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Solid feeding guide for babies


When, What, and How to Introduce Solid Foods | Nutrition

For more information about how to know if your baby is ready to starting eating foods, what first foods to offer, and what to expect, watch these videos from 1,000 Days.

The Dietary Guidelines for Americans and the American Academy of Pediatrics recommend children be introduced to foods other than breast milk or infant formula when they are about 6 months old.  Introducing foods before 4 months old is not recommended. Every child is different. How do you know if your child is ready for foods other than breast milk or infant formula? You can look for these signs that your child is developmentally ready.

Your child:

  • Sits up alone or with support.
  • Is able to control head and neck.
  • Opens the mouth when food is offered.
  • Swallows food rather than pushes it back out onto the chin.
  • Brings objects to the mouth.
  • Tries to grasp small objects, such as toys or food.
  • Transfers food from the front to the back of the tongue to swallow.

What Foods Should I Introduce to My Child First?

The American Academy of Pediatrics says that for most children, you do not need to give foods in a certain order. Your child can begin eating solid foods at about 6 months old. By the time he or she is 7 or 8 months old, your child can eat a variety of foods from different food groups. These foods include infant cereals, meat or other proteins, fruits, vegetables, grains, yogurts and cheeses, and more.

If your child is eating infant cereals, it is important to offer a variety of fortifiedalert icon infant cereals such as oat, barley, and multi-grain instead of only rice cereal. Only providing infant rice cereal is not recommended by the Food and Drug Administration because there is a risk for children to be exposed to arsenic. Visit the U.S. Food & Drug Administrationexternal icon to learn more.

How Should I Introduce My Child to Foods?

Your child needs certain vitamins and minerals to grow healthy and strong.

Now that your child is starting to eat food, be sure to choose foods that give your child all the vitamins and minerals they need.

Click here to learn more about some of these vitamins & minerals.

Let your child try one single-ingredient food at a time at first. This helps you see if your child has any problems with that food, such as food allergies. Wait 3 to 5 days between each new food. Before you know it, your child will be on his or her way to eating and enjoying lots of new foods.

Introduce potentially allergenic foods when other foods are introduced.

Potentially allergenic foods include cow’s milk products, eggs, fish, shellfish, tree nuts, peanuts, wheat, soy, and sesame. Drinking cow’s milk or fortified soy beverages is not recommended until your child is older than 12 months, but other cow’s milk products, such as yogurt, can be introduced before 12 months. If your child has severe eczema and/or egg allergy, talk with your child’s doctor or nurse about when and how to safely introduce foods with peanuts.

How Should I Prepare Food for My Child to Eat?

At first, it’s easier for your child to eat foods that are mashed, pureed, or strained and very smooth in texture. It can take time for your child to adjust to new food textures. Your child might cough, gag, or spit up. As your baby’s oral skills develop, thicker and lumpier foods can be introduced.

Some foods are potential choking hazards, so it is important to feed your child foods that are the right texture for his or her development. To help prevent choking, prepare foods that can be easily dissolved with saliva and do not require chewing. Feed small portions and encourage your baby to eat slowly. Always watch your child while he or she is eating.

Here are some tips for preparing foods:

  • Mix cereals and mashed cooked grains with breast milk, formula, or water to make it smooth and easy for your baby to swallow.
  • Mash or puree vegetables, fruits and other foods until they are smooth.
  • Hard fruits and vegetables, like apples and carrots, usually need to be cooked so they can be easily mashed or pureed.
  • Cook food until it is soft enough to easily mash with a fork.
  • Remove all fat, skin, and bones from poultry, meat, and fish, before cooking.
  • Remove seeds and hard pits from fruit, and then cut the fruit into small pieces.
  • Cut soft food into small pieces or thin slices.
  • Cut cylindrical foods like hot dogs, sausage and string cheese into short thin strips instead of round pieces that could get stuck in the airway.
  • Cut small spherical foods like grapes, cherries, berries and tomatoes into small pieces.
  • Cook and finely grind or mash whole-grain kernels of wheat, barley, rice, and other grains.

Learn more about potential choking hazards and how to prevent your child from choking.

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Baby's first foods: The 10 best foods for babies

These 10 first foods are ideal for your baby because they're full of essential nutrients, reasonably priced, easy to prepare, and delicious.  Avocados contain healthy fats, while bananas are loaded with potassium. Blueberries are bursting with antioxidants, whereas broccoli offers fiber and folate. Both lentils and meat are packed with protein. Prunes can help with constipation, and yogurt helps form healthy bones and teeth. Sweet potatoes and winter squash are great sources of beta-carotene and vitamin C. 

