Mom is a bore scheme for the introduction of complementary foods. Breastfeeding according to World Health Organization recommendations

By the age of six months, the mother's breast milk no longer provides the child's body with all the necessary nutrients. In this regard, there is a need for the introduction of complementary foods. WHO has developed recommendations for the introduction of complementary foods for infants and artificial children. The purpose of the introduction of complementary foods is not only to supplement the baby’s diet and provide his body with the necessary elements, but also to gradually accustom him to solid adult food.

Baby's readiness to feed

According to the WHO recommendation, existing for 2016, it is optimal to introduce complementary foods to an infant at 6-8 months. Until six months, the baby's gastrointestinal tract is still not sufficiently formed, all the necessary enzymes are not produced for the assimilation of food other than mother's milk or formula. And by 9-10 months, the child can already form stable stereotypes of eating only liquid food, and overcoming them will be painful and difficult for the baby.

Thus, WHO defines the following signs of a child's readiness for the introduction of complementary foods:

  • maturity of the digestive system;
  • extinction of the solid food ejection reflex;
  • the appearance of the first teeth, making it possible to chew;
  • the readiness of the baby to be stable in an upright position;
  • emotional readiness for new tastes and sensations.


Feeding system

Fruit complementary foods are not recommended for cereals and vegetables. This is due to the fact that up to 8-9 months the gastrointestinal tract of the baby is not ready for the absorption of raw fruits and fruit juices. It is vegetables and cereals that will populate the intestines with the necessary bacteria for the absorption of fruits.

Kefir, according to the WHO, is not considered complementary foods because it is not a solid food. The WHO complementary feeding scheme includes kefir only as an additional food from 8 months.

Any complementary feeding scheme assumes that portions of complementary foods will systematically increase from half a teaspoon to 100-200 g. The first dishes for complementary foods are prepared exclusively with one-component. Each next component is introduced only after complete addiction to the previous one (6-7 days).

Product sequence

Table - WHO scheme of the order of introduction of complementary foods for infants who are on breastfeeding, suggests the following sequence of introducing complementary foods.

  1. Vegetables at 6 months
  2. Porridges on the water (oatmeal, buckwheat, corn) at 6.5 - 7 months.
  3. Fruit puree, yolk at 8 months.
  4. Milk porridge at 8 - 9 months.
  5. Meat puree at 9 months.
  6. Meat offal at 9 - 10 months.
  7. Kefir, cottage cheese, yogurt at 9 - 10 months.
  8. Baby cookies at 9-10 months.
  9. Fish at 10 months.
  10. Juice at 10-12 months.
  11. Berry puree at 12 months.
  12. Meat broths at 12 months.

The introduction of vegetable oil (olive, sunflower) in puree and porridge is allowed from 6 months: a scheme with 1 drop with a gradual increase to a volume of 1 teaspoon. The introduction of butter begins at 7 months: the scheme is from 1 g to 10 g in porridge.

For formula-fed babies, the first feeding schedule is similar, with a few exceptions. For these babies, it is better to introduce complementary foods from 5 months, because the milk mixture does not give the small body all the “building material”. The WHO complementary feeding table differs only in terms: vegetable purees and cereals are introduced a month earlier.


The first cereals

If the child's weight is significantly less than normal, WHO recommends starting complementary foods with non-dairy cereals. The table indicates that porridge for babies is prepared only with non-dairy, unsalted, semi-liquid, absolutely uniform in consistency. The first cereals are prepared from cereal flour (the sorted and washed cereals are carefully ground and crushed).

The following sequence of introduction of cereals is proposed: buckwheat, rice, corn, oatmeal, semolina. It is recommended to cook semolina porridge only once a week, because it contains practically no nutrients, but it is rich in gluten, which can cause problems in the intestines. Proportion for the preparation of the first porridge: 5 g of cereal flour per 100 ml of water. After slightly cooling the finished porridge, chop again. In the finished porridge, you can add 1-2 drops of vegetable oil or a little expressed breast milk.

From 9 months, the baby's nutrition system involves multicomponent cereals, from products already well known to the child. You can already add vegetables and fruits familiar to the baby to cereals. At 9 months, it is allowed to cook barley and millet porridge for babies.

And by 10-11 months, cereals on the water will be a great addition to meat and fish meatballs and steam cutlets.


Vegetable food

The first purees are made from one vegetable. It is best to use a vegetable from a personal garden, grown without nitrates and chemical additives. Wash thoroughly, then clean. Potatoes, cut into cubes, soak for 1.5 hours to wash out the nitrates. The stalk is removed from the cabbage, and the core is removed from the carrot. If you are using frozen vegetables, do not re-freeze them.

It is best to use a double boiler to cook vegetables, or bake them in the oven. You need to cook in an enamel bowl, lowering the vegetable into boiling water. There should be little water. Cook under a covered pot.

The table of order of introducing vegetables into complementary foods for babies suggests the following order: zucchini, cauliflower, pumpkin, potatoes, carrots, green peas, beets. These vegetables are introduced within 6-9 months of the baby. After 1 year, you can give your child cucumbers, eggplants, tomatoes, sweet peppers, white cabbage.

After preparing the puree, make sure that the mass is completely homogeneous, there are no fibers and small particles, the consistency is semi-liquid. Don't salt. Add 1-2 drops of vegetable oil or expressed milk.

If the child refuses vegetable complementary foods, cancel this product for 1-2 weeks. Try to temporarily replace it with another and return to it after a while.


Meat dishes

  • rabbit;
  • quail;
  • turkey;
  • chicken.

The cooking process requires careful heat treatment of meat. Carefully removing the skin, fat, all the bones, lower into cold water and cook for 15 minutes. Remove, rinse, put in fresh water and cook for 1.5 hours until fully cooked.

Grind boiled meat thoroughly. Pass the minced meat through a fine sieve. Add vegetable oil or expressed breast milk to the finished mass.

Meatballs and steam cutlets can be cooked when the baby already has teeth to chew food. Combine meat dishes with vegetables and cereals. Add meatballs to vegetable soups. Up to 12 months, the child is recommended meat 3-4 times a week.

