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Baby led weaning foods to start with


Ultimate Guide to Baby Led Weaning (and Best First Foods)

Learn the basics of how to do the feeding approach known as “baby led weaning” and the best first foods for baby to make starting solids easy and fun. Plus: Learn why it’s perfectly okay to use a combined approach of blw and purees.

Baby Led Weaning

The feeding approach known as “baby led weaning” or “BLW” for short, is a style of feeding infants that allows them to feed themselves right from the start. The food is offered in thick finger-size pieces and is soft and easily squishable between your fingers. This way, the food is both easy to hold but has a low risk of choking.

TIP: This method became popular about a decade ago after the publication of the Baby Led Weaning: The Essential Guide to Introducing Solid Food by UK author Gill Rapley.

BLW Baby

One of the many reasons that people are starting to opt for this style of feeding more and more is simply that it’s easy. In many cases, you can modify foods you’re already making to share with your baby and there’s not always a lot of separate cooking involved. It also allows a baby to have control over what goes into their mouths, which sets a good precedent for letting them eat intuitively from the start.

What age should I start baby led weaning?

According to the American Academy of Pediatrics, a baby is ready to start solids with baby led weaning when:

  • They’ve doubled their birth weight (at least).
  • They can hold their head up well and are starting to sit up unsupported.
  • They show signs of being interested in food (watching you eat, reaching for food when you’re eating, etc).
  • When you feed them, they are able to move the food around in their mouths—rather than spit it right out.

TIP: Look for a highchair that allows a baby to sit up relatively straight so they can have good posture and better control over their arms and hands.

How to Start Baby Led Weaning

The first time you offer solids is such a fun milestone, so you’ll be ready once you follow these simple steps.

  • Make sure baby has hit the milestones listed above to let you know that he’s ready to start.
  • Get the highchair ready and adjust the straps and foot rest as needed.
  • Plan to introduce water when you start solids. I recommend a trainer cup.
  • Choose one food to start with and plan to offer only one food at a time.
  • Stop when baby starts to fuss, turns his head away, or shows any other signs of not wanting to continue. It’s usually fairly obvious when they are done!

TIP: If you start offering solids and baby just doesn’t seem interested at all, it’s okay. Take a break for a few days or a few weeks and start again. Each kiddo has their own unique timeline.

Best Tips for Starting BLW

Here are a few more tips to consider and review before you get started.

  • Understand the gag reflex. Gagging is different than choking though and is most often a sign that baby is learning to move food around in their mouths—and to get it out of their mouths, which is a skill you want them to have!
  • Brush up on the basics of how to know when baby is ready to start solids. (Go back to the top of this post for the signs to look for.)
  • Set them up for success with a highchair that allows them to sit up straight and has foot support.
  • Sit with them as you offer food.
  • Check your own expectations of what will happen and simply allow your baby to take the lead.
  • Start with one new food a day or every few days.
  • Vary the textures of foods you offer to start exposing baby to many right from the start.
  • Offer water in a sippy cup or small open cup.

TIP: Remember that breastmilk or formula will continue to satisfy baby’s hunger for the first few months of eating solids. Do not expect solids to replace milk feedings at this age.

First Foods for Baby

Starting solids with baby led weaning or purees are both perfectly acceptable ways to introduce a baby to solid foods—but the topic can get so heated! There’s a lot of pressure to do it the “right” way and I’m here to say that there isn’t one. You 100% can do one or the other, or combine the two to make it work for your family. It’s all good!

Remember, the goal with first foods for baby is that they’re introduced to flavors, nutrients, and foods they can easily eat or suck on. It should be an enjoyable milestone for all involved. 

TIP: It’s a good idea to get into the habit of offering an iron-rich food since iron stores in babies start to run out around 6 months and they’ll need to start ingesting it in their food.

Best First Foods for Baby Led Weaning

Here are some of our favorite first foods to offer baby led weaning style. You want foods to be finger sized so they are large enough that baby can’t force the whole piece into their mouth, and a shape that’s easy for a 6 month old to hold with their chubby little hands. These are some of our favorites.

  • Roasted sweet potato wedges
  • Roasted apple wedges, skin on to help them hold together
  • Roasted or steamed broccoli florets (big enough for baby to hold)
  • Melon slices
  • Thick mango slice
  • Banana with some of the peel still on
  • Toast sticks with mashed avocado
  • Avocado spears (make sure the avocado is ripe and soft)
  • Lamb or beef, on the bone or a large piece for baby to suck on
  • Dark meat chicken, on the bone or a large piece for baby to suck on.

TIP: The foods should generally be soft enough to squish between your fingers with the exception of the large pieces of meat. If baby gnaws a piece down into a smaller piece, replace it with a larger one to avoid her putting a chunk of food into her mouth.

Baby Led Weaning Banana

To serve a banana to a baby, wash it well, then slice it in half. Cut off an inch or two of the peel, but leave the rest of the peel on so it’s not slippery for baby to hold. They’ll suck on the top part like a little popsicle! You can also help them hold the banana if needed.

