At what age do you feed baby food


When, What, and How to Introduce Solid Foods | Nutrition

For more information about how to know if your baby is ready to starting eating foods, what first foods to offer, and what to expect, watch these videos from 1,000 Days.

The Dietary Guidelines for Americans and the American Academy of Pediatrics recommend children be introduced to foods other than breast milk or infant formula when they are about 6 months old.  Introducing foods before 4 months old is not recommended. Every child is different. How do you know if your child is ready for foods other than breast milk or infant formula? You can look for these signs that your child is developmentally ready.

Your child:

  • Sits up alone or with support.
  • Is able to control head and neck.
  • Opens the mouth when food is offered.
  • Swallows food rather than pushes it back out onto the chin.
  • Brings objects to the mouth.
  • Tries to grasp small objects, such as toys or food.
  • Transfers food from the front to the back of the tongue to swallow.

What Foods Should I Introduce to My Child First?

The American Academy of Pediatrics says that for most children, you do not need to give foods in a certain order. Your child can begin eating solid foods at about 6 months old. By the time he or she is 7 or 8 months old, your child can eat a variety of foods from different food groups. These foods include infant cereals, meat or other proteins, fruits, vegetables, grains, yogurts and cheeses, and more.

If your child is eating infant cereals, it is important to offer a variety of fortifiedalert icon infant cereals such as oat, barley, and multi-grain instead of only rice cereal. Only providing infant rice cereal is not recommended by the Food and Drug Administration because there is a risk for children to be exposed to arsenic. Visit the U.S. Food & Drug Administrationexternal icon to learn more.

How Should I Introduce My Child to Foods?

Your child needs certain vitamins and minerals to grow healthy and strong.

Now that your child is starting to eat food, be sure to choose foods that give your child all the vitamins and minerals they need.

Click here to learn more about some of these vitamins & minerals.

Let your child try one single-ingredient food at a time at first. This helps you see if your child has any problems with that food, such as food allergies. Wait 3 to 5 days between each new food. Before you know it, your child will be on his or her way to eating and enjoying lots of new foods.

Introduce potentially allergenic foods when other foods are introduced.

Potentially allergenic foods include cow’s milk products, eggs, fish, shellfish, tree nuts, peanuts, wheat, soy, and sesame. Drinking cow’s milk or fortified soy beverages is not recommended until your child is older than 12 months, but other cow’s milk products, such as yogurt, can be introduced before 12 months. If your child has severe eczema and/or egg allergy, talk with your child’s doctor or nurse about when and how to safely introduce foods with peanuts.

How Should I Prepare Food for My Child to Eat?

At first, it’s easier for your child to eat foods that are mashed, pureed, or strained and very smooth in texture. It can take time for your child to adjust to new food textures. Your child might cough, gag, or spit up. As your baby’s oral skills develop, thicker and lumpier foods can be introduced.

Some foods are potential choking hazards, so it is important to feed your child foods that are the right texture for his or her development. To help prevent choking, prepare foods that can be easily dissolved with saliva and do not require chewing. Feed small portions and encourage your baby to eat slowly. Always watch your child while he or she is eating.

Here are some tips for preparing foods:

  • Mix cereals and mashed cooked grains with breast milk, formula, or water to make it smooth and easy for your baby to swallow.
  • Mash or puree vegetables, fruits and other foods until they are smooth.
  • Hard fruits and vegetables, like apples and carrots, usually need to be cooked so they can be easily mashed or pureed.
  • Cook food until it is soft enough to easily mash with a fork.
  • Remove all fat, skin, and bones from poultry, meat, and fish, before cooking.
  • Remove seeds and hard pits from fruit, and then cut the fruit into small pieces.
  • Cut soft food into small pieces or thin slices.
  • Cut cylindrical foods like hot dogs, sausage and string cheese into short thin strips instead of round pieces that could get stuck in the airway.
  • Cut small spherical foods like grapes, cherries, berries and tomatoes into small pieces.
  • Cook and finely grind or mash whole-grain kernels of wheat, barley, rice, and other grains.

Learn more about potential choking hazards and how to prevent your child from choking.

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Feeding Your 4- to 7-Month-Old (for Parents)

Most babies this age are ready to try solid foods. Experts recommend starting solid foods when a baby is about 6 months old, depending on the baby's readiness and nutritional needs.

Be sure to check with your doctor before giving any solid foods.

