Infant choking is scary, but is largely preventable. In order to help prevent choking, it is important to understand why babies are so vulnerable to choking and measures to be taken to prevent infant choking.
Choking is a common cause of injury and death in young children, primarily because their small airways are easily obstructed. It takes time for babies to master the ability to chew and swallow food, and babies might not be able to cough forcefully enough to dislodge an airway obstruction. As babies explore their environments, they also commonly put objects into their mouths, which can lead to infant choking.
Food is the most common cause of infant choking. However, small objects, parts from toys and certain types of behavior during eating such as eating while distracted also can cause infant choking.
To prevent infant choking:
- Time the introduction of solid foods – Introduce your baby to solid foods before he or she has the motor skills to swallow them and cause lead to infant choking. Wait until your baby can sit or is at least 4 months old to introduce pureed solid foods.
- Don’t offer high-risk foods – Don’t give babies or young children hot dogs, chunks of meat or cheese, grapes, raw vegetables, or fruit chunks, unless they’re cut up into small pieces. Don’t give babies or young children hard foods, such as seeds, nuts, popcorn and hard candy that can’t be changed to make them safe options. Other high-risk foods include peanut butter, marshmallows and chewing gum.
- Supervise mealtime – As your child gets older, don’t allow him or her to play, walk or run while eating. Remind your child to chew and swallow his or her food before talking. Don’t allow your child to throw food in the air and catch it in his or her mouth or stuff large amounts of food in his or her mouth.
- Carefully evaluate your child’s toys – Don’t allow your baby or toddler to play with latex balloons which pose a hazard when uninflated and broken — small balls, marbles, toys that contain small parts or toys meant for older children. Look for age guidelines when buying toys and regularly examine toys to make sure they’re in good condition.
- Keep hazardous objects out of reach – Common household items that might pose as choking hazard include coins, button batteries, dice and pen caps.
If your baby is choking and can’t breathe:
- Assume a seated position. Hold the infant face down on your forearm, which is resting on your thigh.
- Thump the infant gently but firmly five times on the middle of the back using the heel of your hand. The combination of gravity and the back blows should release the blocking object.
- Hold the infant face up on your forearm with the head lower than the trunk if the above doesn’t work. Using two fingers placed at the center of the infant’s breastbone, give five quick chest compressions.
- Repeat the back blows and chest thrusts if breathing doesn’t resume. Call for emergency medical help.
- Begin infant CPR if one of these techniques opens the airway but the infant doesn’t resume breathing.
Dr. Sejal Devendra Surti
Specialist Obstetrician & Gynaecologist
Aster Hospital, Mankhool