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Supplement food for 3 months baby


Supplements & Vitamins for Baby

RachelMS, RD, LDN, CSSD, CBS

Read time: 5 minutes

What to know about whether your baby needs extra vitamins

  • Breastmilk or formula provides your baby with most of the vitamins and minerals they need.1

  • Depending on the situation, possible supplements infants need include Vitamin K, Vitamin D, Vitamin B12, and iron.

During the first 6 months of life, your baby should exclusively be fed breastmilk and/or formula. Healthy full-term babies will likely get most of the vitamins and minerals they need from that breastmilk or formula.2,3

As your baby begins eating solid foods, usually around 6 months, breastmilk and formula will continue to provide the majority of nutrients and calories.22,23 Adding a variety of fruits and vegetables, whole grains, and protein-dense foods will help your child get more of the nutrients they need. A multivitamin is usually not necessary for babies under 1 year old.1,3

Read more: Nutrient Needs and Feeding Tips for 6 to 12 Month Olds

When does my baby need extra vitamins?

Some babies may need additional vitamins, such as:

  • Premature infants, born weighing less than 3.3 pounds, will likely need extra vitamins and minerals added directly to breastmilk or formula.4

  • Babies who are exclusively as well as partially breastfed are recommended to be given vitamin D and potentially iron.5,6

  • Babies born to mothers who follow a strict vegan diet may need a B12 supplement.9

Be sure to chat with your child’s pediatrician before starting any supplements.

Which vitamin supplements could a baby need?
Vitamin K

What does vitamin K do? Vitamin K is necessary to help with blood clotting. 2,7

Who may need vitamin K? The American Academy of Pediatrics (AAP) recommends that all babies receive a one-time vitamin K injection shortly after birth to reduce the risk of hemorrhagic disease.11

Vitamin D

What does vitamin D do? Vitamin D allows the body to absorb and retain calcium and phosphorus, both critical for building strong bones.27

What are symptoms of vitamin D deficiency? A vitamin D deficiency can lead to rickets, a bone-softening disease that still impacts children in the U.S., usually in the first two years of life.2,5

Who may need vitamin D? In many cases, breastmilk does not provide adequate vitamin D for baby.4,5 This is why the AAP and other health organizations recommend that all breastfed babies be supplemented with Vitamin D. 6,8

Formula fed babies generally do not need additional vitamin D supplementation because formula has vitamin D already added. If your baby is drinking at least 32 ounces of formula per day, they are receiving adequate amounts of vitamin D.2,6

Read more: Why Vitamin D Matters for Babies, Tots and Mama

Vitamin B12

What does vitamin B12 do? Vitamin B12 keeps the body’s nerve and blood cells healthy and helps make DNA, the genetic material in all cells.9 Vitamin B12 deficiency can cause a type of anemia called megaloblastic anemia that makes people tired and weak.10

What are symptoms of vitamin B12 deficiency? Signs and symptoms of vitamin B12 deficiency in infants include vomiting, lethargy, anemia, failure to thrive, hypotonia (low muscle tone), and developmental delay/regression. 4,12 Breastfed infants may develop clinical signs of vitamin B12 deficiency before their mothers do.4

Who may need vitamin B12? Breastfeeding people who may need vitamin B12 include: Vegans and some vegetarians, those who have had weight loss surgery, or people with malabsorption concerns.9 Taking B12 is often necessary for these groups to help make sure that both themselves and their babies are receiving adequate amounts.

Infant formulas must contain vitamin B12, so formula fed babies usually get enough of this nutrient.

If your family is vegan or there are other risk factors for low B12, discussing your family’s diet with a registered dietitian can help provide some insight on supplementation or food choices.13

Read more: Vegan Diet during Pregnancy, Breastfeeding, and for the Family

Iron

What does iron do? Iron plays an important role in the delivery of oxygen to tissues throughout the body. 20 This mineral is also important for physical growth and brain development.20

What are symptoms of iron deficiency? There are several levels of iron deficiency before iron deficiency anemia is diagnosed.20 Even mild and moderate deficiencies in babies and toddlers can cause symptoms such as shortness of breath, irritability, weakness, fatigue, and headaches.21

Who may need iron? Breastmilk is low in iron but most babies are born with sufficient reserves of iron while in the womb to protect them from anemia, at least until the age of 4-6 months.4 If you had poorly controlled gestational diabetes, or your baby was premature or smaller than 6 pounds at birth, your baby may not have gotten enough iron during pregnancy.4,14 There is also some research showing that delayed cord clamping at birth can help boost baby’s iron reserves. 5

Babies who are formula fed are recommended to be provided an iron-fortified formula to meet their needs.6

The AAP Committee on Nutrition recommends exclusively and partially breastfed infants receive 1 mg/kg/day of a liquid iron supplement starting at 4-6 months, continuing until iron-containing solid foods are introduced at about six months of age.6,16 However other major organizations, including the Academy of Breastfeeding Medicine as well as the United States Preventative Services Task Force, do not find the research on supplementing your baby compelling enough to recommend supplementation for breastfed babies.5,20

Speak with your baby’s doctor about iron supplementation and whether it’s right for you and your baby.18

Introduce iron-rich foods once your baby begins eating solids. When you begin to introduce your baby to solid food, choose foods that contain iron, like fortified cereals, meats, fish, beans, and vegetables every day.

Include vitamin C rich foods as well to help iron be absorbed better.25

If you are already supplementing your infant with iron when introducing iron-containing foods, chat with baby’s healthcare provider to see if the iron supplement should be stopped.4,5

Read more:
Why is Iron Important for my Baby and toddler?

What Should I Know about Iron Deficiency Anemia during Pregnancy?

If you have more questions about whether your baby could benefit from vitamins or other supplements, reach out to our team of registered dietitians and moms are available from Monday – Friday 8 am – 6 pm (ET). Chat now!

