Thursday, April 17, 2014

Healthy Eating for Kids - Snack Food

Why is it that when I walk into a day care snack time, I see kids eating pretzels, goldfish, crackers, or other variety of simple carb loaded with salt and almost void of nutrition?  Why, when kids gain the ability to feed themselves, do we swap their pureed veggies, fruits, meat, and grains, for crunchy, salty, refined white flour products in a plastic bag?  

Sure, I know that it's easier.  But is it even a conscious choice anymore?  Or have we all been lulled into forgetting the wise old adage that we are what we eat?  

Please don't misunderstand me: I'm all for the occasional treat, and for enjoying food in a relaxed manner.  However, I firmly believe that our children should be snacking to nourish, not just to fill their bellies.  Snacks should provide protein, vitamins and minerals.  To be fair, the bagged crunchy treats do provide vitamins and minerals - they are artificially inserted after processing removes the nutrients which nature provided.


There are folks who will argue that nutrients are nutrients, whether they occur naturally in your food or are added as part of the processing.  I do not agree; I believe it's incredibly important to obtain nutrients from whole foods, the way nature intended. But that argument is beyond the scope of today's blog.  There is no argument that whole foods contain certain nutrients that are not available in processed foods (the polyphenols in berries is one example).

Protein performs a variety of vital jobs in our bodies, and therefore must be eaten in adequate amounts throughout the day.  Most adults in the US eat too much meat, and therefore too much protein.  However, many kids in the US do not get enough protein at a given meal and do not eat protein frequently enough.  This is due in part to taste (many kids only like certain protein foods served in particular ways) and in part to what's offered to them.  One of protein's most important jobs in a child's life (and the adults who care for that child) is to balance blood sugar, thereby preventing emotional melt-downs.  But it's also important for growth and development of the body and brain, for proper immune system functioning, for clear thinking, and for physical energy, as well as for many other bodily functions. 


All this is to say, let's make better choices when it comes to finger and snack foods for our kids.  Let's call out salty crunchy white flour products for what they are - treats.  Let's take this opportunity to boost immune systems, lower obesity risk, flatten emotional roller coasters, and promote a love of healthy food. And parents, don't just do this at home - talk to your child care providers about improving food choices at their establishments too. 


My top 5 nourishing, non-protein snack foods:
  1. grapes (watch out for choking in the younger crowd)
  2. berries
  3. roasted yam bites (this is a recipe I use all the time, however, I don't cook on aluminum; I use cast iron.  Look for more on this in a future blog post.)
  4. baked oatmeal bites
  5. baby carrots (steamed if you're feeding a younger child)
My top 5 protein-rich snack foods:
  1. peas
  2. roasted chick peas
  3. cheese - sliced, cubed, or sticks
  4. cubed deli meat
  5. hummus 
For a well-rounded, protein-balanced snack, choose at least one from each list to offer at each snack.  These foods made my top 5 based on their nutrient density, appeal to kids, ease of prep, and lack of mess when eaten.  You'll notice I've left nuts out of the discussion here, as many day cares and schools are nut-free facilities due to allergies.  If nuts are available to you, they are an easy, nutrient-dense, protein-rich snack.




Juice - I have 3 uses for juice: a young, sick, dehydrated child who might otherwise require an IV for fluid replacement; a constipated child; a mixer for my adult beverage.  As far as I'm concerned, it should never be used for anything else.  Except maybe as a dessert, but when I'm having dessert I want ooey-gooey chocolate, not juice.  There is as much sugar in juice as there is in soda.  Although 100% juice has the same nutrients found in the original fruit (as long as they haven't been processed out), the huge amount of sugar, and the total lack of fiber, make it an unhealthy choice.  Kids should drink water, milk, or herbal tea (alternative milks can be low in protein and high in sugar, so be careful with them).
 
Parents are often concerned about their children overeating.  In our world full of obesity, diabetes, and heart disease, it's an understandable concern.  But kids won't overeat (unless we push them to - see my blog post "Growing Healthy Eaters").  What they will do is eat what we offer them.  If we offer them empty calories on a daily basis, they will grow accustomed to eating this way, putting them at risk for innumerable health concerns.  If we offer them nutrient-dense food on a daily basis, and reserve empty calories for special occasions, we prevent a myriad of health problems, and foster adventurous eating.

