Originally published on NY Metro
Are you craving a peanut butter and jelly sandwich during your pregnancy? Did you religiously consume soy products like yogurt and milk before your pregnancy, but aren’t sure if you should continue to do so? Manhattan nutritionist and mother of two says it’s OK!
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My friends used to glare at me when I ate peanut butter and soy yogurt while pregnant. They, like many other moms, believed in the notions that parents should not introduce nuts or soy to children younger than 2, solid food to infants younger than 6 months, and food like nuts, nut butters, and anything with soy while pregnant.
I loved these foods too much though; peanut butter and soy yogurt remained a primary means for me to consume protein, fat, and calcium for the duration of my pregnancies. To my content, after giving birth, I received my Food Allergy and Anaphylaxis Network newsletter, confirming that there was no such relationship between these ingredients, food products, and allergies. Since then, neither of my boys has developed any type of severe food allergy either.
But enough about me. Let’s talk about you, your babies, and what the latest research says on consuming allergenic products while pregnant, breastfeeding, and in the first years of life.
Food Exposure While Pregnant
If you’re the kind of mom who, like me, relied on peanut butter sandwiches for simple grab-and-go lunches while pregnant, don’t feel guilty if your child has developed a food allergy. There is plenty of proof that ensures that this is not your fault.
Eliminating specific foods during pregnancy and/or while breast-feeding, prolonged breastfeeding, and delayed weaning have not been proven to prevent the development of food allergies. New research actually suggests the opposite—that this may be the ideal time to expose children to sensitive ingredients in order to induce a natural tolerance to such items.
Rather than obsessing over which foods to limit, focus on eating a variety of items on a daily basis. Identify your cravings, and be sure to consume enough calcium and omega 3 fatty acids in a moderate manner. Craving chocolate and peanuts? Don’t eat them in excess every day. Instead, rotate the foods you love and incorporate a variety of ingredients from one meal to the next.
If you are still afraid of what ingredients like nuts and soy may trigger, try using a four-day rotation that’s known to help individuals with food intolerances. For example, if you have eggs on Monday, don’t eat them again until Friday. While this may require extra thinking and work, the four-day rotation can help to calm even the most cautious mom’s fears.
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When to Introduce Food to Infants
Back in the 90s, when I studying nutrition and was pursuing my RD certifications, I learned that it was appropriate to introduce solid foods to babies between 4 and 6 months. By the time I had given birth to my first child in 2006, the word on the mommy block was to delay the introduction of solids until at least 6 months or older in order to prevent the development of allergies.
Current research conflicts with this proposal. Jonathan M. Spergel, MD, Ph.D., and chief of the Allergy Sector at the Children’s Hospital of Philadelphia says, “Delaying food introduction after 6 months could be even more detrimental in regards to developing a food allergy.” One study, reported in Pediatrics, supports this theory, suggesting that introducing solid foods at a later age was associated with an increased risk for allergic sensitization to food and inhalant allergens by the age of 5. Another proved that introducing cow’s milk, chicken, eggs, peanuts, tree nuts, soy, and gluten before 6 months was not significantly associated with eczema or wheezing at any age.
So remember, while there are always exceptions, the general consensus is that introducing solid foods between 4 and 6 months of age is actually associated with the lowest allergy risk. In other words, it’s during this time, before the 6-month-old mark, that it may be best to incorporate solid foods during mealtime.
How to Introduce Peanuts and Tree Nuts to Toddlers
Based on current research, parents do not need to delay the introduction of peanut butter or nut butters until their toddler is 2 or older. However, you should wait to introduce foods that may put your child at risk for choking, such as the actual nut itself.
Also take note that nut butters are highly sticky and can get stuck on the roof of your child’s mouth. If you do choose to feed them nut butter, be sure that they have developed sufficient tongue strength and motor skills to swallow the spread. Serving these sticky products in between two soft pieces of bread may help prevent choking or difficulty chewing as well.
If there is a family history of food allergies to peanuts, nuts, or any other food, a medical physician and registered dietitian should always be consulted. Many times, the pediatrician will try exposing the child in a medical setting if anaphylaxis is of concern. Another option to consider, of course under the recommendation or supervision of your child’s pediatrician, is to test the potential allergenic food at home with an antihistamine available in case there is an allergic reaction.
Feeding your pregnant body and your growing baby can be a joyful and exciting, not to mention delicious, period of your life. Relax knowing that you can dine on your favorite foods while sporting your bump, introduce solid foods to your bundles of joy between 4 and 6 months old, and even let your little ones nibble on some nutritious nut butter at some point before age 2.