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Safety Guidelines

Understand choking risks and creating a safe feeding environment for your baby

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Know What to Do in an Emergency

Before starting BLW, it is recommended to take an infant CPR and choking course. It is important to know the difference between gagging (normal and protective) and choking (rare but serious). Remember - if you suspect choking call 999 immediately!

Gagging vs. Choking: Knowing the Difference

Gagging is a normal, protective reflex. Choking is a medical emergency

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Gagging (Normal)

Signs:

  • Baby is making noises (coughing or sputtering)
  • Their face may turn red
  • Their eyes may water
  • Their tongue may thrust forward
  • They may vomit or spit up food

What to Do:

  • Stay calm and don't intervene
  • Let your baby work it out themselves
  • Offer reassurance with a calm voice
  • Continue with their meal once resolved
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Choking (Emergency)

Signs:

  • Silent or no crying
  • Cannot cough or make sounds
  • Face turns blue or purple
  • For older babies, they may put their hands to their throat
  • Losing consciousness

What to Do:

  • Call 999 immediately!
  • Perform infant choking first aid
  • Give 5 back blows between the shoulder blades - check between each blow
  • If required, give up to 5 chest thrusts
  • Repeat until the object dislodges, or help arrives

IMPORTANT: This is not a substitute for proper training. It is recommended to take an infant CPR and first aid course prior to start BLW.

This is advice only - always call for professional medical help

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Safe Food Characteristics

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Soft & Squishable

Can be squished between thumb and finger

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Appropriate Size

Finger-sized strips or small pieces baby can manage

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Easy to Dissolve

Breaks down easily with saliva or gum pressure

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Age-Appropriate Texture

Matches baby's developmental stage

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High-Risk Foods to Avoid

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Round & Hard Foods

Whole grapes, cherry tomatoes (cut lengthways), nuts, hard sweets

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Sticky or Thick Foods

Peanut butter (by the spoon), thick nut butters, marshmallows

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Raw Hard Vegetables

Raw carrots, apples, celery - they must be cooked until soft

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Popcorn & Small Seeds

Can easily get lodged in the airway

Creating a Safe Eating Environment

Essential safety practices for every meal

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Always Supervise

  • Stay within arm's reach at all times
  • Give baby your full attention
  • No eating while in the car or a pushchair
  • Avoid distractions (e.g. TV or Mobile Phone)
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Proper Positioning

  • Baby sits fully upright
  • Feet supported on footrest
  • Never sit reclined or slouched
  • Secure with high chair straps
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Meal Pace

  • Let baby control their speed
  • Don't rush meals
  • Allow time to chew and swallow
  • Watch for signs of fullness
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Food Temperature

  • Always test temperature first
  • Serve food lukewarm, not hot
  • Stir to distribute heat evenly
  • Let food cool completely if needed
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Minimise Distractions

  • Turn off TV screens
  • Try and promote a quiet, calm environment
  • Focus on eating, not playing
  • Remove toys from tray
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Baby's State

  • Ensure baby is fully alert and awake
  • Not overtired or cranky
  • Not excessively hungry
  • In a good mood for eating

How to Modify High-Risk Foods

Make common foods safer for baby led weaning

Grapes & Cherry Tomatoes

Risk: Round shapes can block the airway

Make Safe: Cut lengthways and then into quarters for infants under 12 months

Hot Dogs & Sausages

Risk: Round and slippery

Make Safe: Cut lengthways into thin strips, then into small pieces

Nut Butters

Risk: Thick and sticky

Make Safe: Spread thinly on toast or mix into porridge or yoghurt

Raw Apples & Carrots

Risk: Too hard to chew

Make Safe: Steam or roast until fork-tender, or grate finely

Berries (Blueberries)

Risk: Small and round

Make Safe: Squish flat or cut in half for babies under 9 months

Bread

Risk: Can form a sticky ball in mouth

Make Safe: Lightly toast and spread with toppings to add moisture

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Emergency Preparedness

Before starting BLW, ensure you have:

  • Emergency numbers handy (999 especially!)
  • Completed an infant CPR and first aid certification
  • Discussed BLW with your health visitor
  • Practiced choking response techniques