Foods to Avoid Serving While Doing BLW

You want any foods you offer to a baby while doing baby led weaning to be soft enough to squish between your fingers and safe for them to eat and digest. Plan to avoid:

  • Anything hard, sticky, or crunchy (like raw apple or carrot, whole nuts, crackers, or a big spoonful or nut butter)
  • Added salt
  • Cow’s milk (which is difficult for kids under 1 to digest; plain yogurt is fine though)
  • Added sugar (they simply don’t need it)
  • Honey (to avoid a risk of botulism)
  • Super slippery foods that would be hard for baby to hold (which can be frustrating)

TIP: Always sit with your baby and watch them try to eat. They are your best guide for making adjustments to the foods you serve.

Baby Led Weaning and Choking

There are many parents who dislike this method of feeding because it often sounds like a baby is choking. And while there are surely some incidences of choking, what’s more likely is that a baby will occasionally gag on a piece of food that gets into their mouth that they weren’t expecting.

But remember: Gagging is a sign that baby is doing what she needs to in order to move the food around in their mouth as they learn to eat. It usually sounds more dangerous than it actually is.

TIP: If the sound of gagging really freaks you out, you’re not alone. Consider offering more preloaded spoons with purees to start your journey more slowly.

How to Cut Foods for BLW

You generally want the food to be big enough that it would be difficult for baby to put the entire thing into their mouths. Here are some specifics:

  • Foods that are roughly the size of a finger, so about a 4-inch stick.
  • Foods that are easy for the baby to pick up—they can’t pick up small pieces until closer to 9 months when they develop the ability to use their fingers in what’s known as a “pincer grasp”.
  • Foods that aren’t too slippery—so you can wash and leave some of the peel on fresh foods like bananas, avocado, kiwi, and mango.

TIP: You can also go even bigger if you’re worried about size. Think half of a slice of bread or a big chunk of watermelon.

Will my baby actually eat much food with BLW?

Probably not at first. There will likely be more tasting of the food than eating of it and that is totally fine. They will still rely on breast milk or formula at this age for their main nutrition, so don’t expect them to suddenly start eating full meals. (They’ll get there in a few months, but it takes time!)

Do babies need teeth for baby led weaning?

No! Gums are super strong and front teeth aren’t used for chewing—that happens when the back molars come in. Teeth really have nothing to do with whether or not a baby can eat solids.

TIP: Learn more about what to expect from teething here.

Can you mix baby led weaning and purees?

Absolutely! I think it’s a great idea to mix the two methods simply because it gives you many more options for foods and allows the baby to experience more textures. I recommend allowing babies to feed themselves preloaded spoons—so you put the puree on a spoon, then hand it to them to actually put the spoon into their mouth—so they still have control over what goes into their mouths.

TIP: Feeding some purees is also helpful if you’ll be sending food with a baby to daycare since the care provider may not have experience with blw.

Best First Foods for Baby: Purees

Here are some of our favorite purees to start offering baby when they’re ready to start solids. Remember: There’s no evidence that says that you need to start with vegetables versus fruits, so go with something that tastes good to you. Start with single foods pureed smooth and offer just a little at a time on a spoon.

  • Mashed roasted sweet potato puree
  • Mashed avocado puree
  • Mashed banana puree
  • Butternut squash puree
  • Applesauce, unsweetened
  • Mashed pea puree
  • Oatmeal baby cereal (with added iron)

TIP: One of my favorite baby food companies is Amara Organic Baby Food, a company using a nutrient protection technology that makes organic purees just as good as homemade. I love how easy they are to use when I need a shortcut and that they have fun baby-led weaning recipes on the side of every box! (paid affiliate link)

How do I know when baby has had enough?

If your baby is eating and then starts to turn her head away or just refuses to open her mouth, she’s done! Babies may also start to fuss if they’ve had enough. Learning this new skill takes time and babies can become tired fairly quickly into the process, so don’t expect them to always eat very much or to last very long at the table. This stage is about exploration!

Baby with preloaded spoon of yogurt

How to Let Baby Self Feed Purees

I love offering purees on a preloaded spoon. To do this, the parent, puts some of the food on the spoon and hands it to baby. Then baby can bring the food to their mouth all by themselves. This gives you some of the same advantages of baby led weaning, but can be more comfortable for many parents.

Remember, you can mix what you offer, going back and forth between purees and blw finger foods, so you can offer the same food two different ways to let baby explore. The main goal is to avoid forcing baby to take more bites than they want to, which can sometimes happen with purees.

Baby eating peanut butter toast stick

When to Introduce Potentially Allergenic Foods

In recent years, guidelines have been updated on when to introduce potential allergens including peanuts, eggs, and shellfish, so unless you have a family history of a food allergy, you can go ahead and introduce them soon after baby starts eating solids. In fact, research is showing that introducing these foods early can actually protect baby from developing an allergy. Talk to your pediatrician if you have concerns.

