Infant
Nutrition
Two
Months
Your baby will get all of his
nutrition from breast milk or
an iron fortified infant formula
until he is four to six months
old. There is no need to supplement
with water, juice or cereal
at this time. He should now
be on a more predictable schedule
and will probably be nursing
or drinking 5-6 ounces of formula
every 3-4 hours.
Feeding practices to avoid are
putting the bottle in bed or
propping the bottle while feeding,
putting cereal in the bottle,
feeding honey, introducing solids
before 4-6 months, or heating
bottles in the microwave.
Also, avoid the use of low iron
formulas, which are nutritionally
inadequate to meet the needs
of a growing infant. These types
of infant formula do not contain
enough iron and will put your
child at risk for developing
iron deficiency anemia (which
has been strongly associated
with poor growth and development
and with learning disabilities).
Iron fortified formulas do not
cause colic, constipation or
reflux and you should not switch
to a low iron formula if your
baby has one of these problems
Four Months
At this age, breast milk or
formula is the only food that
your baby needs and he should
be taking 5-6 ounces 4-6 times
each day (24-32 ounces), but
you can start to familiarize
your baby with the feel of a
spoon and introduce solid baby
foods.
Cereal is the first solid you
should give your baby and you
can mix it with breast milk,
formula or water and feed it
to your baby with a spoon (not
in a bottle). Start by feeding
one tablespoon of an iron-fortified
Rice cereal at one feeding and
then slowly increase the amount
to 3-4 tablespoons one or two
times each day. This is a very
important source of iron for
your growing infant (especially
if you are breastfeeding). You
can then start with vegetables
at about six months of age.
Your baby will probably have
given up middle of the night
feedings by this age. If not,
slowly reduce how much you are
putting in the bottle each night
and gradually stop this feeding
all together.
Feeding practices to avoid are
putting the bottle in bed or
propping the bottle while feeding,
putting cereal in the bottle,
feeding honey, using a low-iron
formula or heating bottles in
the microwave.
Six Months
While continuing to give 4-5
feedings of breast milk or formula
(24-32 ounces) and 4 or more
tablespoons of iron fortified
cereal each day, you can now
start to give well-cooked, strained,
or mashed vegetables or commercially
prepared baby foods. Start with
one tablespoon of a mild tasting
vegetable, such as green beans,
peas, squash or carrots and
gradually increase to 4-5 tablespoons
one or two times each day.
Start fruits about a month after
starting vegetables and again,
gradually increase to 4-5 tablespoons
one or two times each day. You
can use peeled, cooked, or canned
fruits (but only those packed
in light syrup or water) that
have been blenderized or strained.
You can also begin to offer
4-6 ounces of 100% fruit juices.
Start by mixing one part juice
with two parts of water and
offer it in a cup only. Delay
giving finger foods or meat
and other protein foods until
infants are eight to nine months
old.
To avoid having to supplement
with fluoride, prepare powdered/concentrated
formula with fluorinated tap
water. If you are using ready-to-feed
formula, or bottled or filtered
water only, then your baby may
need fluoride supplements.
Your baby will probably have
given up middle of the night
feedings by this age. If not,
slowly reduce how much you are
putting in the bottle each night
and gradually stop this feeding
all together.
Feeding practices to avoid are
putting the bottle in bed or
propping the bottle while feeding,
putting cereal in the bottle,
feeding honey, using a low-iron
formula, offering juice in a
bottle or heating bottles in
the microwave.
Nine Months
While
continuing to give 3-4 feedings
of breast milk or formula (24-32
ounces) and 4 or more tablespoons
of cereal, vegetables and fruit
one or two times each day, you
can now start to give more protein
containing foods. These include
well-cooked, strained or ground
plain meats (chicken, beef,
turkey, veal, lamb, boneless
fish, or liver), mild cheese,
peanutbutter, or egg yolks (no
egg whites as there is a high
chance of allergic reactions
in infants less than 12 months
old). If using commercially
prepared jars of baby food,
do not use vegetables with meat
as they have little meat and
less protein and iron than jars
with plain meat. Start with
1-2 tablespoons and increase
to 3-4 tablespoons once each
day. If your baby doesn't seem
to like to eat plain meat, then
you can mix it with a vegetable
that they already like as you
offer it.
You should start to offer soft
table foods and finger foods
at this age. Give soft, bite-size
pieces of food, such as soft
fruit and vegetable pieces,
pastas, graham or saltine crackers,
and dry cheerios, but do not
give these foods if the child
is going to be unattended in
case of choking. Over the next
three months your baby's diet
will begin to resemble that
of the rest of the families,
with 3 meals and 2 snacks each
day. You can also give4-6 ounces
of 100% fruit juice in a cup.
To avoid having to supplement
with fluoride, prepare powdered/concentrated
formula with fluorinated tap
water. If you are using ready-to-feed
formula, or bottled or filtered
water only, then your baby may
need fluoride supplements.
Your baby will probably have
given up middle of the night
feedings by this age. If not,
slowly reduce how much you are
putting in the bottle each night
and gradually stop this feeding
all together.
Feeding practices to avoid are
changing to regular milk before
your child is twelve months
old, putting the bottle in bed
or propping the bottle while
feeding, feeding honey, using
a low-iron formula, offering
juice in a bottle or heating
bottles in the microwave.
Twelve Months
You may now give your baby homogenized
whole cow's milk. Do not use
2%, low fat, or skim milk until
your child is 2-3 years old.
Your baby's diet will begin
to resemble that of the rest
of the families, with 3 meals
and 2 snacks each day. You should
limit milk and dairy products
to about 16-24 oz each day (in
a cup or bottle) and juice to
4-6 oz each day (offered in
a cup only) and offer a variety
of foods to encourage good eating
habits later.
Your child should want to feed
himself with his fingers and
a spoon or fork and should be
able to drink out of a cup.
The next few months will be
time to stop using a bottle.
Remember that your baby's appetite
may decrease and become pickier
over the next few years as his
growth rate slows. Your baby
will probably have given up
middle of the night feedings
by this age. If not, slowly
reduce how much you are putting
in the bottle each night and
gradually stop this feeding
all together.
To avoid having to supplement
with fluoride, use fluorinated
tap water. If you are using
bottled or filtered water only,
then your child may need fluoride
supplements (check with the
manufacturer for your water's
fluoride levels).
Feeding practices to avoid are
giving large amounts of sweet
deserts, soft drinks, fruit-flavored
drinks, sugarcoated cereals,
chips or candy, as they have
little nutritional value. Also
avoid giving foods that your
child can choke on, such as
raw carrots, peanuts, whole
grapes, tough meats, popcorn,
chewing gum or hard candy.