Resources (Recipes):

Parents.com - I disagree with some of their choices, but there are a lot of great creative ideas here

100 days of real food

Vegetarian protein snacks

Weelicious.com - more simple carb and sugary recipes than I prefer here, but there are also lots of really nourishing and creative recipes.  Also, she's lowered the sugar content of the sweet treats.


Happy eating!!

I have no affiliations or financial interests to disclose.




 

Wednesday, April 9, 2014

A Little Love

I just couldn't let this article "What a Little Love Means to a Little One," go by without bringing some extra attention to it.  
 
It was posted on ABCnews.com on Sunday.  I missed it until a good friend and colleague posted it on her Facebook page.  If you haven't already had a chance to read it, I encourage you to do so now.

In a world full of children who struggle to connect emotionally, I can't help  wondering how much of it is due to what this article addresses - a lack of appropriate love and affection given by the parents in infancy.  


Photo by Tostadophoto.com; downloaded from Flickr without amendments


The authors present some numbers that to me are truly shocking: 4 out of 10 US born infants do not form a strong bond with either parent and 40% of US infants live in fear or distrust of their parents.

I understand some of the barriers to giving attention to babies:  we are busy with other children; we are distracted by the perpetual voice in our heads ticking off all the things we need to do that day; some of us are stressed about trying to get the bills paid and put enough food on the table; some of us have babies who cry all the time; some of us have undiagnosed or untreated Post Partum Depression.

If being busy with other children is your barrier, I have a simple solution: wear your baby.  I know it's hard to carve out time to snuggle baby when you're chasing after a toddler.  And sure, babies still cry sometimes even when they are being worn.  But this way, they are getting that physical attention they need.  And I'm pretty sure if they could speak, they'd say "Mama, I much prefer to cry in your arms than to cry alone in my car seat!"  Is it a perfect and complete solution?  Of course not, but I think it goes a long way.

Photo by Jasleen Kaur; downloaded from Flickr without amendments


The authors mention that poverty is a contributing factor.  And clearly, when money is so tight that you have to decide between food and health insurance, you're going to be over-stressed and less emotionally available to your screaming baby.  For those who are that poor, we need to find a way to help you.  Here are a couple of links to places that serve moms in poverty (if you don't need this kind of help, please consider volunteering your time or making a donation): 

A Wider Circle
King County MOMs Plus Program

For those who are not financially destitute, we need to, with all due respect, get a grip.  Whatever we are struggling with should pale in comparison to the needs of this tiny human we've just brought into the world. It might even be time to sit down, snuggle with your baby, put your feet up, and think about how you can re-prioritize your life.  How can you change things so that you have more time with your baby, and maybe even more time for yourself?  Are you a perfectionist who can't have a messy house?  Are you an over-achiever who can never say no?  Are you avidly against ever eating take-out?  Are you working when you don't really have to?  For most of us, there are small steps we can take to reduce stress and have a little more free time.  Personally, I had to let go of four things:  exercising for as long and as often as I prefer; keeping my house as clean as I like it; advancing my career as quickly as I intended; and always eating homemade food.


Photo by Andrew Dawes; downloaded from Flickr without amendments



For parents of babies who cry all the time, life can certainly be tough.  Sometimes, you really do need to put baby down and walk away.  Naturopathic Medicine has a lot to offer to babies who have colic.  If you think your baby is abnormally fussy or has colic, schedule an appointment with your ND.  And here are some resources for help with colic:

http://www.cooperhouse.org/fussybaby/index.html
http://www.healthychildren.org/English/ages-stages/baby/crying-colic/Pages/Colic.aspx
http://www.askdrsears.com/topics/health-concerns/fussy-baby/coping-with-colic (NOTE:  I recommend against altering your diet without the input and participation of a health care provider.)

Finally, if you think you may have Post Partum Depression, address it now, before it gets any worse.  There are pharmaceuticals, vitamins, nutrients, and herbs that can help relatively quickly.  They can make you feel like yourself again.  They can take you and your baby out of harm's way.  But you have to take the first step: go see your doctor.

I know there are barriers I'm not aware of.  And I know there are barriers that may seem to have no solution.  I think we can all agree on the goal:  more babies loved and tended to properly more of the time.  I wrote this piece hoping to encourage moms, dads, aunts, uncles, friends, and caregivers to join me in reaching out to whomever you can whenever you can to try to attain this goal.  People can put up a powerful facade when things are not going well, so please remember to go out of your way to lend a helping hand whenever possible.

