Proper feeding for baby

Feeding Guide for the First Year

Feeding Guide for the First Year | Johns Hopkins Medicine

Reviewed By:

Tiffani Hays, M.S., R.D., L.N., Director of the Pediatric Clinical Nutrition Education & Practice

Making appropriate food choices for your baby during the first year of life is very important. More growth occurs during the first year than at any other time. It’s important to feed your baby a variety of healthy foods at the proper time. Starting good eating habits at this early stage will help set healthy eating patterns for life.

Recommended Feeding Guide for the First Year

Breast milk and formula are designed to be the primary sources of nutrition throughout an infant’s first year of life. You should talk with your baby’s health care provider before starting solid foods. Solid foods should not begin before age 4 months because:

Breast milk or formula provide your baby with all the nutrients that are needed.
Your baby isn’t physically developed enough to eat solid food from a spoon.
Feeding your baby solid food too early may result in poor feeding experiences and increased weight gain in both infancy and early childhood.

The American Academy of Pediatrics (AAP) recommends that all infants, children and adolescents take in enough vitamin D through supplements, formula or cow’s milk to prevent complications from deficiency of this vitamin. In November 2008, the AAP updated its recommendations for daily intake of vitamin D for infants, children, and adolescents who are healthy. It is now recommended that the minimum intake of vitamin D for these groups should be 400 IU per day, beginning soon after birth. Your baby’s health care provider can recommend the proper type and amount of vitamin D supplement.

Guide for Breast-feeding (Zero to 12 Months)

In the early days after a baby’s birth, the mother should plan to breast-feed every two to three hours, including overnight. The mother should respond to the infant’s cues of hunger in a prompt and relaxed manner, providing a quiet and comfortable environment for both herself and the baby. Frustrated or distracted infants may have difficulties latching on.
It is normal for infants to wake up overnight to feed for the first several months. If you have any concerns about overnight feeding, please discuss them with your health care provider.
Alternate breasts to feed on, and allow the infant to completely empty the breast before switching to the other. This practice ensures the infant receives hindmilk, which is richer in nutrients.
Follow your child’s feeding cues and resist forcing a schedule. Instead, rely on keeping track of wet diapers and your child’s growth to judge whether he or she is receiving enough breast milk. A mother’s milk changes as the infant grows, and feeding habits change as well in order to best meet a child’s needs. If you have any questions about whether your child is receiving enough breast milk, ask your health care provider.
When not able to breast-feed, use a breast pump to extract milk and maintain milk supply. Pumped breast milk should be stored safely, using appropriate temperature guidelines. Pumped breast milk may be offered to infants in bottles, while responding to the same feeding cues to determine how much they take. Forcing bottles to be emptied may result in overfeeding and excess weight gain, even when feeding breast milk.
With the proper support, a mother can meet the needs of most infants, even twins, so seek out help from your health care provider or lactation consultant for success.

Guide for Formula Feeding (Zero to 12 Months)

When breast milk is not available, standard infant formula is an appropriate alternative for most healthy full term infants, but there are some differences between brands. Do not hesitate to ask your health care provider for a recommendation if you are unsure which formula to use.
Bottle-feeding should be interactive, with the caregiver holding both the bottle and the infant. Propping a bottle has been linked to an increased risk of ear infections and tooth decay.
Formula feeding should be in response to the infant’s needs and not based on a predetermined schedule. Look for cues of hunger and fullness to determine both when to feed and how much. The number of wet diapers per day and your child’s growth will reflect if he or she is getting enough formula. The chart below demonstrates common intakes for infants at various stages. However, ask your health care provider if you have any questions about how much formula your infant is taking.
The amount of formula an infant takes will decrease as the baby increases intake of solid foods, but formula remains a significant source of calories, protein, calcium and vitamin D for the first year of life.
Ask your health care provider before switching an infant less than 1 year of age from formula to cow’s milk or a cow’s milk alternative.

Age	Amount of formula per feeding	Number of feedings per 24 hours
1 month	2 to 4 ounces	six to eight
2 months	5 to 6 ounces	five to six
3 to 5 months	6 to 7 ounces	five to six

Complementary Feedings (After 6 Months of Age)

Beverages

Offer only breast milk or formula in bottles until 1 year of age unless specifically advised by your health care provider.
Begin offering breast milk and/or formula in a cup starting at 6 months of age. Infants should drink breast milk and/or formula for the first year of life.
- Fruit juice is not recommended under 1 year of age.
- When introducing juice, offer 100% pasteurized juice and limit it to 4–6 ounces per day. Do NOT place juice in a bottle.
- Avoid giving any sugar-sweetened beverages to infants.

