What age do you give babies solid food


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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Feeding Your 4- to 7-Month-Old (for Parents)

Most babies this age are ready to try solid foods. Experts recommend starting solid foods when a baby is about 6 months old, depending on the baby's readiness and nutritional needs.

Be sure to check with your doctor before giving any solid foods.

Is My Baby Ready to Eat Solid Foods?

How can you tell if your baby is ready for solids? Here are a few hints:

  • Does your baby swallow food or push it out of their mouth? Babies have a natural tongue-thrust reflex that pushes food back out. Wait until this reflex disappears (typically when babies are 4–6 months old). 
  • Can your baby support their own head? To eat solid food, an infant needs good head and neck control and should be able to sit up.
  • Is your baby interested in food? Babies who stare, reach and grab, and open their mouths for food are ready to try solid foods.

If your doctor gives the go-ahead but your baby seems frustrated or uninterested in solid foods, try waiting a few days before trying again. Breast milk and formula will still meet nutritional needs as your baby learns to eat solid foods. But after 6 months, babies need the added nutrition — like iron and zinc — that solid foods provide.

Do not add cereal or other food to your baby's bottle because it can lead to too much weight gain.

Watch for signs that your child is hungry or full. Respond to these cues and let your child stop when full. A child who is full may suck with less enthusiasm, stop, or turn away from the breast or the bottle. With solid foods, they may turn away, refuse to open their mouth, or spit the food out.

How Should I Start Feeding My Baby Solid Foods?

When your baby is ready and the doctor says it’s OK to try solid foods, pick a time of day when your baby is not tired or cranky. You want your baby to be a little hungry, but not so hungry that they’re upset. So you might want to give your baby a little breast milk or formula first.

Have your baby sit supported in your lap or in a high chair with a safety strap.

Most babies' first food is iron-fortified infant single-grain cereal mixed with breast milk or formula. Place the spoon near your baby's lips, and let the baby smell and taste it. Don't be surprised if this first spoonful is rejected. Wait a minute and try again. Most food offered to your baby at this age will end up on the baby's chin, bib, or high-chair tray. Again, this is just an introduction.

When your little one gets the hang of eating cereal off a spoon, it may be time to try single-ingredient puréed meat, vegetables, or fruit. The order in which you give them doesn't matter, but go slow. Offer foods that are high in iron and zinc — such as meat, poultry, eggs, and beans — especially if your baby is breastfeeding. Try one food at a time and wait several days before trying something else new. This will let you identify any foods that your baby may be allergic to.

Which Foods Should I Avoid?

Foods that are more likely to cause allergies can be among the foods you introduce to your baby. These include peanuts, eggs, cow’s milk, seafood, nuts, wheat, and soy. Waiting to start these foods does not prevent food allergies. Talk to your doctor if you’re concerned about food allergies, especially if any close family members have allergies, food allergies, or allergy-related conditions, like eczema or asthma.

Infants with severe eczema or egg allergies are more likely to have allergies to peanuts. Talk to your doctor about how and when to introduce these foods to your child. 

Possible signs of food allergy or allergic reactions include:

  • rash
  • bloating or an increase in gassiness
  • diarrhea
  • vomiting

Get medical care right away if your baby has a more severe allergic reaction, like hives, drooling, wheezing, or trouble breathing.

If your child has any type of reaction to a food, don't offer that food again until you talk with your doctor.

Babies shouldn't have:

  • foods with added sugars and no-calorie sweeteners
  • high-sodium foods
  • honey, until after the first birthday. It can cause botulism in babies.
  • unpasteurized juice, milk, yogurt, or cheese 
  • regular cow's milk or soy beverages before 12 months instead of breast milk or formula. It’s OK to offer pasteurized yogurt and cheese.
  • foods that may cause choking, such as hot dogs, raw carrots, grapes, popcorn, and nuts

Tips for Feeding Your Baby Solid Foods

With the hectic pace of family life, most parents try commercially prepared baby foods at first. They come in small, convenient containers, and manufacturers must meet strict safety and nutrition guidelines.

If you prepare your own baby foods at home, here are some things to keep in mind:

  • Follow the rules for food safety, including washing your hands well and often.
  • To preserve the nutrients in your baby's food, cook it in ways that keep the most vitamins and minerals. Try steaming or baking fruits and vegetables instead of boiling, which washes away the nutrients.
  • Freeze portions that you aren't going to use right away.
  • Whether you buy the baby food or make it yourself, texture and consistency are important. At first, babies should have finely puréed single-ingredient foods. (Just applesauce, for example, not apples and pears mixed together.)
  • After your baby is eating individual foods, it's OK to offer a puréed mix of two foods. As babies get older, they will learn to eat a greater variety of tastes and textures. 
  • If you use prepared baby food in jars, spoon some of the food into a bowl to feed your baby. Do not feed your baby right from the jar — bacteria from the baby's mouth can contaminate the remaining food. If you refrigerate opened jars of baby food, it's best to throw away anything not eaten within a day or two.
  • Around 6 months of age is a good time for your baby to try a cup. You might need to try a few cups to find one that works for your child. Use water at first to avoid messy clean-ups. Do not give juice to infants younger than 12 months.

