First foods for baby 6 months old


Do's and Don'ts for Baby's First Foods


Breastfeeding has been shown to improve infant, child and maternal health outcomes and help control healthcare costs, but how long should breastfeeding last and when should parents introduce solid foods?

The Dietary Guidelines for Americans recommend exclusive breastfeeding, meaning the infant receives only breast milk, during the first six months of life for optimal nutrition and health benefits.

Once solid foods are introduced, health professionals recommend continuing breastfeeding through 12 months of age and, after that, as desired by mother and baby. Introducing your baby to solid foods is an exciting milestone. When you start introducing children to the world of solid foods, you are helping them shape their relationship with food and establish a healthy eating style. The timing for introducing solid foods will depend on the infant, but it is not recommended before the age of four months or after the age of six months.

Not sure how to get your baby started on solid foods? Consider these helpful tips.

Is Your Baby Ready to Transition?

Each child's readiness for solid food depends on their own rate of development. Signs a baby may be ready to start solid foods include sitting up with minimal support, demonstrating good head control, bringing objects to the mouth or grasping at small objects. Check with your pediatrician before starting solid foods.

Getting Started With Solids

Solid foods may be introduced in any order. However, puréed meats, poultry, beans and iron-fortified cereals are recommended as first foods, especially if your baby has been primarily breastfed, since they provide key nutrients. Only one new single-ingredient food should be introduced at a time.

Softer textures are very important when first introducing foods. Infants usually start with pureed or mashed foods around six months. As infants develop chewing and motor skills, they are able to handle items like soft pieces of fruit and finger foods. As the child ages, a variety of healthful foods is encouraged.

Weaning From Breastfeeding

When deciding if you should wean your baby to a bottle or a cup, consider their developmental readiness. Between 7 and 8 months, most infants will drink small amounts of liquid from a cup or a glass when someone else holds it. Older babies and toddlers often have the coordination to drink fluids from a cup by themselves.

If your baby is under 12 months of age and you are not continuing to breastfeed, wean from breast milk to iron-fortified infant formula. If your baby is 12 months or older, whole cow’s milk is appropriate.

Food Safety Do’s and Don’ts

Food safety concerns for infants and toddlers include food allergies, choking and risks for foodborne illness. Keep the following safety tips in mind:

Do talk with your pediatrician about the risk of food allergies. Introducing one new food at a time, every several days, allows time to monitor for allergic reactions. Current evidence does not indicate needing to wait beyond 4 to 6 months before introducing potential allergy-causing foods such as eggs, dairy, soy, peanuts and fish. In fact, introducing peanut-containing foods as early as 4 to 6 months of age may help prevent a peanut allergy. The Dietary Guidelines for Americans recommends introducing potentially allergenic foods when other complementary foods are introduced to an infant’s diet. Parents with concerns about food allergies should discuss how to include these foods with their pediatrician.

Don’t feed your baby solid foods from a bottle. It can be a choking hazard and despite a popular misconception, putting cereal in a baby's bottle won't help with sleeping through the night. Other foods that are considered to be choking hazards are listed below.

Do supervise your child while eating. Infants should be able to sit upright and face forward when you first introduce solid foods. This makes swallowing easier and choking less likely.

Don’t feed directly from the jar of food but instead spoon some food into a separate dish first. Feeding directly from the jar may introduce bacteria from your baby's mouth to the spoon and back into the food, creating a food safety issue.

Don’t feed honey to children under 12 months of age due to the risk of foodborne illness.

