Can babies eat pureed food at 3 months
When Can My Baby Start Eating Solid Foods? (for Parents)
A friend just started giving her 3-month-old applesauce and rice cereal. My son is just 2 weeks younger than hers, and I am wondering if I should be introducing solids soon too. When should I start?
Doctors recommend waiting until a baby is about 6 months old to start solid foods. Starting before 4 months is not recommended.
At about 6 months, babies need the added nutrition — such as iron and zinc — that solid foods provide. It’s also the right time to introduce your infant to new tastes and textures.
Some babies may be ready for solids sooner than 6 months, but don't start until your baby is at least 4 months old.
How do you know it’s the right time to start solid foods? Here are some signs that babies are ready:
- They have good head and neck control and sit up in a high chair.
- They're interested in foods. For example, they may watch others eat, reach for food, and open their mouths when food approaches.
- They don’t push food out of their mouths, which is a natural tongue reflex that disappears when they’re between 4–6 months old.
- They weigh twice their birth weight, or close to it.
Talk to your doctor about the right time to start solid foods.
How Should I Start Solids?
When the time is right, you can start with a single-grain, iron-fortified baby cereal. Start with 1 or 2 tablespoons of cereal mixed with breast milk, formula, or water. Feed your baby with a small baby spoon. Don’t add cereal or other food to a baby's bottle because it can lead to too much weight gain. Let your baby practice eating from a spoon and learn to stop when full.
When your baby gets the hang of eating the first food, introduce others, such as puréed meat, fruits, vegetables, beans, lentils, or yogurt. Try one food at a time and wait a few days before trying something else new to make sure your baby doesn't have an allergic reaction.
Foods that are more likely to cause allergies can be among the foods you introduce to your baby. These include peanuts, eggs, cow’s milk, seafood, nuts, wheat, and soy. Waiting to start these foods does not prevent food allergies. Talk to your doctor if you are concerned about food allergies, especially if any close family members have allergies, food allergies, or allergy-related conditions, like eczema or asthma.
Infants with severe eczema or egg allergies are more likely to have allergies to peanuts. Talk to your doctor about how and when to introduce these foods to your child.
When starting your baby on solids, avoid:
- foods with added sugars and no-calorie sweeteners
- high-sodium foods
- honey, until after the first birthday. It can cause botulism in babies.
- unpasteurized juice, milk, yogurt, or cheese
- regular cow's milk or soy drinks before 12 months instead of breast milk or formula. It’s OK to offer pasteurized yogurt and cheese.
- foods that may cause choking, such as hot dogs, raw carrots, grapes, popcorn, and nuts
Also, do not give fruit juices to infants younger than 12 months old.
Over the next few months, introduce a variety of foods from all the food groups. If your baby doesn't seem to like something, don’t give up. It can take 8 to 10 tries or more before babies learn to like new foods.
Reviewed by: Mary L. Gavin, MD
Date reviewed: February 2021
Baby's first foods: How to introduce solids to your baby
Babies are typically ready to start solids between 4 and 6 months, as long as they're showing signs of readiness, such as being able to sit upright with good head control. Talk to your baby's doctor about which foods to introduce first, particularly if you're concerned about a risk for an allergy. In general, infant cereal and pureed, one-ingredient veggies, fruits, and meats are great first foods. Try spoon-feeding or baby-led weaning, and keep up the breast milk or formula until your baby's first birthday.
When do babies start eating baby food?
It depends. As long as your baby shows signs of readiness, your pediatrician will probably give you the go-ahead to start baby food (also called solid food or solids) any time between 4 and 6 months.
Until then, breast milk or formula provides all the calories and nourishment your baby needs. Infants don't yet have the physical skills to swallow solid foods safely, and their digestive system isn't ready for solids until they're at least 4 months old.
The American Academy of Pediatrics (AAP) and World Health Organization (WHO) recommend breastfeeding exclusively for the first six months of your baby's life and introducing solids at 6 months old. The AAP advises breastfeeding until age 1 – and longer if you and your baby want to.
Signs your baby is ready for solids
Your baby will give you clear signs when they're ready. Look for:
- Head control. Your baby needs to be able to keep their head in a steady, upright position.
- Sitting well when supported. Your baby needs to be able to sit upright in a baby seat or highchair to swallow well.
- Losing the "extrusion reflex." Your baby's mouth and tongue develop in sync with their digestive system. To start solids, they should be able to move food to the back of their mouth and swallow it, instead of using their tongue to push food out of their mouth.
- Curiosity about food. Your baby may start showing interest in what you're eating, reaching for your food or even opening their mouth if you offer them a spoonful.
Starting solids by 6 months old is important for your baby's oral motor development (the use of their lips, tongue, jaw, teeth, and hard and soft palates). Also, solid foods can provide specific nutrients your baby needs, such as iron and zinc. (These are especially important if your baby has been exclusively breastfed.)
What are the best first baby foods?
Start your baby with any pureed, single-ingredient food. Although it used to be standard for parents to give rice cereal as a first food, that's not necessary. In fact, pediatricians often don't recommend baby rice cereal since it can contain inorganic arsenic, and it's not as nutritious as some other first foods.
Good first baby foods include
- pureed squash
- mashed bananas
- mashed avocado
- pureed peaches
- pureed pears
- pureed meats
- whole-grain, iron-enriched baby cereal such as oatmeal
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If your baby is breastfed, the AAP suggests meat as a first food because the iron in beef, chicken, and turkey helps to replace iron stores, which start to diminish at about 6 months of age.
How to introduce solids to your baby
The traditional way to start solids is by spoon-feeding your baby cereal or purees, but some parents use a different method called baby-led weaning. Using this method, you put chunks of soft, developmentally appropriate food on the highchair tray or table and let your baby grab the food and feed themself.
Here's how to start spoon-feeding your baby:
For your first few feedings, start with just 1 or 2 teaspoons of pureed solid food or baby cereal about an hour after nursing or bottle-feeding (so your baby isn't too hungry or full).
Use a soft-tipped plastic spoon to feed your baby to avoid injuring their gums. Put a small amount of food on the tip of the spoon and offer it to them. If your baby doesn't seem very interested, just let them smell the food for now and try again another time.