Complementary foods for a 6-month-old baby are recommended to be introduced in the morning. This will allow you to track the child's reaction to an unfamiliar product before a night's sleep: is there a rash, intestinal disorders, anxiety in the baby, profuse regurgitation. It is better to give vegetables or porridge first, and then saturate with breast milk or formula. Gradually, porridge and a vegetable dish will replace one full meal. The dish must be warm and freshly cooked. Gradually, by the age of 1, your baby will develop taste preferences. You will know what dishes he eats with pleasure. In the meantime, try to fully expand the child's diet with products necessary for growth and development.

The first thing moms should pay attention to is that ALL complementary feeding tables on the Internet promoted under the auspices of the WHO have nothing to do with the World Health Organization.

WHO CANNOT MAKE A SINGLE FEEDING CHART FOR EVERY CORNER OF THE WORLD DUE TO THE AVAILABILITY OF VEGETABLES AND FRUITS IN EACH COUNTRY.

If many mothers in our country start complementary foods, for example, with zucchini, then where can I get this same zucchini, say, in Africa? There rather mom give the child a banana or an avocado.

Each country, and, moreover, for each individual child will have its own procedure for introducing products!

WHO does not indicate the sequence and quantity of the introduction of products!

The WHO documentation does not say anything about the need for baby foodvegetable or butter!

The only table that can be used as a guide when referring to the WHO is on its official website:

It is recommended that you familiarize yourself with the section “Complementary foods” in the methodological book “Feeding and nutrition of infants and children early age developed by WHO. You can download it from this link.

Taking into account various methodological data, a weekly table of introduction of complementary foods was compiled (for concrete a child with a tendency to allergic reactions). The order in which products are introduced is based on the degree of presence of allergens in them: from less to more. I draw your attention to the fact that when introducing complementary foods, it should be taken into account, varying the order of introducing new products. New products should be introduced in advance after consulting with the pediatrician.

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How to introduce complementary foods?

“The first food offered to the child should be mashed, one-ingredient foods that are soft in texture, without added sugar, salt, or hot spices such as curry powder or spicy Bell pepper. Positive examples include cereals other than wheat, such as home-cooked and mashed rice, mashed potatoes, soft, thick porridge made from traditional cereal products (such as oats, and mashed vegetables and fruits). You can add breast milk or infant formula to soften the puree. (Feeding and Nutrition of Infants and Young Children, WHO Regional Publication, European Series, No. 87).

Why should you cook your own food?

Extract from the WHO document: « …The quality of commercially produced complementary foods is highly variable. Some of them allow you to make up for the lack of certain nutrients in the diet of young children, while others, on the contrary, cause concern due to their high content of added sugars and salt. » (WHO, Maternal and Early Childhood Nutrition infancy, EB 138/8 of January 15, 2016).

According to the WHO, guidelines for proper complementary foods are as follows:

“—continue frequent, on-demand breastfeeding until the child is two years of age or older;

— be sensitive when feeding the baby (for example, directly feed infants and help older children. Feed slowly and patiently, encourage but do not force, talk to the baby and maintain eye contact with him);

— practice good hygiene and proper food handling;

- start at six months of age with small amounts of food and gradually increase as the child gets older;

- gradually increase the consistency of food and make it more diverse;

- increase the number of feedings to the child - 2-3 times a day for children aged 6-8 months and 3-4 times a day for children aged 9-23 months with 1-2 additional snacks at the request of the child;

- use fortified foods as needed food products or vitamin and mineral supplements;

- Increase fluid intake, including through breastfeeding, and offer soft, favorite foods. (WHO fact sheet N°342 Infant and young child nutrition, January 2016).

According to the above data, a weekly table of introduction of complementary foods was compiled. The order in which products are introduced is based on the degree of presence of allergens in them: from less to more.However, when introducing complementary foods, it is worth considering baby's individual characteristics by varying the order of introduction of new products.

The transition of the baby to "adult" food is completely new stage in his life. But it is much more exciting for mom! What to feed first? How to change volume? How to cook food? How to make the first menu delicious? Dozens of topical questions will be answered by a table of complementary foods for children up to a year. It was compiled according to the recommendations of WHO and Russian pediatricians.

Requirements for the introduction of products into the diet of crumbs have changed significantly in last years. Pediatricians no longer insist on the need to give babies juices from two months and cottage cheese from four. However, the recommendations offered by the World Health Organization, as well as those enshrined in official regulations of the Russian Ministry of Health, differ. The latter are allowed to introduce complementary foods as early as four months, and this is carried out at an accelerated pace.

Schedule up to a year

The recommendations of the Ministry of Health of Russia propose a schedule for complementary feeding of children up to a year old, requiring vegetables, cereals, cottage cheese and meat, juices, and fruit purees to be used in their diet by the age of seven months. This schedule does not comply with the WHO recommendations, which indicate that dietary adjustments are made at six months of age. And only in some cases and according to individual indications, which include a critical lag in weight gain and development, does it make sense to change the child's diet earlier.

According to WHO, complementary foods are foods designed to meet the growing energy needs of a baby who is more active and mobile than before. And allowing him to introduce him to a variety of foods. Based on this, the basic principles of correcting the diet of the baby are determined.

  • Complementary food. That is what food is. The basis of the child's nutrition is breast milk, and in case of impossibility of breastfeeding - an adapted mixture.
  • The food is varied. Mothers of eight-month-old babies usually look with horror at the feeding table for months. And they understand that from the recommended products, including meat, and kefir, and yolk, and several types of vegetables, they managed to accustom the child to a couple of vegetable dishes and cereals. But this diversity is only an attempt to show exactly what facets of tastes and types of products a child can consume due to his physiological development. This is a recommendation about the dishes of what consistency, taste, aroma, the child can begin to get acquainted. You should not take the numbers on the plate as a mandatory guide to action, since it is simply impossible to achieve many of them through the safe introduction of products.
  • Food with high energy density. Based on the fact that complementary foods should make up for the energy that the baby lacks for activity and growth, it is necessary to choose energy-rich foods. These do not include juices previously recommended for the first feeding, fruits. A small amount of cereal or vegetables contains much more significant calories for the crumbs.

Energy-rich food does not mean fatty, WHO experts say. The child should not be given animal fat, including milk with a fat content, until two years of age. Salt and sugar should not be added to food. The latter saturates the body with "empty" calories and depresses appetite.

