Ages & Stages

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When your infant is able to sit independently and grab for things to put in her mouth, it’s time to begin introducing solid foods. Start with simple, basic foods such as rice cereal. You should add breast milk or warm formula to the cereal, mixing about 1 tablespoon of cereal with every 4 to 5 tablespoons of breast milk. Look for infant cereals that are fortified with iron, which can provide about 30% to 45% of your infant’s daily iron needs. About midway through the first year, her natural stores of iron will have become depleted, so extra iron is a good idea.

Here are some additional recommendations to keep in mind.

  • Introduce your baby to other solid foods gradually. Good initial choices are other simple cereals, such as oatmeal, as well as vegetables and fruits. Most pediatricians recommend offering vegetables before offering fruits.
  • Start these new foods one at a time, at intervals of every 2 to 3 days. This approach will allow your infant to become used to the taste and texture of each new food. It can also help you identify any food sensitivities or allergies that may develop as each new food is started. Some pediatricians advise introducing wheat and mixed cereals last because young babies could have allergic reactions to them. Contact your doctor if symptoms (for example, diarrhea, vomiting, rash) develop that seem to be related to particular foods.
  • In the beginning, feed your infant small serving sizes—even just 1 to 2 small spoonfuls to start.
  • Within about 2 to 3 months after starting solid foods, your infant should be consuming a daily diet that includes not only breast milk or formula, but also cereal, vegetables, fruits, and meats, divided among 3 meals.
  • When your infant is about 8 to 9 months old, give her finger foods or table foods that she can pick up and feed to herself. Make sure she’s not putting anything into her mouth that’s large enough to cause choking. Do not give small infants raisins, nuts, popcorn, or small or hard food pieces that can be easily aspirated.

 

Author
Sandra G.Hassink, MD, FAAP
Last Updated
6/22/2010
Source
A Parent's Guide to Childhood Obesity: A Road Map to Health (Copyright © 2006 American Academy of Pediatrics)

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What others had to say (14)

tjbzdok wrote:

I am wondering why there is no mention of meats as a first food here. This is recommended by AAP especially for breastfed infants in the 6th edition of the Pediatric Nutrition Handbook. I have not seen this recommendation put into practice,

Posted 1/7/2010

SM wrote:

I am wondering why there is no mention of meats as a first food here as well. Since this information regarding meats was presented at the AAP conference, I am surprised there isn't any mention of this.

Posted 1/7/2010

Grace's Mom wrote:

I am a mom that is homemaking the majority of my baby's food. It would be helpful to have a comprehensive list of foods listed by stage. Does anyone know of a good source for such a list? Thank you!

Posted 1/11/2010

LMKirk wrote:

Grace's Mom - try www.wholesomebabyfood.com

Posted 1/13/2010

tlafrankie wrote:

This article doen't seem to mention when to start solids. I was wondering AAP stance on the topic??

Posted 1/16/2010

tlafrankie wrote:

yes. I wanted to know how long to wait between introduction of each new item. Everyone says something different. I take the AAP as the official recommendation. I will go 2-3 days.

Posted 1/31/2010

HealthyChildren.org wrote:

Please see our article "Switching to Solid Foods" for information on when to start your child on solids and how long to wait before introducing a new food item.

Posted 2/2/2010

Mason's Mommy wrote:

My son is 4 months old,is that to soon to start stage 1 baby food?he is eating about 1tbs of rice cereal a day but can I also be giving him stage 1 baby food at this time (such as vegies and fruit).If so which ones are the best to start him out on?

Posted 2/17/2010

RM09Mama wrote:

To Mason's Mommy, your child does not need solids at 4 months of age. You risk giving him allergies and digestive problems by starting solids too early.

Posted 2/17/2010

BabyDoc wrote:

For Mason's Mom. Please realize that most of the current data does not support RMM09's statement. Starting solids at 4 months and most foods early will actually reduce the incidence of allergy. AAP will be changing recommendations soon.

Posted 4/6/2010

Dr. Shu, Healthy Children Edit wrote:

Thanks for your comments. You can find information about meats as a first food here. Any order is OK just wait a few days between new foods http://www.healthychildren.org/English/ages-stages/baby/feeding-nutrition/Pages/Switching-To-Solid-Foods.aspx

Posted 4/6/2010

iumccormick wrote:

this is a very sketchy article. then i tried to get additional info to fill in the bare bones and there is nothing on site. i expected more from the aap.

Posted 5/1/2010

JMS wrote:

I'm a mom of 5 - all grown now, nursed all of them until 9-10 mos. I fed each one rice cereal mixed w/formula to thickness of pudding ea evening starting with 1 tbs.@ 3 wks old.They were happy babies, me too! after several wks, added cereal in am

Posted 8/10/2010

ashima wrote:

No. Parents like to know about approximate portions their child should be taking.

Posted 8/18/2010