title: Development and pilot testing of Baby-Led Introduction to SolidS--a version of Baby-Led Weaning modified to address concerns about iron deficiency, growth faltering and choking.
abstract: BACKGROUND
  In Baby-Led Weaning (BLW), infants are offered 'finger' foods from the start of the complementary feeding period instead of being spoon-fed. Healthcare professionals have expressed concerns about adequacy of iron and energy intake, and about choking, for infants following Baby-Led Weaning.
  
  
  METHODS
  We developed a modified version of BLW, Baby-Led Introduction to SolidS (BLISS), to address these concerns. In a 12-week pilot study, families who had chosen to use a BLW approach were assigned to BLISS (n = 14) or BLW (n = 9). BLISS participants received 2 intervention visits, resources and on-call support. BLW participants received no intervention. Participants were interviewed weekly for 12 weeks and completed a three-day weighed record or three 24-h iron questionnaires.
  
  
  RESULTS
  Compared to the BLW group, the BLISS group were more likely to introduce iron containing foods during the first week of complementary feeding, and to offer more serves per day of iron containing foods at 6 months (2.4 vs 0.8 serves/day; P = 0.001); and less likely to offer high-choking-risk foods (3.24 vs 0.17 serves/day; P = 0.027).
  
  
  CONCLUSIONS
  This pilot study suggests BLISS may result in higher iron intakes and lower choking risk than unmodified BLW. However, the results need to be confirmed in a large randomised controlled trial.
authors: Department of Human Nutrition, University of Otago, Dunedin, 9054, New Zealand. sonya.cameron@otago.ac.nz.
authors: Sonya L
authors: SL
authors: Cameron
authors: Department of Medicine, University of Otago, Dunedin, 9016, New Zealand. rachael.taylor@otago.ac.nz.
authors: Rachael W
authors: RW
authors: Taylor
authors: Department of Human Nutrition, University of Otago, Dunedin, 9054, New Zealand. anne-louise.heath@otago.ac.nz.
authors: Anne-Louise M
authors: AL
authors: Heath
mesh_terms: D000402:Airway Obstruction / Q000517:prevention & control*; D018798:Anemia, Iron-Deficiency / Q000517:prevention & control*; D002149:Energy Intake; D005247:Feeding Behavior; D006130:Growth Disorders / Q000517:prevention & control*; D006801:Humans; D007223:Infant; D018730:Infant Behavior; D019266:Iron, Dietary / Q000008:administration & dosage; D010865:Pilot Projects; D014886:Weaning
chemical_list: D019266:Iron, Dietary