When should you give babies 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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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.

Complementary foods. When and where to start?

Turganova Elena

Published: 01/16/2023

Reading time: 5 minutes

4212

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

    About the author

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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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    From mashed potatoes to chunks: when to switch your baby to solid food liquid food - mother's milk.

    Congenital reflexes are responsible for this process: sucking and swallowing. By the time they are applied to the breast, they are already quite well developed.

    • Until 4-6 months the baby can only eat liquid, homogeneous food. If a denser lump of food gets into the mouth, the gag reflex will work.

    • From 4 to 6 months the baby starts chewing. Parents may notice that the baby no longer sucks the toy that has fallen into the mouth, but tries to chew. Gradually, the work of the masticatory muscles is consistent with the swallowing reflex, the baby shows interest in the food that he sees on the table with his parents. At this age, the protective reflex of pushing food thicker than breast milk with the tongue also fades away. This is a signal that the time has come to introduce the child to liquid homogenized (homogeneous) mashed potatoes and cereals, which resemble thick sour cream in consistency.

    • From 6 to 9 months, when many children already have their first teeth, it is necessary to switch to a thicker food - puree (crushed particle size 1. 5 mm). But the dishes should still be without lumps. If they are caught, the baby will push them out of the mouth.

    • After 9 months the baby tries to chew everything that gets into his mouth. This suggests that it is time to complicate the structure of food and switch to coarsely ground purees (particle size 3 mm). Apples can already be grated on a coarse grater or just finely chopped. To encourage chewing, also offer the crumbs a piece of bread or baby biscuits.

    • After 12 months, when there are already 8 teeth in the mouth, boiled vegetables can be kneaded with a fork. As the chewing reflex continues to develop, it's time to teach your child to bite off food in small pieces. For this, the crumbs are given children's meatballs, fruit slices, a piece of bread, simple bagels.

    The timing of the crumbs' acquaintance with thicker food is, of course, indicative. But if you are too late or hurry with its introduction, problems may arise.

    Haste can cause regurgitation, vomiting, and fear of eating food. If you decide to postpone a meeting with a thicker or solid food for a long time, then there may be a lag in the development of the digestive system and the chewing apparatus. It will be more difficult for a child to learn to bite and chew food. For this reason, it is necessary to carefully study the labels on baby food packages. Regardless of the recommendations of the manufacturer, remember that acquaintance with complementary foods cannot occur before 4-5 months.

    Photo
    Sam Edwards/Getty Images/OJO Images RF

    When to start?

    This should be determined by the doctor observing the health of the baby, because each child has his own individual developmental characteristics and may not fit into the general scheme.

    More useful materials about children's nutrition and development - in our channel on Yandex.


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