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An Introduction to Baby-Led Weaning

Today we look at the topic of baby-led weaning in a follow-up to our last post all about traditional weaning. But what is baby-led weaning? How is it different to traditional weaning and what are its potential benefits? Let’s take a look.

What is Baby-Led Weaning?

Baby-led weaning is the process of letting your baby feed themselves pieces of appropriate ‘finger food’ i.e. by picking them up with their fingers. This is in contrast to a parent/carer feeding a baby puréed or mashed food via a spoon. But which method is best? Well, although some parents have a preferred method, there is currently no compelling evidence proving that one or other is the ‘right’ or ‘wrong’ method. Indeed, some parents may wish to combine both approaches. More often than not, whether a baby gets on better with traditional spoon-feeding, baby-led finger food meals or a combination of the two comes down to what suits your baby or yourself best. There are some considerations, though.

What are the Benefits of Baby-Led Weaning?

While traditional weaning has its own benefits, baby-led weaning has it’s own set too:

- Baby-led weaning encourages the baby to learn to chew, even if that means they first learn to ‘gum’ food before swallowing (especially if they, like most babies, don’t yet have teeth). This chewing element is all good practice of a new skill that they don’t yet need with the traditional purée approach.
- This means they’re strengthening their face muscles and jaws and learning to better control mouth and tongue movements.
- Baby-led weaning encourages development of fine motor skills. Picking up the food themselves means infants are using a mix of finger and hand movements, honing hand-eye coordination and also practising hand-to-mouth actions.
- Baby-led weaning lets the baby go at their own pace. They are in control of their feeding and not being governed by the parents pushing spoons at them. That’s potentially much more relaxed as a feeding mechanism.
- It may also encourage them to eat a healthier diet later on. As they grow, they are sampling foods and textures in their true state, not processed into an unrecognisable purée or mash.
- Baby-led weaning may even help to reduce child obesity as the child is totally in control of their food intake. They can stop feeding when full, which is somewhat in contrast to being led by parents feeding via a spoon.

As we said above, though, it’s up to parents to decide which of the two weaning approaches they prefer. Indeed many will use a combination of both traditional and baby-led weaning. The important thing is to ensure that your baby gets all the vitamins and nutrients that are essential to good health and development. A varied diet will help with that.

When to Begin Baby-Led Weaning

Except in special cases, it is normal to start any kind of weaning around the age of six months and the same is true for baby-led weaning. This is usually done by introducing a just small amount of solids per day initially. This can be done at any time of the day and does not have to follow usual feeding times. The idea of the small initial introduction is to get your infant used to taking solids in addition to their breast or formula milk. Indeed, their milk remains the most important part of their diet right up until the age of one.

It is common for babies to be reluctant at first, so don’t worry if they reject the food at first. Try again another day, again with just a small amount. Remember your little one is getting used to new tastes, textures and a completely different feeding process that’s in complete contrast to what they’ve been used to with only milk. So, some initial resistance is likely.

Which Foods to Try First

Firstly, remember that weaning is the process of gradually changing over from milk to solids. So, for at least the first year, the baby should continue to drink milk (breast milk or first infant formula) alongside any solids that you are introducing from the age of 6 months. What’s more, it’s sensible to give the solids first, then feed milk afterwards, otherwise the baby’s tiny stomach may fill up on milk and leave no room for the new solids. Cows’ milk should not be used before the age of 12 months, unless used as an ingredient in cooked (i.e. heated) meals.

Also important never give any hard foods like uncooked vegetables or hard fruit to babies/infants as they will not be able to ‘gum’ it. Moreover, hard pieces like those represent a possible choking hazard. The food pieces therefore need to be soft enough for you to be able to mash with your fingers — and therefore for your toddler to bite or ‘gum’. After all, most at this age will have no teeth. So, keep it soft and cut into small, finger-sized (narrow baton shaped) pieces for your baby to hold and, hopefully, self-feed from the top end downwards. Avoid round shapes and firm foods and always stay with your child when they’re feeding.

Fruit and vegetables are probably the easiest finger foods to start with.