If you're feeding your baby ready-to-eat jars or pouches of baby food, put some into a small dish and feed them from that. (If you dip the feeding spoon into the jar, it's not a good idea to save the leftovers because bacteria from your baby's mouth will now be in the jar.) Store leftovers in the fridge and throw away any opened baby food jars or pouches within a day or two of opening them.
If you decide to start with cereal, give your baby 1 to 2 teaspoons of diluted infant cereal. Add breast milk or formula to a tiny pinch of cereal. It will be very runny at first, but as your baby starts to eat more solid foods, you can gradually thicken the consistency by using less liquid.
Begin with one daily feeding in the morning whenever your baby isn't too tired, hungry, or cranky. Your baby may not eat much at first, but give them time to get used to the experience. Don't be surprised if your baby is confused or rejects solid food at first. Some babies need practice keeping food in their mouths and swallowing.
Eventually you can start giving your baby more solid food until they're having a few tablespoons a day, over two feedings. In general, your baby could start with pureed or semi-liquid food, then move on to strained or mashed food, and finally graduate to small pieces of finger foods.
Signs that your baby is full
Your baby's appetite will vary from one feeding to the next, so a strict accounting of how much they've eaten isn't a reliable way to tell when they've had enough. Look for these signs that your baby's probably done:
- They lean back in their chair
- They turn their head away from food
- They start playing with the spoon
- They refuse to open up for the next bite (Sometimes a baby will keep their mouth closed because they haven't finished the first mouthful, so give them time to swallow. )
Food allergies and introducing solids
Experts recommend that you introduce one food at a time to your baby, and wait 3 to 5 days before introducing another food, so you can watch for any allergic reactions. It's also a good idea to write down the foods your baby samples. If they have an adverse reaction, a food log will make it easier to pinpoint the cause.
You don't have to hold off on giving allergenic foods such as eggs, peanut butter, or soy. There's no evidence that waiting to introduce certain foods will help your baby avoid allergies. In fact, there's evidence that the opposite is true.
According to the American Academy of Allergy Asthma and Immunology (AAAAI), incorporating commonly allergenic foods into your baby's diet starting at around 4 to 6 months (and continuing through childhood) may actually help prevent the development of food allergies.
Start with traditional first foods, such as iron-fortified infant cereal, pureed veggies, fruits, and meats. Once you've tried a few of these foods and your baby seems to be tolerating them well, you can introduce more commonly allergenic foods, such as soy, eggs, wheat, fish, and peanut products.
Food manufacturers have products on the market designed to help you incorporate commonly allergenic foods into your child's diet. These stir-in powders and finger foods may contain one commonly allergenic protein or a blend of several.
Special precautions need to be taken with certain babies. If your child falls into any of the following categories, consult with your baby's doctor or an allergist to create a customized feeding plan before adding solids to your baby's diet:
- Your baby has a sibling with a peanut allergy.
- Your baby has moderate to severe eczema despite following a doctor's treatment plan.
- Your baby previously had an immediate allergic reaction to a new food or has been diagnosed with a food allergy.
If your baby is allergic to a new food, you'll see signs of a reaction within a few minutes or hours. Most children with food allergies have mild reactions. If you notice a few hives, a new rash, or diarrhea, call your baby's doctor for advice.
If you notice wheezing, difficulty breathing, vomiting, facial swelling (including the tongue and lips), or more than two body systems affected (such as hives and vomiting), your baby may be having a life-threatening reaction called anaphylaxis. Call 911 or your local emergency number immediately.
Baby food feeding tips
- Offer fruits or vegetables in any order. Some parents may tell you to start with vegetables instead of fruits so your infant won't develop a taste for sweets. But babies are born with a preference for sweets, so you don't have to worry about introducing sweet or savory foods in any particular order.
- Feed cereal with a spoon only. Unless your baby's doctor asks you to, don't add cereal to a bottle – your baby could choke or end up gaining too much weight.
- Encourage adventurous eating. You don't have to stick with bland and boring. See how to make your own baby food and use spices and seasonings to create delicious baby food flavors.
- Give new foods time. If your baby turns away from a particular food, don't push. Try again in a few days.
- Check for added sugars and too much salt. Check the Nutrition Facts label on canned, frozen, or packaged foods for "Added Sugars." If there's 1 gram or more listed, give your baby something else. Also look at sodium amounts. Babies shouldn't have no more than 1,200 mg of sodium per day.
- Avoid unsafe foods. Don't give your baby foods that could cause choking, such as whole grapes or popcorn. Babies under 1 can't have honey, cow's milk, or soy milk. Also, unpasteurized juices and undercooked fish, meat, eggs, or poultry could be a source of bacteria.
- Watch for constipation. Your baby's poop sometimes changes when their diet does. Although it's usually temporary, your baby may have constipation after you introduce solids. If you notice that your baby is having less frequent bowel movements, or that their stools have become hard or dry and seem difficult to pass, let their doctor know. Some doctors recommend adding high-fiber fruits such as pears, prunes, and peaches to a baby's diet, or giving a few ounces of prune, apple, or pear juice every day until bowel movements are back to normal.
Also, don't be surprised if your baby's poop changes color and odor when you add solids to their diet. If your baby has been exclusively breastfed up to this point, you'll probably notice a strong odor to their formerly mild-smelling stools as soon as they start eating even tiny amounts of solids. This is normal.
If your baby shies away from new foods, here are a few things you can try:
- Test a range of textures. If your baby doesn't like pear puree, try giving them pieces of very ripe pear instead.
- In a similar vein, try different cooking methods. If your baby doesn't like steamed veggies, try giving them roasted vegetables.
- Serve food at different temperatures. Some babies prefer broccoli cold rather than warm, for example.
- Combine the new food with a familiar favorite. If your baby rejects a new food on its own, mix it in with something you know they like.
- Add a dipping sauce! Try shredded chicken with applesauce, yogurt with baked apple slices, or hummus with well-cooked pieces of carrot.
- Above all, be patient. Sometimes it takes a while for a baby to get used to new flavors and textures, so keep trying and eventually they'll accept the new food.