TIP: Thin unsweetened peanut butter with water to form a very thin Peanut Butter Puree until it’s about the consistency of regular yogurt and offer a very small amount on a spoon or spread on a toast stick.

What does a baby led weaning meal look like for months 7 and 8?

Until a baby is closer to 9 months and is able to pick up smaller pieces of foods, but after they have gotten the hang of one food at a time, I try to offer 1-2 foods they can feed themselves and one puree. This offers them a chance to ingest more via the puree but still feed themselves a range of textures. You can do more or less food following the lead of the child.

TIP: My Baby Food Chart has loads of with ideas for blw foods and purees by month.

Recipes for Every Stage of Starting Solids

If you’re ready to start solids with baby, or you’re just curious what it looks like to do a mix of baby led weaning and purees, check out my Yummy Baby Food cookbook. It goes stage by stage with specific foods to start in each, with simple recipes and easy feeding tips.

Listen to a recent podcast episode to hear about some of the basics of BLW with our guest Megan McNamee, MPH, RDN, CLT, and a Registered Dietitian Nutritionist specializing in pediatric nutrition who runs Feeding Littles. 

I’d love to hear any questions you have with BLW or if your baby had a first food that I didn’t list here. Please comment below to share your experience!

Prep Time 5 minutes

Total Time 5 minutes

Author Amy Palanjian

Cuisine American

Course Dinner

Calories 28kcal

Servings 1

Banana
  • ▢ 1 small ripe banana with peel on
Roasted Sweet Potato
  • ▢ 1 small sweet potato + 1 teaspoon olive oil
Roasted Apple
  • ▢ 1 small apple + 1 teaspoon butter or neutral oil
Roasted Broccoli
  • ▢ 1 cup broccoli florets + 1 teaspoon olive oil
Sauteed Green Beans
  • ▢ 4 green beans 1 teaspoon olive oil
Melon
  • ▢ 1 small piece watermelon or cantaloupe
Avocado Toast
  • ▢ 1 slice whole grain bread
  • ▢ 1 tbsp ripe avocado
Avocado Spear
  • ▢ ⅛ ripe avocado
Lamb or Beef
  • ▢ 1 lamb chop, roast, or steak
Pan-Seared Chicken Thighs
  • ▢ 1 chicken thigh
  • ▢ 1 tsp olive oil
  • ▢ 1 garlic clove, optional
Banana with some of the peel still on

  • Cut a banana in half. Use a knife to gently cut around the peel about 2 inches down, leaving some of the peel on so that the banana is easy for baby to hold and less slippery.

Roasted Sweet Potato Wedges

  • Preheat oven to 400 degrees and line a rimmed baking sheet with foil. Wash and dry the sweet potato. (You don't need to peel it.) Cut in half, then cut lengthwise into strips. Cut each strip in half again until each is about 1/2-inch thick. Slice in half horizontally if the sweet potato is very long. (Each strip should be about the size of your finger.) Place into a bowl and toss with the olive oil. Spread onto prepared baking sheet and roast for 22-25 minutes or until soft. Let cool slightly and serve.

Roasted Apple Wedges
Roasted Broccoli Florets

  • Preheat the oven to 400 degrees F. Place the broccoli onto a rimmed baking sheet and toss with the olive oil, coating and mixing well until all of the florets are a little shiny and coated with oil.  Roast for 15-18 minutes or until tender. Let cool slightly and serve.

Sauteed Green Beans

  • Warm the oil in a large skillet over medium heat. Add the green beans and stir. Cover and cook for about 8 minutes. Remove cover and taste one to see if it’s soft enough. Cook for an additional minute or two as needed.

Melon slices
Avocado Toast
Avocado Spears

  • (Make sure the avocado is ripe and soft): Cut a thick strip of avocado and offer to baby. You can leave the peel on if that makes it easier for baby to hold (just wash it first).

Lamb or Beef

  • Prepare a roast, steak, or chop without salt and with butter or olive oil until cooked medium well. Offer a thick slice at least the size of your finger or a drumstick.

Pan-Seared Chicken Thighs

  • Warm 1 tablespoon olive oil or butter in a large skillet over medium heat. Add the chicken thigh and top with a few slices of fresh garlic, if desired.  Cover and cook for 4-5 minutes. Remove cover. Flip over and cook for an additional 4-5 minutes uncovered or until a meat thermometer registers 165 degrees F.

  • Add spices like garlic powder, cinnamon, cumin, oregano, or any other non-spicy flavor you like to make these more interesting.
  • Offer just one piece at a time when starting out.
  • If baby gnaws a piece down into a smaller piece, replace it with a larger one to avoid her putting a chunk of food into her mouth.
  • Store any leftovers in an airtight container in the fridge for 3-5 days. Reheat briefly if needed.
  • Remember that it's normal for babies to take time to actually ingest the food. Part of the process is exploring all of the senses related to the experience of eating.