What to do to make sure baby is meeting their vitamin and mineral needs
If formula feeding, continue to feed your baby with iron-fortified formula through the first year

Your baby is receiving adequate iron and vitamin D in their formula therefore it’s important to continue feeding them infant formula through the first year of life. 6

Talk with your baby’s healthcare provider if you are breastfeeding

If you are breastfeeding, chat with your infant’s healthcare provider about supplementing with iron and vitamin D. They’ll let you know if your little one needs a supplement, how much to give, and how long to supplement for.

Tip: One way to supplement your infant is to place the liquid supplement on your nipple before latching baby to feed. Chat with your child’s healthcare provider for more tips on how to give your baby the supplements they may need.

Understand that your preemie may have different needs

If your baby was born prematurely, they may need more iron than a term baby or need larger amounts of other nutrients.9 Speak with your baby’s doctor about your baby’s specific needs.

Do not introduce cow’s milk until after your baby’s first birthday

Babies who are fed cow’s milk (instead of breastmilk or iron-fortified formula) during the first year of life are more likely to develop iron-deficient anemia because the cow’s milk proteins can affect your child’s iron status. 15,24

Note that while cups of cow’s milk are not recommended before a year, it is safe for your little one to have the small amounts of milk used in baking and cooking. And as long as your child does not have a cow’s milk protein allergy or lactose intolerance, it is also safe for them to eat cheese and yogurt in the texture they can handle.26

Let's Chat!

We know parenting often means sleepless nights, stressful days, and countless questions and confusion, and we want to support you in your feeding journey and beyond.

Our Happy Baby Experts are a team of lactation consultants and registered dietitians certified in infant and maternal nutrition – and they’re all moms, too, which means they’ve been there and seen that. They’re here to help on our free, live chat platform Monday - Friday 8am - 6pm (ET).Chat Now!

Read more about the experts that help write our content!

For more on this topic, check out the following articles:

Meal Plan for 6 to 9 Month Old Baby

Why does Vitamin C Matter for Babies, Tots and Mama

Meeting Your Needs and Baby’s on a Vegetarian Diet

Does your Toddler need Vitamins or Supplements

Why does Vitamin B12 Matter for Babies, Tots, and Mama?

Sources

4 Infant Supplements to Ask Your Pediatrician About

Starting your baby on solid foods is exciting — and messy! Most babies start with a very small amount of age-appropriate solid food between 4 to 6 months old and will continue to rely on breast milk or iron-fortified formula for their nutrition. Then, at around 9 to 11 months old, you may start noticing a dramatic drop in how much breast milk or formula your baby drinks as more nutrition and calories come from solid foods.

Because of their changing dietary needs over this transition, it is important that infants get the nutrition they need to grow and develop. For some children, this means working with a healthcare provider to fill nutritional gaps with carefully chosen supplements.

Iron

Babies are born with a store of iron that lasts them for about 4 to 6 months. The American Academy of Pediatrics recommends that full-term infants who are exclusively or mostly breastfed be given an iron supplement starting at 4 months of age. Talk to your baby’s healthcare provider about how long to continue an iron supplement after your baby begins eating iron-containing solid foods. Formula generally is iron-fortified, so formula-fed babies rarely need an iron supplement.

Children born premature or with a low birth weight may have reduced iron stores. If so, your baby’s healthcare provider will probably recommend iron supplements until your baby is at least 6 to 12 months old. This may be needed even for some formula-fed babies.

As infants begin to eat more solid food, serving them iron-rich foods such as iron-fortified cereal, meat or beans at least twice per day will help them meet their iron needs.

To promote iron absorption from plant foods, combine iron-rich solid foods you serve to your child with vitamin C-rich foods in one meal. For example, pair a bean and rice puree or finger food meal with tomato sauce or a fruit puree.

Vitamin D

Vitamin D is important for healthy bones. Because low levels of vitamin D are so common, the American Academy of Pediatrics says all breastfed infants (whether completely or partially breastfed) — and formula-fed infants who drink less than 32 ounces of formula per day — should take a supplement beginning within a few days of birth. When starting solids, you can mix vitamin D drops in purees as well as add them to formula or water.

Fluoride

The AAP does not recommend fluoride supplementation for babies under six months of age. Fluoride supplementation may be necessary after that time based on levels of fluoride in your local water supply. Fluoride supplements are only available by prescription, so discuss this with your baby’s healthcare provider.

Vitamin B
12

Vitamin B12, which prevents anemia and supports healthy neurological function, is found in animal products such as meat, fish, eggs and dairy, and is not a concern for most children. However, a vegan mother who exclusively breastfeeds should be sure to consume adequate vitamin B12 through fortified foods and supplements in order to provide ample B12 to her baby via breast milk. And if you plan to introduce only plant-based foods into your child's diet, a B12 supplement may be necessary. Formula-fed vegan babies can get their vitamin B12 from a special fortified formula, most often soy-based. Vitamin B12 typically is included in most over-the-counter infant vitamin drops and many fortified ready-to-eat cereals and soy milk.

Before giving your infant any supplements, always consult with the baby’s doctor. Not all infants automatically need supplements when starting solids. Once your baby is tolerating solid foods, make sure to introduce a variety of foods from all food groups in order to develop his or her palate and meet nutritional needs.

COMPLETE FOOD: TO GROW BABY HEALTHY. PEDIATRIC ADVICE

Doctor, when is the best time to introduce complementary foods? What are the dangers of introducing complementary foods too early or too late?

