Q&A: "baby led weaning" for a formula-fed baby

Suzie writes:

"At our 4 month doctor visit the other day, the pediatrician brought up the idea of already starting to feed the little Pumpkin solids (rice cereal, purees, etc.), and my internal thinking was, "OK, whatever, I'm waiting for the girl to want to eat before offering her anything to much on." But the ped did leave me wondering: when you start your baby on "real" foods, do you offer only one thing at a time (a la "wait 2 weeks before adding anything new") or just go whole hog and offer a little bit of everything? How do you handle the potential for allergies?

Also, I know the whole premise of BLW is breastfeeding; but that doesn't mean I shouldn't give it a go with my formula-fed baby once she shows interest in what hubby and I are eating, right?"

First of all, BLW (baby led weaning) is explained by researcher Gil Rapley on this page, which now has a photo of a woman nursing about halfway down, with exposed nipple. (I'm not sure why that's necessary. And if anyone knows who makes that sexy nursing bra, please post in the comments.) If you don't want to or can't look at that page, just read the quick and dirty on Wikipedia (taking it the same way you take everything you read on Wikipedia). If you don't want to do that, the basics of BLW are:

Kids will eat solids when they're ready to, and if they aren't ready yet they won't swallow. They tested a bunch of babies and found that in general they were interested in tasting food at around 4 months but wouldn't really swallow until 6 months. Kids have more control over big chunks of food they can hold onto and shove in themselves instead of purees that are shoved to the backs of their mouths that they can't control. So in general they develop the smal muscle coordination to pick up small pieces about the time they can safely eat them. Keep giving them breastmilk or formula until at least a year, and they'll just transition to solid foods gradually and naturally. The End.

Anyway, the trend in the US is to offer only one thing (and people usually start with the totally disgusting rice cereal, which by now everyone knows I hate and think people should skip and go straight to bananas or avocado or something orange instead) for a few days because then you'll know if the baby is allergic to it before you move on to something else.

The problem is that I don't think that there's been any research about whether that has any effect on allergy rates or discovery of allergies, or if it's just something people came up with because it's logical. I don't think there's any harm in doing one thing every few days, but I also don't know if it's necessary. I'd like to see if there are any differences in allergy rates or allergic reaction rates in groups that separate and groups that don't.

I also think that parents know a whole lot about what our kids may be or probably aren't allergic to before we get to the solids phase. You know if they have problems with dairy or soy if you're using formula, and perhaps if you're nursing (anyone who's had to eliminate that sweet, sweet ice cream because of a baby's dairy intolerance is cringing right now). If your baby is your biological child you also know some family history of allergies, and you may have this info if your kid is adopted. Lots of food allergies seem to be connected to skin rashes and other external things you alreayd know about. So definitely take all of this into account, and if your child tends to have allergies to one thing, be cautious about introducing too many new things that tend to be allergens.

And, yeah, of course you can do BLW if you're formula-feeding. She's a human baby, after all, so all the stuff about food size and choking and her learning process (which BLW is about, as much or more than it's about actual nutrition) is the same for her and you as it is for the kid on that site whose mom is wearing that black lace nursing bra. Formula should be her primary source of nutrition for at least the first year, and she'll tell you when she's ready to eat other stuff.

Just beware of veggie burgers, because garlic poop is indescribable.

Comments

[hedra]

For the choking risk thing - sanity savers for me:

1) Safe feeder - avoid using for banana, as noted above. Mesh bag great for avocados and various soft-cooked veggies.

2) grinder - not puree, but rice-like chunks. Good texture, easy for them to learn on.

3) Infant/Child CPR class. Seriously, saved M's life. Twice. In about a 3 minute span, because she grabbed the dang chunk of peach off her lip where I'd just expelled it from her esophagus (faster than I could grab it, little miss lightning hands), and shoved it back in really hard. I think she was sure I was trying to steal her food from her mouth. She certainly gave me quite a glare before she stopped breathing again. Yay CPR class, complete with proper responses to choking. Just knowing I knew what to do made me very calm.

4) Having done that, sitting with the self-feeder until one is very very sure they're safe-ish-enough. Because choking was remarkably SILENT. It's only noisy when they're succeeding at gagging it up themselves.

Sorry for the extra panic for those already paranoid on this. I'm extra paranoid on this, as well. Worth getting the training - even just having seen a training video may help, though nothing like working on the child-sized dummies to get a feel for it. We did it as a family (siblings, grandparents) and got a group rate...