Calories: 28kcal, Carbohydrates: 2g, Protein: 1g, Fat: 2g, Saturated Fat: 1g, Polyunsaturated Fat: 1g, Monounsaturated Fat: 2g, Sodium: 6mg, Potassium: 75mg, Fiber: 1g, Sugar: 1g, Vitamin A: 23IU, Vitamin C: 2mg, Calcium: 2mg, Iron: 1mg

Tried this recipe?Rate in the comments and tag @yummytoddlerfood on IG!

Printable Baby Food Chart: BLW, Purees, Finger Foods

Make feeding your baby easier with this free, downloadable baby food chart. It has straight forward ideas for what to feed baby from when they start solids on up to one year—including purees, baby-led weaning style foods, finger foods, and more.

Baby Food Chart

Starting solids with a baby can be so fun and often a little challenging—but this baby food chart will help. I’ve compiled my best ideas for which foods to serve based on age and development of the baby to make it easy for you to make decisions in the kitchen.

This infant feeding chart is meant to help remind you of options you have at each age. It is not meant to add any pressure or function as a checklist of foods you have to serve (unless you want to do that!).

TIP: Download your free printable baby food chart here.

What baby foods should you start with?

Whether you start with purees or baby led weaning, starting with flavorful and nutrient-dense foods is a simple way to think about introducing foods to a baby. I love simple foods like roasted sweet potato, avocado, banana, and apple puree as first foods for a baby.

Remember that a first food is just that—a first food. It is not going to be the sole thing that determines how your child likes all foods. It can be sweet or savory, or from a variety of food groups. I would do your best to make sure that the food is easy to eat, has some flavor, and that the environment in which you offer it is free from pressure and, maybe even joyful!

What age should baby start eating foods?

The American Academy of Pediatrics recommends waiting to start solids until a baby is 6 months, and to go with wide variety of foods, introduced one at a time. But many pediatricians still say it’s okay to start rice cereal at 4 months.

If your pediatrician recommends this at the 4 month check up, ask their thoughts on the recommendation from the AAP.

TIP: Learn more about starting solids here.

How much food should I feed my baby?

The best way to know the right amount of food to give to a baby is to follow their lead. It should be very clear when a baby is done eating—they will close their mouth, turn their head, and generally make it very hard to feed them. (They may also play with their food, which is a fine way for them to interact with the foods at this early stage.)

It’s okay if baby eats very little to start. It’s also okay if they surprise you by being very interested in food!

TIP: Download your free printable baby food chart here.

6 Month Baby Food Chart for Purees

If you’re ready to start solids with a baby, here are some foods you may want to start with. This list is perhaps more broad than you expect, but more recent research shows that it’s a good idea to introduce potential allergenic foods earlier and that lots of flavor is a great way to set baby up for eating a range of foods as they grow.

Don’t feel like you need to serve all of these foods (you 100% don’t!), but it should give you a range of ideas to consider based on season, availability, and your own preference.

  • Almond butter puree
  • Apple Puree
  • Avocado puree
  • Banana puree
  • Baby oatmeal
  • Bean puree
  • Butternut squash puree
  • Egg yolk, hard cooked mashed  with water
  • Green bean puree
  • Melon puree
  • Pea puree
  • Peach puree
  • Peanut Butter Puree
  • Pear puree 
  • Pumpkin puree
  • Sweet potato puree
  • Whole milk plain yogurt
  • Single ingredient baby food

TIP: Find more in depth details on how to know if your baby is ready to start solids here.

6 Month Baby Food Chart for Baby Led Weaning

If you decide to use the baby led weaning method of feeding, you’ll want to cut these foods into the shape of a finger or larger. The foods should also be soft and easily squishable between two fingers—like the texture of a roasted sweet potato wedge or ripe avocado.

You don’t need to feel like you have to serve all of these foods by any means, but it should give you a range of ideas.

  • Apple, roasted wedge
  • Avocado spears
  • Banana
  • Beef, ground (large piece)
  • Beef hamburger patty (sliced)
  • Beet, steamed or roasted
  • Broccoli florets, roasted/steamed
  • Cauliflower florets, roasted/steamed
  • Chicken, dark meat shredded
  • Cucumber
  • Green bean
  • Egg, hard cooked
  • Egg in omelet, sliced
  • Figs, halved
  • Lamb
  • Mango slice
  • Meatball
  • Melon slices
  • Peach, very ripe slice
  • Pear, very ripe slice
  • Potato, roasted wedges
  • Steak slice
  • Sweet potato, roasted wedges
  • Toast with mashed avocado
  • Toast with mashed sweet potato
  • Toast with light smear of peanut butter
  • Toast with mashed hard cooked egg
  • Watermelon slice
  • WiId salmon

TIP: Find my Ultimate Guide to Baby Led Weaning here.

7 Month Baby Food Chart

With a 7 month old baby, you can add in a few more foods including those with more acid like citrus. Continue serving the foods on the 6th month list, or introduce ones that you didn’t get to in that first month.

