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SUMMER 2010
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This page contains articles that appeared previously on "Articles by Local Experts" 

hampstead chiropractor NW3Kids  Dr. Linda Balazic www.naturalhealthchiro.co.uk
 

Lift those baby blues with chiropractic treatments (before and after birth) March 2010

Most women get post-natal, or “baby”, blues at some point or another.  It’s really no surprise. A new mother’s body has gone through a tremendous amount of shock to nurture the baby and prepare for birth and this can take its toll mentally as well. And once the baby is born, she can look forward to sleep deprivation as well as an entirely new life-style.



Chiropractic treatments can help expecting mothers by ensuring that joints get into good shape both before and after the birth. They can also help with pain management.

During pregnancy, problems crop up as the body struggles to cope with the huge changes placed upon it. The extra weight and the hormones can lead to ligament laxity, which can, in turn, cause mild to severe pubic joint pain and low back pain. Other joint pains, especially in the knees and hips, are not uncommon. Simple tasks like walking up stairs, getting on public transport and carrying shopping bags can become a nightmare. And subsequent babies take an even greater toll, especially on the neck and shoulders. Not only is the mother already taking care of an active child(ren) but she no longer has time for relaxing bathes or soothing yoga classes.  For working mothers, commuting or sitting at a computer can compound any problem.

Chiropractic help locate and correct the structural misalignment of the nervous system, spine and joints of the body. Treatments relieve pain and ensure the body is functioning at its optimal level.

The chiropractic corrections, or what we call ‘adjustments’, are very specific and are applied to the areas of the body that may have nerve interference. These adjustments are extremely gentle. Personally, I use a light index finger contact and hold for a short period of time, with a quick release. It's about the same amount of pressure one would use to test the firmness of a tomato. Sometimes I use an instrument called an activator to help to achieve the same light touch.

The actual birth process can also cause physical problems that chiropractic help alleviate. Some say having a baby is more strenuous than running a marathon so it's no surprise that

misalignment or injury to the pelvic joints and ligaments can happen in even ‘ normal births’.  Complications like prolonged labour, obstructions to birth, multiple births, chemically assisted births, or pre-existing back problems aggravate the situation.
 

When a new mother experiences pain, lifting a baby, breastfeeding or getting a restful sleep becomes very difficult. This can have a huge impact on her state of mind and mood. A chiropractor can hopefully prevent some of these painful aches with prenatal care and physically correct the problems as soon as possible postnatally.   

Pregnancy and childbirth involves a huge lifestyle change and this is often a time of contrasting emotions.  For some women, it can be overwhelming.  If I feel a patient's issues are out of my scope of care (e.g. post natal depression or anxiety disorders) I will co-manage with a GP, counsellor or psychologist, to get the emotional support and help needed. Camden council also have a website with a link to get extra help such as books or confidential counselling.

http://www.camden.gov.uk/ccm/content/contacts/categories/contacts-for-post-natal-depression.en

The key: be well informed and seek support when needed.


SKIING WITH KIDS (Feb. 2010)


Skiing with children is great fun and it's a wonderful skill that is best learnt while young. Skiing teaches kids how to pay attention, follow instructions, keep calm and persevere. It's also a great confidence booster -- there's nothing like the feeling of swooshing down a tricky red slope. Having said this, skiing with little people can be totally exhausting so consider the following two points when deciding whether to go. 

A. Unless you plan to go often, there is such a thing as starting too young. I wouldn't sign him or her up with all-week ski school until about age 5 or 4 for fairly sturdy, up-for-it kids. We started my middle son when he was three and he was miserable. He did, however, learn how to say "I need a wee" in French! Some ski schools have 2-hour "taster" courses for the undecided.

B. Getting to the mountains can be a real hassle - especially if you have car-sick children. Lots of resort are only accessible by car or bus - expect plenty of curves and a two to three hour journey from various airports.

If you're still keen on bringing your children to the slopes, your next decision is: package holiday with a ski specialist, or do it yourself?

