Safety Guidelines
Understand choking risks and creating a safe feeding environment for your baby
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
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
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
Safe Food Characteristics
Soft & Squishable
Can be squished between thumb and finger
Appropriate Size
Finger-sized strips or small pieces baby can manage
Easy to Dissolve
Breaks down easily with saliva or gum pressure
Age-Appropriate Texture
Matches baby's developmental stage
High-Risk Foods to Avoid
Round & Hard Foods
Whole grapes, cherry tomatoes (cut lengthways), nuts, hard sweets
Sticky or Thick Foods
Peanut butter (by the spoon), thick nut butters, marshmallows
Raw Hard Vegetables
Raw carrots, apples, celery - they must be cooked until soft
Popcorn & Small Seeds
Can easily get lodged in the airway
Creating a Safe Eating Environment
Essential safety practices for every meal
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)
Proper Positioning
- Baby sits fully upright
- Feet supported on footrest
- Never sit reclined or slouched
- Secure with high chair straps
Meal Pace
- Let baby control their speed
- Don't rush meals
- Allow time to chew and swallow
- Watch for signs of fullness
Food Temperature
- Always test temperature first
- Serve food lukewarm, not hot
- Stir to distribute heat evenly
- Let food cool completely if needed
Minimise Distractions
- Turn off TV screens
- Try and promote a quiet, calm environment
- Focus on eating, not playing
- Remove toys from tray
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
Hot Dogs & Sausages
Nut Butters
Raw Apples & Carrots
Berries (Blueberries)
Bread
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