Some of the questions that parents and professionals ask pertaining Baby Led Weaning (BLW) is about choking. The good news is fears about choking can be calmed! By understanding how children choke, parents can learn how to reduce the risks. Here are a few of my favorite tips to avoid choking.
Observation: It is important to supervise your child during all meals and snacks.
- Check-up: Before you start solids, have a check-up with your pediatrician and/or Speech Language Pathologist (SLP). I can’t tell you how many times a family has come to me after multiple choking episodes only to find out that the child had a small cleft palate, lip tie, tongue tie or swallowing disorder. Once resolved, solids were a huge success!
- Watch the swallow: Watch your child as she swallows liquids (breast or formula) and observe the coordination of sucking and swallowing. Then check out this coordination when swallowing purees and pieces of soft foods like banana and avocado. Discuss any concerns you have with your medical team.
- Seating: You can’t observe your children at mealtime if they are running around and eating. In my experience, this grazing habit is one of the most common reasons for choking. To improve safety, make sure kids are sitting in an appropriate highchair with a footrest while eating.
- CPR: Make sure all caregivers are not only certified but feel comfortable giving CPR to a baby or toddler in the event it is needed.
Preparation: The most common cause of death for children under three years of age is choking. So, it is imperative that we prepare for a safe mealtime by adapting our feeding environment for children.
- Thermal stimulation: Try reinforcing a drink after several bites of food. Thermal stimulation (offering cold or warm drinks) during mealtime can be helpful for kids to ‘feel’ the food left over in their mouth and teach them how to swallow more safely.
- Cutting: Learn to cut foods appropriately in order to decrease a choking episode. If you are unsure how to safely chop up a certain food, just avoid that food until you learn how to prepare it safely. For example, round firm foods like cheese sticks need to be cut lengthwise into a French fry shape to make them safer and more manageable to eat.
- Soften foods: Learn to soften foods (hard foods are a common choking hazard) with sauces, temperatures and cooking styles.
- Midline: Try using ezpz products like the Mini Mat or Tiny Bowl. These plates and bowls suction to the table and help children stay at midline, which may decrease the risk of choking. To avoid overstuffing (which can lead to choking) only put in a few pieces of food in the bowl or plate at a time. This gives children a routine of slowing down and helps them focus on eating.
- Ward off hangry: I like to offer foods right before the child starts to get hungry. Ideally, we want the food to be prepared and placed on the Mini Mat, have them already sitting in the chair and THEN have their hungry cues kick in. This technique helps decrease mealtime behaviors that can cause choking. Yes, hangry is real folks!
- Accessibility: Keep all foods out of a child’s reach in your kitchen. This will decease the chance of your child seizing something unsafe and choking on it before you even know they have grabbed it!
- High-risk foods: Avoid high-risk foods like hot dogs, hard candy and whole grapes until your little one is a bit older.