Modern baby feeding
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Baby-Led Weaning is a New Way of Feeding Your Baby - Learn More About it
Every parent remembers when they first introduced their baby to solid foods. This momentous occasion of spoon-feeding them pureed food is considered a major milestone for babies and their parents.
Today however, more and more parents are opting to skip the applesauce and mashed sweet potatoes and instead are adopting a new feeding technique called “baby-led weaning” ( or BLW) for their babies. This alternative approach to feeding, first introduced in the UK a decade ago, involves introducing solid chunks of foods much earlier on by placing them on the baby’s high chair and letting them grasp the food and feed themselves directly. As the name implies, feeding time is led by the baby as they determine the pace and the amount of food they consume; basically, baby-led weaning puts the baby in charge.
While children all develop at different paces, advocates of baby-led weaning agree that this method of eating shouldn’t be introduced until the baby is ready. Cues to begin BLW include making sure that your baby can sit up straight unassisted, have good neck strength and be able move food to the back of their mouth with up and down jaw movements. Most babies develop these skills by the sixth month, but some babies may not fully develop them until they are nine months old.
Proponents of BLW believe that it holds many benefits, including enhancing baby’s hand-eye coordination and other fine motor skills, including using their thumb and index finger to grasp their food. They also feel that it will produce healthier eaters than spoon-fed babies because BLW eaters get to choose how much they eat as opposed to traditional feeding methods, which sometimes results in force feeding. Other advantages that BLW supporters claim to be true is that it creates a more enjoyable feeding experience for babies and less stress on their parents.
Detractors of baby-led weaning feeders point out that these babies are generally underweight as compared to spoon-fed babies because they simply do not ingest that much when they are first introduced to this way of eating due to difficulties grabbing food. BLW babies also tend to be iron-deficient because they aren’t consuming the iron-fortified cereals that spoon–fed babies typically eat. Lastly, a big concern for many parents is the increased choking hazards associated with BLW, and while the American Academy of Pediatrics doesn’t have opinion of BLW, they do state that babies are ready for solid food once they are ready to sit up on their own and bring their hand to their mouth.
If you are considering baby led weaning for your child, here are a few tips:
- Continue breast feeding and / or formula feeding as this will continue to be your baby’s biggest source of nutrition until they are 12 months old.
- Begin BLW feedings with softer foods, such as ripe fruits, cooked egg yolks, and shredded meats, poultry and fish.
- Avoid foods that can pose as choking hazards, such as nuts, grapes, popcorn, or foods cut into coin shapes, like hot dogs.
- Do not leave your child unattended during BLW feeding times. Continue to supervise and socialize with them while they eat and to have them eat when the rest of the family does.
- Don’t panic if your baby gags as it is a safe a natural reflex. Instead of overreacting, prepare for a choking event by familiarizing yourself with the infant-specific Heimlich maneuver.
- Introduce new foods one at a time to pinpoint potential food allergies. A recommended length of time is three to four days between foods.
- The goal of BLW is to let your baby explore eating at their own pace. This may include the smashing, smearing, or dropping of food, so prepare for a mess.
Before you decide to adopt BLW to your child, it is a good idea to discuss with your child’s pediatrician as it may not be a good idea for all babies, especially those babies with known developmental delays or neurological issues.
To make an appointment with a pediatrician at Flushing Hospital’s Ambulatory Care Center, please call 718-670-5486.
All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.
Baby food: the best foods for babies | Types of products for children
Not all mothers and fathers know what applies to baby food and when they can be offered to the baby. In the practice of doctors, there are many cases when a baby of 3-4 months is already given cow's milk, and vice versa - at the age of 8-9 months, meat puree is still not introduced into the diet.
According to the WHO, it is recommended that complementary foods be introduced when the baby is 4-6 months old and should be done while breastfeeding continues. Complementary foods are understood to mean all liquid and solid foods that are offered to the baby - with the exception of breast milk itself and infant formula. In the Russian Federation, the introduction of complementary foods from 4-6 months is recommended.
In this article we will look at what kind of baby food is best for babies, what is recommended to use to expand the menu, how to choose and in what sequence to introduce foods into the diet of a child of the first year of life.
