One in three children has feeding problems. . . This package shows you what to do about it! Parent Teaching Package gives background and support for the Feeding with Love and Good Sense DVD. It teaches you interpret feeding interactions, apply feeding principles, and teach other professionals and parents. In this package, Ellyn Satter, a Registered Dietitian and Family Therapist and internationally recognized expert on feedings, shows and tells how to feed well from the start, head off feeding problems, and raise good eaters. Author and producer Satter is also the author of four best-selling, full-length books about feeding and eating. Price: $175.00 To view video samples: http://ellynsatterinstitute.org/products /video-samples.php To order: http://bit.ly/1aoTFWp Ellyn Satter’s Feeding with Love and Good Sense II DVD: (Group license) Real parents and real children in their homes show what to do—and not do—with feeding. Four 15- to 20-minute segments, each with five to ten families The infant. Your baby eats best when you do what she wants. The transitional child. Start and progress solid foods based on what you child can do. The toddler. Teach your toddler to be part of the family with eating. The preschooler. Your preschooler is ready to learn and do. CD #1 Raising Children to Be Competent Eaters, PowerPoint Parent lecture Ellyn Satter’s tried-andtrue 30-45 minutes lecture that gets parents talking and asking questions. Four embedded vignettes, handouts. A healthy child who is a joy to feed grows well and (eventually) eats a variety of food. Here is what an Eating Competent child looks like. Feels good about eating. Learns to like unfamiliar food. Knows how much to eat. Enjoys family meals. CD #2 Parent Teacher’s Guide Addresses how to use video in parent-centered education for groups or individuals. 28 handouts support lesson plans. Interpret and understand video episodes Observe and understand the child Do stage-appropriate feeding Do problem solving with feeding 4226 MANDAN CRESCENT, SUITE 50 ~ MADISON, WI 53711-3062 ~ TELEPHONE AND FAX: 608-271-7976 ~ WEBSITE www.ellynsatter.com Ellyn Satter’s Feeding with Love and Good Sense II Vignette Summary with Content and Run Time Segment Infant Vignette Introduction Ashley Sebastian Caroline Emerson Chase Summary Total Age 3 wk 2 mo 3 mo 4 mo 4 mo Min:Sec Topic 1:12 4:40 3:38 2:02 2:39 2:44 1:09 18.22 Feeding is parenting. Trust. Meet child’s and parents’ needs. Positive breastfeeding (latch-on, suck-swallow). Sleep states. Positive formula-feeding. Following child’s cues. Brief sleep states. Positive breastfeeding (latch-on, suck-swallow). Hungry days. Pressured feeding—bottle. Poor reciprocity. Lack of interest in too-early solids. Interest in things. Sleep problems. Division of responsibility. Cultivate curiosity. Wait to start solids. 1:18 2:30 1:49 4:22 2:20 1:57 3:26 4:13 Starting solids to family meals. Children vary. Keep it casual. Positive first solid feeding. Breastfeeding (latch-on, suck-swallow). (+) and (-) reaction to too-early solids. Babies at family meal. Positive, experienced semi-solids. Unfamiliar food. Negative semi-solids. Parent charmingly pushy. Getting stuck on semi-solid food. Introduction to family food. Mid-transition to family meal. Self-feeding at family meal. Oral-motor development and handmouth coordination. Child obesity. Division of responsibility. Children’s eating competence. Transitional Child Introduction Jatta Micah, Sam Ella Zubin Alex Andrew Madison & Daniel Summary Total 5 mo 4.5 mo 6.5 mo 6 mo 10 mo 7 mo 12 mo 1:13 23.16 Toddler Introduction Zoey AJ Isabella Janelli Gage Luke Drew Joel Gage Seve Summary Total 30 mo 24 mo 24 mo 24 mo 26 mo 34 mo 21 mo 22 mo 26 mo 19 mo 1:20 1:46 2:53 1:43 1:25 2:21 1:59 2:24 0:40 0:32 2:49 1:14 21.13 Toddlers learn to be part of the family. Structure is critical. Positive toddler meal. Orderly behavior. Positive toddler meal. Squirmy, messy, talkative toddler Fussing by grandmother. Toddler quiet, reserved. Pressure to use fork, child (-) reaction. Struggle undermines eating. High parent interference. Child poor eating, distress, tantrum. Positive meal. Pressure at the end to finish food. Compliant child. Dinner for children only. Dessert strategy. Sit-down snack. Roaming with juice. Snack timing. Small snack to tide over for dinner. Positive family meal, negative end—child disrupts parents’ meal. Division of responsibility. Structure, chances to learn, no pressure. Preschool eating competence. Do your jobs; don’t do your child’s. Positive family meal. Child self reliant, coordinated, hungry. Parent interference: Utensils, clean plate Preschool wiggling, talking. Can’t sit still. Child eats a lot, father interferes. Undermines internal regulation. High parent interference, pressure to eat green beans. Child overweight. Parents dictate what, how much; child compliant. Undermining internal regulation. Inadvertent neglect in positive context. Inadvertent neglect. TV at meal. Social isolation. Attention only around food. Learning to eat for emotional reasons. Keep feeding this way throughout your child’s growing-up years. Preschooler Introduction Flora Jake Annie Tiara Shaun Gracie 4.5 yr 5 yr 4.5 yr 4 yr 3.5 yr 5 yr 1:06 1:40 2:50 0:57 2:25 1:58 2:48 Luis Jacqueline 5 yr 3 yr 1:01 1:50 Summary Total 1:05 17.49 FEEDING WITH LOVE AND GOOD SENSE II DVD Parent Teacher’s Guide To the Teacher e on your feet and crafting the training