SPHSC 543FEBRUARY 5, 2010
Questions?
TRANSITIONAL FEEDING
Begins at 4-6 mos in normal infants
Related to CNS and anatomic changes
New patterns of food manipulation
TRANSITIONAL
Eruption of teeth most notable change
TRANSITIONAL
Crushing and grinding of food begins
Tongue becomes primary contributor to oral feeding.
TRANSITION FROM LIQUIDS
Smooth solids – homogeneous or with fine granular bits
Semifirm solids – soft but holds together
Solids:
… Handles lumps and textures with ground or mashed foods
… Coarsely chopped foods cooked ground meats, lunch meats, soft cooked chicken/fish
… Coarsely chopped table foods, most meats, many raw vegetables/fruits.
TRANSITIONS
As the ability to manipulate varied food textures increases, parallel gains occur in speech development as well as in the trunk, head, and neck stability.
With maturity, children begin to evaluate their food and you start to see food preferences.
May still revert to earlier patterns, especially when sleepy, distressed or ill.
CESSATION OF NIPPLE-FEEDING
Multi-factorial
Prolonged nipple-feeding has been identified with dental caries, particularly with sweetened liquids immediately before or during sleep
BF infants can get caries, too.
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