Which baby food to start with
Dos 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:
- 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
- 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
- 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!
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
- 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).
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.
From 4 to 6 months
Breast milk is the best food for your baby.
It is very important that the baby consumes breast milk for as long as possible.
The right age to start complementary foods
It is recommended to start introducing complementary foods into the baby's diet no earlier than 4 months, but no later than 6 months*. At this age, the baby is in the active phase of development and reacts with curiosity to everything new! Some babies at 4 to 5 months of age can no longer satisfy their appetite with breast milk alone and need complementary foods for healthy growth. Other children have enough breast milk, and they are ready for the introduction of complementary foods only after 6 months. The decision to start complementary foods should always be made according to your baby's development. Do you feel like your baby is not getting enough breast milk? Does your baby hold his head on his own, show interest in new foods or a spoon? Then it's time to start feeding. If in doubt, consult your pediatrician.
If your baby spits out the first spoonfuls of puree, be patient. After all, he must first learn to swallow it. Start with a few scoops and give your child time to get used to the new form of feeding.
*Recommendation of the Nutrition Committee of the European Society of Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN)
Why is complementary food important for the baby?
After 4-6 months of life, mother's milk or milk formula alone is not enough to supply the child's body with all the nutrients and necessary energy. In addition, the transition to solid food trains the muscles of the mouth. And finally, with the introduction of complementary foods, the child will get acquainted with the variety of taste directions, which is also important for his development.
When to start complementary foods?
Gradually replace one breastfeed with complementary foods. First for lunch, then for dinner and finally for lunch. The mouse eats breakfast with the usual dairy food.
Starting complementary foods with HiPP products is easy. The first spoons will be vegetable or fruit purees HiPP:
First step: lunch
We recommend that you start complementary foods at lunchtime with HiPP vegetable puree (for example, "Zucchini. My first puree", "Cauliflower. My first puree" or "Broccoli .My first puree"). Then, for satiety, feed your baby as always: breast or bottle. The amount of vegetable puree can be increased daily by 1 spoon. Be patient if your baby does not immediately love vegetables. Try repeating the vegetable puree in the following days. Next week, you can expand your diet with other varieties of HiPP vegetables (for example, "Carrots. My first puree" or "Potatoes. My first puree").
If your baby tolerates vegetables well, in the third week you can introduce grain porridge into the diet, and as a dessert, offer a few spoons of fruit puree enriched with vitamin C. Vitamin C helps to better absorb iron in the body.
Once your baby starts eating a whole serving of mashed potatoes for lunch, you can eliminate breast milk or formula during that meal.
Tip: Reheat as much puree as needed for feeding. Store leftover puree in a sealed jar in the refrigerator. Use the contents of the opened jar within a day.
Important! If you are using a microwave, please remove the lid before reheating puree. Stir after heating. To prevent damage to the jar, please use only a plastic spoon. Always check food temperature before feeding.
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Choose a product categoryVegetable purees - Vegetable puree from 4 months - Vegetable puree from 5 months - Vegetable puree from 6 months - Vegetable puree from 7 months - Vegetable puree from 8 months Fruit puree - from 4 months - from 5 months months - from 6 months - Fruit purees in soft packagingMeat purees - Meat pureesMeat and vegetable menu - from 8 months - from 12 months Fish and vegetable menu - from 9Soups - from 6 months - from 7 months - from 8 months - from 12 months - From 18 months "Good night" in jars - Cereal cereals with fruits in jarsDrinks - Health drinks - Granulated teas - Tea bags - JuicesSnacks - Snacks
Union of Pediatricians of Russia
Introduction of complementary foods
How to introduce complementary foods correctly is one of the most pressing issues that concern parents.
In the first months of life, the main food for the baby is breast milk or an adapted milk formula, however, as the child grows and develops, this becomes insufficient and it is necessary to think about the introduction of complementary foods.