There are lots of British companies that organise the whole trip: air fare, transport from airport to accommodation, ski school for the kids, lift passes, ski rental, all food and all childcare. You meet your dedicated coach bus at the airport, along with representatives who get you to your chalet and chaperon you to the ski rental shop. Children are picked up early in the morning and either taken to ski school or to daycare. They are returned to you in the evening or whenever you want to pick them up. Depending on how much you are willing to pay, accommodation is usually chalet, which you share with other families. Every thing is handled in house and you're assigned a chalet girl or boy who cooks and generally helps out. You really don't have to think about anything or make any decisions, which can be quite nice as you have no admin whatsoever.
   However, all this assistance comes at a steep price and in my opinion, it doesn't make for a very memorable holiday.  Staff tends to be quite young and dare-I -say-it a little inexperienced. Our chalet boy was charming and sweet but the food was diabolical. His duck a l'orange was disrespectful to both ducks and oranges. He even managed to make fish fingers taste like what I imagine yellow Lego would be like. Furthermore, I saw many hungover faces at the childcare centres. We had a fun holiday but it wasn't an experience that my children will likely want to pass on to their children.

Option B. Take your chances and do everything yourself. Switzerland makes this quite easy as public transport is famously efficient and they have a tradition of "Kinderhotels" that make travelling with children pretty easy. We've had great success with the website www.myswitzerland.com  I hear Austria is quite similar and much cheaper but I have no direct experience with this.
I have two recommendations in Switzerland.

The Alpenhotel in Flims www.alpenhotel-flims.com : The big bonus here is the proximity to Zurich (and other)  airport and the ease of the journey (no stomach churning ascent). There is even an airport shuttle organised by the town (see www.laax.com)  The hotel provides free childcare in the afternoons for over 3s, supervised dinner at 5:30 and a movie afterwords. Great playrooms for little, medium and big children. For younger kids and non-skiers there is a crèche (not connected to the hotel) at the base of the mountain (my 10 month-old loved it). The food at Alpenhotel is good (especially the breakfasts) staff is great and they have wonderful little touches like free soup, coffee and cakes in the afternoon. They even have a little stool at check in so kids feel part of the action.

Pluses: really easy to get to; sweet hotel 
Minus: bit if a scrum to get the shuttle to ski school. Not too many easy blue runs on the mountain for beginners.

Hotel Alphubel www.hotelalphubel.ch  in Saas Fee. Often number 1 on www.mumsnet.co.uk . The Supersaxo family go to extreme lengths to make this really fun for kids: fireworks, family ski races (with timers and cowbells), kids discos, pizza making, sledding etc... Supersaxo son even puts on a giant (chicken?) outfit to entertain the kids. Childcare (free) is provided for 2s and over by Heather, an extremely nice Manchester native who married into the family. If your child attends ski school, you do need to pick them up from ski school at 1pm, feed them lunch, and then put them back on the hotel shuttle for 2pm but the rest of the time you are free to ski. Our friend's toddler was really happy the whole week. Talk to hotel about children younger than 2.

Families who make the trek tend to come every year (we've been 3 times.)  Saas Fee the town is car free and very cute -- the glacier guarantees snow. The hotel provides lockers at the bottom of the mountain for ski gear and they have a shuttle in the morning and evening. The one bummer is Saas Fee is not particularly close to either Geneva or Zurich; you need to take a train to Visp and then a bus to Saas Fee. I've made the trip several times and the trick is to travel as light as you can. If you want to bring your own skis, you will probably need to rent a car.

Pros: you are unlikely to forget this place and your kids will adore it. Excellent value for money.
Cons: While public transport is pretty good, as trains and buses are very efficient, it makes for a long day.


Miscellaneous:
Ski School: The worst part of the entire holiday is getting the kids ready for ski school, especially the first day. If you have opted for the kinderhotel route, it's best to book ski school in advance. Call the ski schools directly or go on line. NB: Don't try to pay tuition the morning ski school starts -- do it the day before (while you are renting gear and arranging for lift passes) or you will be in a mile long queue. Make sure you are clear on where you have to be and if you have all the correct form/lift passes (some ski schools include lift passes for children). If you are worried about not speaking German, don't. Anyone in the tourist industry speaks English to a very high standard -- ski teachers included. Ski school tends to last for a week, usually starting on Monday. 
     Have all gear out the night before. Getting two small children ready takes an insane amount of effort -- way, way, way more than regular school. Put a snack in their jacket - chocolate covered granola bar is good  Promise treats when you pick them up. Make good on promise and double it if the weather was particularly foul.  
     Oh and make sure they use the toilet before putting on ski boots. 

