Best first solid food for babies

The Ultimate Guide to Baby’s First Foods from 4-6 Months Old

If you have a baby between 4 and 6 months old, you’re probably starting to think about what their first foods will be…which means you probably have questions about baby’s first foods, too! Things like: “When should I start?” “Do I need to stick to single-ingredient foods?” and “How do I safely introduce common allergens like peanut butter without freaking out?!” Chances are, you miiiiight be a little overwhelmed at the idea of first foods, too. I know it’s a lot to think about, but the good news is that you’ve found your way here! And now that you’re here, I can help.

As a mom of two and a pediatric dietitian, I’m writing this post to help you navigate the nerves and the new chapter that is buying, preparing, and serving up baby’s first foods! Whether you’re going for purees, baby-led weaning, or a combination of both, consider this your ultimate guide to what first foods to serve and how to introduce them to your baby safely.

P.S. Don’t forget to save this post! I know it’s one you’ll want to come back to again and again.

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Skip right to the first foods info you’re looking for:

When To Serve Baby Their First Foods
Safety For Baby’s First Foods
Purees vs. Baby-Led Weaning: What’s Right For You?
The Best Foods To Introduce Baby To Between 4 & 6 Months Old
The Ultimate Baby’s First Foods List
- Best Finger Foods & Baby-Led Weaning First Foods
- The Best Pureed First Foods
- The Best Easy-To-Make First Foods
- The Most Nutritious First Foods
- The Best Vegetarian First Foods
- Foods That Should Be Avoided
Baby’s First Foods Chart: What, When & How To Serve Common First Foods to 4- to 6-Month-Old Babies
First Foods For Babies With Allergies

When To Serve Baby Their First Foods

Although some people will serve baby’s first foods earlier, I recommend starting solids closer to the six-month mark. You want to avoid adding rice cereal or any other food to their bottle, and instead, begin solids when they display the signs of readiness listed below. By waiting to serve baby’s first foods until they’re truly ready, you increase their safety and chances of success as a new eater.

Signs of Eating Readiness

Your baby is ready to start solids if they:

Can sit upright
Can sit unsupported
Have good head and neck control
Have some practice bringing toys or objects from their hand to their mouth
Show an interest in food (By reaching for what you’re eating, intently watching as others eat, etc.)

Can I Give My 4-Month-Old Baby Food?

Some pediatricians may okay solids around four months, but again, I generally recommend waiting until closer to six months, and when baby is displaying those signs of readiness.

There are more benefits to waiting than there are to starting earlier. Before six months, babies get everything they need from breastmilk or formula, so starting solids early won’t help them sleep better, grow faster, or, you know, become a professional athlete!

If you want to get your four- or five-month-old baby involved in mealtime, I recommend getting them acquainted with food and eating in these ways:

Sit them near you while you’re eating
Give them a silicone spoon to hold (I like NumNum GooTensils, EZPZ Tiny Spoons, and Olababy Training Spoons) and let them practice bringing it to their mouth
Give them teething toys, like Sophie, or this elephant, to desensitize the gag reflex

FAQ: Do Formula- and Breast-Fed Babies Have Different Nutritional Needs?

Formula and breast milk are both completely nutritionally satisfactory for the first six months of life and beyond. So when it comes to starting solids, it doesn’t matter whether your baby has been receiving breast milk or formula.

That said, babies who are exclusively breastfed should receive a Vitamin D supplement, as levels in breastmilk are low. Formulas on the other hand are typically fortified with Vitamin D, so formula-fed babies don’t need one. Another thing to consider for a baby’s nutrition is iron. Babies build up an iron reserve from their mothers while in utero, but these stores begin to decline around six months of age for all babies.

Safety For Baby’s First Foods

Safety is a huge concern for parents when starting solids. Whether you start with baby foods, purees, or baby-led weaning, there are certain parameters to follow to make sure baby’s intro to food is safe and successful.

Choking Hazards for 4- to 6-Month-Old Babies

Choking hazards for babies ages four to six months old include any foods that are hard, crunchy, sticky, or chewy, as well those that are dangerous shapes.