Over the next few months, introduce a variety of foods from all the food groups. If your baby doesn't seem to like something, don’t give up. It can take 8 to 10 tries or more before babies learn to like new foods.

Teaching a child to solid food

The introduction of adult food is carried out gradually. It is necessary to accustom the child first to one product, then to others. Also, do not immediately take solid food - puree will be enough. If you are not in a hurry, if you are attentive enough to your child, there will be no problems. In this article, we will not talk about the introduction of complementary foods as such, but about the beginning of the use of solid foods. Chewing, swallowing are completely new skills for yesterday's baby. Someone masters them once or twice, other children need more time.

Highlights

The structure of the maxillofacial system of the child is the main problem of all causes with chewing. The baby needs to make unusual efforts for him, carefully chew food.

The correct procedure for parents when introducing complementary foods:
• 4 months - liquid puree is introduced;
• 6 months - you can start to use puree with fibers or thick;
• 9 months - soft foods with chunks are fine.

After a year, you can give solid food - an apple, a pear, a cucumber, a piece of boiled chicken, etc. If 6-8 teeth grow earlier, these dates can be shifted. Some parents are guided by complementary feeding calendars, others are waiting for the child to ask for a certain product (usually from the parent's table).

Different types of purees

There are qualitatively different types of products among the presented range of canned food. Manufacturers take into account the child's ability to digest a particular product and the adaptation of the gastrointestinal tract for a particular type of food. The liquid puree is similar in consistency to pancake dough. If you dip a spoon into it, and then take it out, the puree will slowly drain. There is a thick puree - it retains its shape in a spoon, since there is not much liquid in the product. We are talking about the consistency of thick sour cream, but without dietary fiber. Fibrous purees have a similar consistency to thick purees, plus they often contain lumps and fibers.

Very thick puree may be diluted. For these purposes, breast milk, vegetable broth, or a mixture are usually used.

Solid food

When the child is familiar with different types of purees, it will be possible to introduce solid food. They do this strictly according to the schedule - ordinary liquid purees are introduced after six months for naturalists, sometimes a little earlier for artificialists. Solid food will come in handy closer to a year old and later. Watch the baby's reaction - not only in terms of well-being, lack of allergies, but also in relation to personal tastes and preferences. Some children refuse certain foods completely - no need to force them.

To grind or not - see for yourself, but whole pieces are usually not given to children under one year old. There are babies who are ready to chew a piece of chicken breast for a long time, but there are not so many of them. If the food is smeared, use a nibbler - it will not have a banana on all the walls and furniture. Shredded food includes a product grated on a medium grater, but not turned into a thick or liquid puree. These include an apple from a blender, meat from a meat grinder, etc.

Soft foods like boiled vermicelli, boiled eggs, steamed rice porridge require chewing, but without much effort. Many parents begin after a year to give their child food from an adult table, this is a good option, the main thing is to cook diet meals. But the transition from formula and breast milk to adult food should be smooth.

Chewing difficulties: how not to choke

There is no universal recipe - you need to chew carefully, calmly, swallow one piece at a time. But this is all in theory - in practice, the parent sees how the child chewed and chewed a piece of food, began to swallow, and he got stuck. Insert your index finger into the mouth and, like a hook, take out food. You need to put your finger in from the side, from the corner of the mouth.

At 2 years of age, the child should be able to chew, swallow and use a spoon normally. Therefore, let your son or daughter eat on their own, despite the potential dirt that they will inevitably breed. Give up the idea of ​​spoon-feeding a child before school and forcing them to eat food, rhymes and other traditional pastimes of our grandmothers.

Dad blog. We teach the child to solid food.

How to transition your baby from mashed potatoes to regular food

The introduction of solid food with pieces improves satiety and teaches the baby to chew, prepares him for the transition to a common table and trains speech skills. We are discussing how to transfer a child to solid food with puree and at the same time not provoke a refusal to eat, which can lead to health problems, with a pediatrician, medical consultant of the SMART-MAMA project, Polina Aleksandrovna Kizino.

— Polina Aleksandrovna, why do you start with pureed foods first?

— Classic complementary foods are introduced around 6 months or earlier. At this age, it is quite difficult for babies to coordinate the work of all the muscles of the oral cavity and chew hard pieces. Other than breast milk or formula, the baby has not tried anything yet. Therefore, if you give him hard pieces right away, he may not figure out what to do with them. In addition, for good absorption and easier swallowing, of course, pureed food is more suitable - cereals or mashed potatoes.

If, for some reason, a child begins to receive complementary foods at 7-8 months (that is, later than the recommended 4-6 months), it is acceptable to introduce products with very soft and small pieces, similar to mashed potatoes. Even if a child swallows such a piece without chewing, it will happen without discomfort and does not threaten to refuse food with pieces in the future.

— What should be the consistency of food in the first year of a baby's life?

