| Weaning is the introduction of solid foods and it usually begins when your infant is about four to six months old. Even after starting solids, the American Academy of Pediatrics recommends "that breastfeeding continue for at least 12 months, and thereafter for as long as mutually desired."
Starting your baby on solid foods is the beginning of lifelong eating habits that contribute to his or her overall health. For this reason we have some general guidelines that can help you start your baby out on the right track to a healthy life.
Breast milk or infant formula supplies all of your baby's nutritional needs for at least the first 4 to 6 months of life, so don't be in a rush to start solid baby foods. Starting solids too early can cause your baby to develop food allergies. Your baby's intestinal tract is not as fully developed during the first few months and introducing solids at this time can be too much to handle
Another reason for not giving solid foods earlier than 4 to 6 months is unintentional overfeeding, since younger babies can not offer you signals when they are full, such as turning away or showing disinterest.
A third reason for holding off on solids is your baby's inability to swallow solids correctly before 4 to 6 months of age and this can potentially cause choking. And contrary to the popular myth, starting solids early will not help your child to sleep through the night.
When offering a new type of food, always feed it for several days in a row before starting another new food. This makes it easier to detect food allergies, which can present with diarrhea, vomiting, coughing, hives or a rash. Do not offer mixed ingredient foods until you are sure that the baby isn't allergic to any of the individual ingredients. Also, don't add any seasonings to your baby's foods.
Other practices to avoid are putting your baby down for a nap or sleep with a bottle of formula or juice, as this allows sugar to pool in your baby's mouth and can lead to cavities. Don't feed your baby cow's milk, honey or egg whites until your baby is at least one year of age. Also, do not give carbonated or caffeinated drinks, candy or other foods that your baby may choke on.
Remember, these are general guidelines and the amount and types of food that your baby eats may vary from day to day.
Four to Five Months
At this age, breast milk or formula is the only food that your baby needs and he should be taking 4-6 feedings each day (24-32 ounces), but you can start to familiarize your baby with the feel of a spoon and introduce solid foods. Cereal is the first solid you should give your baby and you can mix it with breast milk, formula or water and feed it to your baby with a spoon (not in a bottle). Start by feeding one tablespoon of an iron-fortified Rice cereal at one feeding and then slowly increase the amount to 3-4 tablespoons one or two times each day.
Six to Seven Months
While continuing to give 4-5 feedings of breast milk or formula (24-32 ounces) and 4 or more tablespoons of cereal each day, you can now start to give well-cooked, strained, or mashed vegetables or commercially prepared baby foods. Start with one tablespoon of a mild tasting vegetable, such as green beans, peas, squash or carrots and gradually increase to 4-5 tablespoons one or two times each day.
Start fruits about a month after starting vegetables and again, gradually increase to 4-5 tablespoons one or two times each day. You can use peeled, cooked, or canned fruits (but only those packed in light syrup or water) that have been blenderized or strained
You can also begin to offer 2-4 ounces of 100% fruit juices. Start by mixing one part juice with two parts of water and offer it in a cup.
Eight to Nine Months
While continuing to give 3-4 feedings of breast milk or formula (24-32 ounces) and 4 or more tablespoons of cereal, vegetables and fruit one or two times each day, you can now start to give more protein containing foods. These include well-cooked, strained or ground plain meats (chicken, beef, turkey, veal, lamb, boneless fish, or liver), mild cheese, peanutbutter, or egg yolks (no egg whites as there is a high chance of allergic reactions in infants less than 12 months old). If using commercially prepared jars of baby food, do not use vegetables with meat as they have little meat and less protein and iron than jars with plain meat.
Start with 1-2 tablespoons and increase to 3-4 tablespoons once each day. If your baby doesn't seem to like to eat plain meat, then you can mix it with a vegetable that they already like as you offer it.
You can also start to offer soft table foods and finger foods at this age. Give soft, bite-size pieces of food, such as soft fruit and vegetable pieces, pastas, graham or saltine crackers, and dry cheerios, but do not give these foods if the child is going to be unattended in case of choking.
You can also begin to offer 3-4 ounces of formula or 100% fruit juice in a cup at this time.
Ten to Twelve Months
Your baby's diet will begin to resemble that of the rest of the families, with 3 meals and 2 snacks each day and will include 3-4 feedings of breast milk or formula, iron fortified cereal (1/4 – 1/2 cup at breakfast), vegetables and fruits (1/2 cup/jar at lunch and dinner), protein foods (2-4 tablespoons each day), 100% fruit juice (2-6 ounces in a cup each day), and some finger foods.
It is important to offer a variety of foods to encourage good eating habits later.
If you do stop breastfeeding before your infant is a year old, then you should feed him an iron fortified infant formula. It is generally not recommended that regular milk be used until after an infant's first birthday.
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