to the needs of the group. In fact, you are likely to find that when you relax and let parents ask the questions that the material will be covered. This Parent Teacher’s Guide addresses stage-appropriate feeding and gives guidance for early problem solving. Instruction comes from observation of the vignettes and parent discussion and your elaborating on key points. Problem solving takes the form of early intervention: identifying approaches to feeding that are less than optimum and correcting those approaches. This Parent Teacher’s Guide is not intended to solve established problems or treat specific issues around feeding such as growth distortion or entrenched struggles around feeding. FWLGS DVD II and this Parent Teacher’s Guide are produced to be accessible to parents from a variety of cultural backgrounds, and to those with limited literacy skills. To avoid awkward he/she construction in the Parent Teacher’s Guide, children in segments one and three are referred to as she, in To the Teacher and segments two and four referred to as he. Handouts may use either gender. Sa m pl Ellyn Satter’s Feeding with Love and Good Sense II DVD (FWLGS II DVD) is the second edition of Ellyn Satter’s videos about feeding children. It is a series of four 15- to 20-minute segments, each containing vignettes of five to ten families. Close-up footage of real parents and real children in their homes shows actual feeding situations and reveals what works and what doesn’t with feeding. Parent volunteers represent a variety of ethnic groups and income levels. Vignettes may show families with problems, but they are not problem families. That is, they are within functional ranges socially and emotionally, they are capable of establishing and maintaining Ellyn Satter’s Division of Responsibility in Feeding (sDOR), and they can and will correct their feeding errors with appropriate feedback and advice. (See the handout, Ellyn Satter’s Division of Responsibility in Feeding.) The Parent Teacher’s Guide shows you how to creatively use the FWLGS II DVD vignettes in your individual and group work with parents. To the Teacher and each of the four lesson plans are intended to empower you to be an excellent leader of parentcentered education. The children lead you, and each teaches part of the story. The few handouts relate directly to the vignettes, and the Leader notes deepen your interpretation. As you master the material, you will find yourself thinking © Copyright 2011 Ellyn Satter. All rights reserved. EMPOWER PARENTS TO FEED WELL The theoretical basis of Ellyn Satter’s Feeding with Love and Good Sense II FEEDING WITH LOVE AND GOOD SENSE II DVD Parent Teacher’s Guide Segment 2: The Transitional Child (5 to 12 Months) 1. To observe and understand their child 2. To do their feeding jobs and let their child do his or her eating jobs. CHECK-IN Do the check-in. For guidelines, see To the Teacher, page 3. After the check-in goes around the group, pick up on two or three themes that parents raise in their discussion. Then make the segue: “You are in the right place. We will discuss those issues.” Sa m pl After working their way through the lesson plan, all but the most overwhelmed or rigid parents will have achieved these two goals. In other words, they will see feeding from their child’s point of view, and they will set aside their feeding agendas. Those feeding agendas have to do with getting their child to eat certain types or amounts of food, or to behave in certain ways with eating. Each lesson plan starts with a check-in, where parents do dyad discussion—introduce themselves to one other person and then to the group. Parents love the check-in. It helps them relax and feel at home, connect with at least one other person and with the group, and stimulates discussion. It also helps you to know who is there and what issues they bring. The group also ends with a check-out, where parents say what they got from the group. You can skip the dyad part of the discussion for doing the check-out because by now groups members will have gotten relaxed with speaking to the whole group. The transitional phase is complex, and this lesson plan addresses a number of key topics. It looks like a lot, but in actual fact, the class will take on an efficient life of its own. After you have done this a while, you will find that one topic blends into another, parents raise questions rather than waiting for you to introduce topics, and you answer questions by suggesting watching vignettes. • Beginning solid foods • What and how much solid food • Keeping the child active in feeding • Safely progressing to lumps and pieces • Joining in with family meals • Additional transitional topics: • The too-big or too small baby • Getting started with structure • Changing to pasteurized milk • Mastering family meals step-by-step e Leader notes: As outlined in To the Teacher, the Parent Teacher’s Guide is intended to help you facilitate parent-focused education. The bottom line is empowering parents: • Parenting with solid food © Copyright 2011 Ellyn Satter. All rights reserved. INTRODUCTION Babies change a lot between 5 and 12 months, and feeding reflects those changes. At 5 months, most babies are only breastfeeding or taking a bottle. By 12 months, most babies are joining in with family meals and finger-feeding themselves soft food. You make a transition, as well. You build on your child‘s increased regularity with eating to move away from the demand feeding of infancy to the meals-plus-snacks routine of the older child. Feeding is always about love and nurturing. As before, following your baby’s lead with feeding supports him in staying calm and organized. 