Feeding your baby food for the first time
When, What, and How to Introduce Solid Foods | Nutrition
For more information about how to know if your baby is ready to starting eating foods, what first foods to offer, and what to expect, watch these videos from 1,000 Days.
The Dietary Guidelines for Americans and the American Academy of Pediatrics recommend children be introduced to foods other than breast milk or infant formula when they are about 6 months old. Introducing foods before 4 months old is not recommended. Every child is different. How do you know if your child is ready for foods other than breast milk or infant formula? You can look for these signs that your child is developmentally ready.
Your child:
- Sits up alone or with support.
- Is able to control head and neck.
- Opens the mouth when food is offered.
- Swallows food rather than pushes it back out onto the chin.
- Brings objects to the mouth.
- Tries to grasp small objects, such as toys or food.
- Transfers food from the front to the back of the tongue to swallow.
What Foods Should I Introduce to My Child First?
The American Academy of Pediatrics says that for most children, you do not need to give foods in a certain order. Your child can begin eating solid foods at about 6 months old. By the time he or she is 7 or 8 months old, your child can eat a variety of foods from different food groups. These foods include infant cereals, meat or other proteins, fruits, vegetables, grains, yogurts and cheeses, and more.
If your child is eating infant cereals, it is important to offer a variety of fortifiedalert icon infant cereals such as oat, barley, and multi-grain instead of only rice cereal. Only providing infant rice cereal is not recommended by the Food and Drug Administration because there is a risk for children to be exposed to arsenic. Visit the U.S. Food & Drug Administrationexternal icon to learn more.
How Should I Introduce My Child to Foods?
Your child needs certain vitamins and minerals to grow healthy and strong.
Now that your child is starting to eat food, be sure to choose foods that give your child all the vitamins and minerals they need.
Click here to learn more about some of these vitamins & minerals.
Let your child try one single-ingredient food at a time at first. This helps you see if your child has any problems with that food, such as food allergies. Wait 3 to 5 days between each new food. Before you know it, your child will be on his or her way to eating and enjoying lots of new foods.
Introduce potentially allergenic foods when other foods are introduced.
Potentially allergenic foods include cow’s milk products, eggs, fish, shellfish, tree nuts, peanuts, wheat, soy, and sesame. Drinking cow’s milk or fortified soy beverages is not recommended until your child is older than 12 months, but other cow’s milk products, such as yogurt, can be introduced before 12 months. If your child has severe eczema and/or egg allergy, talk with your child’s doctor or nurse about when and how to safely introduce foods with peanuts.
How Should I Prepare Food for My Child to Eat?
At first, it’s easier for your child to eat foods that are mashed, pureed, or strained and very smooth in texture. It can take time for your child to adjust to new food textures. Your child might cough, gag, or spit up. As your baby’s oral skills develop, thicker and lumpier foods can be introduced.
Some foods are potential choking hazards, so it is important to feed your child foods that are the right texture for his or her development. To help prevent choking, prepare foods that can be easily dissolved with saliva and do not require chewing. Feed small portions and encourage your baby to eat slowly. Always watch your child while he or she is eating.
Here are some tips for preparing foods:
- Mix cereals and mashed cooked grains with breast milk, formula, or water to make it smooth and easy for your baby to swallow.
- Mash or puree vegetables, fruits and other foods until they are smooth.
- Hard fruits and vegetables, like apples and carrots, usually need to be cooked so they can be easily mashed or pureed.
- Cook food until it is soft enough to easily mash with a fork.
- Remove all fat, skin, and bones from poultry, meat, and fish, before cooking.
- Remove seeds and hard pits from fruit, and then cut the fruit into small pieces.
- Cut soft food into small pieces or thin slices.
- Cut cylindrical foods like hot dogs, sausage and string cheese into short thin strips instead of round pieces that could get stuck in the airway.
- Cut small spherical foods like grapes, cherries, berries and tomatoes into small pieces.
- Cook and finely grind or mash whole-grain kernels of wheat, barley, rice, and other grains.