Choose foods for the first feeding
Kashi
Kashi is the best baby food for the first feeding of babies. They are made from cereals, contain a lot of carbohydrates, which give the baby energy for growth and development, and fiber, which contributes to comfortable digestion. This natural and healthy baby food is also a good source of vegetable proteins and fats. All Nestlé® baby cereals are additionally enriched with the Iron+ trace element complex, thanks to which the baby receives iron and other minerals from food.
Dairy-free, gluten-free, hypoallergenic cereals - buckwheat, corn - should become the first cereal-based baby products. Then the baby's diet can be expanded and other cereals can be introduced:
- Dairy cereals from gluten-free cereals - for example, buckwheat porridge with dried apricots, rice porridge with apple.
- Cereals from cereals containing gluten - oatmeal, wheat.
- Porridge from a mixture of cereals - multi-grain porridge with pear and peach, banana and strawberry pieces.
Nestle® Kashi is an easy-to-use dry baby food. Just take the right amount of porridge and dilute it with breast milk or water - it's very easy. You can prepare a very tiny portion, which is important when the baby first meets a new product.
Important!
Complementary foods always start with small portions. If your baby is trying porridge for the first time, offer him no more than one teaspoon. Watch out for reactions; if everything is in order - the next day increase the portion to two teaspoons. With good tolerance, gradually, within 5-7 days, bring the serving volume to the age norm. If, in response to the introduction of porridge, the child develops a rash on the skin, the nature of the stool changes, he becomes restless - do not give this product yet. It will be possible to try again to introduce it into the diet in a month.
Meat
Meat purees occupy a special place among baby foods. They are rich in protein, contain B vitamins, zinc, magnesium, and, most importantly, a lot of well-absorbed heme iron. By six months, the baby's iron stores are depleted, and a reliable source of this element should appear in his diet.
Meat is introduced into the diet as homogenized baby food. It is recommended to start with mashed light white meat - rabbit or turkey - they have the highest iron content. Then the menu includes more nutrient-dense meats: veal and beef.
Vegetables
Vegetables contain carbohydrates, organic acids, fiber, pectin, various vitamins and minerals. Some of them, such as carrots and pumpkins, literally scream with their orange color about the large amount of beta-carotene, a provitamin from which the body produces vitamin A.
Puree is the ideal consistency for introducing crumbs to vegetables. Therefore, for children aged 4-6 months, all baby food should be homogenized. Pieces of food appear on the menu of the child closer to the year - and then very small.
For the first vegetable weaning, mashed marrows, broccoli, cauliflower are recommended. As your baby becomes familiar with simple foods, you can move on to purees with sophisticated flavor combinations, such as cauliflower and potatoes.
Note
There is a rule: one day - one new product. If you introduced mashed broccoli into your child's diet today, do not offer other new dishes yet.
Egg
Egg is not a first food product. Egg yolk can be included in baby food immediately after the first cereals and mashed potatoes, from 7 months. The yolks contain a lot of easily digestible proteins and fats, vitamin A and phosphorus. Choline is especially important - it favorably affects the development of the nervous system.
Fruits
Fruits are not only healthy, but also very tasty, because they contain a lot of natural sugars. They are also rich in vitamins and minerals, organic acids (citric, malic and others), fiber, which contributes to the comfortable functioning of the intestines. Baby fruit products are recommended to be introduced after the first feeding. It is better to start with fruits traditional for our country - apples or pears.
Some mothers think that natural baby food from fruits can only be prepared at home. Actually it is not. Factory products - the best companies involved in the production of baby food, carefully test raw materials for the absence of heavy metals, traces of fertilizers and other harmful impurities, and are also responsible for the proportions of nutrients declared on the packaging. It is impossible to achieve this at home.
Fruit juices
Fruit juices are one of the popular liquid baby food options. They are similar in vitamin and mineral composition to fruit puree (especially juices with pulp) - they contain potassium, iron, vitamin C and many other useful substances. And, of course, juices are a pleasant delicacy that kids really like and greatly expands the palette of baby food flavors.
Juices are introduced into complementary foods simultaneously with fruit puree and according to the same scheme. It is advisable to start with simple drinks from one fruit - for example, an apple or a pear, and only then indulge the crumbs with complex cocktails - such as a mixture of apple, grape and rosehip juices.
