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Starting Solid Foods

Month 4, Week 2

The first time your baby tries solid foods is a big deal! Get the camera and camcorder to record her expressions and reactions.

To prepare:

  • Pick a time when your baby is happy and not too hungry, overtired or cranky. Make sure you’re not rushed, so that you can enjoy the experience.
  • Choose one food to introduce first. Feed that to her for a few days before introducing the next new food, to check for possible allergic reactions.
  • If you note diarrhea, rashes, or vomiting after introducing a new food, stop offering it and consult your pediatrician.
  • If you offer cereal, make sure it’s one made specifically for babies; they’re fortified with specific nutrients babies need at this age. Don’t just give her your oatmeal!

Your Baby's Development This Week

By now, your baby may be showing a lot of interest in the food that you’re eating! The American Academy of Pediatrics recommends breastfeeding exclusively for at least six months, and notes that most babies are ready to start solid foods between four and six months.

Here are some signs that your baby is ready:

  • She loses the tongue-thrust reflex that pushes the spoon back out of her mouth.
  • She’s interested in what you’re eating -- making “ooh” sounds as she watches you eat, or trying to grab your fork or slice of bread.
  • She can sit up with good head control in the high chair, although she still needs the support of her body.
  • She can draw in her lower lip to take food from a spoon.

You might wonder about:

  • What kinds of foods to introduce first. Single-grain cereals, such as rice, are common first foods, but you don’t have to start with these. You can try purees of any healthy food, including vegetables or fruits.
  • Should you start out with vegetables so your baby learns to like them? There’s no evidence to support this. Babies have a natural preference for sweets and the order you introduce foods doesn’t change that.
  • How long to continue breastfeeding. Even after you start solids, breast milk or formula are your baby’s primary source of nutrition for her first year. Keep breastfeeding for at least a year if you can.
  • Can I just add the solids to the bottle? It's an important part of your baby’s development to learn how to eat from a spoon and to join in family meal time.  If your baby has been diagnosed with reflux, your pediatrician may have you add cereal to the bottle.
  • Is your baby getting enough nutrients? If your baby is exclusively breastfeeding, you will need to supplement her with 400IU of vitamin D daily during that time. Check with your pediatrician. 

Month 4, Week 2 Tips

  • Don’t wait too long to start solid foods. While it is acceptable to exclusively nurse for 6 months, babies older than six months may be more set in their ways and reluctant to take to new foods.
  • Not all medications are safe to take while you are breastfeeding. Check with your pediatrician or call poison control to check on anything you're taking, with or without a prescription.
  • Your baby will add about 1 to 1.5 pounds per month and grow about 2-3 inches in length over the next 3 months.
  • If your baby seems insatiably hungry or has little appetite at all, check with your pediatrician.
  • Teething may cause a low-grade fever or irritability, but a fever over 101 degrees Fahrenheit probably means an illness other than teething. See your doctor.
  • Keep encouraging your baby's development with conversation, brightly colored toys, and interaction.
  • Remember: While you’re breastfeeding, skip the alcohol. Experts advise not drinking if you’re breastfeeding. Questions? Ask your pediatrician.

WebMD Medical Reference

Reviewed by Renee A. Alli, MD on September 15, 2013

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