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Baby feeding ml per kg


Formula milk: common questions - NHS

How much formula does my baby need?

Newborn babies need quite small amounts of formula to start with. By the end of their first week, most will need around 150 to 200ml per kilo of their weight a day until they're 6 months old. This amount will vary from baby to baby.

Although most babies settle into a feeding pattern eventually, they vary in how often they want to feed and how much they want to drink.

Feed your baby when they show signs that they want it. Babies tend to feed little and often, so they may not finish their bottle. Having a big feed does not mean your baby will go longer between feeds.

The amount of formula may change if your baby is unwell, in pain due to teething, or having a growth spurt.

How do I know if my baby is getting enough formula?

Your baby's weight gain and the number of wet and dirty nappies will tell you whether your baby is getting enough formula.

Your baby should have around 6 wet nappies a day from a few days after the birth. Nappies should be soaked through with clear or pale yellow urine, or feel heavy.

For the first few days after birth, your baby will pass a dark, sticky substance known as meconium. After the first week your baby should start to pass pale yellow or yellowish brown poo.

Your baby will usually be weighed at birth and again at around 5 and 10 days. After that healthy babies only need to be weighed once a month up to 6 months of age.

This information should be entered on a chart in your Personal Child Health Record (PCHR) or "red book".

If you have any questions or concerns about your baby's weight gain, speak to a midwife or health visitor.

How will I know if my formula-fed baby is hungry?

After a while, you'll get to know the signs that show your baby is ready to feed:

  • your baby will start to get restless
  • they'll begin to turn their head and open their mouth (rooting)
  • they'll find something to suck – usually their fist or fingers

Try to feed your baby before they cry, as this is a late sign of hunger.

What do I need if I'm formula feeding away from home?

If you need to feed your baby away from home, take with you:

  • a measured amount of formula powder in a small, clean and dry container
  • a vacuum flask of hot water that's just been boiled
  • an empty sterilised feeding bottle with cap and retaining ring in place

The vacuum flask does not need to be sterilised, but should be clean, and only used for your baby. The boiling water should kill any bacteria present in the flask. If the flask is full and sealed, the water will stay above 70C for several hours.

Make up a fresh feed only when your baby needs it. The water must still be hot when you use it, to destroy any bacteria in the formula powder.

Remember to cool the bottle (with the lid on) under cold running water before you feed it to your baby. 

Read more about making up a feed

Alternatively, you could use a carton of ready-to-feed liquid formula when you're away from home.

What if I need to transport a made-up feed?

If it is not possible to follow the advice above, or if you need to transport a feed (for example, to a nursery), prepare the feed at home, cool under a running tap or in a bowl of cold water, and cool it for at least 1 hour in the back of the fridge.

Take it out of the fridge just before you leave and carry it in a cool bag with an ice pack, and use it within 4 hours. If you do not have an ice pack, or access to a fridge, the made-up infant formula must be used within 2 hours.

If made-up formula is stored:

  • in a fridge – use within 24 hours
  • in a cool bag with an ice pack – use within 4 hours
  • at room temperature – use within 2 hours

Can I use bottled water to make up infant formula?

Bottled water is not recommended for making up infant formula feeds for your baby. This is because it's not usually sterile and may contain too much salt (sodium) or sulphate.

See more about using bottled water to make up formula feeds

Video: how do I use the time I spend bottle feeding to help me bond with my baby?

In this video, a midwife talks about how you use the time you spend bottle feeding to bond with your baby.

Media last reviewed: 28 November 2019
Media review due: 28 November 2022

Page last reviewed: 21 November 2019
Next review due: 21 November 2022

Bottle feeding - nutrition and safety

Breastmilk or a suitable infant formula is recommended as the main source of nutrition for all babies less than 12 months of age. Breastmilk is the feeding option of choice, but commercial infant formula is the only suitable alternative when breastmilk is not available.

Babies under 12 months of age should not be fed:

  • regular, low-fat or skim cow’s milk
  • evaporated or powdered milk, sweetened condensed milk
  • cereal and legume-based beverages (such as rice, oat or soy)
  • nut and seed-based beverages (such as almond or pumpkin seed)
  • any do-it-yourself preparations using homemade recipes.

Commercial infant formulas have been developed to contain similar nutrition to breastmilk. They provide all the nutrition your baby needs until you introduce solids at around 6 months. All formulas sold in Australia conform to the Australia New Zealand Food Standard Code (Standard 2.9.1 – Infant Formula Products). There is little difference between differently priced brands.

The composition of infant formula continues to change as research provides a greater understanding of the role of the unique ingredients contained in breastmilk. A variety of new ingredients have been added to infant formulas in recent years.

Starter or first formula

There is a variety of starter formulas based on cow’s milk protein (whey or casein). Formula based on soy or goat's milk is also available. These formulas are suitable for babies from birth to 12 months.

Read the label carefully because:

  • Formulas developed for toddlers as well as pregnant women can look very similar, so check the label carefully to ensure your baby gets a formula that is safe and appropriate for their age.
  • The label may list a number of additions such as LCPUFAs (long chain polyunsaturated fatty acids or omega-3 fatty acids), probiotics or prebiotics. These ingredients are added because they are found naturally in breastmilk.

Caution on changing formula

If your child sleeps or feeds badly, or is unsettled or ‘colicky’, you may think you need to change the formula you are using. There is little evidence that this is helpful for the majority of babies. Seek the advice of your maternal and child health nurse or doctor before switching formulas.

Soy formula

Infant soy formula is suitable for babies with a medical reason to use them, such as an allergy to cow’s milk. This formula must not be confused with regular soy milk, which does not provide suitable nutrition for babies.

‘Follow on’ formula

‘Follow on’ formula is suitable for babies 6 months of age and over. It is your choice whether you use one. ‘Follow on’ formula is available based on cow’s milk, soy or goat’s milk. They are made for babies over 6 months of age and contain higher protein and mineral content than starter formula.

Specialised infant formula

Infant formula can be modified in a variety of ways, including changes to the fat, carbohydrate or protein content. Specialised infant formula is sometimes necessary for babies with certain medical conditions and may be prescribed by paediatricians through the Pharmaceutical Benefits Scheme (PBS).

Reasons for using one of these formulas might include:

  • severe allergy or intolerance
  • fat or carbohydrate malabsorption
  • severe digestive disorders.