Learn more about potential choking hazards and how to prevent your child from choking.
Top of Page
Helpful Resources | Nutrition | CDC
If you would like more information on topics related to feeding your baby or toddler, here are some resources:
General
CDC’s Infant and Toddler Nutrition microsite syndication
CDC offers a free Web Content Syndication service that gives public health partners the opportunity to syndicate CDC content directly to their sites without having to monitor or copy updates. To search the CDC infant and toddler nutrition website available for syndication as well as other resources you can share, visit the CDC Public Health Media Library and browse or search for “infant and toddler nutrition”. Learn more about content syndication and how to add CDC syndicated content on your site.
CDC’s Child and Teen Resources
This collection of resources provides parents and caregivers, health care providers, and partners with tools and information to help children and teens maintain a healthy weight and prevent obesity.
CDC’s Child Development Positive Parenting Tips (Infants)
This CDC website provides information about infants’ development, as well as tips for positive parenting and promoting the safety and health of infants.
CDC’s Learn the Signs. Act Early.
This website includes tools to track children’s milestones and resources about children’s development.
CDC’s Parent Information
This CDC website provides resources and information on pregnancy, infants and toddlers, children, and teens. Learn how to handle common parenting challenges through interactive activities, videos, and more. Healthcare professionals and researchers can also find information on children’s health and safety.
CDC’s Division of Oral Health
Tooth decay (cavities) is one of the most common chronic diseases of childhood in the United States. Untreated tooth decay can cause pain and infections that may lead to problems with eating, speaking, playing, and learning. CDC’s Division of Oral Health provides information on what parents and caregivers can do to ensure good oral health for your child.
Dietary Guidelines for Americans 2020–2025 pdf icon[PDF-30.6MB]external icon
These guidelines provide science-based advice for Americans on what to eat and drink to promote health, reduce chronic disease, and meet nutrient needs. The 2020–2025 edition provides recommendations for all life stages, including infants and toddlers.
Feeding Guidelines for Infants and Young Toddlers: A Responsive Parenting Approachexternal icon
This report presents recommendations for promoting healthy nutrition and feeding patterns for infants and toddlers from birth to 24 months, with an emphasis on dietary quality, portion sizes, and mealtime environment.
Healthy Childrenexternal icon
This website was developed by the American Academy of Pediatrics for parents. It features thousands of articles in English and Spanish on children’s health and safety, as well as interactive tools.
United States Department of Agriculture Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)external icon
The WIC Program provides support to low-income pregnant, postpartum, and breastfeeding women, babies, and children up to age 5. WIC provides nutritious foods, information on healthy eating, breastfeeding promotion and support, and referrals to health care.
United States Department of Agriculture Supplemental Nutrition Assistance Program (SNAP)external icon
SNAP provides benefits to low-income individuals and families and provides economic benefits to communities.
Feeding and Beverage Recommendationsexternal icon
Healthy Eating Research, a national program of the Robert Wood Johnson Foundation, offers science-based recommendations for parents and caregivers. Tips are available for feeding children from birth through 24 monthsexternal icon and beverages for children from birth through 5 yearsexternal icon. Tips for older children are also available.
U.S. Food and Drug Administration (FDA) and Environmental Protection Agency’s (EPA) Advice About Eating Fishexternal icon
The U.S. FDA and EPA provide advice regarding eating fish. This advice can help people make informed choices when it comes to the types of fish that are nutritious and safe to eat. It is especially important for those who might become pregnant, who are pregnant, or who are breastfeeding, as well as for parents and caregivers who are feeding children. This advice supports the recommendations of the Dietary Guidelines for Americans.
Top of Page
Breastfeeding
CDC’s Breastfeeding Information
CDC’s Division of Nutrition, Physical Activity, and Obesity (DNPAO) is committed to increasing breastfeeding rates throughout the United States. CDC provides information for public health professionals and others to help support breastfeeding mothers, such as managing breastfeeding during various maternal and infant illnesses and conditions, any precautions for vaccines during breastfeeding, and recommendations for proper storage and handling of expressed human milk.
