{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T09:55:56Z","timestamp":1763978156148,"version":"3.45.0"},"reference-count":38,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T00:00:00Z","timestamp":1763769600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background: Complementary feeding has traditionally relied on traditional spoon feeding (TSF), in which parents gradually introduce semi-solid foods under close supervision. More recently, Baby-Led Weaning (BLW) has become popular, promoting infant autonomy in handling solid foods. To address concerns regarding choking and nutritional adequacy, the Baby-Led Introduction to SolidS (BLISS) method was developed. Some families instead adopt autonomous responsive feeding, which combines structured guidance with respect for the infant\u2019s self-regulation. Although concerns about foreign body aspiration (FBA) persist among caregivers and pediatricians, current evidence shows that, when conducted safely, BLW may not increase this risk compared with TSF. This study investigated the prevalence of complementary feeding practices and their perceived relationship to FBA, exploring perspectives of caregivers and primary care pediatricians in Emilia-Romagna, Northern Italy. Methods: Between March 2022 and May 2024, 149 parents and 126 pediatricians completed anonymous questionnaires. Results: Among parents, 67% initiated complementary feeding at \u22656 months; 43.6% reported autonomous responsive, 32.8% BLW, and 23.5% strict TSF. Pediatricians more frequently endorsed flexible approaches: 61.1% supported autonomous responsive feeding, 37.1% BLW, and 12.7% TSF. Notably, strict TSF was applied by 23.3% of parents, almost twice the proportion recommended by pediatricians. Suspected choking episodes were reported by 41.6% of parents but showed no significant association with feeding method or demographic factors. Conclusions: BLW and related flexible practices are increasingly adopted and, when implemented safely, may not increase FBA risk. Pediatricians appear to recommend BLW, or hybrid approaches, more often than parents apply them, suggesting possible gaps in communication and shared decision-making.<\/jats:p>","DOI":"10.3390\/children12121587","type":"journal-article","created":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T09:02:07Z","timestamp":1763974927000},"page":"1587","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Complementary Feeding and Risk of Choking: A Survey Among Parents and Primary Care Pediatricians in Emilia-Romagna, Northern Italy"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8724-9962","authenticated-orcid":false,"given":"Lorenza","family":"Parini","sequence":"first","affiliation":[{"name":"Specialty School of Paediatrics, Alma Mater Studiorum, University of Bologna, 40126 Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3150-7528","authenticated-orcid":false,"given":"Elisa","family":"Manieri","sequence":"additional","affiliation":[{"name":"Specialty School of Paediatrics, Alma Mater Studiorum, University of Bologna, 40126 Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0805-3054","authenticated-orcid":false,"given":"Elena","family":"Corinaldesi","sequence":"additional","affiliation":[{"name":"Pediatric Unit, Ramazzini Hospital, AUSL Modena Carpi, 41124 Carpi, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele","family":"Torella","sequence":"additional","affiliation":[{"name":"Pediatra Libera Scelta Convenzionato ASL, 40065 Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Bottau","sequence":"additional","affiliation":[{"name":"Pediatric and Neonatology Unit, Imola Hospital, 40026 Imola, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eleonora","family":"Laderchi","sequence":"additional","affiliation":[{"name":"Specialty School of Paediatrics, Alma Mater Studiorum, University of Bologna, 40126 Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dalila","family":"Periccioli","sequence":"additional","affiliation":[{"name":"Specialty School of Paediatrics, Alma Mater Studiorum, University of Bologna, 40126 Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandra","family":"Cavallo","sequence":"additional","affiliation":[{"name":"Pediatric Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiara","family":"Bontempo","sequence":"additional","affiliation":[{"name":"UO Pediatria Territoriale, Dipartimento Cure Primarie AUSL, 40123 Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eleonora","family":"Battelli","sequence":"additional","affiliation":[{"name":"Pediatric Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4573-9314","authenticated-orcid":false,"given":"Egidio","family":"Candela","sequence":"additional","affiliation":[{"name":"Pediatric Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy"},{"name":"Department of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, 40138 Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monica","family":"Fae","sequence":"additional","affiliation":[{"name":"Paediatric Anaesthesia and Intensive Care Unit, Department of Women and Child Health, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Polyclinic Saint Orsola, 40138 Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cecilia","family":"Argentina","sequence":"additional","affiliation":[{"name":"Pediatra Libera Scelta ASL Romagna, 47814 Bellaria-Igea Marina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcello","family":"Lanari","sequence":"additional","affiliation":[{"name":"Pediatric Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy"},{"name":"Department of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, 40138 Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7516-243X","authenticated-orcid":false,"given":"Arianna","family":"Dondi","sequence":"additional","affiliation":[{"name":"Pediatric Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy"},{"name":"Department of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, 40138 Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,11,22]]},"reference":[{"key":"ref_1","unstructured":"(2025, July 08). WHO Guideline for Complementary Feeding of Infants and Young Children 6\u201323 Months of Age. Available online: https:\/\/www.who.int\/publications\/i\/item\/9789240081864."