding your baby instead of using an artificial nipple can help to reduce the risk of nipple confusion.
- Put a bib on your baby, because some breast milk may spill.
- Sit your baby up on your lap using one hand to support your baby's upper back and neck.
- Bring spoon to your baby's mouth and tip so that the breast milk just touches your baby's lips.
It should NOT be poured into your baby's mouth.
- Your baby will lap the breast milk up by moving his tongue forward.
- Allow your baby time to swallow before refilling spoon and offering more breast milk. This will let your baby control the speed of the feeding.
Cup feeding
Babies of all ages are able to drink from a cup (even small premature babies). You can start giving expressed breast milk in a small plastic or glass cup such as a medicine cup .
- Put a bib on your baby, because some breast milk may spill.
- Sit your baby up on your lap using one hand to support your baby's upper back and neck.
- Place edge of the cup gently against your baby's bottom lip and tip so that the breast milk just touches your baby's lips. It should NOT be poured into your baby's mouth. Your baby will lap the breast milk up by moving his tongue forward.
- Keep cup tipped during feeding so that the breast milk is always in contact with your baby's lips.
This will let your baby control the speed of the feeding.
Paced Bottle Feeding
The way a baby sucks on a bottle nipple or pacifier is very different from how a baby sucks at the breast. For this reason it is best to not introduce any bottles until after breastfeeding is going well. This is usually about 4 to 6 weeks after your baby is born. Giving your baby a bottle before breastfeeding is going well can affect breastfeeding/nursing including building up your milk supply.
Paced bottle feeding is when you control or pace the flow of milk to be like breastfeeding/nursing. It also helps your baby keep breastfeeding/nursing behaviours while they feed from the bottle. Here is how to pace feeds:
- Hold your baby in an upright position, supporting their head and neck with your hand.
- Feed your baby skin-to-skin if possible.
- Use a wide-based, slow-flow nipple.
- Touch your baby's upper lip with the bottle nipple until your baby opens their mouth wide.
- Tip bottle horizontally. Let your baby pull the nipple into their mouth so their lips close on the wide base of the bottle nipple.
- Keep nipple partially full as it will help your baby control flow better. Your baby will naturally swallow air during feeds.
- If your baby gets tense or gulps, stop feed. Stop the feed by tilting bottle down to stop flow but keeping bottle nipple in contact with your baby's lower lip. This way your baby can pull the nipple back into their mouth.
- Your baby will learn to take breaks and 3 to 5 second pauses on their own usually after the fourth or fifth suck and as needed.
- When you think your baby is nearly full, twist and remove bottle keeping the nipple lying on your baby's lip as described above. If your baby takes bottle again, let your baby feed for a short period (for example, 5-10 swallows) and repeat process. When your baby has had enough to drink they will not open their mouth when you try to give them the bottle.
This is 1 sign a baby uses to let you know they are full.
- Throw away any breast milk left in the bottle after the feeding.
Supplemental Nursing System (SNS) and Nipple Shields
You should not start the use of these aids on your own. Talk to a Lactation Consultant or your health care provider about if you need to use them. To find a Lactation Consultant in your area, visit Ottawa Valley Lactation Consultants.
Do you have more questions about parenting?
- Speak with a Public Health Nurse. Call the Ottawa Public Health Info Centre at 613-PARENTS [613-727-3687] (TTY: 613-580-9656) or email Ottawa Public Health at [email protected]
- Connect with a Public Health Nurse and other parents on the Parenting in Ottawa Facebook page
- There are a variety of services to make it easier for your child to grow up healthy in Ottawa
September 2019
Partners
How to Spoon Feed Baby the Right Way!
Learn how to spoon feed baby even if you’re using baby led weaning, and how to troubleshoot baby gagging, throwing food on the floor, and more!
Affiliate links used below. See our full disclosure.
Starting solid foods is an exciting time for you and your baby! But, it’s easy to feel overwhelmed with exactly how to spoon feed your baby.
Is there a right way?
A wrong way?
Or, maybe your baby is having a hard time eating from a spoon?
As a pediatric OT, I’ll be answering all those questions so you can feel confident getting started or troubleshooting spoon feeding your baby.
When Should You Introduce Purees?
Let’s get started with the best time to start spoon feeding your baby.
In the past, it was recommended to introduce solids between 4-6 months. Some doctors would even recommend introducing thin cereals before that or adding them into the bottle.