All products that include a complementary feeding scheme for months up to one year of age are called transitional. They are adapted to the needs of the child in terms of consistency and density. The purpose of the process is the transition of the baby to traditional food. family table. Therefore, it is wise to use not specially selected foods for feeding, namely those cereals, vegetables, meats and fish that are customary to eat in your family.

Table - Complementary feeding of a child by months (WHO recommended schedule)

Products6 months7 months8 months9 months10 months11-12 months
Vegetable puree, g120 140 150 170 180 200
Cereal porridge, g120 150 180 200 200 200
Vegetable oil, ml1 3 5 5 5
Fruit puree, g60 60 60 17 80 80
Meat, g50 60 70 80
Yolk1/4 1/4 1/2
Curd, g30 40 50
Crackers, g3 5 5 10 10
Wheat bread, g5 5 5 10
Butter, g1 3 5 5
Fish, g30 50-60
Fruit juice, ml30 50 60 80-100
Kefir, ml30 50 100

The table defines the types of complementary foods by month and dosage. It is exploratory in nature. While breastfeeding, it is not recommended to exceed these norms. At artificial feeding mixture remains the main source of nutrition in the diet. Mixed mode allows you to force out the mixture, replacing it with complementary foods.

The consistency of dishes should correspond to the level of development of the child and the skills he has developed. At the age of up to seven months, babies have a shift in the gag reflex from the middle of the tongue to its root, and the strength of chewing movements increases. They can eat food in the form of mashed vegetables, fruits and grains that do not contain gluten.

At the age of seven months to a year, chewing skills are improved. The kid learns to bite, move food with his tongue to his teeth, remove it from a spoon with his lips. During this period, it is recommended to change the consistency of dishes. They are served mashed, chopped, and also in a form convenient for eating with your hands.

Only after a year is the stability of the jaws formed, and chewing movements acquire an adult, rotational character. At this time, the child can be transferred to the food of the family table.

Product Introduction Technique

Complementary vegetables

WHO recommends using zucchini as the first food for a child. It is served boiled, mashed. The second product is cauliflower, the third - broccoli. The scheme of complementary feeding with vegetables is as follows.

DayProductgramsNote
1 Zucchini (mashed potatoes)3 Before the second morning feeding. After breast milk or formula until saturated. Five grams conditionally corresponds to the capacity of one teaspoon
2 10
3 20
4 40
5 Zucchini (mashed potatoes) and vegetable oil70
6 120
7 120
8 Cauliflower and zucchini (mashed potatoes) with vegetable oil3+117 Prepare two types of puree. They can be mixed by adding a new product to a familiar one. Or give separately
9 10+110
10 20+100
11 40+80
12 70+50
13 Cauliflower (mashed) and vegetable oil120 Complementary foods with monocomponent cauliflower puree
14 120
15 Zucchini or cauliflower and broccoli (mashed) with vegetable oil3+117 Prepare two types of puree. One from a familiar vegetable, the second from broccoli. They can be mixed by adding a new product to a familiar one. Or give separately
16 10+110
17 20+100
18 40+80
19 70+50
20 Broccoli (mashed) and vegetable oil120 Complementary foods with monocomponent broccoli puree
21 120

Thus, it will take you at least twenty-one days to introduce three vegetables into your child's diet. After you bring each product to the norm recommended for age, you can mix them in the required proportions, offer the baby both single-component and multi-component purees.

Feeding with cereals

You can start it after the introduction of vegetables. Babies with a lag in weight gain are recommended to be fed with cereals initially. We present the World Health Organization recommended feeding scheme for cereals, starting from the twenty-second day.

DayProductgramsNote
22 Buckwheat (porridge)3 Before the second morning feeding. Existing vegetable complementary food is transferred to lunch
23 10
24 20
25 40
26 70
27 Buckwheat (porridge) and butter120
28 150
29 Rice and buckwheat (porridge) with butter3+147 Prepare two types of porridge. They can be mixed, adding a new product to a familiar one, or given separately.
30 10+140
31 20+130
32 40+110
33 70+80
34 120+30
35 Rice (porridge) and butter150 Complementary foods with monocomponent rice porridge
36 Corn and rice / buckwheat (porridge) with butter3+147 Prepare two types of porridge. One of the familiar cereals, the second - from corn. They can be mixed by adding a new product to a familiar one. Or give separately
37 10+140
38 20+130
39 40+110
40 70+80
41 120+30
42 Corn (porridge) and butter150 Feeding with monocomponent corn porridge

The period of introduction of cereals takes three weeks. At this time, the baby is seven and a half months old, so it is too early to introduce meat into his diet. The World Health Organization recommends that new foods from the group of vegetables and cereals be included in the newborn's complementary foods for months at this stage.

New products

DayProductgramsNote
43 Pumpkin and familiar vegetable puree with vegetable oil3 + 137 Introduced at lunchtime. For second breakfast, the baby eats cereal porridge
44 10 +130
45 20 + 110
46 40 +100
47 70 +70
48 120 + 20
49 Pumpkin (puree) with vegetable oil140

After entering the pumpkin, you can start fruit feeding. In the middle of the seventh month, it's time to introduce the baby to the apple. Pediatricians' recommendation to administer this product right now is simple. Fruits have a distinct taste that may be perceived by a child with more enthusiasm than the neutral taste of zucchini. In the future, the baby, who first tried fruits, and not vegetables, may simply refuse the latter.

The next step towards the end of the seventh month may be the introduction of a new cereal. The digestive tract of the child is ripe for acquaintance with millet porridge.

DayProductgramsNote
56 Millet and familiar cereals (porridge) with butter3 + 147 Introduced for breakfast. Prepare two types of porridge. They can be mixed, adding a new product to a familiar one, or given separately. Additionally, for breakfast, the child eats applesauce
57 10 +140
58 20 + 130
59 40 +110
60 70 +80
61 120 + 30
62 Millet (porridge) with butter150

Complementary meat

At eight months, the child's diet is four types of cereals in the form of dairy-free cereals, four vegetables and an apple. During this period, it is recommended to introduce meat into the menu, well-cooked, ground in a meat grinder twice or grated. According to the WHO recommendation, rabbit fillet should be the first meat, as the least allergenic and low-fat product.