Vegetables like carrots, broccoli, potato, yam and/or parsnips can all be boiled until soft, suitably cooled for safety and cut up into the small, finger-sized pieces.
Banana can also easily be given as finger food because it’s a suitably soft fruit.
Very soft pears may also suit, although harder pears and apples should be part-boiled until soft enough. Again, ensure they are suitably cooled before serving.

It’s wise, though, not to give your child too many sweet-tasting foods (e.g. sweet potato, carrots, fruit) and ensure they’re also getting plenty of the less sweet food types included in the listings above. Otherwise they may miss some of the more subtle flavours and naturally gravitate towards sweeter tastes. In so doing, they run the risk of getting a ‘sweet tooth’ that’s not particularly good for them.

Later On

Between 6 to 7 months, additional soft foods can be given as finger foods. So, you could add small fingers of ripe avocado, ripe (i.e. soft) mango and soft melon. You can also try your infant on soft cheese fingers using mozzarella or ricotta (never before 6 months though), so long as they’re made from pasteurised milk and are not mould-ripened (like Brie), veined (like Stilton) nor made from ripened goats’ cheese. Cheeses high in salt and saturated fats should also be avoided for the young. Omelette fingers are also a good choice, so long as the eggs are fully cooked and anything added to a Spanish omelette (e.g. vegetables) is also sufficiently soft.

From 8 to 9 months, try adding thinly sliced strawberries, raspberries and/or blueberries. You can also try your little one with steamed or boiled (then suitably cooled) green beans and peas. Cooked and cooled whole wheat pasta, hummus and minced chicken, turkey or beef may also be appealing to your little one. From 9 months your infant’s fine motor skills will be more refined and their improved grip will now allow them to pick up tiny pieces of bite-sized food, hence adding some of those smaller items from this age. Soon, they may also be able to copy your use of a spoon, so encourage this by giving them a soft weaning spoon. It may take a while, but they’ll eventually get the hang of it.

By the age of 10 to 12 months, your little one’s food offerings start to look much more similar to standard family meals. For example they may have progressed to cooked pasta and cut-up meatballs (or the vegetarian/vegan equivalent). They may now enjoy pitta bread pieces with hummus, perhaps cut-up cheese sandwiches (see aforementioned note about cheeses and also avoid bread that’s got added salt). Steamed/boiled potatoes or vegetables with shredded chicken, turkey or beef are another option – all, of course, suitably cooled and cut into small pieces for the child.

While they are progressing from 6 months to a year, ensure you gradually introduce more of the important food types (fruit and veg, starchy foods, proteins and dairy). Ensure they try a variety of tastes and textures too.

More Information about Weaning

The NHS has lots of useful information about weaning. Watch a useful NHS video and learn more about weaning infants, including a few safety tips, here.

Safety Around Weaning

Ensure you are fully familiar with all the potential safety issues and precautions around weaning before you start the process. In particular, make sure you are up to speed about what to do if your baby chokes and never allow your infant to feed without constant vigilance and supervision. We outlined several safety suggestions in our last post (available here) to get you started. A more detailed NHS guide about Safe Weaning is also available here (don’t miss each of the pale blue ‘tabs’ as each has hidden information that’s incredibly useful and important).

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30 September 2022/by Mark

1 year olds, 2 year olds, 3 & 4 year olds, Babies, Birmingham, Early Years Development, Edgbaston, Healthy eating, Learning & Development, Nurseries, Nursery, Parenting, Pre-school, Pre-schools, Preschool, Toddlers, Under-5s, Weaning

An Introduction to Traditional Weaning

In a follow-up to our Guide to Formula Milks last month, we now introduce the topic of weaning — also known as complementary feeding. Weaning relates to the introduction of foods other than milk to your baby once they reach an appropriate age. In today’s article, we explore the traditional approach to weaning although will follow up separately with an alternative weaning method, in the near future.

The Meaning of Weaning

A typical dictionary definition tells us that weaning is, “to gradually stop feeding a baby or young animal with its mother’s milk and start feeding it with solid food.” Specifically, we mean the process of changing over i.e. phasing out the milk/formula and gradually transitioning the infant to ‘solids’. The new foods will initially be given alongside the breast or formula milk that the child has consumed up until then.