How many times a day should my baby eat solids?
At first your baby will eat solid food just once a day. By around 6 to 7 months, two meals a day is the norm. Starting around 8 to 9 months, they may be eating solid food three times a day plus a snack. A typical day's diet at 8 months might include a combination of:
- Breast milk or iron-fortified formula
- Iron-fortified cereal
- Small amounts of protein, such as eggs, cheese, yogurt, poultry, lentils, tofu, and meat
- High-allergy foods, if appropriate
See our age-by-age baby feeding guide for more detail on how much to feed your baby and when.
How much breast milk or formula does my baby need after we introduce solids?
Even after your baby starts solids, breast milk or formula will provide the majority of their calories and nutrition until they're 9 months to 1 year old. Breast milk and formula contain important vitamins, iron, and protein in a form that's easy to digest.
You may notice that as your baby starts to eat more solid foods (around 9 months old), they'll gradually decrease their intake of formula or breast milk. This is normal. Over time, your baby will take fewer bottles with more ounces in each.
Here's how much breast milk or formula babies need after starting solids:
- 4 to 6 months old: 4 to 6 feedings a day (breastfeeding, or bottles with 4 to 6 ounces)
- 6 to 8 months old: 3 to 5 feedings a day (breastfeeding, or bottles with 6 to 8 ounces)
- 8 to 12 months old: 3 to 4 feedings a day (breastfeeding, or bottles with 7 to 8 ounces)
What equipment do I need to introduce solids?
It's helpful to have:
- A highchair
- Baby bowls and plates
- Baby spoons
- A splat mat on the floor
You may also want to introduce your baby to a sippy cup soon after you start solids.
If you're making your own baby food, you'll need:
- A tool to puree the food, like a blender, food processor, or baby food maker
Storage containers for refrigerating and freezing extra portions (Some parents use ice cube trays – or similar devices made just for baby food – to store and freeze individual portions.)
Rules for the introduction of complementary foods for a child 4 - 12 months old: the first complementary foods, menus, charts, tables, principles of nutrition for a baby
Modern principles for feeding children is a kind of fusion of practical experience and the latest scientific developments. They are based on the recommendations of the European Association of Pediatric Gastroenterologists, Hepatologists, Nutritionists ESPGHAN , the American Academy of Pediatrics AAP and national recommendations of relevant ministries and associations.
Complementary foods: online course
Modern recommendations are based on the analysis of the results of many studies on the composition, timing of the introduction of complementary foods in Europe for healthy full-term newborns, taking into account various aspects of the introduction of complementary foods, its impact on physical and mental development. Timely introduction of complementary foods contributes to the optimal development of all systems and organs of the child, physical parameters, psychomotor development, and the activity of the nervous system. The period of introduction of complementary foods is very important for the growth and development of the child, as well as an outstanding stage in the transition of the child from breastfeeding to eating from the table.
- It is inappropriate to develop separate recommendations for the introduction of complementary foods for breastfed or artificially fed children, the approaches in these cases are the same
- Breastmilk mothers remains the gold standard exclusive breastfeeding for at least 4 months (17 weeks) of an infant's life, up to 6 months (26 weeks), the standard of exclusive or predominant breastfeeding
- The digestive tract and kidney function are mature enough for a baby to accept complementary foods at 4 months of age, and between 5 and 6 months the baby develops the necessary motor skills to consume solid foods. Therefore, at this age, it is important to give food of the right consistency and in the right way
- A well-nourished mother can provide all the nutrients, vitamins, and minerals her baby needs through exclusive breastfeeding up to a maximum of 6 months of age
- Some children may need iron supplementation earlier than 6 months
- It is important to continue breastfeeding in parallel with the introduction of complementary foods. This has been proven to reduce the risk of gastrointestinal and respiratory infections, as well as hospitalizations in a child
- Comparing the initiation of complementary foods at 4 or 6 months of age, no significant differences were found in the effect on growth and body weight, development of obesity during the first 3 years of life
- At the same time, a high risk of developing overweight and obesity has been established with the introduction of complementary foods before 4 months of age
- Complementary foods (solid or liquid food other than breast milk or infant formula) should be started no earlier than 4 months and no later than 6 months
- With age, with the introduction of complementary foods, the child should be offered food varied in texture, texture, taste, smell
- Children have an innate tendency to distinguish and prefer sweet and salty foods, reluctantly eat bitter, which we cannot change. But we can shape and adjust the taste preferences of the child through training, systematically offering the child foods with different tastes, including sour, bitter green vegetables
- Whole cow's milk Not recommended for infants under 12 months of age. The use of cow's milk is associated with the intake of an increased amount of energy, protein, fats, and lower - iron. Therefore, children who consumed large amounts of cow's milk at an early age had a higher risk of developing iron deficiency anemia
- Eating more protein when complementary foods increase the risk of overweight and obesity, especially in individuals with a predisposition to this, so protein intake should not exceed 15% of energy intake during the day
- The baby's need for iron is very high during the entire period of complementary feeding, so it is necessary to ensure the provision of iron-rich foods, especially for breast-fed children
- Allergenic products can be administered from the age of 4 months at any time, since it is during this period that the formation of immune tolerance to the allergen occurs. For example, children at high risk of developing allergic reactions to peanuts should be administered at 4-12 months of age under specialist supervision. No relationship was found between the timing of the introduction of allergenic complementary foods and the development of allergic or immunological diseases. However, this does not mean the need for early introduction of allergenic products to everyone, but it emphasizes that there is no need to postpone the introduction of allergenic products after 4 months for a longer period;
- Gluten may be offered to a child aged 4-12 months, however large amounts of gluten should be avoided during the first weeks after initiation of its introduction, thereafter a safe amount has not been established. The type of feeding (breast/artificial) was not identified with the introduction of gluten to reduce the risk of developing celiac disease, type 1 diabetes;
- Sugar or salt should not be added to complementary foods, and sweetened drinks and juices should be avoided. Sugary drinks are liked by babies in the first months, but if they are not given, but after 6 months, the children no longer like them very much. Sugar affects future eating behavior. Sugar is an important factor in the development of caries - it contributes to caries, as glucans can be formed, which increase the adhesion of bacteria to tooth enamel, disrupt the diffusion balance of acid and buffer systems, which ultimately contributes to damage to the enamel.