In fact, there are no universal recommendations regarding the introduction of complementary foods, - says Solomiya Maksimchuk, - because each baby has its own characteristics, so the approach should be individual. Therefore, answering the first question - when it is advisable to introduce complementary foods, I cannot name a specific figure, because in fact complementary foods are introduced at 3 months, and at 4, and at 6, and at 8 - depending on the indications. In my medical practice, there were children who were one year old, and no matter how we tried to introduce complementary foods, everything was in vain - the kids did not show any food interest, especially those who were breastfed. They had a good weight gain, psychomotor development, but they did not show food interest, and this is not very good, because the children did not form and did not prepare the gastrointestinal tract for the perception of other foods. What, then, can be advised to a mother who is faced with this problem? In this case, I am more guided not by my professional experience, but by the experience of the mother, understanding how difficult it is to force a child to eat if he does not want to. nine0005

In which case is it advisable to introduce complementary foods earlier, in which case - adhering to standard norms?

In the case of breastfeeding (if the baby is completely healthy), I start talking about this when the baby is 6 months old. With artificial feeding, we are talking about the introduction of complementary foods when the baby is 4 months old. Some mothers are of the opinion that breast milk contains all the necessary micronutrients, so you should not rush to complementary foods. Of course, this is true - if the mother adheres to the right diet, she eats fully. But in fact, complementary foods help prepare the baby’s herbal system - the child learns different tastes, because it’s no secret that when a baby receives only breast milk, some digestive juices are released, and in the case of complementary foods, completely different ones, therefore, introducing complementary foods, we gradually prepare an enzymatic system. nine0005

Which foods are the first to be introduced into complementary foods, because there are different views on this issue - someone advises fermented milk products, someone vegetable purees or juice?

It all depends on the specific situation. If complementary foods are introduced at 3 months, indications are necessary for this - these are digestive disorders of the baby, the child's tendency to constipation. In this case, I recommend giving fermented milk products to the child at the first stage of the introduction of complementary foods. For children who are bottle-fed and have digestive problems, I recommend fermented milk mixtures (horses are considered the first complementary foods). If we are talking about a completely healthy child, first of all, I advise you to introduce vegetable puree - it is easily digested by the children's gastrointestinal tract. Usually, this is a puree of zucchini, broccoli, cauliflower, parsnips, parsley, white carrots, potatoes. Unfortunately, in our area there is not a wide variety of products. Pediatricians should take this into account when advising the mother what to choose at the beginning of complementary foods in winter, because if we advise a zucchini in February, will we find it on the shelves, and if so, will this exotic product benefit the baby? nine0005

The first complementary foods start with a small amount - a teaspoon per day. Prepare, for example, zucchini puree. We give the baby half a teaspoon of puree once a day - at lunchtime, and every next day we increase the amount of the product. On average, in 14 days it is possible to increase the amount of complementary foods to 50-70 grams - it all depends on how the child perceives the new food. When a child eats more - up to 100 grams of vegetables, we can diversify the menu - add boiled broccoli or cauliflower to the zucchini. When a child eats mostly 2-3 vegetables, we can introduce the next complementary foods (mashed potatoes based on several vegetables are considered one complementary food). The next step is the introduction of fruit puree. Provided that the child responds well to the first complementary foods, after 3 weeks, vegetable complementary foods in the amount of 100 grams can be introduced. And then at 6.5-7 months you can introduce fruits - apples of green or yellow varieties in a baked form. nine0005

At the same time, we add a certain amount of fat - olive or sunflower oil - to the prepared vegetable mixture. After the introduction of vegetables and fruits, depending on the age, we introduce the yolk or meat. Regarding when it is worth introducing fruit juices - at one time pediatricians focused considerable attention on this. Today, if a child is breastfed, we do not insist on a drinking regimen or suggest adding water or herbal decoctions from chamomile, dill, fennel to drinking. Fruit juices must be administered concurrently when the child consumes a certain amount of fruit. It can be apple juice - by no means multivitamin or citrus. nine0005

What if the baby does not accept a certain product?

If a rash appears on the baby’s skin, the baby is worried about intestinal disorders, anxiety associated with abdominal pain, or if there is a tendency to constipation-diarrhea due to the introduction of a certain product, we leave in the diet products of all previous stages of complementary feeding, but the one that provoked disorders, cancel. If it is difficult for the mother to understand which particular product caused the disorders, it is necessary to return to the initial level for a certain time - breastfeeding, which at the same time will encourage the mother to adhere to a hypoallergenic diet or a balanced diet. If the baby is on artificial feeding, it is necessary to return to the use of the mixture, without complementary foods. Then, at a slightly more intense pace, you need to take the same steps to introduce complementary foods as before, carefully observing the reaction of the baby. nine0005

At what stages of complementary feeding do we introduce cereals, meat, fish, egg yolk? What foods do we start introducing when teeth are erupting in a baby?

After vegetables and fruits, we introduce the yolk into complementary foods, then meat or cereals, the next is sour-milk complementary foods. However, I want to note that the presence of teeth has nothing to do with the introduction of complementary foods, because in fact, children do not chew for a long time. The purpose of complementary foods and the task of the child is to be able to form a food lump in the oral cavity. Then, when the baby swallows liquid food, he hardly retains it in his mouth. And complementary foods make it possible to retain food, enveloping it with saliva and then swallowing it in small portions. In some babies, teething happens even a year, but they have complete complementary foods. nine0005

Regarding the timing of complementary foods - meat is given to the baby after about 7 months. Rabbit meat, turkey fillet, beef, quail are best suited. I am often asked whether it is possible to give a child chicken meat during the complementary feeding period. If you are sure that the chicken is home grown without the addition of hormones, chicken is also suitable for the baby's diet.

I recommend eating fish after 10 months - in any case, not red varieties (red fish can be given to a child only after two years of life). The best option is white sea fish of low-fat varieties. When introducing cereals into the diet, it must be remembered that they must be adapted by age - it is these cereals that contain the destroyed grain shell, which contains the most harmful carbohydrates, in particular, gluten. Once upon a time, parents ground rice or buckwheat, but because of these products, the baby had problems with digestion, because there was a certain load on his body. At the beginning of complementary foods, it is better to give free-flowing adapted dairy-free cereals - we breed them in water. When the child has taken this complementary food well, we can introduce milk porridge. For children who are breastfed and are underweight after 4 months, there are other recommendations. As a breastfeeding aficionado, my advice is to stimulate a mother's lactation by reviewing her diet. At the same time, it is advisable to introduce dairy-free cereals, since they provide more calories than vegetables. There are also cases when a child is one year old and mothers replace breastfeeding with formula milk from a bottle. In fact, the baby does not need additional nutrients, moreover, there is no need for supplementation or feeding from a bottle - this is a step back. nine0005

Were there cases of anemia among children under one year of age? How to prevent this problem?

