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Five Spoon Feeding Mistakes Most Parents Make

5/2/2017

 
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Many parents who follow Feeding Littles utilize the concept of Baby-led Weaning (BLW), which means that babies feed themselves whole foods from the start. (Don't worry - it doesn't mean that baby weans early from the breast or bottle - the term weaning is the European use of the word, meaning introduction of solid foods.)

With BLW, parents don't spoon food into a baby's mouth. While this approach can be great for many families, it doesn't fit everyone, and many parents choose the "Traditional Weaning/Feeding" (TW) route where babies are spoon fed purees and gradually eat other textures, building up to self-feeding all foods. The goal of either approach is for a baby to learn how to eat all safe textures; BLW babies get there faster, but TW works well for many families too.

With spoon feeding/TW, parents are sometimes coached on what to feed baby and how much to offer, but nobody tells them how to actually do it. Turns out, most of us don't do it correctly from a developmental and motor perspective. Since Feeding Littles supports all ways of feeding babies (as long as they're fed!), we want to give you some pointers on how best to spoon feed a baby. Even if you plan to do BLW, keep reading - these tips apply to feeding kids in general, and some of these concepts may be completely new to you! 

Remember: we share this information to educate and help you have your best feeding experience possible. We never intend to offend or shame anyone into thinking they have "done it all wrong" - we simply want to provide information that most people don't learn anywhere else. In the end - your child, your choice. Do what's best for your family.

#1: Starting too early - remember, "solids" refers to anything but breast milk or formula.


​Parents hear that most governing bodies, including the American Academy of Pediatrics and the World Health Organization, recommend waiting until around 6 months to start solid foods. Some interpret this to mean that purees should be started earlier and whole, more "solid" foods can start at 6 months. This recommendation is meant to apply to all "complementary foods," which means anything but breast milk or formula, not just food that is in whole form. We think that a baby's gut and immune system is more ready for food around 6 months and when baby is showing readiness signs like good head control, sitting with minimal assistance, bringing hand to mouth, and interest in food. For some babies, this is earlier than 6 months, and for others it's later. We don't recommend starting much later than 7 months for allergen exposure reasons.

From an Occupational Therapist's perspective, additional cognitive signs are important to watch for when assessing readiness for any food. Before starting spoon feeding (or any complementary food feeding), make sure to ask yourself these questions:


  • When you are eating in front of your child is she reaching to get your utensil from your hand?
  • Does your child anticipate visually the trajectory of a slowly moving object? For example, can she watch a slow moving spoon come toward her mouth? (A spoon flying quickly and in an unpredictable pattern like "here comes the airplane" may be too hard for her to track!)
  • Does your child recognize the breast or bottle at first sight?
  • Does your child pat the breast or bottle during feedings?
  • When placed into a feeding chair does your child demonstrate a positive tilt position where she is coming towards the food/utensil? Can she lean in for a kiss?

Starting food too soon may not only cause digestive upset (including constipation!), but for some babies it can be a negative experience when they're truly not ready. Watch your baby and look for these cues that he's ready for food! 

#2 Force feeding, holding down baby's hands, and tricking baby to eat.


​As parents we have a lot of things to accomplish on any given day. Sometimes feeding seems to be just another item on our endless to-do list. Try to remember that your child's feeding journey is important in establishing great feeding dynamics into adulthood. We want our kids to know how to eat when they're hungry, stop eating when they're full, and fill their tummies with foods that help them feel their best. That process starts the moment your child is born, as you learn your baby's hunger and fullness cues. It intensifies as you begin your solid food journey. Below are a few tips to help you honor your baby's cues and help him listen to what his body - not the clock or an external rule - has to say:

  • Babies who are too tired, hungry, or overstimulated will probably not enjoy the eating process. Wait until baby is in a better state emotionally to offer food.
  • Let your baby guide the spoon feeding process. Never trick a baby into opening her mouth or slide the spoon into her mouth without her realize what's happening. This may cause feeding aversions and fear of the eating experience, and it takes the control over what goes in her mouth away from your baby. (Judy and I have worked with kiddos who are fearful of mealtime for this reason alone.)
  • Stay engaged in the feeding process - try not to be a passive participant. We recommend removing all devices from the table.
  • Go slowly so baby can manipulate the food in her mouth and feel her body's signs of fullness. Don't be surprised if she doesn't like a food right away or seems startled by the texture. Honor her cues if she's refusing a food, and don't give up offering that food another time. It may take 20-30 exposures for her to enjoy it. Forcing her to eat it will make it worse.
  • Feed baby until she indicates that she is full. Conversely, never force her to finish the last few bites of food in the bowl or jar - when she's done, she's done. We don't want her to learn how to overeat. 
  • Never hold a baby's hands down as she's trying to grab for the spoon. Her desire to hold the spoon and do it herself is a fantastic developmental step and should be celebrated!

#3 Scraping! 