International Lactation Consultant Association (ILCA)external icon
ILCA is the member association for professionals who care for breastfeeding families. ILCA’s “Find a Lactation Consultant Directory” can help you find a lactation consultant to get the breastfeeding support you need.
United States Lactation Consultant Association (USLCA)external icon
USLCA is a professional association for International Board Certified Lactation Consultants (IBCLCs) and other health care professionals who care for breastfeeding families. USLCA’s “Find an IBCLC” can help you find a lactation consultant to get the breastfeeding support you need.
WIC, the Special Supplemental Nutrition Program for Women, Infants, and Children—Breastfeeding Support external icon
The United States Department of Agriculture Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Breastfeeding Support website includes resources for expectant and current mothers about breastfeeding, overcoming common challenges, and thriving to make breastfeeding work for their families.
La Leche League USAexternal icon
La Leche League USA helps mothers to breastfeed through mother-to-mother support, encouragement, information, and education and promotes a better understanding of breastfeeding as an important element in the healthy development of the baby and mother.
Office on Women’s Healthexternal icon
The Office on Women’s Health’s vision is for all women and girls to achieve the best possible health outcomes. They provide information on breastfeeding to help women make infant feeding decisions and to guide mothers through the breastfeeding process.
Top of Page
Infant Formula
Questions & Answers for Consumers Concerning Infant Formulaexternal icon
The U.S. Food & Drug Administration regulates infant formula and has a list of questions and answers about infant formula.
Infant Formula Do’s and Don’tsexternal icon
The U.S. Food and Drug Administration provides information on infant formula preparation and storage, as well as other tips on how to keep infant formula safe.
Top of Page
Food Safety
Food Safety Concerns for Children Under Fiveexternal icon
Food safety is particularly important for young children. Foodsafety.gov provides information on safely preparing food for your child.
Top of Page
Meal Time
Fruits & Veggies—Have a Plant Movementexternal icon
A resource designed to help spread the word about the health benefits of adding more fruits and veggies to your diet.
USDA MyPlate Kitchenexternal icon
This online tool features a large collection of recipes and resources to support building healthy and budget-friendly meals. Site features include:
- Extensive search filters on cuisine, cooking equipment, nutrition content, and more.
- Detailed nutrition information.
- Cookbooks to browse and download or build your own.
- Recipe star ratings, review comments, and sharing on social networks.
Video Series on How to Introduce Solid Foods
1,000 Days has developed helpful videos about introducing solid foods to your baby. Topics include:
- Is your baby ready to start eating foods?
- What is a good first food for your baby?
- What to expect when introducing first foods
- How much should I feed my baby?
- How to win at mealtimeexternal icon
- What foods should my baby avoid?
- What should your baby eat in the first year?
Top of Page
Vitamins and Minerals
Vitamin and Mineral Fact Sheetsexternal icon
The National Institutes of Health’s Office of Dietary Supplements has fact sheets for consumers and health professionals about vitamins, minerals, and dietary supplements.
Top of Page
Breastfeeding in the first month: what to expect
Not sure how to establish lactation and increase milk production? If you need help, support, or just want to know what to expect, read our first month breastfeeding advice
Share this information
The first weeks of breastfeeding are a very stressful period. If at times you feel like you can't handle it, know that you are not alone. Feeding your baby all day long is completely natural and helps produce breast milk, but can be quite tiring at times. Be patient, think about yourself and remember: after the first month, when milk production stabilizes, it will become easier.
How often should a baby be breastfed?
Babies are born with a small stomach that grows rapidly with increasing milk production: in the first week it is no larger than an apricot, and after two weeks it is already the size of a large chicken egg. 1.2 Let the child eat as much as he wants and when he wants. This will help him quickly regain the weight lost after birth and grow and develop further.