Although not often, there are cases of anemia in the practice of a pediatrician. Iron deficiency anemia in a baby occurs in the majority in the absence of a child’s nutritional interest, when it is not possible to adequately introduce complementary foods. But it is necessary to take into account the fact that if the child has low hemoglobin, then the mother has it even lower, because the baby receives everything that is possible during lactation. Therefore, first of all, we work with mom's diet. At the same time, we are taking more intensive steps in replacement feeding - introducing red meats, in particular beef, if age permits (at 8-9months), offal: boiled beef tongue, beef, turkey, rabbit liver, apples, buckwheat for children under one year of age.

Until what age is it best to breastfeed a baby?

When it comes to the formation of immunity, breastfeeding up to 6 months of a child's life is most appropriate, because the baby needs the protection that he receives from his mother. After 6 months of life, the child's immune system independently forms antibodies. When it comes to nutritional content, the baby should be breastfed for up to a year, because thanks to the adequate intake of complementary foods, the baby receives the main food. At the same time, it is necessary to take into account the season - in winter it is more difficult to wean a child from the breast, since there is a much smaller variety of products on the shelves, in winter babies get sick more often, and breast milk helps to calm down, satisfy the drinking regimen. Another problem is psychological attachment, because some children at the age of 1.5 years are difficult to take away from the breast, and even at 2 years old. nine0005

Rules for the introduction of complementary foods for a child 4-12 months old: the first complementary foods, menus, diagrams, tables, principles of nutrition for a baby

Modern principles of complementary feeding of children is a kind of fusion of practical experience and the latest scientific developments. They are based on the recommendations of the European Association of Pediatric Gastroenterologists, Hepatologists, Nutritionists ESPGHAN , the American Academy of Pediatrics AAR and national recommendations of relevant ministries and associations. nine0003

Complementary foods: online course

Modern recommendations are based on the analysis of the results of many studies on the composition, timing of the introduction of complementary foods in Europe for healthy full-term newborns, taking into account various aspects of the introduction of complementary foods, its impact on physical and mental development. Timely introduction of complementary foods contributes to the optimal development of all systems and organs of the child, physical parameters, psychomotor development, and the activity of the nervous system. The period of introduction of complementary foods is very important for the growth and development of the child, as well as an outstanding stage in the transition of the child from breastfeeding to feeding from the general table. nine0005

  • It is inappropriate to develop separate recommendations for the introduction of complementary foods for breastfed or artificially fed children, the approaches in these cases are the same
  • Mother's breast milk remains the gold standard of exclusive breastfeeding for at least 4 months (17 weeks) of an infant's life, up to 6 months (26 weeks) of exclusive or predominant breastfeeding
  • The digestive tract and kidney function are mature enough for a baby to accept complementary foods at 4 months of age, and between 5 and 6 months the baby develops the necessary motor skills to consume solid foods. Therefore, at this age, it is important to give food of the right consistency and in the right way
  • A well-nourished mother can provide all the nutrients, vitamins, and minerals her baby needs through exclusive breastfeeding up to a maximum of 6 months of age
  • Some children may need iron supplementation earlier than 6 months
  • It is important to continue breastfeeding in parallel with the introduction of complementary foods. This has been shown to reduce the risk of gastrointestinal and respiratory infections, as well as hospitalizations in a child
  • When comparing initiation of complementary foods at 4 or 6 months of age, no significant differences were found in the effect on infant growth and body weight, development of obesity during the first 3 years of life
  • At the same time, a high risk of developing overweight and obesity has been established with the introduction of complementary foods before 4 months of age
  • Complementary foods (solid or liquid food other than breast milk or infant formula) should be started no earlier than 4 months and no later than 6 months
  • With age, with the introduction of complementary foods, the child should be offered food varied in texture, texture, taste, smell
  • Children have an innate tendency to distinguish and prefer sweet and salty foods, reluctantly eat bitter, which we cannot change. But we can shape and adjust the child's taste preferences through training, systematically offering the child foods with different tastes, including sour, bitter green vegetables
  • Whole cow's milk is not recommended for children under 12 months of age. The use of cow's milk is associated with the intake of an increased amount of energy, protein, fat, and lower - iron. Therefore, children who consumed large amounts of cow's milk at an early age had a higher risk of developing iron deficiency anemia
  • Eating more protein when complementary foods increase the risk of overweight and obesity, especially in individuals with a predisposition to this, so protein intake should not exceed 15% of energy intake during the day
  • The baby's need for iron is very high during the entire period of complementary feeding, so it is necessary to ensure the provision of iron-rich foods, especially for breastfed children
  • Allergenic products can be administered from 4 months of age at any time, since it is during this period that immune tolerance to the allergen is formed. For example, children at high risk of developing allergic reactions to peanuts should be administered at 4-12 months of age under specialist supervision. No relationship was found between the timing of the introduction of allergenic complementary foods and the development of allergic or immunological diseases. However, this does not mean the need for early introduction of allergenic products to everyone, but it emphasizes that there is no need to postpone the introduction of allergenic products after 4 months for a longer period; nine0086
  • Gluten may be offered to a child aged 4-12 months, however, large amounts of gluten should be avoided during the first weeks after initiation of its introduction, thereafter a safe amount has not been established. The type of feeding (breast/artificial) was not identified with the introduction of gluten to reduce the risk of developing celiac disease, type 1 diabetes;
  • Sugar or salt should not be added to complementary foods, and sweetened drinks and juices should be avoided. Sugary drinks are liked by babies in the first months, but if they are not given, but after 6 months, the children no longer like them very much. Sugar affects future eating behavior. Sugar is an important factor in the development of caries - it contributes to caries, as glucans can be formed, which increase the adhesion of bacteria to tooth enamel, disrupt the diffusion balance of acid and buffer systems, which ultimately contributes to damage to the enamel. nine0086
  • Vegetarian diets are contraindicated in young children due to the risk of vitamin B12, iron, zinc, folate, long chain fatty acid, protein and calcium deficiencies, which can lead to irreversible adverse effects and impaired cognitive development;
  • Vegetarian diet can only be used under the close supervision of a doctor and nutritionist, with the obligatory additional administration of vitamins B, D, iron, zinc, calcium, proteins, PUFAs, which can ensure the appropriate growth and development of the child. It is important that parents should be aware of the risk of irreversible harmful consequences (mental disability, death of the child) that may develop if they do not follow the recommendations of specialists. nine0086