Examples of appropriate solid foods listed by age:

6 months:

  • Well-cooked and pureed meat, poultry or beans
  • Ground, cooked, single-grain cereal or infant cereal with breast milk or formula
  • Cooked and pureed vegetables
  • Mashed banana or avocado

9 months:

  • Well-cooked, minced or finely chopped meat, poultry or beans
  • A variety of cooked vegetables cut into small, ½ inch pieces, such as squash and green beans
  • Sliced and quartered bananas or small pieces of other soft fruits

12 months:

  • Soft, shredded meat, poultry or fish
  • Small pieces of cooked vegetables
  • Small pieces of soft, easy to chew fruits
  • Mixed food dishes the family is eating in appropriately sized pieces

Not recommended for those under 4 years of age due to the risk of choking:

  • Popcorn and whole kernel corn
  • Nuts and seeds
  • Large chunks of meat, poultry and cheese
  • Candy, gum drops and jelly beans
  • Hard, raw fruits or vegetables such as apples, celery and carrots
  • Whole grapes and cherry tomatoes, unless cut into quarters
  • Hot dogs, unless cut into strips and age appropriate, bite-size pieces
  • Sticky foods, such as peanut butter, which can get stuck in the back of the mouth – peanut butter is okay if spread thinly on bread

For toddlers and preschoolers, chop grapes, meat, poultry, hot dogs and raw vegetables and fruits into small pieces (about ½ inch or smaller).

Nurturing Healthy Relationships with Food

Establishing a positive feeding relationship during infancy can have lifetime benefits. Keep in mind that children are responsible for how much and whether they eat so always wait for your baby to pay attention to each spoonful before you feed them. Don't be afraid to let your baby touch the food in the dish and on the spoon. You wouldn't want to eat something if you didn't know anything about it, would you? In addition, know the cues that your baby is done eating. A common cue babies are full is head turning.

Whatever happens, don't get discouraged and enjoy the experience. With a little patience and creativity, you can make your baby's first solid food eating experience fun for everyone involved!

Tags

    Find a Nutrition Expert

    Looking for credible nutrition information and recommendations? The Academy of Nutrition and Dietetics' network of credentialed food and nutrition practitioners are ready to help!

    See Directory

    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

    Diet for a 4-6 month old baby

    Your baby is already 4 months old. He has noticeably grown up, become more active, is interested in objects that fall into his field of vision, carefully examines and reaches for them. The emotional reactions of the child have become much richer: he joyfully smiles at all the people whom he often sees more and more often, makes various sounds.

    You are still breastfeeding your baby or have had to switch to mixed or formula feeding. The child is actively growing, and only with breast milk or infant formula, he can no longer always get all the necessary nutrients. And that means it's time to think about complementary foods. nine0003

    The optimal time to start its introduction is between 4 and 6 months, regardless of whether the baby is receiving breast milk or formula. This is the time when children respond best to new foods. Up to 4 months, the child is not yet ready to perceive and digest any other food. And with the late introduction of complementary foods - after 6 months, children already have significant deficiencies of individual nutrients and, first of all, micronutrients (minerals, vitamins, long-chain polyunsaturated fatty acids, etc.). In addition, toddlers at this age often refuse new foods, they have delayed development of chewing skills for thick foods, and inadequate eating habits are formed. It is important to know that, no matter how strange it may seem at first glance, with a delayed appointment of complementary foods, allergic reactions more often occur on them. nine0003

    When is it advisable to introduce complementary foods as early as 4 months, and when can you wait until 5.5 or even 6 months? To resolve this issue, be sure to consult a pediatrician.

    As a rule, at an earlier age (4 - 4.5 months), complementary foods are introduced to children at risk of developing iron deficiency anemia, as well as children with insufficient weight gain and with functional digestive disorders.

    The optimal time to start complementary foods for a healthy baby is between 5 and 5.5 months of age. nine0003

    The World Health Organization recommends that breastfed babies should be introduced to complementary foods from 6 months of age. From the point of view of domestic pediatricians, which is based on extensive practical experience and scientific research, this is possible only in cases where the child was born on time, without malnutrition (since in these cases the mineral reserves are very small), he is healthy, grows well and develops. In addition, the mother should also be healthy, eat well and use either specialized enriched foods for pregnant and lactating women, or vitamin and mineral complexes in courses. Such restrictions are associated with the depletion of iron stores even in a completely healthy child by 5-5.5 months of age and a significant increase in the risk of anemia in the absence of complementary foods rich or fortified with iron. There are other deficits as well. nine0003

    The first complementary food can be vegetable puree or porridge, fruit puree is better to give the baby later - after tasty sweet fruits, children usually eat vegetable puree and cereals worse, often refuse them altogether.

