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Dr. Randal FEdoruk

I am a pediatric occupational therapist.  I have worked with children in various settings for over twenty years.  I am a professor and I teach pediatrics and mentor Doctoral students completing research with a pediatric focus.  

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When to introduce solid foods

1/21/2024

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Introducing solid foods to a baby is an exciting and important milestone in their development. The American Academy of Pediatrics (AAP) recommends introducing solid foods around 6 months of age, as this is when most babies are developmentally ready. However, every baby is unique, and it's crucial to watch for signs of readiness before starting solids. Here's a step-by-step guide on how and when to introduce solid foods to your baby:
Signs of Readiness:
  1. Head Control:
    • Your baby should be able to hold their head steady and sit upright with support.
  2. Loss of Tongue Thrust Reflex:
    • Babies typically have a natural reflex that pushes food out of their mouths with their tongues. When this reflex diminishes, it's a sign that they may be ready for solids.
  3. Interest in Food:
    • If your baby shows interest in what you're eating, reaches for food, or opens their mouth when you offer a spoon, they may be ready for solids.
  4. Ability to Chew:
    • Your baby should have the ability to move food to the back of their mouth and swallow.
Step-by-Step Guide:
  1. Start with Single-Ingredient Purees:
    • Begin with single-ingredient, iron-rich purees such as rice cereal, oatmeal, or pureed fruits and vegetables. Start with a small amount (a teaspoon or so) and gradually increase.
  2. Introduce New Foods One at a Time:
    • Wait a few days before introducing a new food. This helps you identify any potential allergies or sensitivities.
  3. Gradual Texture Progression:
    • Progress from smooth purees to mashed, lumpy textures as your baby becomes more accustomed to eating. This helps develop their chewing and swallowing skills.
  4. Offer Iron-Rich Foods:
    • Iron is essential for a baby's development. Introduce iron-rich foods such as pureed meats, poultry, and iron-fortified cereals.
  5. Include a Variety of Foods:
    • Introduce a variety of fruits, vegetables, grains, and proteins to provide a well-rounded diet and expose your baby to different flavors and textures.
  6. Responsive Feeding:
    • Pay attention to your baby's hunger and fullness cues. Let them guide how much they eat during each feeding.
  7. Use a Soft Spoon:
    • Choose a soft, rubber-tipped spoon for feeding to protect your baby's gums and emerging teeth.
  8. Gradual Transition to Finger Foods:
    • As your baby becomes more adept at eating, introduce soft finger foods such as small pieces of ripe fruits, cooked vegetables, and soft cheeses.
  9. Avoid Certain Foods:
    • Avoid introducing honey before the age of one due to the risk of botulism. Also, avoid foods that are choking hazards, such as whole grapes, nuts, and hard candies.
  10. Stay Patient and Responsive:
    • It may take time for your baby to adjust to eating solid foods. Be patient and responsive to their cues, and make mealtimes a positive and enjoyable experience.
  11. Continue Breastfeeding or Formula Feeding:
    • Solid foods are complementary to breast milk or formula until at least the age of 1. Continue breastfeeding or formula feeding alongside the introduction of solids.
Always consult with your pediatrician before introducing solid foods to ensure that your baby is developmentally ready and to address any specific concerns or recommendations based on your baby's health and individual needs.
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