Fish
Like meat, fish in baby food will become a source of protein, B vitamins and other trace elements. In addition, it contains polyunsaturated fatty acids that are important for growth and development, which the child's body is not able to synthesize on its own in the right amount.
Babies can be offered fish from 8–9 months, replacing meat with it 1–2 times a week. When introducing fish, you need to remember that children have intolerance to this product. If fish feeding has led to allergies or other undesirable consequences, temporarily exclude fish from the diet and be sure to consult a specialist. It will help you choose the right foods for your baby.
Dairy products
Many parents in Russia believe that cow's milk is the best baby food, and this misconception is actively supported by the older generation. Don't believe it: whole cow's milk does more harm than good to babies and can cause digestive problems. In addition, milk contributes to too rapid weight gain, which in the future increases the risk of obesity, diabetes and other diseases.
Instead of cow's milk, the following types of solid and liquid baby food are recommended for babies under 3 years of age:
- Children's products containing milk in small quantities - such as industrial milk porridges.
- Special for children after one year.
- Fermented milk products - special adapted drinks.
- Low-fat cottage cheese.
Water
In the first months of life, the baby receives the necessary amount of water from breast milk. However, as an independent product, water appears in the baby's diet almost simultaneously with the first complementary foods. It is used for breeding dry baby food - dairy-free and milk porridges, as well as just for drinking.
The choice of water must be approached responsibly. Pediatricians recommend buying a baby special bottled water for baby food. It is manufactured in compliance with strict bacteriological standards, does not contain radioactive and harmful chemical impurities, and is characterized by low mineralization. For parents, this water is convenient because it does not need to be boiled - but only if used within a day after opening the package.
Herbal teas
There are now quite a few herbal teas made specifically for baby food. They contain medicinal herbs and fruits - fennel, mint, anise, chamomile, rose hips, raspberries and others.
Sometimes berries, fruits, natural sugars are added to children's tea - this way the drink becomes more attractive for a little gourmet.
These children's products are a natural pharmacy that provides the baby with a complex of useful substances. However, some active components of herbal drinks can cause allergies, so teas should be introduced into the baby's diet with extreme caution.
Consult your paediatrician before starting complementary foods. A doctor who has been observing your child since birth will tell you what foods will benefit him, where to start getting acquainted with new dishes, and what points you should pay attention to.
- 1. National program for optimizing the feeding of children in the first year of life in the Russian Federation. Union of Pediatricians of Russia. Moscow 2019.
- 2. Feeding and nutrition of infants and young children. Guidelines for the WHO European Region with a special focus on the republics of the former Soviet Union.
- 3. Safina, A.I. Modern approaches to the nutrition of children from one year to three years old / A.I. Safina // Bulletin of modern clinical medicine. - 2016. - T. 9, issue. 2. - P. 77-85.
- 4. Infant and young child nutrition. WHO Newsletter.
- Obstetrician-gynecologist (Southern State Medical University, Faculty of Pediatrics, specialization at the Department of Obstetrics and Gynecology)
Others articles by the author
how to choose the right baby food and what is the best?
The ideal "baby food" for an infant is breast milk. However, not all mothers can breastfeed their baby, usually this is due to the health of the mother or child. It happens that the woman herself has a serious condition after childbirth and in the early postoperative period, reduced lactation or diseases in which breastfeeding is contraindicated. In such cases, the baby is given formula milk - this is the only alternative to mother's milk. Subsequently, at four to seven months, complementary foods should be introduced into the child's diet, regardless of whether he is breastfed or artificial. The mother is faced with the task of choosing the right baby food for complementary foods.
In this article, we will talk about what foods for babies are and how to choose the best baby food.
Legislation defines "baby food" as food products that meet the physiological needs of a child under 14 years of age. And nutrition for young children is food intended for children from birth to three years[1]. It is necessary to make a diet taking into account the age of the baby and the characteristics of his physical condition.
The Union of Pediatricians of Russia created the National Program for feeding children in the first year of life and the National Program for optimizing the nutrition of children from one to three years old [2]. They describe recommendations regarding what formula to feed the baby from birth, how to introduce complementary foods and expand the baby's diet. These programs provide detailed information on what nutrients and nutrients should be included in the diet of children of different ages.