The meat product is rarely accepted by the child immediately. You can mix it in small portions with porridge. In this case, the baby will not notice it in the minimum initial doses. When the volume increases, the taste of meat will seem already familiar to the crumbs, and he is less likely to refuse it.

Fruits serve as a source of vitamins throughout the year and stimulate the bowels. To normalize digestion after the introduction of meat, WHO experts recommend introducing prunes as the next step.

DayProductgramsNote
70 Prunes and apple (mashed)3 +57
71 8 +52
72 16 +44
73 25 + 35
74 35 +25
74 50 +10
76 60

Thus, the child forms a rich breakfast of cereals and fruits, and no less rich lunch of vegetable puree and meat.

Expansion of meat complementary foods

DayProductgramsNote
77 Turkey and rabbit (meat puree)3 +47 Introduced for breakfast in addition to porridge. Fruit puree is transferred to lunch, offered to the child after vegetable puree
78 8+42
79 15+25
80 20+30
81 30+20
82 40+10
83 50

Despite the fact that the child is already familiar with a large number of products, new ones are also used during the second breakfast in the morning. This requires periodic correction of the usual menu for breakfast and lunch, but it is necessary to notice the reaction to a new component of the diet in time if it occurs.

Expanding fruit food

The next type of fruit recommended pear. However, this is not important, you can introduce any new fruit in your area, for example, apricot, peach. Or try to feed your baby with a banana, which babies usually eat with joy.

DayProductgramsNote
84 Pear and apple (mashed)3 +57 Introduced for breakfast in addition to porridge and the familiar fruit puree. Can be mixed with apple or served separately. The baby continues to eat vegetable puree for lunch, meat puree is added to it
85 8 +52
86 16 +44
87 25 + 35
88 35 +25
89 50 +10
90 60

The first ninety days, as the table of introduction of complementary foods shows, are very intense. Do not be discouraged if you fail to “fit” into the schedule or the baby refuses to eat food in such a volume. Your task is to diversify its menu with new tastes in order to get acquainted with them. Therefore, every week there is a new product in the diet.

In the future, other types of complementary foods recommended for the age of the baby are introduced in a similar way. The new one is offered exclusively for breakfast. As fermented milk products are included in the diet, the child will have an afternoon snack, which will take fruit puree. Crackers and baby biscuits are offered throughout the day as a snack. After the introduction of fish, it is alternated in the diet with meat, not offered on the same day.

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“Have you started feeding yet?” - one of the most popular questions among mothers of children 4-7 months old.

Where did you start? How does he react? Does he like it? Is there an allergy? Are you breastfeeding less? And what, isn’t it time to give cottage cheese yet? - these are just a small part of the topics that mothers talk about on forums, on the phone, on walks and in clinics during this period.

In recent years, the complementary feeding scheme has undergone a number of changes and modern parents are forced to seek a balance between the instructions of their mothers and grandmothers of the Soviet hardening and the recommendations of modern pediatricians. And what will the WHO complementary feeding table tell us and does it exist at all?

  1. Up to 6 months, the child does not need complementary foods. He has enough breast milk. And from the age of 6 months, the baby's body is ready to accept new food, which is necessary for its full growth and development;
  2. Breastfeeding should be maintained as long as possible (up to 2 years or longer if possible), along with the introduction of complementary foods;
  3. When introducing a child to new food, be patient and consistent, do not force him to eat, be sensitive and attentive. Do not force him to eat large portions, the amount of food should correspond to the age of the baby, his size and activity;
  4. Start complementary foods with a small portion of a new product and, as the child gets used to it, gradually increase its amount;
  5. The consistency of food should gradually become firmer, and dishes should be varied;
  6. According to WHO, the amount of complementary foods during breastfeeding should gradually begin to prevail over mother's milk. By about 1.5-2 years, the number of feedings is 3-4 times a day;
  7. Take care of a balanced diet for your child with enough vitamins and minerals. Food should be varied: the menu should include vegetables, cereals, eggs, meat and fish;
  8. Increase the amount of liquid your baby drinks.

Therefore, no monthly feeding tables are included in the WHO. They are created on the basis of these recommendations and the generally accepted norms that pediatricians give.

But they are by no means a dogma, but rather reflect the most desirable and popular scheme for introducing a baby to new products.

age for feeding

In the presence of special medical indications, insufficient weight gain and being on artificial feeding, doctors may recommend the introduction of complementary foods from 4 months.

The baby's stomach is not ready for feeding.

Outwardly, everything will look decent - the child will open his mouth and eat mashed potatoes that you offer. But there will be a strong load inside, which will manifest itself as allergies, constipation or liquid stool, restless sleep baby.

Know! At 4 months, you need to find the reason why the child gains little weight and eliminate it.

Complementary feeding table: sequence and volume

What is reflected in the table, which, according to most mothers, was developed by WHO (although it has nothing to do with it)?

  • The table suggests the following sequence of introducing products: zucchini - cauliflower - broccoli - buckwheat porridge - rice - corn porridge - pumpkin - applesauce - millet porridge - rabbit meat - prunes - turkey - pear puree;
  • Further, as a rule, those not included in the table are introduced: oatmeal, carrot puree, egg yolk, cottage cheese, kefir, semolina, other fruits and meats;
  • If the portion reaches 100 g, then it is recommended to add 1 teaspoon: in vegetable purees - vegetable oil, in cereals - butter;
  • Complementary foods, according to these fictitious standards, should be started with 3 g of the product (0.5 tsp). In a week it must be brought up to 166;
  • In parallel with the introduction of a new product, the child should eat those dishes to which he is already accustomed. And the more of them in the diet, the more often you can alternate.

Important! The WHO complementary feeding scheme, if it were really compiled by health professionals, would never give such volumes for a 6-month-old baby.

The stomach of the child is not ready for such portions.

Such volumes will quickly reduce the baby's food interest and, I assure you that by 7-8 months, you will face a complete refusal of the child to eat complementary foods.

Every week I work with such mothers in individual consultations.

Why can't the table be considered universal?

Let's talk about some things again:

  1. The WHO has only general recommendations according to how complementary foods should be arranged and at what age it should be introduced;
  2. There is no current or WHO-developed complementary feeding schedule. This is the invention of a well-defined mother, who rewrote the usual pediatric complementary feeding scheme, making it more detailed, broken down by products;
  3. The introduction of complementary foods according to this scheme and with such a volume of complementary foods leads to 7-8 months. child to a complete refusal of complementary foods and violations in the field of nutrition of the child.