Some examples of specialised infant formula and when they are used include:

  • Low lactose – is used for lactose (milk sugar) intolerance.
  • Modified protein content – in some formula, the cow’s milk protein is broken down into smaller units. In other formula, the whole protein is replaced by amino acids, the individual building blocks of protein. These preparations are used for severe allergy, malabsorption and digestive disorders or metabolic conditions.
  • Modified fat content – this includes formula with a high concentration of triglycerides and lower levels of fatty acids, which may be used for babies with liver or gastrointestinal conditions.
  • Thickened formula – sometimes recommended for babies who frequently regurgitate (vomit or cough up) large amounts after feeding, although a thickened formula may not solve this problem. Only use under medical advice.
  • Premature infant formula– designed for preterm (born premature) babies while they are preterm. Premature babies need a formula with additional energy and mineral content. This is not suitable for full-term babies or for preterm babies who are now full term, unless under medical advice.

Seek medical advice before using specialised formula.

Amount of formula required

From 5 days to 3 months, a full-term, healthy baby will need about 150 ml of prepared formula per kilogram of body weight, every day. For example, a baby who weighs 3 kg will need 450 ml of prepared infant formula each day.

From 3 to 6 months, this falls to 120 ml of infant formula per kilogram of body weight each day. From 6 to 12 months, it falls again to between 90 and 120 ml of infant formula per kilogram of body weight each day.

Premature babies need more formula. At first, they usually need about 160–180 ml of formula per kilogram of body weight per day. Your neonatal doctor or maternal and child health nurse will advise you.

See your doctor or maternal and child health nurse if you are worried about your baby’s appetite or growth.

Preparing formula

Always remember to:

  • Wash your hands thoroughly and make sure your preparation area is clean.
  • Check the date on the bottom of the tin or on the sachet to ensure the formula has not passed its expiry (use-by) date.
  • Use the powder within one month of opening the tin.
  • Follow the manufacturer’s instructions strictly. Accuracy is important to make sure your baby receives the right nutrition.
  • Boil fresh, clean water in a kettle or saucepan.
  • Do not let the water cool for longer than 30 minutes before making up infant formula. Hot water helps kill any bacteria (germs) in the powder.
  • Pour the recommended amount of boiled water into the bottle.
  • Use the scoop that came with the formula to measure the exact amount of powder. A scoop from another brand of powder might be larger or smaller. Never use a half-scoop as it may not be accurate. Make up the full volume (later throw out any leftover mixture).
  • Level the powder with a sterilised knife or spatula (do not pack it down). Add this powder to the bottle of boiled water.
  • Place the disc and cap on the bottle, and shake until thoroughly mixed.
  • Make up only one bottle at a time. Germs can easily grow in prepared formula, and can make your baby ill.
  • Never warm a bottle in a microwave oven. This is unsafe as it does not heat evenly and there may be ‘hot spots’ in the bottle that can burn your baby’s mouth.
  • You can warm a bottle by standing it in a container of hot (not boiling) water for 10 minutes.
  • Test the temperature by dripping some milk onto the inside of your wrist. It should feel the same temperature as your skin. If it is too warm, then cool the bottle under running water or in a container of cool water. Re-test on your wrist before giving to your baby.
  • If you are going out for the day, carry hot water in a hot water flask and the formula separately, then prepare it just before it is needed.
  • When the tin of formula is empty, discard the scoop that was provided with the tin of infant formula.
  • Read the instructions carefully if you change formula brands to ensure you use the correct amount of water and powder.

Do not use leftover formula

Use a fresh bottle for every feed. Throw away any leftover formula or expressed breastmilk following the feed. Never give your baby leftovers. They can grow bacteria (germs) that may make your baby ill.

Do not add other food, such as baby rice cereal, to the milk. If you think your baby needs more food than recommended, talk to your maternal and child health nurse.

Enjoy mealtimes with your baby

Mealtimes are a time to be together and communicate. Just as adults and children enjoy talking with each other at mealtimes, so do babies. Hold your baby close to your body, facing you, when feeding. This should be an enjoyable and social experience for you both.

Take the bottle away as soon as your baby has had enough.

Do not put your baby to bed with a bottle, to feed alone. This is dangerous because your baby may choke. Also, older children who are regularly fed this way are more likely to get middle-ear infections and tooth decay.

Equipment for bottle-feeding

Whether you are using a bottle for expressed breastmilk or infant formula, the equipment you will need includes:

  • infant formula or expressed breastmilk
  • clean water
  • bottles
  • teats
  • sterilising equipment (and possibly sterilising chemicals).

Bottles for expressed breastmilk or infant formula

When buying bottles, remember that:

  • You will need at least 3 large bottles with leak-proof caps, discs and teats.
  • Plastic bottles are better, because glass breaks more easily.
  • Bottles should be smooth on the inside surface (no ribbing or indentation), so they are easy to clean properly.
  • Bottles should have clearly marked measurement guides that will not wear off over time.

Teats for bottle-feeding

When choosing teats, consider:

  • Flow rate – check the label to make sure the teat has the right flow rate for your baby’s age. For example, a teat designed for an older baby can flood a newborn’s mouth with too much milk and may lead to choking.
  • Testing the flow – hold the bottle upside down and milk should drip out at a constant, steady rate. If it drips too slowly, your baby will get tired before finishing their feed. If milk pours out in a stream, your baby may dribble and splutter and will not enjoy the feed. A baby should take 15 to 30 minutes to drink a bottle.
  • Teat shape – many manufacturers claim that their teats are an exact copy of a mother’s nipple in her baby’s mouth, but there is no proof that any teat design is the best. ‘Orthodontic’ teats are no better than regular-shaped teats and they may, in fact, not be good for later tooth development. Over time, you will discover which teat works best for your baby.
  • Air – air bubbles should rise through the milk as the baby drinks. If the teat flattens during feeding, loosen the cap a little.

Sterilise all equipment for bottle-feeding

You must sterilise (thoroughly clean and kill all germs) all bottle-feeding equipment until your baby is 12 months old. This is very important.

Always remember:

  • Steam can cause severe skin burns, so be careful when boiling or steaming equipment.
  • Place all equipment out of reach of children.
  • Avoid unnecessary handling of sterilised equipment and do not touch the inner surfaces of bottles or teats.