Solid Foods

Introduce solid foods when your infant is ready, at around 6 months of age depending on the infant’s development. Infants are ready to start eating solid foods when they can:
- sit up on their own or with a little support
- reach for and put things in their mouth
- open their mouth when seeing something coming
- keep food in their mouth rather than pushing it out onto the chin
- move food to the back of their mouth with their tongue
- turn their head away when they do not want something

Prepare to introduce solid foods in a calm feeding environment where the infant is sitting upright and is appropriately supported and moderately hungry.
Start with small amounts of solid food, feeding with a spoon or allowing finger feeding, then gradually increase the amount as the infant eats more and develops. Avoid offering breast milk or formula until after the solid-food experience has wound down.
Expose infants to a wide variety of flavors and textures of healthy food. Don’t limit your baby’s food choices to the ones you like. Offering a range of foods early will pave the way for healthy eating habits.
Maintain the division of responsibility when feeding.
- The caregiver is responsible for what to eat (offering appropriate variety and textures).
- The child is responsible for deciding whether to eat and how much.
Avoid adding salt or sugar to make baby foods more appealing. Many babies and toddlers need to experience a new food multiple times before accepting it, and increased intakes of salt and sugar among children are associated with obesity in adults.
Observe infants for any signs of intolerance when introducing a new food or texture, and discuss all concerns with your health care provider.
Although convenient and safe, commercial baby foods are not required. Young children are more likely to eat foods they see others eating, so as long as they are observed to see how they handle new food in their mouths, baby-led weaning using table foods is an appropriate way to introduce solids.
Avoid honey in any form during your child’s first year, as it can cause infant botulism. Address any concerns about developing food allergies with your health care provider.
Don’t restrict fat and cholesterol in the diets of very young children, unless advised by your child’s health care provider. Children need calories, fat and cholesterol for the development of their brains and nervous systems, and for general growth.

Updated on July 26, 2019.

Nutrition
Toddler Nutrition
Breastfeeding Your Baby
Breastfeeding 101: Q&A with Lactation Expert Nadine Rosenblum
Developmental Milestones: Babies and Toddlers
Well-Care Visits

How Often and How Much Should Your Baby Eat?

By: Sanjeev Jain, MD, FAAP

One of the most common questions new parents have is how often their baby should eat. The best answer is surprisingly simple: in general, babies should be fed whenever they seem hungry.

How do I know when my baby is hungry?

For babies born prematurely or with certain medical conditions, scheduled feedings advised by your pediatrician are best. But for most healthy, full-term infants, parents can look to their baby rather than the clock for hunger cues. This is called feeding on demand, or responsive feeding.

Hunger cues

A hungry baby often will cry. But it's best to watch for hunger cues before the baby starts crying, which is a late sign of hunger and can make it hard for them to settle down and eat.

Some other typical hunger cues in babies:

Licking lips
Sticking tongue out
Rooting (moving jaw and mouth or head in search of breast)
Putting his/her hand to mouth repeatedly
Opening her mouth
Fussiness
Sucking on everything around

It is important to realize, however, that every time your baby cries or sucks it is not necessarily because he or she is hungry. Babies suck not only for hunger, but also for comfort; it can be hard at first for parents to tell the difference. Sometimes, your baby just needs to be cuddled or changed.

General guidelines for baby feeding

It is important to remember all babies are different―some like to snack more often, and others drink more at one time and go longer between feedings. However, most babies will drink more and go longer between feedings as they get bigger and their tummies can hold more milk:

Most newborns eat every 2 to 3 hours, or 8 to 12 times every 24 hours. Babies might only take in half ounce per feeding for the first day or two of life, but after that will usually drink 1 to 2 ounces at each feeding. This amount increases to 2 to 3 ounces by 2 weeks of age.
At about 2 months of age, babies usually take 4 to 5 ounces per feeding every 3 to 4 hours.
At 4 months, babies usually take 4 to 6 ounces per feeding.
At 6 months, babies may be taking up to 8 ounces every 4 to 5 hours.

Most babies will increase the amount of formula they drink by an average of 1 ounce each month before leveling off at about 7 to 8 ounces per feeding. Solid foods should be started at about 6 months old.

Concerns about overfeeding or underfeeding your baby

Too full?

Babies are usually pretty good at eating the right amount, but they can sometimes take in more than they need. Infants who are bottle feeding may be more likely to overfeed, because drinking from a bottle may take less effort than breastfeeding.

Overfed babies can have stomach pains, gas, spit up or vomit and be at higher risk for obesity later in life. It's better to offer less, since you can always give more if your baby wants it. This also gives babies time to realize when they're full.

