Thursday, June 23, 2011

Self feeding baby with Down syndrome

When Kamdyn was about 9 months old, I started to think about self feeding, because I remembered my other kids being able to do it at that age.  She started out with a straw cup that had handles on it, which made it easier to hold.  She required some help in the beginning, but it didn't take long for her to get it.



The whole straw cup thing was weird, because I just tried it with her one day, since I was thinking about self feeding, and she did it.  So we went from there.

The honey bear cup is a good cup for teaching how to drink from a straw, because you can squeeze the liquid up the straw while they drink. 

1020008

For food, we started out with large, easy to grasp foods like biter biscuits. I didn't like the biter biscuits, however, because she would bite off a big chunk, and I didn't feel comfortable with her having that much in her mouth.


A friend mentioned that she used Mum Mum rice crackers, so I tried those. They are great.
 
baby mum-mum
 
They melt in their mouth immediately like a puff, so I never worried about her choking or taking too big a bite.  And they are not messy like biter biscuits unless you put nutella on it:
 
 


Graham crackers also dissolve quickly.

As Kamdyn's first birthday approached, I worried that she would not be able to have that classic first birthday moment of eating cake, because I had not put food in front of her to feed herself.  Since she didn't have a pincer grasp, I didn't think she was ready for it.  Her birthday was her opportunity to show me.



She ate cake like a champ.


She was so proud.

Shortly after that, I was reading the Woodbine House fine motor skills book.  The book explained that low muscle tone also affects the muscles in the hands and fingers.  Well, that may be common sense to most, but I had never even thought of it.  Apparently, being able to coordinate the thumb and pointer to pinch a small object is a pretty intricate process that often takes our kids longer.  A toddler with Down syndrome will usually use a raking motion with the fingers to scoop the food up before they develop a pincer grasp.  This video demonstrates it perfectly:




As you can see, I only give her one piece at a time.  When she first started feeding this way, and I poured a pile of cheerios or puffs on her tray, she would scoop a whole handful and try to shove them all in her mouth.  In order to prevent choking and teach her to eat one at a time, I sit with her and offer one at a time.  Now, at almost 14 months, I can spread out a small pile of cheerios or puffs, and she will only eat a few at a time.  For larger foods, I am still only giving one at a time, though. 

Some products that I will be investing in as she grows are:

Kamdyn already likes to throw her cup, so we are working on it, but a little suction cup help can't hurt.

Munchkin 3-pk. Stay-Put Suction Bowls with Lids

*Sassy spoons that have a shallow bowl and are curved to make feeding easier.

30011 Less Mess Toddler Spoons (2pk) 9+ Inspire Confidence - Helps build confident self-feeding!

* Infa trainer cup before we go to an open cup, because it helps teach the motion of drinking from an open cup but helps provide more control.

Infa-Trainer Cup

3 comments:

  1. I LOVE the cake picture - magnificent! Check out www.babyledweaning.co.uk - great ideas for self feeding from the start of weaning - the idea is to make pieces bigger not smaller and they can choose their bite size....

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  2. Thanks so much for the comment. I love hearing other's input : ) I checked it out, and it looks like a good concept. My son, who is now 3, pretty much did solids this way when he was a baby. I have found with Kamdyn, however, that she has required more direction from me. I had to teach her to only take one bite at a time by only giving one piece. Now, she will only take one bite, where she would have taken a handful before. At 6 months old, she could not sit up, so she needed the time with the purees. She needed the adjustment to the texture, as well as learning the process of eating food. Thanks again for the comment : )

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  3. Thank you for directing me to this post. I'm going shopping tonight!

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