First, wash all the equipment in warm, soapy water. Use a clean bottlebrush to thoroughly remove all traces of milk, then rinse, then sterilise. You can use different sterilising methods, such as boiling, chemicals, steam or microwave steam.

Boiling bottle-feeding equipment

Put all equipment in a large pot and cover with tap water (make sure your water meets the Australian Drinking Water Guidelines if you are not using town water).

Remember to:

  • Make sure there are no air bubbles trapped inside the bottles.
  • Put the saucepan lid on and bring to the boil.
  • Allow 5 minutes of rapid boiling.
  • Turn off heat and allow to cool.
  • Always wash your hands thoroughly with soap and water before handling the equipment.
  • Store the sterilised equipment in a clean container in the fridge and re-boil after 24 hours if it has not been used before then.

Chemical sterilising bottle-feeding equipment

Sterilising chemicals usually come in liquid or tablet form. When you sterilise the equipment:

  • Follow the manufacturer’s instructions to get the correct strength.
  • Mix the chemicals with water in a large plastic or glass bowl.
  • Place all equipment in the solution. Cover every surface – for example, squirt solution through the teats and get rid of any air bubbles.
  • Soak for at least one hour.
  • Remove the equipment and shake off excess solution, but do not rinse.
  • Use only glass or plastic equipment, as metal will rust in the solution.
  • Change the solution every 24 hours.
  • Scrub the container with warm soapy water and rinse thoroughly before refilling with new solution.

Steam sterilising bottle-feeding equipment

A steam steriliser plugs into a power point. It works automatically once you have switched it on. You must follow the manufacturer’s directions. Most will tell you to:

  • Place the equipment in the steriliser and add the correct amount of water.
  • Put the lid on and steam the equipment for the recommended time.
  • Leave the lid on the steriliser until the bottles are needed.
  • Wipe and dry the inside of the container once a day to keep it clean.

Microwave steam sterilising bottle-feeding equipment

This is used in a microwave oven. You should:

  • Follow the instructions carefully.
  • Check the microwave power needed – not all microwave ovens are the same.
  • Do not put any metal inside these sterilisers.

Where to get help

  • Your maternal and child health nurse
  • Your paediatrician
  • Dietitians Australia Tel. 1800 812 942
  • Royal Children’s Hospital Tel. (03) 9345 5522
  • Advisory Panel on the Marketing in Australia of Infant Formula (APMAIF) Tel. (02) 6289 7358

Rules for the introduction of complementary foods for a child 4 - 12 months: the first complementary foods, menus, diagrams, tables, principles of nutrition for a baby

Modern principles of complementary foods for children is a kind of fusion of practical experience and the latest scientific developments. They are based on the recommendations of the European Association of Pediatric Gastroenterologists, Hepatologists, Nutritionists ESPGHAN , the American Academy of Pediatrics AAP and national recommendations of relevant ministries and associations.

Complementary foods: online course

Modern recommendations are based on the analysis of the results of many studies on the composition, timing of the introduction of complementary foods in Europe for healthy full-term newborns, taking into account various aspects of the introduction of complementary foods, its impact on physical and mental development. Timely introduction of complementary foods contributes to the optimal development of all systems and organs of the child, physical parameters, psychomotor development, and the activity of the nervous system. The period of introduction of complementary foods is very important for the growth and development of the child, as well as an outstanding stage in the transition of the child from breastfeeding to feeding from the general table.

  • It is inappropriate to develop separate recommendations for the introduction of complementary foods for breastfed or artificially fed children, the approaches in these cases are the same
  • Breastmilk mothers remains the gold standard exclusive breastfeeding for at least 4 months (17 weeks) of an infant's life, up to 6 months (26 weeks), the standard of exclusive or predominant breastfeeding
  • The digestive tract and kidney function are mature enough for a baby to accept complementary foods at 4 months of age, and between 5 and 6 months the baby develops the necessary motor skills to consume solid foods. Therefore, at this age, it is important to give food of the right consistency and in the right way
  • A well-nourished mother can provide all the nutrients, vitamins, and minerals her baby needs through exclusive breastfeeding up to a maximum of 6 months of age
  • Some children may need iron supplementation earlier than 6 months
  • It is important to continue breastfeeding in parallel with the introduction of complementary foods. This has been shown to reduce the risk of gastrointestinal and respiratory infections, as well as hospitalizations in a child
  • Comparing the initiation of complementary foods at 4 or 6 months of age, no significant differences were found in the effect on growth and body weight, the development of obesity during the first 3 years of life
  • At the same time, a high risk of developing overweight and obesity has been established with the introduction of complementary foods before 4 months of age
  • Complementary foods (solid or liquid food other than breast milk or infant formula) should be started no earlier than 4 months and no later than 6 months
  • With age, with the introduction of complementary foods, the child should be offered food varied in texture, texture, taste, smell
  • Children have an innate tendency to distinguish and prefer sweet and salty foods, reluctantly eat bitter, which we cannot change. But we can shape and adjust the taste preferences of the child through training, systematically offering the child foods with different tastes, including sour, bitter green vegetables
  • Whole cow's milk Not recommended for infants under 12 months of age. The use of cow's milk is associated with the intake of an increased amount of energy, protein, fat, and lower - iron. Therefore, children who consumed large amounts of cow's milk at an early age had a higher risk of developing iron deficiency anemia
  • Eating more protein when complementary foods increase the risk of overweight and obesity, especially in individuals with a predisposition to this, so protein intake should not exceed 15% of energy intake during the day
  • The baby's need for iron is very high during the entire period of complementary feeding, so it is necessary to ensure the provision of iron-rich foods, especially for breast-fed children
  • Allergenic products can be administered from the age of 4 months at any time, since it is during this period that the formation of immune tolerance to the allergen occurs. For example, children at high risk of developing allergic reactions to peanuts should be administered at 4-12 months of age under specialist supervision. No relationship was found between the timing of the introduction of allergenic complementary foods and the development of allergic or immunological diseases. However, this does not mean the need for early introduction of allergenic products to everyone, but it emphasizes that there is no need to postpone the introduction of allergenic products after 4 months for a longer period;
  • Gluten may be offered to a child aged 4-12 months, however large amounts of gluten should be avoided during the first weeks after initiation of its introduction, thereafter a safe amount has not been established. The type of feeding (breast/artificial) was not identified with the introduction of gluten to reduce the risk of developing celiac disease, type 1 diabetes;
  • Sugar or salt should not be added to complementary foods, and sweetened drinks and juices should be avoided. Sugary drinks are liked by babies in the first months, but if they are not given, but after 6 months, the children no longer like them very much. Sugar affects future eating behavior. Sugar is an important factor in the development of caries - it contributes to caries, as glucans can be formed, which increase the adhesion of bacteria to tooth enamel, disrupt the diffusion balance of acid and buffer systems, which ultimately contributes to damage to the enamel.
  • Vegetarian diets are contraindicated in young children due to the risk of vitamin B12, iron, zinc, folate, long-chain fatty acid, protein and calcium deficiencies, which can lead to irreversible adverse effects and impaired cognitive development;
  • Vegetarian diet can only be used under the close supervision of a doctor and nutritionist, with the obligatory additional administration of vitamins B, D, iron, zinc, calcium, proteins, PUFAs, which can ensure the appropriate growth and development of the child. It is important that parents should be aware of the risk of irreversible harmful consequences (mental disability, death of the child) that may develop if they do not follow the recommendations of specialists.

