Thursday, January 20, 2011

Confused About When To Wean? Your Baby Has The Answer.

It has been nearly a full week since the first media buzz about a new study that contradicts the World Health Organization’s recommendations to breastfeed exclusively for at least 6 months. Originally published in the British Medical Journal, a new review basically states that waiting 6 months to introduce solid foods (wean) may leave babies at an increased risk of iron deficiencies, obesity and food allergies. Instead the authors suggest starting the weaning process at 4 months of age. Not surprisingly, the main stream media took it upon themselves to turn this into fear mongering headlines like ‘Breastfeeding for 6 months is too long and could hurt babies’.

The World Health Organization and UNICEF have both released statements backing up their 6 month recommendations, sighting that this one review in the British Medical Journal is contradicted by thousands of other studies and the data used in this review is incomplete. It should also be noted that 3 of the 4 authors received funding from the commercial baby food industry. You can find a summary of this article's many flaws on the Baby Milk Action website.

UK officials have apparently asked that further studies be conducted to review their own official recommendations that babies be exclusively breastfed for 6 months. In the mean time, confusion and fear have won out causing many new parents to question their decision to breastfeed, and when to start the weaning process. I am going to go out on a limb and suggest that is exactly the reaction the baby food industry was hoping for.

Regardless of how this whole scenario plays out, and whether or not the UK changes it’s current recommendation from 6 months to 4 months, here's what I think:

Instead of health professionals adding confusion, stress, and pressure on parents by advising that they mark a date on a calendar to start introducing complementary foods, why not educate parents about the physical and developmental signs that their child is actually ready to eat solid foods? While the recommendation to start the weaning process at 6 months is a nice guideline that loosely fits the average baby, there are some babies who show all signs of readiness before 6 months and still more who don’t show all of the signs until later.

The developmental signs that a baby is ready to start solid foods, and the reasons they are so important are*:

- The ability to sit upright unassisted. A baby who is sitting upright without being propped or supported is better able to chew and swallow foods without choking. Tipping a baby too young to sit up backwards to feed them is a very real and dangerous choking hazard!
- Loss of the thrust reflex. The thrust reflex causes babies to thrust their tongue forward to spit out any foreign objects or substances. This reflex protects a baby’s airway from becoming blocked and is your baby’s way of telling you ‘I am just not ready’. Many parents who start solid foods too early will remark that their baby ‘spits it out and doesn’t seem to like it’ this is a sign to stop, not to try different foods.
- The ability to grasp and bring objects/food to the mouth. With the ability to place objects in his or her own mouth, comes the ability to feed him or her self. Just like a breastfed baby self regulates how much milk to drink at the breast, he should also be able to self regulate how much or little solid foods he eats by feeding himself. Spoon feeding infants before they are ready to self feed can lead to over feeding, and without taking proper care to read baby’s cues and offer solids without decreasing breast milk intake, this over feeding can cause milk supply issues and end nursing relationships before the recommended one to two years.
- An interest in food such as watching and mimicking others eating, and grabbing at food that others have. It should be noted that some very young babies show this behaviour so it is important that this be taken as a sign of readiness only AFTER all other milestones have been reached. Conversely, if your child has hit all of the above milestones but does not show any interest in eating it is better to wait until they start to show interest instead of forcing the issue.

Looking at these developmental signs of readiness, it is laughable to suggest that the average 4 month old would be ready to eat anything other than his or her mother’s milk. But I can see why those who work in the baby food industry wouldn’t want parents to wait for all of these signs. Once your baby is ready, REALLY ready to eat solid foods, there is no need to finely puree and mash all of his or her food or buy jars of liquid fruits and vegetables or feed them powdered cereals mixed with water or milk.**

Once your baby has hit ALL of the developmental milestones needed to start solid foods, he or she will be able to start with finger foods, a practice known as baby led weaning. The basic principle of baby led weaning is to offer pieces of nutritious whole foods for your child to explore and self feed while still receiving most of their nutrition from breast milk or formula. Avocado chunks are a popular first food for baby lead weaning, other popular early foods include whole bananas and steamed vegetable spears. You can learn more about the practice of baby led weaning here.