Clothing: Children do love snow but if they are cold nothing is fun. As long as they are waterproof and made for purpose, ski jacket and trousers don't need to cost a ton (I hear Aldi makes pretty decent ski gear if you don't want to invest too much). And you certainly don't need high tech fleeces - any old one will do. But I wouldn't skimp on thermals, gloves and socks. Snow and Rock has excellent (and appropriately expensive) gear and well trained staff to help you.
Check list:
ski pant and jacket
ski gloves
ski socks
thermal shirt and thermal pants (good ones!)
turtleneck shirt
fleece
balaklava that goes under helmet
neck warmer that can be pulled over the mouth and covers face


ARE YOU PREPARED FOR AN EMERGENCY INVOLVING A CHILD?

We all know that accidents can happen at any moment.  It is impossible to watch our children all the time and there will always be that unguarded moment. But at the same time we don’t want to wrap children in cotton wool – after all scrapes and bruises are part of growing up.   That said, accidents
 are the single greatest cause of death among children and young people in the UK and put more children in hospital than any other cause. Many accidents can be prevented by putting the right safety measures in place and by learning basic first aid which can help stop a minor injury becoming a major one and even make the difference between life and death. (www.capt.org.uk)One of the most common concerns of parents is the possibility of their child choking. Not suprising as young children are forever  putting things in their mouth and even the most vigilant of parents might experience a child who starts to choke on a small object or a piece of food.  Grapes and small tomatoes are notoriously dangerous as if eaten whole they can get stuck and obstruct a child’s breathing. (See below for details on how to deal with a choking child)Amy Dopson, a first-aid trainer and paediatric senior sister in a Surrey hospital,  sees many children in her casualty ward who have suffered a burn  and says that some parents are still not sure how to handle this sort of injury;  “They  need  to familiarise themselves with what to do , because immediate action can make a big difference to the outcome.” she says: “If parents know what to do when a child suffers a burn or scald, we would have far less need for skin grafts and plastic surgery.” If there is any question of electrocution, the golden rule is not to touch the victim until the mains current is off and the child is no longer in touch with the source of electricity . If a burn  is from a fire, a hot surface, electric current or boiling water in the kitchen, the same rules apply. A young child’s burn should always be seen by a doctor, preferably in an accident and emergency ward.    

If your child suffers a burn or scald

 Treatment 
·         Cool burn with cold running water for at least ten minutes. If cold water is not available, use another cold,, harmless liquid, such as milk
·         Get medical help for any burn or scald which is larger than a 50p coin·         Remember to keep calm and give lots of comfort and reassurance to the child
·         DO NOT remove burnt clothing which has stuck to the skin. Burnt clothing is sterile and will protect the wound.
·         Remove carefully any jewellery, belts, restrictive clothing or footwear (that is not stuck to the skin) from the injured area before it begins to swell
·         Cover the burn with a clean, dry, non fluffy dressing and secure loosely.  A plastic bag or piece of cling film are ideal
·         DO NOT put butter oil or any sort of grease or lotion on a burn or scald – these can cause further damage and increase the risk of infection
·         DO NOT apply sticking plasters or any other type of adhesive dressing to the skin – they will cause pain and damage when removed
·         DO NOT break blisters – you may introduce infection into the wound
·         DO  NOT give the child anything to eat or drink with the exception of painkillers
·         Give the recommended dose of children’s painkiller syrup 

What to do if your child chokes How can I tell that my child is choking?
 
