Annabel Karmel Archives | Annabel Karmel https://www.annabelkarmel.com/experts/annabel-karmel/ Baby Food, Recipes, Books & Products for Babies and Children Mon, 21 Jun 2021 15:43:19 +0000 en-GB hourly 1 https://wordpress.org/?v=6.6.2 https://www.annabelkarmel.com/wp-content/uploads/2023/09/fav2-60x60.png Annabel Karmel Archives | Annabel Karmel https://www.annabelkarmel.com/experts/annabel-karmel/ 32 32 Top Tips for Washing Babies Hands https://www.annabelkarmel.com/advice/top-tips-washing-babies-hands/ Fri, 06 Nov 2020 11:41:50 +0000 https://annabelkarmel.com/?post_type=advice&p=78300 Anyone who has begun weaning their little one can sympathise it gets MESSY! But what about cleaning your baby before mealtimes? We should always wash our own hands before eating and babies’ hands are no different… especially once they are old enough to start eating, crawling and getting into all sorts of mischief! Hand washing […]

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Anyone who has begun weaning their little one can sympathise it gets MESSY! But what about cleaning your baby before mealtimes?

We should always wash our own hands before eating and babies’ hands are no different… especially once they are old enough to start eating, crawling and getting into all sorts of mischief! Hand washing is the simplest, yet most effective way to stop the spread of bacteria and therefore keep our babies safe and protected from illnesses.

For some top tips on washing babies hands; including the logistics and what to use on baby’s skin, I’ve answered some of the common hand washing questions below….

Top Tips for Washing Babies Hands

How should you wash your baby’s hands?

One of the most straightforward ways to wash babies hands is of course to hold your baby over the sink, position them on your knee and wash their hands with soap and water as you would your own (being careful not to press little one’s tummy into the sink whilst doing so).

However, if the logistics of doing this isn’t for you (especially when your baby is little), then you can also apply soap to their hands using a dampened soapy washcloth instead, using another cloth dampened with just water to wipe away the soap.

Remember you can also wash babies hands by putting the bowl of soapy water in front of baby or toddler and use a cloth to make sure you get in between all of their fingers, again using a damp cloth after washing to clean off the soapy residue.

Just make sure when you’re drying their hands, the towel is clean and dry.

What to wash babies hands with?

Soap and water are always best for washing babies hands with… regardless of age!

However, if you’re worried that your regular kitchen soap might be a little too harsh for your baby’s delicate skin, then you can always use some of their body wash instead when they are little! Truth is…. anything ‘soapy’ will do the job when it comes to handwashing providing hands are washed thoroughly![1]

Washing babies hands when out and about

When out and about, always stick to using soap and water whenever and wherever you can.

However, if there is no soap and water available, hand sanitiser may be used if there is no alternative but make sure you rub it in until completely dry. Just be aware that hand sanitisers do not work as well as soap and water[2], particularly against germs such as Norovirus[3] or if hands are physically dirty or greasy, so you may want to wipe your little ones’ hands with a damp wipe first.

 

What about toddlers?

It is really important to embed a good hand washing routine as early on in life as possible. As your baby progresses into a toddler, it’s important to change your hand washing technique as they grow, keeping it fun whilst giving them lots of praise and encouragement! Here’s some ideas how you can start getting your toddler involved in washing their hands and help them to understand that it’s an important part of their daily routine…

  • Get a step stool so they can reach the sink themselves

  • Give them independence – Anyone with a toddler will know how much they LOVE a sense of independence and the feeling of being able to do something for themselves! It’s of course always best to supervise them to make sure they wash their hands properly but let them do the main work themselves.

  • Always communicate with them to tell them it’s time to wash their hands and why (for example…. it’s dinner time!)

  • Sing a song with them whilst they wash their hands. Hands should be washed for 20 seconds which is enough time to sing ‘Happy Birthday’ twice, but you could always sing along to a nursery rhyme or any other song your child loves to make sure they stay at the sink long enough! If you’re stuck for song ideas… check out the collaboration between the World Health Organisation and Peppa Pig here

  • Teach them the importance of washing their hands using body paint or glitter every so often so that they have a visual aid of how they need to wash their hands for them to be clean

.. And don’t forget to also wash your hands at the same time! Not only will this help keep everyone safe, but seeing you lead by example will be a great learning tool for your little one from any age.

We hope you find our top tips for washing babies hands helpful!

See our next article on teeth hygiene

[1] Holchem, In Safe Hands, 2018

[2] CDC, Handwashing: Clean Hands Save Lives, https://www.cdc.gov/handwashing/show-me-the-science-hand-sanitizer.html,  2020

[3] CDC, Preventing Norovirus, https://www.cdc.gov/norovirus/about/prevention.html, 2019

Jenna is a fully qualified Environmental Health Practitioner specialising in food safety and public health.

She obtained a first-class Batchelor (BSc) degree in Environmental Health and has since qualified as an Environmental Health Practitioner with the Chartered Institute of Environmental Health (CIEH). Over the past 12 years she has worked in both the public and private sector advising businesses on all things food safety and public health.

Since becoming a Mum to her 2-year-old little girl Mia, she understands first-hand how much things change when you have a little one to think about too! She has always been passionate about food safety and her mission as Food Safety Mum is to help give parents confidence when cooking at home or when eating out and about!

food safety mum logo

For lots more food safety advice, follow Jenna on Instagram

@Foodsafetymum

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Go to Guide: Handling Leftovers Safely https://www.annabelkarmel.com/advice/handling-leftovers-safely/ Fri, 06 Nov 2020 11:16:00 +0000 https://annabelkarmel.com/?post_type=advice&p=78287 The post Go to Guide: Handling Leftovers Safely appeared first on Annabel Karmel.

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Go to guide: preparing, freezing and reheating foods for baby https://www.annabelkarmel.com/advice/preparing-freezing-reheating-foods-baby/ Fri, 18 Sep 2020 09:50:38 +0000 https://annabelkarmel.com/?post_type=advice&p=76702 There’s no doubt that there are so many exciting things to think about when you begin your weaning journey with your little one; choosing a highchair, shopping for snazzy bibs, debating which cup and cutlery is best and deciding what amazing tastes to expose your baby to first… but it’s important not to forget that […]

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There’s no doubt that there are so many exciting things to think about when you begin your weaning journey with your little one; choosing a highchair, shopping for snazzy bibs, debating which cup and cutlery is best and deciding what amazing tastes to expose your baby to first… but it’s important not to forget that amongst all of this, any food you serve needs to be safe! Babies and young children don’t have the same immune system as us adults (or even older children) so food safety is essential. We need to make sure we’re extra careful with their little tummies!

It is estimated that there are 2.4 million cases of food-borne illness in the UK every year but it’s not just restaurants that cause food poisoning – cooking at home can also make you (or your family) sick. The good news is that there are so many things you can do whilst preparing food to prevent this happening. Below, we give our top tips for baby food safety.

 

Keep it clean

Cleaning baby food with Annabel Karmel

When it comes to food safety, keeping clean is so important. In reality, this doesn’t mean having a ‘spotless’ kitchen but instead, a clean environment where you prepare food, with clean hands, using clean equipment! Here are some top tips to help you organise your kitchen and help you safely prepare meals for your baby and the rest of the family:

  • Wash your hands – always wash your hands thoroughly before preparing any food, and particularly after handling raw meat
  • Clean work surfaces – disinfect food preparation surfaces using a clean dishcloth before starting any food prep. If you can, use a paper towel squirted with antibacterial spray to clean surfaces after preparing raw meat and poultry as this will help to make sure that you don’t pick up food poisoning germs and spread them around the kitchen
  • Clean utensils – make sure equipment is clean before you start using it and if you can, opt for colour coded equipment to reduce the risk of cross contamination between raw and ready to eat foods. Never prepare ready to eat food such as salad on a board that was previously used to prepare raw meat
  • Wash fruit and veg – they might be low risk foods, but bacteria can also be found on fruit and veggies too so don’t forget to wash these thoroughly under cold running water before serving to baby. If you’re using frozen veggies in baby’s food, make sure that these are cooked according to the back of pack information before serving to your baby.
  • Don’t be tempted to wash raw chicken! – washing your chicken will not ‘wash off’ the bacteria (only cooking will make it safe to eat!). If you wash chicken, instead you are more likely to cause food poisoning by inadvertently spreading more bacteria around the kitchen.

 

Food Safety – Cooking food for your baby checklist!

