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What should you feed your baby first


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.

When to Start Baby Food

Starting solids is an exciting and important milestone in baby’s development—one that not only opens them up to a brand-new world of flavors and textures, but also puts them on the right path to growing healthy and strong. Here’s what you need to know about how and when to start baby food for a smooth transition.

In this article:
When to start baby food
How to start baby on solids
Best first foods for baby
Introducing allergenic foods

When to Start Baby Food

Knowing when to start baby food is both crucial and tricky. Starting baby on solids too early means you might increase the risk of choking, obesity and bellyaches, but introducing solids too late means you might slow baby’s growth and encourage an aversion to solid foods, among other conditions. Fortunately, doctors have zeroed in on a sweet spot for starting baby food, which is sometime between 4 and 6 months of age—though, ideally, baby should be receiving their nutrition exclusively from breast milk until the six-month mark, according to the American Academy of Pediatrics (AAP). How to tell if it’s time for starting solids for your little one? Baby will give you clues, including:

• Baby can sit in a high chair comfortably on their own. This is a major sign in terms of when to start baby food, says Lauren Kupersmith, MD, a pediatrician at Hassenfeld Children’s Hospital at NYU Langone in New York City. It means baby can hold their head up and doesn’t need to be propped up to stay in the upright position, which is important to avoid choking.

• Baby looks interested at mealtime. Babies likes to mimic what we do, so if your child likes to sit up like a big kid and watch you eat, then by all means let them try eating too.

• Baby can move food to the back of their throat to swallow. But if baby tends to push the food out of their mouth—not because they don’t like it, but because they can’t seem to get the food to where it needs to go—hold off on starting solids.

How to Start Baby on Solids

At 4 to 6 months, most of baby’s nutrition will still come from breast milk or formula, so don’t worry if baby doesn’t like eating food right away. Introducing solids is a gradual process, and every baby learns in their own time. Here are some general guidelines for how to start baby on solids:

• Feed baby with a spoon. Letting your child go at it with their hands may seem tempting (and super-cute), but it’s best that they learn the right way from the get-go. (And even then, be prepared to clean up more than a few messes!) Also, never put cereal (or any other food) in baby’s bottle—it’s a choking hazard.

• Start slowly. When introducing solids, a half spoonful will do at first—you may even want to talk baby through it (“Yummy!”). To make it easier for baby to get accustomed to the idea of swallowing solids, start mealtime with a little breast milk or formula, then offer some food (again, no more than a half teaspoon at a time) and finish off with more breast milk or formula. If baby cries or turns away when you present the spoon, try again some other time. Start off with introducing solids at one meal a day, then slowly work your way up. The morning is a good place to start, since baby is often hungriest at that time. When starting solids, baby typically won’t eat more than an ounce or two in one sitting.

• Try new foods more than once. Since babies’ tastes will evolve, you may need to try a food 20 times before a baby actually likes it, says Kupersmith.

• Stick with the same food for three days before trying another one. This makes it easy to track whether baby is allergic to a particular food.

• Try foods in different forms. If baby doesn’t like pureed food, try it mashed. After all, baby is learning about new textures as well as new tastes. It may be a case of trial and error until you find a winner.

Best First Foods for Baby

Got baby safely strapped into the high chair and bib? You’re ready to finally start feeding baby solids! There aren’t any official food rules for babies starting solids, and there’s no scientific evidence suggesting you should introduce one type of food before another, assuming the foods aren’t choking hazards. Nevertheless, baby cereal (such as oatmeal, rice and barley) is an “easy training food,” says Kupersmith, which is why it’s often recommended as baby’s first food; you can always mix it with more milk to build up to a thicker consistency. Many doctors also recommend starting vegetables before fruits, but there’s no evidence that this would make babies like vegetables more when they grow up—babies innately love sweets, and the order of introducing solids to baby doesn’t change that.

So why not simply start introducing solids with something you think baby will like? Here are a few common first foods for baby that are healthy and easy to eat (and, in the case sweet potato and banana, also easy to digest). Whatever you decide to feed baby, mash it with a fork or puree before serving whenever introducing solids.

