Should i feed baby solids before or after milk


Balancing introducing solids with milk feeds

At around 6 months of age babies need to start having solid foods as well as breastmilk or formula. Find out how to get started with solid foods and what are the best foods to start with.

When to introduce solids?

At 6 months, your baby will still be getting most of their nutrition from breast milk or formula.

As you introduce solid foods, continue feeding with breastmilk or formula until at least 12 months of age.

Start to introduce solid foods at around 6 months of age when:

  • your baby can sit up with support and has good head control
  • your baby starts to show interest in food such as watching and reaching out when they see food

Even though some babies show these signs from an earlier age, continue to offer your baby breastmilk or formula if they appear hungry. This is usually all they need until around 6 months. It’s recommended that you don’t introduce solids before 4 months.

How to introduce solid foods into your baby’s diet

Start feeding your baby solids once a day. Your baby will take only small amounts of solid foods at first. Try one teaspoon at first of pureed vegetable, fruit, or rice cereal in between milk feeds.

From 6 to 9 months continue to give your baby breastmilk or formula first, then try solids after the milk.

From 9 months you can try to give solids first, then breastmilk or formula. This allows for your baby to naturally transition to solids by around 12 months.

At around 8 to 9 months try giving your baby solids as part of breakfast, lunch, and dinner.

Continue breastmilk or formula through the first year of life while foods are being introduced. From around 6 months you can try small amounts of cooled boiled water out of a sippy cup.

Which foods first?

From 6 months of age baby’s first foods should contain iron. Foods that have iron, include:

  • iron-fortified baby cereals
  • meat
  • poultry
  • fish
  • legumes - lentils, beans, or chickpeas

Guidelines recommend that you can introduce foods in any order and at a pace that suits your baby, family, and cultural backgrounds, as long as some foods servings contain iron.

Your baby’s first foods can be smooth, mashed or have soft lumps.

Choose from the 5 food groups.

Vegetables and legumes

Give your baby cooked and pureed:

  • pumpkin
  • sweet potato
  • carrots
  • potato
  • peas
  • broccoli
  • cauliflower
  • zucchini

Over time puree them less so the texture gets lumpier.

Then introduce vegetables that are cooked but not pureed.

Fruit

Give your baby stewed and pureed:

  • apples
  • pears
  • peaches
  • apricots
  • berries

Your baby might also like to try mashed ripe banana.

Gradually introduce pieces of cooked fruit, banana, peach and grated raw apple.

Avoid larger pieces of raw apple; babies can choke on them.

Grains and cereals

Give your baby fortified infant cereals (e.g. rice cereal) to start.

Move to cooked rolled oats, wholegrain breakfast biscuits (Weetbix, Vita Brits) or thick infant cereals.

Don’t add sugar or honey or offer cereals with chocolate or added sugar.

Meat, fish, poultry, eggs, legumes, tofu

Meat, fish, poultry eggs, legumes, tofu should always be pureed when you start introducing solids.

When your baby accepts this, offer them bite size pieces of:

  • chicken
  • minced meat
  • flaked fresh or canned fish (in spring water)
  • mashed tofu
  • mashed legumes
  • scrambled or mashed boiled eggs

Don’t add salt. Also avoid processed meats as they have a lot of salt.

Milk, cheese, yoghurt

Formula should be used only until your baby is 12 months old. Then small amounts of milk can be added to foods like porridge. Breast feeding is recommended to continue until the age of 2 or longer.

Grated cheese is good in mashed vegetables.

Choose yoghurt without added sugar. Add fruit for extra flavour

What drinks should I be giving my baby?

After 12 months of age breastmilk, water (clean tap water or bottled water) and full fat cow’s milk should be the main drinks you offer your baby.

Keep breastfeeding for as long as you and your baby like.

Switch from formula to full fat ordinary cow’s milk after 12 months. Your child doesn’t need toddler milk products. Offer your baby a cup to drink from rather than a bottle. Your one-year-old should be exclusively drinking from a toddler cup.

