Four month old baby solid food

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.

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Feeding Your 4- to 7-Month-Old (for Parents)

Most babies this age are ready to try solid foods. Experts recommend starting solid foods when a baby is about 6 months old, depending on the baby's readiness and nutritional needs.

Be sure to check with your doctor before giving any solid foods.

Is My Baby Ready to Eat Solid Foods?

How can you tell if your baby is ready for solids? Here are a few hints:

Does your baby swallow food or push it out of their mouth? Babies have a natural tongue-thrust reflex that pushes food back out. Wait until this reflex disappears (typically when babies are 4–6 months old).
Can your baby support their own head? To eat solid food, an infant needs good head and neck control and should be able to sit up.
Is your baby interested in food? Babies who stare, reach and grab, and open their mouths for food are ready to try solid foods.

If your doctor gives the go-ahead but your baby seems frustrated or uninterested in solid foods, try waiting a few days before trying again. Breast milk and formula will still meet nutritional needs as your baby learns to eat solid foods. But after 6 months, babies need the added nutrition — like iron and zinc — that solid foods provide.

Do not add cereal or other food to your baby's bottle because it can lead to too much weight gain.

Watch for signs that your child is hungry or full. Respond to these cues and let your child stop when full. A child who is full may suck with less enthusiasm, stop, or turn away from the breast or the bottle. With solid foods, they may turn away, refuse to open their mouth, or spit the food out.

How Should I Start Feeding My Baby Solid Foods?

When your baby is ready and the doctor says it’s OK to try solid foods, pick a time of day when your baby is not tired or cranky. You want your baby to be a little hungry, but not so hungry that they’re upset. So you might want to give your baby a little breast milk or formula first.

Have your baby sit supported in your lap or in a high chair with a safety strap.

Most babies' first food is iron-fortified infant single-grain cereal mixed with breast milk or formula. Place the spoon near your baby's lips, and let the baby smell and taste it. Don't be surprised if this first spoonful is rejected. Wait a minute and try again. Most food offered to your baby at this age will end up on the baby's chin, bib, or high-chair tray. Again, this is just an introduction.

When your little one gets the hang of eating cereal off a spoon, it may be time to try single-ingredient puréed meat, vegetables, or fruit. The order in which you give them doesn't matter, but go slow. Offer foods that are high in iron and zinc — such as meat, poultry, eggs, and beans — especially if your baby is breastfeeding. Try one food at a time and wait several days before trying something else new. This will let you identify any foods that your baby may be allergic to.

Which Foods Should I Avoid?

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

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

Possible signs of food allergy or allergic reactions include:

rash
bloating or an increase in gassiness
diarrhea
vomiting

Get medical care right away if your baby has a more severe allergic reaction, like hives, drooling, wheezing, or trouble breathing.

If your child has any type of reaction to a food, don't offer that food again until you talk with your doctor.

Babies shouldn't have:

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

Tips for Feeding Your Baby Solid Foods

With the hectic pace of family life, most parents try commercially prepared baby foods at first. They come in small, convenient containers, and manufacturers must meet strict safety and nutrition guidelines.

If you prepare your own baby foods at home, here are some things to keep in mind:

Follow the rules for food safety, including washing your hands well and often.
To preserve the nutrients in your baby's food, cook it in ways that keep the most vitamins and minerals. Try steaming or baking fruits and vegetables instead of boiling, which washes away the nutrients.
Freeze portions that you aren't going to use right away.
Whether you buy the baby food or make it yourself, texture and consistency are important. At first, babies should have finely puréed single-ingredient foods. (Just applesauce, for example, not apples and pears mixed together.)
After your baby is eating individual foods, it's OK to offer a puréed mix of two foods. As babies get older, they will learn to eat a greater variety of tastes and textures.
If you use prepared baby food in jars, spoon some of the food into a bowl to feed your baby. Do not feed your baby right from the jar — bacteria from the baby's mouth can contaminate the remaining food. If you refrigerate opened jars of baby food, it's best to throw away anything not eaten within a day or two.
Around 6 months of age is a good time for your baby to try a cup. You might need to try a few cups to find one that works for your child. Use water at first to avoid messy clean-ups. Do not give juice to infants younger than 12 months.

