What solid foods to feed baby first

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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Do's and Don'ts for Baby's First Foods

Breastfeeding has been shown to improve infant, child and maternal health outcomes and help control healthcare costs, but how long should breastfeeding last and when should parents introduce solid foods?

The Dietary Guidelines for Americans recommend exclusive breastfeeding, meaning the infant receives only breast milk, during the first six months of life for optimal nutrition and health benefits.

Once solid foods are introduced, health professionals recommend continuing breastfeeding through 12 months of age and, after that, as desired by mother and baby. Introducing your baby to solid foods is an exciting milestone. When you start introducing children to the world of solid foods, you are helping them shape their relationship with food and establish a healthy eating style. The timing for introducing solid foods will depend on the infant, but it is not recommended before the age of four months or after the age of six months.

Not sure how to get your baby started on solid foods? Consider these helpful tips.

Is Your Baby Ready to Transition?

Each child's readiness for solid food depends on their own rate of development. Signs a baby may be ready to start solid foods include sitting up with minimal support, demonstrating good head control, bringing objects to the mouth or grasping at small objects. Check with your pediatrician before starting solid foods.

Getting Started With Solids

Solid foods may be introduced in any order. However, puréed meats, poultry, beans and iron-fortified cereals are recommended as first foods, especially if your baby has been primarily breastfed, since they provide key nutrients. Only one new single-ingredient food should be introduced at a time.

Softer textures are very important when first introducing foods. Infants usually start with pureed or mashed foods around six months. As infants develop chewing and motor skills, they are able to handle items like soft pieces of fruit and finger foods. As the child ages, a variety of healthful foods is encouraged.

Weaning From Breastfeeding

When deciding if you should wean your baby to a bottle or a cup, consider their developmental readiness. Between 7 and 8 months, most infants will drink small amounts of liquid from a cup or a glass when someone else holds it. Older babies and toddlers often have the coordination to drink fluids from a cup by themselves.

If your baby is under 12 months of age and you are not continuing to breastfeed, wean from breast milk to iron-fortified infant formula. If your baby is 12 months or older, whole cow’s milk is appropriate.

Food Safety Do’s and Don’ts

Food safety concerns for infants and toddlers include food allergies, choking and risks for foodborne illness. Keep the following safety tips in mind:

Do talk with your pediatrician about the risk of food allergies. Introducing one new food at a time, every several days, allows time to monitor for allergic reactions. Current evidence does not indicate needing to wait beyond 4 to 6 months before introducing potential allergy-causing foods such as eggs, dairy, soy, peanuts and fish. In fact, introducing peanut-containing foods as early as 4 to 6 months of age may help prevent a peanut allergy. The Dietary Guidelines for Americans recommends introducing potentially allergenic foods when other complementary foods are introduced to an infant’s diet. Parents with concerns about food allergies should discuss how to include these foods with their pediatrician.

Don’t feed your baby solid foods from a bottle. It can be a choking hazard and despite a popular misconception, putting cereal in a baby's bottle won't help with sleeping through the night. Other foods that are considered to be choking hazards are listed below.

Do supervise your child while eating. Infants should be able to sit upright and face forward when you first introduce solid foods. This makes swallowing easier and choking less likely.

Don’t feed directly from the jar of food but instead spoon some food into a separate dish first. Feeding directly from the jar may introduce bacteria from your baby's mouth to the spoon and back into the food, creating a food safety issue.

Don’t feed honey to children under 12 months of age due to the risk of foodborne illness.

Examples of appropriate solid foods listed by age:

6 months:

Well-cooked and pureed meat, poultry or beans
Ground, cooked, single-grain cereal or infant cereal with breast milk or formula
Cooked and pureed vegetables
Mashed banana or avocado

9 months:

Well-cooked, minced or finely chopped meat, poultry or beans
A variety of cooked vegetables cut into small, ½ inch pieces, such as squash and green beans
Sliced and quartered bananas or small pieces of other soft fruits

12 months:

Soft, shredded meat, poultry or fish
Small pieces of cooked vegetables
Small pieces of soft, easy to chew fruits
Mixed food dishes the family is eating in appropriately sized pieces

Not recommended for those under 4 years of age due to the risk of choking:

Popcorn and whole kernel corn
Nuts and seeds
Large chunks of meat, poultry and cheese
Candy, gum drops and jelly beans
Hard, raw fruits or vegetables such as apples, celery and carrots
Whole grapes and cherry tomatoes, unless cut into quarters
Hot dogs, unless cut into strips and age appropriate, bite-size pieces
Sticky foods, such as peanut butter, which can get stuck in the back of the mouth – peanut butter is okay if spread thinly on bread

For toddlers and preschoolers, chop grapes, meat, poultry, hot dogs and raw vegetables and fruits into small pieces (about ½ inch or smaller).