From about 12 months, you can try rice milk and oat milk (fortified with at least 100mg calcium/100mL) if you want. But these drinks don’t have enough protein and vitamin B12. Your baby will need to have plenty of meat, poultry, fish, eggs, yoghurt, or cheese to make up for what they’re not getting from cow’s milk.

How much should I feed my baby?

Your baby will grow at different rates at different times. Their appetite can vary, even from day to day.

Babies don’t know what to eat but they know how much. Provide wholesome, healthy unprocessed food choices. Take your cue from your baby. Babies tend to turn away or lose interest when they’ve had enough to eat.

Finger foods and self-feeding

By 9 to 12 months, most babies like finger foods. Finger foods are foods they can hold themselves.

Some also like to hold their own spoon at that age. It will be messy! But learning to feed themselves is important.

By 12 months, your baby can eat the same healthy food you serve your family.

Foods to limit or avoid when introducing solids

There are some foods and drinks you should limit or avoid:

  • coffee and tea, herbal drinks are not recommended
  • fruit juice
  • honey until 12 months (to prevent botulism)
  • processed foods
  • raw or runny eggs (bacteria in raw eggs can be harmful to babies)
  • sugar sweetened drinks
  • unpasteurised milks

Low-fat milks are not recommended in the first 2 years of life. Goat’s milk, sheep’s milk, soy milk, coconut milk and almond milk should also be avoided before the age of 2 unless your doctor recommends them.

Avoid small hard foods such as whole nuts and uncooked vegetables until 3 years. These can be choking hazards.

If your family doesn’t use animal products, your baby may need a vitamin B12 supplement. Discuss this with your doctor.

Seek help from your health care professional if you are worried about your baby’s eating or development.

Fruit — give your baby stewed and pureed apples, pears, peaches, apricots and berries, or mashed ripe banana. Gradually introduce pieces of cooked fruit, banana, peach and grated raw apple. Avoid larger pieces of raw apple; babies can choke on them.

Grains and cereals — give your baby fortified infant cereals (e.g. rice cereal) to start. Move to cooked rolled oats, wholegrain breakfast biscuits (Weetbix, Vita Brits) or thick infant cereals. Don’t add sugar or honey and don’t use cereals with chocolate or added sugar.

Meat, fish, poultry, eggs, legumes, tofu — make them pureed at the start. When your baby accepts this, offer them pieces of chicken, minced meat, flaked fresh or canned fish (in spring water), mashed tofu, mashed legumes, scrambled or mashed boiled eggs. Don’t add salt and avoid processed meats as they also have a lot of salts.

Milk, cheese, yoghurt — breast milk or formula should be used for up to 12 months, then small amounts of milk can be added to foods like porridge. Grated cheese is good in mashed vegetables. Choose yoghurt without added sugar. Add fruit for extra flavour.

How much?

Babies grow at different rates at different times. Their appetite can vary even from day to day.

Babies don’t know what to eat but they know how much. Take your cue from your baby. Healthy babies turn away or lose interest when they’ve had enough.

Finger foods and self-feeding

By 9 to 12 months, most babies like finger foods.

Some also like their own spoon at that age. It will be messy, but learning to feed themselves is important.

By 12 months, serve the same healthy food you serve your family, but without hot spices.

Encourage infants to feed themselves.

If you have stopped breastfeeding, switch to ordinary cow’s milk after 12 months. Use a cup rather than a bottle. Limit the amount of cow’s milk to around 500ml per day. Under health professional supervision, you can use full fat rice milk or oat milk with at least 100mg calcium per 100mL if you want, as long as other sources of protein are included (meat, chicken, fish, eggs, legumes or nut butters).

Your child doesn’t need toddler milk products.

If your family doesn’t use animal products, your baby may need a vitamin B12 supplement. Discuss this with your doctor.

Learn more here about the development and quality assurance of healthdirect content.

Introducing solids: why, when, what & how

Solid foods: why babies need them

As babies get older, they need solid food to get enough nutrients for growth and development. These essential nutrients include iron, zinc and others.