Cottage Pie recipe by Annabel Karmel

Cooking veggies by steaming, boiling or roasting is pretty straightforward, but those first tastes don’t last for long and you’ll soon be branching out to more exciting foods for your baby to try, many of which may include meat or fish. Regardless of how you serve meat to your little one, it’s important to make sure that it is thoroughly cooked.

Remember – just because it’s cooked on the outside, doesn’t mean it’s cooked on the inside! Here’s how you can check that meat is safe for your baby to eat…

  • Use a food probe ­­- checking the temperature of the thickest part of the meat is the most accurate way (and the way I would recommend) to check food is cooked, whilst also making sure it is not overcooked! If using a probe, make sure the probe is clean and the meat has a core temperature of 75C for at least 30 seconds.
  • Cut into the thickest part of the meat to make sure there is no pink meat visible
  • The meat must be steaming hot throughout
  • Meat juices run clear

If you find your baby puree needs thinning after cooking, check out Jenna’s article Top tips for thinning baby purees

 

Cool foods quickly

I am a huge fan of keeping leftovers to use as an easy meal another day! After cooking, make sure you cool any leftovers and pop into the fridge or freezer as soon as possible. Never allow food to sit out on the side for more than 2 hours after cooking.

Be aware that simply putting your hot food in the fridge may not be enough to make sure it is cooled down quickly and safely. There are lots of things you can do to help speed up the cooling of food, such as dividing into smaller portions, using an ice bath or stirring regularly.

 

Keep leftovers for another day

Whatever your situation, whether you have children or not… reheating leftovers is always a good idea! As a rule of thumb, leftover food can be kept in the fridge and used within 2 days (1 day for rice) but if you want longer than this, then pop your leftovers in the freezer.

Even if you used raw meat or veg which was previously frozen, once cooked you can freeze the leftovers. Freezing “pauses” the growth of bacteria, locks in nutrients, prevents spoilage and ultimately helps reduce wastage!

 

Defrosting baby purees

If defrosting baby purees, the best way to do this would be overnight in the fridge and use within 24 hours. But, did you know that you can cook baby purees from frozen?!

 

Reheating baby purees

Baby purees are often best served at room temperature, but don’t be tempted to partially reheat food for your baby to avoid having to wait for it to cool. Unless served cold straight from the fridge, baby purees should always be reheated until piping hot, which means steaming throughout, to kill off bacteria.

The best ways to reheat baby purees are:

  • On the hob
  • In the microwave

If cooking a portion of baby puree from frozen, make sure you increase the cooking time and stir regularly (every 20 – 30 seconds) to ensure there are no hidden hot spots and that the puree is evenly heated so it is piping hot throughout.

Remember that foods can only be reheated once so make sure you divide your puree into baby friendly portions before storing in the fridge or freezer!

 

We hope these tips and tricks have helped you become more confident when it comes to food safety for your little ones!

 

Jenna is a fully qualified Environmental Health Practitioner specialising in food safety and public health.

She obtained a first-class Batchelor (BSc) degree in Environmental Health and has since qualified as an Environmental Health Practitioner with the Chartered Institute of Environmental Health (CIEH). Over the past 12 years she has worked in both the public and private sector advising businesses on all things food safety and public health.

Since becoming a Mum to her 2-year-old little girl Mia, she understands first-hand how much things change when you have a little one to think about too! She has always been passionate about food safety and her mission as Food Safety Mum is to help give parents confidence when cooking at home or when eating out and about!

 

For lots more food safety advice, follow Jenna on Instagram

@Foodsafetymum

 

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Top tips for thinning baby purees https://www.annabelkarmel.com/advice/top-tips-thinning-baby-purees/ Fri, 18 Sep 2020 09:47:15 +0000 https://annabelkarmel.com/?post_type=advice&p=76697 As you start preparing those first few purees for your baby, you are likely to find that you need some extra liquid to help loosen the consistency. There are so many options available when thinning purees for babies over 6 months and rest assured you can use anything from tap water, cow’s milk or plant-based […]

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As you start preparing those first few purees for your baby, you are likely to find that you need some extra liquid to help loosen the consistency.

There are so many options available when thinning purees for babies over 6 months and rest assured you can use anything from tap water, cow’s milk or plant-based milks as well as a splash of your baby’s usual breast milk or formula milk; which will not only help loosen the consistency but also adds a familiar taste.

Whatever you choose to thin your baby’s puree, there are a couple of things you might need to keep in mind if you want to keep the puree for another day…

 

Top tips for thinning baby purees

Thinning baby purees with formula milk

myth busting! by annabel karmel and food safety mumWhilst you shouldn’t keep leftover bottles of formula milk, it IS perfectly fine to use freshly prepared formula milk as an ingredient within a meal or puree that you wish to keep and reheat another day! Just make sure that if you choose to use formula milk to thin your baby’s puree, you follow these simple guidelines to make sure the leftovers are safe:

  1. Before adding to food, make up formula fresh – don’t use leftover milk from a previous feed
  2. Make sure any leftovers are cooled quickly and put into the fridge or freezer as soon as possible; ideally within an hour and half but no more than 2 hours
  3. Ensure you follow the shelf life guidance in the table below
Shelf life in the fridge Suitable for freezing Shelf life in the freezer
Purees made with formula milk 1 day Yes 3 months
All leftovers must only be reheated once and any defrosted purees must be used within 24 hours

 

Thinning baby purees with expressed breast milk

Breast milk is great for your baby for so many reasons, its ideal for thinning baby purees too, especially in the early days of weaning!

You can either….

  • Add fresh breast milk – this is the best option if you’re adding to the puree when cooking as it means you can keep the leftovers in the fridge or freezer

 

  • Add a small ice cube of frozen, or a splash of defrosted breastmilk – the most important thing to remember here is that breastmilk must never be refrozen. So, if you’re using previously frozen breast milk, it’s best to add just a splash to the portion you are serving so you don’t end up wasting more than you need to

 

  Shelf life in the fridge Suitable for freezing Shelf life in the freezer
Thinning baby purees using freshly expressed breast milk 2 days Yes 3 months
Thinning purees using previously frozen breast milk Dispose of leftovers No N/A
All leftovers must only be reheated once and any defrosted purees must be used within 24 hours

 

Thinning baby purees using water or cow’s milk / plant-based milk

myth busting!You can also thin baby purees using cow’s milk or plant-based milk. Using cow’s milk or plant based milk in cooking is absolutely fine for babies over 6 months. Just don’t substitute their usual milk (breast milk or formula) for any of these varieties until they are at least 1 year old.

 

 

 

Does the water need to be boiled?

No. Tap water is fine for babies over 6 months – although if you can, make use of the water you used to cook your veggies in as this will also help to sneak in an extra splash of nutrients that leached from the vegetables as they were cooked.

Here’s a quick summary of the guidelines…

Shelf life in the fridge Suitable for freezing Shelf life in the freezer
Thinning baby purees with cow’s milk or plant-based milk 2 days Yes 3 months
Purees without additions 2 days Yes 3 months
All leftovers must only be reheated once and any defrosted purees must be used within 24 hours

 

See our next article for more advice on preparing, reheating and freezing food for baby.

Jenna is a fully qualified Environmental Health Practitioner specialising in food safety and public health.

She obtained a first-class Batchelor (BSc) degree in Environmental Health and has since qualified as an Environmental Health Practitioner with the Chartered Institute of Environmental Health (CIEH). Over the past 12 years she has worked in both the public and private sector advising businesses on all things food safety and public health.

Since becoming a Mum to her 2-year-old little girl Mia, she understands first-hand how much things change when you have a little one to think about too! She has always been passionate about food safety and her mission as Food Safety Mum is to help give parents confidence when cooking at home or when eating out and about!

the food safety mum logo

For lots more food safety advice, follow Jenna on Instagram

@Foodsafetymum

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Weaning Equipment – Getting your kitchen ready for weaning https://www.annabelkarmel.com/advice/getting-kitchen-ready-weaning/ Fri, 18 Sep 2020 09:40:48 +0000 https://annabelkarmel.com/?post_type=advice&p=76691 Beginning your weaning journey with your baby is such an exciting time for so many reasons but it can also be a bit overwhelming with so much to think about and prepare for. Get ready to wean by getting organised in the kitchen, it will make your life so much easier… and I’m not just […]

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Beginning your weaning journey with your baby is such an exciting time for so many reasons but it can also be a bit overwhelming with so much to think about and prepare for.

Get ready to wean by getting organised in the kitchen, it will make your life so much easier… and I’m not just talking about the dreaded Tupperware cupboard! In this article I have put together your weaning equipment essentials, as well as a few tips to help you get ready to wean and make sure your kitchen is as prepped as possible! This will help make sure the food you serve your little ones is safe, allowing you to relax and enjoy the weaning process.