Nurturing Healthy Relationships with Food

Establishing a positive feeding relationship during infancy can have lifetime benefits. Keep in mind that children are responsible for how much and whether they eat so always wait for your baby to pay attention to each spoonful before you feed them. Don't be afraid to let your baby touch the food in the dish and on the spoon. You wouldn't want to eat something if you didn't know anything about it, would you? In addition, know the cues that your baby is done eating. A common cue babies are full is head turning.

Whatever happens, don't get discouraged and enjoy the experience. With a little patience and creativity, you can make your baby's first solid food eating experience fun for everyone involved!

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When to introduce the first complementary foods

Today there are no hard and fast rules and deadlines for the introduction of complementary foods. Parents should first of all focus on the signs of the child's readiness for complementary foods. Here is what pediatrician, candidate of medical sciences Anna Levadnaya advises to pay attention to , the author of a blog about pediatrics and not only on Instagram.

The child holds his head confidently.

Can sit with support, meaning it can be placed in a high chair or placed on an adult's lap.
The kid shows an active interest in food: he is interested in food, he watches what adults eat.
Breastfeeding or formula feeding is well organized and does not cause any problems.
The child can put his hand to his mouth, puts various objects in his mouth, such as toys. In this case, the baby chews or champs.

As a rule, all these signs appear in the period from 5.5 to 7.5 - 8 months, but most often around 6 months. All babies develop differently, and one baby may be ready to try his first puree or porridge as early as 5 months, and another at 6 or 7 months will refuse the new food you offer.

What complementary foods a child needs in the first months

Again, there are no strict recommendations and rules. On the contrary, many experts agree that it doesn’t matter which dish you start complementary foods with, the most important thing is to provide the right nutritional interest. In this case, the child will eat all the foods that you offer him.

In Russia, it is customary to focus on the following scheme for the introduction of complementary foods. The first to introduce cereals or vegetables, depending on the weight of the child. As a rule, vegetables are first, then cereals, then meat, then fruits, then cottage cheese. In some US states, for example, on the contrary, it is recommended to start complementary foods with meat. But the general message of the recommendations is to maximize the variety of tastes and textures in the first year of life. From vegetables in the first months, you can offer zucchini, cauliflower, broccoli, pumpkin, carrots, potatoes. Of the cereals, gluten-free are the first to be introduced: rice, buckwheat, corn. From fruits - apple, pear, banana, peach and others. From meat - it is better to start with a rabbit, turkey, chicken, veal.

— At the very beginning, complementary foods should be puree-like, says Anna Levadnaya. - It is better to give preference to monocomponent purees so that the baby learns to distinguish between different tastes. As you introduce vegetables and cereals, add butter and vegetable oils to them. If there are no problems with the introduction of complementary foods, it is recommended to use the maximum variety of food textures as early as possible. Starting from 7-8 months, the baby can and should be introduced to semi-solid foods. This is very important for the correct formation of food interest, and for the development of chewing skills, the correct functioning of the tongue, the development of speech, the “tweezer” grip, and the coordination of the work of hands, mouth and eyes. If you do not introduce semi-solid food in time, then there may be problems with the introduction of already solid food, and after a year the child will refuse it completely. Therefore, starting from 7-8 months, the baby can be offered mashed or pureed food, such as a banana. From 8-9months, give the so-called "finger" food: cut into pieces soft fruits and vegetables, such as boiled carrots, potatoes, and put in front of the baby. By one year, the child is ready to eat solid food from the common table.

How to properly feed your baby

It used to be that complementary foods should be introduced very carefully and gradually, always in the morning, many parents still introduce each product over a week or two, very slowly increasing portions.

