What to give baby as first solid food

When, What, and How to Introduce Solid Foods | Nutrition

For more information about how to know if your baby is ready to starting eating foods, what first foods to offer, and what to expect, watch these videos from 1,000 Days.

The Dietary Guidelines for Americans and the American Academy of Pediatrics recommend children be introduced to foods other than breast milk or infant formula when they are about 6 months old. Introducing foods before 4 months old is not recommended. Every child is different. How do you know if your child is ready for foods other than breast milk or infant formula? You can look for these signs that your child is developmentally ready.

Your child:

Sits up alone or with support.
Is able to control head and neck.
Opens the mouth when food is offered.
Swallows food rather than pushes it back out onto the chin.
Brings objects to the mouth.
Tries to grasp small objects, such as toys or food.
Transfers food from the front to the back of the tongue to swallow.

What Foods Should I Introduce to My Child First?

The American Academy of Pediatrics says that for most children, you do not need to give foods in a certain order. Your child can begin eating solid foods at about 6 months old. By the time he or she is 7 or 8 months old, your child can eat a variety of foods from different food groups. These foods include infant cereals, meat or other proteins, fruits, vegetables, grains, yogurts and cheeses, and more.

If your child is eating infant cereals, it is important to offer a variety of fortifiedalert icon infant cereals such as oat, barley, and multi-grain instead of only rice cereal. Only providing infant rice cereal is not recommended by the Food and Drug Administration because there is a risk for children to be exposed to arsenic. Visit the U.S. Food & Drug Administrationexternal icon to learn more.

How Should I Introduce My Child to Foods?

Your child needs certain vitamins and minerals to grow healthy and strong.

Now that your child is starting to eat food, be sure to choose foods that give your child all the vitamins and minerals they need.

Click here to learn more about some of these vitamins & minerals.

Let your child try one single-ingredient food at a time at first. This helps you see if your child has any problems with that food, such as food allergies. Wait 3 to 5 days between each new food. Before you know it, your child will be on his or her way to eating and enjoying lots of new foods.

Introduce potentially allergenic foods when other foods are introduced.

Potentially allergenic foods include cow’s milk products, eggs, fish, shellfish, tree nuts, peanuts, wheat, soy, and sesame. Drinking cow’s milk or fortified soy beverages is not recommended until your child is older than 12 months, but other cow’s milk products, such as yogurt, can be introduced before 12 months. If your child has severe eczema and/or egg allergy, talk with your child’s doctor or nurse about when and how to safely introduce foods with peanuts.

How Should I Prepare Food for My Child to Eat?

At first, it’s easier for your child to eat foods that are mashed, pureed, or strained and very smooth in texture. It can take time for your child to adjust to new food textures. Your child might cough, gag, or spit up. As your baby’s oral skills develop, thicker and lumpier foods can be introduced.

Some foods are potential choking hazards, so it is important to feed your child foods that are the right texture for his or her development. To help prevent choking, prepare foods that can be easily dissolved with saliva and do not require chewing. Feed small portions and encourage your baby to eat slowly. Always watch your child while he or she is eating.

Here are some tips for preparing foods:

Mix cereals and mashed cooked grains with breast milk, formula, or water to make it smooth and easy for your baby to swallow.
Mash or puree vegetables, fruits and other foods until they are smooth.
Hard fruits and vegetables, like apples and carrots, usually need to be cooked so they can be easily mashed or pureed.
Cook food until it is soft enough to easily mash with a fork.
Remove all fat, skin, and bones from poultry, meat, and fish, before cooking.
Remove seeds and hard pits from fruit, and then cut the fruit into small pieces.
Cut soft food into small pieces or thin slices.
Cut cylindrical foods like hot dogs, sausage and string cheese into short thin strips instead of round pieces that could get stuck in the airway.
Cut small spherical foods like grapes, cherries, berries and tomatoes into small pieces.
Cook and finely grind or mash whole-grain kernels of wheat, barley, rice, and other grains.

Learn more about potential choking hazards and how to prevent your child from choking.

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Sample Menu for a Baby 8 to 12 Months Old

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Now that your baby is eating solid foods, planning meals can be more challenging. At this age, your baby needs between 750 and 900 calories each day, of which about 400 to 500 should come from breast milk or formula (if you are not breastfeeding)—roughly 24 ounces (720 mL) a day. Breast milk and formula contain vitamins, minerals, and other important components for brain growth.