Is My Baby Ready to Eat Solid Foods?

How can you tell if your baby is ready for solids? Here are a few hints:

  • Does your baby swallow food or push it out of their mouth? Babies have a natural tongue-thrust reflex that pushes food back out. Wait until this reflex disappears (typically when babies are 4–6 months old). 
  • Can your baby support their own head? To eat solid food, an infant needs good head and neck control and should be able to sit up.
  • Is your baby interested in food? Babies who stare, reach and grab, and open their mouths for food are ready to try solid foods.

If your doctor gives the go-ahead but your baby seems frustrated or uninterested in solid foods, try waiting a few days before trying again. Breast milk and formula will still meet nutritional needs as your baby learns to eat solid foods. But after 6 months, babies need the added nutrition — like iron and zinc — that solid foods provide.

Do not add cereal or other food to your baby's bottle because it can lead to too much weight gain.

Watch for signs that your child is hungry or full. Respond to these cues and let your child stop when full. A child who is full may suck with less enthusiasm, stop, or turn away from the breast or the bottle. With solid foods, they may turn away, refuse to open their mouth, or spit the food out.

How Should I Start Feeding My Baby Solid Foods?

When your baby is ready and the doctor says it’s OK to try solid foods, pick a time of day when your baby is not tired or cranky. You want your baby to be a little hungry, but not so hungry that they’re upset. So you might want to give your baby a little breast milk or formula first.

Have your baby sit supported in your lap or in a high chair with a safety strap.

Most babies' first food is iron-fortified infant single-grain cereal mixed with breast milk or formula. Place the spoon near your baby's lips, and let the baby smell and taste it. Don't be surprised if this first spoonful is rejected. Wait a minute and try again. Most food offered to your baby at this age will end up on the baby's chin, bib, or high-chair tray. Again, this is just an introduction.

When your little one gets the hang of eating cereal off a spoon, it may be time to try single-ingredient puréed meat, vegetables, or fruit. The order in which you give them doesn't matter, but go slow. Offer foods that are high in iron and zinc — such as meat, poultry, eggs, and beans — especially if your baby is breastfeeding. Try one food at a time and wait several days before trying something else new. This will let you identify any foods that your baby may be allergic to.

Which Foods Should I Avoid?

Foods that are more likely to cause allergies can be among the foods you introduce to your baby. These include peanuts, eggs, cow’s milk, seafood, nuts, wheat, and soy. Waiting to start these foods does not prevent food allergies. Talk to your doctor if you’re concerned about food allergies, especially if any close family members have allergies, food allergies, or allergy-related conditions, like eczema or asthma.

Infants with severe eczema or egg allergies are more likely to have allergies to peanuts. Talk to your doctor about how and when to introduce these foods to your child. 

Possible signs of food allergy or allergic reactions include:

  • rash
  • bloating or an increase in gassiness
  • diarrhea
  • vomiting

Get medical care right away if your baby has a more severe allergic reaction, like hives, drooling, wheezing, or trouble breathing.

If your child has any type of reaction to a food, don't offer that food again until you talk with your doctor.

Babies shouldn't have:

  • foods with added sugars and no-calorie sweeteners
  • high-sodium foods
  • honey, until after the first birthday. It can cause botulism in babies.
  • unpasteurized juice, milk, yogurt, or cheese 
  • regular cow's milk or soy beverages before 12 months instead of breast milk or formula. It’s OK to offer pasteurized yogurt and cheese.
  • foods that may cause choking, such as hot dogs, raw carrots, grapes, popcorn, and nuts

Tips for Feeding Your Baby Solid Foods

With the hectic pace of family life, most parents try commercially prepared baby foods at first. They come in small, convenient containers, and manufacturers must meet strict safety and nutrition guidelines.

If you prepare your own baby foods at home, here are some things to keep in mind:

  • Follow the rules for food safety, including washing your hands well and often.
  • To preserve the nutrients in your baby's food, cook it in ways that keep the most vitamins and minerals. Try steaming or baking fruits and vegetables instead of boiling, which washes away the nutrients.
  • Freeze portions that you aren't going to use right away.
  • Whether you buy the baby food or make it yourself, texture and consistency are important. At first, babies should have finely puréed single-ingredient foods. (Just applesauce, for example, not apples and pears mixed together.)
  • After your baby is eating individual foods, it's OK to offer a puréed mix of two foods. As babies get older, they will learn to eat a greater variety of tastes and textures. 
  • If you use prepared baby food in jars, spoon some of the food into a bowl to feed your baby. Do not feed your baby right from the jar — bacteria from the baby's mouth can contaminate the remaining food. If you refrigerate opened jars of baby food, it's best to throw away anything not eaten within a day or two.
  • Around 6 months of age is a good time for your baby to try a cup. You might need to try a few cups to find one that works for your child. Use water at first to avoid messy clean-ups. Do not give juice to infants younger than 12 months.