“Be prepared to feed every two to three hours throughout the day. At night, the intervals between feedings can be longer: three to four or even five hours, says Cathy Garbin, a recognized international expert on breastfeeding. Some eat quickly and are satiated in 15 minutes, while others take an entire hour to feed. Do not compare your breastfeeding regimen with that of other mothers - it is very likely that there will be nothing in common between them.
At each feed, give your baby a full meal from one breast and then offer a second one, but don't worry if the baby doesn't take it. When the baby is full, he lets go of his chest and at the same time looks relaxed and satisfied - so much so that he can immediately fall asleep. The next time you feed, start on the other breast. You can monitor the order of the mammary glands during feeding using a special application.
Why does the child always ask for a breast?
The first month is usually the hardest time to breastfeed. But do not think that because the baby is constantly hungry and asks for a breast almost every 45 minutes, then you do not have enough milk.
In the first month, the baby needs to eat frequently to start and stimulate the mother's milk production. It lays the foundation for a stable milk supply in the future. 3
In addition, we must not forget that the child needs almost constant contact with the mother. The bright light and noise of the surrounding world at first frighten the baby, and only by clinging to his mother, he can calm down.
Sarah, mother of three from the UK, confirms: “Crying is not always a sign of hunger. Sometimes my kids just wanted me to be around and begged for breasts to calm them down. Use a sling. Place the cradle next to the bed. Don't look at the clock. Take advantage of every opportunity to relax. Forget about cleaning. Let those around you take care of you. And not three days, but six weeks at least! Hug your baby, enjoy the comfort - and trust your body."
Do I need to feed my baby on a schedule?
Your baby is still too young for a strict daily routine, so
forget about breastfeeding schedules and focus on his needs.
“Volumes have been written about how to feed a baby on a schedule, but babies don't read or understand books,” Cathy says. - All children are different. Some people can eat on a schedule, but most can't. Most often, over time, the child develops his own schedule.
Some mothers report that their babies are fine with scheduled feedings, but they are probably just the few babies who would eat every four hours anyway. Adults rarely eat and drink the same foods at the same time of day - so why do we expect this from toddlers?
Offer your baby the breast at the first sign of hunger. Crying is already the last stage, so be attentive to early signs: the baby licks his lips, opens his mouth, sucks his fist, turns his head with his mouth open - looking for the breast. 4
What is a "milk flush"?
At the beginning of each feed, a hungry baby actively sucks on the nipple,
thereby stimulating the milk flow reflex - the movement of milk through the milk ducts. 5
“Nipple stimulation triggers the release of the hormone oxytocin,” explains Cathy. “Oxytocin is distributed throughout the body and causes the muscles around the milk-producing glands to contract and the milk ducts to dilate. This stimulates the flow of milk.
If the flushing reflex fails, milk will not come out. This is a hormonal response, and under stress it may not work at all or work poorly. Therefore, it is so important that you feel comfortable and calm when feeding.
“Studies show that each mother has a different rhythm of hot flashes during one feed,” Kathy continues, “Oxytocin is a short-acting hormone, it breaks down in just 30-40 seconds after formation. Milk begins to flow, the baby eats, the effect of oxytocin ends, but then a new rush of milk occurs, the baby continues to suckle the breast, and this process is repeated cyclically. That is why, during feeding, the child periodically stops and rests - this is how nature intended.
The flow of milk may be accompanied by a strong sensation of movement or tingling in the chest, although 21% of mothers, according to surveys, do not feel anything at all. 5 Cathy explains: “Many women only feel the first rush of milk. If you do not feel hot flashes, do not worry: since the child eats normally, most likely, you simply do not understand that they are.
How do you know if a baby is getting enough milk?
Since it is impossible to track how much milk a baby eats while breastfeeding, mothers sometimes worry that the baby is malnourished. Trust your child and your body.
