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Feeding a baby solids 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?
– Taylor

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

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

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

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

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

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

How Should I Start Solids?

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

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

Foods that are more likely to cause allergies can be among the foods you introduce to your baby. These include peanuts, eggs, cow’s milk, seafood, nuts, wheat, and soy. Waiting to start these foods does not prevent food allergies. Talk to your doctor if you are concerned about food allergies, especially if any close family members have allergies, food allergies, or allergy-related conditions, like eczema or asthma.

Infants with severe eczema or egg allergies are more likely to have allergies to peanuts. Talk to your doctor about how and when to introduce these foods to your child.

When starting your baby on solids, avoid:

  • foods with added sugars and no-calorie sweeteners
  • high-sodium foods
  • honey, until after the first birthday. It can cause botulism in babies.
  • unpasteurized juice, milk, yogurt, or cheese 
  • regular cow's milk or soy drinks before 12 months instead of breast milk or formula. It’s OK to offer pasteurized yogurt and cheese.
  • foods that may cause choking, such as hot dogs, raw carrots, grapes, popcorn, and nuts

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

Over the next few months, introduce a variety of foods from all the food groups. If your baby doesn't seem to like something, don’t give up. It can take 8 to 10 tries or more before babies learn to like new foods.

Reviewed by: Mary L. Gavin, MD

Date reviewed: February 2021

When Can My Baby Start Eating Solid Foods?

Home | Patients and Families | Health Library | When Can My Baby Start Eating Solid Foods?

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

    The best time to introduce solid foods is when your baby has developed the skills needed to eat. Doctors recommend that breastfeeding moms wait until their baby is 6 months old.

    But sometimes babies are ready for solids sooner than that. How will you know? To eat, babies need good head and neck control and should be able to sit up in a high chair. This usually doesn't happen until they're 4 to 6 months old.

    Also, if you try to feed your son solids before this age, you may notice that he pushes food out of his mouth as quickly as you put it in. Babies start to lose this natural tongue-thrusting reflex at the 4- to 6-month mark, which makes it easier for them to start eating solid foods.

    Other signs that babies are ready to eat solids foods:

    • They're interested in foods. For example, they may watch others eat, reach for food, and open their mouths when food approaches.
    • They have the oral motor skills needed to move food to the throat and swallow it.
    • They usually weigh twice their birth weight, or close to it.

    Wait until your baby is at least 4 months old and shows these signs of readiness before starting solids. Babies who start solid foods before 4 months are at a higher risk for obesity and other problems later on. They also aren't coordinated enough to safely swallow solid foods and may choke on the food or inhale it into their lungs.

    How Should I Start Solids?

    When the time is right, start with a single-grain, iron-fortified baby cereal. Rice cereal has traditionally been the first food for babies, but you can start with any you prefer. Start with 1 or 2 tablespoons of cereal mixed with breast milk, formula, or water.

    Another good first option is an iron-rich puréed meat. Feed your baby with a small baby spoon, and never add cereal to a baby's bottle unless your doctor recommends it.

    At this stage, solids should be fed after a nursing session, not before. That way, your baby fills up on breast milk, which should be your baby's main source of nutrition until age 1.

    When your baby gets the hang of eating the first food, introduce others, such as puréed fruits, vegetables, beans, lentils, or yogurt. Wait a few days between introducing new foods to make sure your baby doesn't have an allergic reaction.

    Experts recommend introducing common food allergens to babies when they're 4–6 months old. This includes babies with a family history of food allergies. In the past, they thought that babies should not get such foods (like eggs, peanuts, and fish) until after the first birthday. But recent studies suggest that waiting that long could make a baby more likely to develop food allergies.

    Offer these foods to your baby as soon as your little one starts eating solids. Make sure they're served in forms that your baby can easily swallow. You can try a small amount of peanut butter mixed into fruit purée or yogurt, for example, or soft scrambled eggs.

    Fruit juices are not recommended for babies. Juice offers no health benefits, even to older babies. Juice can fill them up (leaving little room for more nutritious foods), promote obesity, cause diarrhea, and even put a baby at risk for cavities when teeth start coming in.