For the first 6 months of life, babies use iron stored in their bodies from when they were in the womb. They also get some iron from breastmilk and/or infant formula. But babies’ iron stores go down as they grow. By around 6 months, babies need to start having solid food.

Introducing solids is also important for helping babies learn to eat, giving them experience of new tastes and textures from a range of foods. It develops their teeth and jaws, and it builds other skills that they’ll need later for language development.

Signs that it’s time to introduce solids

Signs your baby is ready for solids include when your baby:

  • has good head and neck control and can sit upright when supported
  • shows an interest in food – for example, they look at what’s on your plate
  • reaches out for your food
  • opens their mouth when you offer them food on a spoon.

Most babies start to show these signs by around 6 months, although this can vary.

It’s recommended not to introduce solids before 4 months.

If your baby is nearing 7 months of age and hasn’t started solids, you might like to get some advice from your child and family health nurse or GP.

The best times of day to introduce solids

When you’re first introducing solids, it’s good to offer solids when you and your baby are both happy and relaxed.

This is often after a feed of breastmilk or formula. Babies will still have room in their tummies for a taste of new foods after a feed of breastmilk or formula. But if they’re really hungry before a feed, they just want the breastmilk or formula that they know satisfies their hunger.

As time passes, you’ll learn when your baby is hungry or full, not interested or tired.

Signs of hunger include your baby:

  • getting excited when they see you getting their food ready
  • leaning towards you while they’re sitting in the highchair
  • opening their mouth as you’re about to feed them.

Signs your baby is no longer interested include:

  • turning their head away
  • losing interest or getting distracted
  • pushing the spoon away
  • clamping their mouth shut.

Your baby’s appetite can vary from day to day.

How much food to offer when introducing solids

When you’re first introducing solids, try offering 1-2 teaspoons of food once a day. At first, your baby might have only a small taste and probably won’t swallow much.

As your baby grows, you can increase the amount according to your baby’s appetite and signs.

By 12 months, your baby should be eating around 3 small meals a day, plus breastmilk or infant formula.

The right textures for first foods

When your baby is ready for solids, first foods might be smooth or finely mashed, depending on what baby likes. Over the next weeks and months, your baby can move on to roughly mashed or minced foods and then chopped foods. All foods should be very soft.

Your baby needs a variety of food textures. This helps your baby learn how to chew, and chewing helps with speech development and self-feeding. It also helps to prevent feeding difficulties as your baby develops. Babies can chew even before they get their first teeth.

By the time your baby is 12 months old, they should be eating the same foods that the rest of the family is eating. But you might still need to chop some foods into smaller pieces and cook vegetables until they’re soft.

To prevent choking, always supervise babies and young children while they’re eating solid food. Avoid nuts, take special care with pieces of meat and check fish for small bones, because these are choking hazards. And if your baby can move around, make sure baby is sitting down while they’re eating. If you sit with your baby while they’re eating, baby is less likely to move around.

Types of food to offer when introducing solids

All new foods are exciting for your baby.

The key is to include iron-rich foods of the right texture in your baby’s first foods. Iron-rich foods include:

  • iron-fortified infant cereal
  • minced meat, poultry and fish
  • cooked tofu and legumes
  • mashed, cooked egg (avoid raw or runny egg).

To these iron-rich foods, you can add other healthy foods of the right texture like:

  • vegetables – for example, cooked potato, pumpkin, sweet potato, carrot, broccoli or spinach
  • fruit – for example, banana, apple, pear, melon or avocado
  • grains – for example, oats, bread, rice and pasta
  • dairy foods – for example, yoghurt and full-fat cheese.

You can introduce any number of new foods at a time and in any order. When you offer your baby a variety of foods, they can try plenty of new tastes and get a range of nutrients.

Read our tips for introducing solid foods to learn how to get your baby interested in new foods and manage mealtime mess and play.

Breastmilk and infant formula while introducing solids

You should keep breastfeeding or using infant formula until at least 12 months.

When you start introducing solids, breastmilk or infant formula should still be the main source of your baby’s nutrition. Over the next few months, your baby will start having more solids and less milk or formula. The rate that this happens will vary.