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/S0140-6736(13)60937-X","article-title":"Maternal and Child Undernutrition and Overweight in Low-Income and Middle-Income Countries","volume":"382","author":"Black","year":"2013","journal-title":"Lancet"},{"key":"ref_3","unstructured":"(2025, July 08). Report of the Commission on Ending Childhood Obesity. Available online: https:\/\/www.who.int\/publications\/i\/item\/9789241510066."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1186\/s13052-015-0143-5","article-title":"Recommendations on Complementary Feeding for Healthy, Full-Term Infants","volume":"41","author":"Alvisi","year":"2015","journal-title":"Ital. J. Pediatr."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1097\/MPG.0000000000001454","article-title":"Complementary Feeding: A Position Paper by the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) Committee on Nutrition","volume":"64","author":"Fewtrell","year":"2017","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"ref_6","unstructured":"(2025, July 08). Infant and Young Child Feeding: Model Chapter for Textbooks for Medical Students and Allied Health Professionals. Available online: https:\/\/www.who.int\/publications\/i\/item\/9789241597494."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1111\/j.1740-8709.2010.00274.x","article-title":"Is Baby-Led Weaning Feasible? When Do Babies First Reach out for and Eat Finger Foods?","volume":"7","author":"Wright","year":"2011","journal-title":"Matern. Child Nutr."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1186\/s12966-015-0275-4","article-title":"The Relationship between Appetite and Food Preferences in British and Australian Children","volume":"12","author":"Fildes","year":"2015","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.jpeds.2016.09.011","article-title":"Early Life Characteristics Associated with Appetite-Related Eating Behaviors in 7-Year-Old Children","volume":"180","author":"Albuquerque","year":"2017","journal-title":"J. Pediatr."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"723S","DOI":"10.3945\/ajcn.113.069047","article-title":"Learning to Eat: Birth to Age 2 y","volume":"99","author":"Birch","year":"2014","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1002\/osp4.320","article-title":"An Examination of Children\u2019s Eating Behaviours as Mediators of the Relationship between Parents\u2019 Feeding Practices and Early Childhood Body Mass Index z-Scores","volume":"5","author":"Boswell","year":"2019","journal-title":"Obes. Sci. Pract."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Boswell, N. (2021). Complementary Feeding Methods\u2014A Review of the Benefits and Risks. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18137165"},{"key":"ref_13","first-page":"20","article-title":"Baby-Led Weaning: Transitioning to Solid Foods at the Baby\u2019s Own Pace","volume":"84","author":"Rapley","year":"2011","journal-title":"Community Pract."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Daniels, L., Heath, A.-L.M., Williams, S.M., Cameron, S.L., Fleming, E.A., Taylor, B.J., Wheeler, B.J., Gibson, R.S., and Taylor, R.W. (2015). Baby-Led Introduction to SolidS (BLISS) Study: A Randomised Controlled Trial of a Baby-Led Approach to Complementary Feeding. BMC Pediatr., 15.","DOI":"10.1186\/s12887-015-0491-8"},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Cameron, S.L., Taylor, R.W., and Heath, A.-L.M. (2015). Development and Pilot Testing of Baby-Led Introduction to SolidS\u2014A Version of Baby-Led Weaning Modified to Address Concerns about Iron Deficiency, Growth Faltering and Choking. BMC Pediatr., 15.","DOI":"10.1186\/s12887-015-0422-8"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1007\/s13668-017-0201-2","article-title":"Baby-Led Weaning: The Evidence to Date","volume":"6","author":"Brown","year":"2017","journal-title":"Curr. Nutr. Rep."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1111\/j.1740-8709.2011.00360.x","article-title":"An Exploration of Experiences of Mothers Following a Baby-Led Weaning Style: Developmental Readiness for Complementary Foods","volume":"9","author":"Brown","year":"2013","journal-title":"Matern. Child. Nutr."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1111\/jhn.12616","article-title":"Differences in Dietary Composition between Infants Introduced to Complementary Foods Using Baby-Led Weaning and Traditional Spoon Feeding","volume":"32","author":"Rowan","year":"2019","journal-title":"J. Hum. Nutr. Diet."