“Solids” — a Clarification for the Traditional Weaning Approach

It should be noted that, using the traditional approach to weaning, food is not initially introduced as actual solid pieces. Although we call foods other than milk or formula solids, they are fed to babies and infants initially in puréed form in the traditional approach to weaning. Examples of foods that can be pulped in this way are soft fruits like ripe apples and pears, bananas, cooked (but suitably cooled) vegetables like cauliflower, potato, broccoli, spinach, sweet potato, carrots and suchlike. Puréed food like this can slip down easily – almost like a liquid. It’s intuitive for a baby to swallow as it’s not too dissimilar to drinking, which is what they’ve been used to.

The thinking with this traditional approach is that puréed food is safer for very young babies too. It may also be easier for them to consume (most have no teeth at weaning age). Pulped vegetables or fruit, for example, will have been blitzed in a blender to a point where there are no lumps and the food is simply in a lovely purée form. The traditional wisdom is also that its pulped form will significantly reduce the potential choking risk that would otherwise apply if the food hadn’t been puréed. However, see our note below about baby-led weaning as that approach is quite different to the traditional one.

Anyway, as your infant grows older and more used to eating puréed food, you can gradually progress to less ‘blitzed’ textures. For example, mashed foods rather than completely puréed ones. They’ll have a bit more texture about them. A slightly lumpier mixture can follow later, then eventually graduate them to finger foods, so long as they’re soft (for example cooked carrot sticks rather than raw). Do see the safety notes in the box at the end of this guide, though, including in regard to avoiding possible choking hazards.

Baby-Led Weaning

In contrast to traditional weaning using puréed food, a more recent approach that’s become quite popular is baby-led weaning. However, because it’s quite a big topic in its own right, we have published a stand-alone article outlining the alternative baby-led approach separately, here.

When to Wean?

Unless you’ve been advised otherwise by a healthcare professional (e.g. Health Visitor), it’s usually best to wait until your baby is 6 months old before beginning the weaning process. Ensure your child is physically ready for the process. This will include good hand-eye coordination skills, being able to sit up and hold their own head steady and being able to swallow puréed food.

Be mindful, though, that the introduction of solids should accompany their breast or formula milk, not immediately replace it. Continuing to consume milk is essential to their growth and health at this early stage in their lives.

The 3 Stages of Traditional Weaning

The initial introduction of some solid foods (mashed or puréed) usually takes place from the age of 6 months.
At 7 months, more textured food and some different tastes can be mixed in.
Between 9 and 12 months of age, a wider variety of food can be given.

What if Babies Don’t Like Solids?

Weaning is an exciting milestone. However, it can be both fun and challenging in equal measure. Each baby is individual. While some babies take to eating solids like ducks to water, others take longer to adapt. Their expressions are the real giveaway, so watch out for those. It’s a whole new experience for them and remember; they are going from knowing only warm milk to a whole new world of unfamiliar textures and tastes.

Start Weaning Slowly

It’s important not to rush the weaning process and for both parent and baby to enjoy the new journey. Starting with just small amounts is fine if the baby isn’t taking to solids initially. They’ll soon catch on and you can then introduce more as time goes by.

Spoon-Fed vs. Baby-Led Feeding

Whether spoon-feeding as a parent or allowing the baby to lead their own feeding may require some experimentation. Some babies like to be spoon-fed while others get on better with ‘baby-led’ feeding. So it’s worth trying each and even a combination of the two when you first start weaning your child onto solids. Their preference will soon become apparent and, before you know it, they’ll be transitioning to solids beautifully.