By around 9 months, babies have generally developed enough chewing and swallowing skills to move from having milk before solids to having milk after solids.

Here are some signs that your baby is getting enough nutrition from both solids and breastmilk or formula during this time. Your baby:

  • has plenty of wet nappies – at least 6-8 wet cloth nappies or 5 very wet disposables in 24 hours
  • is alert and mostly happy after and between feeds
  • is gaining weight at about the right rate – your child and family health nurse will weigh your baby at your regular check-ups.

From 12 months onwards, solids should be the main source of your baby’s nutrition. Your baby doesn’t need infant formula after 12 months, but you can keep breastfeeding for as long as you and your baby like.

If solid food replaces breastmilk and/or infant formula too quickly, babies can miss out on important nutrition. If you have any concerns about your baby’s feeds or weight, talk to your midwife, child and family health nurse, lactation consultant or GP.

Introducing water

Once your baby has reached 6 months, you can start to offer baby cooled, boiled water in a cup at mealtimes and at other times during the day. This is so your baby can practise drinking from a cup, but baby still doesn’t really need fluids other than breastmilk or formula at this age.

Once your baby has reached 12 months, you can offer fresh tap water without boiling it.

Foods and drinks to avoid while introducing solids

There are some foods to avoid until your baby is a certain age:

  • Honey until 12 months – this is to avoid the risk of infant botulism.
  • Raw or runny eggs and foods containing raw eggs like home-made mayonnaise until 12 months – bacteria in raw eggs can be harmful to babies.
  • Reduced-fat dairy until 2 years – babies need full-fat dairy for growth.
  • Whole nuts and similar hard foods until 3 years – these are choking hazards.

There are some drinks to avoid until your baby is a certain age:

  • pasteurised full-fat cow’s milk as a main drink until 12 months
  • dairy alternatives like soy, goat’s, sheep’s, rice, oat, almond and coconut milk until 2 years, unless your GP or child and family health nurse has recommended these for a particular reason
  • unpasteurised milks at all ages
  • tea, coffee or sugar-sweetened drinks at all ages
  • fruit juice – this should be limited at all ages (whole fruits are better because they have fibre and help babies develop chewing and feeding skills).

Your baby doesn’t need added salt or sugar. Processed or packaged foods with high levels of fat, sugar and/or salt aren’t good for babies and children. These foods include cakes, biscuits, chips and fried foods.

Food allergy and introducing solids

Introducing allergenic foods early can reduce the risk of your child developing food allergy. Allergenic foods are foods that might cause allergies.

All babies, including babies with a high allergy risk, should try solid foods that might cause allergies from around 6 months of age. These foods include well-cooked egg, peanut butter and other nut butters, wheat (from wheat-based breads, cereals and pasta) and cow’s milk (but not as a main drink).

Once you’ve introduced an allergenic food, it’s a good idea to regularly include it in your baby’s diet.

It’s a good idea to get advice from your GP, child and family health nurse, dietitian, paediatrician or allergy and immunology specialist for the following reasons:

  • Your baby already has a food allergy.
  • Your baby has severe eczema.
  • Your family has a history of food allergy and you’re concerned about starting solids.
  • You’re worried about reactions to foods.

Breastfeeding after 1 month: what to expect

Do you know when breast milk production stabilizes? And how does the frequency and duration of feedings change as the baby grows? You will find answers to these questions in our recommendations for breastfeeding after the first month.

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Congratulations: You made it through the first month of breastfeeding. Your breast milk has reached full maturity 1 , its production stabilizes, and it leaks almost or not at all from the chest. Don't worry, it's not getting less milk, it's just that your breasts are better able to produce and store it now. 2 At the age of six weeks, your baby will begin to please you with his charming toothless smiles, and by two months you will already have 500-600 feedings behind you. With a favorable development of events, problems with latch on by this point will already be resolved, and you can simply enjoy the convenience and benefits of breastfeeding.

When does breastfeeding decrease?