Thursday, April 3, 2014

Will I ever drink again: Alcohol and Nursing

The baby has arrived, you are home and beginning to think you may have settled a little in to this new parent thing.  You may even dare to think you are developing a bit of a routine.  Your body is healing and your baby is thriving.  Adult beverages have begun to sound appealing again.  But how does drinking affect nursing? Does it show up in breast milk?  What does it do to baby? What does it do to your supply? What problems might arise from drinking and nursing? 

Does alcohol transfer into the breast milk? 
Yes.  If there is alcohol in mom’s blood stream, then there is alcohol in the breast milk.  If baby drinks breast milk with alcohol in it, his liver has to process it, and his body will be affected by it.  Babies’ livers are immature, therefore their ability to process alcohol and other toxins is diminished.  (Their brains, nervous systems, and kidneys are all immature; therefore they are generally more susceptible to all toxins.)

Does alcohol affect baby?
Baby will have the same issues we do, but with a much lower amount of alcohol.  So even a small amount of alcohol in breast milk can cause problems such as poor sleeping and poor eating (babies have been shown to get less milk from a feeding occurring within 4 hours of mom having a drink)[1]. Alcohol in breast milk may also lead to motor delay, although the research on this is conflicting.  Prolonged or heavy use of alcohol in a breastfeeding mother would lead to much more severe health issues in a nursing baby. 

If you can’t resist the urge to drink, or feel you may be drinking too much, please consult your health care provider.  You may need help, and you may need to provide formula or donor milk instead of breastfeeding.

Does alcohol affect breast milk supply?
Contrary to popular belief, beer does not increase breast milk production (not even dark beer).  In fact, alcohol ingestion may decrease supply.  And as mentioned above, a baby nursing within 4 hours of mom having a drink may get less milk.  (If you need help increasing your supply, see your health care provider.  Supply can often be increased with the help of a lactation educator or consultant, and by taking certain herbs, foods, or pharmaceuticals.)

 Photo by Kimery Davis; downloaded from Flickr without amendments
So what’s the bottom line?
Most experts agree that it is okay to have an occasional drink while nursing. But what is occasional?  Is it okay to drink every day?  Is it okay to drink more than one drink at a time?  The details of this are not known with certainty.  It’s difficult to study. 

Some say limit drinking to special occasions, and some say no more than 1 or 2 times per week.  Some say one small drink, and some say up to 2 glasses of wine or beer or one shot.  Some say to wait until baby is 3 months of age.  To further complicate the issue, there are additional variables: the age and metabolism of your baby, your own metabolism and ability to process alcohol and how much you have eaten with your beverage.

So what’s the bottom line?  It’s probably okay to have one or two drinks on special occasions, or less than 2 times a week.  

Ensure that you avoid breastfeeding your baby until you are sure you no longer feel affected by the alcohol.  This may mean you have to provide formula or breastmilk you pumped before drinking.  If you want more specifics, be sure to contact your health care provider.
Photo by Eivind Barstad Waaler; downloaded from Flicker without amendments

Co-sleepers:  Remember that you should never co-sleep after drinking alcohol.

A note on SIDS:  People often sleep more soundly after alcohol ingestion, so you may not wake as quickly or as easily to baby’s noises.

I’m having a drink – how should I do it?
Have your drink just after you nurse or pump, then nurse or pump again once the alcohol is out of your blood stream. For one drink, it generally takes about 2 to 4 hours for alcohol to dissipate from your milk, BUT everyone is different.  If you feel the effects of the alcohol, it is too early to feed (this is an argument for limiting yourself to 2 drinks at the most.)  If baby is hungry before you feel ready to feed, give previously pumped milk or formula.  Also, remember that alcohol and breastfeeding are dehydrating, so be sure you drink extra water to compensate.
Should I pump and dump?
Do NOT pump and dump.  There is no need.  Once alcohol is out of your blood, it is out of your milk.  Pumping and dumping does not speed that process up. If you need to pump to relieve engorgement until the next feed, do dispose of that milk.  But do not pump to try to get rid of alcohol.

Some words from the nostalgic mom
Remember that you will not breastfeed forever.  You will also not be the parent of a baby forever.  Before you know it you will have the time and freedom to drink and go out as you please.  So try to savor the here and now, even when it means you are covered in spit up and drinking lactation tea.  It will be gone before you know it.