  • Baby cereal, such as oatmeal, rice, barley
  • Sweet potato
  • Banana
  • Avocado
  • Apples
  • Pears
  • Green beans
  • Butternut squash

If your child has been breastfeeding, check with your pediatrician about getting a jump on pureed chicken or beef when you’re starting solids. These foods contain easily absorbable forms of iron and zinc, which baby needs by 4 to 6 months, according to the AAP.

At around 9 months, baby should have already worked their way up to a variety of foods, including cereal, vegetables, fruits, meats, eggs and fish (see below regarding the last two). (Keep in mind, though, that baby will still get the majority of their nutrients from breast milk or formula until age one.) By now, baby will probably settle on three meals a day along with two snacks. Let them consume about 4 ounces of solids at each meal (equivalent to a small jar of strained baby food) and about half that amount for each snack.

Save honey and cow’s milk for after baby’s first birthday—there’s a risk for infant botulism with honey (a type of bacterial poisoning), and baby’s tummy isn’t prepared to digest large amounts of cow’s milk until they’re about one year old. Avoid adult processed foods and foods that are choking hazards (such as sticky foods, like large gobs of peanut butter; hard foods that are difficult to gum, like raw vegetables, nuts, seeds and popcorn; and round, slippery foods that haven’t been cut up, like grapes and cherry tomatoes). Instead, the first foods for baby, and those in the months that follow, should be soft and served mashed, pureed or (once baby seems ready to move up from the really mushy stuff) cut up into really little bits. “There’s pretty much free reign at that point,” Kupersmith says.

Introducing Solids Chart

Hesitant about improvising your first foods for baby? That’s okay too. If you prefer an “introducing solids chart” to help you plan out baby’s path, the guide below can come in handy.

Image: The Bump

Introducing Allergenic Foods

Much of the confusion around when to start baby food stems from questions concerning allergenic foods. These are foods that babies are most often allergic to. The major culprits include dairy, eggs, fish, peanuts and tree nuts. In the past, parents were advised to hold off on exposing baby to these foods, but now doctors recommend introducing them early, often and in age-appropriate format, which means starting off with purees and soft textures.

“Dairy is an easy starting point, given options such as yogurt and cheese,” says David Stukus, MD, director of the Food Allergy Treatment Center at Nationwide Children’s Hospital and a spokesperson for the American College of Allergy, Asthma, & Immunology. You can also try scrambled eggs in small amounts, although baby may not be too pleased with the texture at first.

As far as peanut products go, the National Institutes of Health issued new guidelines in 2017 that encourage parents of children at high risk for peanut allergies to incorporate them into baby’s diet at 4 to 6 months of age. Giving these babies peanut products before the age of one actually decreases their risk of developing a peanut allergy before age 5 by 81 percent, compared to kids who are introduced to peanuts later in life. Parents of kids without the food allergy risk can start peanut products whenever they’d like, as long as the nuts are in an age-appropriate form: Peanut butter can be thinned out with water or mixed into a fruit or vegetable puree, and peanut powder can also be mixed into cereal and fruits. Don’t give whole peanuts or pieces of peanuts, since they’re a choking risk.

Allergic reactions to food are never just a fluke; they will happen with every exposure. Symptoms can range from mild (such as a rash or vomiting) to severe (such as trouble breathing). If baby has a food allergy, you’ll notice a reaction within minutes or up to two hours after eating the problematic food, Stukus says. If the symptoms are severe, call 911 right away. Otherwise, talk to your pediatrician; she can help confirm whether it’s an allergy or some other type of condition (such as a viral illness).

Expert bios:*

Lauren Kupersmith, MD, IBCLC, is a pediatrician and clinical instructor at Hassenfeld Children’s Hospital at NYU Langone in New York City, as well as a certified lactation consultant. She earned her medical degree from New York Medical College in 2005.

David Stukus, MD, is the director of the Food Allergy Treatment Center at Nationwide Children’s Hospital, an associate professor of pediatrics in the division of allergy and immunology and a spokesperson for the American College of Allergy, Asthma, & Immunology. He earned his medical degree from University of Pittsburgh School of Medicine in 2002.

Updated January 2020

Please note: The Bump and the materials and information it contains are not intended to, and do not constitute, medical or other health advice or diagnosis and should not be used as such. You should always consult with a qualified physician or health professional about your specific circumstances.

