Thursday, June 28, 2012

Weaning - The Official Advice

The following extracts have been taken from the Department of Health’s leaflet, ‘Weaning: starting solid food’ (Jan 2008).


Six months is the best age for introducing solids. Before this, your baby’s digestive system is still developing and weaning too soon may increase the risk of infections and allergies. Weaning is also easier at six months. If your baby seems hungrier at any time before six months, they may be having a growth spurt, and extra breast or formula milk will be enough to meet their needs.

If you decide to wean at any time before six months, there are some foods that should be avoided as they may cause allergies or make your baby ill. These include wheat-based foods and other foods containing gluten (e.g. bread, rusks,
some breakfast cereals), eggs, fish, shellfish, nuts, seeds and soft and unpasteurised cheeses. Ask your health visitor for advice, especially if your baby was premature.

Solid foods should never be introduced before four months.

You will find that as your baby eats more solid foods, the amount of milk your baby wants will start to reduce. Once your baby is eating plenty of solids several times a day, you can drop a milk feed but continue to breastfeed or give 500–600ml (about a pint) of infant formula a day until at least 12 months of age. Breastfeeding will continue to benefit you and your baby for as long as you choose to carry on.

Cow’s milk is not suitable as a drink until your baby is 12 months old but can be used in cooking.

Vitamin D is naturally present in only a few foods such as fortified margarines, eggs and fatty fish. It is also made naturally in the skin when it is exposed to gentle sunlight. It is sensible to give all children vitamin drops with vitamins A, C and D from the age of one to five years old. Breastfed babies and babies drinking less than 500ml of infant formula milk per day should begin vitamin drops at six months, or earlier if advised by your health visitor or doctor.

Babies are more likely to develop allergies if there is a family history of eczema, asthma or hayfever. For these families, exclusive breastfeeding is particularly recommended for the first six months. Introduce the foods that commonly cause allergies (milk, eggs, wheat, nuts, seeds, fish and shellfish) one at a time so that you can spot any reaction, but don’t introduce any of these foods before six months. Avoid giving peanuts and foods containing peanut products, e.g. peanut butter or groundnut oil, until your child is three years old.

Soya-based infant formulas should only be used on the advice of your GP. Some babies who are allergic to cow’s milk may also be allergic to soya. Infant formulas based on goat’s milk protein have not been approved for use in Europe.

Foods to avoid



·      SALT (which contains sodium)
Do not add any salt to foods for babies. Do not use stock cubes or gravy in your baby’s food as they are often high in salt. When you are cooking for the family, do not add salt, so your baby can share the family foods.

·      SUGAR
Sugar can encourage a sweet tooth and lead to tooth decay when first teeth start to come through. Try mashed banana, breast or formula milk to sweeten food if necessary.

·      HONEY
Don’t give honey until your baby is one year old. Very occasionally, it can contain a type of bacteria, which can produce toxins in the baby’s intestines and can cause a very serious illness (infant botulism). Remember that honey is also a sugar and can lead to tooth decay.

·      NUTS
Whole nuts, including peanuts, should not be given to children under five years in case of choking.

·      LOW-FAT FOODS
Low-fat foods, whether yoghurt, fromage frais, cheese or fat spreads are not suitable for babies or children under two. Fat is an important source of calories and some vitamins which they need.
 
Department of Health (www.dh.gov.uk)

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