The best time to begin using a spoon to feed your child is when your baby can sit with some support and move his head to participate in the feeding process. This time is usually between 4 and 6 months of age. Breast milk and commercial formulas meet all of your baby's nutritional needs until 4 to 6 months of age. Introducing strained foods earlier just makes feeding more complicated. Research has shown that in most cases solid foods won't help your baby sleep through the night. The only exceptions are those few breast-fed babies who are not getting enough calories or gaining enough weight.
The American Academy of Pediatrics recommendation is to exclusively breastfeed for a minimum of 4 months but to try to wait until 6 months. For formula fed infants, it’s fine to start baby foods at 4 months.
Cereals are usually the first solid food added to your baby's diet. Babies who are only getting breast milk and no other solids can develop an iron deficiency. This is prevented by starting cereal at 6 months. Most baby cereals are iron-fortified.
Mix the cereal with breast milk or formula. The cereal mixture needs to be a semi-liquid. It can be mixed a little thicker as your baby becomes better at swallowing it.
Cereals should be fed with a small spoon and should not be given in the baby's bottle. This is because an infant should be taught to differentiate between what he eats and what he drinks.
Start with rice cereal. Barley and oatmeal may be tried 2 or 3 weeks later. A mixed cereal should be added to your baby's diet only after each kind of cereal in the mixed cereal has been separately introduced.
Strained or pureed vegetables and fruits are the next solid foods introduced to your baby. The order in which you add vegetables and fruits to your baby's diet is not important. However, you should introduce only one new food at a time and no more than 3 new foods per week.
Next give strained or pureed meats and protein alternatives (such as beans, peas, lentils, cottage cheese, and yogurt). These solids will add to your infant’s iron intake.
Between 8 and 12 months of age, introduce your baby to mashed table foods or junior foods (also called stage 3 foods). If you make your own baby foods in a baby-food grinder or electric blender, be sure to add enough water to get a consistency that your baby can easily swallow. For individual portions, pour these homemade baby foods into ice cube trays, freeze them, then remove them and store them in plastic freezer bags.
Start with a few small spoonfuls. At first your baby may just want a taste. Then gradually work up to larger portions. A good rule of thumb during the first year of life is 2 to 4 tablespoons (1 to 2 ounces) of each kind of food per meal. If your child is still hungry after finishing that amount, serve her more.
Never give your child honey during the first year of life because it can cause infant botulism. Never give any baby foods before 4 months of age. The advice for preventing food allergies has changed (2009). Recent studies have shown that delaying the introduction of high risk foods (such as eggs, fish or peanut butter) does not reduce the risk of becoming allergic to that food. Some studies have even shown that early introduction of high risk foods before a year of age actually reduces the rate of food allergies.
Place food on the middle of the tongue. If you place it in front, your child will probably push it back at you. Some infants get off to a better start if you place the spoon between their lips and let them suck off the food.
Some children constantly bat at the spoon or try to hold it while you are trying to feed them. These children need to be distracted with finger foods or given another spoon to hold.
By the time they are 1 year old, most children want to try to feed themselves and can do so with finger foods. By 15 to 18 months of age, most children can feed themselves with a spoon and no longer need a parent's help to eat.
Finger foods are small, bite-size pieces of soft foods. They can be introduced between 9 and 10 months of age or whenever your child develops a pincer grip (the ability to pick objects up between the thumb and first finger).
Most babies love to feed themselves. Since most babies will not be able to feed themselves with a spoon until 15 months of age, finger foods keep them actively involved in the feeding process.
Good finger foods are dry cereals (Cheerios, Rice Krispies, etc.), slices of cheese, pieces of scrambled eggs, slices of canned fruit (peaches, pears, or pineapple), slices of soft fresh fruits (especially bananas), crackers, cookies, and breads.
Once your baby goes to 3 meals a day, or eats at 5-hour intervals, he may need small snacks to tide him over between meals. Most babies begin this pattern between 6 and 9 months of age. The midmorning and midafternoon snack should be a nutritious, nonmilk food. Fruits and dry cereals are recommended. If your child is not hungry at mealtime, cut back on the snacks or eliminate them.
Your child should be eating the same meals you eat by approximately 1 year of age. This assumes that your diet is well balanced and that you carefully dice any foods that would be difficult for your baby to chew. Avoid foods that he could choke on such as raw carrots, candy, peanuts or other nuts, and popcorn.
Throughout our lives we need iron in our diet to prevent anemia. Certain foods are especially good sources of iron. Red meats, fish, and poultry are best. Some young children will only eat lunch meats, and the low-fat ones are fine. Adequate iron is also found in iron-enriched cereals, beans of all types, egg yolks, peanut butter, raisins, prune juice, sweet potatoes, and spinach.
If your child is between 2 weeks and 12 months old and you are breast-feeding, you will need to give your child a vitamin D supplement, starting at 2 weeks of age. Formula fed infants get all the vitamins they need from the formula. After your child is 1 year old and is eating a balanced diet, added vitamins are not necessary. If your child is a picky eater, give him 1 chewable vitamin pill at least twice a week.