"Normal" feeding frequency for babies aged one to six months varies considerably, with some needing four feedings a day, others asking to be breastfed 13 times a day. 3

“From the age of one month, the amount of milk a baby consumes per feed increases, so that he can go without food for longer,” explains Cathy Garbin, a recognized international expert on breastfeeding, “A baby’s stomach grows, so he eat more at one time. In addition, mature milk allows him to stay full longer.”

Feeding can last from 12 minutes to one hour -
the habits of babies vary so much! 3 But if the child is gaining weight and falls within this range, there is no cause for concern.

What is most surprising, no matter how often the baby eats, he consumes approximately the same amount of milk per day - both at one month and at six, when it is time to start complementary foods with solid food. 4

“However, sometimes the baby eats more and sometimes less, especially when he is unwell. It’s better to just listen to his needs,” Katie explains.

Is breast milk enough for the first six months?

Yes. Breast milk contains everything a baby needs for the first 90,023 six months of life—exclusively breastfed babies don't even need to drink more water! 5 Until about six months of age, a child's digestive system is simply not adapted to the digestion of solid food, and he will be able to drink cow's milk only after a year.

In addition, breastfeeding during this period prepares the child for further development. It strengthens the muscles of the mouth, develops the jaw and helps straighten the teeth 6.7 . All this will come in handy when the baby begins to eat and talk. And because what you eat and drink affects how your breast milk tastes, your baby discovers new tastes even before he starts eating solid foods. 8

In addition, when your baby is sick, your body produces breast milk that is
rich in antibodies that help fight infection. 9 In other words, milk continues to protect the baby for many months as he grows and becomes more active.

Breastfeeding is also very comfortable once you get used to it. Claudia, a mother of two from the UK, notes: “No need to sterilize a mountain of bottles, prepare formula, carry it all with you, warm it up - in general, breastfeeding turned out to be very convenient, especially when my babies grew up and we began to leave the house more often. ".

At what age does a breastfed baby start sleeping through the night?

Waking up at night is normal for babies. Most babies between the ages of one and six months consume a fifth of their daily milk requirement at night, so nighttime feedings should not be neglected if you want your baby to get the required amount of calories. 3

"It really depends on what you mean by 'sleep through the night'," says Cathy. "And it's better than waking up every two hours anyway! I have met infants who, starting at six weeks old, fell asleep at 19:00 and woke up at 7:00, but most continue to wake up frequently at night after this age. All children are different."

In Wales, a study of more than 700 infants showed that almost 80% of children aged 6 to 12 months wake up at least once a night, and 25% of them wake up three times or more. And it did not depend on what type of feeding the child is on - breastfeeding or artificial. 10

And if nighttime awakenings are unavoidable anyway, breastfeeding is at least comfortable! Maina, a mother of two from Australia, agrees: “You can even take a nap while feeding in the middle of the night - both the body and the baby do their job on autopilot. No need to plan, measure, sterilize anything - ready-made food at the right temperature is right in your chest. I think it's ideal."

My child wakes up more often. Perhaps he is hungry?

Around four months of age, a baby's sleep patterns change as they develop deep and light sleep phases like an adult. Because of this, he may wake up more often at night. “At four months, sleep is more of a problem than feeding,” Cathy admits. “It can be exhausting, but try to adapt and be patient.”

Some call this " a four-month sleep regression ", but "progress" is more appropriate here. From the outside it may look like a step back, but in fact the child is approaching an important stage of development. He learns quickly, begins to become aware of the world around him, his perception is sharpened and, perhaps, there is anxiety about being separated from his mother. Crying when waking up and being able to eat milk cuddled up to mommy’s chest is a way for a baby to calm down. 11–13

Resist the urge to “supplement” your baby with formula or start solid foods early
in an attempt to improve his sleep. Breast milk contains
hormones that make you sleepy and help you both relax
. Research shows that breastfeeding mothers actually sleep longer at night than mothers of formula-fed or mixed-fed babies
. 14

How does teething affect breastfeeding?

Teething usually begins around four months of age. When a baby has gum pain, he becomes restless, throws his chest and cries. All this, of course, is unpleasant.