How to organise your fridge

How to get ready to wean? First things first, start with organising your fridge. Knowing how to store food once you get it home from the supermarket and organise your fridge correctly will help you avoid food poisoning by reducing the risk of cross contamination between raw and ready to eat foods as well as helping you to reduce food wastage.

Did you know? The average household with children could save around £60 per month by reducing their food waste and saving food that could have been eaten from being thrown away?![1]

So, how exactly should you organise your fridge and what else do you need to know to help keep the food in your fridge safer for longer?

  • Most importantly, check the temperature of your fridge. To reduce the risk of food poisoning, make sure your fridge is running between 1-5⁰C. If your fridge doesn’t have a built-in thermometer, then you can check this using a fridge thermometer or a food probe.
  • Organise your fridge to make sure you store raw meat and fish separately from ready to eat foods. The best place to store raw meat and raw fish is the bottom shelf – not only does this prevent cross contamination of juices dripping onto other foods below, but is also the coldest part of the fridge
  • Keep cooked and ready to eat foods higher up, saving the doors for condiments, jams and juices as the doors are most at risk of temperature fluctuations
  • It’s best to store eggs in the fridge for safety and freshness as this ensures eggs are stored at a constant temperature below 20⁰C.
  • First in, first out – when returning from the supermarket, put new foods at the back so using older products first will come naturally!
  • Don’t forget to also keep an eye on packs in the fridge that have been opened! Opening a product with a ‘use by’ date (more on these next) such as ham or milk, will change the shelf life and usually means it will need to be used within the next few days, or popped in the freezer.

Plan ahead when preparing your baby’s meals

Planning ahead the meals you want to cook for baby (and yourself!) for the next couple of days will help you decide what foods you can keep in the fridge, and which foods to freeze!

It’s important when planning your meals to be aware of the difference between ‘use by’ dates and ‘best before’ dates. Put simply, ‘use by’ dates are there for your safety and mustn’t be ignored whereas, ‘best before’ dates are about quality. Whilst food is safe to eat past its ‘best before’ date (but might not taste as good), food past its ‘use by’ date is not safe to eat especially as you often can’t tell if a food is unsafe by its appearance, smell or taste, so it’s not worth the risk; particularly when there are little ones involved.

The good news is that it is perfectly safe to cook or freeze food right up until (and including) the ‘use by’ date. So, if you’re not going to use something before it’s ‘use by’ date, either pop it in the freezer or cook it and use the leftovers within the next 2 days.

Don’t be put off freezing your foods as this has no impact on being able to freeze the leftovers.

Did you know? Even if you use previously frozen raw meat when cooking, you can still portion and freeze the cooked leftovers to reheat another day?!

Kitchen essentials for weaning your baby

Get ready to wean by making sure you have all the kitchen essentials.

When you start out on your weaning journey, there are so many weaning ‘essentials’ covering everything from choosing the right highchair, spoons, bibs, plates (and so much more…) but don’t forget to stock up your kitchen with essential items that will help make your food prep easier and safer.

I’ve put together a list of my top 10 weaning kitchen essentials to help make sure the food you serve is safe, that little bit easier!

I consider a food probe a must-have for any kitchen. You can’t tell from the outside whether food is cooked, so a food probe eliminates the guesswork whilst also helping to prevent overcooking – it’s a win-win!

Choosing colour coded chopping boards is the simplest and easiest way to reduce the risk of cross contamination between raw and ready to eat foods.

Ever pulled a random container of food out of the freezer having no idea what it is or how long it’s been in there?! No, me neither……. I’m a huge fan of batch cooking with a little one at home so keeping track of what is in your freezer is a must!

Babies have small appetites so being able to portion their food is a must! Remember, when grabbing food from the freezer you can only reheat food once so having small portions will help make sure you are only reheating as much as you need and reducing your food wastage.

Make sure you have a decent cleaner to help keep your kitchen counter clean before cooking and after handling high risk foods such as raw meat and poultry.

It’s best to make sure you have enough cloths and tea towels so you can change these daily. If you can, I would always recommend that when cleaning up after preparing raw foods such as raw meat, poultry and soiled vegetables, that you use a paper towel squirted with anti-bacterial spray. This will help make sure that you don’t pick up food poisoning germs and spread them around the kitchen.

These containers are great for storing dry food items as well as leftovers in the fridge. By keeping moisture out, airtight containers help keep food fresher and safer for longer.

A mesh food cover is a must have for any kitchen to make sure those pesky flies don’t land on your food – whether you’re dining alfresco or cooling your leftovers.

If your fridge has a built-in thermometer, you might not need one of these but if not, then it would be worth investing in a fridge thermometer to make sure your fridge is running below 5⁰C and the best part is, you can usually pick one of these up for less than £5!

Okay so you probably do already have one of these but don’t forget that you’ll need to wash all fruit and veg before giving it to baby! Did you know? Even Norovirus (the most common cause of gastroenteritis) can be found on foods such as lettuce and raspberries?[2]

[1] WRAP, ‘Food surplus and waste in the UK – key facts’ (2020)

[2] Food Standards Agency, ‘Assessing the contribution made by the food chain to the burden of UK-acquired norovirus infection’ (2019)

Jenna is a fully qualified Environmental Health Practitioner specialising in food safety and public health.

She obtained a first-class Batchelor (BSc) degree in Environmental Health and has since qualified as an Environmental Health Practitioner with the Chartered Institute of Environmental Health (CIEH). Over the past 12 years she has worked in both the public and private sector advising businesses on all things food safety and public health.

Since becoming a Mum to her 2-year-old little girl Mia, she understands first-hand how much things change when you have a little one to think about too! She has always been passionate about food safety and her mission as Food Safety Mum is to help give parents confidence when cooking at home or when eating out and about!

 

For lots more food safety advice, follow Jenna on Instagram

@Foodsafetymum

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Gagging vs Choking: The differences you need to know when weaning your baby https://www.annabelkarmel.com/advice/gagging-vs-choking/ Thu, 27 Aug 2020 11:11:41 +0000 https://annabelkarmel.com/?post_type=advice&p=76052 Introducing solid foods to your baby and starting to wean is a big milestone for parents. The process of slowly moving from milk feeds to trying a variety of different tastes and textures can be exciting and daunting at the same time. One question I am always asked by parents at the start of their […]

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Introducing solid foods to your baby and starting to wean is a big milestone for parents. The process of slowly moving from milk feeds to trying a variety of different tastes and textures can be exciting and daunting at the same time. One question I am always asked by parents at the start of their weaning journey is ‘what do I do if my baby chokes?’ alongside ‘I don’t want to offer my baby finger foods as they might choke’.

It’s a common misperception that gagging and choking are the same thing and they are often confused… but they are most definitely not the same and it’s important to be able to recognise the difference between the two.

Is gagging normal when weaning my baby?

Think of gagging as your baby’s in-built protective mechanism against choking. Babies have highly sensitive gag reflexes that are triggered very close to the front of the tongue, especially at the start of weaning.

This means that your baby will often gag when they first start on solid foods and for the first few weeks of weaning. This might mean they simply push food out of their mouth with their tongue, or they may retch or look like they are about to be sick. They are rarely distressed by this and will often simply continue eating again straight after.

Gagging occurs because your baby needs to develop and mature their oral motor movements with time as they learn to eat. They don’t yet have the control to coordinate chewing and moving food to the back of their mouth to swallow, so they gag to stop food going down the wrong way. It’s quite clever really!

Therefore, don’t be put off if your baby gags during the early stages of weaning. They are simply learning to train their oral muscles to work in a new and different way and move food from the front of their mouth to the back in order to swallow.

As your baby continues on their weaning journey and practices eating, the gag reflex will move further back in their mouth and they will naturally gag less.

It’s important to note that some babies may have more pronounced gag reflexes, for example if they have suffered with reflux, vomiting, or had tubes for feeding for example. If you’re worried about your baby’s gag reflex always seek help from your GP who can then refer you to a specialist speech and language therapist.

What do I do if my baby gags during feeding?

Firstly, try not to panic and remain calm. This is easier said than done I know, but if you recognise that they are gagging (and not choking) it is important to let their body naturally sort it out for itself rather than intervening.

Try waiting a few seconds, maybe count to ten slowly in your head. It is very likely they will bring the offending food to the front of their mouth and spit it out or start to eat it again.

By stepping back and allowing them to gag, you are allowing them to learn how to coordinate their muscles and perfect this new skill.

