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108 4.2­  Weaning onto Solid Foods – Complementary Feeding

   Follow-on formula can be given in place of infant   disappointing and frustrating when their infant
formula after 6 months but this is not a necessary     eats less than they expect. Some parents need a lot
change for infants being weaned appropriately.         of reassurance to allow their infant to decide when
However, using it may provide a useful source of       he or she has had enough food or enough milk to
extra nutrients for infants who do not readily accept  drink.
solid foods or have feeding problems.
                                                          Infants who are coerced or forced to eat more
Suitable drinking cups                                 than they need may gain weight rapidly and cross
                                                       centiles upwards on their growth chart. Excess
Drinks can be offered from a cup from about 6          weight gain in infancy is a risk factor for future
months. Non-valved lidded cups are the ideal as        obesity (Reilly et al. 2005) (see Chapter 7.2, page 199).
they allow infants to learn to sip. Cups with valved
lids that infants must suck from should be                Infants who are able to see and to play with their
discouraged. It is ideal to phase out all drinks from  food at mealtimes learn more about it and develop
bottles around an infant’s first birthday. This is to  a positive relationship with food. Finger foods give
help prevent tooth decay known as ‘bottle caries’ in   this opportunity, but touching and playing with
the toddler years which can occur in toddlers who      soft or liquid foods in their bowl or plate is also
use bottle feeding for comfort.                        important. Some parents find the mess involved
                                                       hard to accept and may need to be encouraged to
Commercial Baby Foods                                  allow this important part of an infant’s learning
                                                       experience.
Commercial baby foods, such as pouches, cans, jars
and dried food, may be convenient in some                 Offering finger foods and allowing infants to
circumstances but their exclusive use should be        have their own spoon with which to try feeding
discouraged as they provide much less variety of       encourages the development of self-feeding skills.
taste and texture. Learning to like family foods is a  Infants who are allowed to become involved in
key aim of weaning but the family foods when used      learning to self-feed will feel more engaged in the
for infants need to be nutritious and balanced as      feeding process and will be less likely to want to
described above. Some families may need a lot of       end the meal because they have become bored.
support to improve their cooking skills and
knowledge of healthy eating.                              Although offering only finger foods to infants
                                                       has been promoted in recent years, there is no
   Organic baby foods have become much more            evidence to support the energy and nutritional
popular in recent years but they are low in iron       adequacy of this method (Wright et al. 2011).
content. Most manufacturers only add the               Younger infants need more help with feeding as they
minimum amounts of meat required by the                may not be able to feed themselves adequate
regulations governing the nutritional content of       quantities of food fast enough to satisfy their hunger.
baby foods, which is 8–10 per cent. Non-organic
baby foods are usually fortified with iron and have       Components of a responsive feeding
a higher content, but few parents now choose to buy    environment include:
non-organic for their infants.
                                                       ●● infant sitting with support for both back and
Positive Feeding Environment                              feet

Feeding infants in a positive and responsive           ●● infant and carer facing each other
environment allows infants to eat to their appetite
and enjoy mealtimes. Many parents find it              ●● pleasant and positive interaction between infant
                                                          and carer

                                                       ●● allowing infant to set the pace and following his
                                                          or her cues

                                                       ●● having food where the infant can see it and
                                                          allowing the infant to touch and play with food
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