I thought this book was quite helpful and I’ve captured my notes below. 4 stars because I could have done with the sanctimonious tone (or the pointless parent testimonials on every page). For these authors, BLW is the only conscionable way to feed your child without ruining their relationship to food forever (and also you should be breastfeeding for 2 years at least) (24). They recommend no pouches at all (143). They make BLW seem suspiciously easy: “no need to buy or prepare any special foods for her” because “all you need to do at six months is to start to include your baby whenever you eat” (78-79). They also say absurd stuff like venison, partridge, rabbit, duck, and goose would be very nutritious choices for your baby (201). Emily Oster says there is no evidence that BLW is better than purees, but I’m willing to give this a go.
Interestingly, our pediatrician asked us to try solids before our 6th month appointment (so we could discuss at the visit) but this book says “giving solid foods earlier than six months is not good for babies” because it is less nutrient dense than breastmilk but fills up the baby, decreasing their appetite for breastmilk and leaving baby less well nourished and more prone to infections (12).
Benefits of BLW
- Develops baby’s chewing skills, manual dexterity, and hand-eye coordination (2)
- Avoids gagging and choking because baby manipulates and chews food at the front of the mouth vs. spoon-feeding when food tends to be sucked straight to the back of the mouth (28)
- Kickstarts the digestive process by mixing food with saliva (32)
- Food pureed in advance is lower in vitamin C and higher in sugar, posing a risk for tooth decay and encouraging a liking for extra sweet flavors (32)
Coughing vs. gagging vs. choking
- Coughing- airway is open and object is propelled forward by a sharp blast of air from the lungs, not the tongue (64)
- Gagging- retching movement from the tongue which is triggered farther forward on the tongue of a baby than an adult, which means a gagging baby is rarely in danger of choking; if baby gags, stay calm and be reassuring (63, 94)
- Choking- choking baby is silent and needs someone to dislodge the lump for him using first aid measures; four major risks of choking include: 1) offering choking risk foods; 2) someone else putting food in the baby’s mouth; 3) being distracted or hurried while eating; 4) leaning-back position, which includes eating in a reclining chair, stroller, or car seat; if he needs extra support, use your hands to keep him stable on your lap or tuck a small rolled-up towel around his hips (65-66, 81)
Best practices
- Offer 3-4 different things to start with (e.g., carrot, broccoli, large strip of meat) (89)
- Make sure the tray is not too high in relation to the seat; if baby’s chest is level with the tray, he won’t be able to reach food easily (104)
- Eat with your baby whenever possible because they learn by copying (92)
- At the end of the meal, make a game of asking him to open his mouth wide (or getting him to copy you) to check for food that he tucked away for later (92)
- Offer food as meals or snacks about 6+ times per day for several years (170)
What NOT to do
- Don’t praise baby when he gets it right (93)
- Don’t try to help or guide, which can be distracting (93)
- Don’t pay too much attention to your baby while he’s eating (96)
- If early days and baby is hungry, he wants milk; he has no idea that other foods can fill him up and won’t enjoy being put in a high chair and given pieces of food to play with (167)
Foods to avoid
- Added salt is the single most important ingredient to avoid; babies under 1 year should have no more than 1 gram of salt; a good rule is don’t offer your baby more than 1 salty food per day; multiplying the amount of sodium by 2.5 will tell you the equivalent milligrams of salt (120, 122)
- Avoid added sugar; try mashed banana, dried fruit, or molasses instead (120, 123)
- Avoid low fat versions of milk, cheese, or yogurt; do the full fat version because babies burn up energy easily (124)
- No more than 1 portion of oily fish (sardines, trout, mackerel, salmon) per week because of concerns about mercury; avoid swordfish at all (120, 126)
- Avoid honey before age one (120)
- Avoid rice milk (which contains arsenic) and soy milk (high levels of aluminum and plant estrogens) (120)
- Avoid grapes and cherry tomatoes (unless cut into halves or quarters); cherries, olives or plums with pits; coin shaped pieces of carrot; whole nuts until age three (135)
- Too much insoluble fiber (whole wheat bread and pasta, wheat bran) is bad for babies; soluble fiber (oats, fruit, peas, lentils, chickpeas, brown rice) is okay (194)
Food ideas
- Meat is an important first food because it contains iron and zinc; try chicken legs, ground meat in patties, or stewed meat; cut pork, beef, and lamb across fibers but cut poultry along the fibers otherwise it is too crumbly to hold (129)
- Also try strips of firm omelet, roasted vegetables (carrots, sweet potatoes, parsnips, eggplant, rutabaga, zucchini), steamed vegetables (green beans, baby corn, snow peas, sugar snap peas, cauliflower, broccoli), fruits in wedges (melon, papaya, apples, pears, peaches, nectarines, mangos, avocados), plain rice cakes or fingers of toast, fish fingers, falafel or lentil patties (132)
Drinking
- Milk should be treated as food, not a drink, and only used in cooking or with breakfast cereals until age one (139)
- Take out any small pieces of food he may have dropped in his cup before he drinks to minimize risk of choking (174)
- Sippy cups are okay for travel but let your baby practice with a real cup at home, which is better for teeth and development of his mouth (175)
- Choose a cup that is the size of a shot glass or espresso cup (175)
- Easier to manage a full cup than a half-full cup because it doesn’t need to be tipped as far (175)
Bumps in the road
- Fairly common for babies to go through a lull between 7 and 9 months (149)
- Some babies go days without apparently eating much at all and then switch to eating everything in sight (157)
- May go through a fad where baby only wants bananas (163)