Breastfeeding in the first month: what to expect

Not sure how to establish lactation and increase milk production? If you need help, support, or just want to know what to expect, read our first month breastfeeding advice

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The first weeks of breastfeeding are a very stressful period. If at times you feel like you can't handle it, know that you are not alone. Feeding your baby all day long is completely natural and helps produce breast milk, but can be quite tiring at times. Be patient, think about yourself and remember: after the first month, when milk production stabilizes, it will become easier. nine0003

How often should a baby be breastfed?

Babies are born with a small stomach that grows rapidly with increasing milk production: in the first week it is no larger than an apricot, and after two weeks it is already the size of a large chicken egg. 1.2 Let the child eat as much as he wants and when he wants. This will help him quickly regain the weight lost after birth and grow and develop further.

“Be prepared to feed every two to three hours throughout the day. At night, the intervals between feedings can be longer: three to four or even five hours, says Cathy Garbin, a recognized international expert on breastfeeding. Some eat quickly and are satiated in 15 minutes, while others take an entire hour to feed. Do not compare your breastfeeding regimen with that of other mothers - it is very likely that there will be nothing in common between them. nine0003

At each feed, give your baby a full meal from one breast and then offer a second one, but don't worry if the baby doesn't take it. When the baby is full, he lets go of his chest and at the same time looks relaxed and satisfied - so much so that he can immediately fall asleep. The next time you feed, start on the other breast. You can monitor the order of the mammary glands during feeding using a special application.

Why does the child always ask for a breast?

The first month is usually the hardest time to breastfeed. But do not think that because the baby is constantly hungry and asks for a breast almost every 45 minutes, then you do not have enough milk. nine0003

In the first month, the baby needs to eat frequently to start and stimulate the mother's milk production. It lays the foundation for a stable milk supply in the future. 3

In addition, we must not forget that the child needs almost constant contact with the mother. The bright light and noise of the surrounding world at first frighten the baby, and only by clinging to his mother, he can calm down.

Sarah, mother of three from the UK, confirms: “Crying is not always a sign of hunger. Sometimes my kids just wanted me to be around and begged for breasts to calm them down. Use a sling. Place the cradle next to the bed. Don't look at the clock. Take advantage of every opportunity to relax. Forget about cleaning. Let those around you take care of you. And not three days, but six weeks at least! Hug your baby, enjoy the comfort - and trust your body." nine0003

Do I need to feed my baby on a schedule?

Your baby is still too young for a strict daily routine, so
forget about breastfeeding schedules and focus on his needs.

“Volumes have been written about how to feed a baby on a schedule, but babies don't read or understand books,” Cathy says. - All children are different. Some people can eat on a schedule, but most can't. Most often, over time, the child develops his own schedule.

Some mothers report that their babies are fine with scheduled feedings, but they are most likely just the few babies who would eat every four hours anyway. Adults rarely eat and drink the same foods at the same time of day - so why do we expect this from toddlers?

Offer your baby the breast at the first sign of hunger. Crying is already the last stage, so be attentive to early signs: the baby licks his lips, opens his mouth, sucks his fist, turns his head with his mouth open - looking for the breast. nine0013 4

What is a "milk flush"?

At the beginning of each feed, a hungry baby actively sucks on the nipple,
thereby stimulating the milk flow reflex - the movement of milk through the milk ducts. 5

“Nipple stimulation triggers the release of the hormone oxytocin,” explains Cathy. “Oxytocin is distributed throughout the body and causes the muscles around the milk-producing glands to contract and the milk ducts to dilate. This stimulates the flow of milk. nine0003

If the flushing reflex fails, milk will not come out. This is a hormonal response, and under stress it may not work at all or work poorly. Therefore, it is so important that you feel comfortable and calm when feeding.

“Studies show that each mother has a different rhythm of hot flashes during one feed,” Kathy continues, “Oxytocin is a short-acting hormone, it breaks down in just 30-40 seconds after formation. Milk begins to flow, the baby eats, the effect of oxytocin ends, but then a new rush of milk occurs, the baby continues to suckle the breast, and this process is repeated cyclically. That is why, during feeding, the child periodically stops and rests - this is how nature intended. nine0003

The flow of milk may be accompanied by a strong sensation of movement or tingling in the chest, although 21% of mothers, according to surveys, do not feel anything at all. 5 Cathy explains: “Many women only feel the first rush of milk. If you do not feel hot flashes, do not worry: since the child eats normally, most likely, you simply do not understand that they are.