​When spoon feeding, most of us put the spoon toward the top of a baby's mouth and then scrape the food off the top lip or hard palate so it's comes off the spoon. Watch this video for an example of what this looks like, and notice how baby is also being fed quickly and without much time to open his mouth or respond to the spoon. See how he leans away and looks a little overwhelmed:
Furthermore, as baby gets messy and her face becomes covered in food, we usually like to scrape it off with the spoon. Here is an example of face scraping: 
Depositing food at the top of a baby's mouth makes her an inactive member of the feeding process and doesn't teach her where food should go when she eventually brings it to her mouth herself. When we scrape her face after she has taken a bite, it can be uncomfortable and may lead to feeding aversions, as many babies don't like the sensation. Below are some additional tips about the mechanics of spoon feeding that you may find helpful:
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  • Hold the spoon 12 inches in front of your baby's face and let her notice the spoon and open her mouth. Remember, if she's uninterested or distracted, don't slip in the spoon while she's not looking.
  • Guide the spoon toward the back corners of her mouth, not her top lip or hard palate. 
  • Let baby lean forward toward the spoon and remove the food off the spoon with her lip - don't scrape it up against her lip to remove the food.
  • If baby starts reaching for the spoon, great! Let her guide it to her her own mouth and get messy. 
  • It's OK if baby has food on her face - work on cleaning it gently after the meal is over. It's important for babies to get messy and to touch food with their skin.​

#4 Staying on purees for too long.


​Pureed food feels safe for parents who worry about babies choking on whole foods. Unfortunately, if a baby isn't introduced to other textures relatively quickly, he may have difficulties graduating off purees. One study suggests that if babies aren't fed lumpy foods by 9 months, their risk of feeding difficulty later in life increases. Babies aren't meant to be on pureed food for life - the goal for all babies is to eventually eat real food. Here is the typical progression of food texture in TW:
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  • Stage one purees
  • Thicker purees with cereal or stage 2
  • Soft mashed table foods and smooth table food purees - mashed banana, mashed potatoes 
  • Hard munchables - celery, carrots, jicama, bell pepper strips
  • Meltable hard solids - Veggie Stix, graham crackers, puffs 
  • Soft cubes - cubed meat, cubed cheese
  • Soft mechanical foods (single textures) - cream cheese, yogurt
  • Mixed textures or stage 3 foods
  • Soft table foods
  • Hard mechanical - pretzels, apples (watch choking hazards)

Of course, this continuum of textures is more important in feeding therapy and with kids who really struggle with various textures. Once you feel confident in your baby's eating ability, play around with lumpier foods like mashed fruit or veggies, soft finger foods like cooked green beans, or ground meat. Spoon feeding pureed food should be a short stage in your baby's eating experience. Your baby won't be able to pick up small pieces of food until he has his pincer grasp, but he can get longer, strip-shaped foods starting at 6 months.

Side note: keep in mind that baby food pouches are still pureed food, and they don't offer a sensory experience for the eater. We recommend using them sparingly. 

#5 Spoon or hand feeding your toddler.


​Barring developmental or medical challenges, most toddlers should self feed without being hand or spoon fed by a parent by 14-16 months. Some parents of older toddlers hand feed them regularly in order to "get them to eat," and we completely understand the fear behind trusting that your child will, in fact, eat when he's hungry. Hand feeding older toddlers doesn't allow them to decide how much to eat and can start to interfere with their hunger and fullness cues. It also prevents the toddler from honing in on age-appropriate feeding skills and takes away from much of the sensory and motor development experiences that feeding provides. If you need strategies to help with your picky toddler, check out our online course. 

When spoon feeding an infant who starts to grab for the spoon, instead of getting frustrated, try to celebrate this huge developmental milestone! Your baby is showing you that he wants to start feeding himself - remember, that's the goal! Check out this video of a parent appropriately responding to her baby's desire to self-feed:
In this next video, watch how mom hands baby a loaded NumNum GOOtensil, which is designed to encourage babies to self feed. The center of the GOOtensil is hollow and allows purees or other smooth textures to be captured without worrying about which side of the utensil is "up," and the handle is short - perfect for baby's hands. 
Need more help feeding your baby? Be sure to join our Feeding Littles Group on Facebook and follow along on our Facebook and Instagram pages! Stay tuned for an online version of our live Baby-led Weaning class, coming soon! 
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Dave m
2/3/2018 10:37:16 am

One of my 6 month old daughters has decided that she wants to scream in frustration whenever you take the spoon OUT of her mouth as if we were trying to starve her, even though she has food in her mouth. how do we help her understand that the food is the goal and not sucking on the spoon?

Casey link
9/19/2018 11:28:03 am

Hi Dave,
I am an Occupational Therapist, and Feeding therapist. What your little one is doing, is completely normal and encouraged. Sucking on the spoon is actually helping her a few ways. First, it is helping her to move her gag reflex back, (located on the front portion of her tongue back towards her throat) which will allow her to hold more food in her mouth, and use her tongue to bring that food to her back molars (when they come in) to then swallow. The second skill she is learning is how to elevate and depress her tongue. She is developing oral motor control, and is receiving a lot of sensory input during this time. The input she receives from her tongue, tells the brain where the food is and how much force or pressure is needed to control that food in her mouth. Thirdly, sucking on the spoon, and using her tongue to explore the spoon will help her develop rotary chewing for when she starts eating a variety of textured solids. As she moves the spoon around her mouth she is developing the necessary chewing, and swallowing skills.
I hope this helps!


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    Authors

    Megan and Judy, co-owners of Feeding Littles, bring you helpful info on food, nutrition, picky eating, and feeding young children. Megan McNamee MPH, RDN is a Registered Dietitian Nutritionist based in Scottsdale, Arizona. Judy Delaware, OTR/L is an Occupational Therapist specializing in feeding therapy with children 3 and under in Boulder, Colorado. Megan and Judy are both moms of two and love helping families develop a healthy appetite for all foods! 

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