Over the next few months, introduce a variety of foods from all the food groups. If your baby doesn't seem to like something, don’t give up. It can take 8 to 10 tries or more before babies learn to like new foods.

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  • An infant between the ages of 6 months and a year must begin to receive complementary foods in addition to breast milk in order to cover the need for energy and all nutrients.
  • Gradually, as the child grows, you can switch to regular food (prepared from unprocessed raw materials, without the addition of salt and sugar). nine0012
  • Babies over 1 year of age can continue to receive breast milk in addition to complementary foods or normal foods, but by 2 years of age, the baby should mostly switch to regular food. In addition to the protective properties of breast milk, depending on the mother's diet, the milk tastes slightly different each time, which further helps the baby to accept different tastes when forming eating habits.
  • When choosing complementary foods and regular meals, it is important to ensure that there is a variety of meals on offer. Both when breastfeeding, and when switching to complementary foods and regular food, babies can experience colic or allergies. Therefore (including during breastfeeding) those foods should be avoided or used with caution, in relation to which the mother herself or the father of the child was sensitive in childhood or remains sensitive in adulthood. nine0012
  • For children over 2 years of age, the recommendations for nutrition and food selection are similar to adults, but in absolute terms, the recommended amounts are smaller.
  • Remember not to teach your child to drink juice, let alone sugary drinks.
Children under the age of 3 (actually people of any age) do not need sweet or salty snacks, soft drinks, highly processed and/or high sugar and salt foods.

Meals

The baby's belly is small, so they need to eat more often and in smaller portions. At the same time, in terms of dental health, you should not eat more than 5 times a day. That is, 3 main meals and 1-2 small snacks are ideal.

Breakfast

  • Breakfast is the most important meal of the day - it provides the body with energy so that the child can play and learn new skills.
  • If the child is already on a regular diet, porridge is the best choice for breakfast. Make it with a variety of grains, mixed grains, or whole grains. Porridge can be cooked with milk, water or a mixture of both (for children under the age of one who do not receive breast milk, with a subsequent milk formula). Milk mixtures cannot be boiled, so they are always added to food at the end of cooking. Do not add salt and sugar. Instead, flavor your porridge with a variety of fruits and vegetables (e.g. banana, peach, carrot). nine0012
  • Egg dishes work well, but try to add vegetables to them too.
  • For a young child, the best drink is milk (breast milk, formula milk) or water.
  • You can give your child a few glasses of juice a week, but it's best to have it as a snack to make breakfast more energizing. Always prefer whole fruits to juices.
  • On Sunday mornings, for example, pancakes can be offered. We repeat, cook them without adding salt and sugar, but add either immediately to the dough, or then berries-fruits. nine0012
  • If the child attends kindergarten, weekday breakfasts should be adapted according to whether the child eats breakfast in the garden and what time he eats it. Breakfast does not need to be eaten immediately after waking up, but it is useful to have breakfast within an hour.

Snacks

  • Snacking is important on infants and young children's menus because a young child can only eat a small amount of food at a time. Snacking gives him energy and various important nutrients needed for development and growth. nine0012
  • Snacks should be as unprocessed as possible (eg, fresh or dry fruits and berries, vegetables, bread, juice, oatmeal, sandwiches, unflavored yogurt, also cottage cheese for children older than one year).
  • Candy, crackers, cookies, soft drinks, juice drinks, ice cream, etc., are not good snacks. Even one candy or cookie between meals can ruin a child's appetite for the whole day.
  • Do not give your child food as a prize or consolation, or if the child is bored. nine0012