First you need to figure out what kind of baby food is [3]. Products for toddlers can be divided into two categories:
Milk formulas. There are for children from birth to six months (formula 1 mixtures, or initial), from six months to a year (formula 2) and from a year (formula 3). The composition of such baby food is adapted, that is, as close as possible to the composition of breast milk.
- In the initial mixtures, the amount of protein is reduced to 1. 2-1.5 g / 100 ml - in accordance with the composition of breast milk. They also changed the fat and mineral profile. The initial mixtures are enriched with such an essential amino acid as taurine, and micronutrients, probiotics, vitamins.
- After six months, the baby's need for protein increases, mother's milk changes its composition. And babies on artificial feeding begin to be fed with a more nutritious mixture of formula 2. Taurine is no longer always needed: the body of a baby aged from six months to a year is able to synthesize this amino acid itself. Meanwhile, the content of iron, calcium, zinc increases compared to the initial mixtures, because by this age the child's reserves of minerals received from the mother during pregnancy are depleted, and they need to be replenished.
- A child's diet changes after one year - he is already able to eat a variety of solid foods. However, it is advisable to continue to feed him with a mixture, though already formula 3. Pediatricians recommend it as a source of vitamins and minerals that the baby can easily absorb.
Complementary foods As we have already noted, it is introduced when the baby is four to seven months old. This interval is referred to as the "critical window" and is considered optimal for initiating complementary foods for several reasons:
- The baby needs a wider range of minerals, vitamins and other nutrients. In addition, his baby's digestive system is already ready to accept more solid and complex foods than mother's milk or infant formula.
- At this age, the child develops an interest in food, and it is necessary to offer him the right foods to develop his taste.
- During this period, the risk of developing a food allergy to a new product is lower.
- Timely introduction of complementary foods prevents the risk of micronutrient deficiencies and iron deficiency anemia.
Usually the first food is vegetable puree or monocomponent gluten-free cereals, milk or dairy-free. Over time, cereals containing gluten, supplements from fruits and berries, and also consisting of several cereals are added. A six-month-old child can already be given several types of vegetables and cereals. Also, at about six months, they begin to give meat puree, then fruit, and from eight months - fish. A child from seven months is allowed the yolk.
From the age of 12 months, complementary foods already make up the majority of your baby's diet. At this age, it is especially important to diversify the child's diet: he can be given soups with small pieces of vegetables, meat, fish and cereals.
For information
During the first feeding, the baby's eating habits are laid, and it depends on the parents how correct they will be. Often, mothers introduce fruit juices into complementary foods too early. And because babies have an innate preference for sweet tastes, they can become naughty and stop eating the unsweetened foods they need, especially vegetables. Unhealthy taste habits are formed, which can later provoke obesity.
Domestic doctors are concerned about such irrational nutrition of young children - due to the wrong approach to nutrition, many babies experience a deficiency of vitamins and an excess of fast carbohydrates.
How to choose baby foods
Finding the right foods for your baby is not an easy task. Store shelves are bursting with boxes, jars and bottles, and manufacturers write on every second package that the baby will be healthy, strong and cheerful after feeding. Of course, the baby will receive the necessary substances, no matter what product his parents choose, because all the production of baby food is strictly controlled by the state. By the way, Russia has some of the most stringent requirements for the quality of baby food in the world.
However, products for children differ in their properties. It is necessary to select food so that by the end of the first year of life the baby has actively developed chewing skills and an interest in independence, and the diet of complementary foods is reasonably varied.
For children from one to three years of age, the diet should be even more varied. It is important that the child receives daily something new from the main food groups: dairy, vegetables and fruits, meat and fish, cereals, butter and vegetable oil. Of course, the baby's diet should be expanded taking into account his state of health.
When organizing the nutrition of a child from the moment of introduction of complementary foods and up to three years, a mother needs not only to know what can be fed, but also to consider what foods should not be included in the diet. Among the prohibited products for children under three years of age:
- any mushrooms, vegetables and fruits in a marinade;
- pickles, preserves in tomato sauce;
- commercial juice concentrates, carbonated drinks, coffee and strong tea;
- various condiments - mustard, ketchup, hot sauces, horseradish, pepper, vinegar, mayonnaise;
- products containing flavors, industrial colors, including chewing gum;
- margarine and refractory fats - lamb, pork;
- chocolates, sweets and other sweets.