According to the American Academy of Pediatrics, it's important to offer your baby a variety of healthy foods. There are lots of healthy, baby-friendly foods out there, but these 10 recommended by doctors and dietitians alike stand out from the pack. From vitamin-rich fruits and veggies to meats and beans loaded with protein, these superfoods are full of essential nutrients, reasonably priced, easy to prepare, and delicious.

Many are also favorite first foods. Before introducing solids, talk to the doctor about your baby's readiness for solids, and which foods to introduce and when. Then introduce foods one at a time, waiting at least three days after each new food to watch for any allergic reaction.

Avocados

BabyCenter parents are all about avocado as a first food. This buttery fruit-vegetable is rich in healthy unsaturated fats that help boost brain development. In fact, the fat composition of avocados is somewhat similar to that of breast milk.

Serving ideas: Mash avocado with a fork, or make baby guacamole.

Bananas

Known as a good source of potassium, this grab-and-go fruit also contains vitamins B6 and C, fiber, and magnesium.

Serving ideas: Make banana and mango puree. Or, for your little one's first smoothie, puree banana and peach chunks with whole-milk yogurt.

Blueberries

Blueberries are bursting with antioxidants. The deep, brilliant blue of these berries comes from flavonoids that benefit your baby's eyes, brain, and even urinary tract.

Serving ideas: Blend or mash blueberries well and swirl a spoonful of the juicy purple puree into yogurt, or top silky coconut milk rice pudding with blueberry compote.

Broccoli

This cruciferous vegetable is a rich source of essential nutrients, including fiber, folate, and calcium. Introduce your baby to broccoli's bold flavor early, and you'll be expanding their tastes and encouraging a lifelong love of green vegetables.

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Serving idea: Steam until soft, cut into pieces small enough for your child to eat safely, and then chill. Steaming takes the bite out of broccoli, and some babies prefer the texture and taste when it's cold.

Lentils

Beans and other legumes pack lots of lean protein and fiber. But unlike larger beans, little lentils simmer into a pleasing mush just right for baby bites. They're also one of the cheapest healthy foods you can buy.

Serving ideas: Cook finely diced carrots along with the lentils. As your baby gets older, double up on nutrient-rich foods by making lentil and spinach stew.

Meat

Lack of iron can cause anemia. The American Academy of Pediatrics recommends meat as a first food because it's such a great source of protein, zinc, and iron, especially red meat and dark poultry meat. Plus, babies absorb iron more easily from meat than from iron-fortified cereals, another common first food.

Serving ideas: If your baby is new to solids, try our easy turkey or chicken puree recipe. As they get older, introduce new flavors with chicken curry with green beans and zucchini or shepherd's pie.

Prunes

Whether you call them "prunes" or "dried plums," these humble fruits don't sound glamorous – but they're soft, sweet, and full of fiber. Your baby may suffer from constipation when switching to solids, as it's a big change for their system. Add pureed prunes to your baby's diet to aid digestion and keep things moving.

Serving ideas: Serve pureed prunes alone or mixed with other foods, such as oatmeal, cereal, or applesauce, for a naturally sweet treat.

Sweet potatoes

Sweet potatoes are one of the more popular first foods for babies, who tend to like both their sweetness and texture. These colorful root vegetables are packed with beta-carotene, vitamin C, and minerals, including iron and copper.

Serving ideas: Serve sweet potato puree alone or swirled into pureed chicken or turkey.

Winter squash

Orange- or yellow-fleshed hard winter squashes such as butternut, acorn, and pumpkin boast many benefits, one of which is they're exceptionally rich in beta-carotene, recognized for being great for eyes. Squash is also an excellent source of vitamin C. Natural sweetness and a creamy texture add to the appeal of winter varieties.

Serving ideas: Roast a winter squash like butternut, scoop out the flesh, and puree it for an easy first food. As your baby gets older, introduce new flavors and textures with dishes like smashed chickpea and butternut chili.

Yogurt

Creamy yogurt is rich in calcium and vitamin D, necessary for healthy bones and teeth. Your baby can have it at 4 to 6 months, long before they'll be ready for cow's milk.