Lunch and dinner

  • Lunch and dinner can be heavy especially lunch. Soups and a slice of bread with soup go very well, as well as a dessert using a minimum amount of sugar, or even a small second.
  • The smaller the child, the more it is necessary to use stewing-cooking in the preparation of his food. Perfect for a variety of casseroles. Since children want to see what ingredients food is made of, teaching a child to eat mixed dishes from infancy can hide vegetables in them that children do not really like. nine0012
  • For dinner, a hearty vegetable salad is suitable, to which you can add an egg, cheese, fish, meat, homemade cheese or something else. If the child eats properly in the garden, the food offered at home should not be very energy intensive. Dinner can be a specific time that the family spends together where they can talk about the events of the day and be together. Here you can discuss the menu for the next day, as well as prepare for the weekend.
All children are different, just like adults. Every child has favorite foods, as well as those that they do not like at all. Knowing the preferences of children, the child can slowly teach him to eat those foods that he usually does not eat. To do this, you can hang on the refrigerator a list of products that the child must consume during the day. In this case, it is convenient to track the choice of products and teach the child healthy eating. nine0010
  • A child should be taught to eat right and healthy from an early age. Habits formed in childhood often influence the choices we make later in life. Some children are quite selective in terms of what he eats and what not; It is important that you, as a parent, be an example to your child and encourage and support healthy eating habits.
  • Breast milk tastes sweet, so most babies have a natural craving for anything sweet. At the same time, a child who received breast milk is more even about new tastes, because through breast milk he felt different tastes and it is easier to offer him new dishes. nine0012
  • Sometimes a child may refuse certain foods, it may take up to 15 attempts before the child gets used to a new food. Be consistent in your decisions, feed your child with all the products necessary for his development, do not give up even when the child refuses for the first time or the first time. If the child actually completely refuses to eat something, change this product to something similar. The most important thing is not to give up. If you are breastfeeding your baby often enough at the same time, there is no need to worry about the baby, even if it takes several months to introduce new foods along with breast milk. nine0012
  • Young children in their food preferences are guided by two main factors - whether they are familiar with food and the taste of food (sweetness). For children under 4 years old, the most important thing is that the child knows what kind of food it is. Therefore, new products must be introduced carefully and in small quantities, leading by example. Getting used to new foods takes time. If you do it carefully and in a playful way, the children will be very interested. The more natural flowers will be presented on the plate, the more beautiful and appetizing the dish will be, the more it will contain various essential nutrients. nine0012
  • When eating, the child's mood and environment are important (for example, whether the TV is playing or there are guests), as well as whether the child is hungry.
  • For eating, it is imperative to set aside time to enjoy food. When eating together with the family, the child will eat faster, the example of parents is important from early childhood. Enjoy each other's company while eating.
  • Appearance and correct food temperature are important for a child. The child will eat with great appetite if he sees what ingredients the food was prepared from. Try different foods and cook them in different ways to ensure food variety and availability of different nutrients. nine0012
  • Teach your child to choose foods from different food groups so that he understands the diversity of food. Give your child the opportunity to choose their own food from suitable foods: this or that fruit, various grains, various vegetables, etc. Teach children to eat plenty of vegetables from an early age. To quench your thirst, offer water, not juice.
  • A child should never be scared about food. Food is not a means of punishment or reward. Do not force the child to eat, rather attract. If you force a child to eat, it greatly affects the psyche and behavior of the child and can leave a negative imprint on his entire subsequent life. nine0012

    The most important child nutrition keywords:

    • example
    • communal meal
    • availability of suitable food
    • explanatory work
    • time
    • choice and decision making
    • When a baby is born (recommended already during the mother's pregnancy), it is the last time to review the eating habits of the whole family.
    • An example is one of the factors that will begin to shape the nutrition of a young child. nine0012
    • A child's eating habits are also shaped by what choice of food is available to the family (including the child), how meals are organized at home, etc. First of all, they will begin to influence a child over a year old.
    • Many children aged 2-3 are already in nursery or kindergarten, and often spend time at home only in the evenings or on weekends. These meals should form a conscious choice. Children can discuss with children and direct their nutritional wishes.