Your parents may have fed you this way.
But, the American Academy of Pediatrics now recommends waiting until 6 months of age before introducing solids to your baby. They continue to recommend soft or pureed foods as the first introduction to solid foods in order to prevent choking.
We now know that babies’ digestion systems just aren’t mature enough to handle foods and that most don’t have the postural control for safe swallowing before 6 months.
Before 6 months, a powerful tongue thrust is also likely to be present which means your baby may inadvertently push the food back out of their mouth when you try to spoon feed them at an earlier age.
Parents often confuse this with a baby not liking the baby food, but it’s actually an involuntary action.
So, despite what well meaning grandparents may say, we now know waiting till 6 months is the best time frame for beginning to spoon feed your baby.
Head to our Feeding Schedule for 6-7 month olds to get an idea of how, and often when, you should be spoon feeding your baby.
What About Baby Led Weaning (BLW)?
In more recent years, there has been a huge movement towards Baby Led Weaning (BLW).
Baby led weaning is a method for introducing solid foods by allowing your baby to feed themselves rather than be spoon fed by a parent. Read about the pros and cons of Baby Led Weaning.
Baby Led Weaning gives babies the ultimate sensory experience while they eat, but it can also lead to delayed introduction of solids during your baby’s optimal window if they aren’t getting the hang of eating BLW type foods.
Some babies do really well learning to eat with BLW, and some don’t.
Whether you choose to go the BLW route or not, purees are still important to feed your baby sometimes because you’ll want them to also be able to eat foods like applesauce, yogurts, and soups.
Check out our Mega List of Table Foods for great food ideas to start with.
How to Start Spoon Feeding Baby
Step #1: Make sure that they’re 6 months old, have good head control, and can sit upright to eat and swallow.
Step #2: Get them in the right position.
The position of your baby is often overlooked. It’s easy to sit them on your lap while feeding them or feed them while they’re in the car seat. But that isn’t the safest position and can impair the development of their feeding skills.
Sitting on your lap or not in a supported seat is actually more challenging for babies. If your baby is focusing all their energy on sitting upright, they aren’t able to use their mouth as effectively.
To ensure your baby is seated properly, position them in an age appropriate booster seat or highchair with a footrest.
Ideally their hips, knees and feet should be at a 90 degree angle if possible.
This means that when babies are first learning to eat, they should have support under their feet and they shouldn’t look slumped over. Not every highchair or booster seat does a good job keeping your little one in the right position.
My absolute favorite chair that grows with them into childhood is the Tripp Trapp, it’s an investment, but they’re so well made, they last forever.
My son is 7 and has been using it since he was 6 months old!
The Keekaroo is another option that’s a little lower in price.
Step #3: Use a spoon with a flat small bowl, it’s easier for your baby to remove the food.
The bowl of the spoon is so important. You want it to be mostly flat or to have a shallow bowl. That means it can’t hold too much of the puree on it.
The spoon should also have a narrow bowl. If your baby is right around 6 months old, their mouth isn’t big. The narrow bowl fits in their mouth much better than a big wide spoon.
See a list of our favorite spoons at the end.
Step #4: Choose a totally smooth thinner baby food.
If you’re using store bought baby food use stage 1 for the first feedings. If you’re making homemade baby food, you don’t want the food to be too thick. Think about making it thick enough for baby to swallow, but not so thin it’s like liquid.
Homemade baby food at this stage should spill off the spoon easily, but still have some stuck to the spoon when you turn it upside down.
Step #5: Place the right amount of puree on the spoon.
You’ll want to avoid overfilling or under-filling the spoon. You should have some puree on it, ideally near the front of the spoon.
Avoid scooping and loading up the spoon with as much puree as possible. This can be really overwhelming to your baby, especially if they’re just learning to eat purees.
Too much food in their mouth can also trigger their gag reflex.
If your baby does gag, don’t panic, it’s normal. Gagging and choking are two different things. Read more about what to do when babies gag eating.
Step #6: Let your baby decide when to take a bite.
Place the spoon right in front of your baby and wait until they open their mouth. This puts them in charge of their responsibility right from the start, they are the ones that decide to eat.
You want to avoid opening their mouth for them or trying to sneak a bite in their mouth when they look away.
Helping your baby learn that they get to decide when to take a bite can reduce feeding battles and picky eating in the years to come.
Step #7: Place the spoon in the center of their mouth.
