Lecture 13 - Complementary Feeding - Baby Led Weaning Flashcards

1
Q

what is the traditional approach for complementary feeding

A

parent led approach

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2
Q

what are the texture recommendations from Ministry of Health with the parent led approach

A
  • pureed (6-7 months)
  • mashed (7-8 months)
  • finger foods (7-8 months)
  • chopped (8-12 months)
  • family foods (>12 months)
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3
Q

what is the not “new” but increasing popular approach

A

baby led weaning approach

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4
Q

what is cut out of baby led weaning

A

texture progression is cut out, they are essentially fed family foods but the appropriate texture for infants

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5
Q

does New Zealand currently recommend the baby led weaning approach

A

currently they do not recommend the baby led weaning, however they need more evidence

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6
Q

key features of baby led weaning

A
  • baby led = self feeding
  • family foods
  • mealtimes = family sits together, really important learning behaviour and how to eat following parents
  • milk feeding = milk feeds continue on demand
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7
Q

what are the potential risks of baby led weaning

A
  • iron deficiency
  • zinc deficiency
  • growth faltering
  • choking
  • inadequate energy intake
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8
Q

what are the potential benefits to baby led weaning

A
  • energy self regulation
  • lower risk of obesity
  • better diet quality
  • motor development : having to use those coordination patterns to feed themselves
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9
Q

what are nutrients that are risks for baby led infants that they could be low in

A

iron

zinc

vitamin B12

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10
Q

what is the study objective of the BLISS study

A

if baby led weaning can prevent the development of overweight in infants and toddlers without detrimental effects on their iron status

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11
Q

what was the difference between the BLISS group and control group in the BLISS study

A

bliss group got a lot of different resources throughout the study

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12
Q

what two types of foods should be offered at each meal time

A
  • high iron foods
  • high energy foods
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13
Q

did the BLISS study demonstrate propose concerns regarding growth faltering

A

no concerns with growth faltering

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14
Q

did the BLISS study demonstrate proposed concerns regarding iron deficiency

A

no difference in iron intake or iron status

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15
Q

does BLISS demonstrate proposed concerns regarding choking

A

no difference in risk of choking

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16
Q

can the parent place the food in the babies mouth when using baby led feeding

A

never place the food in the babies mouth, they must pick it up and place it in their mouth

17
Q

does the BLISS demonstrate other positive outcomes that may benefit infants

A

BMI and enjoyment

18
Q

the first foods new zealand study show baby led weaning impacting growth

A

energy intake differs but no difference in growth

19
Q

if a parent chooses to practice bay led weaning they should follow these guidelines ..

A
  • the baby should be able to sit unassisted, pick up food and bring it to their mouth
  • foods offered in the first month or two complementary feeding should be soft and able to be squashed on the roof
  • follow the advice to reduce risk of choking
  • offer iron rich foods daily