30 Lesson Plans The Transitional Child Feeding him the way he wants to eat shows him you love him and lets him love you back. Now, feeding is about his expanding world. Up until now, your baby has been in a one-on-one relationship with you and with anyone else who takes care of him. Now he is getting interested in things outside of you. His being willing to eat solid foods is part of this interest. KEY TOPIC #1: BEGINNING SOLID FOODS Eating Competence Following your baby’s lead with feeding supports him in continuing to develop eating competence. If you sorted out your feeding jobs from his eating jobs in his early months, he: • Waiting to start until he is ready. • Offering him nutritious foods that keep him safe and help him learn. • Letting him have control over whether and how much he eats. e Follow your baby’s lead with introducing solid food. Pay attention to what he does, not his age Give plenty of chances to learn, have fun, and keep it casual. There is no emergency here. Your child is just learning, and doesn’t have to eat semi-solid food. Teach him to eat solid foods by: pl Getting Started with Solid Food Start solids based on what your baby can do, not on how old she is. • Feels good about eating. • Goes by his feelings of hunger and fullness to eat the amount he needs. m Now he starts working on the two other parts of eating competence: Sa • He starts learning to eat the food you eat. • He learns to join in with family meals. Raising your child to be a competent eater helps raise him to be a competent person. Feeding so your baby eats well is still about loving and respecting him and getting on the same wavelength. Doing a good job with feeding solid food and letting your child grow up to be a competent eater depends on a division of responsibility. • You choose the food and offer it to your child. • He decides whether or not to eat and how much to eat. © Copyright 2011 Ellyn Satter. All rights reserved. • A baby who cuddles and nurses can eat from the nipple. A baby who sits up can start learning to eat from the spoon. • Most babies are ready to start learning to eat solid foods somewhere around five to seven months old. • Starting solid foods is about letting babies learn how to eat. It is not about getting food into them. • Babies who get solid foods early don’t mature any faster, nor do they sleep any better. • To protect your baby from choking, it is important to gradually build his eating skills by starting with semisolid food, adding on thicker and lumpier food, and finally arriving at soft pieces of finger food he feeds himself. • Your child may take to solid foods rapidly and enthusiastically or slowly and skeptically. Some children don’t FEEDING WITH LOVE AND GOOD SENSE II DVD Parent Teacher’s Guide Segment 4: The Preschooler (3 to 5 Years) 1. To observe and understand their child 2. To do their feeding jobs and let their child do his or her eating jobs. Do the check-in. For guidelines, see To the Teacher, page 3. After the check-in goes around the group, pick up on two or three themes that parents raise in their discussion. Then make the segue: “You are in the right place. We will discuss those issues.” INTRODUCTION Sa m pl After working their way through the lesson plan, all but the most overwhelmed or rigid parents will have achieved these two goals. In other words, they will see feeding from their child’s point of view, and they will set aside their feeding agendas. Those feeding agendas have to do with getting their child to eat certain types or amounts of food, or to behave in certain ways with eating. Each lesson plan starts with a check-in, where parents do dyad discussion—introduce themselves to one other person and then to the group. Parents love the check-in. It helps them relax and feel at home, connect with at least one other person and with the group, and stimulates discussion. It also helps you to know who is there and what issues they bring. The group also ends with a check-out, where parents say what they got from the group. For the check-out, you can skip the dyad part of the discussion because by now groups members will have gotten relaxed with speaking to the whole group. This lesson plan helps parent establish the feeding pattern that they will use throughout their child’s growing-up years. Continuing to follow the division of responsibility, including maintaining the structure of meals and snacks, is essential for children of all ages. Here are the Key topics in this segment: CHECK-IN e Leader notes: As outlined in To the Teacher, the Parent Teacher’s Guide is intended to help you facilitate parent-focused education. The bottom line is empowering parents: • Parenting the preschooler with feeding • When feeding is going well • Too much interference and too little support • Teaching a child to eat too much or too little • Teaching a child to be finicky © Copyright 2011 Ellyn Satter. All rights reserved. After all the commotion and challenges of raising a toddler, having a preschooler feels like sailing into quiet waters. The preschooler is easy to have around because he is cooperative and remembers what you tell him to do. But the very traits that