What other errors can be found in complementary feeding schemes?

  • There is no consideration of the individual characteristics of children;

For example, if a child has no digestive disorders and is gaining weight well, then complementary foods, as a rule, begin with vegetables. This is the most common option.

But if, on the contrary, the baby has a lack of weight, then many pediatricians recommend first introducing cereals, and only then: vegetables, meat, dairy products.

  • The norms of the volume of vegetables and cereals on the 7th day of complementary foods for each product are up to 180 grams.

This number is far from reality. Few children in 6-7 months will master this volume.

In no case do not put pressure on your baby to feed all this amount, otherwise you will create a serious load on his digestive system. It may be more effective to offer him several dishes of a smaller volume.

  • The table of sequential introduction of products is concentrated within the framework of pediatric complementary foods, according to which puree products are first given in small portions, then, as you get used to them, their number gradually increases, the consistency becomes thicker.

Until one product is brought to the desired volume, the other is not introduced.

For more than 10 years I have been teaching mothers how to introduce complementary foods according to the system of natural needs of the child. This involves familiarizing the baby with food, based on his interest in it and readiness for complementary foods.

Products are not mashed, but given in very small pieces. The child is not prepared separate dishes, but is offered what adults eat.

The introduction of complementary foods according to WHO implies the careful introduction of complementary foods, without reducing breastfeeding. It is this approach that we learn in the ABC of complementary foods course.

How is readiness to feed determined?

Allocate psychological and physiological readiness for a new meal.

  1. Psychological readiness is expressed in the fact that the baby begins to be interested in adult food, reaches out to her, wants to try;
  2. Physiological readiness is associated with the characteristics of the body and the need to expand the diet in order to obtain more nutrients.

Among these signs:

  • the child can sit independently or with minimal support (read: When the child begins to sit >>>);
  • he confidently holds his head;
  • he often asks for breasts (as if he is no longer full of milk);
  • the reflex of pushing food out with the tongue weakens;
  • The baby's weight has doubled since birth.

All signs should be considered comprehensively, especially the combination of psychological and physiological readiness.

A few more rules for the introduction of complementary foods

  1. Try to be calm, do not rush the child and do not put pressure on him. Watch him and be sure to consider his preferences. It is not so easy to get interested in food, but it is very easy to discourage the desire to eat!
  2. Track the physiological reaction of the child to each product: are there any constipation, rashes, pain in the tummy, etc. If you notice at least one of the undesirable symptoms, postpone complementary foods with the product to which the baby reacted until his condition normalizes;
  3. If the child does not want to eat some new dish, do not force him. Try to reoffer this product in 1-2 weeks;
  4. The amount of new food should be increased gradually. But you don’t need to severely limit the baby, forbid him to eat an extra spoon if he really wants and reaches for it. The interest of the child is most often an advantage over other factors.

The child has quite clear signals about what, when and how he wants to eat.

A little knowledge, skill - and you will be the best specialist in the introduction of complementary foods to your baby.

The question of how the first complementary foods are introduced to a child at a certain period is very important for every mother. Information about how the introduction of the first complementary foods of the baby takes place is very different. At the same time, information on the Internet is fundamentally different from what people of the older generation talk about.

But no matter how many recommendations a young mother receives, it is important that the first feeding of the baby is introduced as correctly as possible. That is why you need to familiarize yourself with those recommendations that allow you to get answers to the most important questions. For example, at what age can water be given to a baby, at what age can cottage cheese be given, and the like.

Every mother needs to get acquainted with this information in detail so that she can ensure that the baby is feeding, which will be introduced correctly. This, in turn, will become a guarantee that the child who lives on breastfeeding , and the artificial baby will have a properly functioning digestive system.

The first complementary foods during breastfeeding, general rules

Young mothers always have a lot of questions about how to introduce supplementary feeding correctly, whether it is necessary to give water, etc. the child does not need.

Sometimes mothers, believing that the baby is not getting enough breast milk, start supplementary feeding. mixture . However, most pediatricians, including Komarovsky think it is good to supplement developing toddlers no need. When to give the mixture in addition and whether it should be done, it is better to ask the pediatrician.

How to practice the introduction of a new product, each mother will be helped to understand the table or scheme for the introduction of complementary foods during breastfeeding. In such a table, it is clearly indicated when to introduce complementary foods during breastfeeding by months, and which foods should be given at certain times.

However, the beginning of the process of introducing complementary foods raises many questions about how and when to start giving a certain food to a child. For example, is the “right” food to start complementary foods cauliflower or corn porridge is it possible to give prunes a six-month-old baby, when to give water to a newborn, etc.

Ideally, every mother should not only study literature, but also regularly consult with a pediatrician. It is he who will clearly answer the questions about whether pumpkin is possible with HB, whether broccoli is possible, etc., and will also correct the complementary feeding scheme that you intend to practice.

When to introduce complementary foods to the baby?

Nevertheless, all the questions that worry a young mother about how many months a child can be fed, and what exactly it should be started to feed, should first of all be asked to the pediatrician.

Indeed, in recent years, the approach to how much to start feeding a baby, where to start better, has changed significantly. And if modern grandmothers for the most part really hold the opinion that, for example, porridge for a baby at three months or cottage cheese for a child of 4 months, this is normal, then doctors think otherwise.

All scientific studies conducted by modern scientists and physicians confirm that the answer to the question of at what age you can feed a baby is as follows: if exclusively breastfeeding is practiced, then feeding a child should be started no earlier than in 6 months . Similar are the recommendations on how many months you can feed a child who grows on artificial feeding : These children are introduced to complementary foods a month earlier, but it is also quite acceptable to start acquaintance with "adult" food from 6 months.

It is very important to take into account all the nuances: what, when, how much to give the baby. If the baby's age is approaching six months, you should ask the doctor all the relevant questions: when to give the yolk, introduce potatoes. It is equally important to know when to introduce meat to the baby, and what meat to start with. In order to properly conduct the process of introducing complementary foods and learn all about its features, parents are also recommended to study special modern literature.

Why should complementary foods not be introduced earlier?

