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A Baby-Led Approach to Eating Solids and Risk of Choking

Louise J Fangupo1, Anne-Louise M Heath1, Sheila M Williams2

  • 1Departments of Human Nutrition.

Pediatrics
|September 21, 2016
PubMed

Insights

Baby-led weaning, when guided to minimize choking risks, does not increase infant choking incidents compared to traditional methods. However, offering choking hazard foods remains a concern in both approaches.

Area of Science:

  • Pediatric Nutrition
  • Infant Feeding Practices
  • Child Safety

Background:

  • Complementary feeding is a critical period for infant development.
  • Concerns exist regarding choking risks associated with baby-led weaning.
  • The Baby-Led Introduction to SolidS (BLISS) approach modifies baby-led weaning to address safety.

Purpose of the Study:

  • To evaluate the impact of the BLISS approach on infant choking and gagging.
  • To compare choking and gagging frequencies between BLISS and control groups.
  • To assess infant exposure to choking risk foods in both feeding groups.

Main Methods:

  • A randomized controlled trial involving 206 healthy infants.
  • Infants were assigned to either usual care (control) or the BLISS intervention.
  • Data on choking, gagging, and food exposure were collected via questionnaires, daily calendars, and diet records.

Main Results:

  • No significant differences in choking event frequency were observed between the BLISS and control groups.
  • BLISS infants showed increased gagging at 6 months but decreased gagging at 8 months compared to controls.
  • Both groups frequently received foods with choking risks, with no significant group differences.

Conclusions:

  • The BLISS approach to complementary feeding does not increase infant choking risk.
  • Advice on minimizing choking risks is crucial for baby-led feeding.
  • A high prevalence of offering choking hazard foods to infants in both groups warrants attention.
Abstract

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