    There are many ways to offer fruits and vegetables to your child:

    • The child likes to eat with fingers, sticks, matches. Why ban it?
    • As a snack before dinner, after coming home from kindergarten or while watching TV, offer your child instead of chips carrot slices, apple slices, etc.
    • Children love sliced ​​carrots, paprika, cucumbers and pieces of cauliflower with dipping sauce on the birthday table. Why not offer fruit on a skewer (melon, pear, watermelon, grapes). nine0012
    • If you're in a hurry and don't have time to eat, keep a fruit handy that you can give your child a snack.
    • For children, the size of fruit or vegetable pieces and how they are processed may be important. A child may prefer a whole carrot over a grated carrot salad or a stewed carrot dish.
    • Young children do not like to chew on large and hard carrots, but they will eat carrots cut into slices with pleasure. It is especially difficult for children to cope with carrots with a hard core. nine0012
    • If the child does not eat fresh fruits and vegetables at all, then cut them into molds (a month, a heart), maybe you will like it? Why not do it with the kids?
    • The child can happily eat a small round sandwich with a face made of vegetable pieces.
    • If you are making a salad for children, consider their wishes. As a rule, children like to eat different foods separately.
    • A child who does not eat boiled rutabagas or carrots happily eats them raw. A child who does not want to eat raw carrots will gladly eat them boiled in vegetable stew. nine0012

    There are many different uses for fruits and vegetables.

    Fruits and vegetables do not have to be eaten fresh or boiled, they can be discreetly added to various dishes:

    • soups, vegetable stews, casseroles, wok
    • pasta, sauces, cereals, meatballs
    • herbs (e.g. dill, parsley) for seasoning dishes
    • in pies, cakes, pizzas
    • fresh berry sauces for desserts, fruits in jelly and jelly
    • in smoothies, milk and juice drinks

    Teach your child to enjoy a variety of simple salads, such as carrot or kale salad. But to get the child used to different tastes, try other salads, for example, a salad of sauerkraut, pumpkin, onions (bulb and green).

    Children grow in periods, which means that there may be times when the child eats too little, and there are times when he eats more.

    • It is useful to ensure that food intake and energy expenditure are balanced. nine0012
    • If the child is very active, he should eat more.
    • If the child seems to be eating too little or too much, keep a food diary - for about a week, write down everything that and how much the child ate and drank.
    • If the child has a bowel movement every day, then the amount of food for the child is sufficient, there is no need to worry. Often it turns out that the problem is not in the amount eaten, but in the choice of food. After all, you can get as much energy from a couple of candy cookies as from a good portion of soup. Therefore, it is unreasonable to immediately grab a jar of vitamins and minerals, first of all, nutrition should be reconsidered - sufficient, balanced and varied nutrition will provide the necessary substances. The only exception is vitamin D, which all children should receive as a dietary supplement. nine0012
    • As long as a varied and balanced diet is available to a child, he grows and develops according to his age, there is no cause for concern. If parents still feel that the child may not be getting all the necessary nutrients in sufficient quantities, from time to time blood tests can be done by a doctor to check the health.
    • Ideally, it would be better not to give sweets (candy, chocolate, cookies, soft drinks, etc.) to children under 3 years of age. nine0012
    • Candy or biscuits should never be given to children as a consolation, reward or boredom dispersal - on a subconscious level, this may affect his eating habits in the future. This recommendation is quite difficult to follow if the family has older children, but in this case, avoid bringing home sweets (sweets, cookies) and keep them on the table. Instead, put peeled-cut fruits and vegetables on the table.
    • To satisfy the desire to eat something sweet, nuts and dried fruits and berries are suitable, but one should not be too zealous with them either. Babies and young children can only be given nuts in a ground or highly ground form, and make sure that children do not have an allergic reaction to them. Clean water should always be available to quench thirst. You can drink up to two glasses of juice per week. If necessary, dilute the juice yourself, do not buy nectars, juice drinks and syrups in the store, not to mention soft drinks. While vitamin-fortified water is thought to help you get enough vitamins, one 750 ml bottle actually contains about 40 grams of sugar, which is about the daily dose of sweets for an adult. A varied, balanced, and regular diet (including cereals, fruits and vegetables, and other food groups) ensures adequate intake of vitamins, minerals, and macronutrients, as well as energy, and reduces the desire to eat something sweet. nine0012
    • The risk of being overweight in adulthood is higher in infants who received formula and complementary foods instead of breast milk in infancy.
    • It is very likely that an obese child will grow into an obese adult. Fortunately, serious obesity among children aged 0-3 years is very rare and is primarily associated with more serious diseases. At the same time, it is absolutely possible to feed a 2-3-year-old child if he is indiscriminately offered sweets, chocolate, cookies, pastries, soft drinks, etc.
    • To check whether the child is growing and gaining weight normally, you can look at the growth and weight curve of infants and children, and in case of underweight or overweight, it is imperative to consult a family doctor or pediatrician for further instructions. You can not limit the nutrition of the child, guided by their own ideas.