The General Rules for the introduction of complementary foods for children of the first year of life:

  • Introduce the first feeding It is better in the morning feeding 9-11 in the morning to trace the reaction of the child to the new product.
  • Without added sugar and salt .
  • Give the first complementary food to the child when he is calm and not tired .
  • Start with 0.5-2 teaspoons. If the child refuses, do not insist, try to give later or the next day.
  • If the reaction is normal - no rash, no skin changes, no stool changes, double the dose the next day. Gradually bring the first complementary foods of the child to the age norm 80-200 g
  • If there is an allergic reaction or other intolerance reaction - refuse to introduce this complementary food for three days, if the adverse reaction occurs again - do not give this product, contact your pediatrician.
  • Each subsequent new complementary food must be one-component only: marrow, cabbage, broccoli, buckwheat, meat, etc.
  • Mixed food dish give when the child has already become acquainted with all the products separately.
  • It is not advisable to introduce new foods three days before and after vaccinations.

If you are thinking about introducing complementary foods, then your child should already have certain signs of readiness for this:
  1. Holds head
  2. Able to stand alone, practically without support, sit on a special high chair with side support
  3. Opens mouth when a spoonful of food is brought
  4. Turns away from a spoonful of food when not hungry
  5. Closes mouth with spoon in mouth holds food in mouth and then swallows rather than pushing or spitting it out

The first complementary foods at 4 months

The age of 4 months as the minimum for the introduction of complementary foods was also chosen because at 4 months the child's gastrointestinal tract becomes more mature: the initially increased permeability of the small intestine mucosa decreases, the number of digestive enzymes, a sufficient level of local immunity is formed, the child acquires the ability to swallow semi-liquid and thicker food, associated with the extinction of the “spoon ejection reflex”.

Therefore, to the question whether it is necessary to give complementary foods to a 3-month-old baby , one can unequivocally answer: no, it's too early!

But 4 months, this is the time when you can think about the introduction of complementary foods. At the same time, it should be remembered that at the age of 4 months, the child has enough mother's milk or a highly adapted milk formula for its full development. In addition, when they talk about complementary foods at 4 months, they usually mean the end of the 4th month of life. It is important to continue breastfeeding in parallel with the introduction of complementary foods.

Video: Body in 4 months

If you introduce complementary foods at the 4th month of the child -usually one-component vegetable or fruit puree if the child does not gain weight well enough well , then it can be gluten-free porridges: rice and buckwheat . It is better to start with vegetable puree. Kids are smart and if he tries a sweeter fruit puree, he can refuse vegetable puree for quite some time and you may have difficulty introducing this very healthy dish.

What is useful in vegetable supplements and what is the best way to prepare it?

Vegetable puree - for the first feeding can be prepared from cauliflower, zucchini, pumpkin, broccoli - these are low-allergenic foods, are among the ten most useful vegetables in the diet of children, contain a large amount of healthy proteins, fiber and vitamins, microelements ! Fiber helps move food through the digestive tract and promote beneficial microflora in the gut. Pectins absorb and remove toxins from the baby's body. Vegetables have a positive effect on the acid-base balance of the body, creating conditions for the proper functioning of all organs and systems.

Cauliflower - is a good source of fiber, protein, minerals and vitamins: A, B1, B2, B3 (PP), B6, as well as a small amount of vitamins K, D and tocopherol (vitamin E). In the inflorescences of cabbage there is a lot of magnesium, sodium, potassium, phosphorus, calcium, iron. It contains twice as much iron as green peas, peppers and lettuce. Cauliflower protein is easily digestible and its content is quite high. Cauliflower protein contains essential vitamin U (methionine). It is one of the essential amino acids that cannot be synthesized by the human body. Other essential amino acids are also present in a small amount: arginine, tryptophan.

Zucchini - rich in vitamins and microelements. It contains potassium, magnesium, phosphorus, calcium, vitamins C, B1 and B2 and others, folic acid. Which plays an important role in the processes of hematopoiesis. Zucchini is rich in such important trace elements as iron and copper. They are necessary for the formation of nervous tissue, normalization of metabolism, as well as for the formation of hemoglobin, which is a good prevention of anemia.

Broccoli is a very healthy vegetable that is a type of cauliflower. Pleasant soft taste and good digestibility of the product, unique composition have a beneficial effect on the health of both adults and children. Eat unopened cabbage inflorescences. This is also a low-allergenic vegetable, rich in protein, fiber, vitamins, calcium, iron, trace elements and even phytoncides. The content of calcium and magnesium is sufficient to balance the functioning of the nervous system, ensure the normal regulation of the child's sleep and wake cycle, and good stress resistance. A child with such nutrition becomes calmer, less excited and naughty.

Broccoli is the leader in choline and methionine content. Only 50 g of broccoli provides the baby with a full set of nutrients for a day.

Pumpkin - the largest vegetable on Earth. It is one of the ten most useful vegetables in the diet of children, contains a large amount of useful proteins, fiber and vitamins, including beta-carotene, vitamin C, E, K, iron, potassium, magnesium, trace elements that are indispensable for children's nutrition, as they strengthen immunity and help fight inflammation, have a beneficial effect on the nervous system. By the content of carotene, pumpkin exceeds carrots by 5 times.