Note: All information is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor.
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Rules for the introduction of complementary foods for a child 4 - 12 months: the first complementary foods, menus, diagrams, tables, principles of nutrition for a baby

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

Complementary foods: online course

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

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

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

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

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

The first complementary foods at 4 months

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

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

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

Video: Body in 4 months

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

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

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

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

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

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

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

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

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

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

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Introduction of vegetable puree

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

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

Fruit puree introduction

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

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

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

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

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

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

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

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

Rules for introducing porridge into baby food

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

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

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

Video: feeding porridge

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

Norms for the introduction of cereals

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

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

Cereal schedule

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

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

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

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

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

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

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

Timing of the introduction of meat complementary foods

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

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

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

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

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

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

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

Video: Power feeding meat

Scheme for the introduction of puree

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

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

Baby menu at 7-8 months

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

Baby's menu at 9 months

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


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

Baby menu at 10 months

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


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

Child's menu at 1 year old

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


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

Dairy products

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

Cottage cheese

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

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

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

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

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

Meat products

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

Fish

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

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

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

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

No need to give:

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

Calorie content and volume

0003 1200 ml .

Table for complementary foods by month: Download

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Complementary foods - what is it and how is it eaten?

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Loginevskaya Yana Vladimirovna Pediatrician

24.04.2019

What is weaning and when should we start it? These and many other issues related to child nutrition torment young parents. In the era of the Internet and easy access to information, this information can sometimes become too much.

Let's find out what complementary foods are

Complementary foods is the introduction into the diet of a healthy child at a certain age of any food products, home or industrially prepared, that supplement breast milk or food that imitates it, and contribute to the gradual transfer of the child to the general table. As a rule, complementary foods are thicker in consistency than the child's previous food. If the child has any health problems, the introduction of complementary foods may have its own characteristics.

The purpose of complementary foods in the first year of life is to introduce the baby to foods other than breast milk/or formula. Timely teach to swallow and chew solid food. And also to avoid deficiency of energy and micronutrients, and vitamins.

In the literature and other sources, you can find such names as "pediatric" and "pedagogical" complementary foods?

Pediatric Complementary Food , as its name implies, is a classic complementary feeding regimen recommended by the pediatrician at the appointment. Schemes in which there is a gradual replacement of breast milk / formula feeding with cereals, fruit / vegetable purees and other types of products.

Pedagogical complementary food - "Pedagogical" means that first of all the child is taught - they are taught to eat, the correct behavior at the table, they teach that food is joy and pleasure, they show new tastes. The essence of pedagogical complementary foods is that the child’s nutrition begins with “microdoses” (grains of food) that the child receives from his mother’s plate, nothing is puréed or blended, or even warmed up. Nutrition of the child - together with the family, how much he will eat, he will eat so much. Nothing is specially prepared, the family is invited to switch to a healthy diet. The disadvantage of this type of complementary foods is that the child, starting with “micro doses”, does not adequately increase the volume of complementary foods, which can lead to malnutrition of the child at an older age.

In my article, I will rely on modern research and recommendations primarily from the WHO (World Health Organization) and the National Program for Optimizing Feeding in Children in the First Year of Life in the Russian Federation.

What are the requirements for complementary foods:

  1. Complementary foods must be timely, introduced at the moment when the child's energy and nutrient requirements exceed what can be provided through breastfeeding (or formula).
  2. Complementary foods should be adequate, that is, with enough energy, protein and micronutrients to meet the nutritional needs of a growing child.
  3. Safe - Store or prepare hygienically and feed with clean hands using clean utensils - spoons, plates, not bottles or teats.
  4. Properly Administered - The child is fed according to the hunger signals, and the frequency of meals and methods of feeding should be appropriate for the child's age.

When do we introduce complementary foods

The optimal age for the introduction of complementary foods is 6 months.

If the child is premature, then the timing of the introduction of complementary foods is delayed by as much as this child was born earlier (that is, if the child was born not at 40 weeks, but, for example, at 36, we have the right to postpone the introduction of complementary foods for 4 weeks, but if we see that at 6 months the child is already quite ready for the introduction of complementary foods, then you can start as early as 6 months). It is advisable to postpone the introduction of complementary foods for no more than 2 months. Try to start the introduction of complementary foods no later than 8 months of the child.