make your preschooler easy to live with also present pitfalls. • Because he admires you and wants to please you, it is possible to get your preschooler to eat what and how much you want him to eat rather than what and how much he wants to. Don’t do it. It will make him feel bad, both about himself and about eating, and undermine his eating competence. • Because he is so self-reliant and independent, it is possible to become casual about parenting him. Don’t do that, either. With feeding as with every other part of life, your preschooler needs you as much as ever, just in different ways. 54 Lesson Plans The Preschooler • Feels good about eating. • Goes by his feelings of hunger and fullness to eat as much or as little as he needs. • Has made headway with respect to learning to eat the food you eat. • Knows how to behave at family meals and is relaxed and comfortable there. e Raising your child to be a competent eater helps raise him to be a competent person. Feeding so your child eats well is all about loving and respecting him and trusting him to do his part. That lets him feel good about himself, be comfortable and relaxed with himself and other people, and be able to work things out with other people. pl Your preschooler will do best when you use an authoritative approach to parenting. Authoritative parents are good leaders. They give guidance, set limits, and enforce rules, but treat their child like a small person. They are respectful of their child’s feelings, thoughts and wishes. Sorting out your feeding jobs from your child’s eating jobs is an authoritative approach to parenting. You take leadership by keeping yourself responsible for what, when, and where your child is offered food. You give your child autonomy within those limits by letting him determine whether and how much of the food that you offer. out your feeding jobs from your child’s eating jobs until now, he: m KEY TOPIC #1: PARENTING THE PRESCHOOLER WITH FEEDING Sa If all has gone well when your child was a toddler, he learned that he is his own person and also learned to be part of the family. He can now be more cooperative, settle down to learning and doing, and depend on you to guide him. If he can’t do that, he is still fighting the toddler’s control battles. Your preschooler will resolve these toddler struggles if you are careful to parent authoritatively, with feeding and in all ways. Be particularly careful not to get into struggles for control. Eating Competence Following your child’s lead with feeding supports him in continuing to develop eating competence. If have been sorting © Copyright 2011 Ellyn Satter. All rights reserved. Leader notes: At this point, parents have been told what they need to know. However, they won’t remember this information, may not accept it, and won’t be able to apply it. This lesson helps them grapple with the information and make it their own. That allows them to be resourceful rather than just following a set of instructions. They will also be less vulnerable to counterproductive feeding advice. KEY TOPIC #2: WHEN FEEDING IS GOING WELL View Flor and Discuss Preview comments: After all the mishaps of feeding the toddler, it is striking to watch 4 ½ years old Flor eat in such a neat and orderly way. She can even spoon up broth without spilling it! When feeding is going well, it seems easy. What do Flor’s parents do to allow Flor to do so well with eating? To guide you in answering the questions, read the handout, Your jobs and your preschooler’s jobs with feeding. FEEDING WITH LOVE AND GOOD SENSE II DVD Narrative Script The Infant e first year, and lots help from their parents, to get to this point. To eat well, Ashley needs to stay awake during the feeding. She also needs to be calm. Her being sleepy or getting upset will interfere with feeding. Her mother’s singing helps her to stay calm and alert. Learning to be calm and alert will stay with Ashley, and help her for the rest of her life. Ashley isn’t distracted by her brother’s big smacking kiss on the cheek. Ashley finishes one breast and starts right in on the other. She has a little trouble getting onto the second breast, but her mother gives her time and she figures it out. Sadith touches Ashley’s hair and face. Some babies might be bothered by this, but not Ashley. Ashley is nicely latched on. Her bottom lip is tucked in and her top lip spread out across the nipple. You can hear her swallow and breathe. Ashley is still eating, but she is drifting off to sleep. It would be better if Sadith would continue talking and singing with her to help her stay awake. Ashley could pay attention to getting enough, she would burp better, and her family could play with her until she gets drowsy. Then she could put herself to sleep. Learning to put herself to sleep at this stage will head off sleep problems later on. Sa m pl Introduction (1 min 12 sec) Feeding is parenting. During the early weeks and months, you spend most of your baby’s waking hours with feeding. Sleeping, waking, fussing, and being content all revolve around feeding. In fact, feeding is the best way to get to know your baby and to show your love. As much as you can, relax, get acquainted, and depend on your baby to play an active role in feeding. Feeding is not about getting food into your baby. It is about your relationship—about getting on the same wave length. Your baby is learning to trust you. To gain that trust, go by