Gill rapley slides may 2010

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Gill rapley slides may 2010

  1. 1. Baby-led Weaning Gill Rapley - the best-kept secret of parenting
  2. 2. What do you see when you picture a baby starting solids?
  3. 3. This? (image from Dept of Health’s leaflet, Weaning )
  4. 4. Or this? (picture of 6-month-old feeding himself with a piece of pineapple)
  5. 5. Baby-led weaning is . . . <ul><li>. . . a way of introducing solid foods that allows the baby to play an ACTIVE role </li></ul>
  6. 6. <ul><li>Uses babies’ naturally developing skills </li></ul><ul><li>Lets the baby regulate his own appetite </li></ul><ul><li>Is a gradual progression – there are no ‘stages’ </li></ul>B aby-led weaning:
  7. 7. Why wait till six months?
  8. 8. ‘ Convergence of maturation’ <ul><li>At around six months, the baby’s: </li></ul><ul><li>digestive system </li></ul><ul><li>immune system </li></ul><ul><li>oral motor (chewing) skills </li></ul><ul><li>… are all mature enough to allow him to move on from milk </li></ul><ul><li>(Naylor and Morrow, 2001) </li></ul>
  9. 9. There is no good reason to start earlier Why wait till six months?
  10. 10. <ul><li>At six months, these skills have also matured: </li></ul><ul><li>Gross motor skills </li></ul><ul><li>Fine motor skills </li></ul><ul><li>Hand-eye co-ordination </li></ul>Coincidence?
  11. 11. <ul><li>An efficient breastfeeder </li></ul><ul><li>Interested in the world around her </li></ul><ul><li>Keen to touch but cannot grasp accurately </li></ul><ul><li>Not able to chew </li></ul>At four months:
  12. 12. Conclusions? <ul><li>Babies of four months cannot feed themselves with solid foods </li></ul><ul><li>They are still meant to have a liquid diet </li></ul><ul><li>There’s no ‘rush to mush’ </li></ul>
  13. 13. <ul><li>Sitting alone </li></ul><ul><li>Reaching and grasping accurately </li></ul><ul><li>Everything goes to the mouth </li></ul><ul><li>Able to chew </li></ul>From six months:
  14. 14. Conclusions? <ul><li>Babies of six months can feed themselves with pieces of food </li></ul><ul><li>They are ready for foods that need chewing </li></ul><ul><li>There may not be any need for ‘mush’ at all </li></ul>
  15. 15. <ul><li>‘ Good’ babies are passive </li></ul><ul><li>Active babies are ‘difficult’: </li></ul><ul><ul><ul><li>they grab the spoon </li></ul></ul></ul><ul><ul><ul><li>they want to touch the food </li></ul></ul></ul><ul><ul><ul><li>they refuse to eat </li></ul></ul></ul><ul><li>Baby-led weaning turns this on its head! </li></ul>Perceptions and labelling
  16. 16. <ul><li>The baby is in control </li></ul><ul><li>The parents decide what to offer </li></ul><ul><li>The baby decides: </li></ul><ul><ul><li>when to start </li></ul></ul><ul><ul><li>what to eat </li></ul></ul><ul><ul><li>how much to eat </li></ul></ul><ul><ul><li>how quickly to eat </li></ul></ul>In baby-led weaning
  17. 17. Reasons to start solids? <ul><li>Baby appears hungry </li></ul><ul><ul><ul><li>waking at night </li></ul></ul></ul><ul><ul><ul><li>watching parents eating </li></ul></ul></ul><ul><li>Weight gain slowing down </li></ul><ul><li>Big baby / small baby </li></ul><ul><li>Jars of baby food say ‘from 4 months’ </li></ul><ul><li>Someone else’s advice </li></ul>
  18. 18. What are the baby’s reasons? <ul><li>Curiosity? </li></ul><ul><li>Wanting to mimic? </li></ul><ul><li>Wanting to explore? </li></ul><ul><li>Wanting to be independent? </li></ul><ul><li>NOT hunger! </li></ul>
  19. 19. Parents don’t decide when their baby is ready to … <ul><li>… crawl </li></ul>… or walk … or talk
  20. 20. The right time <ul><li>Babies show their parents when they are ready to start solids by picking up food and taking it to their mouths – as long as they are given … </li></ul>the opportunity
  21. 21. What makes eating enjoyable? <ul><li>Environment for eating </li></ul><ul><li>Anticipation of food </li></ul><ul><li>Senses: sight, smell, texture, taste </li></ul><ul><li>Control over starting, pacing, ordering, combining, stopping </li></ul><ul><li>Freedom to do your own thing </li></ul>
  22. 22. Which would YOU prefer? <ul><li>The BABY-LED approach </li></ul><ul><li>The opportunity to eat </li></ul><ul><li>Shared mealtimes </li></ul><ul><li>Same food as everyone else </li></ul><ul><li>Able to reach and touch </li></ul><ul><li>Different shapes, colours, textures, tastes </li></ul><ul><li>Choosing each mouthful </li></ul><ul><li>You choose the pace </li></ul><ul><li>The CONVENTIONAL way </li></ul><ul><li>Being expected to eat </li></ul><ul><li>Solitary eating </li></ul><ul><li>Different food </li></ul><ul><li>Unable to reach or touch </li></ul><ul><li>Food that all looks the same </li></ul><ul><li>Unexpected mouthfuls </li></ul><ul><li>Pace determined for you </li></ul>
  23. 23. What about choking? <ul><li>The risk of choking is increased by: </li></ul><ul><li>Using a sucking action to eat </li></ul><ul><li>Distraction/movement while eating </li></ul><ul><li>Small, hard objects </li></ul><ul><li>Ignoring normal safety rules </li></ul>
  24. 24. Basic safety while eating <ul><li>Baby must be upright </li></ul><ul><li>Baby must be in control of what, when and how fast to eat </li></ul><ul><li>Don’t give small hard foods, such as whole nuts </li></ul><ul><li>Never leave baby alone with food </li></ul>
  25. 25. How to do BLW <ul><li>Let your baby join in family meals </li></ul><ul><li>Forget eating – think ‘play’ </li></ul><ul><li>Offer stick-shaped pieces </li></ul><ul><li>Let him take his time </li></ul><ul><li>Carry on giving milk feeds on demand </li></ul><ul><li>Remember basic safety rules </li></ul>
  26. 26. Benefits for families <ul><li>No need for pureeing </li></ul><ul><li>Cheaper </li></ul><ul><li>No concerns about what </li></ul><ul><li>to give baby </li></ul><ul><li>The family can eat together - anywhere </li></ul><ul><li>The whole process is simpler </li></ul>£90
  27. 27. Possible bonuses <ul><li>Happier families? </li></ul><ul><li>Better overall nutrition? </li></ul><ul><li>Less obesity? </li></ul><ul><li>Fewer eating disorders? </li></ul><ul><li>Improved co-ordination? </li></ul>
  28. 28. www.markittelevision.com www.babyledweaningproductions.com
  29. 29. www.rapleyweaning.com www.baby-led.com

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