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Vitamin Supplements 109

●● offering finger foods from early weaning            parents should be advised not to panic; the infant
                                                       might just need more experience to cope easily
●● no distractions such as TV or toys so that the      with that texture. If an infant gags or coughs
   infant can concentrate on eating                    frequently, families may need further assessment
                                                       from a speech and language therapist.
●● use bibs/cloths/plastic sheets/newspaper to
   ‘contain’ mess so that it can be cleaned up at the  Food Safety
   end of the meal.
                                                       Preventing choking
Following infant cues
                                                       Infants must never be left unattended with foods
Infants can regulate their calorie needs if allowed    or drinks as they can easily choke. Tragic cases of
to. When happy to eat more food, infants will:         choking do occur and having infants seated and
                                                       in a calm atmosphere at all times when eating is a
●● open their mouth to accept a spoon of food          safeguard against this. Cutting finger foods into
                                                       short lengths rather than round pieces will also
●● pick up food and put it in their mouth              reduce the risk. Soft round foods such as cherry
   themselves.                                         tomatoes and grapes should be cut in half.

When they have had enough, infants will:               Hygiene

●● keep their mouths shut when food is offered         ●● Bottles and teats for formula milks should
                                                          always be sterilized.
●● turn their head away from food offered
                                                       ●● Plates, bowls, drinking cups and cutlery do not
●● put their hand in front of their mouth                 need to be sterilized but should be scrupulously
                                                          clean.
●● push away a spoon, bowl or plate
                                                       ●● Freshly cooked food can be stored for up to
●● hold foods in their mouth and refuse to swallow        24 hours in the fridge.

●● spit out food repeatedly                            ●● Food for infants should be reheated until piping
                                                          hot right through and then cooled before
●● cry, shout or scream                                   feeding. Food should not be reheated more than
                                                          once.
●● try to climb out of their high chair
                                                       ●● Frozen food should be thawed in the fridge.
●● gag or retch.                                          Thawed frozen food should not be refrozen.

When offered a new taste, infants may show             ●● Eggs, meat, fish and shellfish should all be well
surprise and be reluctant to take more at that meal.      cooked right through.
However, if new tastes are offered repeatedly
infants will usually learn to like that taste as they  Foods to limit and avoid
become more familiar with it. Parents often give up
offering new foods if they perceive that their infant  Foods that should be limited and/or avoided are
does not like that food. However, this narrows         listed in Table 4.2.6.
down the range of foods the infant has the
opportunity to learn to like. By persevering in        Vitamin Supplements
offering small tastes of a new food every few days
the infant will have the opportunity to learn to like  The Department of Health (1994) recommends
that food (Birch 1998, Maier et al. 2007).             that all infants begin a vitamin A and D
                                                       supplement:
Gagging and coughing

When infants are learning to manage new textures
they may gag or cough back food that needs more
chewing. This is part of the learning process and
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