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Feeding amounts for babies by age


Feeding Guide for the First Year

Feeding Guide for the First Year | Johns Hopkins Medicine

Reviewed By:

Tiffani Hays, M.S., R.D., L.N., Director of the Pediatric Clinical Nutrition Education & Practice

Making appropriate food choices for your baby during the first year of life is very important. More growth occurs during the first year than at any other time. It’s important to feed your baby a variety of healthy foods at the proper time. Starting good eating habits at this early stage will help set healthy eating patterns for life.

Recommended Feeding Guide for the First Year

Breast milk and formula are designed to be the primary sources of nutrition throughout an infant’s first year of life. You should talk with your baby’s health care provider before starting solid foods. Solid foods should not begin before age 4 months because:

  • Breast milk or formula provide your baby with all the nutrients that are needed.
  • Your baby isn’t physically developed enough to eat solid food from a spoon.
  • Feeding your baby solid food too early may result in poor feeding experiences and increased weight gain in both infancy and early childhood.

The American Academy of Pediatrics (AAP) recommends that all infants, children and adolescents take in enough vitamin D through supplements, formula or cow’s milk to prevent complications from deficiency of this vitamin. In November 2008, the AAP updated its recommendations for daily intake of vitamin D for infants, children, and adolescents who are healthy. It is now recommended that the minimum intake of vitamin D for these groups should be 400 IU per day, beginning soon after birth. Your baby’s health care provider can recommend the proper type and amount of vitamin D supplement.

Guide for Breast-feeding (Zero to 12 Months)

  • In the early days after a baby’s birth, the mother should plan to breast-feed every two to three hours, including overnight. The mother should respond to the infant’s cues of hunger in a prompt and relaxed manner, providing a quiet and comfortable environment for both herself and the baby. Frustrated or distracted infants may have difficulties latching on.
  • It is normal for infants to wake up overnight to feed for the first several months. If you have any concerns about overnight feeding, please discuss them with your health care provider.
  • Alternate breasts to feed on, and allow the infant to completely empty the breast before switching to the other. This practice ensures the infant receives hindmilk, which is richer in nutrients.
  • Follow your child’s feeding cues and resist forcing a schedule. Instead, rely on keeping track of wet diapers and your child’s growth to judge whether he or she is receiving enough breast milk. A mother’s milk changes as the infant grows, and feeding habits change as well in order to best meet a child’s needs. If you have any questions about whether your child is receiving enough breast milk, ask your health care provider.
  • When not able to breast-feed, use a breast pump to extract milk and maintain milk supply. Pumped breast milk should be stored safely, using appropriate temperature guidelines. Pumped breast milk may be offered to infants in bottles, while responding to the same feeding cues to determine how much they take. Forcing bottles to be emptied may result in overfeeding and excess weight gain, even when feeding breast milk.
  • With the proper support, a mother can meet the needs of most infants, even twins, so seek out help from your health care provider or lactation consultant for success.

Guide for Formula Feeding (Zero to 12 Months)

  • When breast milk is not available, standard infant formula is an appropriate alternative for most healthy full term infants, but there are some differences between brands. Do not hesitate to ask your health care provider for a recommendation if you are unsure which formula to use.
  • Bottle-feeding should be interactive, with the caregiver holding both the bottle and the infant. Propping a bottle has been linked to an increased risk of ear infections and tooth decay.
  • Formula feeding should be in response to the infant’s needs and not based on a predetermined schedule. Look for cues of hunger and fullness to determine both when to feed and how much. The number of wet diapers per day and your child’s growth will reflect if he or she is getting enough formula. The chart below demonstrates common intakes for infants at various stages. However, ask your health care provider if you have any questions about how much formula your infant is taking.
  • The amount of formula an infant takes will decrease as the baby increases intake of solid foods, but formula remains a significant source of calories, protein, calcium and vitamin D for the first year of life.
  • Ask your health care provider before switching an infant less than 1 year of age from formula to cow’s milk or a cow’s milk alternative.