How do you know if a baby is getting enough milk?

Since it is impossible to track how much milk a baby eats while breastfeeding, mothers sometimes worry that the baby is malnourished. Trust your child and your body. nine0003

After a rush of milk, the baby usually begins to suckle more slowly. Some mothers clearly hear how the baby swallows, others do not notice it. But one way or another, the child himself will show when he is full - just watch carefully. Many babies make two or three approaches to the breast at one feeding. 6

“When a child has had enough, it is noticeable almost immediately: a kind of “milk intoxication” sets in. The baby is relaxed and makes it clear with his whole body that he is completely full, says Katie, “Diapers are another great way to assess whether the baby is getting enough milk. During this period, a breastfed baby should have at least five wet diapers a day and at least two portions of soft yellow stool, and often more.” nine0003

From one month until weaning at six months of age, a baby's stool (if exclusively breastfed) should look the same every day: yellow, grainy, loose, and watery.

When is the child's birth weight restored?

Most newborns lose weight in the first few days of life. This is normal and should not be cause for concern. As a rule, weight is reduced by 5-7%, although some may lose up to 10%. One way or another, by 10–14 days, almost all newborns regain their birth weight. In the first three to four months, the minimum expected weight gain is an average of 150 grams per week. But one week the child may gain weight faster, and the next slower, so it is necessary that the attending physician monitor the health and growth of the baby constantly. nine0013 7.8

At the slightest doubt or signs of dehydration, such as
dark urine, no stool for more than 24 hours, retraction of the fontanel (soft spot on the head), yellowing of the skin, drowsiness, lethargy, lack of appetite (ability to four to six hours without feeding), you should immediately consult a doctor. 7

What is "cluster feeding"?

When a baby asks to breastfeed very often for several hours, this is called cluster feeding. nine0013 6 The peak often occurs in the evening between 18:00 and 22:00, just when many babies are especially restless and need close contact with their mother. Most often, mothers complain about this in the period from two to nine weeks after childbirth. This is perfectly normal and common behavior as long as the baby is otherwise healthy, eating well, gaining weight normally, and appears content throughout the day. 9

Cluster feeding can be caused by a sharp jump in the development of the body - during this period the baby especially needs love, comfort and a sense of security. The growing brain of a child is so excited that it can be difficult for him to turn off, or it just scares the baby. nine0013 9 If a child is overworked, it is often difficult for him or her to calm down on his own, and adult help is needed. And breastfeeding is the best way to calm the baby, because breast milk is not only food, but also pain reliever and a source of happiness hormones. 10

“Nobody told me about cluster feeding, so for the first 10 days I just went crazy with worry - I was sure that my milk was not enough for the baby,” recalls Camille, a mother from Australia, “It was a very difficult period . I was advised to pump and supplement until I finally contacted the Australian Breastfeeding Association. There they explained to me what was happening: it turned out that it was not about milk at all. nine0003

Remember, this is temporary. Try to prepare dinner for yourself in the afternoon, when the baby is fast asleep, so that in the evening, when he begins to often breastfeed, you have the opportunity to quickly warm up the food and have a snack. If you are not alone, arrange to carry and rock the baby in turns so that you have the opportunity to rest. If you have no one to turn to for help and you feel that your strength is leaving you, put the baby in the crib and rest for a few minutes, and then pick it up again. nine0003

Ask your partner, family and friends to help you with household chores, cooking and caring for older children if you have any. If possible, hire an au pair. Get as much rest as possible, eat well and drink plenty of water.

“My daughter slept a lot during the day, but from 23:00 to 5:00 the cluster feeding period began, which was very tiring,” recalls Jenal, a mother from the USA, “My husband tried his best to make life easier for me - washed, cleaned, cooked, changed diapers, let me sleep at every opportunity and never tired of assuring me that we were doing well. nine0003

If you are concerned about the frequency of breastfeeding, it is worth contacting a specialist. “Check with a lactation consultant or doctor to see if this is indicative of any problems,” recommends Cathy. “Resist the temptation to supplement your baby with formula (unless recommended by your doctor) until you find the cause. It may not be a matter of limited milk production at all - it may be that the child is inefficiently sucking it.

