How to feed my baby cereal for the first time

How to Get Started – The Baby's Brew

November 11, 2021

I will always remember feeding each of my babies their first foods. After months of only breastfeeding and bottles, my husband and I couldn’t wait to introduce the next milestone to each of our babies. But with the first baby at least, there was also apprehension. Our pediatrician had recommended we start with a single-grain baby cereal such as rice cereal, but I didn’t know which one to get and I wanted to make sure I fed my baby the right way!

So to get you started off on the right food with baby feeding 101, I’ve put together this guide to giving your baby cereal for the first time. And it will only get more exciting as you introduce other foods to your little one.

Choosing a First Baby Cereal

Before you actually feed your baby, you have to choose what you want to give them from the array of cereals and other options available.

Most parents reach for the rice cereal to give their baby as their first food. I know I did as a new mom! It’s an easy choice and one that doctors suggest due to its benefits. It's easy to such as its digest, won’t trigger an allergic reaction and is tolerated well by babies who’ve only been fed breastmilk or formula. It’s also iron-fortified, which babies need as their iron stores start to deplete around 6 months of age.

Though rice cereal has traditionally been suggested as the best first food for your baby, even many doctors may still give this recommendation, it has gotten a bit of a bad rap in recent years due to the arsenic that’s found in rice - causing parents to look at other options. (This article from Healthy Children explains how you can ensure rice cereal can be used in a healthy diet for your baby.)

If you do choose rice cereal, you’ll want to start introducing other solids to your baby shortly so that’s not all that they are getting, as recommended by the FDA.

Other Cereal Options Besides Rice

Fortunately, if you want to skip the rice cereal completely, you can! There is no need to feel like this is the only first food for your baby. Many experts share that any iron-fortified single-grain baby cereal is a great choice, such as baby oatmeal or barley. You can even start with other pureed foods which we discuss later on in this article.

When to Start Feeding Your Baby Cereal

Several years ago the recommendation was that parents could feed their babies at four months if they showed readiness signs. But medical advice evolves and this is a guideline that medical experts have changed to give babies the healthiest start possible.

It’s now suggested that it’s best to wait til closer to your baby’s ½ birthday to introduce solids, especially if he is breastfed. There’s really no reason to rush it!

But it’s not just age you want to pay attention to as we know that all babies develop at different rates.

Here are signs to look for that will let you know your baby is ready for solid foods:

able to sit up supported in a high chair
has proper head control
no more tongue thrust
eager to take a spoon
are interested in the food that you are eating

If your baby isn’t yet showing these signs, you’ll want to wait a bit longer before starting baby cereal or other solid foods. No need to worry - all babies are ready in their own time! Your baby will continue to get the nutrition they need from their breastmilk or formula so you don’t need to be concerned that they are missing out on important nutrients. If you do have concerns, it’s always best to talk to your pediatrician.

Can you give your baby cereal in a bottle?

Even though your well-meaning grandma may suggest that you mix cereal into your baby’s bottle to help fill them up so they can sleep better, this practice is actually not safe according to the CDC. In fact, they share that it won’t help your baby sleep better anyway. This practice puts your baby at risk for choking or overfeeding and also may encourage parents to start solid foods long before they are ready.

Instead, follow the guideline to not feed your baby solid foods until he or she is at least 5-6 months in age and watch for the other readiness signs mentioned above. At this point you can feed your baby with a spoon and introduce finger foods as they are ready.

RELATED: Starting Solid Foods With Your Baby

How to Introduce Cereal to Your Baby

Breastmilk and formula will continue to be your baby’s primary source of nutrition until the age of one, but cereal is a great way to get them started with supplemental nutrition and transition them to solid foods. So how do you go about it?

Here are the steps to follow to give your baby her first single-grain cereal:

Make sure they meet the recommended readiness signs. This will not only make for a safe feeding experience for your little guy or gal, but it will also be a lot more enjoyable for you.
Plan to feed your little one after they’ve had a full feeding of breastmilk or formula. This way their tummy will mostly be full which means they’ll likely be happy to try a little cereal. (If you try to introduce solids to a hungry baby they will most likely be uncooperative!) Initially you’ll only feed your baby once per day, and it’s up to you when you want that time to be. We recommend choosing a time that your baby is usually in good spirits!
Follow the directions on the label of your chosen baby cereal. You don’t need much to start! 1 tablespoon of cereal mixed with breastmilk or formula until it’s a runny consistency will be plenty for those first couple of feedings. If your baby is used to drinking warm milk or formula, you’ll want to use that same temperature of milk to mix with your baby’s food. (This is why we love the Baby’s Brew portable bottle warmer...you can choose your baby’s milk temperature with the push of a button!)
Be sure your baby is sitting upright. Ideally this would be in a highchair, but they could also be sitting on your lap. You’ll want them to be wearing a bib as a lot your little one’s food won’t make it into their mouth initially.
Use an infant spoon to feed your baby. Do your best to get the spoon into their open mouth, but just know it’s going to be a bit messy at first as they get the hang of what’s going on. It won’t be long before they are opening wide at mealtime!
Watch for cues from your baby that show that they are full (or are just are no longer interested). If your baby turns their head, is fussy or won’t open their mouth to eat, it’s time to be “all done!”