- These recommendations are relevant, perhaps, only for the very beginning of complementary foods, the first two or three weeks, - says Anna Levadnaya. - In general, in children without food allergies, the most rapid and varied expansion of the diet is recommended. That is, a new product can be safely introduced every 2-3 days. If you need to breed complementary foods, for example, baby cereals, then it is better to do this with breast milk or formula, and not with cow's. Whole milk is not recommended for children under one year of age.

Also with the introduction of complementary foods, offer your child water, either bottled for children or boiled. It is recommended to offer water from a cup so that the child learns to drink, and not from a drinking bowl, a bottle with a tube or a pacifier.

Monitor the child's well-being, in case of any changes that worry you, consult a doctor.

Complementary foods with natural and artificial feeding

Mothers often wonder if there are differences in the introduction of complementary foods with natural and artificial feeding. In both cases, the recommendations are the same: it is recommended to focus on food interest, signs of the child's readiness for the introduction of complementary foods. Usually, as we have already noted, the baby receives only breast milk or an adapted milk formula up to 6 months. With exclusive breastfeeding, it is not recommended to supplement the baby with water, especially in the first month, when lactation is established. Bottle-fed babies can be offered water.

For both breastfeeding and artificial feeding, it is recommended to offer the baby a new food before feeding, and then supplement it with breast milk or formula.

— It is desirable to keep breast milk or formula in the diet of a child up to a year, — says Anna Levadnaya. - After a year, it is better to leave the bottle completely, gradually reducing the amount of the mixture. After a year, preferably closer to one and a half, cow's milk can be offered if the child is not allergic to its protein. Breastfeeding can be continued as long as it brings pleasure to mother and child.

How to prepare the first complementary foods

Give canned puree and baby cereals or cook it yourself? This question worries many mothers.

“In fact, there is no universal advice here,” says Anna Levadnaya. - Do what is comfortable and best for you. But when choosing food, remember that you must be confident in the products you buy. If you are not sure, buy canned purees, industrial baby cereals. The main advantage of any industrial baby food is that the products from which it is made are tested for the content of pesticides, heavy metals, nitrates and other harmful substances (labeled up to 3 years). If you're cooking yourself, cook with either seasonal fruits and vegetables or frozen ones. It is best to do it for a couple - this is how most vitamins and minerals are preserved. The advantage of homemade products is that we can provide the child with a different consistency, which is very important. But in any case, choose what is more convenient for you, more comfortable, including financially. The main principle is to provide the baby with a varied diet. Alternate between different foods.

If you decide to cook on your own, follow our tips on how to prepare puree and porridge for the first feeding.

Vegetable puree

Zucchini, broccoli, cauliflower, carrots, pumpkin are suitable for the first feeding. The vegetable should be fresh, without dark spots. We clean it from the peel, boil or steam it. Then we pass through a blender. The vegetable should be quite soft to get the most uniform consistency (if necessary, you can add a little boiled water). If it did not work out, then additionally the mass can be rubbed through a fine sieve.

Fruit puree

To prepare fruit puree for your baby, such as apple or pear puree, fruit must first be baked in the oven, then peeled and passed through a blender or sieve to obtain the most homogeneous consistency. Choose fresh, ripe, seasonal fruits.

Porridges

Soak cereals (for the first feeding, we remind you, this is rice, buckwheat, corn) for 4-5 hours in warm water. Then dry, for example, in a preheated oven. Next, grind the porridge in a coffee grinder into the consistency of flour and cook in water until cooked, this is about 5 minutes. For one tablespoon you need about 50-70 ml of water.

The main mistakes of parents

In fact, there is nothing complicated in the management of complementary foods. Use the guidelines, common sense, and have fun introducing your little one to new foods. With Anna Levadna, we have compiled a list of mistakes that parents often make when introducing complementary foods. Try to avoid them.

In a hurry

It often happens that a child refuses the first complementary foods. Most often, this suggests that the baby is simply not ready for it yet. And the parents, by hook or by crook, are trying to feed him mashed potatoes or porridge. Under no circumstances should you force-feed your baby. It is worth postponing the introduction of complementary foods for one to two weeks.