To choose the right baby food, you need to know exactly what you should pay attention to and what you don't need to worry about.
When choosing mixtures, it is important to check:
- Absence of palm oil. Formula manufacturers may use palm oil (more specifically palm extract) because, like breast milk, it is rich in palmitic acid. However, in human milk, palmitic acid is in the beta position, while in palm oil it is in the alpha position. Such alpha-palmitic acid can interfere with the absorption of calcium and fats and is generally less well absorbed by the child's body. This can negatively affect the work of the intestines, lead to constipation, regurgitation. Milk fat is better suited for baby food as a source of palmitic acid[4][5].
- Protein ratio. Human milk protein is primarily whey proteins and casein. A child needs both types of protein, while proteins are easily digested, which cannot be said about casein. If baby food contains a lot of casein, it stays longer in the digestive tract, which can cause problems with the baby's stool.
- The presence of additional functional elements in the composition - lutein, nucleotides, pre- and probiotics. The task of lutein is to protect vision from ultraviolet rays. Nucleotides are low molecular weight compounds that promote the growth of beneficial bifidobacteria in the intestines. And pre- and probiotics in the composition of infant formulas help to establish comfortable digestion.
When choosing complementary foods, pay attention to:
- Age appropriate. It is important that in the diet of a child under three years of age who receives complementary foods, special children's products prevail - in their composition, the components are selected taking into account the age-related needs of the baby's body. It is impossible at an early age to transfer children to "adult" foods like pickles, smoked foods, fast food, and so on.
- Fortified foods. It is important that the composition contains vitamins and minerals. The National Child Nutrition Optimization Program recommends choosing complementary foods that contain elements designed to prevent anemia, rickets, and vitamin deficiencies.
- Diet diversity. The menu for a baby up to six months is quite monotonous. But as they grow older, the baby needs more various nutrients - proteins, carbohydrates, fats, vitamins, minerals.
- To the individual reaction of the baby. If the child is already receiving complementary foods, then it is worth introducing a new product only after the previous one has been fully introduced. If the baby is allergic to the product, then it should be administered carefully, carefully checking the reaction of the body.
Ingredient safety testing is optional. Of course, the content of any "chemistry" in the product for feeding a child, whether it be a mixture or complementary foods, is unacceptable. There is no need to worry about this: baby food is carefully checked. If it is registered on the territory of the Customs Union and hit the shelves, then it complies with SanPiN 2. 3.2.1940-05 and there will be no "prohibited" components in its composition. Also, contrary to popular misconception, in Russia it is forbidden to use GMOs in children's products.
Note
Baby food in jars (usually puree) has a short shelf life after opening, as it does not contain preservatives. However, before the jar is opened, the products can stand for quite a long time on the shelves of stores or in the refrigerator at home. This is possible thanks to a special production technology, sterilization and vacuum packaging. If a soft pop is heard when opening the jar, this is a good sign: the puree is not spoiled. But products in jars with swollen lids or a protruding bottom should not be used: microorganisms already multiply in such food, it is not suitable for food.
Features of the choice of dairy products
It is necessary to choose dairy products for babies, following the doctor's recommendations. The specialist will take into account the health of the baby, especially if he is allergic to cow protein. In Russia, such an allergy occurs in 30–40% of children [6]. Such a reaction may occur due to hereditary predisposition and immaturity of the body. But most often, allergies go away when the child grows up.
Goat milk baby food may be a suitable option for young children with a predisposition to allergies. Its protein is perceived by the body better than cow's: alpha-s1-casein, contained in large quantities in cow's milk, makes a product based on it difficult to digest - food stagnates in the baby's gastrointestinal tract, motor skills are disturbed, as a result, allergies often occur. In goat milk, as in breast milk, there is practically no alpha-s1-casein [7]. Therefore, goat's milk, and hence the mixture based on it, are better absorbed.
Of course, with the introduction of complementary foods, other dairy products will appear in the baby's diet. Unadapted fermented milk drinks, such as kefir, yogurt, biolact, can be introduced into the diet from eight months and in an amount not exceeding 200 ml.