Common hazardous foods are:

Chips
Popcorn
Pretzels
Raw Apple
Globs of Nut Butter
Hot Dogs
Grapes
Large seeds (sunflower, pumpkin, for example)
Whole nuts

Many of these foods can be prepared safely to minimize the risk of choking, but they remain a choking hazard if they’re in their “natural” states until children turn four years old.

You can minimize choking risks by making sure your child is seated upright and strapped in a high chair with good trunk support. Foot support on a high chair is also helpful when your baby is starting out because it reinforces their stability, and when they’re more stable, they can chew and swallow more safely!

AAP & CDC Recommendations

The Center for Disease Control and Prevention (CDC) and the American Academy of Pediatrics (AAP) recommend starting solids around six months of age, but not before four months. Again, some pediatricians may okay solids around four months of age, but I usually recommend waiting until six months to make sure baby is showing the physical signs of readiness I outlined above.

The one exception may be for introducing certain allergens to certain infants, depending on their inherent level of risk. Speak with your pediatrician or allergist to see if they want to start your baby on certain foods early.

Purees vs. Baby-Led Weaning: What’s Right For You?

Before you serve baby their first foods, you’ll need to decide what kinds of foods you want to offer. And while there’s a lot of dialogue and opinions about the “best” way to feed a baby, I want you to know there isn’t one right way to do this. You can start with purees or baby-led weaning, or you can do a combination of both.

Tip: If you take a puree approach, help them learn to self-feed by offering baby preloaded spoons and letting them bring the food to their mouth.

Babies are very intuitive about getting the nutrition they need, so full permission to opt for the feeding style that’s comfortable for you. They’ll be able to get enough to eat either way! If simple textures feel easier and lower-stress for you, start with purees. If you’re ready to tackle preparing foods in a way that’s safe for baby, go for baby-led weaning. And if you’re on the go a lot or need a caretaker to feed your baby sometimes, maybe a hybrid approach is best. It truly doesn’t matter as long as you’re helping them foster independence in eating, and offering a variety of different foods.

One thing that DOES matter when it comes to feeding your baby is letting them be in charge of how much they eat (while you learn to interpret their hunger and fullness cues). And you can do this whether you’re feeding them purees or finger foods.

Baby Signs Of Hunger:

Reaching for food
Moving toward the spoon
Opening their mouth
Pointing to food
Excited at the sight of food

Baby Signs Of Fullness:

Turning away from food
Batting spoon away
Clamping mouth shut
Playing with/throwing food
Significantly slowed pace of eating
No longer showing interest

The Best Foods To Introduce Baby To Between 4 & 6 Months Old

A common question I get is, “What baby foods should I introduce first?” And really, there isn’t one “best” first food. You do not have to start with only baby cereal or only veggies or fruits. In fact, you shouldn’t! Research shows that introducing babies to a wide variety of foods early on is what’s most beneficial.

That said, my favorite first food is avocado! It’s a wonderful source of healthy fat, and it’s loaded with vitamins and minerals. Fat is essential to the developing brain and central nervous system, so we want to prioritize it within a baby’s first foods and make sure it’s completely unrestricted during their first two years of life.

(We also want to prioritize iron, because it’s a common dietary deficiency, and our babies begin to run out of the iron stores they got in utero by about six months.)

It’s Okay If Baby’s First Foods Have Multiple Ingredients!

You may choose to serve solely single-ingredient foods like avocado or sweet potato, but know that it’s not necessary to do so. It can be really helpful to serve a variety of new foods together, so they get used to different tastes and textures. Plus, there are nutritional benefits to mixing foods. For example, yogurt—a common first food for babies—can be fortified with mashed fruit, nut butter, or hemp seeds to up the nutritional value. (But if you ever notice a reaction or suspect an allergy to a component of a food combination you’ve been serving, stop serving the suspected allergen and contact your pediatrician.)

PSA: Skip The Baby Cereal

The recommendations from years past telling parents to start with rice-based infant cereals are outdated now. Rice cereals aren’t super nutritious, and we don’t want to rely too much on rice due to potential exposure to arsenic. So instead of cereals, offer new foods in safely-prepared forms. This is way more nutritious, and it exposes them to different flavors, textures, and nutrients which are beneficial for growth and development and can protect them against food allergies and picky eating.