The General Rules for the introduction of complementary foods for children of the first year of life:

  • enter the first feeding It is better in the morning feeding 9-11 in the morning to trace the reaction of the child to a new product.
  • Without added sugar and salt .
  • Give the first complementary foods to the child when he is calm and not tired .
  • Start with 0.5-2 teaspoons. If the child refuses, do not insist, try to give later or the next day.
  • If the reaction is normal - no rash, no skin changes, no stool changes, double the dose the next day. Gradually bring the baby's first complementary foods to the age norm 80-200 g
  • If there is an allergic reaction or other intolerance reaction - refuse to introduce this complementary food for three days, if the adverse reaction occurs again - do not give this product, contact your pediatrician. nine0086
  • Each subsequent new complementary food product must be one-component only: marrow, cabbage, broccoli, buckwheat, meat, etc.
  • Mixed food dish give when the child has already become acquainted with all the products separately.
  • It is not advisable to introduce new products three days before and after vaccinations.

If you are thinking about introducing complementary foods, then your child should already have certain signs of readiness for this:
  1. Holds head
  2. Able to stand on its own, practically without support, sit on a special highchair with side support
  3. Opens mouth when a spoonful of food is brought
  4. Turns away from a spoonful of food when not hungry
  5. Closes mouth with spoon in mouth holds food in mouth and then swallows rather than pushing or spitting it out

First complementary foods at 4 months

The age of 4 months as the minimum for the introduction of complementary foods was also chosen because at 4 months the child's gastrointestinal tract becomes more mature: the initially increased permeability of the small intestine mucosa decreases, the number of digestive enzymes, a sufficient level of local immunity is formed, the child acquires the ability to swallow semi-liquid and thicker food, associated with the extinction of the “spoon ejection reflex”. nine0005

Therefore, to the question whether it is necessary to give complementary foods to a 3-month-old baby , one can unequivocally answer: no, it's too early!

But 4 months, this is the time when you can think about the introduction of complementary foods. At the same time, it should be remembered that at the age of 4 months, the child has enough mother's milk or a highly adapted milk formula for its full development. In addition, when they talk about complementary foods at 4 months, they usually mean the end of the 4th month of life. It is important to continue breastfeeding in parallel with the introduction of complementary foods. nine0005

Video: Power feeding at 4 months

If you introduce complementary foods at the 4th month of the child -this is usually a one-component vegetable or fruit puree if the child does not gain weight well enough. , then it can be gluten-free porridges: rice and buckwheat . It is better to start with vegetable puree. Kids are smart and if he tries a sweeter fruit puree, he can refuse vegetable puree for quite some time and you may have difficulty introducing this very healthy dish. nine0005

What is useful in vegetable supplements and what is the best way to prepare it?

Vegetable puree - for the first feeding can be prepared from cauliflower, zucchini, pumpkin, broccoli - these are low-allergenic products, are among the ten most useful vegetables in the diet of children, contain a large amount of healthy proteins, fiber and vitamins, microelements ! Fiber helps move food through the digestive tract and promote beneficial microflora in the gut. Pectins absorb and remove toxins from the baby's body. Vegetables have a positive effect on the acid-base balance of the body, creating conditions for the proper functioning of all organs and systems. nine0005

Cauliflower - is a good source of fiber, protein, minerals and vitamins: A, B1, B2, B3 (PP), B6, as well as a small amount of vitamins K, D and tocopherol (vitamin E). In the inflorescences of cabbage there is a lot of magnesium, sodium, potassium, phosphorus, calcium, iron. It contains twice as much iron as green peas, peppers and lettuce. Cauliflower protein is easily digestible and its content is quite high. Cauliflower protein contains essential vitamin U (methionine). It is one of the essential amino acids that cannot be synthesized by the human body. Other essential amino acids are also present in a small amount: arginine, tryptophan. nine0005

Zucchini - rich in vitamins and microelements. It contains potassium, magnesium, phosphorus, calcium, vitamins C, B1 and B2 and others, folic acid. Which plays an important role in the processes of hematopoiesis. Zucchini is rich in such important trace elements as iron and copper. They are necessary for the formation of nervous tissue, normalization of metabolism, as well as for the formation of hemoglobin, which is a good prevention of anemia.

Broccoli is a very healthy vegetable that is a type of cauliflower. Pleasant soft taste and good digestibility of the product, unique composition have a beneficial effect on the health of both adults and children. Eat unopened cabbage inflorescences. This is also a low-allergenic vegetable, rich in protein, fiber, vitamins, calcium, iron, trace elements and even phytoncides. The content of calcium and magnesium is sufficient to balance the functioning of the nervous system, ensure the normal regulation of the child's sleep and wake cycle, and good stress resistance. A child with such nutrition becomes calmer, less excited and naughty. nine0005

Broccoli is the leader in choline and methionine content. Only 50 g of broccoli provides the baby with a full set of nutrients for a day.

