AHH the Pressure! Is my baby ready for solids or should I wait?

is my baby ready for solids

{Guest Expert blog post for Modern Mama } Many moms contact me wondering if their baby is ready for solid foods. Usually this comes from two places:

  1. Worry that their baby isn’t getting the nutrition that they need from breast milk/ formula.
  2. Pressure from family or friends to introduce baby food.

Here’s the latest scientific-evidence based information on how to know when your baby is ready for solid foods. Use it as ammunition against your under-slept, worrying mind and any well-intentioned advice from others.

Is my baby ready for solids?

Babies are ready for solid foods at about 6 months of age. At this age, babies start running out of the iron that they stored in their bodies while they were in your womb. Breast milk is naturally low in iron so you need to provide your baby with iron from another source – solid foods. Iron is used in overall growth and development. It’s especially important for little one’s brain development – for babies to reach full their cognitive potential. While iron isn’t as much of a concern for babies fed formula, they’re still developmentally ready for you to start feeding them first foods.

Like any developmental stage, babies become ready for first foods at slightly different ages. You will see the following signs in your baby anywhere between 4 and 6 months of age. Your baby is ready for you to start feeding them solid foods when you see the following:

  • Extrusion reflex disappears. The extrusion reflex is when anything put in your baby’s mouth automatically causes them to stick out their tongue, thus forcing it back out again.
  • He can focus his eyes on food placed in front of him.
  • She can sit upright with minimal support.
  • He can hold his head up without support. This is important for safe swallowing.
  • She is very interested in watching people eat and the food on your plate. She may even be grabbing for people’s food, plates, cups etc.

Notice that the presence of teeth isn’t on the list above. You don’t need to wait until little ones have teeth before feeding them baby food.

If your baby was born prematurely or has developmental or health concerns, speak with your health professional about when your baby will be ready to start solid foods.

There is no benefit to starting solids earlier than about 6 months. In fact, there is some emerging scientific evidence that introducing solid foods before babies are 4 months old may increase the risk for food allergies.

There are several persistent myths about when to start feeding your baby solid foods that I want to bust:

  1. Big babies don’t need solid foods earlier. At this age, babies are experts at breast and bottle feeding. And, breast milk and formula are rich sources of nutrients. Feeding your big baby solid foods earlier isn’t necessary or beneficial.
  2. Small babies don’t need solid foods earlier. As I described above, at this age, babies are experts at nursing nutrient-rich breastmilk and formula. Feeding your small baby solid foods earlier isn’t necessary or beneficial.
  3. Feeding babies solid foods doesn’t make babies sleep through the night.While I understand grasping at anything that may get your baby (and you) to sleep through the night, this is a myth. The age that some babies start sleeping through the night happens to be the same age that you start feeding your baby solid foods. While they happen at the same time, it’s not that the one causes the other. Sorry.

In summary, your baby will be ready for first foods at about 6 months of age. There aren’t any nutritional benefits to starting earlier. Nor, will it help you get a decent night’s sleep.

Check out this post for information on choosing puree or Baby Led Weaning (BLW)

Why Not Both Purees and Baby Led Weaning (BLW)?

puree baby led weaning

{Guest post at Love Child Organics} I receive questions from many parents asking me whether they should use purees or finger foods (a method called Baby Led Weaning or BLW) as they start to introduce their babies to solid foods. I believe that there isn’t only one right way to start babies on solid foods. Why not use both purees and finger foods?

When introducing solid foods you’re achieving several goals:

  1. Meeting your baby’s nutrition needs.
  2. Providing the opportunity to learn eating skills.
  3. Minimizing the risk of choking.

All three of these can be achieved through offering your baby purees, finger foods, or a combination of both.

Further, I’ve been practicing long enough to have met babies with all different temperaments (personalities). Some are little independent souls who never accept being fed by a parent. Parents of these little ones need to have a ton of patience as their child learns how to pick up food and actually get it in her mouth. On the other hand there are babies whom I call “happy little outsourcers”. They figure out that their parents are much more efficient at getting food in their mouths and so they’re happy to sit back and let you spoon every bite into them. Most babies fall somewhere in between these two extremes.