If you are concerned your baby wants to eat all the time―even when he or she is full―talk with your pediatrician. Pacifiers may be used after feeding to help sooth healthy-weight babies who like to suck for comfort, rather than nutrition. For babies who are breastfed, it's best to wait to offer pacifiers until around 3 to 4 weeks of age, when breastfeeding is well-established.

Trouble gaining weight?

Most babies will double their birth weight by 5 months of age and triple their birth weight by their first birthday. If your baby is having trouble gaining weight, don't wait too long between feeding―even if it means waking your baby. Be sure to talk with your pediatrician about how often and how much to feed your baby.

How do I know if my baby is getting enough to eat?

Daily diapers

A newborn's diaper is a good indicator of whether he or she is getting enough to eat. In the first few days after birth, a baby should have 2 to 3 wet diapers each day. After the first 4 to 5 days, a baby should have at least 5 to 6 wet diapers a day. Stool frequency is more variable and depends whether your baby is breastfed or formula fed.

Growth charts

During regular health check-ups, your pediatrician will check your baby's weight and plot it on a growth chart. Your baby's progress on the growth chart is one way to tell whether or not they are getting enough food. Babies who stay in healthy growth percentile ranges are probably getting a healthy amount of food during feedings.

Remember

Talk with your pediatrician if you have any questions or concerns about your baby getting the right amount to eat.

More information:

Making Sure Your Baby is Getting Enough Milk
Amount and Schedule of Formula Feedings
Is Your Baby Hungry or Full? Responsive Feeding Explained (Video)
Remedies for Spitty Babies
Ask the Pediatrician: With the baby formula shortage, what should I do if I can't find any?
Ask the Pediatrician: How should we feed our baby if we're running low on money?
Airplane Choo Choo: A Feeding Guide for Children (National Dairy Council)

About Dr.

Jain:

Sanjeev Jain, MD, FAAP, is a Clinical Associate Professor of General Pediatrics and Adolescent Medicine at the University of Wisconsin School of Medicine and Public Health. Within the American Academy of Pediatrics, he is a member of the Section on International Child Health and the Wisconsin State Chapter.

The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

Proper nutrition of a child is a guarantee of health - Children's City Polyclinic No. 1

Every parent wants his child to grow up healthy, smart, happy.

From childhood, we must teach our children to choose from the variety of foods 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. nine0007

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. nine0003 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. nine0007

If the child refuses, there is a healthy dish, offer 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, except liver, tongue, heart; blood, liver, raw smoked sausages. nine0045
Deep-fried foods 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. nine0045
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 should 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%. nine0007

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.

Proper organization of meals at school in the form of hot school breakfasts and lunches is an important health-improving measure for student children in extended day groups, whose diet should be 50-70% of the daily norm, which, unfortunately, parents do not have enough 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. nine0007

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. Children can eat fruits without any restrictions, it is almost impossible to overeat them, and they are very useful. With a lack of any mineral substance or vitamin, the child himself will ask for the apple or even greens he needs. nine0007

Try to get your child involved in sports, take walks together, even if little by little, but regularly.

Thus, building proper nutrition for children requires taking into account the characteristics of the child's body, knowledge of certain rules and principles of healthy nutrition.

The material was prepared by the editorial and publishing department of GBUZ JSC "CMP" - 2020.

How to eat: healthy nutrition for children

Immunity, physical and mental development of the child, his eating behavior in adulthood depend on the quality of nutrition. To teach your baby to choose healthy foods when there are so many temptations around, a clear action plan of 12 simple steps will help. nine0007

Why healthy nutrition is important for children

First of all, insufficient consumption of fresh vegetables and fruits, meat, cereals, wholemeal bread leads to a deficiency of vitamins and minerals in the body. Because of this, not only working capacity decreases, but also immunity falls, colds occur more often ^[1] .

Abuse of sweets, soda and fast food, frequent snacks provoke a set of extra pounds. And if it is customary in the family to encourage the good behavior of the child with a tasty treat, then wrong eating habits are formed in him. This, in turn, provokes a desire to seize stress in adulthood ^[2] .

In addition, the lack of protein, mineral salts, fluorine, as well as the increased consumption of simple sugars (cookies, sweets) contributes to the development of caries. Bacteria in the mouth break down sugar and form acids that demineralize the hard tissues of the tooth ^[3] .

The principles of proper nutrition

Numerous epidemiological studies conducted in recent years by specialists from the Research Institute of Pediatrics of the Russian Academy of Medical Sciences, the Scientific Center for Children's Health of the Russian Academy of Medical Sciences and other medical institutions in Russia have revealed significant violations in the structure of nutrition and the nutritional status of children and adolescents ^[1] . Skipping breakfast, overindulging on sweets, snacking instead of lunch or dinner, and lacking variety in your diet are just some of the problems.

