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Starting Solid Foods

When can my baby start eating solid foods?

Most babies are ready to eat solid foods at 4 to 6 months of age. Before this age, most babies do not have enough control over their tongues and mouth muscles. Instead of swallowing the food, they push their tongues against the spoon or the food. This tongue-pushing reflex helps babies when they are nursing or drinking from a bottle. Most babies lose this reflex at about 4 months of age. Energy needs of babies increase around this age as well, making this an ideal time to introduce solids.

You may start solid foods at any feeding. At first you may want to pick a time when you do not have many distractions. However, keep in mind that as your child gets older, she will want to eat with the rest of the family.

Kinds of foods

For most babies it does not matter what the first solid foods are. Many pediatricians recommend cereals first. The first cereals usually are offered in this order:

  • Rice cereal
  • Oatmeal cereal
  • Barley cereal

It is a good idea to give your baby wheat and mixed cereals last, because they may cause allergic reactions in very young babies.

You can use premixed baby cereals in a jar or dry cereals to which you add breast milk, formula, or water. The premixed foods may be easier to use, but the dry ones are richer in iron and allow you to control the thickness of the cereal. Whichever type of cereal you choose, make sure that it is made for babies. Only baby foods contain the extra nutrients your child needs at this age.

Once your baby learns to eat one food, gradually give him other foods such as

  • Infant cereals
  • Fruit
  • Strained vegetables
  • Meat

Give your baby eggs last, because they occasionally cause allergic reactions. Babies are born with a preference for sweets. The order of introducing foods does not change this.

Give your baby one new food at a time, and wait at least 2 to 3 days before starting another. After each new food, watch for any allergic reactions such as diarrhea, rash, or vomiting. If any of these occur, stop using the new food and talk with your pediatrician.

Within 2 or 3 months of starting solid foods, your baby's daily diet should include the following foods each day:

  • Breast milk or formula
  • Cereal
  • Vegetables
  • Meats
  • Fruits

Your pediatrician will help you determine if your child is overfed, not eating enough, or eating too many of the wrong kinds of foods. Because prepared baby foods have no added salt, you do not have to worry about salt at this age. However, be aware of the eating habits of others in your family. As your baby eats more and more "table foods," she will imitate the way you eat, including using salt and nibbling on snacks. For your child's sake as well as your own, cut your salt use and watch how much fat you consume. Provide a good role model by eating a variety of healthy foods.

 

Published online: 3/07
Source: Starting Solid Foods (Copyright © 2005 American Academy of Pediatrics)

Healthcare professionals may order this publication in multi-copy packs.
Parents can find more information on this topic in Caring for Your Baby and Young Child: Birth to Age 5. To order a copy of this book visit the AAP Bookstore.

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The information contained in this publication should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.





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