  • Baby rice crackers
  • Bean puree
  • Beet puree
  • Brussels Sprouts, pureed (or large piece for BLW)
  • Guacamole
  • Kiwi puree (or large piece for BLW)
  • Hummus
  • Mango Puree
  • Mixed ingredient baby foods
  • Orange segment for BLW
  • Pineapple puree (or large piece for BLW)
  • Prune puree
  • Strawberry puree (or large strawberry for BLW)
  • Spinach puree
  • Smoothies (simple)
  • Tomato sauce
  • Tomato sauce with ground meat

TIP: Try my 10 easy No Cook Baby Foods.

9 Month Baby Food Chart

As a baby nears the 9 and 10 month mark, they will begin to be able to pick up small, pea-size pieces of foods with their fingers. This development of the “pincer grasp” means they are ready to start sampling table foods.

A good rule of thumb is to cut foods to about the size of a pea and to serve them very soft and easily squishable between your fingers.

Bread-like textures in foods like pancakes and muffins may be difficult for your child, so you may want to moisten them with water, applesauce, yogurt, breastmilk, or formula.

Remember that babies learn to eat a variety of paces, so follow the lead of your baby and avoid pressuring them to eat foods or amounts of foods that they aren’t ready for. If a baby turns their head away, closes their mouth, shakes their head, or cries, they are done with food and it’s okay to end the meal.

Continue serving foods from the previous months. And try adding:

  • Banana, diced and mashed slightly as needed
  • Barley, cooked until very soft
  • Beans, slightly mashed
  • Beef, ground
  • Blueberries, diced
  • Cheese, shredded
  • Chex cereal
  • Chia seed in smoothies, yogurt or oatmeal
  • Chicken, ground
  • Chicken, shredded and chopped into small pieces
  • Clementines, diced (you may want to remove the slightly tough membrane)
  • Cottage cheese
  • Corn
  • Flaxseed in smoothies, yogurt or oatmeal
  • Goat cheese, soft crumbles
  • Grapes, diced (never whole)
  • Kefir, plain
  • Meatball, diced
  • Muffins, diced (moistened if needed)
  • Millet
  • O cereal
  • Oatmeal
  • Overnight oats
  • Pasta
  • Peas
  • Potatoes, roasted or mashed
  • Puffs
  • Raspberries, diced
  • Pancake, diced (moistened as needed with applesauce)
  • Quinoa
  • Rice
  • Salmon, small pieces
  • Tofu, diced
  • Tomatoes, fresh
  • Tilapia, small pieces
  • Turkey, ground

TIP: Find my best Early Finger Foods, which will cover this stage and early toddlerhood.

Best First Finger Foods for Baby

I put together my go-to first finger foods for babies, which may help you narrow down which foods to start with. Each of these is a nutritious whole food that’s soft and easy for baby to eat. It’s helpful that many of these foods are ones that us grownups like too, so it should make meal planning and prep for the little ones easier on you!

Printable Baby Food Chart

Grab your free copy of my downloadable Baby Food Chart with access to my entire Resource Library of Printable charts by signing up for my newsletter.

You May Also Like

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  • Master List of Baby Food Recipes

I’d love to hear your feedback on this chart, so please comment below! I always love to hear from you guys.

This post was first published Jan 2019.

what products are possible, features of complementary foods

It is no secret that young and not very experienced mothers receive information on the nutrition of an infant, including recommendations on how to introduce the first complementary foods, mainly from two sources: grandmother's stories and from the Internet. Unfortunately, both of these respected sources of information may voluntarily or not voluntarily, but be very mistaken, since grandmothers grew up in a more prosperous time in terms of environmental conditions, and the Internet is littered with various articles that are rarely written by professionals, moreover, they rely either on explicit outdated guides on baby food, or frankly on unverified information. nine0003

In this article, I will try to combine the latest scientific data and recommendations on how to introduce the first complementary foods with many years of observations from the experience of a practical pediatrician and an allergist-immunologist.

At what age is it time to introduce the first complementary foods

According to the recommendations of the Research Institute of Nutrition of the Russian Academy of Medical Sciences, the first complementary foods can be introduced from 4.5 - 5 months, regardless of the type of feeding. This is "average". In practice, the choice of when to start introducing complementary foods still depends on the individual characteristics of the child. For example, for a child with widespread atopic dermatitis (diathesis), we will not introduce complementary foods until at least acute skin symptoms, such as cracks, weeping or secondary eczema, have steadily disappeared. Increased dryness and flaking of the skin, of course, require constant application of moisturizers to the skin, but in no case are they a contraindication to the start of the introduction of the first complementary foods. nine0003

Another important point when choosing the time to start introducing complementary foods is the dynamics of the child's weight gain. The more intensively the child gains in height and weight, the sooner he may need additional calories, since the energy value of breast milk or artificial formula alone will most likely not be enough for a child who grows faster than his peers by 4 - 5 months. We must not forget that natural products contain a fairly large range of minerals and vitamins, and a mother’s body, alas, cannot be an eternal and bottomless source of useful nutrients, somewhere something will gradually begin to be missed. nine0003

In addition, the nature of lactation in the mother has a great influence on the timing of the introduction of complementary foods. If a nursing mother begins to feel a lack of milk, I would prefer to first give her advice on stimulating lactation, and at the same time begin to introduce complementary foods. It will be better than introducing an artificial mixture. But I repeat that the earliest start date for the introduction of the first complementary foods is the age of 4 months, before the child's body is not yet ready, the risk of developing allergies is also high.

