How to feed 4 month old baby cereal
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.
Your Baby's Growth: 4 Months (for Parents)
Babies this age continue to grow — in size, physical skills, and their ability to interact with the world.
Many of the new skills they're learning will come in handy for eating solid food. In fact, some time over the next few months, your baby may get that first taste of food beyond breast milk or formula. Although breast milk or formula will continue to be the main source of nourishment, your baby can start to explore different tastes and textures.
As long as your baby continues to grow steadily, eating habits shouldn't be a cause for concern. Your baby will be ready to start eating puréed foods when she can sit well without need for support and has lost the tongue-thrust reflex (pushing solids out of the mouth with the tongue).
How Much Will My Baby Grow?
By 4 months, many babies have doubled their birth weight.
This month, babies gain about 1 to 1¼ pounds (560 grams) and about 0.8 inches (2 centimeters) in length.
Since your child's birth, the doctor has been recording growth in weight, length, and head size (circumference) during your regular well-baby visits. The doctor tracks these numbers on standard growth charts. Ask your doctor to show you your baby's growth record. By now, you should begin to see a personal growth curve emerging — expect your child to continue growing along this curve.
Should I Be Concerned?
Is my baby big enough? Is my child destined to be tall or short? Parents often worry about growth and may compare a baby with siblings and peers. It's important to remember that kids come in a wide range of shapes and sizes.
Growth depends on many factors, including:
- genes passed on by the parents (kids tend to resemble their parents in height)
- the amount and quality of food a child eats
- overall health
- the functioning of the hormones that control growth
Based on the growth chart, the doctor can determine whether your child is growing as expected.
If at any time you're concerned about your baby's weight or growth in general, discuss your worries with your doctor.
In response to your concerns, the doctor may ask you these questions:
- How many feedings a day does your baby get?
- How much does your baby eat at each feeding?
- How long does a breastfeeding baby nurse at each feeding?
- What else are you feeding your baby?
- How frequent are your baby's bowel movements? What do they look like?
- How often does your baby pee?
The doctor also may ask questions about your baby's health and development. All these things together will help the doctor decide if your baby is growing at an appropriate rate. The doctor may recommend tests if he or she thinks there may be a problem that needs to be addressed.
Premature babies may still be behind in size compared with their full-term peers, but they should also be growing steadily at their own rate.
What About the Chubby Baby?
With all the concern about childhood obesity, parents may worry that their baby is getting too fat.
A few babies and toddlers are overweight. For these children, advice from the baby's doctor can be useful.
Never withhold food from a baby in an attempt to cause weight loss. To grow and develop as they should, babies need proper nutrition, including fat, in their diet. For the first year, breast milk or formula should continue to be their main source of nourishment.
It's safe to introduce solid foods at around 6 months for breastfed and formula-fed babies. When the time is right, start with a single-grain cereal for babies (rice cereal has traditionally been the first food for babies). Then introduce other foods, such as puréed fruits and vegetables. Your doctor can advise you on how much of each food to give, but pay close attention to your baby's cues that he or she has had enough.
What's Next?
Your baby's rapid growth will start to slow down during the second half of the first year. But expect big changes in the coming months as your baby becomes more mobile.
Reviewed by: Cristy A. Wong, MD
Date reviewed: January 2019
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
* - infant formula Option 3. : ** - 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.) Vika Vishnyakova nutritionist Author profile perfect food for kids. And if we want a child to be healthy and develop normally, then it is better to buy products from the shelves of children's stores, and in restaurants and cafes choose food from the children's menu. But in most cases, it's all just marketing. We understand that it can be difficult to feed a child broccoli and healthy white fish, and if he only asks for corn flakes for breakfast, then it is easier for him to give them and avoid tantrums. I'll tell you why "baby" products can be dangerous. Our articles are written with love for evidence-based medicine. We refer to authoritative sources and go to doctors with a good reputation for comments. But remember: the responsibility for your health lies with you and your doctor. We don't write prescriptions, we make recommendations. Relying on our point of view or not is up to you. Even if cereals contain iron, make the child smart and active, do not overdo it. Breakfast products advertised for children contain 3 times more sugar than those advertised for adults: Spanish study They are actually high in sugar and low in nutrients. This can lead to an unbalanced menu, when there are few macro and microelements important for the development and maintenance of health, and a lot of calories, sugar and salt. For example, a 30-gram serving of Nestlé breakfast cereal contains about 14 g of sugar. This limit includes all added sugars in any form and with any name. Corn syrup, dextrose, coconut sugar, honey, Jerusalem artichoke syrup and agave nectar are also free sugars that WHO recommends limiting in the diet. How to calculate sugar in foods: 61 sugars Age How much sugar can per day 4-6 years 19 g, or 5 teaspoons 7-10 years 24 g, or 6 teaspoon older 30 g or 7 teaspoons The WHO and the American Heart Association recommend eliminating all added sugar up to 2 years and the UK Department of Health up to 4 years. Breakfast alone can contain a daily amount of sugar, but in addition to breakfast, there are other meals, inconspicuous snacks, desserts and juice. It turns out to be an overkill. If you regularly exceed the sugar norm, this can lead to unpleasant consequences: And the passion for sugar changes the perception of tastes: the usual kiwi or peach seems not sweet enough, and sugary biscuits are just right. This can force other foods out of the diet. All the health benefits of breakfast cereals are in the flour from which the balls or pillows are made. That is, ordinary cereals were cleaned of the shell - the most valuable element of the grain, ground into flour, added sugar in several forms, butter, starch and additional ingredients to improve taste and texture. /list/norm-menu/ The main thing is variety: a ready-made menu for the average Russian If we