What can you feed a four month old baby
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.
Your Baby's Growth: 4 Months (for Parents)
Babies this age continue to grow — in size, physical skills, and their ability to interact with the world.
Many of the new skills they're learning will come in handy for eating solid food. In fact, some time over the next few months, your baby may get that first taste of food beyond breast milk or formula. Although breast milk or formula will continue to be the main source of nourishment, your baby can start to explore different tastes and textures.
As long as your baby continues to grow steadily, eating habits shouldn't be a cause for concern. Your baby will be ready to start eating puréed foods when she can sit well without need for support and has lost the tongue-thrust reflex (pushing solids out of the mouth with the tongue).
How Much Will My Baby Grow?
By 4 months, many babies have doubled their birth weight.
This month, babies gain about 1 to 1¼ pounds (560 grams) and about 0.8 inches (2 centimeters) in length.
Since your child's birth, the doctor has been recording growth in weight, length, and head size (circumference) during your regular well-baby visits. The doctor tracks these numbers on standard growth charts. Ask your doctor to show you your baby's growth record. By now, you should begin to see a personal growth curve emerging — expect your child to continue growing along this curve.
Should I Be Concerned?
Is my baby big enough? Is my child destined to be tall or short? Parents often worry about growth and may compare a baby with siblings and peers. It's important to remember that kids come in a wide range of shapes and sizes.
Growth depends on many factors, including:
- genes passed on by the parents (kids tend to resemble their parents in height)
- the amount and quality of food a child eats
- overall health
- the functioning of the hormones that control growth
Based on the growth chart, the doctor can determine whether your child is growing as expected.
If at any time you're concerned about your baby's weight or growth in general, discuss your worries with your doctor.
In response to your concerns, the doctor may ask you these questions:
- How many feedings a day does your baby get?
- How much does your baby eat at each feeding?
- How long does a breastfeeding baby nurse at each feeding?
- What else are you feeding your baby?
- How frequent are your baby's bowel movements? What do they look like?
- How often does your baby pee?
The doctor also may ask questions about your baby's health and development. All these things together will help the doctor decide if your baby is growing at an appropriate rate. The doctor may recommend tests if he or she thinks there may be a problem that needs to be addressed.
Premature babies may still be behind in size compared with their full-term peers, but they should also be growing steadily at their own rate.
What About the Chubby Baby?
With all the concern about childhood obesity, parents may worry that their baby is getting too fat.
A few babies and toddlers are overweight. For these children, advice from the baby's doctor can be useful.
Never withhold food from a baby in an attempt to cause weight loss. To grow and develop as they should, babies need proper nutrition, including fat, in their diet. For the first year, breast milk or formula should continue to be their main source of nourishment.
It's safe to introduce solid foods at around 6 months for breastfed and formula-fed babies. When the time is right, start with a single-grain cereal for babies (rice cereal has traditionally been the first food for babies). Then introduce other foods, such as puréed fruits and vegetables. Your doctor can advise you on how much of each food to give, but pay close attention to your baby's cues that he or she has had enough.
What's Next?
Your baby's rapid growth will start to slow down during the second half of the first year. But expect big changes in the coming months as your baby becomes more mobile.
Reviewed by: Cristy A. Wong, MD
Date reviewed: January 2019
Diet for a child aged 4
Your baby is already 4 months old. He has noticeably grown up, become more active, is interested in objects that fall into his field of vision, carefully examines and reaches for them. The emotional reactions of the child have become much richer: he joyfully smiles at all the people whom he often sees more and more often, makes various sounds.
Are you still breastfeeding or have you switched to formula or formula feeding? The child is actively growing, and only with breast milk or infant formula, he can no longer always get all the necessary nutrients. And that means it's time to think about complementary foods.
Optimal time to start its introduction is between 4 and 6 months, regardless of whether the baby is receiving breast milk or formula. This is the time when children respond best to new foods. Up to 4 months, the child is not yet ready to perceive and digest any other food.
And with the late introduction of complementary foods - after 6 months, children already have significant deficiencies of individual nutrients and, first of all, micronutrients (minerals, vitamins, long-chain polyunsaturated fatty acids, etc.). In addition, toddlers at this age often refuse new foods, they have delayed development of chewing skills for thick foods, and inadequate eating habits are formed. It is important to know that, no matter how strange it may seem at first glance, with a delayed appointment of complementary foods, allergic reactions more often occur on them.
When is it advisable to introduce complementary foods as early as 4 months, and when can you wait until 5.5 or even 6 months? To resolve this issue, be sure to consult a pediatrician.
The optimal time to start introducing complementary foods to a healthy baby is between 5 and 5.5 months of age.
The World Health Organization recommends that breastfed babies should be introduced to complementary foods from 6 months of age.