- Vegetarian diets are contraindicated in young children due to the risk of vitamin B12, iron, zinc, folate, long-chain fatty acid, protein and calcium deficiencies, which can lead to irreversible adverse effects and impaired cognitive development;
- Vegetarian diet can only be used under the close supervision of a doctor and nutritionist, with the obligatory additional administration of vitamins B, D, iron, zinc, calcium, proteins, PUFAs, which can ensure the appropriate growth and development of the child. It is important that parents should be aware of the risk of irreversible harmful consequences (mental disability, death of the child) that may develop if they do not follow the recommendations of specialists.
The General Rules for the introduction of complementary foods for children of the first year of life:
- Introduce the first feeding It is better in the morning feeding 9-11 in the morning to trace the reaction of the child to the new product.
- Without added sugar and salt .
- Give the first complementary food to the child when he is calm and not tired .
- Start with 0.5-2 teaspoons. If the child refuses, do not insist, try to give later or the next day.
- If the reaction is normal - no rash, no skin changes, no stool changes, double the dose the next day. Gradually bring the first complementary foods of the child to the age norm 80-200 g
- If there is an allergic reaction or other intolerance reaction - refuse to introduce this complementary food for three days, if the adverse reaction occurs again - do not give this product, contact your pediatrician.
- Each subsequent new complementary food must be one-component only: marrow, cabbage, broccoli, buckwheat, meat, etc.
- Mixed food dish give when the child has already become acquainted with all the products separately.
- It is not advisable to introduce new foods three days before and after vaccinations.
If you are thinking about introducing complementary foods, then your child should already have certain signs of readiness for this:
- Holds head
- Able to stand alone, practically without support, sit on a special high chair with side support
- Opens mouth when a spoonful of food is brought
- Turns away from a spoonful of food when not hungry
- Closes mouth with spoon in mouth holds food in mouth and then swallows rather than pushing or spitting it out
The first complementary foods at 4 months
The age of 4 months as the minimum for the introduction of complementary foods was also chosen because at 4 months the child's gastrointestinal tract becomes more mature: the initially increased permeability of the small intestine mucosa decreases, the number of digestive enzymes, a sufficient level of local immunity is formed, the child acquires the ability to swallow semi-liquid and thicker food, associated with the extinction of the “spoon ejection reflex”.
Therefore, to the question whether it is necessary to give complementary foods to a 3-month-old baby , one can unequivocally answer: no, it's too early!
But 4 months, this is the time when you can think about the introduction of complementary foods. At the same time, it should be remembered that at the age of 4 months, the child has enough mother's milk or a highly adapted milk formula for its full development. In addition, when they talk about complementary foods at 4 months, they usually mean the end of the 4th month of life. It is important to continue breastfeeding in parallel with the introduction of complementary foods.
Video: Body in 4 months
If you introduce complementary foods at the 4th month of the child -usually one-component vegetable or fruit puree if the child does not gain weight well enough well , then it can be gluten-free porridges: rice and buckwheat . It is better to start with vegetable puree. Kids are smart and if he tries a sweeter fruit puree, he can refuse vegetable puree for quite some time and you may have difficulty introducing this very healthy dish.
What is useful in vegetable supplements and what is the best way to prepare it?
Vegetable puree - for the first feeding can be prepared from cauliflower, zucchini, pumpkin, broccoli - these are low-allergenic foods, are among the ten most useful vegetables in the diet of children, contain a large amount of healthy proteins, fiber and vitamins, microelements ! Fiber helps move food through the digestive tract and promote beneficial microflora in the gut. Pectins absorb and remove toxins from the baby's body. Vegetables have a positive effect on the acid-base balance of the body, creating conditions for the proper functioning of all organs and systems.
Cauliflower - is a good source of fiber, protein, minerals and vitamins: A, B1, B2, B3 (PP), B6, as well as a small amount of vitamins K, D and tocopherol (vitamin E). In the inflorescences of cabbage there is a lot of magnesium, sodium, potassium, phosphorus, calcium, iron. It contains twice as much iron as green peas, peppers and lettuce. Cauliflower protein is easily digestible and its content is quite high. Cauliflower protein contains essential vitamin U (methionine). It is one of the essential amino acids that cannot be synthesized by the human body. Other essential amino acids are also present in a small amount: arginine, tryptophan.
Zucchini - rich in vitamins and microelements. It contains potassium, magnesium, phosphorus, calcium, vitamins C, B1 and B2 and others, folic acid. Which plays an important role in the processes of hematopoiesis. Zucchini is rich in such important trace elements as iron and copper. They are necessary for the formation of nervous tissue, normalization of metabolism, as well as for the formation of hemoglobin, which is a good prevention of anemia.
Broccoli is a very healthy vegetable that is a type of cauliflower. Pleasant soft taste and good digestibility of the product, unique composition have a beneficial effect on the health of both adults and children. Eat unopened cabbage inflorescences. This is also a low-allergenic vegetable, rich in protein, fiber, vitamins, calcium, iron, trace elements and even phytoncides. The content of calcium and magnesium is sufficient to balance the functioning of the nervous system, ensure the normal regulation of the child's sleep and wake cycle, and good stress resistance. A child with such nutrition becomes calmer, less excited and naughty.
Broccoli is the leader in choline and methionine content. Only 50 g of broccoli provides the baby with a full set of nutrients for a day.
Pumpkin - the largest vegetable on Earth. It is one of the ten most useful vegetables in the diet of children, contains a large amount of useful proteins, fiber and vitamins, including beta-carotene, vitamin C, E, K, iron, potassium, magnesium, trace elements that are indispensable for children's nutrition, as they strengthen immunity and help fight inflammation, have a beneficial effect on the nervous system. By the content of carotene, pumpkin exceeds carrots by 5 times.
Vitamins and microelements contained in pumpkin help the child grow, provide healthy sleep, are responsible for the condition of the skin and eyes, improve metabolic processes, and accelerate the removal of harmful substances from the child's body. Due to its beneficial qualities, pumpkin can be one of the first types of complementary foods for an infant.