The spoon should go in the center of their mouth, above their tongue. You may gently use the back of the spoon to add a small bit of pressure to the middle belly of the tongue.
This is helpful if their tongue seems to be moving quite a bit.
Step 8: Wait for them to close their mouth.
When you’re excited and you really want them to take a bite, it can be hard to wait! But be sure to wait until they close their mouth on the spoon.
This lets them know what their job is, and helps lay the foundation for them to be able to feed themselves.
What to Avoid When Spoon Feeding Baby…
You have 8 simple steps to follow! But, there are a few things you’ll want to avoid. You’ll likely see others doing these things while feeding their babies, because they’re all very common.
However, each of them can cause difficulties with eating and swallowing either in the moment you’re feeding your baby or in the future. Here’s what to avoid…
- Avoid scraping food on the roof of your baby’s mouth. You want to wait until your little one closes their mouth on the spoon.
- Don’t feed them in a reclined position. Car seats, strollers, and infant positioners all should be avoided. An upright high chair or booster seat is ideal to make sure your baby doesn’t gag, choke, or aspirate.
- Avoid distractions like the TV, phone, or toys. If they’re distracted while eating, they aren’t fully experiencing all the different flavors and textures.
- No force feeding. Let your little one decide when to take a bite. This reduces the chance of picky eating later on and sets them up for positive mealtimes in the future.
In these early days, some babies need a lot of time to get used to purees. However, if your baby is reaching the 8-9 month mark and still struggling, there could be some underlying difficulties that need addressed.
See our free workshop to learn more and contact your child’s doctor.
- Don’t overfill the spoon. You want a medium amount of puree on the spoon, near the front of the bowl.
Troubleshooting Spoon Feeding Challenges
It’s very normal for babies to need some help getting the hang of eating purees. They’re learning and may need a little more time. Here’s some common challenges you might be faced with and what you can do…
Challenge #1: Your baby won’t open their mouth
When your baby won’t open their mouth for the spoon, this can be really discouraging as a parent of a new eater!
Modeling is especially helpful in these cases. Take your own spoon and a little bite of the puree. Open your mouth wide and really over exaggerate what you’re doing.
Show your baby how to do it.
You can also try placing a mirror in front of your baby while they eat or give them their own spoon that is pre-dipped with puree to try out.
Challenge #2: Your baby won’t close their mouth on the spoon
If your baby won’t close their mouth on the spoon, scraping the puree into their mouth is tempting. You want to avoid this!
It doesn’t teach them how to use their muscles to eat. It also teaches them that they have to eat a particular food, which can encourage pickiness later on.
Frequently, if they don’t close their mouth on the spoon, it’s because they don’t know they’re supposed to.
You can encourage this by very gently rolling your finger above their upper lip in a downward motion towards their mouth. Showing them how to take a bite with an exaggerated close is also helpful.
Keep practicing for up to 8 months of age before seeking more help from the doctor or a feeding therapist.
Challenge #3: Your baby gags with purees
Gagging can get a bad wrap. Gagging happens first as a protective mechanism to prevent your baby from choking. But it can also turn into a problem if it starts to happen often. Or, before food even hits their mouth.
Sometimes excessive gagging happens because your baby’s mouth is sensitive to sensory input, or the textures of food.
It can be helpful to desensitize their mouth with teethers or toothbrushing. You can brush their gums even if they don’t have teeth yet!
Challenge #4: Your baby throws their bowl or spoon
We hear parents tell us that their baby is throwing their food, plate, or utensils all the time. If your baby is doing this, you’re not alone at all!
Usually this happens just because they’re testing things out at first. It makes a fun noise or you make a funny face whenever they do it.
It can be tempting to react negatively whenever food is thrown. Try to resist the urge and stay as neutral as possible. A negative reaction is still a reaction and can sometimes encourage them to do it more.
Try using a simple phrase like, “our food stays on the tray” and move on. It can also be helpful to use plates and bowls that suction well to their highchair to buy you a bit more time before the food flies.
Learn more in how to help babies and toddlers stop throwing food.
Challenge #5: Your baby always wants to hold the spoon
This is actually such a good thing, even though it can feel frustrating when you’re just introducing purees. They’re motivated to feed themselves!
Give them a spoon of their own that has been dipped in a little bit of puree while also having your own spoon. You can take turns doing the feeding.
It might be frustrating because they will make a big mess at first and likely will get just a little bit of puree in their mouth. This is a great step towards their independence!
