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When should solids be introduced?

Between 4 and 6 months, although most commonly closer to 6 months.   Up to the first 4 to 6 months of an infant’s life, breast milk or formula will provide all their nutritional requirements for growth.  At around 6 months, the iron stores that baby gained in utero begin to run low, which is one of the reasons we start solids around this time.

 

Don’t be tempted to start too early

Introducing solids too early can be a burden to an underdeveloped digestive system (most babies’ digestive systems remain inadequate up to about 6 months of age), as well as impairing maternal milk supply.  Other concerns include increasing the risk of food allergies and exposure to bugs that may lead to diarrhoea and other gastric problems.

 

Most parents soon realise how convenient milk feeding is (especially if it is your second time around).  The tendency to want to delay introducing solids creeps into the minds of many of us, however…

 

Don’t wait too long

According to research, your baby will not benefit from having solids before 6 months.  However, if you leave the introduction of solids too late, you risk undermining your baby’s nutritional status. Iron and zinc levels, in particular, decrease in breast milk as your baby’s demand increases.  Other problems include immune challenges and reduced motor development, for example, the skill of chewing.

 

So how much will baby eat at first?

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It generally takes about a  month from the time of the first introduced food for babies to work up to taking more than 10 ml a day (just over 2 teaspoons), and a month and  half to be able to consume more than 100 ml a day. 

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Babies who were started on solids at a younger age seem to take longer to get to these amounts; hence introducing solids at 6 months appears to shorten the time.

 

Tips on starting foods

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Foods should be a fine, runny puree and smooth in consistency.

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Introduce foods one at a time, and ensure they don’t include salt, sugar or flavourings of any sort. Maintaining baby’s milk source helps to ensure that any reactions can be attributed to the single food.  [is this what you mean here Leanne; that breastfeeding should continue while foods are introduced one at a time?]

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Rotate foods so that you give the same one only once in a 3-5 day period. There’s nothing worse than eating the same thing over and over again.  This will also help reduce the risk of food reaction or allergy, and in the unlikely event of a reaction, it may become evident before the end of the day. 

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Once a variety of foods has been introduced successfully, make sure you vary them frequently so that baby gains a balanced diet.  Variety at this early stage may also help you get through that fussy stage in the toddler years.

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Be persistent. Many studies show that it may take up to 10 opportunities to try a new food before baby accepts it. 

Avocado (mmmm) was my favourite starter because in its fatty acid makeup, it is similar to breast milk. Once you’ve diluted it (watered it down) into a runny paste with breast milk or formula it can be an option that baby will enjoy early on.

 

Food suggestions for bubs starting out

Given the amount that is likely to go in and stay in, baby’s first foods will not provide significant nutrients. Infants of less than 6 months will still rely primarily on breast milk or formula for all their nutritional requirements.  The point of introducing solids around this time is to prepare baby for new tastes, textures and modes of feeding.

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Start with an iron-enriched infant cereal. While many of these are high glycaemic foods, infants who are just starting out find them easy to digest and swallow. Use breast milk or formula to mix into a smooth paste. 

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Cooked and pureed vegetables such as sweet potato, pumpkin, carrot, choko, parsnip, broccoli, peas, potato, zucchini, cauliflower.

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Once you have introduced a few vegetables you can start to mix them and create interesting combinations. 

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Mashed/cooked/pureed fruits such as avocado, apple, banana, pear, choko, strawberry etc. can also be introduced, although fruit is often best left till after a wide array of vegetables have been introduced to avoid an over fondness for sweet foods.

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If a fruit or vegetable is too runny, use baby’s rice cereal as a thickener. 

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By six months, baby should be consuming iron-fortified baby foods such as rice cereal (as per dietary guidelines for children).

 

The timing of food groups differs from one culture to the next and as yet there are no hard-and-fast rules. The following is a guide only.

 

What should infants drink?

Babies need more water than adults to digest their food. Why? Because babies’ kidneys are not fully developed and therefore not as adept at handling the waste products from the digestion and metabolism of food.  Infants’ kidneys use more water than adults to dilute and remove waste products from the body.  As solids are increasing in volume in the diet, it becomes more important to monitor the amount of water a child is drinking, particularly in the case where milk feeds are being replaced by solid foods. 

 

Water is much better than other fluids, particularly juices and cordials.  Ensure that drink bottles and cups are placed in easy-to-see and reachable positions and check the levels throughout the day. 

