Método Baby-Led Weaning (Blw) No Contexto Da Alimentação Complementar: Uma Revisão

Abstract

Objective: To review the scientific findings on the baby-led weaning method (BLW) in the context of complementary feeding.Data sources: Two independent examiners searched the Medical Literature Analysis and Retrieval System Online (MEDLINE)/PubMed database in August 2016. No time-period was defined for the publication dates. The following descriptors were used: “baby-led weaning” OR “baby-led” OR “BLW”. Inclusion criteria were: original studies that were available in English, and which addressed the BLW method. Exclusion criteria were: references in other languages, opinion articles and literature reviews, editorials and publications that did not elaborate on the intended subject. Of the 97 references identified, 13 were included in the descriptive synthesis.Data synthesis: The BLW group of babies, when compared to the traditional eating group, were less prone to being overweight, less demanding of food, and ate the same foods as the family. The number of choking episodes did not differ between groups. Mothers who opted for the implementation of BLW had higher levels of schooling, held managerial positions at work, and were more likely to have breastfed until the sixth month of the child’s life. Concerns were raised about messes made during meals, wasting food, and choking, but most of the mothers recommended adopting the method. Health professionals were hesitant to indicate this method.Conclusions: BLW was recommended by mothers who followed the method with their own children. However, concerns have been reported, which, coupled with professionals’ fears about the inability of infants to self-feed, reflect a lack of knowledge about the method.

Parents’ Perception of the Complementary Baby-Led Weaning Feeding Method: A Validation Study

“…The last factor, fear of establishing BLW, can become a determining factor when implementing this feeding method. This factor can be represented in the international literature as concern [24] or lack of trust from parents [2,25]. Thus, these factors can be considered representative of complementary feeding with the BLW method.…”

Brazilian health professionals’ perception about the Baby-Led Weaning (BLW) method for complementary feeding: an exploratory study

“…The baby-led weaning (BLW) method is an alternative approach for introducing solid foods, but it has been the subject of questioning. [1][2][3][4][5] It suggests that babies from the sixth month of life onwards have motor skills to guide their own ingestion 6 (postural balance to sit with little or no help, in addition to stability to reach, grab and bring food to their mouth) 1,[6][7][8][9] and, therefore, as long as they show adequate growth and development, they are able to start consuming food in pieces, strips or sticks, instead of porridge or purees by means of a spoon. 6,10 In short, in the BLW method, parents/caregivers act in feeding as an intermediate, because babies themselves have the leadership not only of what and how much is eaten, but also of the speed with which they take meals.…”

“…Most of them did not feel fully convinced to recommend it because of the concern with the risk of suffocation and because they suspect that the method could have a negative impact on energy consumption and iron intake. 3,[11][12][13] Therefore, since the theme is unprecedented in Brazil, this exploratory study aimed to describe the perceptions of Brazilian health professionals about the practice of the BLW method for complementary feeding.…”

Baby-Led Weaning: uma revisão integrativa das evidências científicas de 2011 a 2019

“…Despite the increasing popularity of the method, health professionals demonstrate concerns about some issues such as energy and nutrient intake and risk of choking 11,12 . In addition, few studies Arantes et al 14 published the first Brazilian review on BLW, with studies published between 2011 and 2016. Thirteen studies were evaluated, the main findings being: BLW babies were less selective, consumed the same family foods and were less prone to excess weight; mothers who opted for the BLW had higher schooling and were more likely to have breastfed for longer and, despite showing concern about the disorder and food waste, most encouraged the practice.…”