Pumpkin is the largest vegetable on Earth. It is one of the ten most useful vegetables in the diet of children, contains a large amount of useful proteins, fiber and vitamins, including beta-carotene, vitamin C, E, K, iron, potassium, magnesium, trace elements that are indispensable for children's nutrition, as they strengthen immunity and help fight inflammation, have a beneficial effect on the nervous system. By the content of carotene, pumpkin exceeds carrots by 5 times. nine0005

Vitamins and microelements contained in pumpkin help the child grow, provide healthy sleep, are responsible for the condition of the skin and eyes, improve metabolic processes, and accelerate the removal of harmful substances from the child's body. Due to its beneficial qualities, pumpkin can be one of the first types of complementary foods for an infant.

All vegetable purees have a specific vegetable smell, this is absolutely normal

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Introduction of vegetable puree

Vegetables should be introduced into the child's menu gradually. Start giving each new vegetable in the form of a monocomponent puree in the amount of ½ teaspoon, preferably at breakfast, so you can track the manifestations of food allergies or intolerance reactions to this product. If all is well, then the next day, offer him a teaspoon. So gradually you need to bring the portion to 50-100 grams. A serving of vegetable puree per day for an 8-month-old baby is approximately 80 grams. In a year, you can increase up to 150 grams. The next product can be administered no earlier than 4-5 days later. If a child has skin rashes, his stool has changed, then you need to remove the product from the diet and consult a pediatrician. nine0005

If the child did not like the dish, for example, broccoli, do not give up and continue to offer this vegetable in small quantities - 1-2 spoons a day, maybe not even once, but 2-3 times before meals, and after 7 - 10, and sometimes 15 days, the baby will get used to the new taste. This diversifies the diet, will help form the right taste habits in the child.

Fruit puree introduction

Fruit puree is a definite alternative and addition to vegetables. It can be made from apples, bananas - by the way, do you know what a berry is?, sweet varieties of pears. These fruits contain substances useful for babies, vitamins and minerals, including iron, which is extremely necessary for children. Prune puree is somewhat separate, it has a good effect on the baby's digestion, especially with a tendency to constipation, and, of course, also contains many useful substances.

Porridges in the nutrition of a child in the first year of life. nine0004

Porridge can be introduced into the baby's diet at the end of 4 months or at the fifth or sixth month of life. As a rule, they go as a second food after vegetable or fruit puree. But if your child is not gaining weight very well, or you have been feeding your child with breast milk or infant formula until almost the end of 6 months, then complementary foods can be started with the introduction of cereals.

It is important to start with one-component, low-allergenic cereals which does not contain gluten : this is buckwheat, rice, corn porridge .

gluten-containing cereals include: wheat, oats, rye, barley, millet .

According to modern data the period of introduction of gluten into the child's diet is not of fundamental importance, but the latest recommendations draw attention to the fact that its amount in the baby's diet should not be large. Therefore, it is better to add semolina and oatmeal to other porridge in a limited amount, and not to give it on its own. No relationship was found between the timing of the start of complementary foods that contain gluten and the development of celiac disease in a child. If your child hasn't tried porridge yet, start with a dairy-free, gluten-free, one-ingredient buckwheat or rice porridge. nine0005

Rice - very useful for growing baby. It has a low content of vegetable proteins, therefore it is easily digested and is especially useful for toddlers with unstable stools. Rice has a high nutritional value and, to a certain extent, protects the delicate intestines of the baby due to its enveloping effect. This is a hearty and nutritious dish with a good content of carbohydrates and proteins, potassium and magnesium, calcium and phosphorus, beneficial amino acids and vitamins. It replenishes energy costs, energizes and gives strength. Rice is not recommended for overweight children and those who suffer from severe constipation. nine0005

Gluten-free buckwheat porridge - very nutritious and rich in iron, fiber, rich in various vitamins and microelements. This is also a good option for starting a child's acquaintance with adult food. These porridges can be prepared with water, breast milk, milk formula, which your child is used to. No need to add salt and sugar.

Rules for introducing porridge into baby food

If the child already eats porridge from 5 months, then at 6 months you can offer a more complex porridge - for example, rice porridge with apricot or raspberries, rice porridge with banana (this is very successful a combination both in taste and in its properties) or even more complex porridge - corn-rice with banana. nine0005

Over time, you can start adding apple, banana, pear, plum and prunes, apricot and dried apricots, broccoli, carrots, berries, to the porridge, provided that the child is not allergic to them.

The rules for introducing cereals are the same as for vegetable puree. In order for the child to get used to the new product and its consistency more easily, first prepare 5% porridge (5 g of cereal per 100 g of water), if you make it yourself. Porridge is usually cooked with water, but can be made with breast milk, infant formula. First, give the baby one teaspoon, then, within 7-10 days, bring the volume of porridge of the same percentage to the full volume of feeding (150 g). If all this time the porridge is well tolerated, i.e. there are no skin rashes, the child has stable stools, they switch to a gradual (starting from 20-30 g) introduction of porridge of the same cereal, but already at a 10% concentration (10 g of cereal per 100 g of water). In other words, a thicker porridge is administered no earlier than 7-10 days from the beginning of the introduction of porridge. The complete introduction of 10% porridge to the baby is also carried out in 7-10 days. The third week falls on the complete addiction of the child to a new dish. Only after that you can introduce a new cereal (in the form of 10% porridge) or the next complementary foods. nine0005

Video: feeding porridge

You need to give porridge from a spoon, better in the morning for breakfast. After porridge at the stage of its introduction, the child should be offered breast or milk formula. With artificial feeding, the volume of the mixture after a portion of porridge should be such that, together with porridge, it is 200 ml with five meals a day.

