Babies and children have a natural tendency to put things in their mouths. These include food and non-food items, such as small toys and household items. This can easily cause choking.
Watch your child eating
Food is the most likely thing that a child will choke on.
Make sure the food you give your child is suitable to their age and developmental stage.
Important
Never leave your child alone while they are eating in case they choke. Always supervise meals and snacks.
Your child should:
- eat sitting in a high chair or at a table with an adult supervising
- never eat while walking or running - there is a risk they could choke
- never eat in bed
Avoid letting your child eat in the car or buggy.
Different foods have different risks. Keep foods that your child could choke on out of their sight and reach.
Watch that older children do not share unsuitable food with younger children.
Children can put too much food in their mouth at any one time, even if it's cut up small.
Foods to never give your child
Never give a child under the age of 5:
- whole or chopped nuts (including peanuts)
- marshmallows
- popcorn
- chewing gum
- small hard round or oval-shaped sweets – these include boiled sweets, cough drops, fruit gums, jelly beans, lollipops, caramels and chocolate mini eggs
- small hard chocolates
These can choke your child.
Foods you need to prepare safely
When your baby starts weaning onto solid food, make sure it is:
- suitable for their age and developmental stage
- cut up small enough and the correct shape
- soft enough for them to eat
Always cut up food to a size that your child can chew and eat safely. To make food safer, change the texture – grate, cook, finely chop or mash it.
Remove the parts of food that could choke your child. Peel off the skin or remove any strong fibres, seeds, pips or stones.
Food needs to be prepared safely before you give it to your child.
Small fruit and vegetables
Grapes, cherry tomatoes and other similar-sized food can choke your child.
Grapes are a particular risk to children. Cut them in half lengthways and into smaller pieces. Remove all seeds or pips.
Cut cherry tomatoes and other similar-sized food in the same way. Remove any seeds, stones, pips or strong fibres. They can block your child's airway.
Hard fruit and vegetables
These include carrots, celery and apples. You can reduce the risk of your child choking if you change the texture of the food. Grate, cook, finely chop or mash it.
Food with skins or leaves
Food skins are difficult to chew and can completely seal children’s airways.
They include:
- sausages, hot dogs and frankfurters
- apples and pears
- tomatoes
- lettuce and other raw salad leaves
- spinach and cabbage
Remove or peel skins and cut lengthways into small pieces no bigger than your child’s small fingernail.
Finely chop salad leaves. Cook spinach and cabbage until soft and chop finely.
Fruit with stones
Remove or peel skins and cut lengthways into small pieces no bigger than your child’s small fingernail.
Thick pastes and spreads
Thick pastes like peanut butters and chocolate spreads can stick to your child’s throat and windpipe (airway). This makes breathing difficult. Spread pastes thinly and evenly.
Nuts, grains and seeds
Do not give whole nuts to children under the age of 5 because they may choke. Nuts and seeds should be crushed or ground. Spread nut butter spreads evenly and not too thickly. Avoid bars with whole grain kernels such as granola bars.
Bottle-feeding
Always hold a baby in your arms and the bottle in your hand if bottle-feeding them.
Do not prop up or lean the bottle against a support like a cushion. This can cause choking and other health problems.
If feeding in bed, always remember to return the baby to their own cot for sleep.