Give mashed food from a bottle

Do not do this because the child must learn to eat liquid and solid food separately.

Add salt or sugar

These components are not recommended to be introduced into complementary foods for a child under one year old, sugar is better up to three years old.

Only the bottle is used too long

For example, in addition to formula, if the child is on IV, they give water, compote and other drinks from the bottle. The danger is that long-term use of the bottle can reduce the child's desire to eat complementary foods and malocclusion, as well as lead to speech delay and swallowing problems. From 6-8 months, offer your baby to drink from a cup.

Children are not allowed to play with food

But freedom in dealing with food, the desire to take a spoon, move it around the plate and on the table, touch the food, knead it, and so on, is the key to a successful introduction of complementary foods.

Complementary foods - what is it and how is it eaten?

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Loginevskaya Yana Vladimirovna Pediatrician

04/24/2019

What is weaning and when should we start it? These and many other issues related to child nutrition torment young parents. In the era of the Internet and easy access to information, this information can sometimes become too much.

Let's figure out what complementary foods are

Complementary foods is the introduction into the diet of a healthy child at a certain age of any food, home or industrial preparation, which supplements breast milk or food that imitates it, and contributes to the gradual transfer of the child to the general table. As a rule, complementary foods are thicker in consistency than the child's previous food. If the child has any health problems, the introduction of complementary foods may have its own characteristics.

The purpose of complementary foods in the first year of life is to introduce the baby to foods other than breast milk/or formula. Timely teach to swallow and chew solid food. And also to avoid deficiency of energy and micronutrients, and vitamins.

In the literature and other sources, you can find such names as "pediatric" and "pedagogical" complementary foods?

Pediatric Complementary Food , as its name implies, is a classic complementary feeding regimen recommended by the pediatrician at the appointment. Schemes in which there is a gradual replacement of breast milk / formula feeding with cereals, fruit / vegetable purees and other types of products.

Pedagogical complementary foods - "Pedagogical" means that first of all the child is taught - they are taught to eat, the correct behavior at the table, they teach that food is joy and pleasure, they show new tastes. The essence of pedagogical complementary foods is that the child’s nutrition begins with “microdoses” (grains of food) that the child receives from his mother’s plate, nothing is puréed or blended, or even warmed up. Nutrition of the child - together with the family, how much he will eat, he will eat so much. Nothing is specially prepared, the family is invited to switch to a healthy diet. The disadvantage of this type of complementary foods is that the child, starting with “micro doses”, does not adequately increase the volume of complementary foods, which can lead to malnutrition of the child at an older age.

In my article, I will rely on modern research and recommendations primarily from the WHO (World Health Organization) and the National Program for Optimizing Feeding in Children in the First Year of Life in the Russian Federation.

What requirements must be met in relation to complementary foods:

Complementary foods must be timely, introduced at the moment when the child's energy and nutrient requirements exceed what can be provided through breastfeeding (or formula).
Complementary foods should be adequate, that is, with enough energy, protein and micronutrients to meet the nutritional needs of a growing child.
Safe - stored or prepared hygienically and fed with clean hands using clean utensils - spoons, plates, not bottles and teats.
Properly Administered - The child is fed appropriately for hunger cues, and feeding frequency and feeding methods should be appropriate for the child's age.

When do we introduce complementary foods

The optimal age for the introduction of complementary foods is 6 months.

If the child is premature, then the timing of the introduction of complementary foods is delayed by as much as this child was born earlier (that is, if the child was born not at 40 weeks, but, for example, at 36, we have the right to postpone the introduction of complementary foods for 4 weeks, but if we see that at 6 months the child is already quite ready for the introduction of complementary foods, then you can start as early as 6 months). It is advisable to postpone the introduction of complementary foods for no more than 2 months. Try to start the introduction of complementary foods no later than 8 months of the child.

Up to 6 months, breastfeeding fully covers the energy needs of the child. Around 6 months of age, a baby's energy requirements increase dramatically, so it is necessary to add something to his diet in addition to liquid food. Breast milk in terms of its energy value contains 67-68 kcal / 100g, the mixture has approximately the same figures. Breast milk remains a valuable energy product for children not only in the first year of life, but also after a year. At the same time, it should be taken into account that the volume of the child's stomach by 6 months is about 200 ml, so the food introduced to the child must be thicker than formula or breast milk, otherwise we will still not be able to meet the energy needs of the body. The optimal calorie content of complementary foods should be at least 100 kcal / 100 g.