After a rush of milk, the baby usually begins to suckle more slowly. Some mothers clearly hear how the baby swallows, others do not notice it. But one way or another, the child himself will show when he is full - just watch carefully. Many babies make two or three approaches to the breast at one feeding. 6
“When a child has had enough, it is noticeable almost immediately: a kind of “milk intoxication” sets in. The baby is relaxed and makes it clear with his whole body that he is completely full, says Katie, “Diapers are another great way to assess whether the baby is getting enough milk. During this period, a breastfed baby should have at least five wet diapers a day and at least two portions of soft yellow stool, and often more. ”
From one month until weaning at six months of age, a baby's stool (if exclusively breastfed) should look the same every day: yellow, grainy, loose, and watery.
When is the child's birth weight restored?
Most newborns lose weight in the first few days of life. This is normal and should not be cause for concern. As a rule, weight is reduced by 5-7%, although some may lose up to 10%. One way or another, by 10–14 days, almost all newborns regain their birth weight. In the first three to four months, the minimum expected weight gain is an average of 150 grams per week. But one week the child may gain weight faster, and the next slower, so it is necessary that the attending physician monitor the health and growth of the baby constantly. 7.8
At the slightest doubt or signs of dehydration, such as
dark urine, no stool for more than 24 hours, retraction of the fontanel (soft spot on the head), yellowing of the skin, drowsiness, lethargy, lack of appetite (ability to four to six hours without feeding), you should immediately consult a doctor. 7
What is "cluster feeding"?
When a baby asks to breastfeed very often for several hours, this is called cluster feeding. 6 The peak often occurs in the evening between 18:00 and 22:00, just when many babies are especially restless and need close contact with their mother. Most often, mothers complain about this in the period from two to nine weeks after childbirth. This is perfectly normal and common behavior as long as the baby is otherwise healthy, eating well, gaining weight normally, and appears content throughout the day. 9
Cluster feeding can be caused by a sharp jump in the development of the body - during this period the baby especially needs love, comfort and a sense of security. The growing brain of a child is so excited that it can be difficult for him to turn off, or it just scares the baby. 9 If a child is overworked, it is often difficult for him or her to calm down on his own, and adult help is needed. And breastfeeding is the best way to calm the baby, because breast milk is not only food, but also pain reliever and a source of happiness hormones. 10
“Nobody told me about cluster feeding, so for the first 10 days I just went crazy with worry - I was sure that my milk was not enough for the baby,” recalls Camille, a mother from Australia, “It was a very difficult period . I was advised to pump and supplement until I finally contacted the Australian Breastfeeding Association. There they explained to me what was happening: it turned out that it was not about milk at all.
Remember, this is temporary. Try to prepare dinner for yourself in the afternoon, when the baby is fast asleep, so that in the evening, when he begins to often breastfeed, you have the opportunity to quickly warm up the food and have a snack. If you are not alone, arrange to carry and rock the baby in turns so that you have the opportunity to rest. If you have no one to turn to for help and you feel that your strength is leaving you, put the baby in the crib and rest for a few minutes, and then pick it up again.
Ask your partner, family and friends to help you with household chores, cooking and caring for older children if you have any. If possible, hire an au pair. Get as much rest as possible, eat well and drink plenty of water.
“My daughter slept a lot during the day, but from 23:00 to 5:00 the cluster feeding period began, which was very tiring,” recalls Jenal, a mother from the USA, “My husband tried his best to make life easier for me - washed, cleaned, cooked, changed diapers, let me sleep at every opportunity and never tired of assuring me that we were doing well.
If you are concerned about the frequency of breastfeeding, it is worth contacting a specialist. “Check with a lactation consultant or doctor to see if this is indicative of any problems,” recommends Cathy. “Resist the temptation to supplement your baby with formula (unless recommended by your doctor) until you find the cause. It may not be a matter of limited milk production at all - it may be that the child is inefficiently sucking it.
When will breastfeeding become easier?
This early stage is very special and does not last long. Although sometimes it seems that there will be no end to it, rest assured: it will get easier soon! By the end of the first month, breast milk production will stabilize, and the baby will become stronger and learn to suckle better. 2.3 Any problems with latch on by this time will most likely be resolved and the body will be able to produce milk more efficiently so inflammation and leakage of milk will begin to subside.