So, we agree with you that the first complementary foods can be introduced no earlier than 4 months of a child's life.

First complementary foods: Which foods to choose?

The first complementary foods, as a rule, should consist of vegetable or fruit purees, but in no case juices. Still, juices, even for children, are highly filtered, mainly contain a large amount of organic acids and “light” carbohydrates (that is, sugar, to make it clear to everyone). I will not waste time explaining why juices are harmful to an infant, but I will describe a clinical case from practice. nine0003

Parents with an 8-month-old girl came to the reception. Somewhere from 5 months she practically did not gain weight, although before that all indicators were normal. In the analyzes, apart from visible signs of iron deficiency, slightly reduced hemoglobin, no pathology was also detected. The main complaint: "does not eat anything." And when I began to find out what she still eats, it turned out that the child drinks half a liter of juice every day. But porridge or cottage cheese, or mashed potatoes cannot be forced together, they spit everything out. I don't like the taste. And so - for three months. The child, of course, became very nervous, yelling at night, demanding juice. nine0003

So draw your own conclusions and be careful.

For the first feeding, this is now recognized by everyone, the best dishes are vegetable purees from green varieties of vegetables: zucchini, cauliflower, broccoli. The first complementary foods are introduced, starting with half a teaspoon, in the morning for three days, then gradually increase the amount of the product to 40-50 grams per week. Supplemented with breast milk or formula.

For problems with stools, constipation, it’s good to start introducing prune puree, green apple, you can try pumpkin, even apricot puree, but in no case start with carrots. Beta-carotenoids, which are abundant in carrots, are generally poorly absorbed and can cause allergies in a child. nine0003

Second food. Porridge or meat?

Even 5 - 6 years ago, we taught students at the medical institute that from 5 - 5.5 months old, an infant should begin to give cereal porridge for complementary foods. This is rice, buckwheat, corn. The first week you can cook 5% porridge: 5 grams of ground cereal per 100 ml of water. Then the porridges are cooked already denser: 10 grams of cereal per 100 ml of water. But now, basically everyone uses instant (soluble) cereals, which are diluted with water according to the instructions on the package. In addition, ready-to-eat liquid cereals are on sale: for example, Bellakt, Frutonyanya, etc. nine0003

Why meat? You ask. According to modern recommendations (they really began to change quite often), but in this case I support: if a child has a pronounced decrease in hemoglobin in the blood below 100 g / l by the age of 5 months, it makes sense to start introducing fruit or vegetable purees as a second types of complementary foods - meat purees as a source of the most well-absorbed heme iron. You need to choose from varieties such as turkey, rabbit, lamb. Beef and veal can only be offered to children who did not have red cheeks and diathesis. nine0003

In the absence of problems with low hemoglobin, feel free to introduce porridge as the second meal of complementary foods, especially if the child is small and does not gain weight very well. In this case, we can recommend breeding cereals with the addition of breast milk or a mixture (Nan, Nutrilon, Celia, Nanny). With mixtures based on goat's milk, parents of children with a predisposition to allergies should be very careful. Goat milk formulas are not the best choice for babies who are allergic or intolerant to cow's milk protein, whatever the internet says. Believe me, there are serious scientific articles by foreign authors, which provided data on a very high frequency of cross-allergy between cow and goat milk proteins in children who were transferred to goat milk mixtures. And I saw it myself in my practice, when a child with dermatitis was transferred to a mixture of goat's milk, there was a clear improvement for a month or two, and then all over again and with a doubled degree of allergic skin damage. nine0003

Introduction to fermented milk products

This is the most difficult question. I am sure that most of our grandparents demand that their stupid parents start drinking milk and kefir as soon as possible. In a number of cases, children really start to absorb sour-milk products quite well after 6 months, but before this age I am very careful even with sour-milk Agusha, and even introducing milk or kefir before 6 months is a bad form, believe me, and can lead to very bad consequences for the child. I understand the Western European medical community, which has recently banned its pediatricians from recommending fermented milk products for complementary foods for children under 3 years of age, just imagine! nine0003