At about eight months, you may want to introduce foods that are slightly coarser than strained pureed foods. They require more chewing than baby foods. You can expand your baby's diet to include soft foods such as yogurt, oatmeal, mashed banana, mashed potatoes, or even thicker or lumpy pureed vegetables. Eggs (including scrambled) are an excellent source of protein, as are cottage cheese, Greek yogurt, and avocado.

Sample menu ideas for an 8- to 12-month-old baby:

1 cup = 8 ounces = 240 ml
¾ cup = 6 ounces = 180 ml
½ cup = 4 ounces = 120 ml
¼ cup = 2 ounces = 60 ml

Breakfast

2 to 4 ounces cereal, or 1 mashed or scrambled egg
2 to 4 ounces mashed or diced fruit
Breastmilk or 4 to 6 ounces formula

Snack

Lunch

2 to 4 ounces yogurt or cottage cheese, or pureed or diced beans or meat
2 to 4 ounces cooked pureed or diced yellow or orange vegetables
Breastmilk or 4 to 6 ounces formula

Snack

Dinner

2 to 4 ounces diced diced poultry, meat, or tofu
2 to 4 ounces cooked green vegetables
2 to 4 ounces cooked soft-whole grain pasta or potato
2 to 4 ounces diced or mashed fruit
Breastmilk or 4 to 6 ounces formula

Before bedtime

Breastmilk or 6 to 8 ounces formula, or water. (If breastmilk or formula, follow with water or brush teeth afterward).

More information

Sample Menu for a One-Year-Old
Starting Solid Foods
Breastfeeding Mealtime Milestones
Ask the Pediatrician: Is it OK to make my own baby food?

Last Updated: 8/12/2022

Source: Caring for Your Baby and Young Child: Birth to Age 5 7th Edition (Copyright © 2019 American Academy of Pediatrics)

The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

what products are possible, features of complementary foods

It is no secret that young and not very experienced mothers receive information on the nutrition of an infant, including recommendations on how to introduce the first complementary foods, mainly from two sources: grandmother's stories and from the Internet. Unfortunately, both of these respected sources of information may voluntarily or not voluntarily, but be very mistaken, since grandmothers grew up in a more prosperous time in terms of environmental conditions, and the Internet is littered with various articles that are rarely written by professionals, moreover, they rely either on explicit outdated guides on baby food, or frankly on unverified information.

In this article, I will try to combine the latest scientific data and recommendations on how to introduce the first complementary foods with many years of observations from the experience of a practical pediatrician and an allergist-immunologist.

At what age is it time to introduce the first complementary foods

According to the recommendations of the Research Institute of Nutrition of the Russian Academy of Medical Sciences, the first complementary foods can be introduced from 4.5 - 5 months, regardless of the type of feeding. This is "average". In practice, the choice of when to start introducing complementary foods still depends on the individual characteristics of the child. For example, for a child with widespread atopic dermatitis (diathesis), we will not introduce complementary foods until at least acute skin symptoms, such as cracks, weeping or secondary eczema, have steadily disappeared. Increased dryness and flaking of the skin, of course, require constant application of moisturizers to the skin, but in no case are they a contraindication to the start of the introduction of the first complementary foods.

Another important point when choosing the time to start introducing complementary foods is the dynamics of the child's weight gain. The more intensively the child gains in height and weight, the sooner he may need additional calories, since the energy value of breast milk or artificial formula alone will most likely not be enough for a child who grows faster than his peers by 4 - 5 months. We must not forget that natural products contain a fairly large range of minerals and vitamins, and a mother’s body, alas, cannot be an eternal and bottomless source of useful nutrients, somewhere something will gradually begin to be missed.

In addition, the nature of lactation in the mother has a great influence on the timing of the introduction of complementary foods. If a nursing mother begins to feel a lack of milk, I would prefer to first give her advice on stimulating lactation, and at the same time begin to introduce complementary foods. It will be better than introducing an artificial mixture. But I repeat that the earliest start date for the introduction of the first complementary foods is the age of 4 months, before the child's body is not yet ready, the risk of developing allergies is also high.

So, we agree with you that the first complementary foods can be introduced no earlier than 4 months of a child's life.

First complementary foods: Which foods to choose?