    Many young children go to nursery from about 1.5 years old. This means that often on weekdays the child eats out three times - breakfast and lunch, as well as dinner. According to how much time the child spends in kindergarten, how many times and what he eats, it is necessary to form the child's home meals. The body needs to be regularly provided with the necessary amount of energy, so it is important to stick to daily meals. Keep up to date with the weekly menu in kindergarten, make different options for homemade dinners or weekend lunches. The more different tastes and dishes you introduce your child to from an early age, the easier it will be for him to get used to food in kindergarten. nine0007

    In Estonia, food regulations have been developed in pre-school child care institutions, which are regulated by an order of the Minister of Social Affairs.

    It is not so easy for children under one year old, even under 2 years old, to find the right food if you are not eating at home. Meals offered to children often include too much salt or sugar. Children's meals may appeal to children (often due to their high fat, sugar and/or salt content), but their nutritional value is often very low. Instead of children's meals, it is better to choose a regular dish or soup and ask for it to be prepared with as little salt as possible. The food offered in fast food places is generally not suitable for children under 3 years old (and in fact, adults). nine0007

    • When a child turns one year old, the dishes offered on the occasion of his birthday are intended primarily for visiting adults and other children.
    • Depending on the age of the children, their age recommendations can be used.
    • Food offered to the birthday person must be prepared without salt and sugar. Sweets, soft drinks, potato chips and other products that are very popular at children's birthdays are best removed from the festive table of a child who is one year old, and even 2 and 3 years old. nine0012
    • Dishes on the festive table of a 2-3-year-old child should have a mild taste with minimal or no added salt and sugar.
    • Child-friendly chopped vegetables such as carrots, paprika, cucumber and cauliflower pieces with unflavored yoghurt dipping sauce.
    • You can offer fruit on a skewer (melon, pear, watermelon, grapes).
    • If desired, you can prepare more dense dishes (salads, homemade pizza, etc.), but they must be prepared from minimally processed raw materials. nine0012
    • If you offer baked goods, try to find low sugar options (raw sugar, agave syrup, etc. are not good alternatives).
    • Always read the label on food packaging! This will help you make a more informed choice.
    • The allowable amount of supplements for children is usually less than for adults (the maximum amount is based on the body weight of an adult). Therefore, be careful with colored sweets, drinks, cookies with a long shelf life, desserts and sausages, products containing synthetic sweeteners. nine0012
    • If the child is old enough to participate in the grocery shopping, let the child choose between suitable foods: one or another fruit, various cereal products, various vegetables, etc.
    • Avoid the shelves with sweets, biscuits, soft drinks, etc., so that the child does not have a desire to buy sweets. Ideally, it would be to introduce the child to sweets, etc. in small quantities and rarely, and also as late as possible, and exactly after the third year of life. Unfortunately, this recommendation is difficult to follow if there are older children in the family. nine0012
    • What to do if the child in the store constantly whines and cries to get what he wants? Read practical tips here.
    • Children under 3 years of age should not and should not be given gadgets, especially with meals.
    • The child should not be taught to watch TV while eating, as this diverts attention from eating and, in turn, creates poor eating habits in the child. While eating, all attention should be paid to the process of eating. nine0012
    • Children under 3 are usually very active and need extra energy.
    • The principle of a healthy lifestyle is that the amount of energy received from food and the amount of energy expended are in balance.
    • All children should be as active as possible from an early age - climbing, crawling, walking, jumping, chasing a ball, playing in the yard. Parents themselves should orient their children to the movement, be an example to them.
    • nine0011 Mobility habits formed in childhood are the basis for adult mobility habits.
    • Before eating and preparing food, you and your baby should always be thoroughly washed to prevent possible germs that cause disease from getting into the stomach. If food is interrupted (for example, due to a trip to the toilet), hands should be washed again before continuing to eat.
    • Teeth should be taken care of before they erupt. Clean water and a soft brush can clean the gums of a two-month-old baby, and must be continued after the teeth erupt. Toothpaste should be used only when the child can spit it out. Teeth should be brushed in the morning and evening. After eating, you can rinse your mouth with clean water. nine0012
    • In terms of teeth, there should be no more than 5 food contacts per day (3 main meals, 1-2 snacks), with a gap of at least 3 hours between meals.
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    Union of Pediatricians of Russia

    Introduction of complementary foods

    How to introduce complementary foods correctly is one of the most pressing issues that concern parents.