It’s important to remember that you should never leave your baby alone whilst feeding and make sure that they are always well supported or able to sit in an upright position. This will significantly reduce the risk of choking as the gag reflex may not be as effective if they are leaning backwards.

How do I tell the difference between gagging and choking?

Choking is very different to gagging. This is when your baby’s airway becomes blocked. They may be coughing and trying to remove the offending obstacle, but they may also be unable to cry, cough or make any noise at all. They may be unable to breathe and you may see their lips or face turn blue.

This is a medical emergency and they will need immediate help.


What foods are a choking risk for my baby?

  • Whole nuts – always give nuts ground or as a smooth nut butter
  • Whole grapes, blueberries or cherry tomatoes – always serve them quartered
  • Fruits with stones such as cherries – remove the stones and serve quartered
  • Bony fish – check and remove all bones before offering to your baby
  • Cook vegetables so that they are nice and soft for them to chew

What do I do if my baby chokes?

The NHS website, Resuscitation Council UK & the Red Cross websites all have great advice as well as step by step videos to teach you basic first aid and support. You may want to attend a local First Aid Course and your GP should be able to advise you about local courses to you.

If you baby is showing signs of choking, here are some simple steps you can take as advised by the NHS.

 

  1. If you can see the object, try to remove it. Don’t poke blindly or repeatedly or you could push it further back and make things worse.
  2. If your baby is coughing, encourage them to keep coughing, this might help to bring up what they are choking on. Don’t leave them.
  3. If the coughing isn’t effective (its silent or they can’t breathe in properly) shout for help immediately.
  4. If you baby is still conscious, but they are either not coughing or their coughing isn’t effective, use back blows.

Back blows for babies under 1 years old

 

  • Sit down and lay you baby face down along your thighs, supporting their head with your hand.
  • Give up to 5 sharp back blows, with the heel of one hand in the middle of the back between the shoulder blades.
  • If back blows don’t relieve the choking and your baby is still conscious, give chest thrusts.

Chest Thrusts for babies under 1 year old:

 

  • Lay your baby face up along the length of your thighs.
  • Find the breastbone and place 2 fingers in the middle.
  • Give 5 sharp chest thrusts (pushes) compressing the chest by about a third.

Following back blows and chest thrusts reassess your baby or child as follows:

  • If the object still hasn’t dislodged and your child is still conscious, continue the sequence of back blows and chest thrusts.
  • Call out or send for help if you’re still on your own. Don’t leave your child.
  • Call 999 if the blockage doesn’t come out after trying back blows and chest thrusts. Keep trying this cycle until help arrives.
  • Even if the object has come out, get medical help. Part of the object might have been left behind, or your child might have been affected by the procedure.

If your baby or becomes unconscious with choking:

  • Put them on a firm flat surface and shout for help.
  • Call 999, putting the phone on speakerphone so your hands are free.
  • Don’t leave them at any stage.
  • Open the their mouth. If the object is clearly visible and you can grasp it easily remove it.
  • Start CPR

It is important to be able to recognise the difference between gagging and choking and the different ways you should treat both.

Remember, gagging is your baby’s natural in-built protective mechanism to prevent them choking as they learn to feed themselves. Choking however, is when their airway is blocked, and they will need immediate help and First Aid.

This article is written by Dr Chintal Patel.

Dr Chintal Patel is a NHS General Practitioner in London.  She works with families and children and specialises in women’s health.  She also writes a recipe blog sharing health and nutrition information and runs cookery classes for families.   

For more helpful advice visit Dr Chintal Patel’s website www.drchintalskitchen.com and Instagram account @drchintalskitchen

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Weaning premature babies https://www.annabelkarmel.com/advice/weaning-premature-babies/ Tue, 15 Oct 2019 08:55:11 +0000 https://annabelkarmel.com/?post_type=advice&p=66889 There is a lot of weaning guidance available for babies born on or around their due date (from week 37 of pregnancy onwards), however, not a lot for those whose baby decides to make an early appearance, which is actually around 10% of all babies! What is premature? A baby is called premature (or preterm) […]

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There is a lot of weaning guidance available for babies born on or around their due date (from week 37 of pregnancy onwards), however, not a lot for those whose baby decides to make an early appearance, which is actually around 10% of all babies!

A baby is called premature (or preterm) if they were born before 37 weeks. Just because they are born early, does not mean they will need specialist weaning advice, because babies born after 34 weeks who are healthy and growing well can follow standard weaning advice for babies born at full term.

You might have heard the term ‘corrected age’. This takes into account how early a baby was born and is counted from their due date. For example, a baby born at 32 weeks who is 14 weeks old, would be 6 weeks corrected. ‘Actual age’ is the baby’s age from the date they were born.

The corrected age allows healthcare professionals to assess your baby’s development appropriately. In this example, the expectation would be for your baby to be reaching the usual milestones of a 6-week old rather than a 14-week old baby.

It is likely your baby will have missed some or all of the third trimester of pregnancy, which is when most of their important nutritional stores, such as iron, are laid down. It’s also when protein and energy is used for a large growth spurt.

Over the last decade the nutritional care that babies receive on the special care baby unit has improved dramatically, so lots of preterm babies manage to catch up with their nutritional status in the first few weeks.

However, because all babies are different, some may still be at risk of under-nutrition or poor growth needing individualised weaning guidance. Your healthcare team will advise.

The general weaning NHS guidelines that advise that weaning should start at around 6 months of age, don’t apply to most premature babies.

Currently, there is a lack of government guidance on when and how parents should start weaning their preterm baby and that’s because there is very little research available specifically on preterm babies.

The key is understanding your baby’s developmental milestones and looking out for their readiness cues.

Consider the three signs for being ‘ready for weaning’ for term babies and see how the preterm baby might differ:

1) The tongue-thrust reflex – This is nearly always present in preterm babies and actually eating food regularly helps it go.

2) Being able to sit unaided – A lot of preterm babies don’t have the motor skills to be able to sit up unaided, but as long as they are appropriately supported in their highchair/seating, you can start weaning.

3) Good hand-eye coordination – Many preterm babies won’t have mastered hand-eye coordination at the start of weaning and will need to practice this as they learn to eat.

As you can see, the usual developmental readiness cues do not apply to a preterm baby, however, the following cues can be helpful to decide whether a baby is ready to start solids. Babies don’t need to have all of these in place, and I’m a great believer that parents are often the best judge of when their baby is ready:

• Holding their head steady when sitting upright in a supported position – Many babies achieve this at around 4 months corrected age.

• Picking up toys and putting them to their mouth to explore.

• Leaning forward, mouth open ‘asking’ for food.

• Some feel that showing an interest in the food that others are eating could be a sign for being ready for weaning, but many babies do this anyway and so should not be taken as a cue in isolation.

They are not:
• When your baby appears hungry and is demanding more milk.
• When your baby is waking more frequently through the night to feed.
• When they reach a certain weight.
• When they reach a certain age.

Yes, it can be, as there comes a point when a baby’s energy and nutrient requirements can’t be met by milk alone (breast or formula) and so starting solids is necessary. However, fruits and vegetables, which are traditional first weaning foods, are low in energy. At the same time, starting solids may lead to their milk intake decreasing as it becomes displaced by food. Therefore, a steady progression towards a balanced diet including meat, fish, dairy foods and starchy carbohydrates is important to provide the additional nutrients required.

Yes, aside from the risk of poor nutritional status and growth, many babies benefit from the challenges that weaning brings and it may actually enhance the progression of their eating and drinking skills.

However, it is not uncommon for parents to want to delay the introduction of solids as they feel that their baby is not yet developmentally ready and so getting regular support from your healthcare team if you are feeling unsure is important.

In addition, we often see premature babies remaining on pureed food for longer than necessary due to concerns that they may not cope with lumpy textures and choke.

Because challenging textures are necessary to develop the muscles in the mouth at the right time, research suggests that a delay beyond 9 months uncorrected age for the introduction of lumpy textures could lead to feeding problems later on.
There is a developmental ‘window of opportunity’ when babies are open to accepting new flavours and textures and it is important that premature babies don’t miss this.

There are two approaches to weaning:

• Traditional weaning – this involves feeding the baby smooth purees from a spoon, gradually increasing the texture and finger foods alongside.
• Baby-led weaning (BLW) – this involves providing food in its whole form and allowing the baby to explore the food and self-feed.

Safety is the most important factor to consider. If you are considering BLW your baby must have adequate stability in an upright seated position to minimise the risk of choking.

Effective hand-eye coordination is also needed for successful BLW, without this, babies simply aren’t capable of bringing the food up to their mouths.