And that’s it! You can do another feeding the next day (or you can just do every other day) with the same type of cereal. Be sure to wait three - five days before introducing another food so you can keep an eye out for any allergic reactions. This is the recommendation given by the CDC.

After a couple weeks to a month of successfully feeding your baby once per day you can move to twice per day.

Does cereal have to be your baby’s first food?

Some parents choose to start with a different food or may take baby cereal out of their little one’s diet altogether. Starting with other pureed foods instead is totally fine and may even work better for some babies. WebMD shares that both pureed vegetables or fruits are good starter foods and that there’s no rule saying that baby cereals must be first.

Some great first foods, if you want to skip the cereal route, include:

Avocados
Bananas
Blended Red Meat (great source of iron)
Squash
Sweet Potatoes
Pears

Just remember that these all need to be pureed and made into a runny consistency that’s easy for your baby to eat. Mixing with your baby’s warmed breastmilk or formula will help to bring this to a consistency that your baby can manage. You’ll also want to avoid giving your baby any of the top allergen foods such as the ones listed here unless you’ve been given different advice from your doctor. These are best introduced when your baby gets a little older.

Still not sure which food to start with? It can be a bit overwhelming! This is a great conversation to have with your doctor before your baby turns 6 months and they can help guide you on what would be the best option. Whatever you choose, it is sure to be an exciting time for your family as your little guy or gal begins his journey of eating "real" food!

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.

Nursing nipple care | Breast Care

Breastfeeding is good for you and your baby, but it can be a real challenge for the nipples. Check out our tips and tricks to help reduce the pain.

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Sioned Hilton, health visitor, neonatal nurse and lactation consultant:
A mother of three, Sioned Hilton has been supporting families with newborns and young children for over 30 years. She provides advice on breastfeeding and pumping, both in clinics and at home. In addition, Schoned writes articles for parenting magazines, attends conferences, and conducts seminars for attending physicians.

New mothers often hear: "Breastfeeding doesn't have to be painful." However, in the early days, many are faced with the opposite.

In most women during pregnancy, the nipples enlarge and become more sensitive. When a newborn baby begins to suckle, it creates a certain pressure, and this is a completely new and unfamiliar sensation for a woman (at least for a first-time mother).

Feedings can be prolonged for a long time, sometimes up to an hour, and the child may ask to be breastfed up to 13 times a day. ¹ This sucking, pressure and saliva of the baby can cause sore nipples.

Remember how your lips crack in the wind and sun. The more often you lick them, the more they will dry and become inflamed. Therefore, lips require good hydration to soften, protect and speed up the healing of cracks. The same thing happens with nipples.

However, sore nipples usually don't last more than a couple of weeks and go away as your baby and your breasts get used to breastfeeding. It is important to start nipple care as early as possible to prevent the situation from worsening. Therefore, if your nipples become very inflamed, crack or bleed, contact your doctor as soon as possible. ²

Prevention is better than cure, so check out our tips.

Check your baby's latch-on

Correct latch is the key to pain-free breastfeeding. When putting the baby to the breast, point the nipple towards his palate. This will allow him to grab the nipple and the part of the areola (the darker skin around the nipple) underneath. When the nipple and part of the breast is in the baby's mouth, feeding is taking place correctly. ³

For the first few days, see a lactation consultant or specialist to check for proper latch. He will be able to give you advice on how to solve problems and recommend other feeding positions that will make it less painful for you to feed your baby.

Check tongue tie

Tongue tie (ankyloglossia) occurs in 4-11% of
newborns. ⁴ At the same time, the strip of skin that attaches the tongue to the bottom of the mouth - the so-called frenulum - is too short. A child with a shortened frenulum will not be able to open his mouth wide enough to latch onto the breast well, and his tongue will not cover the lower gum when sucking. As a result, the baby will be nervous, and your nipples may become inflamed.