[1] Mennella & Beauchamp 1991, 1993; Mennella 1997, 1999

More resources:

Wednesday, March 19, 2014

Car Seat Safety


Tragically, thousands of young children are injured or killed in car crashes every year.  You already know that their best protection is a good car seat.  But did you know that you are likely using your car seat incorrectly? According to the National Highway Traffic Safety Administration, 3 out of 4 seats are used incorrectly.  Seatcheck.org claims that 7 out of 10 children are improperly secured in their car seats.  These numbers are shocking. 

Unfortunately, there is no session in your birth class on choosing a car seat and installing and using it properly.  When you leave the hospital or birth center, they make sure you have a car seat, but they do not verify that it’s the right seat, or that you are using it properly.  And your child’s provider may not address car seat safety.  So when and how are you supposed to learn the ways of the car seat?

There is an excellent article on HealthyChildren.org that outlines almost everything there is to know about car seats.  It is thorough and long.  Rather than reinvent the wheel, my goal in this post is only to point out some of the most common mistakes.

Photo by Bradley Gordon / bradleygee; uploaded from Flickr without amendments.

Choosing the Right Seat
·       Make sure your child is in the right car seat for her age, weight, and height.  As your child grows, keep checking the owner’s manual for height and weight limits.  Don’t try to push it past the limits just because the infant car seat is easier to use.
·       Be careful with used car seats.  Once a seat has been in a collision, it is worthless and should be discarded.
·       Do not use a seat that is more than 6 years old, has been in a collision, has signs of wear and tear, is structurally unsound, or is missing pieces.
·       Make sure your seat has not been recalled.  To do so, you’ll need to know the manufacture date and model number.  Check for recalls here.

Installing it Properly
This can get tricky:  LATCH versus seat belt; middle seat versus side seat; older cars that don’t have LATCH.  It’s not always obvious, and the owner’s manuals can be tricky to follow.  Do yourself a favor and have an expert do it for you (see resources).  Or, at least, stop by a free car seat inspection event and have an expert check your work (see resources).

Using it Properly
·       Ride rear facing until at least 2 years of age.  Don’t turn your child forward until he has exceeded the height and weight limits for his seat in the rear facing position (which usually means he can rear face long after 2 years of age). 
o   But what about his legs hitting the seat?  Injuries to legs are rare, and a child who is used to riding rear facing probably won’t be bothered since he doesn’t know the difference.
o   But I can’t interact and distract him as well if I can’t see him.  Consider this a small price to pay for a huge increase in safety. 
o   Is it really that much safer? Yes. A 2007 study in the journal Injury Prevention found that children under age 2 are 75 percent less likely to die or to be severely injured in a crash if they are rear-facing[1].  Alisa Baer, M.D., a pediatrician and nationally certified child passenger safety instructor quotes a different study showing that “rear-facing is 5 times safer for two-year-olds[2].”
·       Chest clip should be even with the bottom of the armpits.
·       The carrying handle should be placed in the retracted position.
·       Coats should not be worn.  In fact, your child can be in a onesie with an outfit over it, but nothing thicker than that.  Coats and other thick fabrics can compress in an accident, endangering your child.
·       Straps should be tight.  You should just be able to slip one finger between the strap and your child’s collarbone.
·       Do not set the car seat with baby in it
o   on top of a table, counter, etc – you would be surprised how far the car seat can fly when baby starts to wiggle
o   in the small part of grocery cart – again, the seat can fall from here, taking baby with it.  Only use the large part of the cart or your snap and go system.
o   down in the parking lot or street.  You never know when a car might lose control.  Always put the car seat directly in the car.
·       Keep your older child in her booster seat.  She must be 4’9” tall, which usually occurs around 10-12 years of age, before she can ditch the booster.  The lap belt must fit across the upper thighs, not the abdomen, and the shoulder best should fit across the shoulder and chest, not the neck and face.  She must also have the maturity to ride with her seat belt fastened correctly at all times.

Note in this picture that the chest clip is too low, the straps are loose, and the crotch strap may not be placed correctly.
Photo by Mark Evans / chimothy27; uploaded from Flickr without amendments.