All vegetable purees have a specific vegetable smell, this is absolutely normal
Introduction of vegetable puree
Vegetables should be introduced into the child's menu gradually. Start giving each new vegetable in the form of a monocomponent puree in the amount of ½ teaspoon, preferably at breakfast, so you can track the manifestations of food allergies or intolerance reactions to this product. If all is well, then the next day, offer him a teaspoon. So gradually you need to bring the portion to 50-100 grams. A serving of vegetable puree per day for an 8-month-old baby is approximately 80 grams. In a year, you can increase up to 150 grams. The next product can be administered no earlier than 4-5 days later. If a child has skin rashes, his stool has changed, then you need to remove the product from the diet and consult a pediatrician.
If the child does not like the dish, for example, broccoli, do not give up and continue to offer this vegetable in small quantities - 1-2 spoons a day, maybe not even once, but 2-3 times before meals, and after 7 - 10, and sometimes 15 days, the baby will get used to the new taste. This diversifies the diet, will help form the right taste habits in the child.
Fruit puree introduction
Fruit puree is a definite alternative and addition to vegetables. It can be made from apples, bananas - by the way, do you know what a berry is?, sweet varieties of pears. These fruits contain substances useful for babies, vitamins and minerals, including iron, which is extremely necessary for children. Prune puree is somewhat separate, it has a good effect on the baby's digestion, especially with a tendency to constipation, and, of course, also contains many useful substances.
Porridges in the nutrition of a child in the first year of life.
Porridge can be introduced into the baby's diet at the end of 4 months or at the fifth, sixth month of life. As a rule, they go as a second food after vegetable or fruit puree. But if your child is not gaining weight very well, or you have been feeding your child with breast milk or infant formula until almost the end of 6 months, then complementary foods can be started with the introduction of cereals.
It is important to start with one-component, low-allergenic cereals which does not contain gluten : this is buckwheat, rice, corn porridge .
gluten-containing cereals include: wheat, oats, rye, barley, millet .
According to modern data , the period of introduction of gluten into the child's diet is not of fundamental importance, but the latest recommendations draw attention to the fact that its amount in the baby's diet should not be large. Therefore, it is better to add semolina and oatmeal to other porridge in a limited amount, and not to give it on its own. No relationship was found between the timing of the start of complementary foods that contain gluten and the development of celiac disease in a child. If your child hasn't tried porridge yet, start with a dairy-free, gluten-free, one-ingredient buckwheat or rice porridge.
Rice - very useful for growing baby. It has a low content of vegetable proteins, therefore it is easily digested and is especially useful for toddlers with unstable stools. Rice has a high nutritional value and, to a certain extent, protects the delicate intestines of the baby due to its enveloping effect. This is a hearty and nutritious dish with a good content of carbohydrates and proteins, potassium and magnesium, calcium and phosphorus, beneficial amino acids and vitamins. It replenishes energy costs, energizes and gives strength. Rice is not recommended for overweight children and those who suffer from severe constipation.
Gluten-free buckwheat porridge - very nutritious and rich in iron, fiber, rich in various vitamins and microelements. This is also a good option for starting a child's acquaintance with adult food. These porridges can be prepared with water, breast milk, milk formula, which your child is used to. No need to add salt and sugar.
Rules for introducing porridge into baby food
If the child already eats porridge from 5 months, then at 6 months you can offer a more complex porridge - for example, rice porridge with apricot or raspberries, rice porridge with banana (this is very successful a combination both in taste and in its properties) or even more complex porridge - corn-rice with banana.
Over time, you can start adding apple, banana, pear, plum and prunes, apricot and dried apricots, broccoli, carrots, berries to porridge, , provided that the child is not allergic to them.
The rules for introducing cereals are the same as for vegetable puree. In order for the child to get used to the new product and its consistency more easily, first prepare 5% porridge (5 g of cereal per 100 g of water), if you make it yourself. Porridge is usually cooked with water, but can be made with breast milk, infant formula. First, give the baby one teaspoon, then, within 7-10 days, bring the volume of porridge of the same percentage to the full volume of feeding (150 g). If all this time the porridge is well tolerated, i.e. there are no skin rashes, the child has stable stools, they switch to a gradual (starting from 20-30 g) introduction of porridge of the same cereal, but already at a 10% concentration (10 g of cereal per 100 g of water). In other words, a thicker porridge is administered no earlier than 7-10 days from the beginning of the introduction of porridge. The complete introduction of 10% porridge to the baby is also carried out in 7-10 days. The third week falls on the complete addiction of the child to a new dish. Only after that you can introduce a new cereal (in the form of 10% porridge) or the next complementary foods.
Video: feeding porridge
You need to give porridge from a spoon, better in the morning for breakfast. After porridge at the stage of its introduction, the child should be offered breast or milk formula. With artificial feeding, the volume of the mixture after a portion of porridge should be such that, together with porridge, it is 200 ml with five meals a day.
Norms for the introduction of cereals
In the future, the volume of the portion of porridge gradually increases, amounting to:
- 7-8 months - 160-170 ml
- 8-9 months - 170-180 ml
- 9-12 months - up to 200 ml (there is a complete replacement of one feeding of the child with complementary foods. )
- Day 1 – 1 teaspoon (5 g)
- Day 2 - 2 teaspoons (10 g)
- Day 3 - 3 teaspoons (15 g)
- Day 4 - 4 teaspoons (20 g)
- Day 5 - 50 ml (50 g)
- Day 6 - 100 ml (100 g)
- Day 7 - 150 ml (150 g)
Meat complementary foods - the rules for introducing meat into the child's diet
Meat is usually the third, very important product of complementary foods, after vegetables and cereals. The meat contains amino acids, complete animal protein, B vitamins (B1, B2, B6 and B12), heme iron, potassium, calcium, zinc, phosphorus, which are necessary for the growth and development of the child. It is very important to understand that mashed meat contains iron, which is easily absorbed. And the addition of meat to vegetables improves the absorption of iron from them, from vegetables.