Nevertheless, hand-eye coordination is a skill babies need to learn through regular practice, so a combined approach by offering finger foods alongside purees can be helpful.

It is known too that BLW babies consume less nutrition at the start of weaning while skills are being learned [5]. Therefore, if growth is an issue and a carefully planned weaning diet is important, BLW may not be possible in order to achieve the required catch up growth.

At the start of weaning it’s also important to introduce a cup to teach your baby drinking skills. At the very start the cup is more about practice and familiarity rather than a way of getting fluid in to your little one.

Use a free-flow, two handled spouted beaker, which is filled no more than half full, so it doesn’t need to be tipped too far for the water to flow, and so it isn’t too heavy for the baby to lift.

An open cup is good too but the water may flow too fast for premature babies and so starting with a free flow spouted beaker which controls the flow is often helpful.

Repeated exposure to rejected foods is important for preterm babies just as it is for term babies in order to help them like new tastes and flavours. The wider the variety of flavours offered in the early stages of weaning before 9 months corrected age, the more likely a child will be to eat a wide range of foods when they are older.

Including your baby at family mealtimes whenever you can, bring the highchair up to the table and let your baby have some of what you are having. This is known to be very beneficial in terms of learning how to eat and drink. Babies watch and mimic others and learn how to eat this way. Evidence suggests that children who join in at family mealtimes accept a wider range of foods than those who eat alone.

All babies, regardless of when they were born, are recommended to have a daily supplement of Vitamin A, C and D (the exception to this is babies having more than 500ml formula/day as they will be receiving these already from the formula):

Vitamin D 8.5 – 10mcg
Vitamin A 200mcg
Vitamin C 20mg

Many premature babies will also be on iron supplements until they are eating well enough, when their dietitian will advise them to stop.

It’s important to take notice of and respond to your baby’s cues when it comes to feeding. For example, when your baby has had enough food, they will turn their head away or if they want more they will lean forward with an open mouth.

We know that from around 4 months both premature babies and babies born at term can communicate their needs to their parents.

If you would like to learn more about nutrition and feeding for babies and toddlers head over to my blog www.childrensutrition.co.uk

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Critical nutrients for your baby: the importance of essential fatty acids https://www.annabelkarmel.com/advice/critical-nutrients-for-your-baby-omega-3/ Thu, 29 Nov 2018 12:12:05 +0000 https://annabelkarmel.com/?p=55792 The post Critical nutrients for your baby: the importance of essential fatty acids appeared first on Annabel Karmel.

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Critical nutrients for your baby: the importance of iron https://www.annabelkarmel.com/advice/critical-nutrients-baby/ Mon, 29 Oct 2018 15:13:01 +0000 https://annabelkarmel.com/?p=54191 From the very start of weaning your baby will need a number of all-important essential nutrients to support their mental and physical development. As with all nutrients, these need to come from food. This article is all about iron for babies. Iron is one of the most important critical nutrients you will need to introduce […]

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From the very start of weaning your baby will need a number of all-important essential nutrients to support their mental and physical development. As with all nutrients, these need to come from food. This article is all about iron for babies.

Iron is one of the most important critical nutrients you will need to introduce to your baby from six months. Though all nutrients are essential which is why a varied diet from the get-go is key.

As your baby approaches the six month mark, they’ll be going through an amazing growth spurt. Here’s a fact for you; in their first year, babies triple their birth weight. They grow more rapidly in their first year than at any other time in their life.  And obviously, to grow that much, they’ll need a stack of nutrients.

Why does my baby need iron?

Getting enough iron for babies is essential as it is needed for making haemoglobin in red blood cells. It’s the micronutrient that enables the blood to carry oxygen around the body to your baby’s organs and muscles. It’s also important for the immune system – so as you can see it is vital for your baby.

Full term babies are born with a reserve of iron. Until six months, your baby will have been using the store of iron they’ve inherited from mum. But it’ll be starting to run low by this point, which is why from around six months is the ideal time to start introducing iron-rich foods into your baby’s diet.

And for this reason, don’t be tempted to delay introducing iron into your baby’s diet beyond six months. If your baby was born small, early or if you had iron deficiency when you were pregnant then they might not even have the full six months’ worth of iron stored which is why it is so important that iron features in their diet. And it may even need to be introduced slightly earlier. If you think that this applies to your baby then speak to your GP or health visitor who can advise on whether you need to get started a little earlier.

 

Can a lack of iron cause anaemia in babies?

It’s not uncommon for babies to develop an iron deficiency which can cause anaemia. There’s so much development going on in their brains. And because of this, we know that an iron deficiency in babies between six and twelve months can affect their cognitive, motor and social development skills in the future. Though these affects might not become apparent until your baby is a child. Just think of the size of a baby’s head in comparison to their bodies – it’s much larger in proportion compared to adults.

Iron deficiency is most likely to occur in babies by prolonging the first fruit and vegetable only stage during weaning. By waiting until around six moths to introduce complementary foods, there’s no need for a fruit and vegetable only stage.

Whilst fruit and veggies contain lots of important vitamins and minerals, iron should be introduced at six months. And by six and a half months, iron rich foods will need to feature quite heavily in their diet.

How often should my baby have foods containing iron?

As a guideline you should be giving your baby iron-rich foods twice a day once meals have been established.

 

Which foods are high in iron for babies?

 If you’re a meat-eating family, the best form of iron for babies is found in red meat. Your baby will absorb iron from meat more easily than iron from any other food source, and lean beef is packed with it. As a rough guide, the darker the flesh of the meat, the higher the iron content.

Good sources of iron for babies and how to serve them:

  • Beef – slow cooked pieces as a finger food, the classic Bolognese or with veggies as a puree
  • Lamb – mini koftas, meatballs or a slow cooked lamb tagine
  • Chicken and turkey (use the darker meat such as the thigh or leg meat as those nice brown bits are slightly higher in iron) – chicken purees with fruit and vegetables, mini balls and burgers or why not try a chicken curry, blended or mashed until you reach the right consistency for your baby

How to vegetarian babies get iron?

If you follow a vegetarian diet, there are plenty of non-meat sources of iron. However, as these are primarily plant-based, the absorption of this form of iron is lower, so the amount your baby will need is slightly higher.

Best vegetarian sources of iron for babies:

  • Egg yolks – boiled egg blended or mashed into a vegetable puree or dippy eggs
  • Fortified breakfast cereals (this is where iron is added to the cereal)
  • Wholegrain foods (such as brown pasta, wholegrain bread, brown rice and even chia seeds)
  • Tofu – mini croquettes are always a hit with tiny hands!
  • Beans and pulses (such as lentils, kidney beans and chickpeas) – lentil puree and homemade chickpea humus
  • Dried fruit (including dates, apricots and raisins) – add to porridge, stews and casseroles
  • Dark green leafy veggies (for example spinach and kale) – lightly cooked by steaming or stir frying

 

Why do I need to pair vitamin C with iron?

 Did you know that vitamin C aids iron absorption?  By pairing iron containing foods with a vitamin C rich food it will help with the absorption of iron. This is particularly important for those following a vegetarian or vegan diet.

Which foods are high in vitamin C?

  • Fresh fruit (for example strawberries, blueberries, mango and kiwi)
  • Raw and lightly cooked vegetables (such as red peppers and tomatoes)
  • Green veggies (like broccoli and spinach) – plus these contain iron too!

And remember, if you are cooking your vegetables, be sure to only very lightly cook these as vitamin C is heat sensitive. Heating them for a prolonged time reduces the level of this nutrient. Stir frying or steaming is one of the best ways to cook veggies.

For the next article in this mini-series, which is on the importance of Omega 3, please click here.