Vitamins and microelements contained in pumpkin help the child grow, provide healthy sleep, are responsible for the condition of the skin and eyes, improve metabolic processes, and accelerate the removal of harmful substances from the child's body. Due to its beneficial qualities, pumpkin can be one of the first types of complementary foods for an infant.

All vegetable purees have a specific vegetable smell, this is absolutely normal

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Introduction of vegetable puree

Vegetables should be introduced into the child's menu gradually. Start giving each new vegetable in the form of a monocomponent puree in the amount of ½ teaspoon, preferably at breakfast, so you can track the manifestations of food allergies or intolerance reactions to this product. If all is well, then the next day, offer him a teaspoon. So gradually you need to bring the portion to 50-100 grams. A serving of vegetable puree per day for an 8-month-old baby is approximately 80 grams. In a year, you can increase up to 150 grams. The next product can be administered no earlier than 4-5 days later. If a child has skin rashes, his stool has changed, then you need to remove the product from the diet and consult a pediatrician.

If the child does not like the dish, for example, broccoli, do not give up and continue to offer this vegetable in small quantities - 1-2 spoons a day, maybe not even once, but 2-3 times before meals, and after 7 - 10, and sometimes 15 days, the baby will get used to the new taste. This diversifies the diet, will help form the right taste habits in the child.

Fruit puree introduction

Fruit puree is a definite alternative and addition to vegetables. It can be made from apples, bananas - by the way, do you know what a berry is?, sweet varieties of pears. These fruits contain substances useful for babies, vitamins and minerals, including iron, which is extremely necessary for children. Prune puree is somewhat separate, it has a good effect on the baby's digestion, especially with a tendency to constipation, and, of course, also contains many useful substances.

Porridges in the nutrition of a child in the first year of life.

Porridge can be introduced into the baby's diet at the end of 4 months or at the fifth, sixth month of life. As a rule, they go as a second food after vegetable or fruit puree. But if your child is not gaining weight very well, or you have been feeding your child with breast milk or infant formula until almost the end of 6 months, then complementary foods can be started with the introduction of cereals.

It is important to start with one-component, low-allergenic cereals which does not contain gluten : this is buckwheat, rice, corn porridge .

gluten-containing cereals include: wheat, oats, rye, barley, millet .

According to modern data , the period of introduction of gluten into the child's diet is not of fundamental importance, but the latest recommendations draw attention to the fact that its amount in the baby's diet should not be large. Therefore, it is better to add semolina and oatmeal to other porridge in a limited amount, and not to give it on its own. No relationship was found between the timing of the start of complementary foods that contain gluten and the development of celiac disease in a child. If your child hasn't tried porridge yet, start with a dairy-free, gluten-free, one-ingredient buckwheat or rice porridge.

Rice - very useful for growing baby. It has a low content of vegetable proteins, therefore it is easily digested and is especially useful for toddlers with unstable stools. Rice has a high nutritional value and, to a certain extent, protects the delicate intestines of the baby due to its enveloping effect. This is a hearty and nutritious dish with a good content of carbohydrates and proteins, potassium and magnesium, calcium and phosphorus, beneficial amino acids and vitamins. It replenishes energy costs, energizes and gives strength. Rice is not recommended for overweight children and those who suffer from severe constipation.

Gluten-free buckwheat porridge - very nutritious and rich in iron, fiber, rich in various vitamins and microelements. This is also a good option for starting a child's acquaintance with adult food. These porridges can be prepared with water, breast milk, milk formula, which your child is used to. No need to add salt and sugar.

Rules for introducing porridge into baby food

If the child already eats porridge from 5 months, then at 6 months you can offer a more complex porridge - for example, rice porridge with apricot or raspberries, rice porridge with banana (this is very successful a combination both in taste and in its properties) or even more complex porridge - corn-rice with banana.

Over time, you can start adding apple, banana, pear, plum and prunes, apricot and dried apricots, broccoli, carrots, berries to porridge, , provided that the child is not allergic to them.

The rules for introducing cereals are the same as for vegetable puree. In order for the child to get used to the new product and its consistency more easily, first prepare 5% porridge (5 g of cereal per 100 g of water), if you make it yourself. Porridge is usually cooked with water, but can be made with breast milk, infant formula. First, give the baby one teaspoon, then, within 7-10 days, bring the volume of porridge of the same percentage to the full volume of feeding (150 g). If all this time the porridge is well tolerated, i.e. there are no skin rashes, the child has stable stools, they switch to a gradual (starting from 20-30 g) introduction of porridge of the same cereal, but already at a 10% concentration (10 g of cereal per 100 g of water). In other words, a thicker porridge is administered no earlier than 7-10 days from the beginning of the introduction of porridge. The complete introduction of 10% porridge to the baby is also carried out in 7-10 days. The third week falls on the complete addiction of the child to a new dish. Only after that you can introduce a new cereal (in the form of 10% porridge) or the next complementary foods.

Video: feeding porridge

You need to give porridge from a spoon, better in the morning for breakfast. After porridge at the stage of its introduction, the child should be offered breast or milk formula. With artificial feeding, the volume of the mixture after a portion of porridge should be such that, together with porridge, it is 200 ml with five meals a day.

Norms for the introduction of cereals

In the future, the volume of the portion of porridge gradually increases, amounting to:

  • 7-8 months - 160-170 ml
  • 8-9 months - 170-180 ml
  • 9-12 months - up to 200 ml (there is a complete replacement of one feeding of the child with complementary foods. )

Cereal schedule

  • Day 1 – 1 teaspoon (5 g)
  • Day 2 - 2 teaspoons (10 g)
  • Day 3 - 3 teaspoons (15 g)
  • Day 4 - 4 teaspoons (20 g)
  • Day 5 - 50 ml (50 g)
  • Day 6 - 100 ml (100 g)
  • Day 7 - 150 ml (150 g)

Meat complementary foods - the rules for introducing meat into the child's diet

Meat is usually the third, very important product of complementary foods, after vegetables and cereals. The meat contains amino acids, complete animal protein, B vitamins (B1, B2, B6 and B12), heme iron, potassium, calcium, zinc, phosphorus, which are necessary for the growth and development of the child. It is very important to understand that mashed meat contains iron, which is easily absorbed. And the addition of meat to vegetables improves the absorption of iron from them, from vegetables.