“The first four to six weeks are the hardest, but then things start to get better,” Cathy assures. It just needs to be experienced!”
The longer breastfeeding continues, the more benefits it brings, from saving on formula and improving sleep quality 11–13 to boosting your baby's immune system 14 and reducing your risk of certain cancers. 15
“When you feel like you're pushing yourself, try to go from feed to feed and day to day,” says Hannah, a UK mom. “I was sure I wouldn’t make it to eight weeks. And now I have been breastfeeding for almost 17 weeks, and I dare say it is very easy.”
Read the resource Breastfeeding Beyond the First Month: What to Expect
Literature
1 Naveed M et al. An autopsy study of relationship between perinatal stomach capacity and birth weight. Indian J Gastroenterol .1992;11(4):156-158. - Navid M. et al., Association between prenatal gastric volume and birth weight. Autopsy. Indian J Gastroenterol. 1992;11(4):156-158.
2 Neville MC et al. Studies in human lactation: milk volumes in lactating women during the onset of lactation and full lactation .Am J Clinl Nutr . 1988;48(6):1375-1386. at the beginning and at the peak of lactation." Am F Clean Nutr. 1988;48(6):1375-1386.
3 Kent JC et al. Principles for maintaining or increasing breast milk production. J Obstet , Gynecol , & Neonatal Nurs . 2012;41(1):114-121. - Kent J.S. et al., "Principles for Maintaining and Increasing Milk Production". J Obstet Ginecol Neoneutal Nurs. 2012;41(1):114-121.
4 Australian Breastfeeding Feeding cues ; 2017 Sep [ cited 2018 Feb ]. - Australian Breastfeeding Association [Internet], Feed Ready Signals; September 2017 [cited February 2018]
5 Kent JC et al. Response of breasts to different stimulation patterns of an electric breast pump. J Human Lact . 2003;19(2):179-186. - Kent J.S. et al., Breast Response to Different Types of Electric Breast Pump Stimulation. J Human Lact (Journal of the International Association of Lactation Consultants). 2003;19(2):179-186.
6) Kent JC et al . Volume and frequency of breastfeedings and fat content of breast milk throughout the day. Pediatrics. 2006;117(3): e 387-395. - Kent J.S. et al., "Amount and frequency of breastfeeding and fat content of breast milk during the day." Pediatrix (Pediatrics). 2006;117(3):e387-95.
7 Lawrence RA, Lawrence RM. Breastfeeding: A guide for the medical profession. 7th ed. Maryland Heights MO, USA: Elsevier Mosby; 2010. 1128 p . - Lawrence R.A., Lawrence R.M., "Breastfeeding: A guide for healthcare professionals." Seventh edition. Publisher Maryland Heights , Missouri, USA: Elsevier Mosby; 2010. P. 1128.
8 World Health Organization. [Internet]. Child growth standards; 2018 [cited 2018 Feb] - World Health Organization. [Internet]. Child Growth Standards 2018 [cited February 2018].
9 Australian Breastfeeding Association . [ Internet ]. Cluster feeding and fussing babies ; Dec 2017 [ cited 2018 Feb ] - Australian Breastfeeding Association [Internet], Cluster Feeding and Screaming Babies; December 2017 [cited February 2018].
10 Moberg KU, Prime DK. Oxytocin effects in mothers and infants during breastfeeding. Infant . 2013;9(6):201-206.- Moberg K, Prime DK, "Oxytocin effects on mother and child during breastfeeding". Infant. 2013;9(6):201-206.
11 U.S. Department of Health & Human Services [Internet]. Surgeon General Breastfeeding factsheet; 2011 Jan 20 [cited 2017 Feb] - Department of Health and Human Services [Internet], "Breastfeeding Facts from the Chief Medical Officer", Jan 20, 2011 [cited Feb 2017]
12 Kendall-Tackett K et al. The effect of feeding method on sleep duration, maternal well-being, and postpartum depression. clinical lactation. 2011;1;2(2):22-26. - Kendall-Tuckett, K. et al., "Influence of feeding pattern on sleep duration, maternal well-being and the development of postpartum depression." Clinical Lactation. 2011;2(2):22-26.