They (the Europeans) need to do something with their artificial milk mixtures. Even 20 years ago, we did not know other mixtures after the "two", that is, the second formula for children from 6 to 12 months. Then there were formulas for children from 1 to 2 years old, then from 2 to 3 years old, and now there are already mixtures for children up to 4 years old, and I think if this goes on, then until the age of sixteen there will be their own milk substitutes. Dismiss me, I don't think this approach is correct. But the fact is that our grandparents had much better genetics than the generation of our children, alas. In the context of the growth of medical capabilities, genetically determined diseases are also growing, and in this case, intolerance to cow's milk protein, and with every 10 years there are more and more such people among us. But if a child really suffers from an allergy to cow's milk protein or is severely deficient in enzymes, then he will carry this peculiarity through his whole life, and most likely he will not drink milk or kefir himself, and there is no need to force him if he himself won't want to! nine0003

But you are lucky with genetics, and no one in the family has ever had an allergy (which is hard to imagine nowadays), and most importantly, if your child has always had perfectly clean skin, then the first of the dairy products - cottage cheese, you will begin to offer your child with 7 months, kefir - from 10 months. Milk - after a year. It will be better this way.

But if your family does not have a very close and joyful relationship with milk, then it is better to postpone even the introduction of kefir and yogurt into complementary foods for a child until the age of 18 months. nine0003

Fish day and first meal

Fish is a very healthy product, rich in vitamins and antioxidants, but it must also be introduced carefully. I advise you to start introducing the first fish food at about 7-8 months. It is better to start with species such as cod, hake, haddock. The rules are the same: the first three days on the "gram," then slowly add. If there are no problems in a week or two, you can try such delicacies as tuna or salmon, of course, canned children, if you can find it. It is better not to mess with trout and salmon in the first year of life, this fish is all stuffed with dyes and antibiotics. nine0003

No matter how hard I tried, the article about the first complementary foods turned out to be long. Thank you for reading to the end, I hope it will be useful. If you have questions about the introduction of complementary foods, you can write your appeals on our website in the question to a specialist section. A short answer can be obtained on the Internet, but in order to make a diagnosis and give a detailed consultation, of course, you need to come to a face-to-face appointment with a pediatrician and a pediatric allergist.

at what age to introduce when breastfeeding and artificial feeding, how to cook at home

When to introduce the first complementary foods

Today there are no hard and fast rules and deadlines for the introduction of complementary foods. Parents should first of all focus on the signs of the child's readiness for complementary foods. Here is what pediatrician, candidate of medical sciences Anna Levadnaya advises to pay attention to , the author of a blog about pediatrics and not only on Instagram.

The child holds his head confidently.

  • Can sit with support, meaning it can be placed in a high chair or placed on an adult's lap. nine0064
  • The baby shows an active interest in food: he is interested in food, watches what adults eat.
  • Breastfeeding or formula feeding is well organized and does not cause any problems.
  • The child can put his hand to his mouth, puts various objects in his mouth, such as toys. In this case, the baby chews or champs.

As a rule, all these signs appear in the period from 5.5 to 7.5 - 8 months, but most often around 6 months. All babies develop differently, and one baby may be ready to try his first puree or porridge as early as 5 months, and another at 6 or 7 months will refuse the new food you offer. nine0003

What complementary foods a child needs in the first months

And here again, there are no strict recommendations and rules. On the contrary, many experts agree that it doesn’t matter which dish you start complementary foods with, the most important thing is to provide the right nutritional interest. In this case, the child will eat all the foods that you offer him.

In Russia, it is customary to focus on the following complementary feeding scheme. The first to introduce cereals or vegetables, depending on the weight of the child. As a rule, vegetables are first, then cereals, then meat, then fruits, then cottage cheese. In some US states, for example, on the contrary, it is recommended to start complementary foods with meat. But the general message of the recommendations is to maximize the variety of tastes and textures in the first year of life. From vegetables in the first months, you can offer zucchini, cauliflower, broccoli, pumpkin, carrots, potatoes. Of the cereals, gluten-free are the first to be introduced: rice, buckwheat, corn. From fruits - apple, pear, banana, peach and others. From meat - it is better to start with a rabbit, turkey, chicken, veal. nine0003

— At the very beginning, complementary foods should be puree-like, says Anna Levadnaya. - It is better to give preference to monocomponent purees so that the baby learns to distinguish between different tastes. As you introduce vegetables and cereals, add butter and vegetable oils to them. If there are no problems with the introduction of complementary foods, it is recommended to use the maximum variety of food textures as early as possible. Starting from 7-8 months, the baby can and should be introduced to semi-solid foods. This is very important for the correct formation of food interest, and for the development of chewing skills, the correct functioning of the tongue, the development of speech, the “tweezer” grip, and the coordination of the work of hands, mouth and eyes. If you do not introduce semi-solid food in time, then there may be problems with the introduction of already solid food, and after a year the child will refuse it completely. Therefore, starting from 7-8 months, the baby can be offered mashed or pureed food, such as a banana. From 8-9months, give the so-called "finger" food: cut into pieces soft fruits and vegetables, such as boiled carrots, potatoes, and put in front of the baby. By one year, the child is ready to eat solid food from the common table.