Parents who seek to take into account all the important rules for the introduction of complementary foods should understand that for infants under 6 months, any food other than breast milk or artificial formula is not only not healthy, but also harmful.

The introduction of complementary foods to the baby is not carried out earlier, since the baby does not have the necessary enzymes to digest new foods. Therefore, if the rules are broken and the baby gets a certain food earlier (even if it is pumpkin or other “light” foods), it will not be absorbed and will not bring benefits to the body. And if food is not digested, then inevitable, moreover, even small amounts of any food will create a load. That is why the procedure for introducing complementary foods according to Komarovsky, as well as on the recommendations of other specialists, provides for a certain sequence of introducing vegetables and other products.

When and how to start correctly depends on what the baby eats. First meal at artificial feeding introduced a little earlier due to the fact that the enzyme systems in such children mature a little earlier. There is a special table for the introduction of complementary foods during artificial feeding, which can greatly facilitate the introduction of new food. However, there are certain general recommendations not only about when to start, but also how to properly introduce: the introduction scheme provides that any new food is given to the child in an amount of 5 g daily. Gradually, the volume of food increases, as a rule, every day, throughout the week, and eventually brought to 100 or 150 g.

Introduce complementary foods at mixed feeding expediently in the same way as with artificial - approximately with five months . The correct introduction with mixed feeding provides that initially the child is given one of the types of vegetables and within 1-2 weeks every day the number of grams of supplementary feeding is increased.

There is a special feeding table for infants who are on breastfeeding, artificial or mixed feeding . It assumes a special scheme for the introduction of complementary foods, there is information on where to start, etc. Similar schemes for how supplementary feeding occurs are offered by Dr. Komarovsky and other specialists.

Table of supplementary feeding of children who are breastfed and artificially fed

Modern table of introduction of complementary foods according to WHO (according to the age of the baby)

Baby's age 6 7 8 9 10 11 12
Fruit puree < 30 мл < 50 мл < 60 мл < 70 мл < 90 мл < 100 мл 100 ml
vegetable puree < 30 г < 50 г < 60 г < 70 г < 90 г < 100 г
Kashi < 100 г < 150 г 150 g < 180 г < 200 г 200 g
Fruit juices < 30 г < 50 г < 60 г < 70 г < 90 г < 100 г
Vegetable oil < 3 г 3 g 3 g 5 g 5 g 6 g
Cottage cheese < 30 г < 40 г < 50 г 50 g < 80 г
wheat bread < 5 г 5 g 5 g < 10 г 10 g
Cookies, croutons < 5 г 5 g 5 g < 10 г 10 g
Butter up to 4 g 4 g 4 g 5 g 5 g
egg yolk 1/4 1/2 1/2 1/2
Meat puree up to 30 g 50 g up to 70 g up to 80 g
Kefir 100 ml up to 150 ml up to 200 ml
Fish puree up to 30 g up to 60 g up to 80 g

How to introduce complementary foods by month

Each modern table of complementary foods for months provides that the child receives additional feeding from 6 months . However, many families still practice early introduction of complementary foods, believing that the nutritional norm for a newborn implies more abundant nutrition than exclusive breastfeeding.

In some sources, which describe the introduction of complementary foods by months, it is noted that complementary foods should be included in the menu of a child up to a year old, focusing on the following indicators:

  • compared with the initial weight at birth, the weight of the baby has become twice as much;
  • the child sits independently;
  • the child's feeding regimen is changing: the baby is asking for breasts more and more often;
  • the development of a child under 1 year old is very active: he is already interested in what lies in the plates of adults;
  • the baby does not push pieces of food out of the mouth.

Nutritional standards also take into account the fact that the introduction of complementary foods should be started at a time when the baby will not receive any food in the near future. vaccinations .

When new mothers are just starting to study monthly, they often assume that when breastfeeding, they should start feeding their baby with fruit juice. But both the studies of specialists and the table of complementary foods for children up to a year indicate something else: juice can provoke not only digestive problems, but also a manifestation allergies , as well as the set excess weight due to the high sugar content in fruit juices . Therefore, the menu for the months should be scheduled differently.

Also, the mother should take into account the norm of food for the newborn. Complementary foods should be started with very small portions, and sometimes it takes up to a month until the baby is fully accustomed to a certain type of food.

If the child does not feel well, becomes restless, before introducing complementary foods, it is worth doing blood tests, determining the norm in newborns, etc.

Should we introduce complementary foods at 3 months?

Not every modern table provides for complementary foods at 3 months of breastfeeding, since, according to most pediatricians, it is quite enough for a baby at this age to breastfeed regularly. Normally, in the fourth month, the baby receives approximately 200 g of milk at each feeding, eating 5 times a day.

Those who nevertheless decide to practice complementary foods at 3 months on artificial feeding must strictly consider what a child of this age can do.

It is recommended to start complementary foods with small piece of yolk to be given before breastfeeding. After one week, the child should eat half the yolk a day. What else you can feed such a small child also depends on the recommendations of the pediatrician. But most doctors still recommend waiting at least 2-3 months for complementary foods.

What kind of complementary foods at 4 months to give the baby?

Those mothers for whom the main feeding table is still not a direct recommendation are often interested in how to introduce complementary foods at 4 months correctly.

Generally complementary foods start at 4 months of age. artificial feeding .

First experience" - chicken egg yolk how to give it is described above. To properly feed the baby further, you can gradually introduce the next product.

For example, some experts recommend gradually introducing cottage cheese starting with half a teaspoon. But still, ideally, the complementary feeding scheme at this age should be approved by a specialist. Therefore, you should talk to the district pediatrician about what kind of complementary foods from 4 months while breastfeeding. It is imperative to take into account individual recommendations on how to properly start complementary foods at this age, since the condition of the digestive tract and the health of the baby as a whole depends on this in the coming months, when you expand his diet, leading porridge, potatoes and other foods.

What kind of complementary foods to give a child at 5 months?

How to properly introduce complementary foods to a baby at 5 months depends on many factors. First of all, on what kind of feeding, breastfeeding, artificial or mixed, the child is. Children who are breastfed at 5 months may not be supplemented for some time. But many mothers, believing that the child has too little weight for his age, are actively interested in what to feed, what to give the baby to eat.

