Your beautiful baby is about 4 months old now, and you are beginning to think about the transition to solid foods. But you are not quite sure when and what you should feed your little darling. Worse, you have visions of mashed peas being hurled through the air, covering your hair, and hitting the floor and the walls.
Breast milk or fortified formula are the only foods your baby needs for the first 4-6 months. Breast milk or formula should remain the core of the baby's diet for the first year of life.
Your baby's development partly determines when they are ready to begin eating solid foods. Most babies are ready to begin solid foods at about 6 month of age. Starting solids sooner than four months could put the baby at risk.
Solid foods may be slowly introduced if your baby:
Your baby should learn to eat semisolid and solid foods from a spoon and with fingers. Never give your baby semisolid or solid foods from a bottle or infant-feeder because the baby could choke or take in too much food at once. Eating from a spoon and with fingers is the first step toward independence and will help your baby develop chewing and swallowing skills.
Here are some tips that can help you and your baby make an easier transition:
The first solid foods given to infants are usually iron-fortified infant cereals. They are easier to digest and help meet your baby's iron requirements. Try to start with rice cereal. Cereal should be thin at first—one part cereal to four parts breast milk or infant formula. Your baby will be ready for thicker cereal as eating skills develop..
Do not use cow's milk to mix cereal because it may be difficult for babies to digest until after one year of age. Give only about one teaspoon of cereal twice a day, at first, and then gradually increase to two or three tablespoons twice a day. Other grain products such as rice, soft breads, cooked pasta, and teething biscuits can be added a little later.
After your baby is comfortable eating cereal, introduce strained vegetables and fruits—one at a time. It may be better to introduce vegetables before fruits because vegetables often have less taste after eating fruit. At the beginning, give mild flavored vegetables such as green beans, yellow squash, carrots, and sweet potatoes. Once your baby has accepted several vegetables, give them two different vegetables a day. Next you can add applesauce, peaches, and pears.
After your baby eats vegetables on a regular basis, introduce strained lean meats—one at a time. Offer a variety of pureed or finely chopped meats, including chicken, beef, and turkey.
Offer single cereals, vegetables, fruits, and meat rather than combination foods. Also, wait a few days before introducing new foods. This will allow you to see any signs of a food allergy and to know which food caused them.
Signs of food allergy may include:
Extreme and life-threatening allergic reactions include difficulty breathing, swelling in the throat, decreased blood pressure, and passing out.
Your baby will be able to eat mashed or finely chopped foods when you see teeth appear and detect chewing motions. As teeth grow in, you can introduce finger foods, such as cooked vegetables and soft fruit without seeds or peel.
Eating a variety of foods will help your baby have a well-balanced diet and develop good eating habits for the future. Also, be sure to offer your baby foods that vary in color and texture.
Babies less than three or four years old should not eat small, hard foods, such as chips, pretzels, raw carrots, celery, raisins, popcorn, snack puffs, nuts, or seeds. Large pieces of food should also be avoided— whole grapes, frankfurters, sausages, and large or tough pieces of meat and poultry. Also try and avoid candy, cough drops, and chewing gum.
Babies do not need added sugar, salt, or seasonings. They need to develop a taste for the natural flavor of foods. Avoid adding seasonings to your baby's food. If you buy commercially-prepared baby food, read the label to make sure sugar, salt, and seasonings are not added.
After 12 months of age, most babies do not have as much difficulty digesting cow's milk and can be given whole milk, yogurt, cheese, and cottage cheese. Children under two years of age are not advised to eat lower-fat diary products because they need the fat for brain development.
American Academy of Pediatrics
American Academy of Nutrition and Dietetics
About Kids Health
Dietitians of Canada
Duyff, RL. The American Dietetic Association's Complete Food and Nutrition Guide. Minneapolis, MN: Chronimed Publishing; 1998.
Food allergy. EBSCO DynaMed web site. Available at: http://www.ebscohost.com/dynamed. Updated January 17, 2013. Accessed February 4, 2014.
Heartsaver First Aid With CPR AED—Classroom. American Heart Association. Available at: http://www.heart.org/HEARTORG/CPRAndECC/WorkplaceTraining/HeartsaverCourses/Heartsaver-First-Aid-With-CPR-AED_UCM_303778_Article.jsp. Updated July 19, 2013. Accessed February 4, 2014.
Introducing solid foods. American Academy of Nutrition and Dietetics website. Available at: http://www.eatright.org/kids/article.aspx?id=6442459352&terms=baby%20to%20solid%20food. Accessed February 4, 2014.
Switching to solid foods. American Academy of Pediatrics Healthy Children website. Available at: http://www.healthychildren.org/English/ages-stages/baby/feeding-nutrition/Pages/Switching-To-Solid-Foods.aspx. Updated May 28, 2013. Accessed February 4, 2014.
Working together: American Academy of Pediatrics Healthy Children website. Breastfeeding and solid foods. Available at: http://www.healthychildren.org/English/ages-stages/baby/breastfeeding/Pages/Working-Together-Breastfeeding-and-Solid-Foods.aspx. Updated May 11, 2013. Accessed February 4, 2014.
Last reviewed February 4, 2014 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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