Age Amount of formula per feeding Number of feedings per 24 hours
1 month 2 to 4 ounces six to eight
2 months 5 to 6 ounces five to six
3 to 5 months 6 to 7 ounces five to six

Complementary Feedings (After 6 Months of Age)

Beverages

  • Offer only breast milk or formula in bottles until 1 year of age unless specifically advised by your health care provider.
  • Begin offering breast milk and/or formula in a cup starting at 6 months of age. Infants should drink breast milk and/or formula for the first year of life.
    • Fruit juice is not recommended under 1 year of age.
    • When introducing juice, offer 100% pasteurized juice and limit it to 4–6 ounces per day. Do NOT place juice in a bottle.
    • Avoid giving any sugar-sweetened beverages to infants.

Solid Foods

  • Introduce solid foods when your infant is ready, at around 6 months of age depending on the infant’s development. Infants are ready to start eating solid foods when they can:
    • sit up on their own or with a little support
    • reach for and put things in their mouth
    • open their mouth when seeing something coming
    • keep food in their mouth rather than pushing it out onto the chin
    • move food to the back of their mouth with their tongue
    • turn their head away when they do not want something
  • Prepare to introduce solid foods in a calm feeding environment where the infant is sitting upright and is appropriately supported and moderately hungry.
  • Start with small amounts of solid food, feeding with a spoon or allowing finger feeding, then gradually increase the amount as the infant eats more and develops. Avoid offering breast milk or formula until after the solid-food experience has wound down.
  • Expose infants to a wide variety of flavors and textures of healthy food. Don’t limit your baby’s food choices to the ones you like. Offering a range of foods early will pave the way for healthy eating habits.
  • Maintain the division of responsibility when feeding.
    • The caregiver is responsible for what to eat (offering appropriate variety and textures).
    • The child is responsible for deciding whether to eat and how much.
  • Avoid adding salt or sugar to make baby foods more appealing. Many babies and toddlers need to experience a new food multiple times before accepting it, and increased intakes of salt and sugar among children are associated with obesity in adults.
  • Observe infants for any signs of intolerance when introducing a new food or texture, and discuss all concerns with your health care provider.
  • Although convenient and safe, commercial baby foods are not required. Young children are more likely to eat foods they see others eating, so as long as they are observed to see how they handle new food in their mouths, baby-led weaning using table foods is an appropriate way to introduce solids.
  • Avoid honey in any form during your child’s first year, as it can cause infant botulism. Address any concerns about developing food allergies with your health care provider.
  • Don’t restrict fat and cholesterol in the diets of very young children, unless advised by your child’s health care provider. Children need calories, fat and cholesterol for the development of their brains and nervous systems, and for general growth.

Updated on July 26, 2019.

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How Often and How Much Should Your Baby Eat?

By: Sanjeev Jain, MD, FAAP

One of the most common questions new parents have is how often their baby should eat. The best answer is surprisingly simple: in general, babies should be fed whenever they seem hungry.

How do I know when my baby is hungry?

For babies born prematurely or with certain medical conditions, scheduled feedings advised by your pediatrician are best. But for most healthy, full-term infants, parents can look to their baby rather than the clock for hunger cues. This is called feeding on demand, or responsive feeding.

Hunger cues

A hungry baby often will cry. But it's best to watch for hunger cues before the baby starts crying, which is a late sign of hunger and can make it hard for them to settle down and eat.

Some other typical hunger cues in babies:

  • Licking lips

  • Sticking tongue out

  • Rooting (moving jaw and mouth or head in search of breast)

  • Putting his/her hand to mouth repeatedly

  • Opening her mouth

  • Fussiness

  • Sucking on everything around

It is important to realize, however, that every time your baby cries or sucks it is not necessarily because he or she is hungry. Babies suck not only for hunger, but also for comfort; it can be hard at first for parents to tell the difference. Sometimes, your baby just needs to be cuddled or changed.