  1. She may be gasping for air and unable to breathe
  2. She may be holding or clutching her throat
  3. She may be unable to speak
  4. She may lose colour or look blue
 What should I do? 
1             Encourage your child to cough. If this does not quickly release the object:
2             Bend your child forward from the waist so that the head is lower than the chest and give 5 sharp back slaps between the shoulder blades.
3             If the object is still not released give up to 5 abdominal thrusts: kneel or stand behind your child with both arms around their waist. Make a fist with one hand and place it just above the belly button (below the ribs) with your thumb inwards. Grasp this fist with the other hand. Thrust sharply inwards and upwards. Try this up to 5 times. Check between thrusts and stop if you clear the obstruction.
4             If the obstruction is still not cleared repeat steps 2 and 3. Ask someone to dial 999 for an ambulance.
5             Be prepared to resuscitate if the child stops breathing.  The above is not a substitute for professional first aid training. For details of paediatric first aid courses in your area please call safe and Sound on 0208  445 8998 or go to www.safeandsound.uk.net   For information about Safe and Sound Paediatric First Aid Courses www.safeandsound.uk.net or email info@safeandsound.uk.net  tel:  0208 445 8998


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Eye Examinations for Children (December 2009)

When Should Children See an Eye Doctor?

Just as taking care of your child’s teeth is important, so too is having their eyes examined by an Optometrist. Children’s eye examinations are nothing to worry about. They are tailored to your child’s age and can be done from the age of 3 onwards.

In fact pre-school eye examinations are vital to ensure that your child’s eyes are developing normally. Children often do not communicate any visual problems as they do not know what to expect from their eyesight.

Warning signs to look out for that may indicate your child is having difficulty seeing include:

·         Screwing eyes up and straining eyes

·         Poor hand/eye co-ordination and increased clumsiness

·         Eye rubbing, frequent blinking and watery eyes

·         Poor concentration and difficulty at school

·         Headaches

A full eye examination carried out by an Optometrist will assess your child’s distance and near vision, eye movements, focusing ability, peripheral awareness and general eye health including colour blindness. An eye examination will also screen for amblyopia (lazy eye) and strabismus (turning eye/squint)

Amblyopia = where one eye is weaker and cannot see the same amount of detail as the fellow eye. This can prevent the two eyes working together and make depth perception and binocular vision difficult.

Strabismus = where one eye appears to turn in or out either constantly or when concentrating or tired. This will also disrupt development of normal binocular vision.

Both these conditions are prevalent in childhood and have many different causes. They need to be diagnosed and investigated promptly. Early intervention will allow a chance for normal sight to develop. If necessary your child can be referred to a paediatric ophthalmologist for further treatment.

If a focusing problem is found during the eye examination, corrective glasses can be prescribed. Fortunately, these days there is plenty of choice in children’s eyewear and glasses can be fashionable, functional and fun.     

 The NHS will even contribute to a portion of the cost of children’s glasses.

Eye examinations are available FREE on the NHS for;

-      Children under the age of 16

-      Youngsters between ages 16 to 18 who are still in full time education

Eye examinations are a vital health check to ensure healthy eyes and normal sight. Healthy eyes and good eye sight is critical to your child’s educational and social development. Early intervention will allow a chance for normal visual development and have less impact on your child’s ability to read, write and play.

At Perspective Optometrists we provide a welcoming and child friendly environment. As an Optometrist I have over 10 years of experience in paediatric eye care and have a specialist diploma in the subject. We have taken care to source a wide range of children’s spectacles and sunglasses. Appointments are available Monday to Saturday between 9.30am – 5.30pm. With FREE NHS eye examinations available there really is no reason not to have your child’s eyes checked regularly.

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HOW TO CHOOSE A GOOD NANNY (Nov. 2009)

4 Sunnyside, Childs Hill, London, NW2 2QN Tel:  020 7435 3891 www.londonnanny.co.uk   londonaupair.nannyagency@virgin.netMaggie Dyer, owner of The London Au Pair & Nanny Agency, has been finding help for families for over 30 years. Ms. Dyer writes about what training and qualities to look for, as well as how to tell if you have found the right person.

How to choose a good nanny!