    Where is the best place to start? In cases where the child has a tendency to constipation or he puts on weight too quickly, preference should be given to vegetables. With a high probability of developing anemia, unstable stools and small weight gains - from baby cereals enriched with micronutrients. And if you started introducing complementary foods with cereals, then the second product will be vegetables and vice versa. nine0003

    If the first complementary food is introduced at 6 months, it must be baby porridge enriched with iron and other minerals and vitamins, the intake of which with breast milk is no longer enough.

    Another important complementary food product is mashed meat. It contains iron, which is easily absorbed. And adding meat to vegetables improves the absorption of iron from them. It is advisable to introduce meat puree to a child at the age of 6 months. Only the daily use of children's enriched porridge and meat puree can satisfy the needs of babies in iron, zinc and other micronutrients. nine0003

    But it is better to introduce juices later, when the child already receives the main complementary foods - vegetables, cereals, meat and fruits. After all, complementary foods are needed so that the baby receives all the substances necessary for growth and development, and there are very few in their juices, including vitamins and minerals.

    Juices should not be given between feedings, but after the child has eaten porridge or vegetables with meat puree, as well as for an afternoon snack. The habit of drinking juice between meals leads to frequent snacking in the future, a love of sweets is instilled, children have more tooth decay and an increased risk of obesity. nine0003

    With the start of the introduction of complementary foods, the child is gradually transferred to a 5-time feeding regimen.

    Rules for the introduction of complementary foods:

    • preference should be given to baby products of industrial production, they are made from environmentally friendly raw materials, have a guaranteed composition and degree of grinding
    • Complementary foods should be offered to the baby by spoon at the start of feeding, before breastfeeding (formula feeding)
    • the volume of the product increases gradually, starting with ½ - 1 spoon, and in 7 - 10 days we bring it to the age norm, subsequent products within the same group (cereals from other cereals or new vegetables)
    • can be entered faster, in 5 - 7 days
    • start introduction with monocomponent products
    • it is undesirable to give a new product in the afternoon, it is important to follow how the child reacts to it
    • do not introduce new products in the event of acute illnesses, as well as before and immediately after prophylactic vaccination (should be abstained for several days)

    When introducing a new type of complementary food, first try one product, gradually increasing its amount, and then gradually “dilute” this product with a new one. For example, vegetable complementary foods can be started with a teaspoon of zucchini puree. During the week, give the baby only this product, gradually increasing its volume. After a week, add a teaspoon of mashed broccoli or cauliflower to the zucchini puree and continue to increase the total volume every day. Vegetable puree from three types of vegetables will be optimal. The portion should correspond to the age norm. Over time, you can replace the introduced vegetables with others faster. nine0003

    After the introduction of one vegetable (bringing its volume to the required amount), you can proceed to the intake of porridge, and diversify the vegetable diet later.

    If the child did not like the dish, for example, broccoli, do not give up and continue to offer this vegetable in a small amount - 1-2 spoons daily, you can 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 to form the right taste habits in the baby. nine0003

    Spoon-feeding should be done with patience and care. Forced feeding is unacceptable!

    In the diet of healthy children, porridge is usually introduced after vegetables (with the exception of healthy breastfed children, when complementary foods are introduced from 6 months). It is better to start with dairy-free gluten-free cereals - buckwheat, corn, rice. At the same time, it is important to use porridge for baby food of industrial production, which contains a complex of vitamins and minerals. In addition, it is already ready for use, you just need to dilute it with breast milk or the mixture that the baby receives. nine0003

    Children suffering from food allergies are introduced complementary foods at 5-5.5 months. The rules for the introduction of products are the same as for healthy children, in all cases it is introduced slowly and begins with hypoallergenic products. Be sure to take into account individual tolerance. The difference is only in the correction of the diet, taking into account the identified allergens. From meat products, preference should first be given to mashed turkey and rabbit.