Your baby is over 4 months old. He has noticeably grown up, become more active, is interested in objects that fall into his field of vision, carefully examines them and reaches for them. The child's emotional reactions have become much richer: he smiles happily at all people, makes various sounds. Perhaps you notice that the child looks into your plate with interest, closely monitors what and how you eat, does this mean that it is time to introduce complementary foods? And where is the best place to start? Let's figure it out!
When should complementary foods be started?
According to the Program for optimizing the feeding of infants in the first year of life in the Russian Federation (2019), the recommended age for the introduction of complementary foods is in the range from 4 to 6 months.
The following points will help determine the readiness of the baby for the introduction of complementary foods:
1. Food interest - you can check its presence as follows: during your meal, give the baby an empty spoon or fork, and if he plays with it, licks it, then there is no food interest yet; but if the child is dissatisfied with the fact that the spoon is empty, food interest has probably appeared. “But how does a child understand that there should be food in a spoon?” Parents often ask. The answer is quite simple: take your baby to the table with you so that he can see how you eat!
2. The child can sit alone or with support. It is unacceptable to feed the child lying down, because he may choke.
3. Extinction of the “pushing out” reflex - when the baby pushes out of the mouth both the offered food and the pacifier, etc.
Why is it not recommended to introduce complementary foods before 4 and after 6 months of life?
Before 4 months of life, the baby is not yet ready to digest food other than breast milk or infant formula. By this age, a number of digestive enzymes mature, a sufficient level of local immunity is formed, which reduces the risk of developing allergic reactions, the child acquires the ability to swallow semi-liquid and thicker food, which is due to the extinction of the “spoon ejection reflex”. The introduction of complementary foods after 6 months can cause a pronounced deficiency of micronutrients (iron, zinc, etc.) and lead to a delay in the formation of chewing skills for thick foods. Too late the introduction of a variety of products increases the risk of allergic reactions. Remember that the timing of the introduction of complementary foods is set individually, taking into account the readiness of the child to accept new foods.
Complementary feeding guidelines:
1. introduce a new product in the first half of the day to track possible reactions to it;
2. cereals, vegetable / fruit / meat purees should be introduced, starting with monocomponent ones, gradually adding other products of this group;
3. start giving a new product with 1/2 teaspoon, gradually increasing the volume to the age norm within a week;
4. It is not recommended to introduce new products during acute infectious diseases or at some special moments (moving to another apartment, leaving the city, on vacation, illness of parents, etc.).
What is the best way to start complementary foods?
The first complementary food can be anything. Often parents worry that if the child first tries the fruit, then because of its sweet taste, he will refuse other foods. We hasten to reassure you: breast milk is also sweet, so babies may like sweet fruits / berries more, but this does not mean at all that he will refuse vegetables or cereal. Traditionally, they begin to introduce complementary foods in the form of mashed potatoes, but if the child shows interest in “pieces”, then, observing the safety rules, you can give them. Also, along with the introduction of complementary foods, you can offer the child water.
With the start of the introduction of complementary foods, the child is gradually transferred to a 5-time feeding regimen. If the baby shows that he is full and no longer wants to eat (for example, leaning back or turning away from food), then you should not continue to force him to feed, because this can lead to eating disorders in the future. Also, do not force the child to eat as much as possible before bedtime in the hope that he will not wake up for nightly feedings.
Traditionally, in our country, complementary foods begin with vegetables or cereals.
Vegetables: zucchini, broccoli, cauliflower, pumpkin, etc. If the child did not like the dish, for example, broccoli, do not give up on your plan and continue to offer this vegetable in small quantities daily, you can even not once, but 2-3 times, and after a while (7-14 days) the baby will get used to the new taste. This diversifies his diet, will help form the right taste habits in the child.
As for cereals, it is worth starting with dairy-free gluten-free ones - buckwheat, corn, rice. You can use commercial baby food porridge, which is enriched primarily with iron. In addition, such porridge is already ready to eat, you just need to dilute it with water, which will save you a lot of time.
It is also recommended to add oil to food, for example, vegetable puree to vegetable puree, and butter to porridge.