 

It is generally agreed that young children should not be given fruit juice and that water is the most preferable fluid.

 

 

Figure 1     Quick reference guide to introducing foods

Age

Suitable foods

Consistency

Milk feeds

Around 6 months

Note: Leaving sweeter foods such as fruit till after the introduction of vegetables can improve acceptance of foods that are not sweet

  • Gluten free iron-fortified cereal i.e. rice

  • Vegetables such as sweet potato, pumpkin, carrot, avocado, choko, parsnip, broccoli, peas, potato, zucchini, cauliflower, beans.

  • Avocado

  • Cooked/mashed fruit such as apple, pear, banana, paw paw, rockmelon.

  • Teething rusks

 

 

 

Pureed into a smooth paste with breastmilk or formula.

 

 

 

Still relies primarily on breastmilk or formula.

7ish months

Working up to 3 meals a day and adding of texture

Iron-enriched rice cereal should be used by 6 months.

  • Baby yoghurts or plain natural acidophilus yoghurts which are often more nutritious and have less additives

  • Increasing variety of vegetables first, then fruit (not citrus fruits or tomato), corn, beetroot, peas, capsicum, turnip, parsnip       

  • Increasing variety of fruit – strawberries, mango, blueberries, watermelon, plum, star fruit and custard apples

  • Brown and white rice cooked till soft

  • Use of feeding cups over bottles

  • Offer water regularly over the day

Mashed into a soft and lumpy consistency, similar to the texture of cottage cheese.

3-4 milk feeds per day.

8ish months

Babies develop a swallowing reflex for coarser foods.

  • Fish

  • A teaspoon of almond, linseed, sunflower or hazelnut meal (powder) added to mashed foods for protein and essential fats.

  • Thoroughly cooked brown and white rice.

  • Vegetarian proteins such as tofu and lentils

  • Cheese (cheddar has low amount of lactose)

  • White meat such as fine pieces of chicken or turkey

  • Lumpy food

Introduce lumpy foods.

3-4 milk feeds per day.

Around 9 months

Baby starts chewing and moving food around their mouth

  • Start with gluten-free cereals such as corn, millet, rice, buckwheat, tapioca and quinoa – try buckwheat and rice noodles before pasta

  • Nut spreads (caution with allergies)

  • Expand on cheeses (cottage etc.)

  • Red meat such as lamb mince

  • Finger foods – grated cheese, vegetables fruit

  • Vegetables, thin slices, grated

  • Peeled and seeded fruit

  • Beans

  • Cereals, couscous, semolina, tapioca, pasta, noodles etc.     

‘Finger foods’, grated cheese, finely chopped meat.

3 milk feeds per day.

10 months

  • Eggs (cooked egg yolk is easier to digest than egg white)

  • Well-cooked red meats

  • Small amounts of milk, soy milk, nut milk, oat milk

  • Stews, rissoles, casseroles, sandwiches, etc

Scrambled egg yolk.

Finely chopped or minced meat.

3 milk feeds per day.

 

11-12 months

  • Other legumes (kidney beans, butter beans, cooked legumes, soy beans, tofu)

  • Pasteurised milk

 

Weaning from breast or bottle if wished at 12 months.

12 months+

  • Most foods the family eats.

Whole foods except nuts.

Water is best fluid.

The above chart is only a guide some foods are introduced at different times in some families

 

Download the full tip sheet

 

Created by Leanne Cooper

This tip sheet may be reproduced in whole or in part for education and non-profit purposes with acknowledgement of the source.  It may not be reproduced for commercial use or sale.  The information is not designed to replace medical advice always consult your health care professional if in doubt.

 

 

What do I feed my Baby? book (as seen on Huggies) .....>

This book will provide you with a step-by-step guide on how to introduce solids.   Including when to start, what to start with, how long until you move onto new foods, how much and how often.  This must-have book offers day-by-day ideas which then progress to meal plans.  Written by nutritionist mum and nutrition advisor to Huggies, Leanne Cooper, this is an absolute must for parents and carers with infants. This is the closest you can get to having a nutritionist in your home and a whole lot cheaper! Read more,.....>>  

Price: $14.95 for the ebook     OR    $18.95 for the printed version (AUD, incl GST and postage).

 

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What do I Feed my Baby? book on introducing solids by nutritionist mum and advisor to Huggies Baby Club, all you need to know about doing it the right way......>>

 

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