I’ve also seen that babies catch onto the skills of eating finger foods at a variety of ages – typically somewhere between 6 and 10 months.  This isn’t surprising since there’s always a range of ages when babies reach any developmental milestone. Some babies roll over before others, some crawl before others, and some pick up finger foods before others.

In my opinion, what’s most important is to:

  • Provide a wide variety of healthy foods,
  • Include iron-rich foods (twice a day is a good frequency),
  • Follow your baby’s lead,
  • Match your technique to your baby,
  • Provide your baby with the opportunity to learn eating skills, and
  • Use techniques that you’re comfortable with.

The result: you’re teaching your baby to have a positive experience with food.

Click here to get more tips on nutrition for babies.

Should I Feed my Baby Organic Food?

baby w fruits & veg One of the most common questions that I’m asked is: Should I feed my baby organic food?” I know what my answer is (scroll down to check it out). But it’s such a popular question that when two University of British Columbia dietetic students were looking for a writing assignment for class, I asked them to answer your question. Here’s what students Karalee Derkson and Connie Lau found in their research into the question of organic food for babies, and their conclusions.  

What is Organic Food?

There can be confusion with the term “organic food”. From the point of view of a scientist, all foods are organic – that is all foods are all living things (versus inorganic things like rocks). However, when most people use the word “organic” they mean foods that are grown or produced without the use of synthetic fertilizers, pesticides, antibiotics, and growth hormones (Dietitians of Canada). Instead, farmers use crop rotation, waste recycling, and natural pesticides to grow their crops (Dietitians of Canada).

Because all foods are technically living things, the term “organic” can be used for all of them. To distinguish foods grown using the methods listed above, groups have developed certification programs, such as the USDA, the Canadian Food Inspection Agency, and the EU. This is why you often see “certified organic” on labels – these foods have gone through and passed the certification process. Of course, to go through the certification process, it takes time, paperwork, and money.

Not every farmer who uses organic growing methods will choose to undertake certification – especially if they’re a smaller farm. There are also farms that use many organic methods but who don’t quite fit all the certification criteria.

Factors to Consider when Choosing Organic Food vs Conventional Food

Nutrient Content:

  • There may be higher levels of phytochemicals (compounds that benefit health) in organic produce because they are a natural pesticide (Dietitians of Canada).
  • In the studies that have been conducted to date, organic food does not contain more or better nutrients than conventional food (Forman; Dietitians of Canada; Dangour et al.)

Health Implications:

  • Currently, there is no significant evidence that consuming organic food leads to health benefits or that conventional food has negative health effects (Health Canada; Dangour et al.).
  • Infants and children consume more food than adults on a weight for weight basis during development, therefore their pesticide exposure may be higher (Health Canada; National Research Council).

Environmental Impact:

  • Organic farms use less energy and produce less waste (Forman).
  • In organic farms, no synthetic pesticides are used. Therefore, there is little risk of chemically damaging the surrounding ecosystems (Forman).

Pesticide Regulation:

  • In Canada, pesticides are illegal if they have the ability to cause cancer or birth defects (Health Canada).
  • In Canada, The maximum acceptable amount of pesticides is set far below the levels that could pose health risks, even for infants (Health Canada).

Price:

  • Organic food costs 10-40% more than conventional food (Forman).

Do All Conventional Foods have the Same Amount of Pesticides? The short answer is no. The amount of pesticides in a conventional food is based on how pesticides are used (both how much, were they’re applied, and when they’re applied during the plant’s growth) and the nature of how the plant grows/ what part of the plant we eat.