The Ultimate List of Baby Foods

I’m covering allll the best kinds of baby foods separately, so you get all the juicy info and context you need. Then, I’m combining them all into one big, bad, comprehensive list of the best first foods for baby at the end.

SKIP TO THE LIST

Best Finger Foods & Baby-Led Weaning First Foods

For baby’s first foods, I like to suggest approachable options like avocado, sweet potato, and banana. These can be prepared and served baby-led-weaning-style by cutting them in wedges or crescent shapes that can be gripped with a palmar grasp. Bananas can be served as halves or in thirds-long ways. Just stick to serving items in longer shapes, about the width of two adult fingers, for the first few months of BLW. This way, baby can hold them and bring them to their mouth. Once your baby is a little bit older—usually around 9 months—many foods can be served safely in smaller pieces.

The Best Pureed First Foods

If you’re going the puree route, you can start with many of the same foods. Just mash up the sweet potato, avocado, banana—or whatever else, really!—and serve those as purees. You may want to thin them some with breastmilk or formula.

But shortly after starting with these foods, I would move on to introducing allergenic foods, because the early and repeated introduction of allergenic foods can be protective against the development of food allergies in babies, specifically for peanuts. Foods like yogurt and peanut butter may be good early options for allergenic introductions and are already in pureed form. Just start with small amounts.

The Best Easy-To-Make First Foods

Foods that are naturally soft are the easiest to prepare for young eaters. Banana, yogurt, apple sauce, and avocado are all great options that are easy to serve with little to no prep. You can also mix creamy nut butter with yogurt and incorporate other mashed fruits, like raspberries and blackberries, to ramp up the nutritional value while keeping prep extremely low.

Don’t feel like you need to shy away from foods that aren’t naturally soft, either! Many other fruits and veggies, like sweet potato, broccoli, and pears, can also be safely served with simple steaming or roasting techniques. Just make sure to cook these foods until they’re soft enough to be smashed between your fingers, so baby can safely enjoy them, and present them in a shape or style that they can safely navigate. (Soft foods can also be served to them on a pre-loaded spoon if they can’t be eaten by hand, yet.)

Low-Prep First Food Options:

Banana
Yogurt (Can mix with mashed berries or nut butter)
Apple Sauce
Avocado
Steamed Veggies (Soft enough to mash between your fingers)

The Most Nutritious First Foods

There are so many great, nutrient-dense choices for baby’s first foods that are safe by six months of age no matter what type of foods you serve. (But it’s true that, if you take a baby-led weaning approach, you’ll probably have more options.) Sardines and salmon (fresh or canned) are both loaded with omega-3 fatty acids, DHA, protein, and tons of vitamins and minerals, which make them highly nutritious first foods! From the plant kingdom, sweet potato and avocado are nutrient-dense foods with a wide variety of vitamins and minerals including vitamin A, vitamin B6, vitamin C, and magnesium.

The Best Vegetarian First Foods

Vegetarian foods are some of the best first foods for baby! There are tons of wonderful and nutritious fruit and veggie options that suit young eaters, like berries, bananas, avocados, potatoes, broccoli, squash, and many others. Non-produce vegetarian items are great first foods for baby, too. Think tofu strips, eggs (yolk and white), beans, nut butter, and oatmeal.

Just be sure you serve these in safe shapes and forms, and that they’re soft enough to be mashed between your fingers. Always avoid serving things that are hard, sticky, or chewy, and keep in mind that many raw vegetables and fruits are choking hazards (like celery and apple).

Foods That Should Be Avoided

While most foods have a place in most diets, there are some foods to avoid serving your 4- to 6-month-old baby:

Added Sugar

To make sure our babies get the most nutrition possible during this important phase of growth and development, it’s best to avoid added sugar for children under two. Added sugar doesn’t have much nutritional value, so it’s best to limit it as much as possible and avoid it altogether if possible.

Want to offer baby fun, homemade foods like cookies, bars, and muffins once they are fully established on solids? You still can! Just use the recipes in my No Sugar, Still Sweet cookbook, where everything is sweetened with fruit alone.