However, breastfeeding can be an excellent sedative.
Studies have shown that babies who are breastfed
during the vaccination period cry less and forget pain more quickly. 15 Breastfeeding during teething can have the same calming effect.

An unpleasant side effect may be the child's attempts to try out his new teeth on the mother's breast. “Sometimes children flirt and bite their mother’s nipples. This can be felt in advance by how the behavior of the child changes when feeding: before biting, he removes his tongue, explains Cathy, “Usually this is not a problem and only happens a couple of times. It is enough to stop feeding, affectionately say that biting is not good, and the baby will soon leave this fun.

How to continue feeding if you have to be separated from the baby?

It happens that during the first six months, when the baby is still fully breastfed, the mother needs to be away for several hours - or even longer if she has to go to work or go away on business for a couple of days.

But this does not mean that you should stop breastfeeding. You can still feed your baby healthy breast milk - just express it and have someone give it to your baby when you're away. Here's Katie's advice:

“Start expressing milk a couple of days in advance, in small batches, 40-60 ml at a time. So you will have the necessary supply for the time of your absence, but at the same time the amount of milk produced will remain the same.

If you have to return to work, check with your employer about your daily schedule. Many mothers breastfeed their babies in the morning, evening and night, and pump milk at lunchtime to relieve discomfort and create a reserve for the next day.

This usually turns out to be much easier than one might think, and today many companies are well placed to do this, notes Cathy. “Breast pumps make it easy to solve this problem.”

Natalie, mother from the USA, shares her experience: “I feed Dylan as soon as he wakes up, and sometimes again before leaving for work, in order to maintain milk production and not lose contact with the child. At work, I pump twice the next day (in my absence, he eats two bottles of breast milk), and after work I rush home for the evening feed. I don't pump on the weekends - we resume regular breastfeeding."

Can breastfeeding continue after the introduction of solid foods?

When your baby begins to show interest in food and can sit up on his own - usually around six months of age - it's time to start solid foods. However, it is not necessary to stop breastfeeding, Cathy explains: “A baby’s iron stores during pregnancy are depleted by six months, so he needs additional sources of this element.

Start complementary foods with solid foods, but remember that breast milk remains a more important source of calories and nutrients until the baby is eight to nine months old. By this time, he will be eating much more solid food, but he will still need to breastfeed four to five times a day. By 12 months, the frequency of feeding may be two to six times a day. All babies are different, and many of them at this age are still getting half their daily calorie intake from breast milk.

Don't forget that breast milk can be added to solid foods, such as cereals and purees, so that the baby can taste the familiar taste. If possible, use milk expressed just before feeding (not thawed) and add just before serving to keep bacteria and nutrients alive. 16

You may be pressured by others to stop breastfeeding when your baby is six months old, but the longer you breastfeed or pump milk, the better for you and your baby.

How long can I continue breastfeeding?

“The World Health Organization recommends breastfeeding along with solid foods until at least two years of age because it plays an important role in supporting immunity,” says Cathy. feels bad".

At eight months, the baby sometimes breastfeeds four times a day, but by one year old, the frequency of feedings can be reduced to two times a day. You yourself will understand which feeding regimen is more suitable for you and your baby. For example, Jane, a mother of two from the US, breastfed until the age of two: “I breastfed when I was at home - in the evenings and on weekends, when the children wanted to be close to me,” says Jane, “It helped a lot when they were sick . Breastfeeding has become my favorite form of comfort."

“When my son got a little older and bolder, he still often asked me to breastfeed him - as if to calm down and gain strength,” recalls Amy, a mother of two children from Canada, “When he happened to hit or skin his knee , breastfeeding was a wonderful way to comfort him.”

