Solid foods are a big step for a baby. Find out when and how to make the transition from breast milk or formula to solid foods.By Mayo Clinic Staff
Giving your baby his or her first taste of solid food is a major milestone. Here's what you need to know before your baby takes that first bite.
Breast milk or formula is the only food your newborn needs. The American Academy of Pediatrics recommends exclusive breast-feeding for the first six months after birth.
But by ages 4 months to 6 months, most babies are ready to begin eating solid foods as a complement to breast-feeding or formula-feeding. During this time babies typically stop using their tongues to push food out of their mouths and begin to develop the coordination to move solid food from the front of the mouth to the back for swallowing.
In addition to age, look for other signs that your baby is ready for solid foods. For example:
- Can your baby hold his or her head in a steady, upright position?
- Can your baby sit with support?
- Is your baby mouthing his or her hands or toys?
- Is your baby showing a desire for food by leaning forward and opening his or her mouth?
If you answer yes to these questions and your baby's doctor agrees, you can begin supplementing your baby's liquid diet.
Continue feeding your baby breast milk or formula — up to 32 ounces a day. Then:
- Start simple. Offer single-ingredient foods that contain no sugar or salt. Wait three to five days between each new food to see if your baby has a reaction, such as diarrhea, a rash or vomiting. After introducing single-ingredient foods, you can offer them in combination.
- Important nutrients. Iron and zinc are important nutrients in the second half of your baby's first year. These nutrients are found in pureed meats and single-grain, iron-fortified cereal.
- Baby cereal basics. Mix 1 tablespoon of a single-grain, iron-fortified baby cereal with 4 tablespoons (60 milliliters) of breast milk or formula. Don't serve it from a bottle. Instead, help your baby sit upright and offer the cereal with a small spoon once or twice a day after a bottle- or breast-feeding. Start by serving one or two teaspoons. Once your baby gets the hang of swallowing runny cereal, mix it with less liquid and gradually increase the serving sizes. Offer a variety of single-grain cereals such as rice, oatmeal or barley. Avoid feeding your baby only rice cereal due to possible exposure to arsenic.
- Add vegetables and fruits. Gradually introduce single-ingredient pureed vegetables and fruits that contain no sugar or salt. Wait three to five days between each new food.
- Offer finely chopped finger foods. By ages 8 months to 10 months, most babies can handle small portions of finely chopped finger foods, such as soft fruits, vegetables, pasta, cheese, well-cooked meat, baby crackers and dry cereal.
Babies often reject their first servings of pureed foods because the taste and texture is new. If your baby refuses the feeding, don't force it. Try again in a week. If the problem continues, talk to your baby's doctor to make sure the resistance isn't a sign of a problem.
It's recommended that you give your baby potentially allergenic foods when you introduce other complementary foods. Potentially allergenic foods include:
- Peanuts and tree nuts
- Cow milk products
- Crustacean shellfish
There is no evidence that delaying the introduction of these foods can help prevent food allergies. In fact, early introduction of foods containing peanuts might decrease the risk that your baby will develop a food allergy to peanuts.
Still, especially if any close relatives have a food allergy, give your child his or her first taste of a highly allergenic food at home — rather than at a restaurant — with an oral antihistamine available. If there's no reaction, the food can be introduced in gradually increasing amounts.
Don't give juice to your baby until after age 1. Juice isn't a necessary part of a baby's diet, and it's not as valuable as whole fruit. Too much juice might contribute to weight problems and diarrhea. Sipping juice throughout the day can lead to tooth decay.
If you offer juice to your baby, make sure it's 100% fruit juice and limit it to 4 ounces a day.
Certain foods aren't appropriate for babies. Consider these guidelines:
- Don't offer cow's milk or honey before age 1. Cow's milk doesn't meet an infant's nutritional needs — it isn't a good source of iron — and can increase the risk of iron deficiency. Honey might contain spores that can cause a serious illness known as infant botulism.
- Don't offer foods that can cause your baby to choke. As your baby progresses in eating solid foods, don't offer hot dogs, chunks of meat or cheese, grapes, raw vegetables, or fruit chunks, unless they're cut up into small pieces. Also, don't offer hard foods, such as seeds, nuts, popcorn and hard candy that can't be changed to make them safe options. Other high-risk foods include peanut butter and marshmallows. To introduce nuts and prevent choking, spread peanut butter in a thin layer or puree peanut butter or peanuts with fruits or vegetables.
Another reason to avoid giving your baby solid food before age 4 months is the risk associated with certain home-prepared foods. A baby younger than age 4 months shouldn't be given home-prepared spinach, beets, carrots, green beans or squash. These foods might contain enough nitrates to cause the blood disorder methemoglobinemia.
During feedings, talk to your baby and help him or her through the process. To make mealtime enjoyable:
- Stay seated. As soon as your baby can sit easily without support, use a highchair with a broad, stable base. Buckle the safety straps.
- Encourage exploration. Your baby is likely to play with his or her food. Make sure that finger foods are soft, easy to swallow and broken down into small pieces.
- Introduce utensils. Offer your baby a spoon to hold while you feed him or her with another spoon. As your baby's dexterity improves, encourage your baby to use a spoon.
- Offer a cup. Feeding your baby breast milk or formula from a cup at mealtimes can help pave the way for weaning from a bottle. Around age 9 months, your baby might be able to drink from a cup on his or her own.
- Dish individual servings. If you feed your baby directly from a jar or container, saliva on the spoon can quickly spoil leftovers. Instead, place servings in a dish. Opened jars of baby food can be safely refrigerated for two to three days.
- Avoid power struggles. If your baby turns away from a new food, don't push. Simply try again another time. Repeated exposure can create variety in your baby's diet.
- Know when to call it quits. When your baby has had enough to eat, he or she might cry or turn away. Don't force extra bites. As long as your baby's growth is on target, he or she is likely getting enough to eat. Also, don't try to get your baby to eat as much as possible at bedtime to get him or her to sleep through the night. There's no evidence that this works.
Enjoy your baby's sloppy tray, gooey hands and sticky face. You're building the foundation for a lifetime of healthy eating.
May 20, 2021
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