Evidence map›Paper›PMID 41462728›Full record

ArticleChildren (Basel, Switzerland)2025

Complementary Feeding and Risk of Choking: A Survey Among Parents and Primary Care Pediatricians in Emilia-Romagna, Northern Italy.

Lorenza Parini, Elisa Manieri, Elena Corinaldesi, Michele Torella, Paolo Bottau, Eleonora Laderchi, Dalila Periccioli, Alessandra Cavallo, Chiara Bontempo, Eleonora Battelli and 5 more

Abstract read
In one paragraph

Article in Children (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Lorenza PariniSpecialty School of Paediatrics, Alma Mater Studiorum, University of Bologna, 40126 Bologna, Italy.ORCID 0000-0002-8724-9962
Elisa ManieriSpecialty School of Paediatrics, Alma Mater Studiorum, University of Bologna, 40126 Bologna, Italy.ORCID 0000-0003-3150-7528
Elena CorinaldesiPediatric Unit, Ramazzini Hospital, AUSL Modena Carpi, 41124 Carpi, Italy.ORCID 0000-0003-0805-3054
Michele TorellaPediatra Libera Scelta Convenzionato ASL, 40065 Bologna, Italy.
Paolo BottauPediatric and Neonatology Unit, Imola Hospital, 40026 Imola, Italy.
Eleonora LaderchiSpecialty School of Paediatrics, Alma Mater Studiorum, University of Bologna, 40126 Bologna, Italy.
Dalila PericcioliSpecialty School of Paediatrics, Alma Mater Studiorum, University of Bologna, 40126 Bologna, Italy.
Alessandra CavalloPediatric Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy.
Chiara BontempoUO Pediatria Territoriale, Dipartimento Cure Primarie AUSL, 40123 Bologna, Italy.
Eleonora BattelliPediatric Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy.
Egidio CandelaPediatric Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy.ORCID 0000-0002-4573-9314
Monica FaePaediatric Anaesthesia and Intensive Care Unit, Department of Women and Child Health, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Polyclinic Saint Orsola, 40138 Bologna, Italy.
Cecilia ArgentinaPediatra Libera Scelta ASL Romagna, 47814 Bellaria-Igea Marina, Italy.
Marcello LanariPediatric Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy.
Arianna DondiPediatric Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy.ORCID 0000-0002-7516-243X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComplementary 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's 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.

methodsBetween March 2022 and May 2024, 149 parents and 126 pediatricians completed anonymous questionnaires.

resultsAmong parents, 67% initiated complementary feeding at ≥6 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.

conclusionsBLW 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.

Indexed as

autonomous responsive feedingbaby-led introduction to SolidSbaby-led weaningcomplementary feedingtraditional spoon-feeding

Identifiers

PMID41462728
PMCPMC12732239

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.