Carine Henry BSc RD
I am a Registered Dietitian and Paediatric Specialist, offering a caring private service for infants with feeding difficulties and children with diet related conditions or who need help to eat well. Dedicated solely to infants and young children, this site is the on-line sibling to Teenage Nutrition my site for teens. Working as a Paediatric Dietitian in Cambridge, UK for almost 30 years, my aims of dietary treatment are to help families understand and manage their child’s developmental feeding needs, as they relate to eating and drinking, whilst meeting nutritional needs and supporting growth. I work with specific medical conditions such as cow’s milk and other food allergies, gastrointestinal problems, food refusal and growth faltering. I help families with nutrition and diet when feeding itself becomes difficult.
Dietary needs and feeding development
I do this by reviewing a child’s feeding development in early infancy and through childhood and looking at (and where possible observing) key feeding skills and experiences. I review how feeding difficulties or changes in feeding behaviours may have arisen, and consider how best to meet the nutritional and feeding development of your child. For older children I provide parents with evidence-based strategies to boost their own knowledge and skills to best guide their child. Aside from developing the physical skills and experience, infant and child feeding has a lot to do with the communication and behaviours – both theirs and yours. This might need unpicking to find more easeful ways to enjoy eating together, and also where best to use those strategies. Talking through concerns and difficulties in a guided conversation, and using dietary assessment methods, is a first step to helping you support your little person’s growing needs.
How Carine works – the big picture
I use dietary assessment methods to collect relevant and unique information about your child’s feeding, growth patterns, age related needs and nutritional story. This happens in a detailed discussion about what, when and how much is eaten. Food intake provides an estimate of nutrient intake, identifies specific needs and any nutritional gaps. Appetite, preferences and limitations are considered; developmental milestones in feeding and feeding behaviour are discussed alongside overall patterns of eating. Height and weight, head and/or waist circumference are usually taken and interpreted using growth charts, such as you find in your child’s red book. What I call dietetic detective work! We then put all the pieces of the puzzle together and review the big picture and discuss options for dietary treatment and next steps.
Dietary treatment options are discussed during a first appointment following the dietary assessment. Medical conditions with diet-related symptoms often need very specific treatment and goals, tailored to each child based on the information gathered during the dietary assessment. I use nutritional knowledge and evidence-based decision making in treating medical conditions including food allergy, gastrointestinal problems and feeding difficulties with or without growth faltering.
Using this site
This website contains lots of great information but is not individual advice. Rather, it is intended as a general source of information, separated by age group along the top bar or type of condition on the side bar, on which decisions can be made about seeking further help. Do have look at my blog on various aged-related topics, or subscribe to receive updates.