Honey

Babies should strictly avoid honey before 12 months of age. Honey can be contaminated with spores of a bacteria called clostridium botulinum. In babies under one, these spores can multiply and produce a dangerous toxin that causes infant botulism.

Related: Honey for Babies & Toddlers

Sodium

Finally, sodium should be limited. For babies ages four to six months, the recommended sodium limit intake for a day is 110 mg, which includes any sodium present in breast milk and/or formula.

Fruit Juice

The American Academy of Pediatrics recommends no fruit juice before 1 year of age. Juice offers very few nutritional benefits and therefore isn’t a helpful addition to a baby’s diet.

Under 1: No Juice
Age 1-3: 4 Oz Daily Max
Age 4-6: 4-6 Oz Daily Max
Age 7-18: 8 Oz Daily Max

The Ultimate Baby’s First Foods List

Avocado
Sweet Potato (Mashed or Steamed)
Broccoli (Steamed or Roasted)
Pears (Steamed or Roasted)
Butternut Squash
Mango
Banana
Yogurt*
Nut Butter* (Mixed-In To Purees or Spread Thin on Toast)
Oatmeal
Apple Sauce
Mashed Raspberries
Mashed Blueberries
Mashed Blackberries
Canned Sardines*
Canned Salmon*
Potatoes (Mashed or Steamed)
Squash (Steamed or Roasted)
Tofu Strips*
Baby-Safe Eggs* (Try omelet-style and cut into strips!)
Beans (Mashed)

*Common Allergens

Baby’s First Foods Chart: What, When & How To Serve Common First Foods to 4- to 6-Month-Old Babies

BABY’S FIRST FOOD	WHEN TO SERVE	HOW TO SERVE
Avocado	6 Months or Later	Mashed, mixed-in to sauces, and purees, or in wedge shapes baby can grip (BLW).
Oatmeal	6 Months of Later	Prepare with breastmilk or formula. Option to mix in yogurt, nut butter, mashed berries, or mashed banana.
Banana	6 Months or Later	Mashed, mixed into sauces and purees, cut in halves or third-long pieces (BLW).
Sweet Potato	6 Months or Later	Roasted or steamed so they’re soft enough to mash between your fingers.
Mango	6 Months or Later	Cut into wedge-shaped pieces that baby can grip. Or, give baby the pit to work on!
Eggs (Common Allergen)	6 Months or Earlier (If advised by a pediatrician or allergist)	Prepare eggs omelet-style and cut them into strips baby can grip.
Yogurt (Common Allergen)	6 Months or Earlier (If advised by a pediatrician or allergist)	Serve yogurt as-is or mix it into sauces, oatmeals, or purees.
Nut Butter (Common Allergen)	6 Months or Earlier (If advised by a pediatrician or allergist)	Mix nut butters into oatmeal or purees, or spread them thinly over toast.
Berries	6 Months or Later	Mash berries into a thicker, jam-like consistency before serving. Consider mixing mashed berries into other foods.
Tofu (Common Allergen)	6 Months or Earlier (If advised by a pediatrician or allergist)	Cut into thin strips that baby can grasp and fry them up in a pan. Serve cool or warm, not hot.
Broccoli	6 Months or Later	Steamed or roasted so it’s soft enough to mash between your fingers.
Apple Sauce	6 Months or Later	As-is or mixed in to oatmeal, yogurt, or purees.
Canned Sardines (Common Allergen)	6 Months or Later	Whole piece or mashed with other foods.
Honey	1 Year or Later	At 1 year or later, serve mixed-in to yogurt, sauces, or purees, or spread thinly on toast.
Fruit Juice	1 year or Later	At 1 year or later, offer up to 4 oz per day.
Sugar	2 Years or Later	Avoid added sugar before age two, then introduce it gradually and only as-needed.

First Foods For Babies With Allergies

Food allergies have grown in prevalence over the last 50 years, and it’s now estimated that about 7% of babies have a food allergy! And while that can make choosing a baby’s first foods a little scary, the good news is that up to 80% of kids can grow out of their food allergies. (Especially when those allergies are milk and eggs!)