From the point of view of domestic pediatricians, which is based on the big
practical experience and scientific research, this is possible only in cases where the child was born at term, without malnutrition (because in these cases the mineral reserves are very small), he is healthy, grows and develops well. In addition, the mother should also be healthy, eat well and use either specialized enriched foods for pregnant and lactating women, or vitamin and mineral complexes in courses. Such restrictions are associated with the depletion of iron stores even in a completely healthy child by 5-5.5 months of age and a significant increase in the risk of anemia in the absence of complementary foods rich or fortified with iron. There are other deficits as well.
The first food product can be vegetable puree or porridge, it is better to give fruit puree to the baby later - after tasty sweet fruits, children usually eat vegetable puree and cereals worse, often refuse them altogether.
Where is the best place to start? In cases where the child has a tendency to constipation or he puts on weight too quickly, preference should be given to vegetables. With a high probability of developing anemia, unstable stools and small weight gains - from baby cereals enriched with micronutrients. And if you started introducing complementary foods with cereals, then the second product will be vegetables and vice versa.
If the first complementary foods are introduced at 6 months, it must be baby porridge enriched with iron and other minerals and vitamins, the intake of which with breast milk is no longer enough.
Another important complementary food product is mashed meat. It contains iron, which is easily absorbed. And adding meat to vegetables improves the absorption of iron from them. It is advisable to introduce meat puree to a child at the age of 6 months. Only the daily use of children's enriched porridge and meat puree can satisfy the needs of babies in iron, zinc and other micronutrients.
But it is better to introduce juices later, when the child already receives the main complementary foods - vegetables, cereals, meat and fruits. After all, complementary foods are needed so that the baby receives all the substances necessary for growth and development, and there are very few in their juices, including vitamins and minerals.
Juices should not be given between feedings, but after the child has eaten porridge or vegetables with meat puree, as well as for an afternoon snack. The habit of drinking juice between meals leads to frequent snacking in the future, a love of sweets is instilled, children have more tooth decay and an increased risk of obesity.
With the start of the introduction of complementary foods, the child is gradually transferred to the 5-time feeding regimen.
Complementary feeding rules:
- preference should be given to baby products of industrial production, they are made from environmentally friendly raw materials, have a guaranteed composition and degree of grinding
- Complementary foods should be offered to the baby by spoon at the start of feeding, before breastfeeding (formula feeding)
- the volume of the product increases gradually, starting with ½ - 1 spoon, and in 7 - 10 days we bring it to the age norm, subsequent products within the same group (cereals from other cereals or new vegetables) can be introduced faster, in 5 - 7 days
- start introduction with monocomponent products
- it is undesirable to give a new product in the afternoon, it is important to follow how the child reacts to it
- do not introduce new products in the event of acute illnesses, and before and immediately after prophylactic vaccination (should be abstained for several days)
When introducing a new type of complementary food, first try one product, gradually increasing its amount, and then gradually "dilute" this product with a new one.
For example, vegetable complementary foods can be started with a teaspoon of zucchini puree. During the week, give the baby only this product, gradually increasing its volume. After a week, add a teaspoon of mashed broccoli or cauliflower to the zucchini puree and continue to increase the total volume every day. Vegetable puree from three types of vegetables will be optimal. The portion should correspond to the age norm. Over time, you can replace the introduced vegetables with others faster.
After the introduction of one vegetable (bringing its volume to the required amount), you can proceed to the intake of porridge, and diversify the vegetable diet later.
If the child did not like the dish, for example, broccoli, do not give up on your plan and continue to offer this vegetable in a small amount - 1-2 spoons daily, you can 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 to form the right taste habits in the baby.
Spoon-feed with patience and care. Forced feeding is unacceptable!
In the diet of healthy children, porridge is usually introduced after vegetables (with the exception of healthy breastfed children, when complementary foods are introduced from 6 months). It is better to start with dairy-free gluten-free cereals - buckwheat, corn, rice. At the same time, it is important to use porridge for baby food of industrial production, which contains a complex of vitamins and minerals. In addition, it is already ready for use, you just need to dilute it with breast milk or the mixture that the baby receives.
Children suffering from food allergies are introduced complementary foods at 5-5.5 months. The rules for the introduction of products are the same as for healthy children, in all cases it is introduced slowly and begins with hypoallergenic products. Be sure to take into account individual tolerance. The difference is only in the correction of the diet, taking into account the identified allergens.
From meat products, preference should first be given to mashed turkey and rabbit.
Diets for different age periods
explain how to make a diet, it is better on several examples that will help to navigate the menu for your child.
From 5 months, the volume of one feeding is on average 200 ml.
Option 1.
I feeding
6 hours
Breast milk or VHI*
200 ml
II feeding
10 hours
Dairy-free porridge**
Supplementation with breast milk or VHI*
150 g
50 ml
III feeding
14 hours
Vegetable puree
Meat puree Vegetable oil
Supplemental breast milk or VHI*
150 g
5 - 30 g
1 tsp
30 ml
IV feeding
18 hours
Fruit puree
Breast milk or VHI*
60 g
140 ml
V feeding
22 hours
Breast milk or VHI*
200 ml
* - Children's dairy mixture (VHI)
** - diluted with breast milk or VHI
Option 2.