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Committee on Injury, Violence, and Poison (2010). Prevention Prevention of Choking among Children. Pediatrics, 125, 601\u2013607.","DOI":"10.1542\/peds.2009-2862"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1002\/ppul.26242","article-title":"The Characteristics of Foreign Bodies Aspirated by Children Across Different Continents: A Comparative Review","volume":"58","author":"Parvar","year":"2023","journal-title":"Pediatr. Pulmonol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"4056","DOI":"10.3390\/ijerph9114056","article-title":"Scale-Up Approach in CATI Surveys for Estimating the Number of Foreign Body Injuries in the Aero-Digestive Tract in Children","volume":"9","author":"Snidero","year":"2012","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1007\/s00383-024-05679-z","article-title":"Foreign Body Aspiration in Children: Our Pediatric Tertiary Care Experience","volume":"40","author":"Torsello","year":"2024","journal-title":"Pediatr. Surg. Int."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1940","DOI":"10.1016\/j.ijporl.2013.09.005","article-title":"Food Choking Hazards in Children","volume":"77","author":"Sidell","year":"2013","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1763","DOI":"10.1001\/jama.1995.03530220029027","article-title":"Characteristics of Objects That Cause Choking in Children","volume":"274","author":"Rimell","year":"1995","journal-title":"JAMA"},{"key":"ref_25","unstructured":"Cramer, N., Jabbour, N., Tavarez, M.M., and Taylor, R.S. (2025). Foreign Body Aspiration (Archived). StatPearls, StatPearls Publishing."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"5","DOI":"10.5847\/wjem.j.1920-8642.2016.01.001","article-title":"Airway Foreign Bodies: A Critical Review for a Common Pediatric Emergency","volume":"7","author":"Salih","year":"2016","journal-title":"World J. Emerg. Med."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1017\/S1368980007665513","article-title":"Do Early Infant Feeding Practices Vary by Maternal Ethnic Group?","volume":"10","author":"Griffiths","year":"2007","journal-title":"Public Health Nutr."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1111\/jhn.12528","article-title":"No Difference in Self-Reported Frequency of Choking between Infants Introduced to Solid Foods Using a Baby-Led Weaning or Traditional Spoon-Feeding Approach","volume":"31","author":"Brown","year":"2018","journal-title":"J. Hum. Nutr. Diet."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"e20160772","DOI":"10.1542\/peds.2016-0772","article-title":"A Baby-Led Approach to Eating Solids and Risk of Choking","volume":"138","author":"Fangupo","year":"2016","journal-title":"Pediatrics"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1590\/1984-0462\/;2018;36;3;00001","article-title":"The Baby-Led Weaning Method (BLW) in the Context of Complementary Feeding: A Review","volume":"36","author":"Arantes","year":"2018","journal-title":"Rev. Paul. Pediatr."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"e2018084","DOI":"10.1590\/1984-0462\/2020\/38\/2018084","article-title":"Baby-Led Weaning, an Overview of the New Approach to Food Introduction: Integrative Literature Review","volume":"38","author":"Gomez","year":"2020","journal-title":"Rev. Paul. Pediatr."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1089\/ped.2019.1008","article-title":"Foreign Body Aspiration in Infants: Role of Self-Feeding","volume":"32","author":"Soyer","year":"2019","journal-title":"Pediatr. Allergy Immunol. Pulmonol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1186\/s40463-020-00473-y","article-title":"Age Based Evaluation of Nut Aspiration Risk","volume":"49","author":"Valika","year":"2020","journal-title":"J. Otolaryngol.-Head Neck Surg."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1177\/0145561319839900","article-title":"Foreign Body Aspiration in Infants and Older Children: A Comparative Study","volume":"99","author":"Vainer","year":"2020","journal-title":"Ear Nose Throat J."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Capra, M.E., Decarolis, N.M., Monopoli, D., Laudisio, S.R., Giudice, A., Stanyevic, B., Esposito, S., and Biasucci, G. (2024). Complementary Feeding: Tradition, Innovation and Pitfalls. Nutrients, 16.","DOI":"10.3390\/nu16050737"},{"key":"ref_36","first-page":"227","article-title":"Nutrition in Toddlers","volume":"98","author":"Riley","year":"2018","journal-title":"Am. Fam. Physician"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1575","DOI":"10.3390\/nu4111575","article-title":"How Feasible Is Baby-Led Weaning as an Approach to Infant Feeding? A Review of the Evidence","volume":"4","author":"Cameron","year":"2012","journal-title":"Nutrients"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Bergamini, M., Simeone, G., Verga, M.C., Doria, M., Cuomo, B., D\u2019Antonio, G., Dello Iacono, I., Di Mauro, G., Leonardi, L., and Miniello, V.L. (2022). Complementary Feeding Caregivers\u2019 Practices and Growth, Risk of Overweight\/Obesity, and Other Non-Communicable Diseases: A Systematic Review and Meta-Analysis. Nutrients, 14.","DOI":"10.3390\/nu14132646"}],"container-title":["Children"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9067\/12\/12\/1587\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T09:46:22Z","timestamp":1763977582000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9067\/12\/12\/1587"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,22]]},"references-count":38,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["children12121587"],"URL":"https:\/\/doi.org\/10.3390\/children12121587","relation":{},"ISSN":["2227-9067"],"issn-type":[{"value":"2227-9067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,22]]}}}