If your baby is over a year old and you are still breastfeeding, people around you will probably tell you that this way he will never wean. But if children are not pressured, they usually refuse to breastfeed themselves between the ages of two and four. 17

“I didn’t intend to breastfeed for so long, but as a result, I still breastfeed my four-year-old daughter and 22-month-old son,” says Suzanne, mother of two from the UK, “I breastfeed my youngest before and after work, and in I express milk on business trips. The eldest daughter likes to breastfeed a little before bed or when she is upset - this is a great way to make contact. When I get tired of it, I remind myself what great benefit and comfort it brings them. I now plan to pursue a baby-initiated end breastfeeding strategy — let them decide when to stop.”

For more information on what to expect and lots of tips and tricks, see our guide Breastfeeding Problems After the First Month.

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2 Kent JC et al. Principles for maintaining or increasing breast milk production. J 2012;41(1):114-21. - Kent J.S. et al., "Principles for Maintaining and Increasing Milk Production". J Obstet Ginecol and Neonatal Nurse. 2012;41(1):114-121.

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13 The Myth Of Baby Sleep Regressions – What’s Really Happening To Your Baby’s Sleep? [Internet]. Pinky Mckay ; December 2017 [ cited 2018 Feb ] - "The Myth of Baby Sleep Regression - What's Really Happening to Your Baby?" [Internet]. Pinky McKay, December 2017 [cited February 2018].

14 Kendall - Tackett K ET Al . The effect of feeding method on sleep duration, maternal well-being, and postpartum depression. Clinical Lactation . 2011;2(2):22-26. - Kendall-Tuckett K. et al., "Influence of feeding pattern on sleep duration, maternal well-being and the development of postpartum depression." Clinical Lactation. 2011;2(2):22-26.

15) Harrison D et al. Breastfeeding for procedural pain in infants beyond the neonatal period. Cochrane Database Syst Rev . 2014;10. — Harrison D. et al., "Breastfeeding for Relief of Medical Pain in the Neonatal Period." Cochrane Database of System Rev. 2014;10:CD11248

16 Czank C et al. Retention of the immunological proteins of pasteurized human milk in relation to pasteurizer design and practice. Pediatr Res . 2009;66(4):374. - Zhank S. et al., "Retention of immunological proteins in pasteurized milk depending on the technique and practice of pasteurization". Pediatrician Res. 2009;66(4):374.

17 Weaning from the breast. (2004). Paediatr Child Health, 9(4):249–253. - "Weaning from the breast" (2004). Pediatrician Child Health, 9(4):249–253.

Introducing solid food: why, when, what and how

Introducing solid food: why babies need it

As babies mature, they need solid foods to provide the body with enough iron and other nutrients needed for growth and development.

During the first six months, the baby's body uses iron stored in the womb. Some iron also comes from breast milk and/or formula. But as the baby grows, the reserves of this substance in the body decrease. And the iron that a child receives from breast milk or formula is already not enough at the age of about six months.

Through the introduction of solid foods, the child also learns to eat, gets to know new tastes and textures of different foods. At the same time, he develops teeth and jaws, and he also acquires skills that will later be needed for language development.

Signs it's time to introduce solid foods

You will know when it's time to introduce solid foods by how your baby develops and behaves.

Your child is ready for solid food if:

  • holds head and neck well and can sit upright with support
  • shows interest in food - for example, looking at the contents of your plate
  • reaching for your food
  • opens his mouth when you offer him food from a spoon.

In most children, these signs appear at about six months, but in general, everything is individual.

It is not recommended to introduce solid foods before four months of age.

If your baby is about seven months old and hasn't started solid foods yet, you can talk to a nurse or pediatrician.

The best time to offer solid food to your baby is when you and he are in a good mood for the first time.

He is also more likely to try new foods after breast milk or formula. The fact is that when a child is really hungry, he only wants milk or formula, because he knows that he will be satisfied. At the same time, there will still be room for other food in his tummy.

Over time, you will learn to tell if your baby is hungry or full, wants to try something or is tired.

Your child is hungry, if:

  • gets excited when he sees you cooking for him
  • leans towards you while sitting in a highchair
  • opens its mouth when you are about to feed it.

Your child no longer wants to eat if:

  • turns away
  • loses interest or gets distracted
  • repels spoon
  • purses his lips.