Liquid food and liquid quickly fill the stomach. To fill the energy deficit, it is necessary to introduce foods with a higher energy value than breast milk or formula.

WHO ways to increase calories:

cook with less liquid
Replace part of the water for cooking with breast milk or a mixture (it must be borne in mind that breast milk contains enzymes (lipase) - which begin the digestion and breakdown of food even before it enters the child's body, so instant cereals, when breast milk is added, immediately become liquid, but their energy value is not lost.

What do we focus on when introducing complementary foods:

The main criterion is the readiness of the child to introduce complementary foods - the child shows interest in food, the so-called food interest - he is interested in what his mother eats, actively reaches for food from his parents' plate, wants to taste it.

Indirect criteria

Child's age about 6 months
Decreased ejection reflex for solid food (active interest in food is never shown until ejection reflex fades)
Doubling birth weight (optional item, some babies double their weight before 6 months of age)
Child can sit with support
The first teeth appear in a child (again, not always)

Principles of maintaining interest in food

Parents should remember that in order to form the main criterion for readiness for complementary foods, the child must see how his family eats. The formation of eating habits comes from the family and the immediate environment of the child. If, before 6 months, the child has never seen how mom or dad eats, how they eat at the table and what they eat, he may not have a food interest by 6 months. Food interest begins to gradually form as a skill of tracking the actions of an adult from 3 months of age. That is, somewhere from the age of 3 months the child, if you take him with you to the kitchen (dining room), the child begins to observe the process of eating, and gradually this interest - from the interest of "observation" goes to the "desire" to try just like mom or dad.
It is advisable not to feed the baby separately and try to eat with the baby what the baby eats. If you are feeding your child with industrial food (ready-made mashed potatoes in a jar), then try this food with your child. Try to bring the canned food as close as possible to the general view on the table - transfer the puree from the can to a plate, give a spoon. At the age of 8-10 months, the child learns to eat with his hands, so at this age it is advisable that the child has small pieces of food on the plate that he already eats - these can be pieces of boiled potatoes, broccoli, cauliflower, pieces of apple, banana. The pieces should be small, 1 x 1 cm, so that the child can grab them with his fingers. In parallel, the mother can supplement the child from the plate with the main food. The child learns to cope with more solid food, learns to chew, swallow. The sooner the skill of swallowing more solid food is worked out, the easier it is for parents in the future. At the age of 10-12 months, the child's fine motor skills are already improving, he is learning to eat with a spoon (be patient, different children do it in different ways and at different speeds)
Be mindful of the child's physical condition - do not introduce new foods when the child is unwell or tired or teething or has undergone some medical procedure such as vaccination
Offer small portions. Some children undereat food because they are initially intimidated by the portion size. Do not insist that the child finishes the portion. Let him ask for another
Try to keep the area around the child clean! This initially teaches the child to cleanliness at the table and to a neat diet. Some children are very sensitive to external stimuli - dirty hands, face, clothes can cause them severe discomfort
Help the child if you see that the child is "interested" in food, but is tired of fighting it.
No games, entertainment or persuasion while eating - in this way you replace food interest with interest in the game. The child will not be able to learn to adequately assess their desires in food. Don't turn food into a show.

Complementary feeding rules:

any new product is introduced only to a healthy child. A breastfed baby is given complementary foods up to the breast.
the introduction of new foods should not coincide with vaccinations, teething, vacations, or other stress for the child (when stressed, the child may refuse the proposed new product).
any new product is introduced in the morning (so parents have time to observe the child, look at his reaction, notice allergic manifestations) If the child has a reaction to a new product, then it is better to write it down, and try to introduce the product again after 5- 10 days. Because this reaction may not be related to the product, but caused by other factors. If the negative reaction is repeated, then the introduction of this product is postponed for 3 months.
it is advisable to introduce no more than one new product per day.
to get acquainted with the product, the child sometimes needs 10-15 sentences in order for him to start eating it. The reaction of the child in the form of wrinkling, pushing food, curvature of the face does not indicate that the child did not like the food, but only that the new taste is very bright for him and causes a large number of emotions. For children, even neutral tastes can seem very rich, due to the higher sensitivity of the receptors. Therefore, when introductory feeding, it is not recommended to use spices and salt in the preparation of food for the child.