To empower people who wish to avoid pesticides without always purchasing organic, an American organization called the Environmental Working Group (EWG) published the “Dirty Dozen” and  “Clean 15”. They look at the levels of pesticides in samples of foods in the USA and then rank them in lists. While many of the foods in the US come from the same places as those found in Canada, it’s worth mentioning that there can be differences. And, these differences may lead to differences in pesticide levels.

The EWG's Clean Fifteen™ for 2014:

  1. Avocados
  2. (Sweet) corn – i.e. the type of corn that we humans eat
  3. Pineapples
  4. Cabbage
  5. Frozen (sweet) peas
  6. Onions
  7. Asparagus
  8. Mangos
  9. Papaya
  10. Kiwi
  11. Eggplant
  12. Grapefruit
  13. Cantaloupe
  14. Cauliflower
  15. Sweet Potatoes

The EWG's Dirty Dozen™ for 2014:

  1. Apples
  2. Strawberries
  3. Grapes
  4. Celery
  5. Peaches
  6. Spinach
  7. Bell peppers
  8. Nectarines - imported from outside US (and assumingly Canada?)
  9. Cucumbers
  10. Cherry Tomatoes
  11. Snap peas - imported from outside US (and assumingly Canada?)
  12. Potatoes

Leafy greens such as kale and collard greens as well as hot peppers were highlighted for containing significant pesticides, but didn’t quite fall in the top.

For more information on the EWG click here

Our Opinions

Dietetic Student Connie Lau: To take the extra step of precaution I would choose organic produce as a priority, especially during the crucial developmental years of a child. Although there are tight regulations on pesticide levels of food, evidence of long-term effects is inconclusive.

Dietetic Student Karalee Derkson: Due to the high cost of organic foods, and the lack of significant health benefits, I do not buy organic produce. I feel confident that the regulations on pesticide levels of food will keep exposure well below dangerous amounts. I would be comfortable feeding my child conventional produce.

Kristen Yarker, MSc, RD: I’m a strong believer in organic foods.

While research studies haven’t been designed to measure it, I don’t know how we can look at our health out of the context of the health of the environment. It’s clear that organic foods are better for the environment.

Yes, growing methods that are healthier for the environment are more expensive. Wanting cheap foods, available all year long goes against Mother Nature. That being said, personally I don’t have the budget to buy 100% organic. I do make choices with my money to be able to spend more on food. For example, I choose to live in a smaller home, drive a fuel-efficient car, and not have cable TV all so that I can have more money in my budget for food. Buy paying for (local) organic foods, I know that I’m using the power of my money to create a market for organic farmers. The more of us consumers who do so, the more incentive there will be for farmers (locally and around the world) to choose organic methods.

In addition to the growing practices, I also consider the distance that a food has travelled. I’ve been shopping at Farmers’ Markets and roadside stands since I was a child (far before it became trendy). What I love about this is not only do I reduce the fossil fuels used to transport the food, but I’ve learned a lot about farming methods. I use this knowledge to decide what conventional foods I’m willing to buy. For example, I don’t buy certified organic eggs from the grocery store. I buy my eggs from an older couple’s home. I can see the (small number of) chickens running around the yard. This couple hasn’t undertaken the organic certification process. Heck, they’re so old-school that they use the honour system for payment - I put my money in an unlocked box on their front porch! But I do buy other long-distance organic staples from the grocery store, such as tofu, polenta, and pasta noodles.

Here’s the order in which I choose foods:

  1. Local organic
  2. Local conventional and long-distance organic
  3. Long-distance conventional

Bottom Line(s) This article has been longer then my usual messages. But I wanted to dig into the issue a bit since it’s an important one. As you consider it all, please keep in mind these three points:

  • I encourage you to talk to your local Farmers. And, maybe even grow some foods yourself. Become more aware of where your food comes from. With knowledge comes power.
  • Regardless of the balance that you choose for your family, the research is clear that eating LOTS of vegetables and fruit is healthy. As Micheal Pollan so eloquently said: “Eat foods. Mostly plants.”
  • It’s important to introduce your baby to a wide variety of foods in the first years of life.