Iron deficiency can seriously affect the intellectual development of a child, his immunity, hematopoiesis. Since your task is to raise a healthy and intelligent child, meat complementary foods must be introduced without fail and in a timely manner.
Heme iron - found in meat products and easily digestible (red meat-veal, liver), absorption is about 25%.
Non-heme iron - found in plant foods (beans, beans, lentils, peas, nuts, tomatoes, cauliflower, green leafy vegetables, apples, dried fruits, but it is absorbed much worse from plants - only 3-5% Iron absorption from other animal products (eggs, fish) is 10-15%.0013
It is important to know that human milk enhances , while cow's milk reduces iron absorption .
Timing of the introduction of meat complementary foods
It is advisable to introduce meat puree to a child aged 6-8 months . This, to some extent, depends on when cereals and vegetable/fruit purees were introduced. if your baby has been eating vegetables and cereals since 4 months, meat can be introduced at 6 months. From 7 months it can be administered if the child is not gaining weight. From 8 months to children who started complementary foods at 6 months.
For children at risk for the development of anemia, an earlier introduction of meat at the age of 5 - 6 months is recommended.
It has been proven that only daily use of children's enriched porridge and meat puree can fully meet the needs of children in iron, zinc and other micronutrients.
You can start meat complementary foods with lean beef, veal , but better with less allergenic poultry meat ( turkey, chicken ), or rabbit, these are the most easily digestible meats.
Goose and pork are fatty for the baby, and the meat of duck and other birds of the reservoirs is also not suitable for the first feeding. They are recommended to give only after 3 years;
Horse Meat is perfect for your little one. The product is rich in carbohydrates and proteins, but it is almost impossible to find horse meat for sale.
Meat should be introduced into the child's diet gradually, at lunchtime, first a quarter of a teaspoon and, gradually adding, bring it to the daily norm: At 8 months, about 50 g, at 9months-60-70 g.
Video: Power feeding meat
Scheme for the introduction of puree
- 1 day ¼ of the vegetables
- Day 2 - ½ teaspoon
- Day 3 - 1 teaspoon
- Day 4 - 2 teaspoons
- Day 5 - 3 teaspoons
- Day 6 3-4 teaspoons + vegetables
At first, it is better to give meat with vegetable puree, which the child has already eaten, so that he adapts better to the new product, and iron is better absorbed. Children at the end of the first year of life can already be given 3 varieties of mashed meat.
Baby menu at 7-8 months
At 7-8 months you can start giving children 0 baby cottage cheese 9000 Start with 1/2 teaspoon. Within a month, the daily volume of cottage cheese consumption by a baby can be increased to 30-40 g. In addition, a child of 8 months is recommended to give sour-milk infant formula. But ordinary yogurt from the store should not be given. At this age, the child should receive 5 g of butter and 5 g (1 teaspoon) of vegetable oil, ¼- yolk - 2-3 times a week.
Baby's menu at 9 months
At the age of 9 months Your baby is already familiar at this age already usually familiar: , egg yolk . You may have already met meat . Therefore, at this age, they usually give already more complex purees and porridges, less homogenized, of various tastes , gradually preparing him for adult nutrition, increasing the variety and quantity of complementary foods. It is desirable to feed the baby at the table with other family members, he must see how his parents eat with pleasure, he learns from them. The amount of food offered should be based on the principles of actively encouraging the baby to eat, it is necessary to continue to gradually change the consistency and increase the variety of complementary foods, adhering to the recommended frequency of introducing complementary foods.
At this age, the child usually gets complementary foods 3 times a day . His diet depends on the age of the start of complementary foods. If the baby began to give new food at 4-5 months, the list of allowed foods will be much wider than if this happened at 6-7 months. Therefore, all this is very individual, there are no absolutely rigid frameworks and recommendations. On the Internet you will find a lot of different advice on baby food, if you are not sure about something, it is better to consult your pediatrician.
From vegetables the baby can be given what he ate before, mixing them: pumpkin, zucchini, cauliflower, broccoli, carrots and others, adding 1 tsp. vegetable oil . If the baby does not have skin reactions, then you can give beets . It is also possible to give two-, three-component vegetable purees and soups , but only on condition that he is already familiar with these products and he has not had a reaction to them.
If you have introduced complementary foods, then you need to remember that water is an important part of baby food. You can use purified water or special water for children .
In addition, at 9 months you can give special baby wheat cookies , which the baby will be happy to eat on his own as an adult, white wheat bread, this improves hand motility, improves eating skills, but at the same time he must be supervised.
At this age, you can start giving fish puree from low-fat varieties: river perch, pollock, hake, haddock, zander, pollock - start with ½ teaspoon, bringing up to 40-50 g , give at lunchtime instead of mashed meat, 1-2 times a week. But a number of pediatricians do not advise giving it up to a year, it is a useful, but highly allergenic product.
Baby menu at 10 months
B 10 months usually 2 times a day the child receives mother's breast or special milk formulas . Various porridges : buckwheat, rice, corn, oatmeal, wheat, semolina porridge . add 5-10 g of butter to cereals. At this age, it is already possible to make complex cereals from 2-3 cereals with which the child is familiar, add various fruits, vegetables: apple, banana, pear, plum and prunes, apricot and dried apricots, broccoli, carrots, berries , provided that the child is not allergic to them, or use ready-made cereals with fruit.
From vegetables the baby can be given what he ate earlier, mixing them: pumpkin, zucchini, cauliflower, broccoli, carrots, beets and others, adding 1 tsp. vegetable oil . It is also already possible to give two-, three-component vegetable purees and soups, but only on condition that he is already familiar with these products and he did not have a reaction to them.
At this age, the baby already usually eats about 40-50 g of baby meat puree from chicken, turkey, rabbit , with good tolerance to cow's milk proteins from veal or beef. If he has been eating meat for a month or more, you can start giving him two-component meat purees , for example from chicken and turkey.
At this age, fish puree from low-fat varieties is usually started: river perch, pollock, hake, haddock, pike perch, pollock with ½ teaspoon, bringing to 40-50 g, following the child's reaction, it is better to give at lunchtime instead of mashed meat, 1-2 times a week .