Norms for the introduction of cereals

In the future, the volume of the portion of porridge gradually increases, amounting to:

  • 7-8 months - 160-170 ml
  • 8-9 months - 170-180 ml
  • 9-12 months - up to 200 ml (there is a complete replacement of one feeding of the child with complementary foods.)

Cereal schedule

  • Day 1 – 1 teaspoon (5 g)
  • Day 2 - 2 teaspoons (10 g)
  • Day 3 - 3 teaspoons (15 g)
  • Day 4 - 4 teaspoons (20 g)
  • Day 5 - 50 ml (50 g)
  • Day 6 - 100 ml (100 g)
  • Day 7 - 150 ml (150 g)

Meat complementary foods - the rules for introducing meat into the child's diet

Meat is usually the third, very important product of complementary foods, after vegetables and cereals. Meat contains amino acids, complete animal protein, B vitamins (B1, B2, B6 and B12), heme iron, potassium, calcium, zinc, phosphorus, which are necessary for the growth and development of the child. It is very important to understand that mashed meat contains iron, which is easily absorbed. And the addition of meat to vegetables improves the absorption of iron from them, from vegetables. nine0005

Iron deficiency can seriously affect the intellectual development of the child, his immunity, hematopoiesis. Since your task is to raise a healthy and intelligent child, meat complementary foods must be introduced without fail and in a timely manner.

Heme iron - found in meat products and easily digestible (red meat-veal, liver), absorption is about 25%.

Non-heme iron - found in plant foods (beans, beans, lentils, peas, nuts, tomatoes, cauliflower, green leafy vegetables, apples, dried fruits, but it is absorbed from plants much worse - only 3-5% Iron absorption from other animal products (eggs, fish) is 10-15%. 0005

It is important to know that human milk enhances , while cow's milk reduces iron absorption .

Timing of the introduction of meat complementary foods

It is advisable to introduce meat puree to a child aged 6-8 months . This, to some extent, depends on when cereals and vegetable/fruit purees were introduced. if your baby has been eating vegetables and cereals since 4 months, meat can be introduced at 6 months. From 7 months it can be administered if the child is not gaining weight. From 8 months to children who started complementary foods at 6 months. nine0005

Children at risk of anemia are advised to introduce meat earlier at 5-6 months of age.

It has been proven that only the daily use of children's enriched porridge and meat puree can fully meet the needs of children in iron, zinc and other micronutrients.

You can start meat complementary foods with lean beef, veal , but better with less allergenic poultry meat ( turkey, chicken ), or rabbit, these are the most easily digestible meats.

Goose and pork are fatty for the baby, and the meat of duck and other birds of the reservoirs is also not suitable for the first feeding. They are recommended to give only after 3 years;

Horsemeat is perfect for your baby. The product is rich in carbohydrates and proteins, but it is almost impossible to find horse meat for sale.

Meat should be introduced into the child's diet gradually, at lunchtime, first a quarter of a teaspoon and, gradually adding, bring it up to the daily norm: At 8 months, about 50 g, at 9months-60-70 g.

Video: Power feeding meat

Medication scheme

  • 1 day with vegetables
  • Day 2 - ½ teaspoon
  • Day 3 - 1 teaspoon
  • Day 4 - 2 teaspoons
  • Day 5 - 3 teaspoons
  • Day 6 3-4 teaspoons + vegetables

At first, it is better to give meat with vegetable puree, which the child has already eaten, so that he adapts better to the new product, and iron is better absorbed. Children at the end of the first year of life can already be given 3 varieties of mashed meat. nine0005

Baby menu at 7-8 months

At 7-8 months you can start giving children baby curd 9005 Start with 1/2 teaspoon. Within a month, the daily volume of cottage cheese consumption by a baby can be increased to 30-40 g. In addition, a child of 8 months is recommended to give sour-milk infant formula. But ordinary yogurt from the store should not be given. At this age, the child should receive 5 g of butter and 5 g (1 teaspoon) of vegetable oil, ¼- yolk - 2-3 times a week. nine0005

Baby's menu at 9 months old

At the age of 9 months old Your baby is already familiar at this age already usually familiar with: , egg yolk . You may have already met meat . Therefore, at this age, they usually give already more complex purees and porridges, less homogenized, of various tastes , gradually preparing him for adult nutrition, increasing the variety and quantity of complementary foods. It is desirable to feed the baby at the table with other family members, he must see how his parents eat with pleasure, he learns from them. The amount of food offered should be based on the principles of actively encouraging the baby to eat, it is necessary to continue to gradually change the consistency and increase the variety of complementary foods, adhering to the recommended frequency of introducing complementary foods.
At this age, the child usually gets complementary foods 3 times a day . His diet depends on the age of the start of complementary foods. If the baby began to give new food at 4-5 months, the list of allowed foods will be much wider than if this happened at 6-7 months. Therefore, all this is very individual, there are no absolutely rigid frameworks and recommendations. On the Internet you will find a lot of different advice on baby food, if you are not sure about something, it is better to consult your pediatrician.


From vegetables the baby can be given what he ate before, mixing them: pumpkin, zucchini, cauliflower, broccoli, carrots and others, adding 1 tsp. vegetable oil . If the baby does not have skin reactions, then you can give beets . It is also possible to give two-, three-component vegetable purees and soups , but only on condition that he is already familiar with these products and has not had a reaction to them. nine0673 If you have introduced complementary foods, then you need to remember that water is an important part of baby food. You can use purified water or special water for children .
In addition, at 9 months you can give special baby wheat cookies , which the baby will be happy to eat on his own as an adult, white wheat bread, this improves hand motility, improves eating skills, but at the same time he must be supervised. nine0673 At this age, you can start giving fish puree from low-fat varieties: river perch, pollock, hake, haddock, zander, saithe - start with ½ teaspoon, bringing up to 40-50 g , watching the reaction of the child , give at lunchtime instead of mashed meat, 1-2 times a week. But a number of pediatricians do not advise giving it up to a year, it is a useful, but highly allergenic product.

