Arantes Ana Letícia Andries E, Neves Felipe Silva, Campos Angélica Atala Lombelo, Pereira Netto Michele
Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil.
Rev Paul Pediatr. 2018 Jul-Sep;36(3):353-363. doi: 10.1590/1984-0462/;2018;36;3;00001. Epub 2018 Jul 10.
To review the scientific findings on the baby-led weaning method (BLW) in the context of complementary feeding.
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.
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.
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.
在辅食喂养的背景下回顾关于婴儿自主断乳法（BLW）的科学研究结果。
两名独立审查员于2016年8月检索了医学文献分析和检索系统在线（MEDLINE）/ 医学期刊全文数据库（PubMed）。对发表日期未设定时间范围。使用了以下描述词：“婴儿自主断乳”或“婴儿主导”或“BLW”。纳入标准为：以英文发表的原创研究，且涉及BLW方法。排除标准为：其他语言的参考文献、观点文章和文献综述、社论以及未详细阐述目标主题的出版物。在识别出的97篇参考文献中，13篇被纳入描述性综述。
与传统饮食组相比，采用BLW的婴儿组超重的可能性较小，对食物的要求较低，并且与家人吃相同的食物。两组之间窒息发作的次数没有差异。选择实施BLW的母亲受教育程度较高，在工作中担任管理职位，并且更有可能在孩子六个月大之前进行母乳喂养。有人担心进餐时会弄得一团糟、食物浪费和窒息，但大多数母亲推荐采用这种方法。卫生专业人员对推荐这种方法持犹豫态度。
采用该方法的母亲推荐BLW。然而，已有报告称存在一些担忧，再加上专业人员担心婴儿无法自主进食，这反映出对该方法缺乏了解。