At 10 months, children's cottage cheese should be given 2 times a week. Start with 1/2 teaspoon if you have not given it before, the daily amount of cottage cheese at this age is 40-50 g .
It is recommended to give special sour-milk baby formulas.
At this age, a child can receive 5-10 g of butter and 5 g (1 teaspoon) of vegetable oil, and 2-3 times a week½ - yolk .
Child's menu at 1 year old
The child is one year old. He has already grown up, he already has 6-10 teeth, with which he gnaws everything he sees, he is interested in chewing food, his digestive enzymes already work well and he has already become acquainted with various products: vegetable and fruit purees, various cereal cereals, meat and fish, sour-milk mixtures. In fact, he is already prepared for the transition to a more adult diet. In a year, changing the diet involves turning to new products and gradually changing the way they are prepared and the degree of grinding.
You need to eat 5 times a day with an interval 3.5-4 hours .
semi-liquid dishes should still remain the basis of nutrition, but not only mashed dishes, but also containing small pieces of food . Too dry food should not be given to the baby yet, as he may have difficulty swallowing.
In the year the child already tries to eat with his hands and he should be encouraged to do so. Finely chopped, soft foods can be given eg: small pieces of soft fruit, vegetables, cheese, well-cooked meat, pasta , etc. and foods that dissolve quickly, children's biscuits, children's crispbread - as food with the help of hands.
It is necessary to avoid products that can enter the respiratory tract and cause asphyxia - sausages and other hard meat products , nuts (especially peanuts), grapes, raisins, raw carrots, popcorn, round candies . Hold off on this for now.
In a year, part of the children are without mother's milk. But if your baby is still not weaned - do not rush, if possible, give him a breast before bed at night. You can also breastfeed between main meals. At this age, the child receives all the main vitamins and minerals from food, but he can get a number of biologically active components from breast milk.
Dairy products still occupy an important place in the child's diet, it is a source of calcium, B vitamins, protein, milk sugar and fat. It is better to use special baby milk (marked with a triple on the packaging), baby fermented milk products: kefir, yogurt in total 500-600 ml per day .
The child should be given cottage cheese. The daily dose of cottage cheese after 1 year can be increased up to 70 g per day . It can be given pureed or combined with fruit puree, pudding, casserole. This contributes to the development of chewing skills.
Butter can be added to cereals or smeared on wheat bread, cookies in a dose of up to 12 g per day.
Low fat sour cream and cream
After 1 year, you can give low-fat sour cream and cream in small amounts.
Every year a child must be given various vegetables, it is good to combine them with protein products, meat . The vegetable diet can now be diversified with green peas, tomatoes, turnips, beets, carrots, spinach in the form of mashed potatoes. Legumes are still better not to give.
Fruits and berries
After 1 year, you can gradually introduce the baby to new fruits and berries: strawberries, cherries, cherries, kiwi, currants, gooseberries, chokeberries, sea buckthorn, raspberries, blackberries, cranberries, blueberries, lingonberries and even citrus fruits . But do it gradually, watching the reaction of the child. Berries with a dense peel (gooseberries) are best mashed, while soft juicy fruits (peaches, strawberries, apricots, kiwi) can be offered to the baby in pieces.
Daily dose of fruits - approx.
Meat products can be given in the form of steam cutlets, meatballs, meatballs, meat souffle and pudding in an amount up to 100 g daily - beef, veal, lean pork, rabbit, turkey, chicken.
Fish can be given once or twice a week for 30-40 g per meal as a substitute for meat dishes
Chicken, quail eggs give boiled or in the form of omelettes in milk, you can try with vegetables.
Porridge can be cooked from rice, oatmeal, buckwheat, corn, millet, semolina. At this age, they should still have a uniform consistency, so it will be easier for him to swallow. You can use ready-made industrial, children's instant cereals, for example, various multi-cereal cereals, in which fruits, crackers, cereals have already been added. Give 1 time per day.
Be sure to give the child clean water to drink, better bottled water for children, as much as he wants . In addition to her baby can drink vegetable and fruit juices, dairy products, compotes, weak tea.
No need to give:
no need to give confectionery and sweets to a child 0005 . From sweets at this age, you can sometimes give marmalade, dried fruits and cookies.
Do not give sausages and sausages , they are rarely prepared from high quality meats and are rich in various food additives
Calorie content and volume
0003 1200 ml .
Table for complementary foods by month: Download
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COMPLETE FOOD: TO GROW BABY HEALTHY. PEDIATRIC ADVICE
Doctor, when is the best time to introduce complementary foods? What are the dangers of introducing complementary foods too early or too late?
In fact, there are no universal recommendations regarding the introduction of complementary foods, - says Solomiya Maksimchuk, - because each baby has its own characteristics, so the approach should be individual. Therefore, answering the first question - when it is advisable to introduce complementary foods, I cannot name a specific figure, because in fact, complementary foods are introduced at 3 months, and at 4, and at 6, and at 8 - depending on the indications. In my medical practice, there were children who were one year old, and no matter how we tried to introduce complementary foods, everything was in vain - the kids did not show any food interest, especially those who were breastfed. They had a good weight gain, psychomotor development, but they did not show food interest, and this is not very good, because the children did not form and did not prepare the gastrointestinal tract for the perception of other foods. What, then, can be advised to a mother who is faced with this problem? In this case, I am more guided not by my professional experience, but by the experience of the mother, understanding how difficult it is to force a child to eat if he does not want to.
In which case is it advisable to introduce complementary foods earlier, in which case - adhering to standard norms?
In the case of breastfeeding (if the baby is completely healthy), I start talking about it when the baby is 6 months old. With artificial feeding, we are talking about the introduction of complementary foods when the baby is 4 months old. Some mothers are of the opinion that breast milk contains all the necessary micronutrients, so you should not rush to complementary foods. Of course, this is true - if the mother adheres to the right diet, she eats fully. But in fact, complementary foods help prepare the baby’s herbal system - the child learns different tastes, because it’s no secret that when a baby receives only breast milk, some digestive juices are released, and in the case of complementary foods, completely different ones, therefore, introducing complementary foods, we gradually prepare an enzymatic system.