gave children ordinary cereals, then there would be more fiber - food for beneficial bacteria in the intestines, the very vitamin B with which the manufacturer promised to increase the ingenuity of consumers, others important trace elements and there would be no added sugar. The Union of Pediatricians of Russia notes that juices contain few vitamins and minerals, but a lot of sugar, so they should not be offered before 12 months. The habit of drinking juices can increase the risk of tooth decay and obesity. The WHO, European and American Societies of Pediatrics do not recommend giving free sugars to children under 2 years of age. Whole fruits should not be limited in the diet: it is almost impossible to get an excess of sugars from them, but from juices it is easy. For example, it takes me four oranges to make a glass of freshly squeezed juice. A child will drink such a glass in one minute and ask for more. But if I cut these four oranges, he will manage two at best. At the same time, the child will receive fiber, vitamins, minerals and a bonus in the form of training the jaw apparatus. A glass of freshly squeezed juice may be in the diet of a child over 7 years of age. Until this age, pediatric organizations recommend giving juices occasionally and diluting with water in a ratio of 1:1. Unicef - what to feed a baby up to 1 year old A package of baby juice can contain up to 6 tablespoons of free sugars, absolutely no fiber and a dubious amount of vitamins, because almost all of them are destroyed during the production process. Juice consumption is associated with excess weight: Harvard Medical School By itself, milk, kefir and fermented baked milk are essential foods in the diet. From them, children get calcium, protein, various microelements, and from fermented milk products they also get beneficial bacteria. But now, baby dairy products are not always a good option, despite the labels "from 6 months" on the packages. The point here is not in the milk itself and its derivatives, but again in exceeding the safe norms of sugar with the regular use of such products. Nutrition for children aged 1-3 years: guidelines from the Union of Pediatricians of Russia Dairy guidelines: American Pediatric Association WHO recommends 2-3 servings of dairy products per day: each serving is the size of a child's fist. For example, it can be 100 ml of kefir or a jar of non-drinkable yogurt 120 g. But if you put 1-3 teaspoons of sugar in each of them, as manufacturers of children's yogurts do, you get a search for the norm of sugars with all the ensuing consequences for health . In addition, we can form the wrong taste preferences: after the “strawberry flavored” option, ordinary fermented baked milk may seem insipid to the child and he will refuse it. Therefore, it will be more useful to give ryazhenka without additives and put a couple of berries in it for taste. Most often, the children's menu offers french fries, sausages, nuggets and dumplings. It seems that this is a variant of a normal lunch for children. Almost all of these products are ultra-processed. That is, those in which there are almost no nutrients, but there are a large number of flavor enhancers and preservatives: salt, sugar and fats. Yes, they affect our receptors and such food seems tasty, but there is very little nutritional value in it. There is a connection between the regular consumption of ultra-processed food and lipid metabolism disorders in children. In the future, this can lead to atherosclerosis and an increased risk of cardiovascular disease. And also to an imbalance in nutrition, metabolic disorders and obesity. Study on the association of frequent consumption of fast food and obesity in children Scientific review on the impact of fast food on children's health Ultra-processed foods can be in the diet of adults and children, but as a supplement to a basic balanced diet, not as a replacement for it. If you feed this food daily, then the children form the idea that this is a normal food option. Then why eat broccoli and shrimp on another day? Food with an adequate level of nutritional value can be forced out of the diet, and this is fraught with a deficiency of essential substances. Therefore, when looking at the menu with your child, it is important to draw his attention to the fact that nuggets and fries are more of an addition to the main course, and if you need to satisfy your hunger, then it is better to choose alternatives with a higher nutritional value. And be prepared for the question "If this is not children's food, then why is it on the children's menu?". /list/free-for-kids/ Going to a cafe with your family and not going broke: 7 Moscow restaurants with a free children's menu child, because it is sold in a pharmacy. It is also much healthier than candy because it contains iron. The same applies to ascorbic acid in dragee format: vitamin C in a "candy" package is just a godsend for parents who want to strengthen their child's immunity. A 50g hematogen bar contains about 5g of iron and 30-40g of sugar. For comparison: the same amount of iron in 25 g of stewed liver, 30 g of sesame seeds, 12 tablespoons of boiled lentils or 150 g of beef steak. One dragee of ascorbic acid weighing 2.9 g contains 2.8 g of sugar, and ascorbic acid itself is only 25 mg - 112 times less than sugar. The same amount can be obtained from 50 g of bell pepper or half a kiwi. If you do not live in conditions of total food shortage, then the child does not need either hematogen or ascorbic acid. They may be optional, as a dessert, but not as a necessary means to maintain health. /list/healthy-eating-myths/ No Sugar or Carbs: 6 Healthy Eating Myths 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
** - diluted with breast milk or VMS 
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 Breast milk 
what not to feed a child on a regular basis
This does not make you a bad parent. Go see a doctor
Cereals and corn flakes
Most often, we do not measure portions with the help of scales, but pour "by eye" - there can be more sugar. For a preschooler, this amount of sugar is the daily norm. Allowable amount of free sugars in a child's diet
Age How much sugar can you have per day 4-6 years 19 g or 5 teaspoons 7-10 years 24 g or 6 teaspoons over 11 years old 30 g or 7 teaspoons 
To compensate for the loss of vitamins and trace elements that were removed along with the grain shell, the product can be enriched with vitamins and minerals. But this is not always done. Juices
And juice is one of their forms. If fiber is removed from the product, but only juice or its concentrate is left, then the product goes into the section of free sugars - “free” from fiber. That is, any juice - even marked "without sugar" - is still a variant of sugar. 
And a whole apple contains 5 g of fiber - that's 20% of the daily value for adults, 9mg magnesium and 0 g free sugars. Dairy products for children
"Children's menu" in restaurants and cafes
Moreover, these products do not contain added sugar. Bottom Line
