Abstract
BACKGROUND: Children with Down syndrome are commonly reported to experience feeding problems in the early years. This study aimed to explore and synthesise the experiences of feeding young children with Down syndrome from parents and professionals, and the support needed and received during this time. METHODS: Eight mothers and twelve healthcare professionals took part in semi-structured interviews. All participants had, or had supported, a child(ren) with Down syndrome aged 0-5 years. RESULTS: Reflexive thematic analysis resulted in two themes and seven subthemes. Mothers had clear feeding goals and adapted their journeys to meet their child's individual needs, with support from professionals and peers. Professionals could empower parents by building confidence and offering proactive support, although a lack of knowledge about Down syndrome and difficulties accessing support undermined mothers' confidence in services. CONCLUSIONS: Breastfeeding and family mealtimes held significant value to mothers, and specialist and trusted support may be needed to help families achieve these goals.