There comes the time in every new parent's life when she (or he!) has to hand the baby over to someone other than family. Whether it's for a couple of hours to catch up on shopping and send emails, or full time to go back to work, at some point that door will have to close behind you. But how do you find the right person? And what qualities and experience do you look for?
To begin with, up-to-date paediatric first-aid and CPR is a must. In addition, I would look for a minimum of two years' sole-charge experience for very young babies and toddlers. Formal training is helpful, of course, but you can't beat experience. Toddlers need a nanny who has seen it all -- with eyes in the back of her head!  She must not only understand toddler tantrums, but also must follow the guidance of the parents when dealing with those tantrums.

An au pair should not have sole-charge of under-3s in the absence of working parents. She just doesn't have the skills. Au pairs are simply foreign language students, studying here and "helping" for around 5 hours a day.  They help with childcare and they help with household chores.  They are not nannies and they are not housekeepers.

Once you are satisfied that a potential nanny/babysitter has the right experience, move on to the next level. Good eye-contact during the interview is crucial, and she should be able to answer your questions directly and honestly.  It is of course important that she has a good co-parenting relationship with you, but the most important thing to look for is how she reacts with your child.  Children follow their instincts.  Before hiring your nanny, have a trial of half a day or so to see how she bonds with your baby. You will get the best feedback of all, on your chosen nanny, when you see your baby's mood when nanny hands over to you at the end of her working day. 

The final stage of hiring a nanny is perhaps the most important: Don't employ anyone without speaking with their previous employers, even if a nanny agency tells you that they have checked the references.  A nanny's first month should be a two-way trial, to see how everyone fits in.


How can you tell how things are going?  Apart from the very early days, your baby should be delighted when your nanny walks into the house.  When looking after your baby, you will have all sorts of other jobs to do at the same time - multi-tasking is the young mum's role!  Your nanny's time is specifically dedicated to your baby who will probably squeal with delight when she first catches sight of her.  It is not unusual for the baby to cry when handed over to the parent. Don't feel threatened and don't take it personally - be happy that your baby loves the person who is caring for her while you are absent. 


But sometimes things don't work out. It is best to be honest when giving a nanny a reason for terminating her employment.  If not, she will go to an agency or on interview with other families and she will be, unknowingly, dishonest about why she is leaving her job.  This gets very tricky when the agency or a future employer is reference-checking.



I have run The London Au Pair & Nanny Agency for 30 years and I am very aware of the huge responsibility that I have.  Families trust me.  If I hear any complaints at all it is that we don't send enough nannies for interview. I admit it. There are a lot of agencies who will send the CV of every nanny on their books to every family that asks for a nanny.  We are selective - we won't waste your time.


Finally, don't be intimidated by the paperwork!The easy way out of having to figure out taxes for nannies is to use a good payroll service.
We recommend way2paye   www.way2paye.co.uk.

hampstead chiropractor NW3Kids is pleased to announce that Dr. Linda Balazic will be writing a monthly article for the website on health issues regarding pregnancy, children, nutrition and chiropractic science.  www.naturalhealthchiro.co.uk Please be advised that all opinions, facts and arguments are entirely her own.



CAN CHIROPRACTIC TREATMENTS HELP A CRYING BABY?

Listening to your newborn cry non-stop can be very distressing, especially for new mothers, who dream of baby cuddles and smiles. And most books tell you there is nothing you can do to soothe an “irritable or colicky” baby, as the underlying causes of  the crying have yet to be fully understood. But in many cases, babies cry because they are in pain and chiropractic treatments can help.

 

Birth often causes the first subluxations (nerve interference or spinal dysfunction). The immense compression and then stretching of the baby’s delicate spine involved in even ‘normal’ delivery can cause damage. Difficult labour, forceps, or vacuum extraction, and Cesarean section exacerbate the situation. Excessive crying, arching of the back, not settling are all signs that there may be problems with baby's spine.

One study examined a group of apparently healthy children and found that 15.8% had cervical subluxations (neck problems) and 40% had pelvic subluxations (Lewit K, Barth JA Leipzig. Functional Disorders of the spine in children. Manuelle Therapie. 1973;2(7):50-54)

Derek was a 2-month-old baby who ‘screamed the house down,’ according to his Mum. Not only was the baby suffering, but Mum and Dad were also exhausted and frustrated. It put a lot of strain on their relationship.