The first complementary foods, as a rule, should consist of vegetable or fruit purees, but in no case juices. Still, juices, even for children, are highly filtered, mainly contain a large amount of organic acids and “light” carbohydrates (that is, sugar, to make it clear to everyone). I will not waste time explaining why juices are harmful to an infant, but I will describe a clinical case from practice.

Parents with an 8-month-old girl came to the reception. Somewhere from 5 months she practically did not gain weight, although before that all indicators were normal. In the analyzes, apart from visible signs of iron deficiency, slightly reduced hemoglobin, no pathology was also detected. The main complaint: "does not eat anything." And when I began to find out what she still eats, it turned out that the child drinks half a liter of juice every day. But porridge or cottage cheese, or mashed potatoes cannot be forced together, they spit everything out. I don't like the taste. And so - for three months. The child, of course, became very nervous, yelling at night, demanding juice.

So draw your own conclusions and be careful.

For the first feeding, this is now recognized by everyone, the best dishes are vegetable purees from green varieties of vegetables: zucchini, cauliflower, broccoli. The first complementary foods are introduced, starting with half a teaspoon, in the morning for three days, then gradually increase the amount of the product to 40-50 grams per week. Supplemented with breast milk or formula.

For problems with stools, constipation, it’s good to start introducing prune puree, green apple, you can try pumpkin, even apricot puree, but in no case start with carrots. Beta-carotenoids, which are abundant in carrots, are generally poorly absorbed and can cause allergies in a child.

Second food. Porridge or meat?

Even 5 - 6 years ago, we taught students at the medical institute that from 5 - 5.5 months old, an infant should begin to give cereal porridge for complementary foods. This is rice, buckwheat, corn. The first week you can cook 5% porridge: 5 grams of ground cereal per 100 ml of water. Then the porridges are cooked already denser: 10 grams of cereal per 100 ml of water. But now, basically everyone uses instant (soluble) cereals, which are diluted with water according to the instructions on the package. In addition, ready-to-eat liquid cereals are on sale: for example, Bellakt, Frutonyanya, etc.

Why meat? You ask. According to modern recommendations (they really began to change quite often), but in this case I support: if a child has a pronounced decrease in hemoglobin in the blood below 100 g / l by the age of 5 months, it makes sense to start introducing fruit or vegetable purees as a second types of complementary foods - meat purees as a source of the most well-absorbed heme iron. You need to choose from varieties such as turkey, rabbit, lamb. Beef and veal can only be offered to children who did not have red cheeks and diathesis.

In the absence of problems with low hemoglobin, feel free to introduce porridge as the second meal of complementary foods, especially if the child is small and does not gain weight very well. In this case, we can recommend breeding cereals with the addition of breast milk or a mixture (Nan, Nutrilon, Celia, Nanny). With mixtures based on goat's milk, parents of children with a predisposition to allergies should be very careful. Goat milk formulas are not the best choice for babies who are allergic or intolerant to cow's milk protein, whatever the internet says. Believe me, there are serious scientific articles by foreign authors, which provided data on a very high frequency of cross-allergy between cow and goat milk proteins in children who were transferred to goat milk mixtures. And I saw it myself in my practice, when a child with dermatitis was transferred to a mixture of goat's milk, there was a clear improvement for a month or two, and then all over again and with a doubled degree of allergic skin damage.

Introduction to fermented milk products

This is the most difficult question. I am sure that most of our grandparents demand that their stupid parents start drinking milk and kefir as soon as possible. In a number of cases, children really start to absorb sour-milk products quite well after 6 months, but before this age I am very careful even with sour-milk Agusha, and even introducing milk or kefir before 6 months is a bad form, believe me, and can lead to very bad consequences for the child. I understand the Western European medical community, which has recently banned its pediatricians from recommending fermented milk products for complementary foods for children under 3 years of age, just imagine!

They (the Europeans) need to do something with their artificial milk mixtures. Even 20 years ago, we did not know other mixtures after the "two", that is, the second formula for children from 6 to 12 months. Then there were formulas for children from 1 to 2 years old, then from 2 to 3 years old, and now there are already mixtures for children up to 4 years old, and I think if this goes on, then until the age of sixteen there will be their own milk substitutes. Dismiss me, I don't think this approach is correct. But the fact is that our grandparents had much better genetics than the generation of our children, alas. In the context of the growth of medical capabilities, genetically determined diseases are also growing, and in this case, intolerance to cow's milk protein, and with every 10 years there are more and more such people among us. But if a child really suffers from an allergy to cow's milk protein or is severely deficient in enzymes, then he will carry this peculiarity through his whole life, and most likely he will not drink milk or kefir himself, and there is no need to force him if he himself won't want to!