 

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Healthy ‘fast’ food swaps for less ‘naughty’ and more nutritious mealtimes https://www.annabelkarmel.com/advice/healthy-fast-food-swaps-less-naughty-nutritious-mealtimes/ Tue, 19 Jun 2018 15:54:21 +0000 https://annabelkarmel.com/cooking-with-kids-copy/ Did you know that half of all the food bought by families in the UK is now ‘ultra-processed’ which means – made in a factory with endless lists of additives and preservatives,  bearing little resemblance to the fruits, vegetables, meat, chicken and fish you would cook at home. Good eating habits are formed from an […]

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Did you know that half of all the food bought by families in the UK is now ‘ultra-processed’ which means – made in a factory with endless lists of additives and preservatives,  bearing little resemblance to the fruits, vegetables, meat, chicken and fish you would cook at home. Good eating habits are formed from an early age so our role in helping children to make healthy food choices whilst at home, at school, or eating out is incredibly important. As parents we want our little ones to be fuelled on the right foods, however sometimes it’s one of those ‘easier said than done’ occasions, particularly when they insist on only liking a small handful of failsafe favourites – which are often less than healthy. Sometimes, all kids want is pizza, chips or chicken nuggets and I’m sure we’ve all been guilty of giving into these demands every now and then so as to avoid an ill-timed temper tantrum! I don’t think it’s about completely changing your routine or suddenly disallowing your family’s foodie favourites, but instead it’s more about making healthier versions of these favourites. I personally like the age-old saying of ‘everything in moderation’. Coming up with fun and healthy ways in which you can prepare your children’s food is a real winner rather than focusing on so-called ‘bad’ foods and denying these. Here are some of my top swaps for less ‘naughty’ and more nutritious mealtimes:    

   

 

Krispie Chicken Nuggets

Instead of using batter to coat chicken strips, I like to use Rice Krispies for a light crispy (and yummy) coating – I promise, they’ll soon be requesting my Krispie Chicken Nuggets with the secret ‘snap crackle and pop!’

Children often like to have a side of tomato ketchup with their chicken nuggets and chips. Instead, why not use the BBQ season to your advantage and serve some griddled strips of protein-packed chicken alongside a simple tomato salsa for them to dunk and dip.


Sweet Potato Wedges

 

It’s no secret that children love chips so why not trade this failsafe favourite for something more vibrant? Sweet potatoes are an excellent source of Vitamin A, packed full of goodness and are really versatile. Roast wedges in the oven with a sprinkling of Parmesan cheese and sage as a healthy alternative to chips. They are naturally sweet and baking them in the oven caramelises the natural flavour – they are sure to be a hit.

 

Cauliflower Pizzas

Who would imagine that grated cauliflower could make a tasty base for a pizza? Make a quick homemade tomato sauce and then simply add your little one’s favourite pizza toppings to keep the takeaway at bay. You can find this tasty recipe in my new Real Food Kids Will Love book. Enjoy!

 

Hidden Veggie Burgers

 

Beef burgers can be a fantastic source of iron but it’s always best to make your own so you know exactly what is going into them. Be sure to use good quality lean beef mince and perhaps add some grated apple and carrot – the natural sweetness of the apple will add extra appeal for youngsters and the carrot will help to sneak in some extra veggies.

Use children’s love for this fast food favourite to your advantage and make an Omega-3 filled fish burger. My Salmon & Cod Burgers will ensure that they’re getting a tasty all-important dose of the good stuff.

 

Tasty Takeaway with a Twist

 

There is absolutely no harm in ordering in a takeaway for the family as a treat every now and then but it is also fun to get inspired and cook-up you own healthy versions of your take-out favourites. It provides the perfect opportunity to introduce younger family members to exciting new flavour combinations.

A sweet ‘n’ sour sauce for example, is a hands down favourite and kids will love scooping and slurping through a bowl of my Thai Corn & Chicken Laksa. You can very easily create some simple but delicious marinades and sauces that are full of flavour – whisk together a combination of soy, maple syrup and garlic and stir into veggies and rice to bring a flavour-packed  taste of the orient to teatimes.

 

Kale Crisps

Kale is a culinary superhero, packed full of essential nutrients and vitamins including iron and vitamin K. Get creative with cooking methods and bake these nutritious leafy greens in the oven with a little olive oil and a sprinkling of seasoning for a healthy alternative to a packet of crisps. Divine!

 

Not so Devilish Deserts

 

Desserts don’t always need to be considered public enemy no. 1! For example, it’s easy to make a batch of fresh fruit ice lollies from fruit juice and pureed fruits. Alternatively, why not try my Banana Ice Cream recipe – it is quite possibly the easiest pudding to make as all you need is four bananas (and a little patience waiting for it to freeze!)

My No-sugar Chocolate Orange Energy Balls from my new book Real Food Kids Will Love are the perfect sweet treat or on-the-go healthy snack. They are absolutely delicious and no one would know they are made with dates, cacao and cashew nuts rather than butter, sugar and chocolate!

 

Fizzy ‘pop’

Avoid sugary fizzy drinks and instead make your own sparkling fruit juice. Simply put a handful of berries or pomegranate seeds into a glass and top with sparkling water and some mint for a (naturally) sweet, fresh and zingy kid’s cocktail. Frozen berries work well here as they can double up as ice. Don’t forget to add an umbrella come happy hour!

 

 

Annabel’s Real Food Kids Will Love cookbook is packed full of advice, top tips and over 100 simple and delicious recipes which the whole family can enjoy together – from 15 minute meals to healthy fast food favourites, cooking with the kids, lunchbox snacks and more.

Many recipes include handy swap-outs to cater for those with food allergies, intolerances or particularly fussy eaters! There is also a range of meat-free and vegan meal options too, meaning mealtimes can be made healthy and fun for the whole family whatever your family’s foodie preferences. 

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Annabel tackles the topic of portion sizes https://www.annabelkarmel.com/advice/portion-sizes-for-kids/ Tue, 12 Jun 2018 09:20:31 +0000 https://annabelkarmel.com/coping-fussy-eater-copy/ I always get asked about the question of portion size. Although every baby is different, even from a young age, they have a strong sense of appetite – eating when they are hungry and stopping when they’ve had enough. However, with slightly older children this advice changes slightly. Mealtimes with my picky son would always start the same […]

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I always get asked about the question of portion size. Although every baby is different, even from a young age, they have a strong sense of appetite – eating when they are hungry and stopping when they’ve had enough.

However, with slightly older children this advice changes slightly. Mealtimes with my picky son would always start the same way. I’d lift the spoon or fork to his lips or put something new in front of him to explore, and the battle would commence. He would squirm and shake his head and the floor would end up covered in dinner. In this case, it might not be because they’ve had enough but instead that they are simply trying to assert their independence. But don’t worry, it’s just a phase and soon you’ll start to work out the tricks of the trade to get them playing ball.

Whether you’ve been landed with a fussy eater or not, don’t insist on them eating a big portion as this can often be overwhelming for a small child. Instead, keep mealtimes calm and casual. Rather than portion size, focus more on introducing variety, encouraging curiosity and cultivating healthy eating. Eating a full plate isn’t important.  Instead, get them to try a few mouthfuls of everything and try not to make it into a big deal if they don’t.

Unfortunately, there is often no rhyme or reason as to why children go through picky phases.  I often say that a hungry child is a less fussy child. So, the best tip I would say is to try to avoid giving too many snacks close to mealtimes and if your child refuses the meals that you give them, it’s sometimes not such a bad thing to say ‘fine you are obviously not hungry’ and let them go and play. Long drawn out mealtimes where you are constantly looking for something to tempt your child can be stressful and very unenjoyable for everyone. For older children, try and make sure the snacks you give them when they come home from school are healthy ones as this is usually when they are at their most hungry,

Don’t spend hours doing so, but it is worth taking that extra step to try to make sure that your child’s food not only tastes good but looks good too. Make mini portions of fish pie or pasta bake in ramekins. Try to get creative and decorate their morning bowl of porridge with fun banana and berry faces. Threading colourful bite-sized pieces of fruit or veggies onto a straw is another tempting trick of mine – it not only makes it fun for children, it offers them a wide variety of nutritious foods too.

With my children, I would often offer them something new in the form of a ‘grown-up’ starter – a little teacup or mini saucer of vegetables or small piece of fish that they could try in addition to their main meal, which worked wonders. I would always ensure that I was joining in too, giving myself a portion to eat with them. Children follow by example and if you can eat with them too it can only be beneficial.

Whilst it may seem easier to get them trying new foods at home under the watchful eye of mum or dad, packed lunches provide a prime opportunity to get your little one exercising their independence and trying small bite-size portions for themselves. You can also use afterschool playdates to your advantage. Children are often influenced by others so try offering a tapas-style after school snack table with mini bites such as falafels, little veggie or chicken balls or some veggie batons and dips, for example sugar snap peas, carrot, pepper or cucumber sticks with hummus or guacamole. If they see their friends tucking in, they’ll soon want to part of the foodie-loving club.

 

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Portion size for babies: why there’s no easy answer https://www.annabelkarmel.com/advice/portion-size-babies-theres-no-easy-answer/ Fri, 04 May 2018 15:55:24 +0000 https://annabelkarmel.com/?p=48756/ Getting the right portion size is a worry for a lot of parents. Simply Google the term and you will see forums filled with questions about how much to feed your child. How much we should feed babies is a very important question. Unfortunately, it doesn’t have a simple answer. We can’t say that the […]

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Getting the right portion size is a worry for a lot of parents. Simply Google the term and you will see forums filled with questions about how much to feed your child.