Other tips:
o   Travel with a car seat.  Though it’s common to see children on airplanes riding in laps or squirming freely in a seat, it’s important to remember that they are safest when properly secured in their car seats. 
o   Use the car seat every time.  It may be tempting to forgo it, but remember that many accidents occur close to home, on familiar routes, and at low speeds.
o   Keep your child in the back seat until 13 years of age.
o   Everyone else in the car must buckle up too.  Having one person in the car not buckled up puts everyone else in the car at higher risk.

I know car seat logistics are not a fun thing to spend time and energy on, but I’m sure it’s worth the payoff in peace of mind and increased safety for your child.

Resources:
Find where to have your car seat checked by local experts:  NHTSA
More information on car seats: Parents Central 
More information on car seats and general vehicle safety: download the “Playing it Safe” Brochure here 
More information on car seats at Kids Health  
More details on common car seat mistakes  
More information on car seats at The Car Seat Lady

Car Seat Checks:
Car seat class at Seattle Children’s Hospital
Seattle area car seat expert, who will install your seat for you and review safety tips with you: Sue, (206) 619-2871
Safety Restraint Coalition events: (425) 828-8975
Seattle Children’s Hospital events




[1] http://www.cnn.com/2011/HEALTH/03/21/car.seat.guidelines.parenting/
[2] http://www.parenting.com/gallery/car-seat-laws-requirements-installation?pnid=318525

Wednesday, March 5, 2014

Growing Healthy Eaters

Food Fights  
Not fun to watch.  Not fun for the parent.  Not fun for the kid.  And I can’t help wondering:  what sort of emotional understanding of eating does it instill in the child?  I worry that establishing a pattern where eating is associated with anxiety and struggles for control may cause emotional reactions to food in later life.   I hope I’m overreacting, for the sake of the many children I’ve witnessed having food fights with their parents. But at the very least, food fights are a major headache for the parent.  And wouldn’t it be lovely if the whole family could relax and enjoy mealtime together?

Photo credit Shutterstock; uploaded without amendment from Flickr.

My Advice
My advice on creating healthy eaters is primarily based on first hand experience, but is also rooted in the advice of Catherine Berglund, MPH, who spoke to my PEPS group when my son was learning to be a good eater, and various other food experts.  This subject matter is not easy to study, so most of what I say is not based in scientifically proven fact, but rather opinions and ideas that have been validated by my experience.  My advice applies to children of all ages, but is much easier to implement if you start right from the beginning.  Otherwise, you’ll find some habits are hard to break.

Breathe
My biggest piece of advice is: BREATHE.  Your child will learn to eat, no matter what you do.  Also, your child will not starve himself.  Children know when they are hungry, and when they need to eat.  So if you are offering solids, and your child doesn’t seem interested, that’s okay.  Stop offering.  He will eat when he needs to.  This piece of advice applies to parenting in general – the more you breathe, the better off you and your children will be.

Babies Communicate
Next, know that your child is communicating with you.  She gives you cues around food; your job is to know what they are, watch for them, and respond to them. 
·       Cues baby is hungry:  looks at you when you’re offering food, opens mouth when shown food, avidly watches you eat, reaches for food. 
·       Cues baby is not hungry:  looks away or fails to look toward you when you’re offering food, closes mouth when shown food, pushes food away, or spits food out. 
Some of these may seem painfully obvious, but if you’re not watching for them, or if you’re overly interested in making baby eat a certain amount, you may miss them. 

As soon as you receive a cue that baby is full, stop the meal.  Do not try to get one more bite in.  As long as you are receiving hunger cues, continue the meal, no matter how much baby has already eaten.  

Note this baby is leaning toward the food, eyes wide open, mouth wide open.  This is a hungry baby!  Photo by pixydust8605; uploaded from Flickr without amendment.

Empower Baby
Babies learn by experiencing things.  They need to experience things on their own terms via touch, smell, taste, and sound to grasp their world. We typically allow them this freedom in the interest of fostering learning.  We let them color outside the lines; we give them finger paints and let them make a creative mess; we allow them to knock down the blocks we’ve stacked up.  These are all ways we allow baby to make a bit of a mess in the name of empowerment and learning. 

Eating is also a learned skill.  So why not approach it with the same attitude we take when they are learning to color, paint, or stack blocks?  Enforcing strict rules about how to eat, what and how much to eat may limit baby’s interest in learning. 

Babies have so little control in their young lives, and for good reason.  We parents spend most of our days keeping them safe and healthy and enriching their lives, which necessarily means we are in control most of the time.  But eating is an area we can allow to be primarily under their control.  And who knows?  Giving them control may foster interest, drive, and creativity, resulting in healthy and adventurous eating habits for life. 