Which foods are the first to be introduced into complementary foods, because there are different views on this issue - someone advises fermented milk products, someone vegetable purees or juice?
It all depends on the specific situation. If complementary foods are introduced at 3 months, indications are necessary for this - these are digestive disorders of the baby, the child's tendency to constipation. In this case, I recommend giving fermented milk products to the child at the first stage of the introduction of complementary foods. For children who are bottle-fed and have digestive problems, I recommend fermented milk mixtures (horses are considered the first complementary foods). If we are talking about a completely healthy child, first of all, I advise you to introduce vegetable puree - it is easily digested by the children's gastrointestinal tract. Usually, this is a puree of zucchini, broccoli, cauliflower, parsnips, parsley, white carrots, potatoes. Unfortunately, in our area there is not a wide variety of products. This should be taken into account by pediatricians, advising the mother what to choose at the beginning of complementary foods in winter, because if we advise zucchini in February, will we find it on the shelves, and if so, will this exotic product benefit the baby?
The first complementary foods start with a small amount - a teaspoon per day. Prepare, for example, zucchini puree. We give the baby half a teaspoon of puree once a day - at lunchtime, and every next day we increase the amount of the product. On average, in 14 days it is possible to increase the amount of complementary foods to 50-70 grams - it all depends on how the child perceives the new food. When a child eats more - up to 100 grams of vegetables, we can diversify the menu - add boiled broccoli or cauliflower to the zucchini. When a child eats mostly 2-3 vegetables, we can introduce the next complementary foods (mashed potatoes based on several vegetables are considered one complementary food). The next step is the introduction of fruit puree. Provided that the child responds well to the first complementary foods, after 3 weeks, vegetable complementary foods in the amount of 100 grams can be introduced. And then at 6.5-7 months you can introduce fruits - apples of green or yellow varieties in a baked form.
At the same time, add a certain amount of fat - olive or sunflower oil - to the prepared vegetable mixture. After the introduction of vegetables and fruits, depending on the age, we introduce the yolk or meat. Regarding when it is worth introducing fruit juices - at one time pediatricians focused considerable attention on this. Today, if a child is breastfed, we do not insist on a drinking regimen or suggest adding water or herbal decoctions from chamomile, dill, fennel to drinking. Fruit juices must be administered concurrently when the child consumes a certain amount of fruit. It can be apple juice - by no means multivitamin or citrus.
What should I do if my baby does not like a certain food?
If a rash appears on the baby’s skin, the baby is worried about intestinal disorders, anxiety associated with abdominal pain, or if there is a tendency to constipation-diarrhea due to the introduction of a certain product, we leave in the diet products of all previous stages of complementary feeding, but the one that provoked disorders, cancel. If it is difficult for the mother to understand which particular product caused the disorders, it is necessary to return to the initial level for a certain time - breastfeeding, which at the same time will encourage the mother to adhere to a hypoallergenic diet or a balanced diet. If the baby is on artificial feeding, it is necessary to return to the use of the mixture, without complementary foods. Then, at a slightly more intense pace, you need to take the same steps to introduce complementary foods as before, carefully observing the reaction of the baby.
At what stages of complementary feeding do we introduce cereals, meat, fish, egg yolk? What foods do we start introducing when teeth are erupting in a baby?
After vegetables and fruits, we introduce the yolk into complementary foods, then meat or cereals, followed by sour-milk complementary foods. However, I want to note that the presence of teeth has nothing to do with the introduction of complementary foods, because in fact, children do not chew for a long time. The purpose of complementary foods and the task of the child is to be able to form a food lump in the oral cavity. Then, when the baby swallows liquid food, he hardly retains it in his mouth. And complementary foods make it possible to retain food, enveloping it with saliva and then swallowing it in small portions. In some babies, teething happens even a year, but they have complete complementary foods.
Regarding the timing of complementary foods - meat is given to the baby after about 7 months. Rabbit meat, turkey fillet, beef, quail are best suited. I am often asked whether it is possible to give a child chicken meat during the complementary feeding period. If you are sure that the chicken is home grown without the addition of hormones, chicken is also suitable for the baby's diet.
I recommend eating fish after 10 months - in any case, not red varieties (red fish can be given to a child only after two years of life). The best option is white sea fish of low-fat varieties. When introducing cereals into the diet, it must be remembered that they must be adapted by age - it is these cereals that contain the destroyed grain shell, which contains the most harmful carbohydrates, in particular, gluten. Once upon a time, parents ground rice or buckwheat, but because of these products, the baby had problems with digestion, because there was a certain load on his body. At the beginning of complementary foods, it is better to give free-flowing adapted dairy-free cereals - we breed them in water. When the child has taken this complementary food well, we can introduce milk porridge. For children who are breastfed and are underweight after 4 months, there are other recommendations. As a breastfeeding aficionado, my advice is to stimulate a mother's lactation by reviewing her diet. At the same time, it is advisable to introduce dairy-free cereals, since they provide more calories than vegetables. There are also cases when a child is one year old and mothers replace breastfeeding with formula milk from a bottle. In fact, the baby does not need additional nutrients, moreover, there is no need for supplementation or feeding from a bottle - this is a step back.
Were there cases of anemia among children under one year of age? How to prevent this problem?
Although not often, there are cases of anemia in the practice of a pediatrician. Iron deficiency anemia in a baby occurs in the majority in the absence of a child’s nutritional interest, when it is not possible to adequately introduce complementary foods. But it is necessary to take into account the fact that if the child has low hemoglobin, then the mother has it even lower, because the baby receives everything that is possible during lactation. Therefore, first of all, we work with mom's diet. At the same time, we are taking more intensive steps in replacement feeding - introducing red meats, in particular beef, if age permits (at 8-9months), offal: boiled beef tongue, beef, turkey, rabbit liver, apples, buckwheat for children under one year of age.
Up to what age is it best to breastfeed a baby?
When it comes to the formation of immunity, breastfeeding up to 6 months of a child's life is most appropriate, because the baby needs the protection that he receives from his mother. After 6 months of life, the child's immune system independently forms antibodies.