9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 9000 9000
baby 6 months, if complementary foods were introduced from 4 - 5 months:
| I feeding | Breast milk or VHI* | 200 ml |
| II feeding | Dairy-free porridge** | 150 g |
| III feeding | Vegetable puree | 150 g |
| IV feeding | Fruit puree | 40 g |
| V feeding | Breast milk or VHI* | 200 ml |
* - Children's dairy mixture
** - diluted with breast milk or DMS
Option 3.
An approximate daily diet for a baby at 6.5 months on breastfeeding, if complementary foods began to be administered from 6 months:
| I feeding | Breast milk | |
| II feeding | Dairy-free porridge** | 100 g |
| III feeding | Vegetable puree | 100 g |
| IV feeding | Breast milk |
|
| V feeding | Breast milk |
|
** - diluted with breast milk
Up to 7 months, increase the volume of porridge and vegetable puree to 150 g and introduce fruit puree.
Complementary foods at 4 months | Useful tips from the Tyoma brand
It is well known that the ideal time to introduce complementary foods is between 4 and 6 months of age. The presence of a child's teeth or the ability to sit are not signs of a child's readiness for complementary foods. It is important that the baby does not have a reflex of pushing the spoon with his tongue, and he can swallow food thicker than breast milk or formula well.
The pediatrician will help determine the exact start date for complementary foods, and in most cases this is the golden mean of 5-5.5 months. But there are situations when complementary foods need to be started from 4 months, including even a child who is exclusively breastfed.
In what cases are complementary foods introduced from 4 months?
- The child is not gaining weight well or is lagging behind in physical development.
- The child has functional digestive disorders (regurgitation, constipation).
- The mother has little breast milk or it is poorly absorbed.
- The child has a reduced appetite or is not digesting formula well.
- The child has signs of iron deficiency (anemia).
- The child has a pronounced food interest: he watches with interest the food of adults, reaches for food.
- The child stopped eating formula and began to demand food more often.
How to start complementary foods at 4 months?
The first product of complementary foods, regardless of the age and type of feeding of the baby (breast or artificial), should be energy-intensive foods: either porridge or vegetable puree. Porridge can be chosen first if the child has loose or unstable stools, and also if the child is underweight. After 4-5 days from the beginning of the introduction of porridge, butter can be gradually added to it (up to 5 g per serving of porridge in 150 g)
Mashed vegetables can be the first meal of the day if a child is prone to constipation, when it is better to choose zucchini, which can have a mild laxative effect on the child's stool.
Starting from the 4-5th day of the introduction of vegetable puree, vegetable oil can be gradually added to it (up to 5 g per serving of vegetables in 150 g).
What foods can be introduced into the diet of a child at 4 months?
Kashi
Of the first cereals, it is better to give preference to buckwheat or rice. They must be dairy-free and can be diluted with water or breast milk, or the mixture that the baby eats. Later, you can introduce corn and oatmeal.
Vegetables
The first vegetable puree can be zucchini, broccoli, or cauliflower.
Fruit
The third type of complementary food can be fruit puree from apples or pears. Later, you can introduce mashed banana or apricot. At first, fruit puree can not be given to the child separately, but it is better to mix it with cereal or vegetables so that the child does not begin to prefer the sweet taste of fruits. When the amount of fruit puree reaches 50 g or more, it can also be given separately, for example, after the child has eaten porridge or for an afternoon snack.
Juices
Juices should not be the first feeding, in addition, they can not be introduced into the baby's first year of life at all, given their sweet taste and low nutritional value.
Can you make your own first meal?
You can prepare the first complementary foods yourself, but it is safer to use hypoallergenic monocomponent cereals or commercially produced purees prepared to high quality standards for baby food. In addition, it is important to consider that industrially produced baby cereals are often fortified with vitamins and minerals, which makes them especially useful for the first feeding.
How to start the introduction of a new product?
Complementary foods are introduced before breastfeeding or formula. The introduction of a new product should be gradual. But how is it?
- On day 1, give your baby 1 tsp. complementary foods before breastfeeding or formula
- On day 2 - 3 tsp.
(15 g) - On day 3 - 6 tsp. (30 g)
- Day 4 - 50 g
- Day 5 - 70 g
- Day 7 - 100 g
- For 8-10 days - bring to 150 g.
Please note that if complementary foods are introduced from 4 months, then the introduction of 1 new product may take longer than the introduction of complementary foods from 5 or 6 months, namely up to 10 days or more, depending on the reaction of the baby.
Important!
If on the 8-10th day of the introduction of a new product, the baby still cannot eat 100-150 ml of porridge or puree at once, then this amount can be divided into 2 or even 3 doses, for example, give 50 ml of porridge in the morning, 50 ml in the afternoon and 50 ml in the evening. Why do this? So that the child gradually gets used not only to the new product, but also to its quantity. In the future, you need to try to gradually increase the one-time amount of the product to the age volume.