How much we should feed babies is a very important question. Unfortunately, it doesn’t have a simple answer. We can’t say that the correct portion size for babies is a handful of this or 10 teaspoons of that.

Why do we use portions anyway?

Recommended food portion sizes for adults aren’t used to make sure we’ve eaten the right amount of food. They are there to help us eat the right amount of nutrients.

It’s much easier for us to understand that we have eaten 5 portions of varied fruit and veg that day and are therefore likely to have had enough milligrams of fibre, Vitamin A, protein, Thiamin, Niacin, Vitamin A, Iron, Potassium etc. Or that we have eaten 2 portions of oily fish rather than enough Omega-3 essential fatty acids. If we tried to calculate our nutritional intake in this way every day we wouldn’t get a lot else done!

Following portion guidelines we can assume, that on average, we are getting enough (but not too much!) of the vitamins, minerals, and other key nutrients we need to be healthy.

Why portion sizes don’t work for babies

Unlike with adults, it’s very difficult to determine appropriate portion sizes for babies. This due to several reasons, including:

    • Babies have different metabolic rates and activity levels.
    • The food parents feed their babies varies wildly, even just day to day within the same household.
    • Foods such as meat and fish are more nutrient dense than foods such as apples.
    • A baby’s nutritional needs will vary with growth spurts.
    • Teething and illness can affect a baby’s appetite.

When babies are starting to wean they will show a lot of variation week on week as to how much they are eating. Rather than considering if a baby has eaten enough food, we can consider if the food that we are giving them is providing enough nutrition to allow them to grow and develop well.

How we can tell if babies are getting the right amount of nutrition?

Babies need the right nutrients to develop and grow. In the UK, this is tracked on Growth Charts in your little one’s Red Book. Your baby’s head, length and weight are measured and tracked on the chart which has curved lines. These curved, centile lines allow healthcare professionals to measure the growth of your baby in comparison to children of the same age who have shown optimum growth.

Most babies won’t follow these lines exactly, and a baby’s weight will likely fluctuate between two centile lines, known as a centile space. There may be a drop across a line if a baby gets ill but most babies will return to their normal centile within a few weeks. Sustained drops, where a child drops to a lower centile line and continues on that path can lead to abnormal growth and failure to fulfil their genetic potential. It is important to get your baby measured by your health visitor.

Nutrition in weaning

When you start weaning, it is very important to remember that breast/formula milk is still the most important source of nutrition for your baby. Between 6 an 12 months babies need 500-600ml of breast/formula milk each day. Cow’s, goat’s or sheep’s milk is not suitable as your baby’s main drink as it doesn’t contain enough iron and other nutrients that your baby needs.

When your baby first tries solid food, remember that trying and experiencing these foods for the first time will be more important than the quantity. Later, by seven months, babies should ideally be having 3 solid meals a day. When a baby moves on to solid food, it is important to understand which foods they can eat to provide a balanced diet which meets their nutritional requirements each week.

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10 things only weaning parents know to be true https://www.annabelkarmel.com/advice/10-things-weaning-parents-know-to-be-true/ Fri, 04 May 2018 15:51:31 +0000 https://annabelkarmel.com/?p=48678/ You’ve just perfected milk feeds (you can literally do them with your eyes closed!) but now it’s all change once again as you enter the world of weaning!  Whether you’ve made a conscious choice to start or one day your little one grabbed your lunch off your plate, it’s time to get prepared for your […]

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You’ve just perfected milk feeds (you can literally do them with your eyes closed!) but now it’s all change once again as you enter the world of weaning!  Whether you’ve made a conscious choice to start or one day your little one grabbed your lunch off your plate, it’s time to get prepared for your weaning journey. We asked the mums and dads in the Annabel Karmel offices what they wish they had known before they started weaning and here’s what they said.

1. The phrase “Don’t play with your food” loses all meaning

Whether you’re going down the baby-led weaning or traditional weaning route it’s time to start playing! As grown-ups, we know that it’s probably not acceptable to squish our entire hand into a bowl of mashed potato because it looks like it would feel nice. We also don’t put brand new iPhones in our mouths, as babies do with their toys, to find out what they are. But when babies are faced with something new they tend to use all their senses to explore their fascinating new find. Food shouldn’t be any different. Let your little ones play, engage, and enjoy their food (although maybe not in that lovely new outfit you just got them!).

2. You have never known mess like this

Who knew a tiny baby with a tiny bowl of food could cause so much destruction! They are coated in pasta sauce; it’s in their hair, their faces are smothered, it somehow got on the dog who’s trying to eat up the mess on the floor (which is actually quite helpful!), and once you’ve managed to clean it all up you’ve somehow found even more in their nappy! Prevention is definitely better than the cure in this case. Start by laying down a shower curtain or splash mat under the high chair to protect your floors, invest in a good bib, the ones with sleeves can spare an outfit, and think about the crockery you use- suction pads and non-slip mats can make a big difference. And don’t start cleaning until the meal’s over- it’s a battle you won’t win!

3. You might have to tell a few white lies

weaning, what I wish I had known

If you’re trying to move away from breastfeeding you may find yourself telling a little lie here and there- “The milk’s all gone” seems to be a common one!

4. Teething can make things a whole lot harder!

weaning and teething

Most babies will cut their first tooth between 4 and 12 months. The pain can disrupt your new routine and your little one may lose interest in eating. But food can actually help when it comes to weaning. Cold foods, such as pieces of cucumber that have been cooled down in the freezer can soothe the gums, whilst hard foods such as xxxxlinkxxx can help relieve the pressure when your little one bites down hard.

5. The contents of a nappy are really interesting

weaning and poo

No one wants to be the parent who talks about poo all the time, but things just got interesting down there! It’s happening less frequently, the consistency is completely different and now you’ve found a who piece of broccoli! Don’t panic, undigested food is quite normal. Most babies don’t have very many, if any, teeth when they start weaning and so they don’t chew their food.

 

6. It can be an emotional time

Weaning can be a complicated time. If your baby has lost interest in breastfeeding and is looking to food you may feel rejected- even though you know it’s not personal! It can also cause hormonal changes that seem to come along with everything to do with pregnancy and babies! A change of routine and diet can be confusing for everyone at first and may mean that sleep schedules are affected. Try to stay positive and reach out to friends and family for support.

7. You used to cook with so much salt

cooking with salt

It’s only when you become conscious of not giving salt to babies and start cooking without it that you realise just how much you used to use! There’ll likely be a few head scratching moments when you can’t figure out what’s missing from your sauce or work out why that avocado doesn’t taste as good as usual before you realise it’s the salt. Salt isn’t great for any of us but it’s really not good for babies- be careful with stock cubes and gravy powders too as these often have a high salt content.

8. You’ve got a bit more freedom

woman drinking coffee

If you’ve been breastfeeding, this may be the first time in a few years that you don’t have to think as much about how the effects of what you eat (and drink!) can directly impact you’re baby. No one’s saying wash down an entire cake with two bottles of wine, but it can be a relief to some mums to be eating for one again. If you’ve been bottle feeding you may also find a greater sense of freedom as you can grab a pouch of baby food or some baby-led weaning staples and head out the door without wondering where and when you’ll be able to warm a bottle. You may feel that you’re more comfortable leaving your little one with friends and family as others can take on more feeding responsibilities.

9. Gagging and choking are two very different things!

Baby weaning

Solid foods can be daunting but they’re usually more daunting for parents than they are for babies. Whether it’s a toy, their own fist or a finger of toast it’s going in their mouth and it may cause them to gag. The first time you heard this you may have panicked but by the 20th time you’ve started to realise it’s not so bad! Make sure you always supervise your baby when you’re feeding them and avoid foods with a high choking risk such as whole grapes, berries and nuts. Baby First Aid courses can be really valuable at putting your mind at ease and preparing you for if the worst happens.

 

10. Everyone has an opinion

opinions on weaning

As with a lot of aspects of motherhood, everyone has an opinion on weaning. From the obvious suspects (your mother never did it like that and you turned out fine!) to the man sat next to you on the bus you’ll be hearing conflicting and often unsolicited feedback on your feeding left, right and centre. There is no one-size-fits all approach to weaning, it varies between households and even between siblings. What’s important is that you and your baby are happy and healthy. Read up on traditional weaning and baby-led weaning from trusted sources so that you feel confident in your choices. And don’t worry about changing your mind or your plans, life with a baby is never predictable.