    Diets for different age periods

    Explain how you can make a diet, it is better to use a few examples that will help you navigate in compiling a menu specifically for your child.

    From 5 months, the volume of one feeding is on average 200 ml.

    Option 1.

    If your baby started receiving complementary foods from 4-5 months, then at 6 months his diet should look like this:

    I feeding
    6 hours
    Breast milk or VHI* 200 ml
    II feeding
    10 hours
    Dairy-free porridge**
    Supplementation with breast milk or VHI*
    150 g
    50 ml
    III feeding
    14 hours
    Vegetable puree
    Meat puree Vegetable oil
    Supplemental breast milk or VHI*
    150 g
    5 - 30 g
    1 tsp
    30 ml
    IV feeding
    18 hours
    Fruit puree
    Breast milk or VHI*
    60 g
    140 ml
    V feeding
    22 hours
    Breast milk or VHI* 200 ml

    * - infant formula
    ** - diluted with breast milk or VHI

    Option 2.

    I feeding
    6 hours Breast milk or VHI* 200 ml II feeding
    10 hours Dairy-free porridge**
    Fruit puree 150 g
    20 g III feeding
    14 hours Vegetable puree
    Meat puree Vegetable oil
    Fruit juice 150 g
    5 - 30 g
    1 tsp
    60 ml IV feeding
    18 hours Fruit puree
    Breast milk or VHI* 40 g
    140 ml V feeding
    22 hours Breast milk or VHI* 200 ml

    * - infant formula
    ** - diluted with breast milk or VMS

    Option 3.

    :

    nine0079 Breast milk
    I feeding
    6 hours
    Breast milk
    II feeding
    10 hours
    Dairy-free porridge**
    Breast milk supplement
    100 g
    III feeding
    14 hours
    Vegetable puree
    Meat puree Vegetable oil
    Breast milk supplement
    100 g
    5 - 30 g
    1 tsp
    IV feeding
    18 hours
    Breast milk
    V feeding
    22 hours

    ** - diluted with breast milk

    Up to 7 months, increase the volume of porridge and vegetable puree to 150 g and introduce fruit puree.

    The materials were prepared by the staff of the Healthy and Sick Child Nutrition Laboratory of the National Research Center for Children's Health of the Ministry of Health of Russia and are based on the recommendations given in the National Program for Optimizing the Feeding of Children in the First Year of Life in the Russian Federation, approved at the XV Congress of Pediatricians of Russia (02.2009d.)

    Articles on nutrition, development and health of the child

    • All articles
    • Nutrition
    • Health
    • Development
    • Family

    Child age

    Login or register to save articles and products to your favorites

    Nutrition

    13 views

    Hooray, cottage cheese: at what age can cottage cheese be introduced into complementary foods for a child

    Login or register to save articles and products to favorites

    Nutrition

    148 views

    Like a grandmother: when to introduce milk porridge into complementary foods

    Starting complementary foods Dry cereals - a triple benefit in every spoon Benefits of ripe fruits in juices Fruit pieces from natural fruits and berries Video: Milkshakes for children, is it possible? How to wean a child from night feeding? complementary foods. How to choose a product?Does a baby really need cow's milk?Nursing mother's diet

    Login or register to save articles and products to your favorites nine0003

    Nutrition

    95 views

    Drinking yoghurts for children: healthy and tasty

    Login or register to save articles and products to your favorites

    Nutrition

    749011 views

    Fruit purees: what are

    Login or register to save articles and products to your favorites nine0003

    Nutrition

    507007 views

    The child's need for water. Myths and truth. Let's figure it out!

    Video: How to choose the right shoes for your babyHow to prepare for conceptionVideo: how to dress your child for a walk Frequently ill children: who are they?

    nine0290 Food

    481 views

    When to introduce potatoes into the first complementary foods?

    Login or register to save articles and products to your favorites

    Nutrition

    716 views

    We eat together: when to transfer the child to the "common table"

    Login or register to save articles and products to your favorites nine0003

    Nutrition

    7083 views

    Feeding rules.


    Learn more