Of meat products, lean meats, such as mashed turkey or rabbit, are most preferred to start complementary foods. Meat puree contains iron, which is easily absorbed, and adding meat to vegetables improves the absorption of this micronutrient from them. Subsequently, the daily use of children's enriched porridge and mashed meat allows you to meet the needs of babies for iron, zinc and other micronutrients.
When introducing fruit purees (apple, pear, peach, prunes, etc.) into your baby's diet, you should pay special attention to the composition of the product - it is important that it does not contain added sugar.
Fish is a source of easily digestible protein and contains a large amount of polyunsaturated fatty acids, including the omega-3 class, as well as vitamins B2, B12, and minerals. Preference should be given to oceanic fish, preferably white (cod, hake, pollock, sea bass, etc.), salmon can be recommended from red, and pike perch from river.
Fermented milk products are prepared using a special starter culture that breaks down milk protein, so that the baby can get an indispensable set of amino acids in a well-available form. Some foods have added prebiotics, certain vitamins and minerals. Their regular use favorably affects the functioning of the intestines, increases appetite and the absorption of micronutrients.
Recommendations and timing of the introduction of complementary foods for children at risk of developing food allergies and suffering from food allergies are the same as for healthy children. Delayed introduction of highly allergenic foods has previously been recommended to prevent the development of allergic diseases in children at risk. There is now evidence that this practice may lead to an increase rather than a decrease in the incidence of food allergies. The most common highly allergenic foods include cow's milk, chicken eggs, soybeans, wheat, peanuts, tree nuts, shellfish and fish. If a child has a high risk of developing allergies or an existing allergic disease, it is recommended to consult a pediatrician, an allergist-immunologist before introducing highly allergenic products.
By the age of 8 months, when all the main food groups have already been introduced and your baby is improving his skills to eat on his own, special attention should be paid to the diversity of the composition of dishes and the change in food consistency - from puree to finely and coarsely ground. Soft foods cut into small pieces (fruits, vegetables, meat, etc.) are perfect for a little gourmet, which diversifies his diet and will contribute to the formation of chewing skills.
By 9-12 months, most babies have the dexterity to drink from a cup (holding with both hands) and to eat foods prepared for other family members. This behavior needs to be encouraged, but combined with regular feeding to meet energy and nutrient requirements.
It is advisable to use industrial products that are designed specifically for young children after a year.
What should not be given to the baby?
It is not recommended to add salt or sugar to food to enhance the taste.
Drinks that should be avoided include fruit juices, whole cow and goat milk (whole milk is not recommended for children under one year old, and even longer, due to a high risk of developing iron deficiency and increased kidney stress), sweet fruit drinks, compotes and carbonated drinks.
Also, some foods should be excluded from the diet of infants: solid round foods (for example, nuts, grapes, raw carrots, raisins, peas, etc.), due to the fact that the child can choke on them.
It is not recommended to eat products with added sugar, for example, confectionery (marshmallow, marshmallow, marmalade, jam, jam, cookies, waffles, etc.), etc.
You should not give your child the meat of large predatory fish (shark, bigeye tuna, king mackerel, swordfish): these types of fish accumulate more harmful substances than others.
It is forbidden to give honey to children under one year old due to the fact that it may contain spores of Clostridium botulinum bacteria, which in the still immature digestive system of babies are able to multiply, produce toxins directly inside the intestines and, thus, cause infant botulism, which can be fatal. outcome.
Do not give babies raw meat, fish, eggs, caviar, salted fish, soft pickled cheeses because of the risk of intestinal infections.
If you follow all these simple rules, your baby will grow up healthy and happy!
Diets for different ages
1. Methodological recommendations. The program for optimizing the feeding of children in the first year of life in the Russian Federation. [Internet]. - M.: Union of Pediatricians of Russia, 2019. [Methodicheskie rekomendaczii. Programma optimizaczii vskarmlivaniya detej pervogo goda zhizni v Rossijskoj Federaczii. [Internet]. – Moscow: Soyuz pediatrov Rossii, 2019.