Every mother who is interested in how to feed a child at this age should take into account that a child at 5 months should receive complementary foods, starting with the smallest amount of new food. The daily scheme suggests that initially the baby should be given half a teaspoon of a new product ( yolk , vegetable puree and etc.). Only after the baby gets used to a certain food, you can begin to give him a different product. Accordingly, if at five months the child begins to try a certain product, then at 5.5 months he can already eat several products every day, which will be introduced into his menu by this time.

At five months, the formula-fed menu for a baby can be the same as for breastfeeding, with the difference that new foods are introduced into the baby's diet a little earlier.

How to introduce complementary foods at 6 months?

If a mother begins to introduce complementary foods at 6 months while breastfeeding, as suggested by the modern feeding table and pediatrician advice, it is important to gradually introduce each new product into the menu.

As a rule, the first to be introduced into the diet of children at six months vegetables . However, children who are recorded as very low weight for their age, it is advisable to give porridge . What kind of cereals can be given to such a baby, you can ask the doctor. Mainly rice, buckwheat porridge .

The feeding scheme from 6 months by day is as follows: initially, the baby needs to be introduced into the diet vegetable puree The best time to do this is at lunchtime. What can you eat for a child who is being fed with vegetables? Experts recommend initially giving the baby zucchini, followed by broccoli, cauliflower, carrots, pumpkin. Vegetables are one of the foods that kids are least likely to be allergic to. However, the baby's menu with artificial feeding suggests that a 6-month-old baby eats vegetables such as pumpkin and carrots no more than 2-3 times a week.

At 6 months they start giving such puree from a small dose - initially the baby should eat 1 teaspoon of the dish, then the dose should be gradually increased.

If artificial feeding was initially practiced, and the development of the child, according to the pediatrician, does not deviate from the norm, already during this period you can gradually begin to mix vegetable purees. However, such a vegetable mix can be given to the baby only after he has tried mashed potatoes from one type of vegetable, and he does not show up on him. allergic reaction .

A new type of food is given to the baby only on an empty stomach, so that you can clearly determine how the baby reacts to such food. For example, if the mother is just starting to give the yolk to the child, you need to wait with vegetables.

In many ways, where to start the first complementary foods at this age also depends on the preferences of the parents. So, mom can cook mashed broccoli and other vegetables on her own. Having decided which vegetables to start with, you need to take the vegetables, rinse them well under running water and peel them from the seeds and peel. Then they are cut and put in a double boiler or pan. Cooked vegetables (it is better to cook them on mashed potatoes for a couple) are crushed with a blender, after adding water or vegetable broth. As a result, it is necessary to prepare a puree similar in consistency to kefir. An older baby can be fed with a thicker puree, but during this period, as a rule, he already eats cereals and other foods.

Such food should not be stored - the norm of complementary foods provides that the baby receives only freshly prepared food. By the way, salt, spices, sugar are not added to the puree.

The diet of a child at 6 months provides that it is too early for mom to think about the questions of what kind of fish or what meat to start complementary foods with.

Approximate schedule for the introduction of vegetable complementary foods

days Scheme
First 5 g zucchini puree, then supplement with breast milk or formula
Second 10 g zucchini puree, then supplement with breast milk or formula
Third 20 g zucchini puree, then supplement with breast milk or formula
Fourth 40 g zucchini puree, then supplement with breast milk or formula
Fifth 80 g zucchini puree, then supplement with breast milk or formula
Sixth 120 g zucchini puree, then supplement with breast milk or formula
Seventh 150 g zucchini puree, then supplement with breast milk or formula
Eighth 5 g of mashed cauliflower can be added with zucchini, if not allergic to it.
Ninth 10 g cauliflower puree, after which the pattern is repeated every day, as with zucchini puree

When to give a child mashed potatoes , depends on what vegetables you have already introduced before this period of his life. As a rule, potatoes are introduced a little later.

If the child does not eat the entire portion, then the amount of supplementary food is too much for him. The kid refuses, which means that you don’t need to force him, since eating habits are formed already in the first year of his life.

How to introduce complementary foods at 7 months?

The age of seven months is the period when cereals should appear on the baby's menu. What cereals can be administered first, mom can ask the pediatrician. But it is important that gluten-free and dairy-free cereals are gradually introduced to a child of 7 months.

Goat's and cow's milk, as well as milk porridge, are administered after the child reaches one year. Doctors, advising that the child should eat, say that the baby should not eat milk porridge because they have a negative effect on gastrointestinal mucosa and increase the risk of gastrointestinal disease.

If it is difficult to introduce porridge into the diet, since the child refuses to eat porridge without milk, you can add breast milk or formula to the porridge. Because gluten harmful to a child under one year old, because it provokes celiac disease (pathology of the large intestine), a 7-month-old child's nutrition table suggests that he can be given gluten-free cereals - rice, buckwheat, corn.

When compiling a menu for breastfeeding or formulating a child’s nutrition at 7 months on artificial feeding, it should be noted that cereals can be prepared independently or you can enter ready-made cereals into the menu, which can be purchased at a specialized store. It is very easy to make this porridge - you just need to add a little water. What can you give a baby to eat at 7 months yet, the doctor will tell you. But no matter what food the mother introduces, it is necessary to clearly monitor how the body of a seven-month-old baby perceives it: whether an allergy manifests itself, whether the growth and development of the baby is normal. If the product is poorly absorbed, the stool may change, an allergy may appear. It should be taken into account that allergic manifestations can appear not only in the first time after the introduction of a new product, but also after its volume has been significantly increased. Therefore, a new product should be introduced gradually, for a week or two, observing how the child behaves.

What to feed a baby at 8 months?

The menu of a child of 8 months can already be very diverse, since the first complementary foods have already been introduced, and growth and development continue very actively.

During this period, the diet appears meat complementary foods , mashed potatoes . Potatoes are introduced during this period, since when it is taken, the risk of allergies is high. Therefore, even at eight months, this product should be introduced gradually and very carefully, starting with 5 g and bringing its amount to 50 g during the week. In this case, the basis of vegetable puree should not be potatoes, but other vegetables.

If it has not yet been introduced yolk Now is the time to introduce your child to this product. For this purpose it is better to use quail egg . Nutrition at this age provides that the yolk is given to the baby twice a week. It should be noted that you can give the child to eat the yolk in the morning, rubbing it with breast milk or adding it to porridge. Complementary foods at 8 months breastfed and formula-fed menus suggest the gradual introduction of meats that are considered the least allergenic.