In what portions should the new food be introduced to the child? Start with 1-2 teaspoons and increase according to your baby's appetite. By 12 months, he should be eating about three small meals a day, plus breast milk or formula.

Consistency of solid food

The first solid food can be smooth, pureed or in soft pieces , depending on your baby's preference. Then the child can quickly move on to finely chopped, and then just to finely chopped foods.

The child needs food of various consistencies. This will help him learn to chew, and chewing, in turn, contributes to the development of speech. It also encourages the child to learn to eat on his own and will prevent eating problems as he develops.

By 12 months, the baby should already be eating the same as the rest of the family. You may have to cut some foods into smaller pieces, and boil the vegetables well.

Do not leave the child unattended while eating, make sure that he does not choke. Be especially careful with foods such as nuts and small-boned meats, as they are easy to choke on. If the child can already move around, try to seat him while eating. If you sit next to each other while the baby is eating, he will most likely sit more quietly.

Types of food when introducing solid foods

The child will be happy to try any new food, so there is no need to prepare something “special” for him.

Solid foods can be introduced in any order, as long as you include iron-rich foods and cook foods of the right consistency.

Foods rich in iron include:

  • iron-fortified baby cereals
  • minced meat, poultry and fish
  • tofu and legumes, cooked
  • mashed or boiled eggs (do not give raw or soft-boiled eggs).

Iron-rich foods can be supplemented with other healthy foods:

  • vegetables such as boiled potatoes, carrots or green vegetables such as broccoli
  • fruit - e. g. banana, apple, melon or avocado
  • cereals - e.g. oats, bread, rice and pasta
  • Dairy products such as yogurt and full fat cheese.

These products can be combined as there is no need to administer only one product at a time. By offering your child a variety of foods, you will allow him to try a variety of new tastes and get a lot of nutrients.

With our solid food introduction tips, you can get your child interested in new foods and make the eating process smoother and playful.

Breast milk and formula when introducing solid food

Continue to breastfeed or formula until at least 12 months while introducing solid food.

If you are unsure if your baby is getting the right amount of milk once solids are introduced, pay attention to his behavior.

For example, if a child has eaten a lot of solid food and is not getting enough milk or is refusing milk, the daily milk feeds may need to be made less frequent but longer. If the baby does not want to eat solid food, he may have had too much milk. This may be a signal that portions of milk should be reduced.

By about nine months of age, babies usually develop enough chewing and swallowing skills to eat solid foods before milk, not after.

Solid food does not replace breast milk or formula. If the transition to solid foods instead of milk and/or formula occurs too quickly, a child may miss an important milestone in their diet.

Water administration

At the age of six months, the child may be offered chilled boiled water in a cup during meals or at other times. This is to help your baby learn to drink from a cup, but at this age, he still doesn't need liquids other than breast milk or formula. When the child is one year old, he can be offered fresh tap water without boiling.

Foods and drinks to avoid

Some foods should not be given to children under a certain age:

  • honey up to 12 months - to avoid the risk of infant botulism
  • raw eggs, soft-boiled eggs, and products containing raw eggs such as homemade mayonnaise, up to 12 months - bacteria found in raw eggs may be harmful to infants
  • low-fat dairy products up to two years
  • whole nuts and similar hard foods up to three years - due to the risk of choking.

Also, up to a certain age, children should not be given certain drinks :

  • pasteurized whole cow's milk as the main drink up to 12 months
  • soy, goat and sheep milk up to two years (fortified soy products can be given up to two years)
  • rice, oatmeal, almond or coconut milk up to two years of age, unless advised otherwise by a pediatrician or nurse
  • unpasteurized milk of all kinds, tea, coffee or sugar-sweetened beverages for all ages
  • fruit juice - should be limited at any age (fruit contains the nutrients a child needs).

Salt and sugar do not need to be added to baby food. Infants and young children are not suitable for highly processed foods and packaged foods that are high in fat, sugar and/or salt. These include cakes, cookies, chips and fried foods.

Food allergy and introduction of solid foods

Early introduction of allergenic foods may reduce risk development of food allergy in a child.


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