Important Information on Allergic Reactions & Introducing Allergens

For at least the last decade, parents were told to wait until 12 months or older to introduce the top eight allergens (peanut, tree nuts, eggs, milk, wheat, soy, fish, and shellfish) to their babies. Now, things are different. Today, we recommend introducing allergenic foods to your baby when they start solids, which, for most children, is around six months old. Introducing allergenic foods at this point in your baby’s development can reduce the risk of developing some food allergies—especially allergies to eggs and peanuts.

For Babies With Known Allergies

If your baby is already known to have a food allergy, do not introduce that food. But, if baby has certain risk factors WITHOUT a confirmed allergy (like eczema or a family member with a food allergy), consult the pediatrician. You may be referred to an allergist who will determine the best course of action with an introduction.

Introducing Allergens: What To Watch For

Mild allergic reactions may look like new hives around the mouth or face.

More severe reactions can include:

Vomiting
Lip Swelling
Widespread Hives
Face Or Tongue Swelling
Difficulty Breathing
Changes In Skin Color
Sudden Lethargy Or Limpness

If you notice any of these severe signs, seek emergency medical help immediately.

Make Starting Solids Simple

I know that getting ready to start serving your baby their first foods is nerve-wracking. But with the right info (which you now have) and prep (which you’re equipped to do), I promise you it can be a great experience. Now that you know all the things about safety, allergic reactions, which foods to serve, and how to serve them, go in with your bases covered and just enjoy the time spent with your little one.

I also know that if you decide to go with solids, you might be a little extra nervous about things like gagging and making all foods baby-safe. And, I get it! These things can be intimidating the first few times. Lucky for you though, you’re not alone! You’ve got me in your corner. I’ve been there before, I’ve helped so many parents navigate through it, and I know you can do it, too.

To help you up your confidence, ditch the unnecessary doubts, and feed them well right from the start, I put together my research-backed Simply Solids guide. If you’re about to start—or already on—your baby-feeding journey, Simply Solids is a must-have.

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Baby’s First Foods

Kacie Barnes, MCN, RDN, LD

Summary of baby first foods 4 to 6 months some ideas in case you want a printer friendly list!

5 from 1 vote

Print Recipe Pin Recipe

Prep Time 5 mins

Cook Time 5 mins

Total Time 10 mins

Course Breakfast, Dinner, lunch

Cuisine American

Servings 2 servings

Calories 50 kcal

Avocado
Oatmeal
Banana
Sweet Potato
Mango
Eggs (Common Allergen)
Yogurt (Common Allergen)
Nut Butter (Common Allergen)
Berries
Tofu (Common Allergen)
Broccoli
Apple Sauce
Canned Sardines (Common Allergen)

Avocado

Mashed, mixed-in to sauces or purees, or in wedge shapes baby can grip (BLW).

Oatmeal

Prepare with breastmilk, formula, canned coconut milk or water. Option to mix in yogurt, nut butter, mashed berries, or mashed banana.

Banana

Mashed, mixed into sauces and purees, cut in halves or third-long pieces (BLW).

Sweet Potato

Roasted or steamed so they’re soft enough to mash between your fingers. Or, serve mashed with a spoon.

Mango

Cut into wedge-shaped pieces that baby can grip. Or, give baby the pit to work on!

Yogurt

Serve yogurt as-is or mix it into sauces, oatmeals, or purees.

Nut Butter

Mix nut butters into oatmeal or purees, or spread them thinly over toast.

Berries

Mash berries into a thicker, jam-like consistency before serving. Consider mixing mashed berries into other foods.

Tofu

Cut into thin strips that baby can grasp and fry them up in a pan. Serve cool or warm, not hot.

Broccoli

Apple Sauce

As-is or mixed in to oatmeal, yogurt, or purees.

Canned Sardines

Calories: 50kcal

Keyword baby

Tried this recipe?Let me know how it was!

When to Start Baby Food

Starting solids is an exciting and important milestone in baby’s development—one that not only opens them up to a brand-new world of flavors and textures, but also puts them on the right path to growing healthy and strong. Here’s what you need to know about how and when to start baby food for a smooth transition.

