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Children under age 5 are at greatest risk for choking injury and death.
The size of a young child’s trachea (windpipe or airway) or breathing tube is approximately the size of a drinking straw in diameter. Imagine a piece of popcorn being lodged in this small area!
Children are most likely to choke on small objects that are round, hard, and/or sticky. Toys, household items, and foods can all be a choking hazard. The most common cause of nonfatal choking in young children is food.
Common Choking Hazards – Foods
Infants 0-6 months
Choking can happen at any age. We often think of choking when an infant starts to eat baby food and table foods, however infants of any age can choke while bottle-feeding.
Infants 6-12 months
Do not feed baby food or table foods before 6 months old.
Tough or large chunks of meat
Whole hot dogs, meat sticks, or sausages
Fish with bones
Large chunks of cheese — especially string cheese
Peanuts or other nuts and seeds
Peanut butter and other nut butters
Cooked or raw whole kernel corn
Whole uncut cherry or grape tomatoes
Raw vegetable pieces (carrots, green peas, celery, etc.)
Hard pieces of partially cooked vegetables
Whole uncut grapes, berries, cherries or melon balls
Hard pieces of raw fruit
Whole pieces of canned fruit
Fruit pieces with pits or seeds
Uncooked raisins and other dried fruit
Plain wheat germ
Whole grain kernels
Potato/corn chips and similar snack foods
Hard candy, jelly beans, caramels, gum drops/ gummy candy
Toddlers and children under the age of 5
Hot dogs and sausages
Chunks of meat
Fish with bones
Peanuts and nuts
Peanut butter and other nut butters (Do not serve on a spoon. It needs to be spread thinly.)
Common Choking Hazards – Household Items – All Ages
Toys with small parts
Small balls and marbles
Arts & crafts materials
Ballpoint pen caps
What Parents Can Do
For infants less than 6 months you can do the following to prevent choking while bottle-feeding:
Maintain a calm atmosphere during feeding time.
Never prop a bottle in an infant’s mouth.
Use a nipple with an appropriately sized hole so that the milk does not flow too quickly.
Do not feed baby food or table foods until 6 months of age or the child is showing signs of readiness.
Never feed an infant who is crying, laughing, walking, talking, or playing.
Avoid feeding your children over 6 months Common Choking Hazard food items listed above, and follow these recommendations:
Cut hot dogs in quarters lengthwise and then into small pieces. Cut whole grapes into small pieces. Chop nuts and carrots finely. Spread peanut butter thinly on crackers or bread – do not serve on a spoon. Remove skin and seeds from fruits and mash or cook to soften. Cut fruits and vegetables into cube then microwave, bake, boil, or steam to make them softer and easy to chew.
Pea-size pieces of food are safest for children 12-24 months of age. Make sure foods are a size and texture your child can handle.
Serve at body temperature or cooler, never HOT!
Use a highchair or infant seat while feeding your child and never leave unattended. If a child puts too much food in their mouth, even if the foods are not common choking hazards, a child can still choke.
Don’t allow your child to walk or run while eating. Try to avoid eating in the car as well, since it’s hard to supervise.
Don’t let your child play with toys that have small parts that could be swallowed.
Keep objects such as safety pins, nails, tacks, screws, jewelry, and coins out of child’s reach.
Check your house routinely for small objects and don’t leave toddlers unattended.
Tips to Remember
ALWAYS watch your child while eating. Direct supervision is necessary.
NEVER leave your child alone while eating. A choking child may not be able to make any noise.
Call 911 if you are unable to get your child to breathe.
Fresh and frozen fruits and vegetables are available to 9-11 month old infants on the WIC program in place of baby food. WIC families can choose to receive the maximum amount of baby food or combine baby food and fresh or frozen fruits and vegetables. It is important for the infants caregiver to be knowledgeable about choking risks and food safety when preparing table food for their infant.