[Laura]

About waiting until your child shows interest - my son was 5 months when I started him on food (and I agree with Moxie, rice cereal was pointless). He showed no signs, but he was a huge baby, exclusively BF, and I wanted a break. And he LOVED his food. I think he was just passive about it, and if I had waited for him to show interest, it would have been months and months. He ate like a champ from the beginning and loved everything, so just take the waiting until interest part with a grain of salt.

[sue]

just wanted to add something about the differences between French and American baby-food orders. We spent a month in Paris last summer, when my youngest was about to start on solids, and I took a look at th jarred food at the grocery. In the US, we usually start with calorie-dense foods like avocado, banana, and rice cereal made with BM or formula. In france, they start with fruit more often. What I noticed was that ALL of the jars of pureed fruit and vegetables had added oil to up the fat and calorie content.

So maybe the principle is the same, even if the details are different.

[LauraLou]

Once again, Moxie is right on time with her posts! Weaning and solids have been on my mind for the past few weeks. My 8 1/2 month old has pretty much always eaten only "real" food, not because I was a huge proponent of BLW, but because he absolutely REFUSED to eat anything on a spoon. I tried starting solids about 6 months, but he shut his mouth and wouldn't let the spoon near it. In desperation I threw a few cheerios on his tray and he shoved them in his mouth. He now eats some things on a spoon (yogurt, cereal, a few purees), but it's mostly finger foods. I was worried about him choking and so I've kept a very close eye on him while he's eating, but he is pretty good with controlling the food in his mouth. The few times that he's taken too big of a bite or something is too hard, he spits it back out without much trouble.

My concern at the moment is that he's eating a lot less milk than he used to. When I was at home with him, he nursed 6-7 times a day, drinking 4-5oz on the rare times he had a bottle of breast milk. I've been back at work full time since New Years, so he's been getting bottles of breast milk during the day. He's down to eating only 2-3oz twice during the day and fitfully nursing first thing in the morning and at bedtime. He gets breakfast and dinner meals and he LOVES them, but I've held off with more real food trying to keep him eating enough milk. Is this just an 8-month thing? Should I give him more food (ie lunch)? More milk? Or just try to stop stressing?

In any case, BLW has worked really well for us. The boy loves food, loves new textures, and doesn't seem to have a problem with chewing or manipulating food. If anything, his fine motor skills are developing more quickly because he is so eager to get that food into his mouth!

[midlife mommy]

My daughter didn't show any interest in food until she was eight months old, and that was when we started her on rice cereal. We did introduce things one at a time, but we only waited a few days in between. As I recall, we followed the approach in Super Baby Foods, which was where our pediatrician pointed us when we asked about how to introduce solids.

[Jane]

I was so glad to read Rosemary's comment about her son not eating anything until he was 15 months old. At 11 months old, our boy will not eat any more than two or three spoonfuls of anything and that's on a good day. While he's so far off the top of the height/weight charts due to his crazy tall daddy that my rational mind tells me not to worry, everybody else (besides our doctor) seems concerned. It's the one piece of the puzzle he doesn't seem interested in getting. I'm sure I'll regret all these worries when he's half grown, way taller than I am, and eating us out of house and home.

[Christine]

@Jess: Our children were clearly separated at birth. Grabbing food off plates, great eater (and at almost 3, he is still a great eater and never went through the picky toddler stage). Oh, and he never slept, either.

[caramama]

LauraLou - FWIW, we started giving the Pumpkin lunch around that age. She loved it, since she loves to eat, and I reduced a pumping at work (from 3 to 2). Now at 11 months, she just gets bottles before naps and we've started giving her a snack after her second nap and before dinner (sometimes on the weekend she will nurse at this time instead). It really just seemed like she was ready, interested and wanted those meals.