In this article:
When to start baby food
How to start baby on solids
Best first foods for baby
Introducing allergenic foods

When to Start Baby Food

Knowing when to start baby food is both crucial and tricky. Starting baby on solids too early means you might increase the risk of choking, obesity and bellyaches, but introducing solids too late means you might slow baby’s growth and encourage an aversion to solid foods, among other conditions. Fortunately, doctors have zeroed in on a sweet spot for starting baby food, which is sometime between 4 and 6 months of age—though, ideally, baby should be receiving their nutrition exclusively from breast milk until the six-month mark, according to the American Academy of Pediatrics (AAP). How to tell if it’s time for starting solids for your little one? Baby will give you clues, including:

• Baby can sit in a high chair comfortably on their own. This is a major sign in terms of when to start baby food, says Lauren Kupersmith, MD, a pediatrician at Hassenfeld Children’s Hospital at NYU Langone in New York City. It means baby can hold their head up and doesn’t need to be propped up to stay in the upright position, which is important to avoid choking.

• Baby looks interested at mealtime. Babies likes to mimic what we do, so if your child likes to sit up like a big kid and watch you eat, then by all means let them try eating too.

• Baby can move food to the back of their throat to swallow. But if baby tends to push the food out of their mouth—not because they don’t like it, but because they can’t seem to get the food to where it needs to go—hold off on starting solids.

How to Start Baby on Solids

At 4 to 6 months, most of baby’s nutrition will still come from breast milk or formula, so don’t worry if baby doesn’t like eating food right away. Introducing solids is a gradual process, and every baby learns in their own time. Here are some general guidelines for how to start baby on solids:

• Feed baby with a spoon. Letting your child go at it with their hands may seem tempting (and super-cute), but it’s best that they learn the right way from the get-go. (And even then, be prepared to clean up more than a few messes!) Also, never put cereal (or any other food) in baby’s bottle—it’s a choking hazard.

• Start slowly. When introducing solids, a half spoonful will do at first—you may even want to talk baby through it (“Yummy!”). To make it easier for baby to get accustomed to the idea of swallowing solids, start mealtime with a little breast milk or formula, then offer some food (again, no more than a half teaspoon at a time) and finish off with more breast milk or formula. If baby cries or turns away when you present the spoon, try again some other time. Start off with introducing solids at one meal a day, then slowly work your way up. The morning is a good place to start, since baby is often hungriest at that time. When starting solids, baby typically won’t eat more than an ounce or two in one sitting.

• Try new foods more than once. Since babies’ tastes will evolve, you may need to try a food 20 times before a baby actually likes it, says Kupersmith.

• Stick with the same food for three days before trying another one. This makes it easy to track whether baby is allergic to a particular food.

• Try foods in different forms. If baby doesn’t like pureed food, try it mashed. After all, baby is learning about new textures as well as new tastes. It may be a case of trial and error until you find a winner.

Best First Foods for Baby

Got baby safely strapped into the high chair and bib? You’re ready to finally start feeding baby solids! There aren’t any official food rules for babies starting solids, and there’s no scientific evidence suggesting you should introduce one type of food before another, assuming the foods aren’t choking hazards. Nevertheless, baby cereal (such as oatmeal, rice and barley) is an “easy training food,” says Kupersmith, which is why it’s often recommended as baby’s first food; you can always mix it with more milk to build up to a thicker consistency. Many doctors also recommend starting vegetables before fruits, but there’s no evidence that this would make babies like vegetables more when they grow up—babies innately love sweets, and the order of introducing solids to baby doesn’t change that.

So why not simply start introducing solids with something you think baby will like? Here are a few common first foods for baby that are healthy and easy to eat (and, in the case sweet potato and banana, also easy to digest). Whatever you decide to feed baby, mash it with a fork or puree before serving whenever introducing solids.

Baby cereal, such as oatmeal, rice, barley
Sweet potato
Banana
Avocado
Apples
Pears
Green beans
Butternut squash

If your child has been breastfeeding, check with your pediatrician about getting a jump on pureed chicken or beef when you’re starting solids. These foods contain easily absorbable forms of iron and zinc, which baby needs by 4 to 6 months, according to the AAP.