General guidelines for baby feeding

It is important to remember all babies are different―some like to snack more often, and others drink more at one time and go longer between feedings. However, most babies will drink more and go longer between feedings as they get bigger and their tummies can hold more milk:

  • Most newborns eat every 2 to 3 hours, or 8 to 12 times every 24 hours. Babies might only take in half ounce per feeding for the first day or two of life, but after that will usually drink 1 to 2 ounces at each feeding. This amount increases to 2 to 3 ounces by 2 weeks of age.

  • At about 2 months of age, babies usually take 4 to 5 ounces per feeding every 3 to 4 hours.

  • At 4 months, babies usually take 4 to 6 ounces per feeding.

  • At 6 months, babies may be taking up to 8 ounces every 4 to 5 hours.

Most babies will increase the amount of formula they drink by an average of 1 ounce each month before leveling off at about 7 to 8 ounces per feeding. Solid foods should be started at about 6 months old.

Concerns about overfeeding or underfeeding your baby


Too full?

Babies are usually pretty good at eating the right amount, but they can sometimes take in more than they need. Infants who are bottle feeding may be more likely to overfeed, because drinking from a bottle may take less effort than breastfeeding.

Overfed babies can have stomach pains, gas, spit up or vomit and be at higher risk for obesity later in life. It's better to offer less, since you can always give more if your baby wants it. This also gives babies time to realize when they're full.

If you are concerned your baby wants to eat all the time―even when he or she is full―talk with your pediatrician. Pacifiers may be used after feeding to help sooth healthy-weight babies who like to suck for comfort, rather than nutrition. For babies who are breastfed, it's best to wait to offer pacifiers until around 3 to 4 weeks of age, when breastfeeding is well-established.

Trouble gaining weight?

Most babies will double their birth weight by 5 months of age and triple their birth weight by their first birthday. If your baby is having trouble gaining weight, don't wait too long between feeding―even if it means waking your baby. Be sure to talk with your pediatrician about how often and how much to feed your baby.

How do I know if my baby is getting enough to eat?

Daily diapers

A newborn's diaper is a good indicator of whether he or she is getting enough to eat. In the first few days after birth, a baby should have 2 to 3 wet diapers each day. After the first 4 to 5 days, a baby should have at least 5 to 6 wet diapers a day. Stool frequency is more variable and depends whether your baby is breastfed or formula fed.

Growth charts

During regular health check-ups, your pediatrician will check your baby's weight and plot it on a growth chart. Your baby's progress on the growth chart is one way to tell whether or not they are getting enough food. Babies who stay in healthy growth percentile ranges are probably getting a healthy amount of food during feedings.

Remember

Talk with your pediatrician if you have any questions or concerns about your baby getting the right amount to eat.

More information:

  • Making Sure Your Baby is Getting Enough Milk
  • Amount and Schedule of Formula Feedings
  • Is Your Baby Hungry or Full? Responsive Feeding Explained (Video)
  • Remedies for Spitty Babies
  • Ask the Pediatrician: With the baby formula shortage, what should I do if I can't find any?
  • Ask the Pediatrician: How should we feed our baby if we're running low on money?
  • Airplane Choo Choo: A Feeding Guide for Children (National Dairy Council)

About Dr.

Jain:

Sanjeev Jain, MD, FAAP, is a Clinical Associate Professor of General Pediatrics and Adolescent Medicine at the University of Wisconsin School of Medicine and Public Health. Within the American Academy of Pediatrics, he is a member of the Section on International Child Health and the Wisconsin State Chapter.

The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

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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Union of Pediatricians of Russia

Complementary feeding

How to introduce complementary foods correctly is one of the most pressing issues that concern parents.

In the first months of life, the main food for the baby is breast milk or an adapted milk formula, however, as the child grows and develops, this becomes insufficient and it is necessary to think about the introduction of complementary foods.

Your baby is over 4 months old. He has noticeably grown up, become more active, is interested in objects that fall into his field of vision, carefully examines them and reaches for them. The child's emotional reactions have become much richer: he smiles happily at all people, makes various sounds. Perhaps you notice that the child looks into your plate with interest, closely monitors what and how you eat, does this mean that it is time to introduce complementary foods? And where is the best place to start? Let's figure it out!