Top Tips for Worry-Free Weaning

Avoid feeding when the baby is tired or preoccupied.
Remove toys from the baby’s vicinity and turn off distractions like TVs.
Pick your moment to start weaning carefully.
Demonstrate how you eat, use a spoon, etc. and let them watch. They will learn from your example.
Give them a ‘weaning spoon’ (these are softer than standard ones) and try not to overload their spoon with food. A weaning bowl, with suction cup underneath for stability, is also a useful tool.
Don’t be surprised if they initially push solids out of their mouths — babies need to learn how to eat, use their tongues and swallow these new puréed foods.
A little gagging may be natural, but be vigilant about possible choking, which is dangerous. Learn some First Aid just in case.
Don’t stress if things get messy — this is totally natural and can easily be mitigated through use of a bib (e.g. a pelican bib).
Don’t forget that babies may not accept foods until they’ve tried them multiple times. Sometimes it can take as many as 10 tries before a baby will accept a new food. Perseverance is key but, of course, never force an infant to feed.
Following a session of eating ‘solids’ with a drink of milk is a good way to put your infant at ease and make the process of weaning more natural. It can also help to wash the puréed solids down and reduce the possibility of indigestion, hiccups etc.
Don’t worry if the amount of solids consumed by your baby in each sitting is inconsistent. Your baby may sometimes eat more, other times less.
Ensure that, overall, your little one is consuming a balanced and varied diet.
Discuss whether additional vitamin/mineral supplements are appropriate for your child with your GP or Health visitor. This is particularly important if your little one has a special diet. (Aside from special diet scenarios, the NHS website makes recommendations about vitamin supplements for little ones and that information is included in the bold NHS link directly below this section).
Be patient and persevere.

The NHS outlines additional guidelines about weaning here.

Safety Considerations

Avoid choking hazards. That means things like grapes, cherry tomatoes, nuts, raw vegetables etc. should not be given whole nor in chunks that could be a choking hazard. Chop them up small or mash them, as appropriate. Remove stones and pips etc.
Always supervise feeding, particularly when weaning.
Was your baby born prematurely? If so, consult your doctor or health visitor before starting the weaning process.
Maintain high levels of hygiene around food preparation.
Ensure that you know which foods to avoid giving your little one.
Do not add salt or sugar to infants’ food.
Always check that food is at the correct temperature for your child before serving.
Be mindful of possible food allergens when first introducing new foods to your child. Click the green link to learn more.

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18 September 2022/by Mark

We previously looked at the types of food for parents to avoid giving infants and now follow up with a separate post about foods that are most likely to cause allergic reactions in the very young.

Some reactions towards food are also not true allergies, in the scientific sense. For those that are, it’s important to stress that severe allergic reactions (a.k.a. ‘Anaphylaxis’) in infants under one are rare. However such severe reactions should always be treated as a medical emergency. Even amongst children aged up to two, though, the incidence of proven food allergies is only 5% and such reactions are generally mild. Nonetheless, parents, carers and guardians of infants will naturally want to be cautious. Today’s post discusses the food types that most commonly cause allergic reactions and how they can be introduced to infants.

Severe allergic reactions (Anaphylaxis) in infants under one are rare, however such reactions should be treated as a medical emergency.

Symptoms to Look Out For

So, what are the symptoms of an allergic reaction? The NHS lists symptoms like sneezing, wheezing, coughing and a blocked or runny nose as possible signs of an allergic reaction. Itchy, red, watery eyes or a red, itchy rash are also possible signs, as are worsening symptoms of eczema or asthma.

The Most Common Food Allergens

According to the NHS, the 8 food types that are most likely to cause allergic reactions are:

Cows’ milk	Eggs
Gluten (found in wheat, barley, rye, oats etc.)	Nuts including peanuts*
Seeds & seed derivatives*	Soya
Shellfish*	Fish

^{* We touched upon some of these ingredients in our A-Z Guide to Foods to Avoid Giving Infants but will mention the following again: seeds and nuts, including peanuts, should only be served to under-fives crushed, ground or as a ‘butter’ as they are otherwise a choking hazard; eggs should be avoided before the age of 6 months and thereafter never be served raw/lightly cooked except if they exhibit the Red Lion or “British Lion Quality” stamp; shellfish should also never be served to infants raw or lightly cooked.}

Always read food labels carefully.

Mustard, celery, the preservative/antioxidant sulphur dioxide, the legume lupin and molluscs are the next most common food allergens after those listed in the table above. Kiwi, the fruit, is also known to cause allergic reactions in some infants, however is apparently the only potential allergen out of those listed above that doesn’t have to be listed, by law, on the ingredients list of pre-packaged food products.