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Iron rich foods https://www.annabelkarmel.com/advice/iron-rich-foods/ Wed, 04 Apr 2018 13:15:13 +0000 https://annabelkarmel.com/?p=48022/ The best iron-rich food source is red meat, in fact, meat should be one of your babies first foods. Other good sources of iron are egg yolks, dark poultry meat, fortified breakfast cereals and pulses such as lentils.

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The best iron-rich food source is red meat, in fact, meat should be one of your babies first foods. Other good sources of iron are egg yolks, dark poultry meat, fortified breakfast cereals and pulses such as lentils.

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Finger foods https://www.annabelkarmel.com/advice/finger-foods/ Thu, 02 Nov 2017 12:34:47 +0000 https://annabelkarmel.com/?page_id=44717/ Quite often babies are determined to feed themselves before they have the hand-eye coordination required to use a spoon. Realistically, most of the food in the early stages is going to miss their mouths but practice makes perfect! When most babies start to wean the have few if any teeth and so you should start […]

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Quite often babies are determined to feed themselves before they have the hand-eye coordination required to use a spoon. Realistically, most of the food in the early stages is going to miss their mouths but practice makes perfect!

When most babies start to wean the have few if any teeth and so you should start with soft finger foods such as soft ripe fruits such as bananas, steamed vegetables for example broccoli florets, cooked pasta and toast, which are also less of a choking hazard than hard foods. When babies get older, you can move on to harder foods such as oat cakes, raw vegetables, dried fruits, pieces of chicken and fish, wafer thin meat rolled in to cigar shapes, mini sandwiches and more.

This style of weaning is called Baby-Led Weaning and you can find out all about it here.

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Top weaning tips https://www.annabelkarmel.com/advice/top-weaning-tips/ Mon, 10 Jul 2017 15:45:55 +0000 https://annabelkarmel.com/?p=37023/ Some mums feel sad that weaning signals the end of the teeny tiny baby stage, but weaning offers a real opportunity to bond – and it’s a bit of an adventure too! Babies sometimes find the process of weaning a little clinical and miss the comfort of sucking milk. When offering your baby her very […]

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Some mums feel sad that weaning signals the end of the teeny tiny baby stage, but weaning offers a real opportunity to bond – and it’s a bit of an adventure too!

Babies sometimes find the process of weaning a little clinical and miss the comfort of sucking milk. When offering your baby her very first taste or two you may find it easier to hold her on your lap so that she feels loved and secure. Babies are unable to lick food off a spoon with their tongues, so choose a small shallow plastic weaning spoon so she can take some food with her lips.

When babies feed from the breast or a bottle they instinctively push their tongue forwards – this is called the tongue-thrust reflex. Your baby needs to learn to swallow solids and not push her tongue forwards. If she can’t get on with a spoon, dip a clean finger into the puree and let her suck your finger for a few mouthfuls.

You don’t need to sterilise your baby’s spoons or bowls, simply wash them in a dishwasher. After all, your baby puts everything in reach into her mouth and none of these is sterilised. However, it’s important to sterilise your baby’s bottles and teats as warm milk is the perfect breeding ground for bacteria.

You will find that your baby will let you know how much she needs to eat; some foods such as carbohydrates will fill her more quickly than fresh fruit and vegetables; when she appears to be full or resists your attempts to feed her, it’s time to stop.

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Mums share their baby-led weaning stories https://www.annabelkarmel.com/advice/firsthand-baby-led-weaning/ Wed, 10 May 2017 14:14:10 +0000 https://annabelkarmel.com/?p=30471/ With baby-led weaning focusing on letting baby take charge of their own food experience, and with so many families feeling pressured to choose one method or another, we hear from three real mums who share their experience and weaning wisdom! Rachel from Mumma Hub Weaning is one of those things that I started to think […]

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With baby-led weaning focusing on letting baby take charge of their own food experience, and with so many families feeling pressured to choose one method or another, we hear from three real mums who share their experience and weaning wisdom!

Rachel from Mumma Hub

Weaning is one of those things that I started to think about way before the six-month mark, It’s a big deal; you want to get it right, you want a healthy baby with a healthy appetite. I have three children and have taken a different approach with each of them…read more

Kayley from Friendly First Foods

When I was pregnant with Harry I had all these grand ideas of what kind of parent I would be and what our feeding journey would look like. What I didn’t count on was Harry having his own ideas about this and that, as parents, we would end up following his lead, rather than the other way around. None of our plans came out exactly as we had hoped…read more

Nicola from Mummy To Dex

We started our baby led weaning journey at six months. I could lie and say it wasn’t the scariest period of my life, but aside from those first few days of Dexter’s existence, it really was. It was important to me to start with something that was soft; I really didn’t want to dive in with a full roast dinner or something equally as complex to begin with…read more

Annabel’s new Baby-Led Weaning Recipe Book gives you the tools and inspiration to incorporate baby-led weaning into your baby’s routine. This book can be used on its own for exclusive baby-led weaning. Or it can be used as a companion cookbook to Annabel’s original feeding guide, the New Complete Baby & Toddler Meal Planner, which is filled with her popular puree recipes.

As well as being packed with useful advice and top tips, the book is filled with 120 recipes which the whole family can enjoy together – from breakfast and snacks, to vegetables, poultry, fish, meat and more.

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Nicola’s baby led weaning story https://www.annabelkarmel.com/advice/blw-parent-story-nicola/ Thu, 04 May 2017 14:27:26 +0000 https://annabelkarmel.com/blw-mom-stories-rachel-copy/ Nicola the mum behind the amazing blog Mummy To Dex, gives her run down on how she has found weaning her little one so far. We started our baby led weaning journey at six months. I could lie and say it wasn’t the scariest period of my life, but aside from those first few days […]

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Nicola the mum behind the amazing blog Mummy To Dex, gives her run down on how she has found weaning her little one so far.

We started our baby led weaning journey at six months. I could lie and say it wasn’t the scariest period of my life, but aside from those first few days of Dexter’s existence, it really was.

 

Choking was a big fear, but it’s uncommon

We began by trying banana pancakes for lunch one Thursday afternoon. It was important to me to start with something that was soft; I really didn’t want to dive in with a full roast dinner or something equally as complex to begin with. My husband works full time and I was very much alone in starting this journey. Aside from the vast amount of online research I had done and joining a few baby led weaning Facebook groups, I had virtually no support. My biggest fear as I am sure you will identify with was choking.

I can assure you now, four months in, Dexter has never had a choking incident; indeed they are very rarely mentioned on the support groups which have tens of thousands of members. Choking is uncommon. The important thing is that you gain the skills required to know what to do if a choking incident were to occur. Knowledge is power, as they say.

 

Spices in Baby Led Weaning

The first few weeks we tried a vast range of foods: various fruits and vegetables, pancakes, muffins, pasta dishes and curries. It is essential that I impart my love for food onto Dexter. My husband and I are avid travellers who love sampling food from all over the world. We wish to continue our travels with Dexter as our mini companion, and want him to enjoy food from Italy to Thailand to Morocco. For this reason, I gave Dexter a wide range of herbs and spices from day one. Offering some piri piri hummus alongside a piece of baguette two weeks in was probably a bit bold; he went bright red in the face and began to cry; but I learnt from that. I slowly introduced spice week by week until he built up a tolerance. Mums shouldn’t be afraid of a little spice; it is eaten and enjoyed by babies all over the world.

 

Going out to eat is straightforward

Baby led weaning has been the most incredible journey we have undertaken. At ten months he eats all of our meals and tackles them with enthusiasm and determination. Going out to eat is straightforward because he either has a child’s meal or little bits from my plate. I often take a packed lunch out with us which includes items you would expect to find in a schoolboy’s lunch box, not that of a ten month old baby.

He will try anything and loves to eat. We eat three meals a day alongside two snacks, plus three small milk feeds. He understands the concept of chewing, pushing food towards the back of his mouth where his molars haven’t yet formed and grinding. We recently introduced cutlery which is another exciting development in our journey to him being fully weaned.

 

For baby led weaning start with the soft foods and gradually build up

If you are thinking about baby led weaning, my advice is to go for it. There’s nothing to stop you doing it at your own pace; start with soft foods and build up gradually if that makes you feel happier. Remember that the weaning process is a journey and you have a good six months to get things right. I don’t believe that ‘food before one is just for fun’ because babies do get a lot of their nutrition including iron from the food you offer, however I do believe it should be a fun process with lots of different tastes and textures and lots of encouragement and support.

Nicola is new mum to Dexter James, blogging from Liverpool about her parenting experience at MummyToDex.com.

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