Opt for plain yogurt with no added sugar. Also look for a brand with the most live cultures, which help regulate the good bacteria in your baby's digestive tract. Make sure you pick up whole-milk yogurt – babies need the calories from fat.

Serving ideas: Yogurt is fine on its own, or swirl in pureed berries or other fresh fruit, applesauce, or mashed avocado.

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Promoting adequate infant and young child feeding

Nutrition

Target

WHO

A midwife helps a young mother breastfeed her baby in the first hour of life.

Malnutrition is directly or indirectly responsible for approximately one third of deaths in children under five years of age. Well over two thirds of these deaths, often associated with poor feeding practices, occur in the first year of life. nine0005

Both nutrition and feeding in the first years of life are important for health and well-being throughout life. There is no more precious gift in infancy than breastfeeding; however, in the first six months of life, hardly one in three infants is exclusively breastfed.

Response

The World Health Organization recommends that babies start breastfeeding within the first hour of their life, and keep them exclusively breastfed for six months. WHO then recommends the timely introduction of appropriate, safe and properly fed complementary foods into the diet, continuing breastfeeding up to two years of age and beyond. nine0005

Promoting good feeding practices is a major programmatic focus of the Department of Nutrition for Health and Development. These activities include the production of sound evidence-based technical information, the preparation of guidelines and advisory courses, the provision of guidance on the protection, promotion and support of infant and young child feeding at policy, health service and community levels, the development of relevant indicators, and the maintenance of the Global Data Bank. on feeding infants and young children. nine0005

WHO works in the following areas:

  • Complementary feeding
  • Exclusive breastfeeding
  • Global Strategy for Infant and Young Child Nutrition
  • World Health Organization recommendations for infant nutrition

Publications

  • Feeding newborns and young children: publications

Related links

  • Breastfeeding Support
  • Infant and Young Child Nutrition
    Fact Sheet N°342
    February 2014
  • 10 facts about breastfeeding
    10 facts about breastfeeding
  • Until what age is exclusive breastfeeding a healthy diet for a baby?
    Online Q&A
    July 2013
  • Exclusive breastfeeding for the first six months is the best nutrition for babies worldwide
    Statement
    January 15, 2011
  • World Breastfeeding Week
  • Electronic Library of Evidence for Nutrition Activities (eLENA)

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  • Nutrition Issues

Termination of breastfeeding | Stopping breastfeeding

When is it time to stop breastfeeding and what is the best way to do it? Read our article for useful practical tips on weaning. nine0005

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How long should breastfeeding continue? Three months? Six? Year? Or maybe a few years?

The World Health Organization (WHO) and other authorities recommend that infants be exclusively breastfed for the first six months and then continue to be breastfed along with other foods (complementary foods) for at least two years. nine0084 1

The fact is that breast milk is not just food. It is a natural sedative if the child is anxious or tired. In addition, milk contains immune-boosting components, the amount of which increases dramatically when the baby gets sick. 2

According to anthropologists, the natural age of a person to stop breastfeeding is even more than two years. Given factors such as tooth development, body weight, comparison with other primates, and historical evidence, some scientists believe that breastfeeding may last up to two to four years. A number of researchers even believe that our ancestors breastfed children up to six or seven years of age. nine0084 3

Today, more than 60% of mothers in developed countries start giving their babies formula or complementary foods before six months of age, 4 although WHO does not recommend this.

When is it time to stop breastfeeding?

Weaning means that you gradually stop breastfeeding your baby. Ideally, the first step in this process is the gradual introduction of complementary foods, starting at about six months of age. In this case, breastfeeding continues. The weaning process continues until the mother's milk has been completely replaced by other foods and drinks. nine0005

“After six months, the baby needs higher doses of certain nutrients, such as iron, zinc, vitamins B and D, that he cannot get from breast milk or from his own reserves,” says Sarah Beeson, health visitor from Great Britain.

“But solid food should at first only supplement the main diet with breast milk and gradually replace it. Mother's milk remains the main source of nutrition for the baby for many months to come.” nine0005

On average, a seven-month-old baby gets 93% of its calories from breast milk. And even between the 11th and 16th months, milk provides him with about half of the daily calorie intake. 5

“Sometimes moms think that breastmilk isn't that important once a baby has started solid foods, but the truth is, no matter how many months old a baby is, there's nothing better than your milk,” continues Sarah.