- At the stage of introducing the first or second complementary foods, the nutritional consistency is required to be homogeneous, that is, completely homogeneous, without pieces, veins of vegetables or cereal flakes. As the baby matures, he is already able to eat vegetables mashed with a fork. Gradually, the pieces may become harder and larger. However, even if the baby eats pieces, this does not mean that homogeneous foods should be immediately excluded when learning to chew. He can get both.

— Why is solid food obligatory for children under one year old?

— It is necessary to transfer a child to solid food only because he will not eat homogeneous purees and cereals all his life. And as soon as the physiological ability to chew appears, the baby begins to chew soft food, even if he does not yet have teeth. If the baby remains on homogeneous food and does not learn to chew, then it will be difficult for him to switch to other foods, he will not want to eat in a new way.

When chewing, the oral apparatus develops: jaws, muscles, teeth. The skill of chewing is closely related not only to the maxillofacial system and food processing, but also to the formation of bite and the development of speech in a child.

— When should a child be moved to a common table with hard pieces?

- This happens differently for all children, but on average about 7-8 months. At the same time, solid pieces do not mean those products that need to be gnawed, but precisely what is different from homogeneous food.

All changes in the child's diet are introduced gradually. Imagine if he suddenly bites off a large piece that he cannot chew and starts swallowing - as a result, there is a risk of severe choking and choking. Or, at best, experience discomfort, so you don’t want to try this product again. In order not to provoke such situations, all transitions in a child's life must be carried out very smoothly.

— How do parents know when a child is ready for solid food?

— Apart from the age and positive reaction of the child to the proposed product, there are no other signs. Even teeth will not be a readiness factor for solid foods. But if parents delay the introduction of solid pieces and a child at 9-10 months old is not yet familiar with them, then he will not want to eat this and will demand mashed potatoes.

Constant choking on food, spitting up, restlessness of the baby are adverse reactions to the introduction of solid food. It makes sense to consult a pediatrician.

Undigested food in the stool may be normal and should not be a concern for parents. In order for food to begin to be fully absorbed, the body needs time to adapt to complementary foods. It is important to monitor the condition of the baby.

— How to transfer a child to a common table if he refuses solid food?

- Unfamiliar and "unpleasant" foods should be offered at the beginning of feeding while the baby is still hungry. If the baby starts breakfast or lunch with his favorite dish, then, having been a little full and realizing that he got what he wanted, he, of course, will refuse other food.

It is necessary to interest the child in literally all suitable ways:

  • demonstrate interest in the product by example, praise its taste;
  • offer "children's" food from one's own plate;
  • put food on a pretty children's plate;
  • beautifully decorate food on a plate, make “pictures”;
  • praise for the eaten pieces.

All this does not distract from the process of eating, like cartoons, and does not disguise eating as a game. The food will be interesting for the child, and he will get pleasure and satisfaction from what he eats.

Praise from parents is especially important for babies older than one year. For the sake of keeping the parents happy, the child is sometimes ready to do something that he does not like.

— What food to offer first and what does the child's menu depend on?

- This can be any food, and not necessarily new dishes. But you need to gradually change the density and hardness of food, the size of the pieces. To help in getting to know the pieces, but not with chewing, a nibbler can. Let not all children love it, but this accessory is important for the safety of the child: with it, the baby will not swallow too large a piece and will not choke.

How to start introducing solid food

Products Familiar products, but not homogeneous, but of a different consistency - you just need to mash the vegetables with a fork, grind them larger, chop a piece on a fork or invite the baby to take the vegetable with your hand and bite off him on his own.
Quantity Look at the child's reaction, his desire and ability.
Consistency The softness of the product should be the same as, for example, a ripe banana, so that when swallowing, even without chewing, the baby does not experience pain, gag reflex and other unpleasant sensations. Subsequently, the food becomes more and more solid.
Order of administration One new product is administered over three to four days to monitor the response. Moreover, it should be exactly the same for the same product in both hard and soft form.
Piece size Start with pieces about the size of a pea. You need to pay attention to how the child will chew the boiled "peas" of food. With their softness, there is practically no risk of choking and it is unlikely that a piece will get stuck.

— How often should there be hard pieces in the diet? A child can eat only homogeneous purees all day, and then all day - only pieces. In addition, food chopped in different ways can be mixed in one dish, but so that the baby understands that in the spoon he has not only mashed potatoes, but also pieces. Then he will count on what he will have to chew. Food should be washed down - WHO recommends the mandatory introduction of water at the start of complementary foods.

- Rusks, bagels or whole fruits - when can they be introduced?

- Hard crackers and fruits can be in the diet for up to a year, but at a time when the baby still has no or few teeth and he will definitely not bite off, but lick or procrastinate treats. The child rubs boiled potatoes, carrots, broccoli well with gums, but cannot chop solid foods from the adult menu. It is right to give them in pedagogical complementary foods in order to introduce the baby to different tastes.

Be aware that when the incisors appear, the child may bite off a large enough piece that he cannot chew. Therefore, it is better for parents not to take risks if they cannot control the size of the pieces.


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