But you are lucky with genetics, and no one in the family has ever had an allergy (which is hard to imagine nowadays), and most importantly, if your child has always had perfectly clean skin, then the first of the dairy products - cottage cheese, you will begin to offer your child with 7 months, kefir - from 10 months. Milk - after a year. It will be better this way.

But if your family does not have a very close and joyful relationship with milk, then it is better to postpone even the introduction of kefir and yogurt into complementary foods for a child until the age of 18 months.

Fish day and first meal

Fish is a very healthy product, rich in vitamins and antioxidants, but it must also be introduced carefully. I advise you to start introducing the first fish food at about 7-8 months. It is better to start with species such as cod, hake, haddock. The rules are the same: the first three days on the "gram," then slowly add. If there are no problems in a week or two, you can try such delicacies as tuna or salmon, of course, canned children, if you can find it. It is better not to mess with trout and salmon in the first year of life, this fish is all stuffed with dyes and antibiotics.

No matter how hard I tried, the article about the first complementary foods turned out to be long. Thank you for reading to the end, I hope it will be useful. If you have questions about the introduction of complementary foods, you can write your appeals on our website in the question to a specialist section. A short answer can be obtained on the Internet, but in order to make a diagnosis and give a detailed consultation, of course, you need to come to a face-to-face appointment with a pediatrician and a pediatric allergist.

Infant feeding

Breast milk contains enzymes, essential amino acids, antibodies, vitamins and other substances necessary for the growth and development of the baby. However, with age (between 6-24 months, according to WHO), the needs of the child change, and then it is necessary to introduce complementary foods. At the same time, it is not necessary to immediately turn off breastfeeding (WHO recommends breastfeeding until 2 years of age). Anna Aleksandrovna Tsaregorodtseva, a CTA pediatrician, spoke about how to competently introduce new foods into a child's diet.

You can start feeding your baby if:

He is 6 months old or older.
He holds his head well.
Can touch his mouth with his hand and actively "chews" various objects.
If you put him in a highchair or on an adult's lap, the child can sit.
He has a food interest: when adults eat, the baby watches, pulls his hands and wants to try.

Getting Started

The first foods should be puréed to make it easier for the baby to digest them!

As a rule, the child is first introduced to vegetables. If you want to introduce vegetables from jars, then it is better to buy mono-products - so that the puree contains only zucchini or only broccoli, etc. It is best to start with zucchini. After that, you can enter cauliflower, then broccoli, then potatoes, pumpkin and carrots.

Enter at lunchtime (12-15 hours) and no more than one product at a time. Vegetable puree (like any other complementary foods) is given before breastfeeding or formula, 1 teaspoon. The next day, you need to observe the skin and stool of the child and do not give him complementary foods, but only breastfeed! If the body perceives the new product normally, in a day you can give 2 tsp already. zucchini. According to the same scheme - if everything is in order, you can increase the amount to 3 tsp. Gradually give more complementary foods (up to 5 spoons) and less and less often supplement the child with milk. When the volume of vegetables in the diet is approximately 150-200 g per day, you can stop breastfeeding your baby at this meal.

How to enter a new dish

The 2nd dish (cauliflower) must be added to the one already entered. That is, 5 tsp. zucchini and 1 tsp. cauliflower. On the "fasting day" you can give 5 tsp. zucchini, but discard the cabbage and watch. As a result, you will give the baby 5 tsp. zucchini and 5 tsp. cauliflower.

Then you can enter the 3rd dish - broccoli - and then other vegetables. When the child is familiar with different vegetables, vegetable mixtures can be introduced.

If you want to feed your child with home-cooked vegetables, then note that it is best to boil vegetables in a double boiler. So it will be possible to save vitamins and minerals.

Fruits and berries

When the child digests vegetables well, fruits can be added to the diet. It is better to give them from jars. The time for the introduction of fruit is an afternoon snack (16-18 hours).

As the first fruit, it is better to take an apple, then a pear, then a prunes. The scheme is the same: 1 tsp.