When should complementary foods be started?

According to the Program for optimizing the feeding of infants in the first year of life in the Russian Federation (2019), the recommended age for the introduction of complementary foods is in the range from 4 to 6 months.

The following points will help determine the readiness of the baby for the introduction of complementary foods:

1. Food interest - you can check its presence as follows: during your meal, give the baby an empty spoon or fork, and if he plays with it, licks it, then there is no food interest yet; but if the child is dissatisfied with the fact that the spoon is empty, food interest has probably appeared. “But how does a child understand that there should be food in a spoon?” Parents often ask. The answer is quite simple: take your baby to the table with you so that he can see how you eat!

2. The child can sit alone or with support. It is unacceptable to feed the child lying down, because he may choke.

3. Extinction of the “pushing out” reflex - when the baby pushes out of the mouth both the offered food and the pacifier, etc.

Why is it not recommended to introduce complementary foods before 4 and after 6 months of life?

Before 4 months of life, the baby is not yet ready to digest food other than breast milk or infant formula. By this age, a number of digestive enzymes mature, a sufficient level of local immunity is formed, which reduces the risk of developing allergic reactions, the child acquires the ability to swallow semi-liquid and thicker food, which is due to the extinction of the “spoon ejection reflex”. The introduction of complementary foods after 6 months can cause a pronounced deficiency of micronutrients (iron, zinc, etc. ) and lead to a delay in the formation of chewing skills for thick foods. Too late the introduction of a variety of products increases the risk of allergic reactions. Remember that the timing of the introduction of complementary foods is set individually, taking into account the readiness of the child to accept new foods.

Complementary feeding guidelines:

1. introduce a new product in the first half of the day to track possible reactions to it;

2. cereals, vegetable / fruit / meat purees should be introduced, starting with monocomponent ones, gradually adding other products of this group;

3. start giving a new product with 1/2 teaspoon, gradually increasing the volume to the age norm within a week;

4. It is not recommended to introduce new products during acute infectious diseases or at some special moments (moving to another apartment, leaving the city, on vacation, illness of parents, etc.).

What is the best way to start complementary foods?

The first complementary food can be anything. Often parents worry that if the child first tries the fruit, then because of its sweet taste, he will refuse other foods. We hasten to reassure you: breast milk is also sweet, so babies may like sweet fruits / berries more, but this does not mean at all that he will refuse vegetables or cereal. Traditionally, they begin to introduce complementary foods in the form of mashed potatoes, but if the child shows interest in “pieces”, then, observing the safety rules, you can give them. Also, along with the introduction of complementary foods, you can offer the child water.

With the start of the introduction of complementary foods, the child is gradually transferred to a 5-time feeding regimen. If the baby shows that he is full and no longer wants to eat (for example, leaning back or turning away from food), then you should not continue to force him to feed, because this can lead to eating disorders in the future. Also, do not force the child to eat as much as possible before bedtime in the hope that he will not wake up for nightly feedings.

Traditionally, in our country, complementary foods begin with vegetables or cereals.

Vegetables: zucchini, broccoli, cauliflower, pumpkin, etc. If the child did not like the dish, for example, broccoli, do not give up on your plan and continue to offer this vegetable in small quantities daily, you can even not once, but 2-3 times, and after a while (7-14 days) the baby will get used to the new taste. This diversifies his diet, will help form the right taste habits in the child.

As for cereals, it is worth starting with dairy-free gluten-free ones - buckwheat, corn, rice. You can use commercial baby food porridge, which is enriched primarily with iron. In addition, such porridge is already ready to eat, you just need to dilute it with water, which will save you a lot of time.

It is also recommended to add oil to food, for example, vegetable puree to vegetable puree, and butter to porridge.

Of meat products, lean meats, such as mashed turkey or rabbit, are most preferred to start complementary foods. Meat puree contains iron, which is easily absorbed, and adding meat to vegetables improves the absorption of this micronutrient from them. Subsequently, the daily use of children's enriched porridge and mashed meat allows you to meet the needs of babies for iron, zinc and other micronutrients.