Basic complementary foods

For the first feeding, there are three main types of products: cereals, vegetables and meat.

Cereals - Dairy-free cereals are used to start complementary foods. Rice, corn, buckwheat are the first to be introduced - these can be special “instant” baby cereals (we carefully study the composition, make sure that there are no additives, sweeteners, flavor enhancers, vitamins), instant cereals are well suited to start complementary foods, at 6-7 months, in the future you can switch to ordinary "adult" cereals, you can grind ready-made buckwheat or rice with a blender or fork; instant porridges in the form of flakes are also good. Then the rest of the cereals (oatmeal, rye, millet) are introduced. With an allergic burden in the family, the introduction of milk porridges earlier than 12 months is not recommended.
Vegetables - first we introduce green / white vegetables (zucchini, cucumber, broccoli, kohlrabi, cabbage and cauliflower), then legumes, colored vegetables (carrots, pumpkin, beets, tomatoes)
Meat - the beginning of complementary foods with the most easily digestible and hypoallergenic meats - rabbit, turkey, then veal, beef, pork, lamb. Children with an allergy to cow's milk protein start complementary foods first with pork, then they introduce beef. Children with allergies are also trying to limit the introduction of chicken into the diet, as it is a highly allergenic product. Lamb is introduced to children no earlier than 10 months. Poultry meat - duck, goose - contains refractory fats and is not recommended for introduction into the diet of babies under 3 years of age.
Fruit and dairy products are not considered essential complementary foods. Can be given for table variety. If the mother wants to give fruits, berries and juices to the child, it is better to use them as a flavoring additive to the main complementary foods or even postpone the introduction to an older age. In children with an allergic tendency, it is recommended not to introduce dairy products up to a year. You have to be careful with berries and fruits. It is best to start complementary foods with seasonal fruits and berries; the least and least likely to cause allergies are currants, blueberries, apples, pears, plums. Allergic reactions often occur on strawberries, bananas, citrus fruits.
Fish and seafood. Not a staple complementary food. But fish, like meat, is a source of protein, rich in polyunsaturated fatty acids, as well as minerals and vitamins. It is recommended to introduce fish no earlier than 9-10 months. Again, if the child is allergic, it is advisable to refrain from introducing fish products up to 1 year. We begin to introduce complementary foods with low-fat white varieties of fish in the form of mashed potatoes - ice fish, hake, cod, haddock, pollock, navaga, pike perch, sea bass, dorado.
Egg . A product that is rich in many different micro and macro elements, vitamins. However, the egg has a very high allergenicity (included in the very big eight allergens). Considering that a quarter (5-6 g) or half (10-12 g) of the yolk, which are recommended to be administered, contains very few nutrients and energy, it is easier not to give this product than to risk allergic reactions in a child.
Whole nuts, peanuts Should not be present in a child's diet until at least three years of age. In a number of countries, communities, families, where, for example, peanuts are common as a staple food, they can be used as an additive to complementary foods in a pureed state. Nuts are included in the big eight allergens and are not recommended for introduction into complementary foods for children with allergies up to three years of age.
Water . After the introduction of complementary foods, children can begin to offer water as a drink. First as an introduction, later as an additional source of fluid, while reducing the volume of breast milk (mixture). It should be pure water without any additives. It is important to remember that breastfed babies may go without water for quite a long time, due to the fact that they receive enough liquid from breast milk.
Tea . The World Health Organization does not recommend including tea in the diet of children under 2 years of age. Why? First of all, because of the tannins that are present in tea and can help reduce the absorption of trace elements, including iron and cause anemia. Tea also contains caffeine (it is found in a state associated with tannins and is more often called theine), which can cause excessive stimulating effect on the fragile nervous system of the child., It can also lead to increased heart rate, increased peristalsis of the stomach, increased body temperature - all this can adversely affect the general condition of the child.
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