Showing them from the start that you are allowing them to take the reins, and then continuing to let them be in control as they age, allows eating to be about their own experience and needs, rather than being something they do because they have to.

Ways to Empower Baby
·       Allow baby to feed herself 
o   This is one of the principles behind Baby Led Weaning (BLW).  These babies skip purees and start feeding themselves from the start.  (See my “Solid Food Introduction” blog post for more information on BLW).
o   Most babies who have not done BLW are ready to start feeding themselves around 9 months.  You will probably need to continue spoon feeding for some time, but they are ready to start trying to pick up finger foods.  (See my upcoming post on food quality for healthy finger food options.)
·       Allow her to make a mess
·       Allow her to play with her food (remember this is how babies learn)


Contain Yourself
Baby picks up on your emotions.  Probably more than you realize.  When you are visibly disappointed that he declines the bite of food you are offering, he sees that.  And when you are exuberant because he decides to take the bite he was considering declining, he sees that.  Babies may start to learn that taking in more food makes you happy, and that declining food makes you sad.  They want to make you happy, so they may start to open up just to please you.  They also may learn to compete with you for control.  This can be one of the first times they see that their actions produce certain emotional responses from you. 

So review the cues outlined above, and when you’re following them, do so without emotional attachment.  Remember, babies know when to eat, and will not starve themselves.  So don’t pretend to be emotionless about their eating – actually be emotionless about it. 

Family Meal
Eat at routine times, at the dinner table, with the family, without TV, gadgets, or other distractions.  Talk about how everyone’s days went.  Before long, your baby will participate in the discussion.  This is hard for families who have a parent who works long hours.  Do the best you can.  It is valuable to have family meals even when only one parent can be present.

The 10 Try Rule
It can take 10 trials of a food before a child knows for sure whether he likes it or not.  So if you offer chicken 6 times and baby doesn’t seem to like it, try 4 more times.  Without emotional attachment of course!

Desert
Avoid using food as a bribe, reward, or punishment.  Instead, use sticker charts, toys, activities, etc.  Food is for nourishment.  If you want to offer desert or a treat, do so.  But do not attach strings to it such as finishing your plate or cleaning your room.  Be careful offering fruit after every meal, as this can instill the need for a sweet just as if you had offered desert.

Toddlers
Toddlers will go through a picky phase.  They are learning exactly what they do and do not like in this life.  They are also learning their place in this world.  In my experience, the picky phase is mostly about wanting to gain control.  If food has never involved a power struggle for them, their picky phase will likely be less severe. 

Toddler nutrition spans a week, not a day.  Adults need a variety of nutrients every day for optimal health.  But toddlers do not.  So if they skip the protein for a few days, that’s okay.  Likewise, if they eat fruit for 2 days, apart from the messy diaper, that’s okay.

Consider getting creative and imaginative with food during the picky phase.  Think broccoli forests, asparagus spears, and mushroom houses.  But be careful – don’t get so wrapped up in the creativity that you get emotional about getting them to eat.

Participation
Encourage your kids to participate in food from the start.  At the store with your child, even your infant, point out what you are buying.  Let her touch produce.  Take her to the bulk spice aisle and let her smell spices.  Tell her the names of the items you are putting in the cart.  Take your child to farmers markets, community gardens, and you–pick farms.  Start your own garden and involve your child in the planning, planting, watering, and harvesting.  Involve your child in cooking.  An infant can be worn or sit in an appropriate seat in the kitchen while you are cooking.  A toddler can stand on a learning platform and watch what you are doing.  Explain what items you are using and what you are doing.  Allow older toddlers to hold spoons and help you measure and stir.  Any participation a child has in food preparation provides him with a sense of control over the food experience and piques his interest. 


NOTE:  Always follow your child’s Health Care Provider’s advice on solid food introduction and nutrition.  If your child is underweight, or has other nutritional or developmental concerns, stay in close contact with your child’s provider, and know that the approaches I’ve outlined here may not work for you and your child.

Resources:

Catherine Berglund, MPH, maintains a GoodEater4Life Facebook page:

BabyLedWeaning.com

I’ve enjoyed good and healthy family friendly recipes from:
Feeding the Whole Family, by Cynthia Lair; www.cynthialair.com

I have no financial interests to disclose.