The doctor or lactation consultant must examine the baby to make this diagnosis. The problem of a shortened bridle is solved by a simple undercutting procedure. It is performed by a doctor, and is usually done without blood and does not require anesthesia. Cutting the bridle allows you to restore the normal feeding mechanism almost instantly. ⁵

Less common in children is a short frenulum of the upper lip. In this case, it is necessary to dissect the skin that connects the upper lip to the gum. A shortened frenum of the tongue or upper lip in a newborn is not always detected during the examination conducted immediately after birth, so if you think that this is what is causing your nipples pain, seek medical advice as soon as possible. ⁴

Breastfeeding Tips

Wash your breasts with water only when you shower or bathe. Small bumps on the areola (Montgomery's glands) secrete oil that moisturizes and protects your nipples. Soaps and shower gels can strip away this natural defense, causing dryness and irritation. ⁶
Pat the nipples gently with a soft towel or simply let them air dry. In the past, women were often advised to rub their nipples to make them stiffer, but thankfully, such advice is a thing of the past!
Do not wash breasts or nipples before feeding. The bacteria found on the surface of the breast actually help the baby's intestinal microflora to develop. ⁷
Fresh breast milk helps to heal cracked nipples, ⁸ so rub a few drops of milk into them before and after feeding.
Change your bra pads often if they get wet. This will reduce the risk of bacterial and fungal infections, including thrush. ⁶
It is not necessary to increase the intervals between feedings to give the nipples a "rest". For a baby to be healthy and grow well, it needs to be fed on demand. Remember, frequent feeding stimulates and maintains milk production, so keep feeding despite the pain. ⁹

Healthy teat care products

Pure lanolin teat cleaner, a natural product derived from sheep's wool. It moisturizes and promotes healing of the nipples. This cream is safe for the baby, so it does not need to be washed off before feeding.
Hydrogel Pads* can be applied to sore nipples to relieve pain while feeding and help promote healing. They can even be stored in the refrigerator to enhance the soothing cooling effect.
Breast pads* fit into the bra. They help prevent nipple irritation from clothing and have air holes to help nipples heal.
Nursing Bras** are made from breathable material such as cotton or a special fabric that dries quickly and wicks moisture away from sore nipples.
Nursing pads* are special silicone pads that fit over the nipples. They have small holes through which milk flows when you are breastfeeding. The pads help to protect the skin underneath and help the baby to better latch on to the nipple by making the nipple stiffer. Do not use nursing pads for a long time. If you have problems or pain, contact your healthcare professional or lactation consultant.

When to Seek Medical Care

The soreness should go away as your nipples and baby get used to breastfeeding. It is worth repeating that the main cause of sore nipples is improper grip. If your lactation consultant has not been able to resolve your pain while feeding, see another specialist and a third if necessary.

If nipple pain persists or if you notice unusual symptoms, talk to your doctor. The appearance of white spots or flakes on the nipples may be a sign of thrush, whitish or bluish nipples may indicate a circulation disorder such as Raynaud's disease (vasospasm), and pus and redness indicate an infection. ²

Literature

1 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.

2 Berens P et al. Academy of Breastfeeding Medicine. ABM Clinical Protocol#26: Persistent pain with breastfeeding. Breastfeeding Medicine. 2016;11(2):46-53. - Behrens, P. et al., Academy of Breastfeeding Medicine, AVM Clinical Protocol #26: Persistence of Breastfeeding Pain. Brestfeed Med (Breastfeeding Medicine). 2016;11(2):46-53.

3 Cadwell K. Latching - On and Suckling of the Healthy Term Neonate: Breastfeeding Assessment. J Midwifery & Women's Health. 2007;52(6):638-42. — Cadwell, K., "Latching and sucking in healthy newborns: evaluation of breastfeeding. " F Midwifery Women Health. 2007;52(6):638-642.

4 Segal LM et al. Prevalence, diagnosis, and treatment of ankyloglossia: methodological review. Canadian Family Physician. 2007;53(6):1027-1033. - Segal L.M. et al., Incidence, Diagnosis, and Treatment of Ankyloglossia: A Methodological Review. Canadian Family Physic. 2007;53(6):1027-1033.

5 O'Shea JE et al. Frenotomy for tongue - tie in newborn infants. The Cochrane Library. 2017. - O'Shea J.I. et al., "Dissection of the frenulum in the newborn", The Cochrane Labrery (Cochrane Library), 2017.