When to Start Watching Out for Allergens

The NHS recommends slowly introducing the food types above, usually from about the age of 6 months if they’re developmentally ready. This is the age when babies most commonly start the process of weaning i.e. moving – gradually – towards eating solids. Start only when the infant is well, including having a good skin condition, because eczema is a possible sign of an existing allergy. The NHS strongly recommends that you talk to a GP or health visitor before introducing new foods to infants who are already known to have an allergy diagnosis or family history of allergies, including eczema, asthma and hay fever.

Any ‘new’ food types, particularly known allergens from the list above, should be introduced to the infant only one at a time, preferably early in the day so that you have more time to monitor for any reactions. Accepted advice is to start only with a tiny initial amount and monitor for possible symptoms of an allergic reaction. Amounts can later be increased, bit by bit over the following days, if the infant is found to be tolerant. And, of course, a new food type can then be tried only once the previous one has ‘passed the test’. However, bear in mind that some allergic reactions are far from immediate. Known as non-IgE food allergies, their symptoms can take anywhere from 2 hours to 3 days to show. So, the message is to be very careful and methodical when it comes to introducing new foods to your infant.¹

^{1: More detail about IgE (rapid) and non-IgE (delayed) allergy symptoms and other useful information about the introduction of potential allergens to infants can be read in a very good article by baby and child nutritionist Charlotte Stirling-Reed.}

Once introduced and shown to be tolerated by the infant, the new foods should then remain a part of the child’s usual diet and be eaten regularly. This minimises the chances of the child developing an allergy to such food types later on. Interestingly, where the introduction of peanuts and hens’ eggs has been delayed to a later time in the child’s development, the risk of developing an allergic reaction to them has actually increased. So, the risks need to be carefully balanced.

Special Mention: Milk Conundrums

The NHS recommends “exclusive breastfeeding or First Infant Formula” milk for babies during their first six months (and, indeed, breastfeeding has many benefits). Breastfeeding is not always possible though, for one reason or another, which is where the mention of First Infant Formula comes in. However, with standard First Infant Formula Milk being based on cows’ milk, and cows’ milk being one of the food types that infants are most commonly allergic or intolerant to, a healthcare professional will need to be consulted in the event of a reaction. For those found to have Cows’ Milk Allergy (‘CMA’), alternatives like Hypoallergenic Formula Milk, Lactose-Free Formula Milk or even Soya Formula Milk may be suggested by the GP/healthcare professional. However, it’s important for such milk alternatives to be given only under professional medical supervision as there are important and specific considerations around each. We explain more about those in a separate where we outline the different types of milk and formula for babies and infants.

Another milk-related conundrum that nursing mothers may have is whether they should avoid potential allergens themselves in case it passes to the infant through breast milk. The NHS’s advice in this regard is succinct and straight forward:

“If you’re pregnant or breastfeeding, you do not need to avoid foods that can trigger allergic reactions (including peanuts), unless you’re allergic to them.” ^{(NHS) ∞}

Please note: We hope guide is a useful starting point for parents/guardians who want to learn more about safely introducing little ones to new food types. However, it is a guide only and you should do your own research. Talk to your GP, health visitor or other healthcare professional if you need professional advice or guidance in regard to your child’s diet and any allergy- or health-related issues. Always check food labels and contact the emergency services urgently if your child exhibits signs of a severe allergic reaction.

Healthy Food at Leaps & Bounds Day Nursery, Edgbaston, Birmingham

Meals at Leaps & Bounds Day Nursery are freshly made, using high quality, nutritious ingredients, which are prepared for us by award-winning early years caterers. Healthy snacks, meals and drinks are all included in our nursery fees, as appropriate. We cater for all dietary needs (e.g. vegan, vegetarian etc.) and, of course, are mindful — and hugely careful — about any allergies amongst the little ones. We also participate in the ‘Startwell’ programme, which encourages our children and families in the Birmingham area to eat healthy meals and to live healthy lifestyles.

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Next Time

Today’s article focuses on food that may cause allergic reactions in infants. We subsequently follow up with a great guide to Seasonal Allergies in Under-Fives. Instead of being caused by food, seasonal allergies are caused by such things as pollen, dust, mould and pet dander at certain times of the year. Click the green link above to learn about symptoms, causes and ways to help children affected by such allergies.

19 July 2022/by Mark