While 6 months is the perfect time to start spoon feeding your baby, and you should give your baby plenty of time to get the hang of it, your baby should be eating purees regularly by 8 months of age, even if it’s a small amount.
If you’ve tried all the tips and tricks we’ve suggested and they still aren’t eating solids by 9 months, it’s time to get some more help!
Our free Table Foods Workshop is the perfect place to start. It’s full of suggestions that you can start using immediately. Save your seat HERE.
Our Favorite Baby Feeding Spoons
- Take and toss spoons
- These are great spoons. They have a narrow and flatter bowl. They’re also super affordable. You certainly can take and toss them, as they suggest. But, they can also be quickly hand washed and reused. The spoons are a bit softer and more flexible. They’re great spoons to start with!
- Maroon spoon
- Maroon spoons are spoons you commonly see therapists use. They’re a bit pricier though. The bowl is relatively narrow and flat, which is perfect for babies to pull puree off of more easily. These spoons are made from harder plastic.
- Maroon spoons are spoons you commonly see therapists use. They’re a bit pricier though. The bowl is relatively narrow and flat, which is perfect for babies to pull puree off of more easily. These spoons are made from harder plastic.
- Flat Spoon Dippers
- These spoons were intended for babies to feed themselves. The bowl is narrow, textured, and completely flat. There is also a guard to prevent your baby from pushing the spoon too far down. Great for reducing gagging.
- EZ PEZE bowl
- While this isn’t a spoon, it’s a great tool to have on hand when you’re feeding your baby purees. It suctions to the tray and doesn’t slip very easily. It can be really helpful, especially if your baby loves to throw their bowl.
You’re all set! It’s time to feed that sweet little baby. Try to have fun. Let your baby play, experiment, and laugh while eating.
Let them get messy! (See why here)
Got any questions? Leave them in the comments below, we respond to every single one.
And, if you want to get ready for the next steps of feeding, table foods, grab our guide for teaching your baby how to learn to chew and eat them here!
More on Feeding Babies
5 Things Parents With They’d Known Sooner About Feeding Their Baby or Toddler
Why Your Baby Should Be Putting Toys in Their Mouth
Feeding Schedule for 8, 9 and 10 Month Olds
Must-Know Pros and Cons of Using Baby Food Pouches
Andrea Timler is a licensed occupational therapist and part of the Your Kid’s Table Team. She has over 7 years experience with expertise in development and feeding in babies, toddlers, and children. Andrea also has 4 kiddos of her own at home.
How to spoon feed? - Encyclopedia Baby food
Levchuk Victoria ©An article for those who supplement with a spoon or how to feed with a spoon. We will not discuss whether it is useful to supplement / spoon feed a child, about the benefits of independence, etc. Let's talk about the right and wrong way to spoon feed. The wrong way is to raise your hand up when you take the spoon out of the child's mouth. This method cleans the spoon from food on the teeth, gums or upper lip.
Scraping is not a normal, natural way of feeding. This method of feeding prevents the lips from doing their job and shrinking around the spoon. In this case, the child's head leans back when he tries to lick the spoon and swallow food.
Most often we see well-intentioned parents putting a spoon in their child's mouth. The adult lifts the spoon and cleans the spoon most often on the baby's upper lip . This can be an effective way of getting food into the child's mouth, but the child does not practice using the muscles of the lips, cheeks, and jaw in a more controlled and mature manner. nine0005
Contents:
Have him see and smell the food before putting it in his mouth. Let your child touch the food with their fingers before putting it in their mouth. He might want to dip his finger into the plate and lick it, okay. The first time feeding is necessary, the baby is exploring the world in this way.
2. Put the spoon on the tongue and hold it there until the child closes the lips.
3. Then take the spoon straight out of the mouth (not at an angle). The chin should remain straight and not rise up. The child must learn to eat food, and thoughtless swallowing does not teach anything. If the mother undertook to feed the child from a spoon, then we do it right.
4. Rejection . If he refuses, then offer the child several times, you can just get your lips dirty in food so that he licks them in order to feel the texture and taste of food on his lips in a playful way. Let's not rush.
Related articles:
- How to teach a child to chew?
- At what age does a child begin to eat independently?
Spoon-feeding and speech
What is spoon-feeding? Just opened, chewed, closed. But it turns out that the sensory-motor system is involved in the process of spoon-feeding. Here are a few examples of the benefits of proper spoon feeding.
