Monday, November 26, 2007

Starting Solids

Initially, solid food should be offered after the breast or bottle feed, as milk is still the major source of nourishment.

Alternatively, offer half the milk feed, then solid food. This will take the edge off baby's hunger, but he will still be interested in what you have to offer and will be more relaxed and settled. Finish with the remainder of the familiar milk feed.

Traditionally, the first food to be offered is rice cereal as it is well tolerated, but you can also start with a little pureed fruit or vegies instead, or mashed ripe banana or avocado.

1. If starting with rice cereal mix 1 to 2 teaspoons with 15ml to 30ml expressed breastmilk, prepared formula or cooled, boiled water until it is a thin paste consistency. Using a spoon without sharge edges, offer baby 1 to 2 teaspoons of the cereal mix at the feed of the day suits you. Hold the spoon to her lips and allow her to suck the cereal off. Don't push the spoon back into her mouth, it will cause her to gag. Take you time, remember that up until now, your baby has sucked her food, so having a spoon in her mouth is a very new sensation. Repeat this process once day for a few days.

2. If this step was a success, you can now offer cereal twice a day, for several days, gradually increasing the amount and thickening the consistency to suit your baby, until he is eating up to 1 to 2 tablespoons at a time. If he consistency refuses the cereal, then try something else. If he refuses this as well, give up for a week or so, continue with milk only, then try again. Stay calm and remind yourself there are very few fully milk-feed adults!

3. Next, add a small amount of pureed, stewed apple, pear or very ripe mashed banana to rice cereal. Gradually, increase the puree over several days until they are serving equal amounts of cereal and fruits. If this is well tolerated, you can vary one meal by introducing pureed vegetables, usually potato, pumpkin and carrot to start. Offer 1 to 2 teaspoons, slowly increasing the amount over several days to 2 to 3 tablespoons.

4. Gradually, increase the variety of vegetables and other foods to allow baby to become accustomed to new tastes and textures. Introduce new foods one at a time and allow a few days on each new food to ensure that baby has no adverse reaction to it, before starting the next.

5. If baby is happily eating two "meals", then you can gradually add a third, so that she is eventually eating 2 to 3 tablespoons of food, three times a day.




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