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Your Baby’s First Foods

When your baby is 4-6 months old, it’s time to start introducing solids. This can be scary for many first-time parents. What do you feed them? How much should you give and when should you start?

When to start? 4 months… 6 months… or somewhere in between? The jury is still out on this one, so the answer is… when you and your baby are ready. When your baby is 6 months old, breast milk or formula alone does not provide enough iron, zinc or calories to meet your baby’s needs. Your baby is not ready yet if:

* He is less than 4 months old (ie: before 17 weeks).

* They cannot sit in a semi-reclining high chair without falling to one side.

* Your doctor has advised you to delay solids due to medical conditions.

* Preterm babies may be advised to delay solids based on their expected due date, consult your doctor.

The World Health Organization (WHO) recommends exclusive breastfeeding until 6 months. The reason for this recommendation was to reduce the number of infant deaths in developing countries. When solids or even formula are introduced in unsanitary conditions there is a high risk of gastroenteritis and infection – the older an infant the greater the chance of survival. However, in developed countries, studies have shown no difference in rates of gastroenteritis when solids are introduced at 4 months. The WHO also reports that exclusive breastfeeding up to six months could lead to stunted growth, iron and other micronutrient deficiencies in some infants.

So why wait up to 6 months if you live in a developed country? All babies develop at different rates and your baby may just not be ready. Alternatively, you as a parent may not be ready – you may be away on holiday, nervous about starting solids or simply enjoying the simplicity of exclusive breastfeeding. Don’t worry waiting up to 6 months is perfectly fine. You’ll just need to progress through the early stages of solids a little faster than if you started at 4 months to ensure your baby gets meat into their diet sooner.

If you start at 4 months you can take it slow, there is no rush, breast milk or formula nutritionally is fine until 6 months, so food is a bonus. By the time your baby reaches 6 months he will have tried a range of fruits, vegetables and grains, so you can easily add the meat he needs to provide the iron and zinc he needs. You will also have more time in the puree before going to the lumpy texture.

Before you start you will need:

* A good highchair – this is an item worth investing in as it will be used every day for the next two years. Look for one with a removable tray, adjustable seat tilt, easy-to-wipe vinyl, wheels so you can pull it closer to you, adjustable height so you can change from bench to dining table, tie-down straps for security, color and design that you like it – it will be in your kitchen for a while and finally it has to fit your budget.

There are reviews of many of the high chairs on YouTube, so before you buy do a quick search for the ones you are considering.

* bowls – look for bowls with a suction bottom so that when your little one starts to feed themselves, there are fewer accidents.

* spoons – the first spoons should be soft and the head of the spoon smaller than a teaspoon.

* bibs – I like plastic scoops that can go in the dishwasher, but if they’re too big, use cloth ones to start with – the pumpkin will stain, so don’t go for white.

* Food – You can make your own and freeze it or buy age appropriate baby food.

* Make sure everything is clean and your hands are washed before preparing or feeding food to your baby.

FAQ

When do I add another meal during the day? Once your baby is happily eating 2-3 tablespoons, it’s time to add another meal.

When do I start lump foods instead of purees? at 6-9 months babies start to chew even if they don’t have teeth, then you can start having small soft pieces in the food. Chewing helps develop jaw muscles that are important for speech. By 9-12 months you can start finger foods. (Note if starting solids at 6 months start purees first).

When can my baby drink water from a glass? From about 6 months you can offer water from a soft cup (water is best, not juice).

When do I switch and breastfeed after solids instead of before? By the 9th month solid meals should be quite important and you can start offering breastfeeding second at mealtimes. The amount taken in these foods will gradually decrease.

Why do people say different things about when to start allergenic foods? Several years ago it was speculated that delaying the introduction of allergenic foods such as eggs, peanuts, tree nuts, wheat, cow’s milk, and fish might help prevent food allergies. Studies since then have shown that this has no benefit. In fact, new studies seem to suggest that the opposite may be true, with one showing that introducing wheat before 6 months reduced the risk of celiac disease and wheat allergy. Further studies are still needed in this area. For more information on this, see The Australasian Society of Clinical Immunology and Allergy newsletter. If you have a family history of food allergies, then you know they can be life-threatening, so talk to your doctor or dietitian about the best time to introduce these foods.

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