Iron deficiency can seriously affect the intellectual development of a child, his immunity, hematopoiesis. Since your task is to raise a healthy and intelligent child, meat complementary foods must be introduced without fail and in a timely manner.

Heme iron - found in meat products and easily digestible (red meat-veal, liver), absorption is about 25%.

Non-heme iron - found in plant foods (beans, beans, lentils, peas, nuts, tomatoes, cauliflower, green leafy vegetables, apples, dried fruits, but it is absorbed much worse from plants - only 3-5% Iron absorption from other animal products (eggs, fish) is 10-15%.0013

It is important to know that human milk enhances , while cow's milk reduces iron absorption .

Timing of the introduction of meat complementary foods

It is advisable to introduce meat puree to a child aged 6-8 months . This, to some extent, depends on when cereals and vegetable/fruit purees were introduced. if your baby has been eating vegetables and cereals since 4 months, meat can be introduced at 6 months. From 7 months it can be administered if the child is not gaining weight. From 8 months to children who started complementary foods at 6 months.

For children at risk for the development of anemia, an earlier introduction of meat at the age of 5 - 6 months is recommended.

It has been proven that only daily use of children's enriched porridge and meat puree can fully meet the needs of children in iron, zinc and other micronutrients.

You can start meat complementary foods with lean beef, veal , but better with less allergenic poultry meat ( turkey, chicken ), or rabbit, these are the most easily digestible meats.

Goose and pork are fatty for the baby, and the meat of duck and other birds of the reservoirs is also not suitable for the first feeding. They are recommended to give only after 3 years;

Horse Meat is perfect for your little one. The product is rich in carbohydrates and proteins, but it is almost impossible to find horse meat for sale.

Meat should be introduced into the child's diet gradually, at lunchtime, first a quarter of a teaspoon and, gradually adding, bring it up to the daily norm: At 8 months, about 50 g, at 9months-60-70 g.

Video: Power feeding meat

Scheme for the introduction of puree

  • 1 day ¼ of the vegetables
  • Day 2 - ½ teaspoon
  • Day 3 - 1 teaspoon
  • Day 4 - 2 teaspoons
  • Day 5 - 3 teaspoons
  • Day 6 3-4 teaspoons + vegetables

At first, it is better to give meat with vegetable puree, which the child has already eaten, so that he adapts better to the new product, and iron is better absorbed. Children at the end of the first year of life can already be given 3 varieties of mashed meat.

Baby menu at 7-8 months

At 7-8 months you can start giving children 0 baby cottage cheese 9000 Start with 1/2 teaspoon. Within a month, the daily volume of cottage cheese consumption by a baby can be increased to 30-40 g. In addition, a child of 8 months is recommended to give sour-milk infant formula. But ordinary yogurt from the store should not be given. At this age, the child should receive 5 g of butter and 5 g (1 teaspoon) of vegetable oil, ¼- yolk - 2-3 times a week.

Baby's menu at 9 months

At the age of 9 months Your baby is already familiar at this age already usually familiar: , egg yolk . You may have already met meat . Therefore, at this age, they usually give already more complex purees and porridges, less homogenized, of various tastes , gradually preparing him for adult nutrition, increasing the variety and quantity of complementary foods. It is desirable to feed the baby at the table with other family members, he must see how his parents eat with pleasure, he learns from them. The amount of food offered should be based on the principles of actively encouraging the baby to eat, it is necessary to continue to gradually change the consistency and increase the variety of complementary foods, adhering to the recommended frequency of introducing complementary foods.
At this age, the child usually gets complementary foods 3 times a day . His diet depends on the age of the start of complementary foods. If the baby began to give new food at 4-5 months, the list of allowed foods will be much wider than if this happened at 6-7 months. Therefore, all this is very individual, there are no absolutely rigid frameworks and recommendations. On the Internet you will find a lot of different advice on baby food, if you are not sure about something, it is better to consult your pediatrician.


From vegetables the baby can be given what he ate before, mixing them: pumpkin, zucchini, cauliflower, broccoli, carrots and others, adding 1 tsp. vegetable oil . If the baby does not have skin reactions, then you can give beets . It is also possible to give two-, three-component vegetable purees and soups , but only on condition that he is already familiar with these products and he has not had a reaction to them.
If you have introduced complementary foods, then you need to remember that water is an important part of baby food. You can use purified water or special water for children .
In addition, at 9 months you can give special baby wheat cookies , which the baby will be happy to eat on his own as an adult, white wheat bread, this improves hand motility, improves eating skills, but at the same time he must be supervised.
At this age, you can start giving fish puree from low-fat varieties: river perch, pollock, hake, haddock, zander, pollack - start with ½ teaspoon, bringing up to 40-50 g , watching the reaction of the child , give at lunchtime instead of mashed meat, 1-2 times a week. But a number of pediatricians do not advise giving it up to a year, it is a useful, but highly allergenic product.

Baby menu at 10 months

B 10 months usually 2 times a day the child receives the mother's breast or special milk formulas . Various cereals: buckwheat, rice, corn, oatmeal, wheat, semolina porridge . add 5-10 g of butter to cereals. At this age, it is already possible to make complex cereals from 2-3 cereals with which the child is familiar, add various fruits, vegetables: apple, banana, pear, plum and prunes, apricot and dried apricots, broccoli, carrots, berries , provided that the child is not allergic to them, or use ready-made cereals with fruit.


From vegetables the baby can be given what he ate earlier, mixing them: pumpkin, zucchini, cauliflower, broccoli, carrots, beets and others, adding 1 tsp. vegetable oil . It is also already possible to give two-, three-component vegetable purees and soups, but only on condition that he is already familiar with these products and he did not have a reaction to them.
At this age, the baby already usually eats about 40-50 g of baby meat puree from chicken, turkey, rabbit , with good tolerance to cow's milk proteins from veal or beef. If he has been eating meat for a month or more, you can start giving him two-component meat purees , for example from chicken and turkey.
At this age, fish puree from low-fat varieties is usually started: river perch, pollock, hake, haddock, pike perch, pollock with ½ teaspoon, bringing up to 40-50 g, following the reaction of the child, it is better to give at lunchtime instead of mashed meat, 1-2 times a week .
At 10 months, children's cottage cheese should be given 2 times a week. Start with 1/2 teaspoon if you have not given it before, the daily amount of cottage cheese at this age is 40-50 g .
It is recommended to give special sour-milk baby formulas.
At this age, a child can receive 5-10 g of butter and 5 g (1 teaspoon) of vegetable oil, and 2-3 times a week½ - yolk .