Up to 6 months, breastfeeding fully covers the energy needs of the child. Around 6 months of age, a baby's energy requirements increase dramatically, so it is necessary to add something to his diet in addition to liquid food. Breast milk in terms of its energy value contains 67-68 kcal / 100g, the mixture has approximately the same figures. Breast milk remains a valuable energy product for children not only in the first year of life, but also after a year. At the same time, it should be taken into account that the volume of the child's stomach by 6 months is about 200 ml, so the food introduced to the child must be thicker than formula or breast milk, otherwise we will still not be able to meet the energy needs of the body. The optimal calorie content of complementary foods should be at least 100 kcal / 100 g.

Liquid food and liquid quickly fill the stomach. To fill the energy deficit, it is necessary to introduce foods with a higher energy value than breast milk or formula.

WHO ways to increase calories:

  • cook with less liquid

  • Replace part of the water for cooking with breast milk or a mixture (it must be borne in mind that breast milk contains enzymes (lipase) - which begin the digestion and breakdown of food even before it enters the child's body, so instant cereals, when breast milk is added, immediately become liquid, but their energy value is not lost.

What do we focus on when introducing complementary foods:

The main criterion is the readiness of the child to introduce complementary foods - the child shows interest in food, the so-called food interest - he is interested in what his mother eats, actively reaches for food from his parents' plate, wants to taste it.

Indirect criteria

  • Child's age about 6 months
  • Decreased ejection reflex of solid food (active interest in food never appears until ejection reflex fades)
  • Doubling birth weight (optional item, some babies double their weight before 6 months of age)
  • Child can sit with support
  • The first teeth appear in a child (again, not always)

Principles of maintaining interest in food

  • Parents should remember that in order to form the main criterion for readiness for complementary foods, the child must see how his family eats. The formation of eating habits comes from the family and the immediate environment of the child. If, before 6 months, the child has never seen how mom or dad eats, how they eat at the table and what they eat, he may not have a food interest by 6 months. Food interest begins to gradually form as a skill of tracking the actions of an adult from 3 months of age. That is, somewhere from the age of 3 months the child, if you take him with you to the kitchen (dining room), the child begins to observe the process of eating, and gradually this interest - from the interest of "observation" goes to the "desire" to try just like mom or dad.
  • It is advisable not to feed the baby separately and try to eat with the baby what the baby eats. If you are feeding your child with industrial food (ready-made mashed potatoes in a jar), then try this food with your child. Try to bring the canned food as close as possible to the general view on the table - transfer the puree from the can to a plate, give a spoon. At the age of 8-10 months, the child learns to eat with his hands, so at this age it is advisable that the child has small pieces of food on the plate that he already eats - these can be pieces of boiled potatoes, broccoli, cauliflower, pieces of apple, banana. The pieces should be small, 1 x 1 cm, so that the child can grab them with his fingers. In parallel, the mother can supplement the child from the plate with the main food. The child learns to cope with more solid food, learns to chew, swallow. The sooner the skill of swallowing more solid food is worked out, the easier it is for parents in the future. At the age of 10-12 months, the child's fine motor skills are already improving, he is learning to eat with a spoon (be patient, different children do it in different ways and at different speeds)
  • Be mindful of the child's physical condition - do not introduce new foods when the child is unwell or tired or teething or has undergone some medical procedure such as a vaccination
  • Offer small portions. Some children undereat food because they are initially intimidated by the portion size. Do not insist that the child finishes the portion. Let it be better after some time to ask for another
  • Try to keep the area around the child clean! This initially teaches the child to cleanliness at the table and to a neat diet. Some children are very sensitive to external stimuli - dirty hands, face, clothes can cause them severe discomfort
  • Help the child if you see that the child is "interested" in food, but tired of fighting with it.
  • No games, entertainment or persuasion while eating - in this way you replace food interest with interest in the game. The child will not be able to learn to adequately assess their desires in food. Don't turn food into a show.

Complementary feeding rules:

  • any new product is introduced only to a healthy child. A breastfed baby is given complementary foods up to the breast.

  • the introduction of new foods should not coincide with vaccinations, teething, vacations, or other stress for the child (when stressed, the child may refuse the proposed new product).

  • any new product is introduced in the morning (so parents have time to observe the child, look at his reaction, notice allergic manifestations) If the child has a reaction to a new product, then it is better to write it down, and try to introduce the product again after 5- 10 days. Because this reaction may not be related to the product, but caused by other factors. If the negative reaction is repeated, then the introduction of this product is postponed for 3 months.

  • it is advisable to introduce no more than one new product per day.