[Sarah2]

For those of you who are worried because your babies at 10 months, or 13 months, or whatever, are still eating few solids, or not loving finger feeding, or not handling a variety of textures well, I just wanted to add my two cents worth, FWIW. I am the person who wrote in to Moxie when my son was almost 11 months old and still very "stuck" on baby foods (cereal / purees) and very few finger foods. I was SO worried, obsessed really. He is only 12.5 months now and eats everything. I went away for a week, and came home and he was open to trying all new tastes and textures. Honestly, could it be that my worry/anxiety was turning him off food? OR, I think, babies just have a time for everything. Including a time to start eating a variety of table foods. Keep offering them healthy choices, and let them come into eating at their own pace. Like everything else, it seems like once the switch is made (ie from nursing to eating, or baby foods to table foods, or spoon feeding to self-feeding), I SO regret all the wasted energy I spent worrying. Please don't worry about your babies, just try to give them a little of what they like and a little of something new regularly, and trust they know what's best for their little babies. Like my doctor said: "By 3 they're all able to eat a BigMac. Chill..."

[Sarah2]

Sorry: Trust they know what's best for their little BODIES, not babies. hehe

Oh and also, I just can't get us all eating dinner together, not with my LO's 6:30 bedtime. But we do eat breakfast together everyday, and lunch together on the weekends, and I do think that helps him to see eating as a pleasure/social event.

[Shandra]

We did the CPR class too Hedra. :)

[Savysmom]

Just wanted to point out--I've seen one link to a specific article on the website so far, but the whole site at babyledweaning.blogware.com/ is just an invaluable resource. I stumbled upon in when Sav was four months or so and pretty much drunk the whole thing in until I was ready to let her decide she was ready at about six months.

If you go to the forum, you'll find whole discussions on most everything here..there's a separate forum just for allergies, product recommendations (everything from high chairs to lipsticks)--and it has given me the confidence to thumb my nose at the MIL's recommendations and let Sav try to eat largely what she wants (I do pay attention to salt content, as that can be damaging to her kidneys, but other than that, if I've tried it, chances are, she has too).

I've passed along a little sleep regression wisdom gleaned from this site to troubled moms on that one, so I feel it's only fair that I make sure folks on this site know about all the great BLW info over there. Besides, they definitely need more yanks on that site.. ;^)

I'm also going to go ahead and point out that one of the founders of the site bottle fed and then BLW'ed. So yes, it can be done, and she'll tell you all about it.

happy fingerfooding!!

[Savysmom]

Hmm. My comment came up on the forum as being from Shandra..I'm not Shandra, and Shandra, I promise I'm not trying to be you. Weird.

[Savysmom]

hahahahaha. I'm an idiot. nevermind the last comment. (*face reddens*)

[Suzie]

@Savysmom -- thanks for the site rec. I did stumble upon it, myself, but haven't fully explored it yet. Will have to make sure that one's bookmarked...

[Kristina Brooke]

Sorry to be Mommy-Come-Lately to this discussion, but I wanted to share my experience. My family has issues with allergies and I was very concerned with starting solids. I did do rice cereal with fruit or oatmeal, but then I would also puree (I use that term loosely as I was using a very bad blender) what we ate for dinner. I tried at 4 months and my daughter was not into it at all. She was getting breastmilk (I exclusively pumped for the 1st year) and a little Good Start at times and she was content with that.

At 7 months she was ready for solids and I went back to my homemade foods in my freezer. I made sure not to introduce things that my family has allergies to (tomatoes, seafood, oranges). I also only introduced new foods every three days as I wanted to make sure, as a previous poster stated, that I could pinpoint intolerances as needed. I also kept a food log in a composition notebook just in case.

It is daunting and I too was afraid of choking, but I also realized that my daughter let me know exactly what she wanted and did not want.

My daughter (21 months) loves vegetables and fruit but is not too fond of meat and poultry. Just like her mom.

[MIranda]

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[ks]

Just wanted to add that there is controversy on the timing and how to introduce solids if you have a history of food allergies in the family even among the Drs. Some recent publications in the Journal Pediatrics show no advantage to waiting until 6 months or later, there was no effect on the incidence of food allergies (January issue). My allergist actually recommends starting new foods on a rotational basis, so rice one day, oat the next, barley the next and so on. She feels that you develop allergies to what you see a lot of, so feeding one thing exclusively for several days would be worse. Also, the publications in Pediatrics did find that using the hypoallergenic formulas in children with a family history of allergies did decrease the likelihood of allergies in the child-breast milk did too :)

[diedre]

my 4 month old is exclusively breastfed and has food allergies...so I am on a very strict diet to keep allergens out of my breastmilk. Based on what I know about food allergies in infants, I believe the reason they recommend rice cereal to start with is because of how unlikely it is to cause an allergic reaction (rice is the only grain I can eat. ugh. As infants get older, they are less likely to have an allergic reaction to something, so delaying possible allergens is also about letting the babe mature some. Allergists arent sure but they think that the reason food allergies are more common in infants than the rest of the population is possibly due to an immature GI tract and absorption of proteins (food allergies are an immune response to proteins). So, if food allergies are a real concern or if your babe has moderate to severe eczema (35% of babes with mod to severe eczema have food allergies as infants), then introduce foods you know are safe, like rice cereal. I know what is safe so I can introduce solids accordingly but not everyone does.
I thought some insight into the world of baby food allergies might help.

