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Baby-led weaning (often also referred to as BLW) is an approach to adding complementary foods to a baby's diet of breast milk or formula.BLW facilitates oral motor development and strongly focuses on the family meal, while maintaining eating as a positive, interactive experience. [1]
The feedings will last 30–40 minutes in the beginning, or 15–20 minutes per breast if breastfeeding. As the infant matures, the feeding times shorten. [1] Feeding often is important to promote normal growth and development, and maintain milk production in mothers who are breastfeeding. [5]
The authors term their approach to feeding "parent-directed feeding", or PDF: [9] "Our conviction is that a baby should be fed when he or she signals readiness. With PDF, a mother feeds her baby when the baby is hungry, but she takes advantage of the first few weeks of life to guide the baby’s hunger patterns by a basic routine.
The Davis Area Research on Lactation, Infant Nutrition and Growth (DARLING) study reported that breastfed and formula-fed groups had similar weight gain during the first 3 months, but the breastfed babies began to drop below the median beginning at 6 to 8 months and were significantly lower weight than the formula-fed group between 6 and 18 months.
The 2000 CDC growth charts - a revised version of the 1977 NCHS growth charts - are the current standard tool for health care providers and offer 16 charts (8 for boys and 8 for girls), of which BMI-for-age is commonly used for aiding in the diagnoses of childhood obesity. [1]
Breastfeeding rates in the U.S. at 6 months rose from 34.2% in 2000 to 43.5% in 2006 and the rates at 12 months rose from 15.7% in 2000 to 22.7% in 2006. The U.S. Healthy People 2010 goals were to have at least 60% of babies exclusively breastfed at 3 months and 25% of babies exclusively breastfed at 6 months so this goal has yet to be met. [16]
The height, weight, and head circumference of a child can be compared to the expected parameters of children of the same age and sex to determine whether the child is growing appropriately. Growth charts can also be used to predict the expected adult height and weight of a child because, in general, children maintain a fairly constant growth curve.
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