Click here to get more tips on nutrition for babies directly to your inbox.

Sources Alan D Dangour, Sakhi K Dodhia, Arabella Hayter, Elizabeth Allen, Karen Lock, and Ricardo Uauy. "Systematic Review of Nutritional Differences Between Organic and Conventional Foods." American Journal of Clinical Nutrition (2009).

Canadian Food Inspection Agency. Organic Products. 13 January 2014. Government of Canada. May 2014 <http://www.inspection.gc.ca/food/organic-products/eng/1300139461200/1300140373901 >.

Dietitians of Canada. Are organic foods better for my health? 16 July 2013. May 2014 <http://www.dietitians.ca/Nutrition-Resources-A-Z/Factsheets/Miscellaneous/Are-organic-foods-better-for-my-health.aspx>.

Environmental Working Group. Environmental Working Group. April 2014. May 2014 <http://www.ewg.org/foodnews/>.

Forman, J., Silverstein, J. "Organic Foods: Health and Environmental Advantages and Disadvantages." American Academy of Pediatrics (2012): 1412.

Health Canada. Consumer Product Safety: Pesticides and Food. February 2014. May 2014 <http://www.hc-sc.gc.ca/cps-spc/pubs/pest/_fact-fiche/pesticide-food-alim/index-eng.php>.

Environmental and Workplace Health: Pesticides and Health. July 2008. May 2014 <http://www.hc-sc.gc.ca/ewh-semt/pubs/contaminants/pesticides-eng.php#a67>.

National Research Council. Pesticides in the Diet of Infants and Children. Washington, DC.: The National Academies Press, 1993.

Constipation in Babies when Introducing Foods

In this video I answer a parent's questions about constipation in babies when introducing your baby to solid foods.

During weaning it's normal for infants' poop to change. I share what's normal, and what's considered constipation.

And, I share 4 food-realted ways that can help get things moving again.

Puree vs Baby Led Weaning (BLW): Can't We All Just Get Along?

baby led weaning{Guest post for Modern Mama} In a previous post I shared the pros and cons of the pureed and Baby Led Weaning (BLW) methods for introducing your baby to solid foods. I had a number of people call and email me with questions from that post. So I wanted to clarify and add to the points I shared in it.

In a nutshell, I believe that you shouldn’t feel the need to choose either puree or Bab Led Weaning (BLW). Combine the best from both methods and follow your baby’s lead.

Let me explain.

Having taught parents how to introduce solid foods to their babies since 2008, I welcome a number of the contributions that BLW is providing to the baby feeding conversation. However, I’m also seeing some negative effects too.

Positive Contributions of Baby Led Weaning

Feed Your Baby Family Foods

Children from about four to twelve months are fascinated by what the people around them are eating. In Baby Led Weaning you don’t make separate foods for your baby. Instead you provide your baby with the foods that you’re feeding the rest of your family. This is a great strategy! A favorite quote of mine from Child-Feeding Expert Ellyn Satter is:

The goal of feeding your baby is to have him join you at the table…not for you to join him at the high chair.

  • Uses his curiosity about what everyone’s eating to your advantage. Many babies will reject pureed foods and reach out to grab what’s on other people’s plates.
  • Teaches him that by sharing the same foods, he belongs as a member of your family. Sharing food is powerful for human beings. Every culture marks significant occasions by gathering to share food.
  • Is less work than making your baby one meal and the rest of your family something completely different. Teaching your baby that she gets something completely different than other family members can lead to picky eating because you’ve set the precedent that she gets something different. Kids who have always eaten the same meal as the rest of the family don’t know that having something different is an option.
  • Can be a wake-up call to how healthy (or not) your eating habits are. If you’re eating foods that you’re not willing to feed your baby, should you really be eating them?

