Yes / Mothers' responsiveness to hunger and fullness cues has been implicated in the development of infant over-weight, and baby led weaning (BLW) is argued to be one way to protect against overfeeding. Whilst studies have examined maternal perceptions of hunger, fullness and adequate intake to some degree in traditional weaning (TW) contexts, less is known about this in BLW. This study therefore aimed to understand and compare maternal perceptions of cues and intake in BLW and TW. Eleven mothers of infants (7–24m) participated in semi-structured interviews based on discussions of short videos featuring participants feeding their infants. Interviews were read and transcribed in full. Data were selected for coding which addressed mothers' perceptions of infant hunger, fullness and sufficient consumption and subsequently subjected to template analysis. A sample of data was coded to produce an initial template which was applied to all interviews and revised in an iterative process to produce a final template for interpreting findings. Mothers in the study were adept at recognising fullness cues and gauging feeding state. Both groups perceived similar hunger cues although TW mothers reported a wider range of fullness cues. Both groups used numerous strategies for judging the adequacy of their babies’ intake. These included the use of infant cues, however perceived adequacy of intake was also influenced by factors such as infant tiredness and maternal worries about over and under-eating. Findings have implications for the development of responsive feeding interventions while also highlighting the utility of video elicited interviews for understanding feeding interactions. / This work was supported by a White Rose Doctoral Training Partnership Economic and Social Research Council PhD studentship (UK) to Janet McNally.

Objective: To compare the effect of traditional and ¿baby-led¿ breastfeeding advice on early infant weight gain and exclusive breastfeeding rates. Design: Longitudinal cohort study: part prospective, part retrospective. Setting: One UK general practice. Participants: 63 exclusively breastfed infants in two cohorts: 32 babies born before and 31 babies born after a change in breastfeeding advice. Intervention: A change from baby-led to traditional breastfeeding advice. Main outcome measures: Primary analysis: comparison of the effectiveness of the intervention (ie, weight gain expressed as standard deviation score gain (SDSG) between birth and 6¿8 weeks) and exclusive breastfeeding rates between babies whose mothers received traditional advice and those whose mothers received baby-led advice. Secondary analysis: relevance of feed length (ie, weight gain expressed as SDSG between birth and 6¿8 weeks in babies feeding for 10 min or less from the first breast and those feeding for longer than 10 min). Results: The two groups were equivalent with respect to birth weight, gestational age, and parity. Primary outcome: babies whose mothers received the traditional advice were more likely to be exclusively breast fed up to 12 weeks (log rank ¿2¿=¿9.68, p¿=¿0.002) and gained more weight up to 6¿8 weeks than those given baby-led advice (mean SDSG 0.41 (95% CI 0.13 to 0.69) vs ¿0.23 (95% CI ¿0.72 to 0.27)). Secondary outcome: irrespective of feeding advice given, babies feeding for 10 min or less from the first breast gained more weight by 6¿8 weeks than babies feeding for longer than 10 min (mean SDSG 0.42 (95% CI 0.11 to 0.73) vs ¿0.19 (95% CI ¿0.64 to 0.26)). Conclusions: In this study, traditional breastfeeding advice resulted in increased weight gain and increased exclusive breastfeeding rates compared with baby-led advice. Exclusively breastfed babies who had shorter feeds (10 min or less from the first breast) gained more weight.

Objetivo: Analizar y determinar mediante una revisión sistemática el impacto que tiene el método BLW sobre la salud nutricional en bebés de 6 a 12 meses. Método: La metodología que se desarrollará está basado en el artículo de Tricco A, et al del a2018 y el de Peters MD,et al del año 2015. En el artículo de Peters, et al, mencionan que en una revisión sistemática exploratoria se debe realizar una búsqueda rigurosa y extensa de la literatura internacional. Así como definir los objetivos, los métodos y detallar los planes propuestos. Los artículos primarios investigados deben ser clasificados por el tipo de intervención, población, duración de la intervención, palabras clave. Asimismo, mencionan que las revisiones sistemáticas exploratorias son útiles para reunir evidencia, ya que, son adecuadas para abordar preguntas más allá de la efectividad o la experiencia en una intervención.

Introduction: The BLW method (Baby-Led Weaning) is an increasingly used method of introducing complementary nutrition to infants, in which the phase of feeding a puree with a spoon is completely omitted and larger pieces of food are immediately offered to the infants. There are concerns that children at BLW may cause worse thriving of them. Aims: The main aim of the work is to compare the somatic parameters of 12 months old infants depending on the method of feeding. The partial goals are to find out how much information parents have about the BLW method and what their child's nutrition looks like in their first year of life. Methods: Retrospective observational research was carried out by means of a questionnaire survey among parents of toddlers aged from the end of the 12th month to the end of the 18th month. The set consisted of 186 respondents for the evaluation of general information about the child's nutrition. Somatic parameters (head circumference, length/height, weight and weight/length [height] ratio at 12 months) were evaluated in a set of 153 respondents, the data were obtained from the child's health card. Data collection took place at the turn of February and March 2021. The data comparison was performed by t-test and ANOVA test. Results: The mean weight percentile at 12 months is...