If you're still not convinced, and are not interested in making your own mashed baby foods, there is certainly nothing wrong with that, but I would still steer clear of commercial baby foods and encourage you to look for mom-preneurs in your area who may deliver home made baby food for a fee, or click here to read a Connected Mom review of organic preservative-free super yummy and flavorful baby food by Ella's Kitchen.

No matter how you choose to introduce solid foods to your baby, the when is still very very important. Anyone who may be swayed by this latest review, and the media blowing it far out of proportion by making bold statements with incomplete information, I encourage you to look further into what the data is actually saying. Think about what the baby food industry has to gain, and what you and your family has to loose in making the decision to introduce solid foods early***. I am not trying to sound alarmist or paranoid, but the baby food industry is not exactly known for their ethics where their bottom line is concerned. If you are concerned about obesity, iron levels or food allergies, please talk to your doctor about it, and know that there are many other less bias studies that show delaying the introduction of solids until your baby is 6 months old is the safest and healthiest choice.

*These signs were gathered and consolidated into the bullet points on my list from the Ask Dr. Sears website and my favorite baby food website Whole Baby Foods.

**Kim, a nutritionist who runs Your Green Baby has written this must read article about baby rice cereals.

** See Dr. Sears on Allergies, on benefits of delaying solids, Le Leche League Information on unwanted/early weaning

5 comments: said... [Reply to comment]

Thanks for posting about that study and offering advice to parents who may not know infants' signs of readiness for solids. When I encountered news about the study, I thought "Great, just what moms need--yet another reason/excuse to not breastfeed." I'm so beyond tired of studies about breastfeeding conducted by authors receiving compensation from formula companies. So unethical.

Amber said... [Reply to comment]

This post could not have come at a better time. I have struggled for two months trying to feed my 5 month old (now 7 months)"food". She doesn't get it. She doesn't want a spoon near her mouth and most of what does get in her mouth ends up on her bib. My husband and I decided to do a "time out" for a few weeks and offer her solids again... at her own pace. For now its breast, breast, breast. And guess who is less stressed? All of us!

Sheila said... [Reply to comment]

Yes, you should definitely watch your baby and not the calendar! Mine was sitting up and grabbing eagerly for food at five months, so it was a little shy of six months when I introduced solids. (By "introduced," I mean I let him grab some pieces of carrot out of my bowl of stew. It was just getting too hard to keep him away from them.) But I don't know what baby would be showing signs of readiness at four months ... how would they even sit up to eat safely?

Julian@connectedmom said... [Reply to comment] I totally agree. I think the most interesting part of all this for me was the jump from 'new review suggests indroduce solids at 4 months' to 'breastfeeding for 6 months is bad for babies'. Why can't the media, and our society, just come to terms with the fact that breastfeeding is normal and natural and not something that needs to be hated on at every turn!

@amber You're so right, it's a lot less stressful to wait and follow baby's lead! FWIW my son wasn't at all interested in eating solid foods until about 8-9months. I would just put figer foods on his tray during our meal times and let him play with them. He would mash, slap, fling, throw, and rub it into his face but didn't actuallt take a bite for quite a while! lol

@sheila - My son's "BFF" who's about the same age was the same way. He was showing interest and grabbing and sitting up at 5 months. His mother was nervous about holding him off so I just said to her 'If he's ready he's ready, he doesn't know the date, he just knows that food looks delicious!'
But I've never met a 4 month old who would sit up well enough to eat safely. Maybe a few exist, but the reality of feeding a 4 month old solids would mean tipping them backwards and dribbling purees down their throats. It makes me really sad to think about but I know many do it. (I know this b/c the high chair we have has the option to 'recline for assisted sitters!' ugh!)

Nena said... [Reply to comment]

Interesting that this study comes out at the same time that there is a resurgence of Mothers choosing the breast over bottle. It seems that as parents become more interested in providing their children with natural, healthier options - the baby food and formula industries come up with even more disgusting ways to try and confuse parents. I, for one, was appalled when I read these findings and thank you so much for writing this article Jules! Will definitely be providing a link over on my little corner of the web!

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