When introducing fruit purees (apple, pear, peach, prunes, etc.) into your baby's diet, you should pay special attention to the composition of the product - it is important that it does not contain added sugar.

Fish is a source of easily digestible protein and contains a large amount of polyunsaturated fatty acids, including the omega-3 class, as well as vitamins B2, B12, and minerals. Preference should be given to oceanic fish, preferably white (cod, hake, pollock, sea bass, etc.), salmon can be recommended from red, and pike perch from river.

Fermented milk products are prepared using a special starter culture that breaks down milk protein, so that the baby can get an indispensable set of amino acids in a well-available form. Some foods have added prebiotics, certain vitamins and minerals. Their regular use favorably affects the functioning of the intestines, increases appetite and the absorption of micronutrients.

Recommendations and timing of the introduction of complementary foods for children at risk of developing food allergies and suffering from food allergies are the same as for healthy children. Delayed introduction of highly allergenic foods has previously been recommended to prevent the development of allergic diseases in children at risk. There is now evidence that this practice may lead to an increase rather than a decrease in the incidence of food allergies. The most common highly allergenic foods include cow's milk, chicken eggs, soybeans, wheat, peanuts, tree nuts, shellfish and fish. If a child has a high risk of developing allergies or an existing allergic disease, it is recommended to consult a pediatrician, an allergist-immunologist before introducing highly allergenic products.

By the age of 8 months, when all the main food groups have already been introduced and your baby is improving his skills to eat on his own, special attention should be paid to the diversity of the composition of dishes and the change in food consistency - from puree to finely and coarsely ground. Soft foods cut into small pieces (fruits, vegetables, meat, etc.) are perfect for a little gourmet, which diversifies his diet and will contribute to the formation of chewing skills.

By 9-12 months, most babies have the dexterity to drink from a cup (holding with both hands) and to eat foods prepared for other family members. This behavior needs to be encouraged, but combined with regular feeding to meet energy and nutrient requirements.

It is advisable to use industrial products that are designed specifically for young children after a year.

What should not be given to the baby?

It is not recommended to add salt or sugar to food to enhance the taste.

Drinks that should be avoided include fruit juices, whole cow and goat milk (whole milk is not recommended for children under one year old, and even longer, due to a high risk of developing iron deficiency and increased kidney stress), sweet fruit drinks, compotes and carbonated drinks.

Also, some foods should be excluded from the diet of infants: solid round foods (for example, nuts, grapes, raw carrots, raisins, peas, etc.), due to the fact that the child can choke on them.

It is not recommended to eat products with added sugar, for example, confectionery (marshmallow, marshmallow, marmalade, jam, jam, cookies, waffles, etc.), etc.

You should not give your child the meat of large predatory fish (shark, bigeye tuna, king mackerel, swordfish): these types of fish accumulate more harmful substances than others.

It is forbidden to give honey to children under one year old due to the fact that it may contain spores of Clostridium botulinum bacteria, which in the still immature digestive system of babies are able to multiply, produce toxins directly inside the intestines and, thus, cause infant botulism, which can be fatal. outcome.

Do not give babies raw meat, fish, eggs, caviar, salted fish, soft pickled cheeses because of the risk of intestinal infections.

If you follow all these simple rules, your baby will grow up healthy and happy!

Diets for different ages

References:

1. Methodological recommendations. The program for optimizing the feeding of children in the first year of life in the Russian Federation. [Internet]. - M.: Union of Pediatricians of Russia, 2019. [Methodicheskie rekomendaczii. Programma optimizaczii vskarmlivaniya detej pervogo goda zhizni v Rossijskoj Federaczii. [Internet]. – Moscow: Soyuz pediatrov Rossii, 2019.(In Russ.).] Available: http://www.pediatr-russia.ru/information/dokumenty/other-docs/nacprog1year_2019.pdf Link active as of 20.04.2020

2. Duryea T.K. Introducing solid foods and vitamin and mineral supplementation during infancy. In: Post T, ed. UpToDate . Waltham, Mass.: UpToDate; 2020.

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