13 Brown A, Harries V. Infant sleep and night feeding patterns during later infancy: Association with breastfeeding frequency, daytime complementary food intake, and infant weight. Breast Med . 2015;10(5):246-252. - Brown A., Harris W., "Night feedings and infant sleep in the first year of life and their association with feeding frequency, daytime supplementation, and infant weight." Brest Med (Breastfeeding Medicine). 2015;10(5):246-252.
14 Hassiotou F et al. Maternal and infant infections stimulate a rapid leukocyte response in breastmilk. Clin Transl immunology. 2013;2(4). - Hassiot F. et al., "Infectious diseases of the mother and child stimulate a rapid leukocyte reaction in breast milk." Clean Transl Immunology. 2013;2(4):e3.
15 Li DP et al. Breastfeeding and ovarian cancer risk: a systematic review and meta-analysis of 40 epidemiological studies. Asian Pac J Cancer Prev . 2014;15(12):4829-4837. - Lee D.P. et al., Breastfeeding and ovarian cancer risk: a systematic review and meta-analysis of 40 epidemiological studies. Asia Pas J Cancer Prev. 2014;15(12):4829-4837.
Child nutrition from 0 to 1.5 years
Child nutrition is one of the important issues that every mother faces. How long to breastfeed, where to start complementary foods, how to feed a one-year-old baby?
Ashikhmina Olga Vladimirovna, specialist of the room for raising a healthy child at the Children's Polyclinic No. 1, tells about the nutrition of a child aged 0 to 1.5 years.
Speaking about the nutrition of a child up to 1.5 years old, I would like to divide the topic into several parts: breastfeeding and complementary foods.
When it comes to breastfeeding, healthcare professionals today are doing everything they can to maintain and encourage breastfeeding (LF).
The WHO Declaration "Protect, Promote, Support Breastfeeding" proclaims 10 principles of breastfeeding.
10 principles of breastfeeding:
1. Strictly adhere to the established rules of breastfeeding and regularly communicate these rules to medical staff and women in labor.
2. Train medical personnel in the necessary skills for the implementation of breastfeeding practices.
3. Inform all pregnant women about the benefits and techniques of breastfeeding.
4. Help mothers initiate breastfeeding within the first half hour after delivery.
5. Show mothers how to breastfeed and how to maintain lactation, even if they are temporarily separated from their children.
6. Give newborns no food or drink other than breast milk, unless medically indicated.
7. Practice having the mother and newborn side by side in the same room around the clock.
8. Encourage breastfeeding on demand, not on schedule.
9. Do not give breastfeeding newborns any sedatives or devices that mimic the mother's breasts (nipples, etc.)
10. Encourage the establishment of breastfeeding support groups and refer mothers to these groups after discharge from the maternity hospital or hospital.
Medical workers are ready to help mothers with breastfeeding and child care from the birth of a baby. The patronage service, which visits newborns for examinations, actively advocates for the support of breastfeeding and is always ready to advise the mother on feeding the baby.
Experts advise to feed the baby not according to the schedule, but at the request of the baby. At first, feeding can be up to 10-12 times a day. After a month, the mother can switch to the regime - once every 3 hours, including feeding at night.
If the baby constantly requires the breast and eats for a long time, it is necessary to check whether the baby is properly attached to the breast. On this issue, a woman can always contact a pediatrician or a healthy child's office. The specialist weighs the baby before and after feeding and determines how much milk the baby receives and, if necessary, tells how to properly attach the baby to the breast.
What influences a mother's milk supply? One factor is nutrition. A nursing woman should eat a varied diet at least 6 times a day. Favorably, a nursing woman is influenced by walks in the fresh air, physical activity. And, of course, as far as possible, it is important for a nursing woman to protect herself from stress as much as possible. Stress negatively affects lactation.