6 Jacobs A et al. S3-guidelines for the treatment of inflammatory breast disease during the lactation period. Geburtshilfe und Frauenheilkunde. 2013;73(12):1202-1208. - Jacobs A. et al., "Recommendations S -3 for the treatment of inflammatory diseases of the breast during breastfeeding. Geburtskhilfe und Frauenheilkünde. milk bacterial communities and establishment and development of the infant gut microbiome JAMA pediatrics 2017;171(7):647-654 - P. S. Pannaraj et al. development of the neonatal gut microbiome." JAMA pediatric. 2017;171(7):647-654.

8 Mohammadzadeh A et al. The effect of breast milk and lanolin on sore nipples. Saudi medical journal. 2005;26(8):1231-1234. — Mohammedzade A. et al., "Effects of breast milk and lanolin on sore nipples." Saudi Medical Journal. 2005;26(8):1231-1234.

9 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.

Read instructions before use. Consult a specialist about possible contraindications.

* RC № № ФСЗ 2010/07352 dated 1907.07.2010

** RU No. FZZ 2009/05592 dated 11.25.2009

Proper nutrition of the child is the key to health - Children's City Polyclinic No. 1

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From childhood, we must teach our children to choose from the variety of products those that are really good for health. The nutrition of children is somewhat different from the nutrition of adults. If the child's nutrition system is built correctly, then the child develops normally, both physically and mentally.

Make your family's way of life by introducing your child to proper nutrition every day. There is no need to arrange constant lectures from this on the topic of what is useful and what is harmful. By actively communicating with your child, setting an example, you instill good eating habits.

Only good things should be spoken at the table. The situation should help the child to relax, then the appetite will be good and the mood will be friendly. Children can help you with serving and decorating dishes. When serving vegetables and fruits, ask the children what vitamins and minerals they contain and why they are so useful. In order to organize the proper nutrition of the child, you need to follow several important rules:

Rule 1

Food should be varied.

This is an important condition for the child's body to receive all the substances necessary for growth and development. Every day, the child's menu should include: fruits and vegetables; meat and fish; milk and dairy products; grain products (bread, cereals, cereals). Insufficiency or excess of food consumed by a child can adversely affect the activity of the gastrointestinal tract, contribute to metabolic disorders, increase overweight (even to various degrees of obesity) or lead to malnutrition.

If the child refuses to eat a healthy dish, invite him to experiment and make the dish unusual.

So, with the help of dried fruits and nuts, you can put a funny face on porridge, use ketchup and greens to draw a pattern on scrambled eggs, put mashed potatoes on a plate in the form of a snowman figure, etc.

What should not be used in children's nutrition:

Offal other than liver, tongue, heart; blood, liver, raw smoked sausages.
Fat-fried (deep-fried) food and culinary products, chips.
Curds, condensed milk with vegetable fats.
Koumiss and fermented milk products containing ethanol (more than 0.5%).
Cream confectionery containing vegetable protein.
First and second courses based on fast food concentrates.
Vinegar, mustard, horseradish, hot peppers and other hot spices and food products containing them, including hot sauces, ketchups, mayonnaises and mayonnaise sauces.
Pickled vegetables and fruits.
Natural coffee and carbonated drinks, apricot kernels, peanuts.
Products, including confectionery, containing alcohol.
Food products containing a large amount of food additives in their composition (information is indicated by the manufacturer on consumer packaging).
Dry concentrates for cooking first and second courses (soups, Dosherak vermicelli, cereals).

Rule 2

The child must eat regularly.

Compliance with the diet of children is of great importance for the absorption of nutrients by the body. Preschool children are recommended to eat 4-5 times a day, every 3 hours, at the same time, distributing the diet as follows: breakfast - 25%, lunch - 35%, afternoon snack - 15%, dinner - 25% . At school age, it is advisable to have four meals a day, every 4 hours with an even distribution of the daily ration: breakfast - 25%, second breakfast - 20%, lunch - 35%, dinner - 20%.

Try to stop snacking and teach your child to eat only at the table. If this still doesn't work, offer fruit, biscuits, juice for a snack - food that will help drown out hunger, but will not ruin your appetite.

An important health-improving measure for children-students is the correct organization of meals at school in the form of hot school breakfasts and lunches in extended-day groups, the diet of which should be 50-70% of the daily norm, which parents, unfortunately, have little are paying attention. Eating sandwiches, pizza, chips, chocolate bars is harmful because - this food is inferior in composition and also irritates the stomach, contributing to the development of gastritis.

Rule 3

A child's diet should replenish his daily energy expenditure.

If your child is overweight, limit the amount of sweets and high-calorie desserts, empty the refrigerator. Put a bowl of fruit on the table, a plate of whole grain bread.