Child's menu at 1 year old

The child is one year old. He has already grown up, he already has 6-10 teeth, with which he gnaws everything he sees, he is interested in chewing food, his digestive enzymes already work well and he has already become acquainted with various products: vegetable and fruit purees, various cereal cereals, meat and fish, sour-milk mixtures. In fact, he is already prepared for the transition to a more adult diet. In a year, changing the diet involves turning to new products and gradually changing the way they are prepared and the degree of grinding.
You need to eat 5 times a day with an interval 3.5-4 hours .
semi-liquid dishes should still remain the basis of nutrition, but not only mashed dishes, but also containing small pieces of food . Too dry food should not be given to the baby yet, as he may have difficulty swallowing.


In the year the child already tries to eat with his hands and he should be encouraged to do so. Finely chopped, soft foods can be given eg: small pieces of soft fruit, vegetables, cheese, well-cooked meat, pasta , etc. and foods that dissolve quickly, children's biscuits, children's crispbread - as food with the help of hands.
It is necessary to avoid products that can enter the respiratory tract and cause asphyxia - sausages and other hard meat products , nuts (especially peanuts), grapes, raisins, raw carrots, popcorn, round candies . Hold off on this for now.
In a year, part of the children are without mother's milk. But if your baby is still not weaned - do not rush, if possible, give him a breast before bed at night. You can also breastfeed between main meals. At this age, the child receives all the main vitamins and minerals from food, but he can get a number of biologically active components from breast milk.

Dairy products

Dairy products still occupy an important place in the child's diet, it is a source of calcium, B vitamins, protein, milk sugar and fat. It is better to use special baby milk (marked with a triple on the packaging), baby fermented milk products: kefir, yogurt in total 500-600 ml per day .

Cottage cheese

The child should be given cottage cheese. The daily dose of cottage cheese after 1 year can be increased up to 70 g per day . It can be given pureed or combined with fruit puree, pudding, casserole. This contributes to the development of chewing skills.

Butter
Butter can be added to cereals or smeared on wheat bread, cookies in a dose of up to 12 g per day.

Low fat sour cream and cream
After 1 year, you can give low-fat sour cream and cream in small quantities.

Vegetables
Every year a child must be given various vegetables , it is good to combine them with protein products, meat . The vegetable diet can now be diversified with green peas, tomatoes, turnips, beets, carrots, spinach in the form of mashed potatoes. Legumes are still better not to give.

Fruits and berries
After 1 year, you can gradually introduce the baby to new fruits and berries: strawberries, cherries, cherries, kiwi, currants, gooseberries, chokeberries, sea buckthorn, raspberries, blackberries, cranberries, blueberries, lingonberries and even citrus fruits . But do it gradually, watching the reaction of the child. Berries with a dense peel (gooseberries) are best mashed, while soft juicy fruits (peaches, strawberries, apricots, kiwi) can be offered to the baby in pieces.
Daily dose of fruits - approx.

Meat products

Meat products can be given in the form of steam cutlets, meatballs, meatballs, meat soufflé and pudding in an amount up to 100 g daily - beef, veal, lean pork, rabbit, turkey, chicken.

Fish

Fish can be given once or twice a week for 30-40 g per meal as a substitute for meat dishes

Eggs
Chicken, quail eggs give boiled or in the form of omelets in milk, you can try with vegetables.

Kashi
Porridge can be cooked from rice, oatmeal, buckwheat, corn, millet, semolina. At this age, they should still have a uniform consistency, so it will be easier for him to swallow. You can use ready-made industrial, children's instant cereals, for example, various multi-cereal cereals, in which fruits, crackers, cereals have already been added. Give 1 time per day.

Water
Be sure to give the child clean water to drink, better bottled water for children, as much as he wants . In addition to her baby can drink vegetable and fruit juices, dairy products, compotes, weak tea.

No need to give:

no need to give confectionery and sweets to a child 0005 . From sweets at this age, you can sometimes give marmalade, dried fruits and cookies.
Do not give sausages and sausages , they are rarely prepared from high quality meats and are rich in various food additives

Calorie content and volume

0003 1200 ml .

Table for complementary foods by month: Download

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Diet for a 4-6 month old baby

Your baby is already 4 months old. He has noticeably grown up, become more active, is interested in objects that fall into his field of vision, carefully examines and reaches for them. The emotional reactions of the child have become much richer: he joyfully smiles at all the people whom he often sees more and more often, makes various sounds.

Are you still breastfeeding your baby or have you switched to formula or formula feeding? The child is actively growing, and only with breast milk or infant formula, he can no longer always get all the necessary nutrients. And that means it's time to think about complementary foods.

The optimal time to start its administration is between 4 and 6 months, regardless of whether the baby is receiving breast milk or formula. This is the time when children respond best to new foods. Up to 4 months, the child is not yet ready to perceive and digest any other food. And with the late introduction of complementary foods - after 6 months, children already have significant deficiencies of individual nutrients and, first of all, micronutrients (minerals, vitamins, long-chain polyunsaturated fatty acids, etc.). In addition, toddlers at this age often refuse new foods, they have delayed development of chewing skills for thick foods, and inadequate eating habits are formed. It is important to know that, no matter how strange it may seem at first glance, with a delayed appointment of complementary foods, allergic reactions more often occur on them.

When is it advisable to introduce complementary foods as early as 4 months, and when can you wait until 5.5 or even 6 months? To resolve this issue, be sure to consult a pediatrician.

As a rule, at an earlier age (4 - 4.5 months), complementary foods are introduced to children at risk of developing iron deficiency anemia, as well as children with insufficient weight gain and with functional digestive disorders.

The optimal time to start introducing complementary foods to a healthy baby is between 5 and 5.5 months of age.