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

Complementary foods at 4 months | Useful tips from the Tyoma brand

It is well known that the ideal time to introduce complementary foods is between 4 and 6 months of age. The presence of a child's teeth or the ability to sit are not signs of a child's readiness for complementary foods. It is important that the baby does not have a reflex of pushing the spoon with his tongue, and he can swallow food thicker than breast milk or formula well.

The pediatrician will help determine the exact start date for complementary foods, and in most cases this is the golden mean of 5-5.5 months. But there are situations when complementary foods need to be started from 4 months, including even a child who is exclusively breastfed.

In what cases are complementary foods introduced from 4 months?

The child is not gaining weight well or is lagging behind in physical development.
The child has functional digestive disorders (regurgitation, constipation).
The mother has little breast milk or it is poorly absorbed.
The child has a reduced appetite or is not digesting formula well.
The child has signs of iron deficiency (anemia).
The child has a pronounced food interest: he watches with interest the food of adults, reaches for food.
The child stopped eating formula and began to demand food more often.

How to start complementary foods at 4 months?

The first product of complementary foods, regardless of the age and type of feeding of the baby (breast or artificial), should be energy-intensive foods: either porridge or vegetable puree. Porridge can be chosen first if the child has loose or unstable stools, and also if the child is underweight. After 4-5 days from the beginning of the introduction of porridge, butter can be gradually added to it (up to 5 g per serving of porridge in 150 g)

Mashed vegetables can be the first meal of the day if a child is prone to constipation, when it is better to choose zucchini, which can have a mild laxative effect on the child's stool. Starting from the 4-5th day of the introduction of vegetable puree, vegetable oil can be gradually added to it (up to 5 g per serving of vegetables in 150 g).

What foods can be introduced into the diet of a child at 4 months?

Kashi

Of the first cereals, it is better to give preference to buckwheat or rice. They must be dairy-free and can be diluted with water or breast milk, or the mixture that the baby eats. Later, you can introduce corn and oatmeal.

Vegetables

The first vegetable puree can be zucchini, broccoli, or cauliflower.

Fruit

The third type of complementary food can be fruit puree from apples or pears. Later, you can introduce mashed banana or apricot. At first, fruit puree can not be given to the child separately, but it is better to mix it with cereal or vegetables so that the child does not begin to prefer the sweet taste of fruits. When the amount of fruit puree reaches 50 g or more, it can also be given separately, for example, after the child has eaten porridge or for an afternoon snack.

Juices

Juices should not be the first feeding, in addition, they can not be introduced into the baby's first year of life at all, given their sweet taste and low nutritional value.

Can you make your own first meal?

You can prepare the first complementary foods yourself, but it is safer to use hypoallergenic monocomponent cereals or commercially produced purees prepared to high quality standards for baby food. In addition, it is important to consider that industrially produced baby cereals are often fortified with vitamins and minerals, which makes them especially useful for the first feeding.

How to start the introduction of a new product?

Complementary foods are introduced before breastfeeding or formula. The introduction of a new product should be gradual. But how is it?

On day 1, give your baby 1 tsp. complementary foods before breastfeeding or formula
On day 2 - 3 tsp. (15 g)
On day 3 - 6 tsp. (30 g)
Day 4 - 50 g
Day 5 - 70 g
Day 7 - 100 g
For 8-10 days - bring to 150 g.

Please note that if complementary foods are introduced from 4 months, then the introduction of 1 new product may take longer than the introduction of complementary foods from 5 or 6 months, namely up to 10 days or more, depending on the reaction of the baby.

Important!

If on the 8-10th day of the introduction of a new product, the baby still cannot eat 100-150 ml of porridge or puree at once, then this amount can be divided into 2 or even 3 doses, for example, give 50 ml of porridge in the morning, 50 ml in the afternoon and 50 ml in the evening. Why do this? So that the child gradually gets used not only to the new product, but also to its quantity. In the future, you need to try to gradually increase the one-time amount of the product to the age volume.

Questions and answers

Will the amount of breast milk decrease if we start introducing complementary foods from 4 months?

Of course, with the introduction of complementary foods, breast milk will be produced less, but only by the amount of complementary foods introduced. As long as you breastfeed your baby on demand and attach him to the breast every time after giving complementary foods, as well as maintaining nightly breastfeeds, you will maintain long-term successful breastfeeding.

Dear parents, remember that the introduction of complementary foods is a creative process that requires an individual approach and attention to the needs of the child. The proposed complementary feeding schemes in terms of time and quantity of introduced products are advisory in nature and do not imply their forced introduction.