    In the first months of life, the main food for the baby is breast milk or an adapted milk formula, however, as the child grows and develops, this becomes insufficient and it is necessary to think about the introduction of complementary foods. nine0007

    Your baby is over 4 months old. He has noticeably grown up, become more active, is interested in objects that fall into his field of vision, carefully examines them and reaches for them. The child's emotional reactions have become much richer: he smiles happily at all people, makes various sounds. Perhaps you notice that the child looks into your plate with interest, closely monitors what and how you eat, does this mean that it is time to introduce complementary foods? And where is the best place to start? Let's figure it out! nine0007

    When should complementary foods be started?

    According to the Program for optimizing the feeding of infants in the first year of life in the Russian Federation (2019), the recommended age for the introduction of complementary foods is in the range from 4 to 6 months.

    The following points will help determine the readiness of the baby for the introduction of complementary foods:

    1. Food interest - you can check its presence as follows: during your meal, give the baby an empty spoon or fork, and if he plays with it, licks it, then there is no food interest yet; but if the child is dissatisfied with the fact that the spoon is empty, food interest has probably appeared. “But how does a child understand that there should be food in a spoon?” Parents often ask. The answer is quite simple: take your baby to the table with you so that he can see how you eat! nine0007

    2. The child can sit alone or with support. It is unacceptable to feed the child lying down, because he may choke.

    3. Extinction of the “pushing out” reflex - when the baby pushes out of the mouth both the offered food and the pacifier, etc.

    Why is it not recommended to introduce complementary foods before 4 and after 6 months of life?

    Before 4 months of life, the baby is not yet ready to digest food other than breast milk or infant formula. By this age, a number of digestive enzymes mature, a sufficient level of local immunity is formed, which reduces the risk of developing allergic reactions, the child acquires the ability to swallow semi-liquid and thicker food, which is due to the extinction of the “spoon ejection reflex”. The introduction of complementary foods after 6 months can cause a pronounced deficiency of micronutrients (iron, zinc, etc.) and lead to a delay in the formation of chewing skills for thick foods. Too late the introduction of a variety of products increases the risk of allergic reactions. Remember that the timing of the introduction of complementary foods is set individually, taking into account the readiness of the child to accept new foods. nine0007

    Basic principles for the introduction of complementary foods:

    1. introduce a new product in the first half of the day to track possible reactions to it;

    2. cereals, vegetable / fruit / meat purees should be introduced, starting with monocomponent ones, gradually adding other products of this group;

    3. start giving a new product with 1/2 teaspoon, gradually increasing the volume to the age norm within a week;

    4. It is not recommended to introduce new products during acute infectious diseases or at some special moments (moving to another apartment, leaving the city, on vacation, illness of parents, etc.). nine0007

    What is the best way to start complementary foods?

    The first complementary food can be anything. Often parents worry that if the child first tries the fruit, then because of its sweet taste, he will refuse other foods. We hasten to reassure you: breast milk is also sweet, so babies may like sweet fruits / berries more, but this does not mean at all that he will refuse vegetables or cereal. Traditionally, they begin to introduce complementary foods in the form of mashed potatoes, but if the child shows interest in “pieces”, then, observing the safety rules, you can give them. Also, along with the introduction of complementary foods, you can offer the child water. nine0007

    With the start of the introduction of complementary foods, the child is gradually transferred to a 5-time feeding regimen. If the baby shows that he is full and no longer wants to eat (for example, leaning back or turning away from food), then you should not continue to force him to feed, because this can lead to eating disorders in the future. Also, do not force the child to eat as much as possible before bedtime in the hope that he will not wake up for nightly feedings.

    Traditionally, in our country, complementary foods begin with vegetables or cereals. nine0007

    Vegetables: zucchini, broccoli, cauliflower, pumpkin, etc. If the child did not like the dish, for example, broccoli, do not give up on your plan and continue to offer this vegetable in small quantities daily, you can even not once, but 2-3 times, and after a while (7-14 days) the baby will get used to the new taste. This diversifies his diet, will help form the right taste habits in the child.