When will breastfeeding become easier? nine0011

This early stage is very special and does not last long. Although sometimes it seems that there will be no end to it, rest assured: it will get easier soon! By the end of the first month, breast milk production will stabilize, and the baby will become stronger and learn to suckle better. 2.3 Any problems with latch on by this time will most likely be resolved and the body will be able to produce milk more efficiently so inflammation and leakage of milk will begin to subside.

“The first four to six weeks are the hardest, but then things start to get better,” Cathy assures. It just needs to be experienced!” nine0003

The longer breastfeeding continues, the more benefits it brings, from saving on formula and improving sleep quality 11–13 to boosting your baby's immune system 14 and reducing your risk of certain cancers. 15

“When you feel like you're pushing yourself, try to go from feed to feed and day to day,” says Hannah, a UK mom. “I was sure I wouldn’t make it to eight weeks. And now I have been breastfeeding for almost 17 weeks, and I dare say it is very easy.” nine0003

Read the resource Breastfeeding Beyond the First Month: What to Expect

Literature

1 Naveed M et al. An autopsy study of relationship between perinatal stomach capacity and birth weight. Indian J Gastroenterol .1992;11(4):156-158. - Navid M. et al., Association between prenatal gastric volume and birth weight. Autopsy. Indian J Gastroenterol. 1992;11(4):156-158.

2 Neville MC et al. Studies in human lactation: milk volumes in lactating women during the onset of lactation and full lactation .Am J Clinl Nutr . 1988;48(6):1375-1386. at the beginning and at the peak of lactation." Am F Clean Nutr. 1988;48(6):1375-1386.

3 Kent JC et al. Principles for maintaining or increasing breast milk production. J Obstet , Gynecol , & Neonatal Nurs . 2012;41(1):114-121. - Kent J.S. et al., "Principles for Maintaining and Increasing Milk Production". J Obstet Ginecol Neoneutal Nurs. 2012;41(1):114-121. nine0129

4 Australian Breastfeeding Feeding cues ; 2017 Sep [ cited 2018 Feb ]. - Australian Breastfeeding Association [Internet], Feed Ready Signals; September 2017 [cited February 2018]

5 Kent JC et al. Response of breasts to different stimulation patterns of an electric breast pump. J Human Lact . 2003;19(2):179-186. - Kent J.S. et al., Breast Response to Different Types of Electric Breast Pump Stimulation. J Human Lact (Journal of the International Association of Lactation Consultants). 2003;19(2):179-186.

6) Kent JC et al . Volume and frequency of breastfeedings and fat content of breast milk throughout the day. Pediatrics. 2006;117(3): e 387-395. - Kent J.S. et al., "Amount and frequency of breastfeeding and fat content of breast milk during the day." Pediatrix (Pediatrics). 2006;117(3):e387-95.

7 Lawrence RA, Lawrence RM. Breastfeeding: A guide for the medical profession. 7th ed. Maryland Heights MO, USA: Elsevier Mosby; 2010. 1128 p . - Lawrence R.A., Lawrence R.M., "Breastfeeding: A guide for healthcare professionals." Seventh edition. Publisher Maryland Heights , Missouri, USA: Elsevier Mosby; 2010. P. 1128.

8 World Health Organization. [Internet]. Child growth standards; 2018 [cited 2018 Feb] - World Health Organization. [Internet]. Child Growth Standards 2018 [cited February 2018]. nine0129

9 Australian Breastfeeding Association . [ Internet ]. Cluster feeding and fussing babies ; Dec 2017 [ cited 2018 Feb ] - Australian Breastfeeding Association [Internet], Cluster Feeding and Screaming Babies; December 2017 [cited February 2018]. nine0129

10 Moberg KU, Prime DK. Oxytocin effects in mothers and infants during breastfeeding. Infant . 2013;9(6):201-206.- Moberg K, Prime DK, "Oxytocin effects on mother and child during breastfeeding". Infant. 2013;9(6):201-206.