How to feed your baby correctly

It used to be that complementary foods should be introduced very carefully and gradually, always in the morning, many parents still introduce each product over a week or two, very slowly increasing portions.

— These recommendations are relevant, perhaps, only for the very beginning of complementary feeding, the first two or three weeks, — notes Anna Levadnaya. - In general, in children without food allergies, the most rapid and varied expansion of the diet is recommended. That is, a new product can be safely introduced every 2-3 days. If you need to breed complementary foods, for example, baby cereals, then it is better to do this with breast milk or formula, and not with cow's. Whole milk is not recommended for children under one year of age. nine0003

Also with the introduction of complementary foods, offer your child water, either bottled for children or boiled. It is recommended to offer water from a cup so that the child learns to drink, and not from a drinking bowl, a bottle with a tube or a pacifier.

Photo: pexels.com, MART PRODUCTION

Monitor your child's well-being, in case of any changes that worry you, consult a doctor.

Complementary foods with natural and artificial feeding

Mothers often wonder if there are any differences in the introduction of complementary foods with natural and artificial feeding. In both cases, the recommendations are the same: it is recommended to focus on food interest, signs of the child's readiness for the introduction of complementary foods. Usually, as we have already noted, the baby receives only breast milk or an adapted milk formula up to 6 months. With exclusive breastfeeding, it is not recommended to supplement the baby with water, especially in the first month, when lactation is established. Bottle-fed babies can be offered water. nine0003

For both breastfeeding and artificial feeding, it is recommended to offer the baby a new food before feeding, and then supplement it with breast milk or formula.

— It is desirable to keep breast milk or formula in the diet of a child up to a year, — says Anna Levadnaya. - After a year, it is better to leave the bottle completely, gradually reducing the amount of the mixture. After a year, preferably closer to one and a half, cow's milk can be offered if the child is not allergic to its protein. Breastfeeding can be continued as long as it brings pleasure to mother and child. nine0003

How to prepare the first complementary foods

Give canned puree and baby cereals or cook it yourself? This question worries many mothers.

“In fact, there is no universal advice here,” says Anna Levadnaya. - Do what is comfortable and best for you. But when choosing food, remember that you must be confident in the products you buy. If you are not sure, buy canned purees, industrial baby cereals. The main advantage of any industrial baby food is that the products from which it is made are tested for the content of pesticides, heavy metals, nitrates and other harmful substances (labeled up to 3 years). If you're cooking yourself, cook with either seasonal fruits and vegetables or frozen ones. It is best to do it for a couple - this is how most vitamins and minerals are preserved. The advantage of homemade products is that we can provide the child with a different consistency, which is very important. But in any case, choose what is more convenient for you, more comfortable, including financially. The main principle is to provide the baby with a varied diet. Alternate between different foods. nine0003 Photo: pexels.com, Enrique Hoyos

If you decide to cook yourself, follow our tips on how to prepare puree and porridge for the first meal.

Vegetable puree

Zucchini, broccoli, cauliflower, carrots, pumpkin are suitable for the first feeding. The vegetable should be fresh, without dark spots. We clean it from the peel, boil or steam it. Then we pass through a blender. The vegetable should be quite soft to get the most uniform consistency (if necessary, you can add a little boiled water). If it did not work out, then additionally the mass can be rubbed through a fine sieve. nine0003

Fruit puree

To prepare fruit puree for your baby, such as apple or pear puree, the fruit must first be baked in the oven, then peeled and passed through a blender or sieve to obtain the most homogeneous consistency. Choose fresh, ripe, seasonal fruits.

Porridges

Soak groats (for the first feeding, remember, this is rice, buckwheat, corn) for 4-5 hours in warm water. Then dry, for example, in a preheated oven. Next, grind the porridge in a coffee grinder into the consistency of flour and cook in water until cooked, this is about 5 minutes. For one tablespoon you need about 50-70 ml of water. nine0003

The main mistakes of parents

In fact, there is nothing complicated in the management of complementary foods. Use the guidelines, common sense, and have fun introducing your little one to new foods. With Anna Levadna, we have compiled a list of mistakes that parents often make when introducing complementary foods. Try to avoid them.

In a hurry

It often happens that a child refuses the first complementary foods. Most often, this suggests that the baby is simply not ready for it yet. And the parents, by hook or by crook, are trying to feed him mashed potatoes or porridge. Under no circumstances should you force-feed your baby. It is worth postponing the introduction of complementary foods for one to two weeks. nine0003

Give mashed food from a bottle

Do not do this because the child must learn to eat liquid and solid food separately.

Salt or sugar is added

These components are not recommended to be introduced into complementary foods for a child under one year old, sugar is better up to three years.

Only the bottle is used for too long

For example, in addition to formula, if the child is on IV, they give water, compote and other drinks from the bottle. The danger is that long-term use of the bottle can reduce the child's desire to eat complementary foods and malocclusion, as well as lead to speech delay and swallowing problems.

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