information coming from your baby to guide care and feeding. Your baby knows how much and when to eat and asks to be fed, with signs that are more or less or understandable. You do your best to understand, and try to do what your baby wants. You get it right or you don’t. Your baby is patient with you—or not. You hang in there with each other. Eventually you get it right enough that you both get your needs met—your baby’s to be nurtured and yours to nurture. Sadith and Ashley (4 min 40 sec) When feeding is going well, it seems easy. Sadith is experienced with mothering and with breastfeeding. At 3 weeks, Ashley is already a calm and predictable baby—her signs are easy to read. Some babies take the whole © Copyright 2011 Ellyn Satter. All rights reserved. FEEDING WITH LOVE AND GOOD SENSE II DVD Narrative Script The Toddler e good job with eating. Zoey is happy to be at the table and enjoys spreading out her napkin. Zoey’s mother cuts up Zoey’s food so she can eat it readily. Zoey appears hungry and interested in eating. She eats with her spoon as well as her fingers. Either way is fine with her parents—they don’t make a fuss. Sergio gently reminds Zoey to pay attention to something on her plate, but he doesn’t put pressure on her to eat. Zoey is relaxed and comfortable sitting in this big chair. She is at a pretty-good height to the table. Sergio talks quietly to the girls, and Anayeli comes back with warmed-up tortillas. Zoey wants more avocado, but her parents remind her that she has already had her share. Avocados are pricey, and they have just one to go around. “That’s enough begging, Zoey. No more avocado!” More conversation, more help from mother, and Zoey is done. She hasn’t finished her bowl of chicken and vegetables, but her parents don’t make a fuss about it. Maybe another time she will eat more. For now she and Flor are off to play quietly while their parents finish eating. Sa m pl Introduction (1 min 20 sec) Your toddler learns to be part of the family. Rather than feeding on demand as you did earlier, arrange to have your toddler join in with family meals. Have three sit-down meals a day plus two or three sit-down snacks. Don’t spoil structured eating times by letting your toddler have food or drinks—except for water—between times. To eat well at family meals, your toddler has to be hungry. To be hungry, your toddler has to wait a bit—but not too long—to eat. With respect to eating, the almosttoddler, who is happy to eat almost anything, suddenly becomes a toddler. The toddler is picky, does not eat as much, eats a lot one time and hardly anything another, and is skeptical of even-familiar foods. Eat food you enjoy, and your toddler will learn to enjoy it, too. Use every tactic you can think of to put together meals. But don’t try to find food that your toddler will eat—you will drive yourself crazy. Instead, do your jobs with feeding, keep mealtimes pleasant, hold the line with structure, and settle for however little—or much—your toddler eats. And, oh yes, hang on to your sense of humor. Zoey, Sergio, and Anayeli (1 min 46 sec) These parents provide exactly what 2 ½ year old Zoey (with the napkin), and her big sister, Flor, need in order to do a © Copyright 2011 Ellyn Satter. All rights reserved. AJ, Annie, and Nick (2 min 53 sec) Two year old AJ and his sister Tiara are having a meal of tacos, chips and guacamole. 4 ½ year old Tiara has the FEEDING WITH LOVE AND GOOD SENSE II DVD Handouts From Parent Teacher’s Guide pl e 1. Raise Your Child to be Competent with Eating 2. Key topics, vignettes, and handouts 3. Talking with your baby 4. Your jobs and your baby’s jobs with breast- and formula-feeding. 5. Your jobs and your baby’s jobs with starting solid foods 6. Keep your young child from choking 7. Have family meals and structured snacks 8. Mastering Family Meals Step-by-step 9. Your jobs and your toddler’s jobs with feeding 10. Your jobs and your preschooler’s jobs with feeding From Ellyn Satter’s FEEDING IN PRIMARY CARE PREGNANCY THROUGH PRESCHOOL: Reproducible Masters m nderstand your baby’s sleeping and waking U What is your baby telling you? Feeding your prematurely born baby Feed the way your child can eat Solid foods, step by step Making food easy to eat How to feed your toddler Child-friendly feeding tips Sa • • • • • • • • From ELLYN SATTER’S NUTRITION AND FEEDING FOR INFANTS AND CHILDREN: Handout Masters • • • • ow much will your baby eat? H Starting your baby on solid foods How to feed your toddler How to feed your preschooler From www.Ellynsatter.com • • • • • • llyn Satter’s Division of Responsibility with Feeding E Sit-down snacks The picky eater The child who doesn’t eat fruits and vegetables Using forbidden food Your child’s weight: helping without harming Raise your child to be competent with eating Children are born wanting to eat, feeling good about eating, knowing how much they need to eat, and able to grow in the way that is right for them. You child eats best, and feels best about himself, when you follow the division of responsibility and go by information coming from him to guide feeding. Segment Your child’s development How to let your child eat best At first your baby may have trouble sleeping and trouble staying awake to eat without getting upset. You can help her be calm and organized with eating and sleeping. Go by your baby’s cues and let her eat fast or slowly, much or little, often or infrequently. Understand