How long should I breastfeed my baby? Breastfeeding, according to pediatricians and neonatologists, must be maintained in the first year of a baby's life. At the same time, it is important to understand that in addition to milk, the child needs other food, which will form the taste habits of the baby, develop social skills.
Complementary foods
From 4 to 6 months, it is necessary and necessary to introduce complementary foods into the baby's diet. Why from 4 to 6 months? This is the so-called window of tolerance. Products introduced into the diet during this period are well tolerated by young children.
Complementary foods are given to the child in the first half of the day before breastfeeding, sitting in the mother's arms, starting with 1 teaspoon. For 7 days, bring up to 100-150 g of the product. For a whole week we give the same product, constantly increasing its quantity.
Meals for children of the first year of life are boiled in water or steamed, crushed with a blender and given to the child in liquid form, and salt, sugar and spices are not added.
If a child develops an allergy to a certain product, we cancel it and introduce another product after 2-3 days.
Complementary foods begin with the introduction of vegetables or cereals. Underweight children with unstable stools start with cereals. Porridges are not milk based, gluten free. Complementary foods are introduced from three cereals - buckwheat, rice, corn.
For overweight children with constipation, it is recommended to start complementary foods with vegetable purees. 3 weeks - 3 vegetable purees - from cauliflower, broccoli and zucchini.
Meat puree is introduced into the artsion from 6 months: first turkey and rabbit, then beef, chicken is introduced last.
Fruit puree is introduced from 6-6.5 months. Yolk from 7 months to ¼ boiled yolk, protein is not introduced at 1 year of age.
From 8 months old, cottage cheese is added to the diet, from 8 months and 1 week - kefir, fish puree from 8 months and 2 weeks - lean fish is given instead of meat puree once a week.
Bread can be introduced into the diet from 8 months. Vegetable oil with vegetable puree, butter in porridge, 0.5 tsp each. into porridge.
Fruit juice can be introduced no earlier than 9-10 months.
It is important to introduce one new food per week to monitor the child's response to a particular food.
Do not introduce new products during vaccinations or when the baby is unwell.
From 8-9 months thicker food with small pieces can be included.
By the age of 1, breastfeeding continues, but only 2-3 times a day.
Nutrition from 1 to 1.5 years
Photo taken from ru.freepik.com
After 1 year, cheese can and should be introduced. Cottage cheese in such large quantities as before is not needed - 2-3 times a week is enough. Egg white is introduced into the diet 2-3 pieces per week.
At this age, we can start feeding our baby soups cooked in the second broth. We cook boneless meat, after boiling the broth is drained and filled with water. This broth can be given to a one-year-old child - it is less fat than the first.
At this age, the child can be given beets, cook borscht.
Closer to 1.5 years, we introduce salads into the diet - cucumber and tomato, beets and carrots.
By the age of 1.5, a fairly varied diet and now we can make a daily menu for him - breakfast, lunch, afternoon tea and dinner.
I would like to note that complementary foods are a very important social component in a child's life. Complementary feeding is not only the introduction of food, it is teaching the child hygiene skills - we teach the baby to wash his hands before eating, sit on a chair at the table, hold a spoon on his own. For a toddler, these are important social skills that will come in handy later in kindergarten.
Daily ration for a child aged 12-18 months
If we talk about the daily menu of a child for the day. At 1-1.5 years, the daily diet may look like this:
Breakfast:
- Milk porridge - 150 ml
- Fruit - 30 g
- Fruit tea - 120 ml
Lunch:
- Vegetable salad with herbs and vegetable oil - 40 ml
- Vegetable puree soup - 120 g
- Meat soufflé - 50 g
- Boiled potatoes - 50g
- Compote - 100 g
Snack:
- Sour milk drink - 120 ml
- Curd - 30 g
- Fruit - 120 ml
Dinner:
- Vegetable stew - 120 g
- Chicken cutlet - 70 g
- Bread - 30 g
- Water/herbal tea - 100 ml
Before bed:
Infant formula - 200 ml
The subject of nutrition and feeding of the baby is inexhaustible.