    As for cereals, it is worth starting with dairy-free gluten-free ones - buckwheat, corn, rice. You can use commercial baby food porridge, which is enriched primarily with iron. In addition, such porridge is already ready to eat, you just need to dilute it with water, which will save you a lot of time. nine0007

    It is also recommended to add oil to food, for example, vegetable puree to vegetable puree, and butter to porridge.

    Of meat products, lean meats, such as mashed turkey or rabbit, are most preferred to start complementary foods. Meat puree contains iron, which is easily absorbed, and adding meat to vegetables improves the absorption of this micronutrient from them. Subsequently, the daily use of children's enriched porridge and mashed meat allows you to meet the needs of babies for iron, zinc and other micronutrients. nine0007

    When introducing fruit purees (apple, pear, peach, prunes, etc.) into your baby's diet, you should pay special attention to the composition of the product - it is important that it does not contain added sugar.

    Fish is a source of easily digestible protein and contains a large amount of polyunsaturated fatty acids, including the omega-3 class, as well as vitamins B2, B12, and minerals. Preference should be given to oceanic fish, preferably white (cod, hake, pollock, sea bass, etc.), salmon can be recommended from red, and pike perch from river. nine0007

    Fermented milk products are prepared using a special starter culture that breaks down milk protein, so that the baby can get an indispensable set of amino acids in a well-available form. Some foods have added prebiotics, certain vitamins and minerals. Their regular use favorably affects the functioning of the intestines, increases appetite and the absorption of micronutrients.

    Recommendations and timing of the introduction of complementary foods for children at risk of developing food allergies and suffering from food allergies are the same as for healthy children. Delayed introduction of highly allergenic foods has previously been recommended to prevent the development of allergic diseases in children at risk. There is now evidence that this practice may lead to an increase rather than a decrease in the incidence of food allergies. The most common highly allergenic foods include cow's milk, chicken eggs, soybeans, wheat, peanuts, tree nuts, shellfish and fish. If a child has a high risk of developing allergies or an existing allergic disease, it is recommended to consult a pediatrician, an allergist-immunologist before introducing highly allergenic products. nine0007

    By the age of 8 months, when all the main food groups have already been introduced and your baby is improving his skills to eat on his own, special attention should be paid to the diversity of the composition of dishes and the change in food consistency - from puree to finely and coarsely ground. Soft foods cut into small pieces (fruits, vegetables, meat, etc.) are perfect for a little gourmet, which diversifies his diet and will contribute to the formation of chewing skills.

    By 9-12 months, most babies have the dexterity to drink from a cup (holding with both hands) and to eat foods prepared for other family members. This behavior needs to be encouraged, but combined with regular feeding to meet energy and nutrient requirements.

    It is advisable to use industrial products that are designed specifically for young children after a year.

    What should not be given to the baby? nine0284

    It is not recommended to add salt or sugar to food to enhance the taste.

    Drinks that should be avoided include fruit juices, whole cow and goat milk (whole milk is not recommended for children under one year old, and even longer, due to a high risk of developing iron deficiency and increased kidney stress), sweet fruit drinks, compotes and carbonated drinks.

    Also, some foods should be excluded from the diet of infants: solid round foods (for example, nuts, grapes, raw carrots, raisins, peas, etc.), due to the fact that the child can choke on them. nine0007

    It is not recommended to eat products with added sugar, for example, confectionery (marshmallow, marshmallow, marmalade, jam, jam, cookies, waffles, etc.), etc.

    You should not give your child the meat of large predatory fish (shark, bigeye tuna, king mackerel, swordfish): these types of fish accumulate more harmful substances than others.

    It is forbidden to give honey to children under one year old due to the fact that it may contain spores of Clostridium botulinum bacteria, which in the still immature digestive system of babies are able to multiply, produce toxins directly inside the intestines and, thus, cause infant botulism, which can be fatal. outcome. nine0007

    Do not give babies raw meat, fish, eggs, caviar, salted fish, soft pickled cheeses because of the risk of intestinal infections.

    If you follow all these simple rules, your baby will grow up healthy and happy!

    Diets for different ages

    References:

    1. Methodological recommendations. The program for optimizing the feeding of children in the first year of life in the Russian Federation. [Internet]. - M.: Union of Pediatricians of Russia, 2019. [Methodicheskie rekomendaczii. Programma optimizaczii vskarmlivaniya detej pervogo goda zhizni v Rossijskoj Federaczii. [Internet]. – Moscow: Soyuz pediatrov Rossii, 2019.


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