1. When the spoon is fed into the mouth in a forward/forward motion, the child must use the lip muscles to clear the spoon of food. These are the same muscles that are used to create the sounds "M", "P", "B". nine0005
2. The suggestion of a spoon straight will make it easier to round the lips. Rounding the lips helps to make the sounds "O", "U", "A".
3. Offering a spoon from the side or corner of the lips will make it easier to close the lips. Closing the lips helps to make the sounds "M", "P", "B".
4. Closing the lips is also important for controlling saliva and keeping food in the mouth while eating.
5. Over time, the spoon helps the child practice using the jaw muscles as they open and close their mouth to eat in a more controlled way. nine0005
How can I help my child eat from a spoon?
Children should instinctively close their lips, but if they don't, there are a few things that can be done to help oral-motor skill:
until the lips close.
2. You can apply slight pressure on the tongue to close the lips.
3. For children with oral-motor problems, 9 can be selected0011 vibrating spoon , and also massage the gums before eating.
4. It may be necessary to stretch the lips beforehand to help close the lips.
Gymnastics to learn to close the mouth
There are many different lip stretching techniques that parents can try to spoon feed their baby:
- Gently pull out the upper lip with the pad of your finger. Repeat on the lower lip, gently stretching it up.
- Gently pinch the philtrum or philtrum (the skin between the nose and upper lip) and pull downwards. Repeat the procedure on the skin just below the middle of the lower lip, gently stretching.
- Connect index finger and thumb together. Place them directly under the nose and then point your fingers apart along the lip line. Repeat the same movement just under the lower lip.
- Stand behind the child and place the index finger over the upper lip , and the middle finger under the lower lip. Close your fingers like scissors to close your lips.
This exercise can be done before meals or during. Stretching the lips before eating may not be enough, so once the child loses closure, it can be repeated again.
Also, do not load the spoon with too much food. Small portions of food are the best for baby's first feeding experiences. Too much food is difficult to take from a spoon and chew.
Usually, when parents spoon-feed their baby incorrectly, it's either because they don't know the correct way or they are in a hurry. So now that you have read the article about the right and wrong way, then do not rush the baby during the meal. Eating will take longer, but there will be less wasted food, less salivation, and much more benefit from oral motor skills allowing the lips to exercise.
Right and wrong ways of spoon feeding
Right and wrong ways of spoon feeding
Translator: Marina Lelyukhina
Editor: Marina Lelyukhina
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Did you know that spoon-feeding can be wrong? The wrong way is to raise your hand up as if you want to remove the spoon from the child's mouth. Thus, before the food is in his mouth, the spoon will scratch his teeth, tongue and upper lip. nine0005
Scraping food off a spoon while eating is not correct. This method is especially unsuitable for children with a delay in oral-motor development. This makes it impossible for the lips to do their job of closing around the spoon. It also causes the baby to reach for the spoon, as can be seen in the picture above or below at the start of the video.
The correct way to spoon feed: place the spoon on the top of the tongue and hold until the baby closes its lips. Then take the spoon straight out of your mouth (don't hold it at an angle). The child should sit straight, not lift his head. As the girl's mother rightly noted in the video, thanks to this position she eats, not you feed her. On the last spoon in the video, you can see how her lips work.
Children should instinctively close their lips, but if they fail, there are several ways to help develop oral motor skills:
- Give it time - you can hold the spoon until the child closes their lips.
- You can also gently press the spoon on your tongue to stimulate your lips.
- For children with strong sensory protection in the mouth, a vibrating spoon can help wake up the mouth and reduce sensitivity. Tongue massage before meals (and throughout the day) can also help
- You can preliminarily stretch your lips slightly to help them grasp the spoon.
There are several techniques to stretch the lips:
- Gently pull the upper lip down with the tip of your finger (or your whole finger). Repeat the same on the lower lip - gently pull it up. The same can be done with the Y-Chew probe
- Gently grab a piece of skin between the nose and upper lip and pull it down. Repeat with the area of skin just under the lower lip - pull it up. nine0041
- Bring your thumb and forefinger together and place them between your nose and upper lip, spread your fingers, pressing them against your lip. Repeat with lower lip
- Stand behind the child and place the index finger on the upper lip and the thumb under the lower lip, close the fingers like scissors to help the child close the lips
Your therapist will help you learn how to put these techniques into practice.