In order for the nutrition to bring only benefits to the child, it is recommended to follow the advice of specialists.

Maintain a balance between the incoming food and the child's energy expenditure. Daily energy consumption in children depends on age: at 7–11 years old, 2,100 kcal per day are needed, from 11 to 14 years old - 2,300–2,500, from 14 to 18 years old – 2500–2 900 kcal ^[4] .
Maintain a balance between proteins, fats, carbohydrates, vitamins and minerals. In accordance with modern concepts, the daily diet of a healthy child should have a ratio of proteins, fats and carbohydrates 1:1:4 ^[4] . A varied diet, including fruits, vegetables, cereals, nuts, meat, legumes, and dairy products, will help provide the body with vitamins and minerals.
Maintain a consistent diet. From the point of view of physiology, it is useful to eat 3–4 times a meal at the same time during the day with intervals of no more than 4–5 hours ^[5] .

How to teach a child to eat right

Lead by example. All homemade food should be healthy. This means a minimum of processing, sugar and frying. Do not eat a hamburger or pizza with a child. A simple analysis will help to calculate the weaknesses in the family diet and take a look at the usual diet from the outside - you need to write down all the foods eaten within a week. After that, it will become clear what you need to get rid of. It is easier for children to eat the “right” foods if it is a matter of course in their family. nine0007

Explain the benefits of products in plain language. It is difficult for a child to understand what excess weight, gastritis and caries are. Health problems seem to him distant and insignificant. It is better to go from the other side and explain to the child the specific benefits of the product. For example, meat will make him strong and it will be easier to pass physical education standards, buckwheat will give energy for games, and nuts will help you solve math problems faster. Teenagers can be taught about the impact of proper nutrition on appearance. nine0007

Work out the power mode. Rituals make the life of children understandable and stable, and parents save time and nerves. In addition, a clear regime helps to avoid endless snacking, and the habit of eating at the same time promotes better digestion. It is optimal to make intervals between meals 4-5 hours long and not to have dinner right before bedtime. At night, the body should rest and recuperate, and not digest ^[4] . It is better to gather with the whole family during meals. So it will be easier for the child to adopt healthy eating habits, learn table manners and discuss all the news. nine0007

Monitor the quantity and quality of snacks. If a child often bites during the day, then by lunch or dinner, he simply does not have time to get hungry. Snacking drowns out the natural feeling of hunger and interferes with the normal absorption of food. For toddlers, two snacks are allowed, for older students - one. It is desirable that they also consist of healthy foods: nuts, dried fruits, dairy products.

Bring food to school. It is difficult to control school meals, because the child will gladly choose a sausage in dough or a chocolate bar, rather than a hot lunch. To avoid this, you can cook him food with you. Lunchbox with homemade salad, healthy sandwiches and meatballs will help you stay healthy. nine0007

Don't force people to eat things they don't like. If the child does not eat a particular product, do not get hung up on this and try to shove it at any cost. Another vegetable or fruit that is rich in the same useful vitamins and minerals is perfect for a replacement.

Buy sweets in portions. No harmful food - no temptation to eat it. Therefore, you need to buy sweets in the amount in which you can immediately give them to children. So you don’t have to forbid “eat one more candy”. nine0007

Give choices. Let the child choose from several healthy food options which he likes best. That way he won't feel like he's being forced to eat something in particular. This means that there is no need to resist.

Use fantasy. If the child does not eat stewed zucchini, he may like zucchini pancakes. From cottage cheese you can make cheesecakes, casseroles or cheesecake. There are many ways to fool a child. You can also use the child's interest in everything new and involve him in the cooking process. This is not only a pleasant pastime, but also the study of products, the acquisition of new skills. And, of course, eating a dish that I cooked myself is very interesting. nine0007

Organize forbidden food days. To prevent food from becoming the number one goal for a child, you need to spend days of emotional unloading. Sometimes it is enough to go to a fast food restaurant or order food at home. It doesn’t matter if the kid likes a burger or pizza, it’s important not to make something special out of it.

Be consistent. It takes time to develop the habit of eating right. You can not give slack, no matter how much the child is capricious. It is also important to tell grandmothers and other relatives about the rules. The whole family should adhere to a single strategy in nutrition. nine0007

Encourage. When a child chooses healthy food, he should be praised. Just do not use products as a reward. A bad option is to promise a chocolate bar for an eaten plate of broccoli.