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Old 11-27-2011, 10:32 AM   #1
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FF daughter oral aversions and when to start solid food

My DD is three months today, FF and seems to display oral aversions. (long story short, her birth was long and difficult and she was life flighted to a children's hospital 18 hours after she was born and was NG fed for the first 15 days of her life, see oral aversions)

When we first had her home and started bottle feeding we went to a feeding specialist because she wasn't taking a bottle well at all. That's where we first heard about oral aversions. Now, she takes a bottle like a champ but HATES anything that's not that in her mouth. She won't take a pack, but she will put her hands in her mouth. At that appt they said we might have problems with her taking solid food and should try to start early since it might take a while to get going. But that's all they said.

I'm going to talk to my pedi about it but wanted to see what you mommas think. She's starting to watch us eat, like she won't take her eyes off us, but she's not grabbing for food. For what it might be worth she was bottle breast milk fed for the first 6 weeks then FF.

What's the best way to introduce solids? What's the best first food?
When should I start?

Thanks!!

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Old 11-27-2011, 11:55 AM   #2
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Re: FF daughter oral aversions and when to start solid food

Solids under one are just for fun. Peds try to push solids at 6 mos but they aren't really necessary and most of LO calories should still come from formula.

With her aversions I would let her be your guide - maybe look into baby led weaning -and that way youbdon't have the extra transition from purees to solids
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Old 11-27-2011, 12:03 PM   #3
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What's the best resource for baby led weaning?
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Old 11-27-2011, 12:48 PM   #4
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I know that there is a book out there and I think they also have a website.

Lots of moms here use it - you may be able to search the forums for posts.
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Old 11-28-2011, 12:41 PM   #5
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Re: FF daughter oral aversions and when to start solid food

Your daughter is 3 months old? That seems like a pretty early start to me, but I'm sure they know more about it than I do. Maybe start with getting her used to a spoon?
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Old 11-28-2011, 12:55 PM   #6
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Originally Posted by Bmomma2C
Your daughter is 3 months old? That seems like a pretty early start to me, but I'm sure they know more about it than I do. Maybe start with getting her used to a spoon?
And try different types of spoons. Different shapes & textures.
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Old 11-28-2011, 06:08 PM   #7
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Re: FF daughter oral aversions and when to start solid food

My son has been in feeding therapy since birth. He also has severe oral aversions which made spoon feeding very difficult. Are you working with a speech therapist who is trained in feeding therapy? If she is displaying oral aversions, you should probably consider feeding therapy.

Here are some great tools for working with oral aversions that we use in therapy :
Nuk brush
http://www.amazon.com/exec/obidos/re.../dp/B001UZ31SC
Chewy Tube (more for chewing when they are 9+ months)
http://www.healthmegamall.com/prodVi...26_aff1574.htm

The NUK brush is really helpful at this age. We used it to rub the inside of his gums, lips and cheeks.

Also - 3 months is pretty early to start solids, however it is not too early to start working on the oral aversions. I would start by showing her a baby spoon and allowing her to play with the spoon or a nuk brush first. You will have to work on the oral aversions before she will allow you to spoon feed her.

Have you considered Early Intervention? They can also offer help with feeding therapy - though I have had better luck with a private therapist.
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Old 11-28-2011, 06:27 PM   #8
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Re: FF daughter oral aversions and when to start solid food

Also, just from a therapy standing (from my OT, ST and FT) - baby led weaning is the worst thing you can possibly do with a child with oral aversions. While it gives the child the control over feeding, it only encourages the aversions by never getting the child used to being spoon fed PUREES by an adult. Purees are essential for the child to learn the proper tongue and jaw patterns for swallowing, particularly if there is oral or food aversions. These patterns needs to be learned on purees before solid texture food is given to minimize choking, gagging and aspiration risks. The child needs to learn how to be comfortable with touch in order to safely chew foods. You also need to be able to brush the child's teeth - and give them medicine, for children with true oral aversions this can be a nightmare if not properly treated.

I think that Baby led weaning is wonderful for some children and is a perfectly fine method of feeding for many infants - however in the long run it will not help a child who already has feeding issues. The feeding issues need to addressed directly and head on. Feeding issues have a huge impact on the child's quality of life since children need to eat multiple times a day.
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Last edited by OurAllenBaby; 11-28-2011 at 06:37 PM. Reason: spelling
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Old 12-01-2011, 08:39 AM   #9
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Re: FF daughter oral aversions and when to start solid food

Agree with pp about getting her used to seeing and playing with a spoon or brush. DD had food and spoon aversion until about 10 months, she was ebf, but I don't know if it would have been different if she was ff. She had a feeding tube from about 4-7 months old because of medical reasons, and hated when we had to change it or put it back in when she pulled it out. I always put food on her tray and she would throw it. We started OT but it didn't do anything for us, she was only going to do what she wanted to do when she wanted to do it. One day she picked up food and put it in her mouth. Severe spoon aversion until my dad gave her icecream on a spoon! After that one time she ate off of a spoon. 3 months is a little early to start solids IMO, but you could try feeding her formula on a spoon. Maybe take a few flakes of baby cereal to make it just a tiny bit more solid if you wanted. We had to hand feed dd with our fingers for a while and then she got that what was on my finger was also in the spoon (after my dad fed her once). BLW worked for us, but like pp said, doesn't work for all babies, and probably not if they show oral aversions this early. GL mama!
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Old 12-01-2011, 08:50 AM   #10
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Thanks mommas!! I'm not going to start solids yet, just thinking ahead! We've started playing with a spoon and she's been willing for me to put my fingers in her mouth which I feel like is a huge step!! So, maybe it won't be too bad once she seems like she's ready for solids.
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