10 month old baby menu

B 10 months usually 2 times a day the child receives mother's breast or special milk formulas . Various porridges : buckwheat, rice, corn, oatmeal, wheat, semolina porridge . Add 5-10 g of butter to cereals . At this age, it is already possible to make complex cereals from 2-3 cereals with which the child is familiar, add various fruits, vegetables: apple, banana, pear, plum and prunes, apricot and dried apricots, broccoli, carrots, berries nine0004 , provided that the child is not allergic to them, or use ready-made cereals with fruit.


From vegetables the baby can be given what he ate earlier, mixing them: pumpkin, zucchini, cauliflower, broccoli, carrots, beets and others, adding 1 tsp. vegetable oil . It is also already possible to give two-, three-component vegetable purees and soups, but only on condition that he is already familiar with these products and he did not have a reaction to them. nine0673 At this age, the baby already usually eats about 40-50 g of baby meat puree from chicken, turkey, rabbit , with good tolerance to cow's milk proteins from veal or beef. If he has been eating meat for a month or more, you can start giving him two-component meat purees , for example from chicken and turkey.
At this age, fish puree from low-fat varieties is usually started: river perch, pollock, hake, haddock, pike perch, pollack with ½ teaspoon, bringing to 40-50 g, watching the reaction of the child, it is better to give at lunch time instead of mashed meat, 1-2 times a week .
At 10 months, children's cottage cheese should be given 2 times a week. Start with 1/2 teaspoon if you have not given it before, the daily amount of cottage cheese at this age is 40-50 g .
It is recommended to give special sour-milk baby formulas. nine0673 At this age, a child can receive 5-10 g of butter and 5 g (1 teaspoon) of vegetable oil, and 2-3 times a week½ - yolk .

Child's menu at 1 year old

The child is one year old. He has already grown up, he already has 6-10 teeth, with which he gnaws everything he sees, he is interested in chewing food, his digestive enzymes already work well and he has already become acquainted with various products: vegetable and fruit purees, various cereal cereals, meat and fish, sour-milk mixtures. In fact, he is already prepared for the transition to a more adult diet. In a year, changing the diet involves turning to new products and gradually changing the way they are prepared and the degree of grinding. nine0673 You need to eat 5 times a day with an interval 3.5-4 hours .
semi-liquid dishes should still remain the basis of nutrition, but not only mashed dishes, but also containing small pieces of food . Too dry food should not be given to the baby yet, as he may have difficulty swallowing.


In the year the child already tries to eat with his hands and he should be encouraged to do so. Finely chopped, soft foods can be given, for example: small pieces of soft fruit, vegetables, cheese, well-cooked meat, pasta , etc. and foods that dissolve quickly, children's biscuits, children's crispbread - as food with the help of hands.
Must avoid products that can enter the respiratory tract and cause asphyxiation - sausages and other hard meat products , nuts (especially peanuts), grapes, raisins, raw carrots, popcorn, round candies . Hold off on this for now.
In a year, part of the children are without mother's milk. But if your baby is still not weaned - do not rush, if possible, give him a breast before bed at night. You can also breastfeed between main meals. At this age, the child receives all the main vitamins and minerals from food, but he can get a number of biologically active components from breast milk. nine0005

Dairy products

Dairy products still occupy an important place in the child's diet, it is a source of calcium, B vitamins, protein, milk sugar and fat. It is better to use special baby milk (marked with a triple on the package), baby fermented milk products: kefir, yogurt in total 500-600 ml per day .

Cottage cheese

The child should be given cottage cheese. The daily dose of cottage cheese after 1 year can be increased up to 70 g per day . It can be given pureed or combined with fruit puree, pudding, casserole. This contributes to the development of chewing skills.

Butter
Butter can be added to cereals or smeared on wheat bread, cookies in a dose of up to 12 g per day.

Low fat sour cream and cream
After 1 year, you can give low-fat sour cream and cream in small quantities.

Vegetables
Every year a child must be given various vegetables, it is good to combine them with protein products, meat . The vegetable diet can now be diversified with green peas, tomatoes, turnips, beets, carrots, spinach in the form of mashed potatoes. Legumes are still better not to give.

Fruits and berries
After 1 year, you can gradually introduce the baby to new fruits and berries: strawberries, cherries, cherries, kiwi, currants, gooseberries, chokeberries, sea buckthorn, raspberries, blackberries, cranberries, blueberries, lingonberries and even citrus fruits . But do it gradually, watching the reaction of the child. Berries with a dense peel (gooseberries) are best mashed, while soft juicy fruits (peaches, strawberries, apricots, kiwi) can be offered to the baby in pieces. nine0673 Daily dose of fruits - approx.

Meat products

Meat products can be given in the form of steam cutlets, meatballs, meatballs, meat souffle and pudding in an amount up to 100 g daily - beef, veal, lean pork, rabbit, turkey, chicken.

Fish

Fish can be given once or twice a week for 30-40 g per meal as a substitute for meat dishes

Eggs
Chicken, quail eggs give boiled or in the form of omelettes in milk, you can try with vegetables.

Kashi
Porridge can be cooked from rice, oatmeal, buckwheat, corn, millet, semolina. At this age, they should still have a uniform consistency, so it will be easier for him to swallow. You can use ready-made industrial, children's instant cereals, for example, various multi-cereal cereals, in which fruits, crackers, cereals have already been added. Give 1 time per day. nine0005

Water
Be sure to give the child clean water to drink, better bottled water for children, as much as he wants . In addition to her baby can drink vegetable and fruit juices, dairy products, compotes, weak tea.

No need to give:

confectionery and sweets should not be given to a child 0004 . From sweets at this age, you can sometimes give marmalade, dried fruits and cookies.
Do not give sausages and sausages , they are rarely prepared from high quality meats and are rich in various food additives

Calorie content and volume

0055 1200 ml .

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