At around 9 months, baby should have already worked their way up to a variety of foods, including cereal, vegetables, fruits, meats, eggs and fish (see below regarding the last two). (Keep in mind, though, that baby will still get the majority of their nutrients from breast milk or formula until age one. ) By now, baby will probably settle on three meals a day along with two snacks. Let them consume about 4 ounces of solids at each meal (equivalent to a small jar of strained baby food) and about half that amount for each snack.

Save honey and cow’s milk for after baby’s first birthday—there’s a risk for infant botulism with honey (a type of bacterial poisoning), and baby’s tummy isn’t prepared to digest large amounts of cow’s milk until they’re about one year old. Avoid adult processed foods and foods that are choking hazards (such as sticky foods, like large gobs of peanut butter; hard foods that are difficult to gum, like raw vegetables, nuts, seeds and popcorn; and round, slippery foods that haven’t been cut up, like grapes and cherry tomatoes). Instead, the first foods for baby, and those in the months that follow, should be soft and served mashed, pureed or (once baby seems ready to move up from the really mushy stuff) cut up into really little bits. “There’s pretty much free reign at that point,” Kupersmith says.

Introducing Solids Chart

Hesitant about improvising your first foods for baby? That’s okay too. If you prefer an “introducing solids chart” to help you plan out baby’s path, the guide below can come in handy.

Image: The Bump

Introducing Allergenic Foods

Much of the confusion around when to start baby food stems from questions concerning allergenic foods. These are foods that babies are most often allergic to. The major culprits include dairy, eggs, fish, peanuts and tree nuts. In the past, parents were advised to hold off on exposing baby to these foods, but now doctors recommend introducing them early, often and in age-appropriate format, which means starting off with purees and soft textures.

“Dairy is an easy starting point, given options such as yogurt and cheese,” says David Stukus, MD, director of the Food Allergy Treatment Center at Nationwide Children’s Hospital and a spokesperson for the American College of Allergy, Asthma, & Immunology. You can also try scrambled eggs in small amounts, although baby may not be too pleased with the texture at first.

As far as peanut products go, the National Institutes of Health issued new guidelines in 2017 that encourage parents of children at high risk for peanut allergies to incorporate them into baby’s diet at 4 to 6 months of age. Giving these babies peanut products before the age of one actually decreases their risk of developing a peanut allergy before age 5 by 81 percent, compared to kids who are introduced to peanuts later in life. Parents of kids without the food allergy risk can start peanut products whenever they’d like, as long as the nuts are in an age-appropriate form: Peanut butter can be thinned out with water or mixed into a fruit or vegetable puree, and peanut powder can also be mixed into cereal and fruits. Don’t give whole peanuts or pieces of peanuts, since they’re a choking risk.

Allergic reactions to food are never just a fluke; they will happen with every exposure. Symptoms can range from mild (such as a rash or vomiting) to severe (such as trouble breathing). If baby has a food allergy, you’ll notice a reaction within minutes or up to two hours after eating the problematic food, Stukus says. If the symptoms are severe, call 911 right away. Otherwise, talk to your pediatrician; she can help confirm whether it’s an allergy or some other type of condition (such as a viral illness).

Expert bios:*

Lauren Kupersmith, MD, IBCLC, is a pediatrician and clinical instructor at Hassenfeld Children’s Hospital at NYU Langone in New York City, as well as a certified lactation consultant. She earned her medical degree from New York Medical College in 2005.

David Stukus, MD, is the director of the Food Allergy Treatment Center at Nationwide Children’s Hospital, an associate professor of pediatrics in the division of allergy and immunology and a spokesperson for the American College of Allergy, Asthma, & Immunology. He earned his medical degree from University of Pittsburgh School of Medicine in 2002.

Updated January 2020

Please note: The Bump and the materials and information it contains are not intended to, and do not constitute, medical or other health advice or diagnosis and should not be used as such. You should always consult with a qualified physician or health professional about your specific circumstances.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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!

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!

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.

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.

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.
The kid shows an active food interest: he is interested in food, watches what adults eat.
You are well organized and have no problem breastfeeding or formula feeding.
The child can touch his mouth with his hand, puts various objects in his mouth, for example, 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.

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.

— 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.

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.

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.

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.

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.

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.

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.

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.