When can we feed solid food to baby

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

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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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When Can My Baby Start Eating Solid Foods? (for Parents)

A friend just started giving her 3-month-old applesauce and rice cereal. My son is just 2 weeks younger than hers, and I am wondering if I should be introducing solids soon too. When should I start?
– Taylor

Doctors recommend waiting until a baby is about 6 months old to start solid foods. Starting before 4 months is not recommended.

At about 6 months, babies need the added nutrition — such as iron and zinc — that solid foods provide. It’s also the right time to introduce your infant to new tastes and textures.

Some babies may be ready for solids sooner than 6 months, but don't start until your baby is at least 4 months old.

How do you know it’s the right time to start solid foods? Here are some signs that babies are ready:

They have good head and neck control and sit up in a high chair.
They're interested in foods. For example, they may watch others eat, reach for food, and open their mouths when food approaches.
They don’t push food out of their mouths, which is a natural tongue reflex that disappears when they’re between 4–6 months old.
They weigh twice their birth weight, or close to it.

Talk to your doctor about the right time to start solid foods.

How Should I Start Solids?

When the time is right, you can start with a single-grain, iron-fortified baby cereal. Start with 1 or 2 tablespoons of cereal mixed with breast milk, formula, or water. Feed your baby with a small baby spoon. Don’t add cereal or other food to a baby's bottle because it can lead to too much weight gain. Let your baby practice eating from a spoon and learn to stop when full.

When your baby gets the hang of eating the first food, introduce others, such as puréed meat, fruits, vegetables, beans, lentils, or yogurt. Try one food at a time and wait a few days before trying something else new to make sure your baby doesn't have an allergic reaction.

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 are 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.

When starting your baby on solids, avoid:

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 drinks 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

Also, do not give fruit juices to infants younger than 12 months old.

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.

Reviewed by: Mary L. Gavin, MD

Date reviewed: February 2021

Complementary foods. When and where to start?

Turganova Elena

Published: 01/16/2023

Reading time: 5 minutes

2537

The purpose of complementary foods is to supplement the child's diet with nutrients and switch from breast milk (infant formula) to common table foods. In order for this transition to be harmonious and help the child develop comprehensively, the introduction of complementary foods begins with homogenized forms (mashed potatoes) with a gradual transition to a thicker and firmer consistency, from finely chopped to larger, pieces. It is important not only to feed the child, but also to instill new skills: biting, chewing and owning cutlery. The texture and consistency of complementary foods should be appropriate for the child's developmental level.

When pieces are introduced into complementary foods

Pieces of complementary foods (12-23 months) can be started after passing through the following stages:

introductions of finely ground products (6-9 months)

introductions of coarsely ground products (9-12 months)

In addition to age, one should also focus on the child's psychophysical readiness: his interest, the presence of teeth, the ability to sit and hold objects in his hand.
After 1.5 years, purees are actively replaced with thick and coarsely ground food, the degree of mechanical and culinary processing is reduced to develop chewing skills, strengthen the muscles of the oral cavity and develop the ability to control the organs of articulation (lips, tongue, jaw).

Complementary foods. Where to begin?

Start introducing pieces with foods that the child is already familiar with.

Porridges are well boiled, but not prepared from cereal flour, not rubbed or ground in a blender
Prepare vegetable and cereal casseroles
Vegetables and fruits are chopped or sliced rather than finely grated
Meat and fish are prepared as cutlets or stews from finely chopped pieces

Industrial complementary foods can also help with pieces labeled for children from 1 year to 3 years.

Modern packaging such as pouch helps develop motor skills and independent skills.

What size pieces should be for the first feeding?

Purees and porridges made from grain flour are the best form for the first feeding.
Further, the consistency changes towards thicker and denser, cooked foods (dishes) are finely chopped or crushed. For cereals from 8 months, you can use muesli with pieces of berries and fruits to enhance the sensory experience.
The size of food pieces increases gradually, from grains to "peas" and "hazelnuts".

How do you know when your baby is ready for solid foods?

This discovery may be unexpected when a child accidentally takes food from the table, bites off a piece and chews it calmly.

In other cases, give the child the opportunity to take the initiative at the table, allowing him to take food from the table, taste it and “tooth”, bite and chew it.
From 8 months, start offering more solid, finely ground food. Let your child bite off food (vegetables, fruits, meatballs, etc.). Active spitting or vomiting are signs of unpreparedness. Normal perception, chewing and calm swallowing mean that the baby is completely ready to eat in pieces.

It is important to remember that prolonged feeding of mashed foods is an abuse of ease of use that limits the development of the child, inhibits the development of motor skills and adversely affects the child's eating behavior. 8-10 months is a critical period for changing the consistency of food towards dense, to pieces.

Author of article

Turganova Elena

Pediatrician

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Contents of the article

When pieces are added to complementary foods
Complementary foods. Where to begin?
What size pieces should be for the first feeding?
How do you know when a baby is ready for solid foods?

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Not sure when to introduce solid foods to your baby? At about 7-8 months, you can gradually switch to food with small pieces. Chunky foods where your baby eats food with their hands is a great way to experience different flavors and textures at a comfortable pace. Here are some tips to help your little one start their delicious adventures.

2 min. for reading Feb. 17, 2022

For eating with your hands, try to make pieces that stick out slightly from a child's fist.
For the first bites, choose foods that dissolve easily in your mouth to reduce the risk of choking.
To begin with, avoid foods that are too hard for your baby, such as raw carrots.
Try to offer your baby a variety of finger foods that are appropriate for their age. These can include fruits (soft or cooked without added sugar), soft or cooked vegetables, cooked starchy foods such as potatoes, pasta, rice, noodles, meat, boneless fish, and fatty hard cheese.
Babies sometimes choke when they switch to solid foods. This is not suffocation, so it is important to understand the difference and know what to do in a given situation. The risk of choking when eating with your hands is no higher than with traditional spoon-feeding. In any case, you need to be careful and prepare in case of danger.
Never leave a child alone when he eats with his hands.
Try to feed your baby during family meals so that he feels involved and copies what the rest of the family is doing.
Get ready for a mess. Some parents place a non-slip, waterproof tablecloth or rug under their high chair to make cleaning easier. Find out what other useful items you may need to transition to solid foods. [LINK TO BABY FIRST FOOD KIT]
When introducing solid foods, let your baby take the initiative, explore and enjoy discoveries.