 

I diagnosed a spinal misalignment of the baby's atlas, a bone in the upper neck. Once this was corrected, Mum said Derek slept the whole night. She even went to check on him 7 times because she just couldn’t believe it. He settled down after that and started to feed off both breasts. Derek looked a lot happier (and so did Mum!!) She also noticed he moved his neck more to both sides and didn’t arch his back anymore -- the misalignment in his spine had restricted his movements.

 

It must have been very uncomfortable for him. The pressure on the spinal nerves meant he just couldn't relax, and the pain was probably particularly acute if he was lying on his back or on his right side (to feed on the left breast.) I was very happy I could help. 

 

During an examination, I use a very gentle and very specific light touch correction technique especially developed for babies and children. It's about the same amount of pressure that you would use when testing the ripeness of a tomato. Children seem to really enjoy it. I test a baby's nerves, spine and joints for about an hour, and if the diagnosis is not in the scope of my care, I will refer out.

How does one know if chiropractic treatments can help a crying baby? Nerve dysfunction can manifest differently from child to child. For example that neck misalignment I described can give one patient headaches and neck pain and restricted movement, another dizziness, another recurrent ear infections, another colic. That's because that one spinal nerve root has thousands of branches that go to different muscles, joints, and organs.

Just as a tooth cavity may have no symptoms, the same principle applies to subluxation (nerve interference). It is recommended for all children to have their spine and nerve function assessed by a qualified chiropractor. Your child may not be sick, but but his or her spine may be developing misalignments that can put stress on the communication systems of the body. Regular chiropractic check-ups can help protect your child against illness or allergies.
(1)Lewit K, Barth JA Leipzig. Functional Disorders of the spine in children. Manuelle Therapie. 1973;2(7):50-54

Dr Balazic is an Australian chiropractor with her own family practice --  'Natural Health Chiropractic' --  in the heart of Hampstead. She holds a 5-year double degree in Chiropractic and Clinical Science and is currently completing a Masters in Paediatric Chiropractic.
Her practice treats adults, children, babies and pregnant mums to reach their full health potential and living life pain free again. The clinic has a play area for children and a constant supply of stickers! A very comfortable pregnancy table is available -- chiropractic treatment is encouraged to full term to reduce aches and pain and improve the alignment of your body and pelvis for the birth. Dr. Balazic is a primary health care practitioner and is also qualified to give nutritional advice.


Please visit www.naturalhealthchiro.co.uk or call 0207 431 4882 if you have any questions on the articles or anything else about the health of you or your family.
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When should I introduce solids? (October 2009) By Dr. Linda Balazic

 

Weaning your child onto solids can be particularly confusing and it is important to wait until your child is ready for this next stage.

 

Some signs that your baby is ready for solid foods are…

·               Your baby has the ability to sit up well

·               Your baby seems hungrier than usual between breast or formula feeds and does not seem as content or settled. She may also seem to drain your breast quickly or be frustrated during a feed.

·               Your baby seems interested. Initially your baby may seem fascinated watching you eat (while sitting on your lap). Over the following few weeks, your baby will start to reach for your fork, pull at your hand or vocalise his interest.

·               Your baby starts moving his tongue back and forth in his mouth, rather than up and down in a sucking motion. (This means he is ready to move food from lips to throat.)

 

 

If you are holding off feeding your baby because of concerns over allergies -- don't. Research suggests that solely breastfeeding for the first year will only delay the onset of allergies and not prevent them altogether. By 6 months, breast milk is starting to become depleted in iron, zinc and vitamin C. Therefore, slow introduction of quality nutrition with special attention to essential fatty acids (EFA's), is more effective in preventing allergies than delaying solid foods. (Silverman WA J. Paed Aug 1,2002)

 

If your baby spits the food out, or simply drools, (or keeps the food in his mouth rather than swallowing), wait a few weeks and try again. It's not necessarily a sign he does not like a particular food -- just that maybe he's not ready.

 

Many parents start at six months, but some children take longer in getting started.

