Babies eat solid foods

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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When Can My Baby Start Eating Solid Foods? (for Parents)

A friend just started giving her 3-month-old applesauce and rice cereal. My son is just 2 weeks younger than hers, and I am wondering if I should be introducing solids soon too. When should I start?
– Taylor

Doctors recommend waiting until a baby is about 6 months old to start solid foods. Starting before 4 months is not recommended.

At about 6 months, babies need the added nutrition — such as iron and zinc — that solid foods provide. It’s also the right time to introduce your infant to new tastes and textures.

Some babies may be ready for solids sooner than 6 months, but don't start until your baby is at least 4 months old.

How do you know it’s the right time to start solid foods? Here are some signs that babies are ready:

They have good head and neck control and sit up in a high chair.
They're interested in foods. For example, they may watch others eat, reach for food, and open their mouths when food approaches.
They don’t push food out of their mouths, which is a natural tongue reflex that disappears when they’re between 4–6 months old.
They weigh twice their birth weight, or close to it.

Talk to your doctor about the right time to start solid foods.

How Should I Start Solids?

When the time is right, you can start with a single-grain, iron-fortified baby cereal. Start with 1 or 2 tablespoons of cereal mixed with breast milk, formula, or water. Feed your baby with a small baby spoon. Don’t add cereal or other food to a baby's bottle because it can lead to too much weight gain. Let your baby practice eating from a spoon and learn to stop when full.

When your baby gets the hang of eating the first food, introduce others, such as puréed meat, fruits, vegetables, beans, lentils, or yogurt. Try one food at a time and wait a few days before trying something else new to make sure your baby doesn't have an allergic reaction.

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 are 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.

When starting your baby on solids, avoid:

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 drinks 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

Also, do not give fruit juices to infants younger than 12 months old.

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.

Reviewed by: Mary L. Gavin, MD

Date reviewed: February 2021

Introducing Solid Food: Why, When, What and How

Introducing Solid Food: Why Babies Need It

As babies grow older, the need for solid food arises, from which the body will receive enough iron and other nutrients necessary for growth and development.

During the first six months, the baby's body uses the iron stored in the womb. Some iron also comes from breast milk and/or formula. But as the baby grows, the reserves of this substance in the body decrease. And the iron that a child receives from breast milk or formula is already not enough at the age of about six months. nine0005

Through the introduction of solid foods, the child also learns to eat, gets to know new tastes and textures of different foods. At the same time, he develops teeth and jaws, and he also acquires skills that will later be needed for language development.

Signs it's time to introduce solid foods

You'll know when it's time to introduce solid foods by how your baby develops and behaves.

Your child is ready for solid food if:

holds head and neck well and can sit upright with support
shows interest in food - for example, looking at the contents of your plate
reaching for your food
opens his mouth when you offer him food from a spoon.

Most children show these signs by about six months, but in general everyone is individual.

It is not recommended to introduce solid foods before four months of age.

If your baby is about seven months old and hasn't started solid foods yet, you can talk to a nurse or pediatrician. nine0005

The best time to offer solid food to your baby is when you and he are in a good mood for the first time.

He is also more likely to try new foods after breast milk or formula. The fact is that when a child is really hungry, he only wants milk or formula, because he knows that he will be satisfied. At the same time, there will still be room for other food in his tummy.

Over time, you will learn to tell if your baby is hungry or full, wants to try something or is tired. nine0005

Your child is hungry, if:

brightens up when he sees you cooking for him
leans towards you while sitting in a highchair
opens its mouth when you are about to feed it.

Your child no longer wants to eat if:

turns away
loses interest or gets distracted
repels spoon
purses his lips.

In what portions should the new food be introduced to the child? Start with 1-2 teaspoons and increase according to your baby's appetite. By 12 months, he should be eating about three small meals a day, plus breast milk or formula. nine0005

Consistency of solid food

The first solid food can be smooth, pureed or in soft pieces , depending on your baby's preference. Then the child can quickly move on to finely chopped, and then just to finely chopped foods.

The child needs food of various consistencies. This will help him learn to chew, and chewing, in turn, contributes to the development of speech. It also encourages the child to learn to eat on his own and will prevent eating problems as he develops. nine0005

By 12 months, the baby should already be eating the same as the rest of the family. You may have to cut some foods into smaller pieces, and boil the vegetables well.

Do not leave the child unattended while eating, make sure that he does not choke. Be especially careful with foods such as nuts and small-boned meats, as they are easy to choke on. If the child can already move around, try to seat him while eating. If you sit next to each other while the baby is eating, he will most likely sit more quietly. nine0005

Types of foods when introducing solid foods

The child will be happy to try any new food, so there is no need to prepare something “special” for him.

You can introduce solid foods in any order, as long as you include iron-rich foods and cook foods of the right consistency.

Foods rich in iron include:

iron-fortified baby cereals
minced meat, poultry and fish
tofu and legumes, cooked
mashed or boiled eggs (do not give raw or soft-boiled eggs).