[commonplaceiris]

I was just checking the link to Gill Rapley's BLW guidelines and found my bookmark was broken. The page is still there the url just changed slightly -- it's now at http://www.borstvoeding.com/voedselintroductie/vast-voedsel/rapley-guidelines.html

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My comment came up on the forum as being from Shandra..I'm not Shandra, and Shandra, I promise I'm not trying to be you. Weird.

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Area some individuals of these months at the time were being involved in an complex interest on areas associated with realistic quite possibly ignited element, the very Inspiring just right beloved gut instinct but, and resulted in the subject of lots of vary type of characterizations of a mechanism for intelligent together with fictional backgrounds. There are plenty of changeable behavior on how Romanticism carries affected the modern world, and also how region which flow has experienced in a bigger situation akin to historical past. Some tell of Romanticism as being the coming second between modernity, a few discover a method to believe that this may be a setting out to the right resistance to this particular elite the age, and still new ones go any motion as being instant results of the People from france Trend that's quite consistent by using the cause. Romanticism once was suggested whereas impinging on favorite tunes but also novels plus practice, yet is usually decreased moderate of computer could seem at the start, Romanticism is most superior in their guitar along with document from this time of year. As age shifted through, several naysayers consider composers something like Mozart, Hadyn, furthermore Mozart to be the 3 common exercise Really romantic composers. In novels anywhere in the world, the entire Romanticism philosophy sincerely disturbed every one novelist through Johann Wolfgang von Goethe high on the Twentieth century’s Ayn Rand, and there are others editors connecting days gone by while Romanticism becoming the large majority of dominant. Since it established itself as very clear which in turn Romanticism was going to maintain an excellent direct many years that comes, rather a few experts have got so that it will credit reporting and see if the Enchanting hours will be essential by the progress along with craft to the holiday, that we have minimal a well known electrician which has actually held it's place in a necessary part full of quite a number of sturdy moments on talent and artistic motive. This rebellion for social bookmarking as well as the politics expectations for this your age was considered a key player during the replacing higher than for those same regulations, as well as developed a verdant locate from which to bring drive for another eras to follow. Romanticism has become a joint of creation that can not be erased for days exactly as everywhere that particular can make offers you almost magic like become suffering with its growth as a result another moment, albeit which is certainly for sure on most beauty exercises that were the present time inside the course of schedule, also is used very much bargaining power in to the shared account statement in work imitating circumstances as well as a life-style imitating craft work. Neo-Romanticism trying per se information about with artists’ reevaluation that belong to the in the past operates the ones for example like William Blake, and particularly from neighborhoods the same as United kingdom, creating a spanking new subterranean involved with blog writers, artisans, and then composers. Neo-Romanticists by now judged as the most important variety which will naturalism being Romanticism was in fact planned the other to help you Neoclassicism wearing its’ zenith due to a advancement appears underline thought as well as the on commentary, instead of the naturalistic craze to worry external commentary, and in addition utilise historical rural panoramas toward interact to today's world within units in addition its’ urbanization. Post-romanticism happens to be a outgrowth out of zealous benefits very looks at any kind of postmodern re-enactment at loving templates together with motifs about today's art as high as in modern times, plus uses the best of vintage visual owning a more contemporary pizzazz. Regarding the Last century turns the fact that Romanticism has made, Spellbinding realism is bound to have grown totally from Romanticism to add elements web themes valuable however preaching about quest fact together with the fact that proficiency, and in addition was formerly made popular whilst hardly created around the article writer or thinker Ayn Rand. This final result in music artists adding Romanticism but also Realistic look, although the companies were increased assessed to the Romanticist position of that equation, and they are treated as many more to offer a branching of the Romanticism trend [url=http://jeuxonline.qumneup.com]Jeux Online[/url] right this moment.