In fact, the process of finishing breastfeeding can take as long as mother and baby want. “When to stop breastfeeding is up to you,” says Sarah. The only thing that matters is what you think is right for you and your child.” nine0005

How to wean

Whenever you decide to start weaning your baby, it is best to do it gradually. An abrupt cessation of breastfeeding can lead to lactostasis, blockage of the milk ducts and mastitis, and in a child such a sudden change can adversely affect the state of the digestive and immune systems. In addition, it will be difficult for both of you psychologically.

When should I stop breastfeeding?

Sometimes mothers mistakenly believe that it is time to stop breastfeeding, when in fact there is no reason to. If you're returning to work, breastfeeding can be a great way to stay close to your baby during this difficult time for both of you. You can express milk at work, and morning and evening feeding sessions will give you the opportunity to spend time alone with your baby. If you need to leave without your baby, you can also express milk and bring or send it home. nine0005

If you become ill, this is not always a reason to stop breastfeeding. Read our advice in the article on breastfeeding when sick and consult with your healthcare professional.

Weaning up to six months

If you cannot continue breastfeeding until six months and want to try weaning your baby, start by replacing one feeding a day with a bottle of formula.

“It's best to start with midday feedings. Babies are very alert and able to smell breast milk nearby, so ask your partner or relative to give your baby a bottle when you're in the other room,” Sarah advises. nine0005

“Be hygienic when preparing food. Be prepared for the fact that the baby will take fewer servings of expressed milk per day than if he was fed directly from the breast. Don't make him eat more milk than he wants."

You will probably feel that your breasts are fuller and more tender. This is due to the fact that your body is rebuilding to produce less milk. If this creates discomfort, try expressing some milk—just enough to relieve the discomfort without stimulating extra production. nine0005

When your body adjusts to the new volume - usually after a few days - replace with formula for one more meal a day. Continue this until you have changed all feedings and your baby is completely weaned.

“I had complications after my first birth, as a result I lost a lot of weight very quickly, and besides, I developed mastitis. Lactation was very weak, and at three months I was forced to stop breastfeeding,” recalls Jennifer, a mother of two from the UK, “I gradually replaced one feeding, so physically it was easy, but mentally it was hard for me.” nine0005

If you want to maintain closeness with your baby and all the health benefits of breastfeeding, but still need to cut down on breastfeeding, try partial weaning, replacing only a few feeds a day with formula.

Weaning after six months

Once your baby starts eating solid foods (about six months), you will notice that breastfeeding naturally occurs less and less. For a year, it can be reduced to just a couple of times a day, and feedings will be replaced by full meals and healthy snacks. nine0005

Anyway, if you intend to continue to reduce breastfeeding, do it gradually, replacing one feeding at a time. Use formula milk if your baby is under 12 months old. With cow's milk, you should wait at least up to a year.

“When I decided to wean my son, I breastfed him three times a day and gave him other foods three times plus light snacks. Gradually, I replaced all breastfeedings with formula. By 11 months, we only had one nighttime breastfeed left,” says Ruth, a UK mom. nine0005

There are various ways to distract a child from changes in his diet. Some mothers suggest that instead of breastfeeding something to drink and eat together to maintain a sense of closeness. You can also change your daily routine, play your favorite game, or replace feeding with caresses - from you or from your partner. Some children take longer to get used to the new food, but in the end everything falls into place. If you are having difficulty weaning, ask your healthcare provider for advice. nine0005

Ending breastfeeding naturally

Ending breastfeeding can be guided by the baby's wishes. This is called baby-initiated weaning, or the natural termination of breastfeeding. Such a process is likely to be long and gradual. Month after month, feeding sessions will become shorter and less frequent, until one day the child completely loses interest in the breast.

“My daughter stopped breastfeeding on her own when she was four years old,” says Sarah, a mother from the UK. And once, when we were on vacation, she seemed to just forget about her breasts. Now, six months later, she sometimes still asks for breasts, but she already knows that there is no milk there. nine0005

You will have a huge amount of time for the body to adapt, so there should be no discomfort or swelling of the breast. However, you may find it difficult emotionally, so spend more time petting and bonding with your baby.

“Child-initiated termination of breastfeeding was right for me because I never gave my son formula or a bottle. I didn’t want to abruptly stop feeding and refuse him,” recalls Kelly, a mother from the UK, “He himself lost interest in breasts at the age of two and a half years. For us, it was the best scenario, although emotionally it was not very easy for me.” nine0005

What if you need to stop breastfeeding quickly?