 

A good rule of thumb is to introduce one food in small amounts for at least one week (preferably two) before adding additional items to your child’s menu.  Most nutritional books recommend beginning with pureed vegetables. This helps identify allergic reactions. The most common allergies in children are from cow’s milk, eggs, fish, nuts and wheat.

 

When allergies are ruled out, giving a larger portion of one food at a feed, rather than small amounts of several foods, allows your baby time to absorb the nutrients easier.

 

6-9 months

 

Before jumping into what first foods you should introduce to your baby, let's start with what you shouldn't. While books often recommend starting with pureed apples, bananas and standard infant rice cereal, the latest research suggest this is not a good idea.

Bananas can increase mucus production while slow digestion, which can lead to constipation.

Meanwhile, apples may cause dose related salicylate allergies. Some children have sensitivity to this family of plant chemicals found naturally in many foods. These chemicals help fruit to ripen naturally. They can produce nervous system sensitivities and  hyperactivity, skin problems (itching, rash, urticaria, acne), swelling of the face, hands and feet, breathing difficulties, cough, stomach pains and upset.

Avocados make an excellent first food as they are low in sugar and rich in important oils and minerals, including iron and vitamins. Avocados are also a lot easier on tiny digestive systems than commercially prepared products.

 

Example

Breakfast- breastfeed or formula

Mid morning – avocado (perhaps a third)*, or breast milk or formula mixed with avocado (or next menu item)

Lunch/early afternoon- breastfeed

Early evening- Avocado*

Evening- breastfeed, formula

 

* Each offered with a bottle of pre boiled, filtered water.

 

Slowly introduce the following vegetables and fruits -- it’s good to alternate for a variety of nutrients.

 

Fruits: Mango, stone fruits like peaches, nectarines and plums (skin and stone removed), pears, rock melon, papaya.

Vegetables: zucchini, pumpkin, squash, mushrooms, celery and green beans

 

Stewing, steaming or baking, then pureeing, will help an infant's digestive system. While carrots often appear on baby's first food list, it's best to wait until after nine months as carrots contain nitrates, which change the ability of red blood cells to carry oxygen. Leave out spinach, beetroot and collard greens for the same reason.

 

As for grains, start with organic and gluten free, iron fortified rice cereal, amaranth, millet and quinoa. You may have to go to the health food store for these. Millet will need 3 cups of water for 1 cup of grain then cook for 15-20 minutes.  Quinoa, which is rich in calcium and iron, requires 10-15 minutes to cook with 2 cups of water for 1 cup of grain. These can be blended or simply added to other foods. You should hold off cereals that contain cows milk until 12-15 months.

   

9-12 months

 

Vegetables: Now your baby is ready for chewier options like broccoli, cauliflower, carrots, asparagus (these are all great as finger foods), spinach and beetroot. But leave sweet potato and corn until after 10 months. White potatoes, which are high in starch (sugar), tomatoes which are high in salicylates and acidity, peppers and eggplants, are best omitted until closer to 12 months.

 

Grains: Add gluten grains such as oats, barley, rice porridge and basmati rice. Try to minimise wheat products if possible. From basmati rice, move to brown rice (closer to 18 months) and then finally to white rice.

        

Protein: Serve organic meat once or twice a week. Cook slowly to make it more easily digestible. Offer organic Soya products and tofu as well as different types of beans. Egg yolks are fine but save the whites for 12 months plus as babies are often sensitive to albumen.

     Organic nuts and seeds (ground or crushed) are also recommended -- try almond and sunflower seeds first as these are the least allergenic. Leave peanut butter until after 12 months. Keep fish off the menu until 12 months, as it is sometimes also allergenic.

 

More Tips

 

- Wait until 12 months until introducing honey due to sensitivity of growing teeth and adverse reactions to propolis

-         Remember fresh and natural is always best, so if you have time to prepare baby’s own food this would be ideal.

-         Freezing small portions of your purees and defrosting one at a time, helps during busy weeks.

 

- Be wary of the dried fruit in the supermarket. Try and buy sulfer dioxide free (220) and organic and you can soak them in boiling water overnight for rehydration before consuming. Or offer water to drink with it.