11 U.S. Department of Health & Human Services [Internet]. Surgeon General Breastfeeding factsheet; 2011 Jan 20 [cited 2017 Feb] - Department of Health and Human Services [Internet], "Breastfeeding Facts from the Chief Medical Officer", Jan 20, 2011 [cited Feb 2017]

12 Kendall-Tackett K et al. The effect of feeding method on sleep duration, maternal well-being, and postpartum depression. clinical lactation. 2011;1;2(2):22-26. - Kendall-Tuckett, K. et al., "Influence of feeding pattern on sleep duration, maternal well-being and the development of postpartum depression." Clinical Lactation. 2011;2(2):22-26.

13 Brown A, Harries V. Infant sleep and night feeding patterns during later infancy: Association with breastfeeding frequency, daytime complementary food intake, and infant weight. Breast Med . 2015;10(5):246-252. - Brown A., Harris W., "Night feedings and infant sleep in the first year of life and their association with feeding frequency, daytime supplementation, and infant weight." Brest Med (Breastfeeding Medicine). 2015;10(5):246-252.

14 Hassiotou F et al. Maternal and infant infections stimulate a rapid leukocyte response in breastmilk. Clin Transl immunology. 2013;2(4). - Hassiot F. et al., "Infectious diseases of the mother and child stimulate a rapid leukocyte reaction in breast milk." nine0129 Clean Transl Immunology. 2013;2(4):e3.

15 Li DP et al. Breastfeeding and ovarian cancer risk: a systematic review and meta-analysis of 40 epidemiological studies. Asian Pac J Cancer Prev . 2014;15(12):4829-4837. - Lee D.P. et al., Breastfeeding and ovarian cancer risk: a systematic review and meta-analysis of 40 epidemiological studies. Asia Pas J Cancer Prev. 2014;15(12):4829-4837.

Diet for a 4-6 month old baby

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.

You are still breastfeeding your baby or have had to switch to mixed 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. nine0003

The 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. nine0003

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.

As a rule, at an earlier age (4 - 4.5 months), complementary foods are introduced to children at risk of developing iron deficiency anemia, as well as children with insufficient weight gain and with functional digestive disorders.

The optimal time to start complementary foods for a healthy baby is between 5 and 5.5 months of age. nine0003

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 extensive practical experience and scientific research, this is possible only in cases where the child was born on time, without malnutrition (since in these cases the mineral reserves are very small), he is healthy, grows well and develops. 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. nine0003

The first complementary food can be vegetable puree or porridge, fruit puree is better to give 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. nine0003

If the first complementary food is 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. nine0003

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. nine0003

With the start of the introduction of complementary foods, the child is gradually transferred to a 5-time feeding regimen.

Rules for the introduction of complementary foods:

  • Preference should be given to children's 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 entered 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. nine0003

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 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. nine0003

Spoon-feeding should be done 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. nine0003

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 you can make a diet, it is better to use a few examples that will help you navigate in compiling a menu specifically for your child.

From 5 months, the volume of one feeding is on average 200 ml.

Option 1.

If your baby started to receive complementary foods from 4-5 months, then at 6 months his diet should look like this:

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
Breast milk supplement 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

* - infant formula
** - diluted with breast milk or VHI

Option 2.

I feeding
6 hours Breast milk or VHI* 200 ml II feeding
10 hours Dairy-free porridge**
Fruit puree 150 g
20 g III feeding
14 hours Vegetable puree
Meat puree Vegetable oil
Fruit juice 150 g
5 - 30 g
1 tsp
60 ml IV feeding
18 hours Fruit puree
Breast milk or VHI* 40 g
140 ml V feeding
22 hours Breast milk or VHI* 200 ml

* - infant formula
** - diluted with breast milk or VHI

Option 3.

:

nine0498 Breast milk
I feeding
6 hours 		Breast milk
II feeding
10 hours 		Dairy-free porridge**
Breast milk supplement 		100 g
III feeding
14 hours 		Vegetable puree
Meat puree Vegetable oil
Breast milk supplement 		100 g
5 - 30 g
1 tsp
IV feeding
18 hours 		Breast milk
V feeding
22 hours

** - diluted with breast milk

Up to 7 months, increase the volume of porridge and vegetable puree to 150 g and introduce fruit puree.

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