  • to get acquainted with the product, the child sometimes needs 10-15 sentences in order for him to start eating it. The reaction of the child in the form of wrinkling, pushing food, curvature of the face does not indicate that the child did not like the food, but only that the new taste is very bright for him and causes a large number of emotions. For children, even neutral tastes can seem very rich, due to the higher sensitivity of the receptors. Therefore, when introductory feeding, it is not recommended to use spices and salt in the preparation of food for the child.

Basic complementary foods

For the first feeding, there are three main types of products: cereals, vegetables and meat.

  • Cereals - Dairy-free porridges are used to start complementary foods. Rice, corn, buckwheat are the first to be introduced - these can be special “instant” baby cereals (we carefully study the composition, make sure that there are no additives, sweeteners, flavor enhancers, vitamins), instant cereals are well suited to start complementary foods, at 6-7 months, in the future you can switch to ordinary "adult" cereals, you can grind ready-made buckwheat or rice with a blender or fork; instant porridges in the form of flakes are also good. Then the rest of the cereals (oatmeal, rye, millet) are introduced. With an allergic burden in the family, the introduction of milk porridges earlier than 12 months is not recommended.

  • Vegetables – first we introduce green/white vegetables (zucchini, cucumber, broccoli, kohlrabi, cabbage and cauliflower), then legumes, colored vegetables (carrots, pumpkin, beets, tomato)

  • Meat - the beginning of complementary foods with the most easily digestible and hypoallergenic meats - rabbit, turkey, then veal, beef, pork, lamb. Children with an allergy to cow's milk protein start complementary foods first with pork, then they introduce beef. Children with allergies are also trying to limit the introduction of chicken into the diet, as it is a highly allergenic product. Lamb is introduced to children no earlier than 10 months. Poultry meat - duck, goose - contains refractory fats and is not recommended for introduction into the diet of babies under 3 years of age.

  • Fruit and dairy products are not considered essential complementary foods. Can be given for table variety. If the mother wants to give fruits, berries and juices to the child, it is better to use them as a flavoring additive to the main complementary foods or even postpone the introduction to an older age. In children with an allergic tendency, it is recommended not to introduce dairy products up to a year. You have to be careful with berries and fruits. It is best to start complementary foods with seasonal fruits and berries; the least and least likely to cause allergies are currants, blueberries, apples, pears, plums. Allergic reactions often occur on strawberries, bananas, citrus fruits.

  • Fish and seafood. Not a staple complementary food. But fish, like meat, is a source of protein, rich in polyunsaturated fatty acids, as well as minerals and vitamins. It is recommended to introduce fish no earlier than 9-10 months. Again, if the child is allergic, it is advisable to refrain from introducing fish products up to 1 year. We begin to introduce complementary foods with low-fat white varieties of fish in the form of mashed potatoes - ice fish, hake, cod, haddock, pollock, navaga, pike perch, sea bass, dorado.

  • Egg . A product that is rich in many different micro and macro elements, vitamins. However, the egg has a very high allergenicity (included in the very big eight allergens). Considering that a quarter (5-6 g) or half (10-12 g) of the yolk, which are recommended to be administered, contains very few nutrients and energy, it is easier not to give this product than to risk allergic reactions in a child.

  • Whole nuts, peanuts should not be present in a child's diet until at least three years of age. In a number of countries, communities, families, where, for example, peanuts are common as a staple food, they can be used as an additive to complementary foods in a pureed state. Nuts are included in the big eight allergens and are not recommended for introduction into complementary foods for children with allergies up to three years of age.

  • Water . After the introduction of complementary foods, children can begin to offer water as a drink. First as an introduction, later as an additional source of fluid, while reducing the volume of breast milk (mixture). It should be pure water without any additives. It is important to remember that breastfed babies may go without water for quite a long time, due to the fact that they receive enough liquid from breast milk.

  • Tea . The World Health Organization does not recommend including tea in the diet of children under 2 years of age. Why? First of all, because of the tannins that are present in tea and can help reduce the absorption of trace elements, including iron and cause anemia. Tea also contains caffeine (it is found in a state associated with tannins and is more often called theine), which can cause excessive stimulating effect on the fragile nervous system of the child., It can also lead to increased heart rate, increased peristalsis of the stomach, increased body temperature - all this can adversely affect the general condition of the child.

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