Iron-rich foods can be supplemented with other healthy foods:

vegetables such as boiled potatoes, carrots or green vegetables such as broccoli
fruit - e.g. banana, apple, melon or avocado
cereals - e.g. oats, bread, rice and pasta
Dairy products such as yogurt and full fat cheese.

These products can be combined as there is no need to administer only one product at a time. By offering your child a variety of foods, you will allow him to try a variety of new tastes and get a lot of nutrients. nine0005

With our solid food introduction tips, you can get your child interested in new foods and make the eating process smoother and playful.

Breast milk and formula when introducing solid food

Continue breastfeeding or formula until at least 12 months while introducing solid food.

If you are unsure if your baby is getting the right amount of milk once solids are introduced, pay attention to his behavior. nine0005

For example, if a child has eaten a lot of solid food and is not getting enough or is not getting enough milk, the daily milk feeds may need to be made less frequent but longer. If the baby does not want to eat solid food, he may have had too much milk. This may be a signal that portions of milk should be reduced.

By about nine months of age, babies usually develop enough chewing and swallowing skills to eat solid foods before milk, not after. nine0005

Solid food does not replace breast milk or formula. If the transition to solid foods instead of milk and/or formula occurs too quickly, a child may miss an important milestone in their diet.

Water administration

At the age of six months, the child may be offered chilled boiled water in a cup during meals or at other times. This is to help your baby learn to drink from a cup, but at this age, he still doesn't need liquids other than breast milk or formula. When the child is one year old, he can be offered fresh tap water without boiling. nine0005

Foods and drinks to avoid

Some foods should not be given to children under a certain age:

honey under 12 months to avoid the risk of infant botulism
raw eggs, soft-boiled eggs, and products containing raw eggs, such as homemade mayonnaise, up to 12 months - bacteria in raw eggs may be harmful to infants
skim milk products up to two years
Whole nuts and similar hard foods up to three years - due to risk of choking. nine0018

Also, up to a certain age, children should not be given certain drinks :

pasteurized whole cow's milk as a main drink up to 12 months
soy, goat and sheep milk up to two years (fortified soy products may be given up to two years)
rice, oatmeal, almond or coconut milk up to two years of age, unless advised otherwise by a pediatrician or nurse
Unpasteurized milk of all kinds, tea, coffee or sugar-sweetened beverages for all ages
fruit juice - should be limited at any age (fruits contain the nutrients a child needs).

Salt and sugar should not be added to baby food. Infants and young children are not suitable for highly processed foods and packaged foods that are high in fat, sugar and/or salt. These include cakes, cookies, chips and fried foods.

Food allergy and introduction of solid foods

Early introduction of allergenic foods may reduce risk development of food allergy in a child.

All children, including children at high risk of allergies, should try allergenic foods from about six months of age . These foods include hard-boiled eggs, peanut butter, wheat (in wheat bread, cereals, and pasta), and cow's milk (but not as a staple drink).

It is recommended to consult a physician, health visitor, nutritionist, pediatrician, allergist or immunologist if:

the child already has a food allergy
you have a family history of food allergies and are concerned about introducing solid foods to your child
you are worried about his reaction to the products.

Children with severe eczema and children of parents with food allergies are more likely to develop food allergies. But most children with food allergies do not have food allergy parents.

When to introduce pieces in complementary foods?

The article was written with the help of nutritionist Victoria Vishnyakova.

You need to take the transition from puree to chunks seriously, as this step is very important.

Such food is called in English-speaking countries “finger foods” translated into Russian as “finger food”. Toddlers take pieces with their fingers, bring them to their mouths, knead them with their gums and swallow.

At the same time, several systems are included in the work at once:

The brain needs to coordinate the actions of the hands, mouth and jaw
Mouth, tongue, jaw muscles are being trained
Gastrointestinal tract adapts to digest food other than solids, not just purees and liquids.

You should know that, as in other stages of the development of the baby, the pieces also need to be introduced into the “window of opportunity” - this is the period during which skills are mastered easily and naturally. In cases where such a moment was missed, much more effort has to be applied. nine0005

Based on modern recommendations, lumpy food should be offered from about six months, that is, almost immediately with the start of complementary foods. The deadline is about 9-10 months. – later the “window” will be closed.

You can start complementary foods not with mashed potatoes, but knead boiled vegetables with a fork, after a while you will not need to do this too carefully. Thus, the consistent addition of lumpy food to the child's diet will begin.

When you start complementary foods with mashed potatoes, then after a while offer pieces first of all, and if suddenly the baby gets tired, give mashed potatoes. nine0005

You can not mix puree with pieces! Toddlers do not expect that a solid object may be caught in their usual food - they will begin to "suck" it and may choke. As a result, there is a possibility that there will be a fear of food and even a temporary refusal of complementary foods.

Lumpy food should be soft so that children can knead it with their fingers. If the piece is hard, then it can be dangerous, since the child will not be able to chew it, but it is easy to choke on it.