Department of Nursing, Physiotherapy and Medicine, University of Almería, Almería, Spain.
Quirón Health Hospital, Almería, Spain.
Pediatr Res. 2023 Nov;94(5):1784-1788. doi: 10.1038/s41390-023-02694-z. Epub 2023 Jun 20.
Baby-led weaning (BLW) is an alternative method to spoon-feeding to introduce solid foods. This study aimed to describe and understand the experiences and opinions of pediatricians and pediatric nurse specialists of the implementation of the BLW approach.
An interpretive descriptive qualitative research was carried out. A focus group with 7 participants and 13 face-to-face interviews were conducted between February and May 2022 (17 females and 3 males). All were audio-recorded, transcribed, and analyzed with the supported by Atlas.Ti qualitative data analysis software.
From the data, two themes developed: (1) BLW as an ideal method of introducing solid food, with the subthemes: "a natural method of introducing complementary feeding" and "BLW is a safe method"; (2) Perceived barriers to the uptake of the BLW method, with the subthemes: "a lack of BLW training prevents the best practice" and "the influence of family and social context on parents."
Healthcare professionals perceive BLW to be a safe and natural weaning approach. The lack of training of healthcare professionals and the influence of family social context on parents may limit the implementation of BLW.
Baby-led weaning is perceived by healthcare professionals as a safe complementary feeding method that promotes chewing, improves growth, and the development of fine motor skills. However, lack of training of healthcare professionals and the family social context of the parents hinders the uptake of baby-led weaning. The views of the family and parents' social context about baby-led weaning may restrict their willingness to use the method. Family education delivered by healthcare professionals may avoid risks and allay parental anxieties about safety.
婴儿主导的辅食添加（BLW）是一种替代勺喂的方法，用于引入固体食物。本研究旨在描述和了解儿科医生和儿科护士专家对 BLW 方法实施的经验和看法。
采用解释性描述定性研究。2022 年 2 月至 5 月期间，进行了一次有 7 名参与者参加的焦点小组和 13 次面对面访谈（17 名女性和 3 名男性）。所有访谈均进行了录音、转录，并使用 Atlas.Ti 定性数据分析软件进行了分析。
从数据中得出了两个主题：（1）BLW 是引入固体食物的理想方法，包括以下子主题：“引入补充喂养的自然方法”和“BLW 是一种安全的方法”；（2）BLW 方法实施的感知障碍，包括以下子主题：“缺乏 BLW 培训阻碍最佳实践”和“家庭和社会环境对父母的影响”。
医疗保健专业人员认为 BLW 是一种安全且自然的断奶方法。医疗保健专业人员培训的缺乏以及父母家庭社会环境的影响可能会限制 BLW 的实施。
医疗保健专业人员认为 BLW 是一种安全的补充喂养方法，可促进咀嚼、促进生长和发展精细运动技能。然而，医疗保健专业人员培训的缺乏以及父母的家庭社会环境会阻碍 BLW 的采用。家庭对 BLW 的看法和父母的社会背景可能会限制他们使用该方法的意愿。医疗保健专业人员提供的家庭教育可以避免风险，并减轻父母对安全的担忧。