and go by her sleep states, and feed her when she is calm and wide-awake. Your baby is learning to love and be loved. Understanding him tells him you love him. Feeling understood lets him love you back and feel good about himself. Your baby smiles, talks, and reaches out to get your attention and to keep you close. Pay attention to your baby, and feed him in the way he wants. Cuddling and nursing or giving him a bottle is still the best fit with his feeding skills. Between times, talk, smile, and play with him, and respond when he talks, smiles and plays with you. Your baby is getting better at calming and organizing himself. He shows he is ready to learn to eat solid foods with his interest in things, his sitting up, and his mouth skills. Wait for your baby’s readiness signs, then pay attention to what he wants: whether or not, how much, how fast. He is just learning, and doesn’t have to have the food. She is beginning to get a sense of herself as an individual. She wants very much to do things for herself. The almost-toddler can pick up food, munch or chew it, and swallow without choking. Let her feed herself. She shows she is ready, probably suddenly, by refusing to eat from the spoon. Keep in mind that finger food is anything that sticks together long enough to get it from the table to the mouth! Your toddler finds out that he is a separate person by being a “demon explorer” and by saying no a lot. Don’t make his eating a battle for control; you will lose. He will go hungry rather than eat. He starts sorting out his feeling (anger, sadness) from his sensations (hunger, fullness). Your toddler eats best when you do your feeding jobs and let him do his eating jobs. He needs structure. You do, too. Family meals and sit-down snacks help you sort out your feeding jobs from his eating jobs and not feed for emotional reasons. Your preschooler has a solid sense of herself as an individual. That frees her up to devote her energy to learning and doing. She imitates you and wants to please you. She feels bad about herself if she can’t do and be what you want. Your preschooler eats more and moreconsistently than earlier. Even though she seems independent, she still depends on you to do your jobs with feeding. Eat with her, don’t just feed her. From now on until she is grown up, your child needs you to do your feeding jobs and support her in doing her eating jobs. Learns to wake up and stay calm while eating 2 to 6 mo Feels secure and connected during eating 2. Transitional Child Remains calm and connected while learning to eat solid foods. Sa Starts learning she is her own little person and learning to be part of the family with eating. m 0 to 3 months pl e 1. Infant 3. Toddler With eating and with all things, actively asserts his independence and learns to go along with structure and limits. 4. Preschooler Gradually learns to eat a larger number of foods in a variety of situations. © Copyright 2011 Ellyn Satter. May be reproduced only by registered purchasers of Ellyn Satter’s Feeding with Love and Good Sense II: Parent Teaching Package. Copyright notice must appear on each copy. For purchase information, see www.EllynSatter.com. FEEDING WITH LOVE AND GOOD SENSE II DVD Parent Teacher’s Guide Key topics, vignettes, and handouts Key topic Vignettes Handout(s) To the Teacher Ellyn Satter’s Division of Responsibility with Feeding. Raise Your Child to be Competent with Eating. Vignette Summary with Content and Run Time. The infant (0 to 6 months) 2. Read your baby’s sleeping cues. 3. Do your feeding jobs and let your baby do her eating jobs. Ashley Sebastian Understand your baby’s sleeping and waking. What is your baby telling you? Ashley Sebastian Your jobs and your baby’s jobs with breast- and formula-feeding. Emerson Your jobs and your baby’s jobs with breast- and formula-feeding. Talking with your baby. m 4. Get on the same wavelength with “talking”. Ashley Sebastian pl e 1. Feed so your baby can eat well. 5. Start solid food based on what your baby does. Chase Sa Additional topics: To feed your child, feed yourself. How much should your baby eat. Prematurely born baby. The colicky or up-tight baby. Feed the way your child can eat. Have family meals and structured snacks. Mastering family meals step by step. How much will your baby eat? Feeding your prematurely born baby. The transitional child (5 to 15 months) 1. Beginning solid foods. Jatta Zubin Micah & Sam Feed the way your child can eat. Your jobs and your baby’s jobs with starting solid foods. 2. What and how much solid food. Ella Feed the way your child can eat. Your jobs and your baby’s jobs with starting solid foods. Solid foods, step by step. 3. Keeping the child active in feeding. Alex Your jobs and your baby’s jobs with starting solid foods. Feed the way your child can eat. Solid foods, step-by-step. 4. Safely progressing to lumps and pieces. Andrew Feed the way your child can eat. Your jobs and your baby’s jobs with starting solid foods. Solid foods, step by step. Keep your young child from choking. Have family meals and structured snacks From the time he is little, teach your child what eating is all about. Do a good job of feeding yourself, He is growing up to eat the way you do! pl e Include him in meals: • Hold him while you eat or prop him up in a baby seat. • When he starts eating solids, feed him at mealtime or give him some Cheerios to chase while you eat. • As soon as he