It is best not to stop breastfeeding abruptly, but sometimes it is necessary for medical reasons or because you cannot be near the baby.

If you have been breastfeeding your baby up to this point, you will most likely have to express your milk to avoid breast swelling. Some mothers prefer to use a breast pump for this, others find it easier to express milk manually. You only need to pump a little, just to eliminate the discomfort, otherwise your body will take it as a signal to produce more milk. nine0005

At first, the breasts may swell and become tender, but this will pass. Breast milk contains a so-called feedback lactation inhibitor. When breastfeeding is stopped, this inhibitor tells your body to slow down milk production, but it can take days or even weeks for your breasts to rebuild.

Some medications can relieve pain and should be discussed with your doctor. Always follow your pharmacist's instructions or directions, and consult your healthcare professional before taking any medication. nine0005

“I had to abruptly stop breastfeeding when my daughter was eight months old because she had to take strong painkillers,” says Peggy, a mother from Switzerland. “It was very difficult because the baby was constantly looking for a breast and crying. I held her tightly to me as I gave her a bottle. This calmed her, and after a month everything was all right.

Can I continue breastfeeding if I want to get pregnant again?

Breastfeeding is a natural contraceptive. However, this method is not the most reliable, especially after six months or if you are not exclusively breastfeeding. This means that you can get pregnant even while you are breastfeeding. nine0005

Pregnant and breastfeeding mothers sometimes receive conflicting advice about whether to stop breastfeeding. Consistent feeding of two children of different ages is of course possible, and with the advent of the second baby, your body will produce the kind of milk that both of them need.

It is not uncommon for an older child to refuse breastfeeding or skip feedings if the mother is pregnant. This may be due to changes in milk composition that occur during pregnancy. Milk can change the taste and become less sweet. nine0084 6 If your baby is under one year of age when he starts to stop breastfeeding, make sure he continues to gain weight.

Talk to your doctor if you want to continue breastfeeding during pregnancy but have had a preterm birth or miscarriage or have any bleeding in the past.

If you need medical help to conceive, some drugs and procedures may not be suitable while you are breastfeeding. Discuss all possible options before deciding to stop breastfeeding. nine0005

And finally...

Whenever you decide to end breastfeeding, and whatever method you choose to do so, be gentle with yourself and your baby. This is a huge change for both of you physically, hormonally, and emotionally, so proceed thoughtfully and carefully.

“Although my body responded well to stopping breastfeeding, it was psychologically difficult for me. The thing that united us for so long is over, - Jane, a mother of two children from the USA, shares her impressions, - I worked long hours, five days a week, and breastfeeding made me feel that I occupy a special place in the lives of children. But when it stopped, we soon found other ways to be together.” nine0005

Literature

1 World Health Organization. [Internet] Health Topics: Breastfeeding: 2018 [Accessed: 02/08/2018]. Available from : http://www.who.int/topics/breastfeeding/en - World Health Organization. "Health Issues: Breastfeeding" [Internet]. Geneva, Switzerland: WHO; 2018 [Visit 02/08/2018]. Article linked: http://www.who.int/topics/breastfeeding/e

2 Hassiotou et al. Maternal and infant infections stimulate a rapid leukocyte response in breastmilk. Clin Transl Immunology. 2013;2(4): e 3. - Hassiot F. et al., "Infectious diseases of the mother and child stimulate a rapid leukocyte reaction in breast milk." Clean Transl Immunology. 2013;2(4):e3.

3 Dettwyler KA. When to wean: biological versus cultural perspectives. Clin Obstet Gynecol . 2004; 47(3)712-723. - Dettwiler KA, "Time to wean: weaning from a biological and cultural point of view". Klin Obstet Ginekol (Clinical obstetrics and gynecology). 2004; 47(3):712-723.

4 Victora CG Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. nine0204 2016;387(10017):475-490. - Victor S.J. et al., "Breastfeeding in the 21st century: epidemiology, mechanisms and long-term effects". Lancet (Lancet). 2016;387(10017):475-490.

5 Dewey KG et al. Breast milk volume and composition during late lactation (7-20 months). J Pediatr Gastroenterol Nutr 1984;3(5):713-720. — Dewey C.G. et al., "Amount and composition of breast milk in late lactation (7-20 months)". nine0204 F Pediatrician Gastroenterol Nutr. 1984;3(5):713-720.

6 Prosser CG et al.

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