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1 7/21/2015 OFF TO A GOOD START Promoting Healthy CACFP Meals and Snacks for Infants 2 7/21/2015 BREASTFEEDING Best Practices for Infants 3 7/21/2015 IOM Recommendations • Provide mothers access to breastfeeding education opportunities • Supply of Mom’s breastmilk stored at day care site, assurances that the milk will be handled safely • Appropriate storage space for the milk • Breastfeed baby onsite when possible • Staff training in the safe handling and preparation of breast milk • Connect with WIC lactation consultants and existing breastfeeding programs to provide incentives for both families and providers 7/21/2015 How to Start the Conversation Create a culturally appropriate and breastfeeding friendly environment Increase support for breastfeeding mothers through enhancing childcare practices and policies 4 7/21/2015 5 Ten Steps to Breastfeeding Friendly 7/21/2015 6 7/21/2015 7 BOOST MEAL APPEAL To share Best Practices To promote increased consumption of healthy CACFP meals 8 7/21/2015 Boost Meal Appeal 1. Smart Start 2. Child Care Menu Planning 3. Adult Care Menu Planning 4. Food Preparation 5. Meal Service 6. Marketing & Promotion 7. Program Evaluation 7/21/2015 Smart Start 0-6 months 9 7/21/2015 CHILD CARE WELLNESS GRANTS Breastfeeding Supportive Child Care Practices 10 7/21/2015 11 12 7/21/2015 Sustainability Survey - BSC • Breastfeeding Supportive Child Care Practices Sites • 91% had maintained their designated space for BF moms • 82% trained new staff on handling of breast milk AND breastfeeding supportive practices • 64% were still conducting activities that introduce/expose children to BF and make it the norm • 47% were still conducting outreach to parents and community Types: No events held; distributed information/flyers, incorporated social media, added a BF logo to the outside of their facility van. www.squaremeals.org 7/21/2015 13 7/21/2015 14 7/21/2015 15 7/21/2015 16 IRON FORTIFIED INFANT FORMULA (IFIF) Infant feeding 7/21/2015 17 IFIF • IFIF is required to meet meal pattern requirements • Choose an IFIF that specifies “with iron” or “iron-fortified” • IFIF must have 1 mg of iron per 100 calories of formula when prepared in accordance with label directions • Single-ingredient infant foods containing DHA are now creditable/allowed in the CACFP infant meal pattern 7/21/2015 18 INTRODUCTION OF SOLID FOODS Developmental Readiness 7/21/2015 19 Baby Milestones Baby Milestone 1: Starting Solid Foods • AAP, recommends if your baby is exclusively breastfed, to start solids 6 months. • AAP, recommends if your baby is formula fed introducing solid foods somewhere around 6 months but not before 4 months • When baby can lift their heads up independently and hold their necks high. • Can sit up well with support • Shows interest in the foods they see you eating 7/21/2015 20 Baby Milestones Baby Milestone 2: Ready to Move From Puree to Chunks • “Chunking up” babies’ food is a process • Commonly Iron fortified infant cereal (IFIC) rice cereal • Introduce new textures slowly • 1-2 tablespoons of each food and gradually increase to 3-4 tablespoons as gets older. • Good starters are mashed bananas or mashed avocados. • “Staged” store-bought baby foods -- smooth puree stage1 – slightly thicker stage 2 – chunkier stage 3 7/21/2015 21 Baby Milestones Baby Milestone 3: Sit in a High Chair • Sit upright with support and hold up their head and neck • They're capable of sitting in a high chair • Safety rules: Always buckle a baby in the high chair for safety, even if the baby is unable to get out with the tray in place. As the baby gets older and becomes more active, he/she may be able to squirm out. 7/21/2015 22 Baby Milestones Baby Milestone 4: Manage Finger Foods • Ages 7 through 11 months usually ready for finger foods • Soft texture makes a good finger food: • small pieces of well-cooked vegetables such as carrots, peas, or zucchini; • and pea-sized bites of chicken or soft meat. • Small, unsweetened round cereals and cereal puffs • Avoid grapes, hot dogs (even cut up), nuts, and hard candy, as they are choking hazards. • At first babies “rake” food into their hand, but will develop the “pincer grasp” allows them to pick up small objects between thumb and forefinger, so encourage finger foods • Expose children to a wide variety of flavors and textures 7/21/2015 23 Baby Milestones Baby Milestone 5: Start Using Spoons • Babies will want to hold and grab the spoon • Babies learn to use a spoon effectively, after their first birthday • Try a soft-tipped spoon to hold while you feed with another. Baby can get used to holding the spoon and will also be distracted from grabbing yours. • When baby is ready to navigate the spoon into mouth try thicker, stickier foods like mashed potatoes • Expect a mess! 7/21/2015 24 Baby Milestones Baby Milestone 6: Try Highly Allergenic Foods • Pediatricians may recommend waiting until infants are age 1 before offering foods that are considered highly allergenic, like eggs or fish. • Current research doesn’t demonstrate any benefit to waiting, unless a significant family history of food allergies or other reasons they may be predisposed. • AAP recommends it is OK to give these foods before the baby's first birthday. • No evidence that introducing highly allergenic foods makes them more likely to be allergic to them • Pediatricians are still cautious about shellfish and peanuts, however, because allergic reactions to these foods can be particularly dangerous. 7/21/2015 25 Baby Milestones Baby Milestone 7: Can Drink Water • During their first 6 months of life, water is supplied from breastmilk or IFIF. • Babies under age 6 months should only be given water if prescribed; fills their tiny stomachs -- and replaces breastmilk or IFIF for growth. • Once eating mostly solid foods, around age 9 months, start water with meals using a sippy cup. • No harm in letting older baby have a few sips of water; not to replace the nutritious breastmilk or IFIF 7/21/2015 26 Baby Milestones Baby Milestone 8: Completely Feed Themselves • Mastering eating with utensils is a long process. • Most babies do not become skilled until after first birthday. • Encourage the baby/child to practice safely, and again, be prepared for messy eaters. 7/21/2015 27 Summary: Infants the First Year • Rapid growth and development occur rapidly during the first year of life • Food(s) high in nutrient value is essential for proper growth • Babies began their journey of establishing good eating habits during this time • Breastmilk is the best food for babies 7/21/2015 28 Summary: Infants the First Year • IFIF is the best food for baby when he or she is not being breastfed or when a supplement to breastfeeding is needed • Readiness for solid foods is based on the baby’s developmental readiness • Communicate frequently with parents to coordinate what the baby is being fed at home and what you feed while they are in child care 7/21/2015 Thank You! Linda Simmons Nutrition Specialist [email protected] www.squaremeals.org 7/21/2015 30 The Texas Department of Agriculture’s Food and Nutrition Division is funded by the U.S. Department of Agriculture, Food and Nutrition Service.