The World Health Organization recommends that breastfed babies should be introduced to complementary foods from 6 months of age. From the point of view of domestic pediatricians, which is based on extensive practical experience and scientific research, this is possible only in cases where the child was born on time, without malnutrition (since in these cases the mineral reserves are very small), he is healthy, grows well and develops. In addition, the mother should also be healthy, eat well and use either specialized enriched foods for pregnant and lactating women, or vitamin and mineral complexes in courses. Such restrictions are associated with the depletion of iron stores even in a completely healthy child by 5-5.5 months of age and a significant increase in the risk of anemia in the absence of complementary foods rich or fortified with iron. There are other deficits as well.

The first complementary food can be vegetable puree or porridge, it is better to give fruit puree later - after tasty sweet fruits, children usually eat vegetable puree and cereals worse, often refuse them altogether.

Where is the best place to start? In cases where the child has a tendency to constipation or he puts on weight too quickly, preference should be given to vegetables. With a high probability of developing anemia, unstable stools and small weight gains - from baby cereals enriched with micronutrients. And if you started introducing complementary foods with cereals, then the second product will be vegetables and vice versa.

If the first complementary foods are introduced at 6 months, it must be baby porridge enriched with iron and other minerals and vitamins, the intake of which with breast milk is no longer enough.

Another important complementary food product is mashed meat. It contains iron, which is easily absorbed. And adding meat to vegetables improves the absorption of iron from them. It is advisable to introduce meat puree to a child at the age of 6 months. Only the daily use of children's enriched porridge and meat puree can satisfy the needs of babies in iron, zinc and other micronutrients.

But it is better to introduce juices later, when the child already receives the main complementary foods - vegetables, cereals, meat and fruits. After all, complementary foods are needed so that the baby receives all the substances necessary for growth and development, and there are very few in their juices, including vitamins and minerals.

Juices should not be given between feedings, but after the child has eaten porridge or vegetables with meat puree, as well as for an afternoon snack. The habit of drinking juice between meals leads to frequent snacking in the future, a love of sweets is instilled, children have more tooth decay and an increased risk of obesity.

With the start of the introduction of complementary foods, the child is gradually transferred to a 5-time feeding regimen.

Rules for the introduction of complementary foods:

  • preference should be given to baby products of industrial production, they are made from environmentally friendly raw materials, have a guaranteed composition and degree of grinding
  • Complementary foods should be offered to the baby by spoon at the start of feeding, before breastfeeding (formula feeding)
  • the volume of the product increases gradually, starting with ½ - 1 spoon, and in 7 - 10 days we bring it to the age norm, subsequent products within the same group (cereals from other cereals or new vegetables)
  • can be entered faster, in 5 - 7 days
  • start introduction with monocomponent products
  • it is undesirable to give a new product in the afternoon, it is important to follow how the child reacts to it
  • do not introduce new products in the event of acute illnesses, as well as before and immediately after prophylactic vaccination (should be abstained for several days)

When introducing a new type of complementary food, first try one product, gradually increasing its amount, and then gradually "dilute" this product with a new one. For example, vegetable complementary foods can be started with a teaspoon of zucchini puree. During the week, give the baby only this product, gradually increasing its volume. After a week, add a teaspoon of mashed broccoli or cauliflower to the zucchini puree and continue to increase the total volume every day. Vegetable puree from three types of vegetables will be optimal. The portion should correspond to the age norm. Over time, you can replace the introduced vegetables with others faster.

After the introduction of one vegetable (bringing its volume to the required amount), you can proceed to the intake of porridge, and diversify the vegetable diet later.

If the child did not like the dish, for example, broccoli, do not give up and continue to offer this vegetable in a small amount - 1-2 spoons daily, you can not even once, but 2-3 times before meals, and after 7 - 10, and sometimes 15 days, the baby will get used to the new taste. This diversifies the diet, will help to form the right taste habits in the baby.

Spoon-feeding should be done with patience and care. Forced feeding is unacceptable!

In the diet of healthy children, porridge, as a rule, is introduced after vegetables (with the exception of healthy children who are breastfed, when complementary foods are introduced from 6 months). It is better to start with dairy-free gluten-free cereals - buckwheat, corn, rice. At the same time, it is important to use porridge for baby food of industrial production, which contains a complex of vitamins and minerals. In addition, it is already ready for use, you just need to dilute it with breast milk or the mixture that the baby receives.

Children suffering from food allergies are introduced complementary foods at 5-5.5 months. The rules for the introduction of products are the same as for healthy children, in all cases it is introduced slowly and begins with hypoallergenic products. Be sure to take into account individual tolerance. The difference is only in the correction of the diet, taking into account the identified allergens. From meat products, preference should first be given to mashed turkey and rabbit.

Diets for different age periods

To explain how you can make a diet, it is better to use a few examples that will help you navigate in compiling a menu specifically for your child.

From 5 months, the volume of one feeding is on average 200 ml.

Option 1.

If your baby started receiving complementary foods at 4-5 months, then at 6 months his diet should look like this:

Breast milk or VHI* 200 ml
II feeding
10 hours 		Dairy-free porridge**
Supplementation with breast milk or VHI* 		150 g
50 ml
III feeding
14 hours 		Vegetable puree
Meat puree Vegetable oil
Breast milk supplement or VHI* 		150 g
5 - 30 g
1 tsp
30 ml
IV feeding
18 hours 		Fruit puree
Breast milk or VHI* 		60 g
140 ml
V feeding
22 hours 		Breast milk or VHI* 200 ml

* - infant formula
** - diluted with breast milk or VHI

Option 2.

I feeding
6 hours Breast milk or VHI* 200 ml II feeding
10 hours Dairy-free porridge**
Fruit puree 150 g
20 g III feeding
14 hours Vegetable puree
Meat puree Vegetable oil
Fruit juice 150 g
5 - 30 g
1 tsp
60 ml IV feeding
18 hours Fruit puree
Breast milk or VHI* 40 g
140 ml V feeding
22 hours Breast milk or VHI* 200 ml

* - infant formula
** - diluted with breast milk or VHI

Option 3. :

I feeding
6 hours 		Breast milk
II feeding
10 hours 		Dairy-free porridge**
Breast milk supplement 		100 g
III feeding
14 hours 		Vegetable puree
Meat puree Vegetable oil
Breast milk supplement 		100 g
5 - 30 g
1 tsp
IV feeding
18 hours 		Breast milk
V feeding
22 hours 		Breast milk

** - diluted with breast milk

Up to 7 months, increase the volume of porridge and vegetable puree to 150 g and introduce fruit puree.

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