It is recommended to drive initially turkey , rabbit meat . These types of meat need to be changed periodically, and later the baby is given veal . It should be noted that the baby should eat meat for lunch, along with vegetable puree. You need to start with 5 g, and the norm for a child at 8-9 months is 50 g of meat per day. Often the child does not want to eat meat in pure form, in this case, you can give it in a mixed puree - with vegetables.

Can cook meatballs made from pure fresh minced meat , freeze them, after boiling them in boiling water. Minced meat balls can be boiled together with vegetables and mashed with a blender. How much meat to give depends on whether the baby is used to it.

What to feed a baby at 9 months?

The list of what a baby can eat at 9 months is wider. First of all, the list of types of meat has been expanded: at this age, the baby is recommended to eat beef , lamb , chicken .

For those who ask at what age liver can be given, it should be borne in mind that pork, including liver, is not recommended for children under one and a half years old.

Meanwhile, the menu of a 9-month-old baby during breastfeeding, as well as the menu for artificial feeding, should gradually expand due to the introduction of fermented milk products. In particular, you can start such complementary foods with cottage cheese , which is administered very slowly, starting with very small portions - no more than a teaspoon. It is best to use special cottage cheese for children for this purpose, and you should not add sugar or fruit to it.

When to give kefir , depends on how quickly the child will like cottage cheese. Initially, a child at 9 months old with HS is enough for 30 g of cottage cheese per day. As a rule, it is better to give cottage cheese and kefir before dinner. Children sometimes refuse to drink kefir. In this case, it is better to postpone the introduction of this product: while the baby has enough other dishes, because his menu is already quite diverse.

The answer to the question of what cereals can be given to a child at 9 months is already known: gluten-free.

What to feed a child at 10 months and later?

You can diversify the children's menu at 10 months desserts . It is advisable to gradually start giving the baby fruits And fruit juice . First of all, you should give those fruits that grow on our territory - pears, apples, prunes and fruit puree from them. Fruits are given to the child as a snack, about 100 g per day. Later, other fruits can be used - banana, kiwi, orange. There is no need to introduce fruits before, because in breast milk, and also in the composition of the mixture there is everything the baby needs vitamins .

Gradually, other desserts appear on the menu - cookies, crackers, etc. Doctors warn that the baby should not drink fruit juices, which are sold in bags in stores, as they are not useful for babies.

At 11 months, you can introduce other desserts, because the menu of an 11-month-old baby with breastfeeding is already quite diverse. At this time, mothers often have questions about this or that food: when can you give pasta, at what age can you give a liver, is it possible to dry, when should you cook soup for a child, etc. You need to be guided, first of all, by tables where an approximate complementary feeding calendar, as well as doctor's recommendations.

From what age nibbler you can give the baby, and whether he needs this device, the mother herself decides.

What to drink to an infant?

After the baby is introduced to complementary foods, he needs additional liquid. How much water a baby should be given per day depends on several factors. First of all, on the temperature: if the day is not hot, the child drinks 100-200 ml of liquid. On hotter days, the baby drinks more. Also, if you have to treat cold if the baby heat , drink the child should be given in large quantities. It is better to give liquid to a baby from a cup in order to teach him to drink correctly.

From the age of seven months, babies can be given children's tea , which includes various herbs, as well as dried fruit compotes .

Practicing breastfeeding, a woman must also adhere to the correct regimen of drinking and eating. There is a special nutrition table for a nursing mother by months, which will help answer the most pressing questions. But there are also general recommendations aimed at ensuring that the baby who is on breastfeeding feels good. For example, instead of coffee while breastfeeding, it is better for a nursing mother to consume chicory.

What problems are possible with the introduction of complementary foods?

During the introduction of complementary foods, the following problems can most often be noted:

  • the baby refuses to eat the offered complementary foods;
  • manifestation of problems with the stool ( diarrhea , problems with the gastrointestinal tract due to the fact that food is not digested);
  • allergic manifestations me (allergic to zucchini, allergic to broccoli, raw carrots, etc.).

Due to the manifestation of such problems, the baby becomes restless, constantly cries, sleeps poorly. It is important to understand which product provoked such a reaction. It must be immediately removed from the diet of the child. So, if an allergy to pumpkin in a baby or an allergy to oatmeal is manifested, it is better to simply replace these dishes with others. It is possible to re-introduce products that provoked an allergy no earlier than after 2 months. This is what the pediatrician advises. Komarovsky and other doctors. Moreover, the introduction of such a product should be carried out as slowly and gradually as for the first time and at the same time monitor the condition of the child.

If the child does not eat meat or other types of complementary foods, you need to temporarily abandon this product.

Food in jars

Those mothers for whom the question of how to properly introduce complementary foods to a child is very important often need an answer to the question of which food is better - canned or homemade products (cereals, cottage cheese, kefir, etc.).

Doctors believe that canned food is one option for introducing supplementary foods. At the same time, it is very important to give the child only high-quality products, and also to make sure that the expiration date of such baby food does not expire. Preferably absent and palm olein in baby food.

When giving canned food to a child, one should follow the same rules as with "home" complementary foods. If the baby receives additional formula while breastfeeding, complementary foods can be started a month earlier.

It is necessary to introduce the second vegetable only after the baby gets used to the first vegetable puree.

Before introducing porridge, how to introduce meat into complementary foods for a child, fish, etc., you need to make sure that the child’s body perceives well those products that have already been introduced. In parallel with canned food, other products are also introduced into complementary foods. For example, the yolk is introduced into complementary foods after the child already perceives several types of vegetable purees, etc.

What not to give to babies

Moms who often bombard doctors with questions about when to give their baby liver when to give kefir and other products, they must remember what kind of food it is undesirable to introduce girls and boys in the first year of life:

  • juices - they are not recommended to be given even to children after 1 year, as they irritate the mucous membrane and do not benefit the child's body;
  • semolina , as well as other cereals with gluten ;
  • Butter Cookies , sweets ;
  • goat milk And cow ;
  • Exotic fruits .

Basic rules of complementary feeding - conclusions

So, if we summarize all the information, we can deduce a few very important rules which must be considered by all parents of young children who strive to raise them healthy.



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