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Expert Q&A:
How can I get my 1-year-old to feed himself?

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Suzanne Dixon
Answered by Suzanne Dixon M.D., M.P.H.
"There is nothing so amazing as the development of a child," says Suzanne Dixon, M.D., a behavioral and developmental pediatrician who was one of the founding members of the Pampers Parenting Network. "Every day is a new adventure when you have a child around you. I never get tired of learning from the children who have been a part of my life, professionally and personally."Suzanne Dixon, M.D., M.P.H., was born and raised in Minnesota and graduated from the University of Minnesota, School of Medicine. She did her pediatric training at Massachusetts General Hospital in Boston and then completed a fellowship in Child Development at Boston's Children's Hospital. Dr. Dixon joined the faculty at the University of California, San Diego, and did patient care, teaching, and research for 20 years. She ran a large newborn service, performed research in early child development, and was involved in many community outreach activities in maternal child health. Throughout her entire professional life she has maintained an interest in cross-cultural activities, living and working in many parts of the world, including Mexico, India, Kenya, Indonesia, and several countries from the former U.S.S.R. Dr. Dixon is the author of numerous research articles, review articles, and textbook chapters in pediatrics, child and family development, and public health. Her textbook, written with Dr. Martin Stein, Encounters With Children: Pediatric Behavior and Development, has become a classic in child health education and is in its fourth edition. She is Editor in Chief of the Journal of Developmental and Behavioral Pediatrics, an international journal of high standing in the professional world. She also has served as an associate editor for Infant Mental Health and currently reviews for several major pediatric journals. Dr. Dixon is a fellow of the American Academy of Pediatrics and served in national positions in that organization. She is a member of the Society for Pediatric Research, the Society for Research in Child Development, the American Public Health Association, and the Executive Council of the Society for Developmental and Behavioral Pediatrics. She serves as consultant to several national and international organizations and has received an award from Healthy Mothers, Healthy Babies.Dr. Dixon continues to lecture and consult worldwide on aspects of maternal, child, and family health. She practices behavioral and developmental pediatrics in Montana and works with local advocacy groups on education and women''s health. Dr. Dixon has been married for over 30 years and has three sons. She and her husband travel frequently, are outdoor enthusiasts, and enjoy being amateur anthropologists.
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Question


My baby will be a year old in a few weeks and still will not eat by himself. He has absolutely no interest in even trying finger foods. He just throws everything on the floor. I show him how to pick it up and eat it; I stop his hand and say, "Don't throw. We eat the carrots, apples, whatever," but he throws and just cries until I feed him from the spoon. Should he be eating by himself by now? If so, what can I do to encourage / help him? Will my continuing to feed him pose any eating problems down the road?

Answer


It sounds like you are in a losing food battle with your son, so the first thing I would recommend is changing tactics. Go for greater stealth. Give him a few small bits of food on his tray and look away. Let him try it on his own, at his own pace. More than two or three bits will predictably end up on the floor. Pieces of canned fruit, cereal bits, or banana chunks are nearly universal favorites. You'll still need to feed a child this age with a spoon for most of the meal; this isn't an either / or. If he is very hungry at first, feed him a bit to take the edge off his hunger. Then give him a chance to do more himself. Give him his own spoon to let him know he's part of the process, but don't expect much agility for another six months. Another tactic: Sit him at the adult table in a highchair and give him some of what everyone else is eating, such as two or three pieces of pasta. Continue your own conversation and eating, making him feel a part of things but not the focus of attention. Give him a few more bits if he finishes what you give. Try these strategies for a few times as it will take him time to figure out what's up. If he throws food, say "All done" and put him down. The next scheduled snack or meal will be his next opportunity to eat. He won't starve himself and he will learn important parts of civilized eating. One important observation: If he can't use his hands to get things to his mouth in play or in any eating setting, has trouble swallowing, or gags frequently, bring him to his health care provider for a thorough checkup on development.

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Give them choices
My son is 14 months. He would not eat baby food with meat. He still eats baby food but only fruits a..

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