finger-feeds himself, let him join in with family meals. He will be delighted! m Do a good job with feeding yourself • Get the meal habit, if you don’t have it already. • Eat food you enjoy. • Eat as much as you are hungry for. • If and when you are ready, let yourself grow with meal-planning and variety. Sa As he gets older, include your child in family meals • Phase in a meals-plus-snacks routine. Build on his increased regularity with eating to phase out demand feeding. • Have meals and snacks be your idea. Don’t wait for him to say “I am hungry” before you offer meals and snacks • Time snacks so he can be hungry but not starved at mealtimes. Snacks can be nipple feedings or “big boy” snacks where he sits down at the table. • Don’t let him drink anything except water or panhandle for food between times. Feed so he can eat well • Cook for yourself and adapt food for your child. Don’t short-order cook. • Have meals with a number of foods, including bread. Pair familiar food with unfamiliar, disliked with liked. • Eat with him. Enjoy your own meal or snack. Don’t praise or scold him about his eating. • Be good company. Talk and listen. Don’t watch TV, read, text, or telephone. • Let him eat his way—much or little, fast or slowly, fingers or spoon. • Even if he eats only one food, let him have more if he wants. © Copyright 2011 Ellyn Satter. May be reproduced only by registered purchasers of Ellyn Satter’s Feeding with Love and Good Sense II: Parent Teaching Package. Copyright notice must appear on each copy. For purchase information, see www.EllynSatter.com. Your jobs and your baby’s jobs with breast- and formula-feeding To feed your baby best, do your feeding jobs and support him in doing his eating jobs. • Your job is what—deciding - whether to breast- or formula feed. • Your baby’s job is to know, and show you, how much (and everything else). You do your jobs and help him do his pl e Your baby eats best and feels best about you and about himself when you do what he wants. Don’t worry about spoiling him—you can’t spoil a tiny baby. Go by your baby’s signs that tell you what he wants. Even if his signals are hard to read, be careful not to take over with feeding. Check yourself. Do you share feeding responsibilities with your baby? You don’t help him do his feeding jobs q Feed your baby on a schedule. q Touch his cheek or lips to let him “open up.” q Push the nipple into his mouth. q Sit still and feed smoothly. q Move around, jiggle the bottle. q Notice which sounds and touches let him stay awake and calm. q Not notice what he likes and doesn’t like. q Let him stop sucking to rest, “talk,” or burp. q Keep trying to feed, or stop the feeding to burp. q Let him go back to eating after he pauses. q End the feeding when he pauses. q Let him eat as much or as little as he wants. q Try to get him to eat a certain amount. q Stop feeding when he shows he is done. q Keep trying to feed. Stop before he is done. q Help him to stay awake during the feeding by looking, talking or singing. q Feed your baby to sleep. Sa m q Feed your baby when he is awake and hungry. © Copyright 2011 Ellyn Satter. May be reproduced only by registered purchasers of Ellyn Satter’s Feeding with Love and Good Sense II: Parent Teaching Package. Copyright notice must appear on each copy. For purchase information, see www.EllynSatter.com. Your jobs and your toddler’s jobs with feeding To feed your toddler, do your own jobs and let him do his jobs. • You decide what, when and where your child gets to eat. • He decides how much and whether he eats–of what you offer. pl e For you, sorting out your jobs from your toddler’s jobs is tricky. For your toddler, it isn’t tricky at all. He watches you and picks up on what you do and how you feel about eating. He knows instantly when you try to do his jobs and reacts by getting stubborn or defiant. He is frightened when you don’t do your jobs and reacts by behaving worse and worse until you have to take charge. Check yourself. Are you doing your jobs? Are you letting your toddler do his jobs? Your feeding jobs Your child’s eating jobs q Participate (even briefly) in meals and snacks. q Don’t let your child him have munchies or drinks (except water) between times. q Do his eating (or not-eating) at family meals and sit-down snacks. q Give him some but not all the attention. q Behave nicely at the table. Enjoy being there. q Seat him so he can see and reach his food. q Sit to eat but probably wiggle and squirm. Sa m q Have regular family meals and sit-down snacks. q Relax, enjoy, pay attention to your own meal. q Enjoy, look, taste, eat one, two, or no foods. q Not persuade, reward, or pressure. q Be matter-of-fact about eating or not-eating. q Let him eat as much or as little as he wants. q Go by his feelings of hunger and fullness. q Let him get messy, eat with fingers or utensils. q Not make a mess on purpose. Copy how you eat. q Let him leave when he says he is done. q Learn to play quietly while you finish eating. q Have him leave if he doesn’t behave. q Learn to not beg for food or have tantrums. © Copyright 2011 Ellyn Satter. May be reproduced only by registered purchasers of Ellyn Satter’s Feeding with Love and Good Sense II: Parent Teaching Package. Copyright notice must appear on each copy. For purchase information, see www.EllynSatter.com. What is your baby telling you? How does your baby tell you when she is hungry? How does she tell you when she is full? How does she tell you when she wants go to bed? pl e Here are some ways your baby might tell you how she feels and what she needs. Use these signs along with what you know about when she last ate and slept to figure out what she is telling you. It won't be long until you know her well. Then you will understand better than anybody else what her signs mean. m I'm hungry Eyes wide and face bright Looks at your face Smiles Moves toward you Turns toward nipple when cheek is touched Sa I'm full Stops nursing Feels settled and relaxed Arms and legs stretched out Fingers spread out I need to go to sleep Looks away Breathes fast Yawns Wrinkles forehead Face and eyes look dull Frowns Copyright © 2003 by Ellyn Satter. May be reproduced for free distribution by registered purchasers of Ellyn Satter’s FEEDING IN PRIMARY CARE PREGNANCY THROUGH PRESCHOOL: Easy-to-read Reproducible Masters. To purchase call 800-808-7976 or see www.ellynsatter.com 27 Toddler and Preschooler 91 How To Feed Your Toddler During the time from 12 months to 3 years, your child keeps getting taller and heavier, but his rapid growth rate slows down [see WHAT IS NORMAL GROWTH?]. He begins exploring with a vengeance, and he shows, at times, a fierce contrariness as he works at becoming a person separate from you. He may eat less now [see needs to eat. If you pressure him to eat more, he’s likely to resist and eat less. Toddlers would rather exert their independence than eat. pl e IF YOUR TODDLER OR PRESCHOOLER DOESN’T EAT ENOUGH]. That’s okay—he knows how much he your child is presented to eat, he is responsible for how much and even whether he eats [see HELPING YOUR CHILD TO EAT WELL]. At the end of the first year and moving into the second year your child moves from being a baby to being a toddler. Then it’s important that you also begin to take responsibility for the when and where of feeding and establish the structure of regular meals and snacks. Sa m What a toddler is like Toddlers are skeptical: They have to sneak up on new food. They will learn to like it, if you let them approach it at their own speed. After many times of seeing it on the table and seeing you eat it, they will taste it—and take it back out again. They’ll do that many times, then eventually they will know it well enough so they swallow it—and like it. Toddlers are erratic: What they like one day, they don’t the next. They eat a lot one day and hardly anything the next. They don’t eat some of everything at a meal like you do—they eat only two or three foods. Toddlers are opinionated: They know what they do and don’t want to do. You can stop them from doing what you don’t want, like causing a ruckus at mealtime, but you can’t get them to do what you do want—like eat. Your feeding responsibilities Do your jobs with feeding, and let your child do his with eating, even when he eats poorly. • Select and offer a variety of safe, nutritious and reasonably appealing food at meals and snacks [see WHAT TO FEED YOUR TODDLER AND PRESCHOOLER]. • In meal planning, be considerate, but don’t cater. Pair familiar with unfamiliar foods, liked with not-so-liked. • Let your child eat what and as much as he wants from what you have put on the table. • Don’t push food on your child, or he’ll play the toddler’s favorite game of turning things down and watching you get desperate. • Regulate the timing of meals and snacks. Don’t wait for him to ask for food before you offer it. The time for demand feeding is past. Begin scheduling meals and snacks now. His stomach is small and his energy needs are high, so he needs three meals a day with planned snacks in between. Don’t allow panhandling for food or beverages (except water) at other times. • Present foods in a form your child can handle. Your toddler can eat most food from the family table, but still depends on you to make minor changes in texture so he can be successful—and safe—eating it. He can’t chew tough, hard food, and dry food seems to get stuck in his mouth. Smooth, round food can slide down his throat before he chews it and children under age 3 have a higher risk of choking than older children [see FEEDING CHILDREN SAFELY]. • Let him eat in his own way. If your child is allowed to look, feel, mash, and smell to explore food, he’s more likely to accept it. However, when exploring becomes simply messing around to get you to react, Your child is no longer a baby If you treat your toddler like you did when he was a baby and try to keep him happy, neither of you will get your needs met. He needs autonomy: control over his own life and his own world. He also needs limits, to reduce the size of his world to what he can handle. You need a child who knows how to behave at the table so you can have pleasant mealtimes. Your responsibilities to keep him safe and your own life satisfactory will conflict with his need to be a “demon explorer.” You’ll have to set limits. In the short run he won’t like it, but in the long run he’ll be happier—and like you better. Avoid food battles by maintaining a division of responsibility in feeding: You are responsible for what Copyright © 2002 by Ellyn Satter. May be reproduced for free distribution by registered purchasers of ELLYN SATTER’S NUTRITION AND FEEDING FOR INFANTS AND CHILDREN: Handout Masters. For purchase information call 800-808-7976, or see www.ellynsatter.com
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