Move Along to Finger Foods

Sometimes I see parents who love the idea (and control) of feeding their baby purees so much that they get stuck, keeping their baby in this phase too long. Babies are ready to try finger foods anywhere between six and nine months. Yes, it’s messy. And it can be painful to watch a child clumsily work for 10 minutes to get a single piece of food in his mouth. But, this is an important learning opportunity. Eating is a skill that must be learned through practice. It’s great that you’re an expert at using a spoon to get food into your baby’s mouth. But he needs to have the opportunity to learn how to do it himself. And finger foods are the first step. Because when we’re feeding our babies, we’re actually doing two things: 1) meeting their nutrition needs and 2) teaching eating skills. I’ve seen prolonged spoon-feeding of purees result in babies who are:

  • Undernourished because they’re reject being “babied” and reject the spoon.
  • Picky eaters because they didn’t get to experience the huge variety of tastes and textures that food comes in while they are still in the food-curious stage. A stage where kids are suspicious of new foods often starts somewhere between 12 to 24 months (although I’ve seen it start at nine months in a number of children). Some people call this stage “food neophobia”. I call it “food-wariness”.

Follow Your Baby’s Lead

Baby Led Weaning places a lot of emphasis on following your baby’s lead regarding how much food to eat.  Babies are born knowing when they’re hungry and when they’re satisfied. It’s normal for them to sometimes eat a lot and other times to eat very little. When babies are allowed to control how much food they eat, they have a normal growth pattern. When spoon-feeding your baby it’s very easy to force them to take extra bites by playing games (e.g. “here comes the airplane”), or sneaking in spoonful’s when your baby is distracted. Resisting this urge is important to allow your baby to grow normally and not be overfed (which may lead to obesity).

Negative Impacts

You Need to Choose

The negative impacts that I’m seeing when speaking with parents and reading Mom blogs and chat boards is the idea that you need to choose a method. You’re either on the puree team or you’re on the Baby Led Weaning team. We already have enough “mommy wars”, judgment, second-guessing ourselves, and guilt regarding breastfeeding and formula feeding. The last thing that we need is this baggage continuing into introducing solid foods.

Puree Traps

There’s nothing inherently wrong with pureed foods. In fact, today I’ve eaten oatmeal, yogurt, and butternut squash soup – all of which are purees! Purees are a texture that adults eat too. The warnings that many in the Baby Led Weaning camp attribute to purees actually has nothing to do with purees themselves. They’re just easier traps to fall into when spoon-feeding. But they’re also easily avoidable. For example, you can offer your baby pureed versions of family foods and follow their lead when spoon-feeding.

One Size Fits All

I’ve seen many different babies with different temperaments (personalities). Some love being spoon-fed and take more slowly to finger foods. Others never take anything off a spoon, and rely solely on finger foods. I believe that following your baby’s lead and providing a wide variety of tastes and textures is the way to go – including both purees and finger foods.

In summary, why pressure parents into feeling that they need to choose? All the positive contributions that BLW have provided can be realized with the inclusion of both puree and finger foods. Let’s celebrate that there are a multitude of “right” ways to parent!

Limiting Cow's Milk for Toddlers

toddlers cow's milk Recently a parent asked me this question: “How much cow’s milk to offer toddlers. Do you allow them to regulate/drink as much as they want or just fill the cup up once and then when it's empty that's it? Being only 17 months, he can fill up pretty quick on milk during the meal, but I also don't want to be taking it away. I would prefer to just allow him to self regulate, but not sure what to do once the sippy cup is empty.”

Regulating Cow's Milk for Toddlers

It’s common for little ones to fill their tummies with milk instead of eating foods. To make sure that your child is getting the nutrition that he needs, use what I call the ‘control what's on the menu’ strategy regarding beverages (the same as with foods).

  • Choose which meals/snacks you offer milk. In other words – you control what’s on the menu.
  • Let him drink as much (i.e. as many glasses) of milk at those times as he wishes.
  • At the other meals/snacks offer water.

This way there's no battle over how much milk he drinks. But he won't be able to fill his tummy with milk instead of eating at every meal/snack. Approx 500mL (2 cups) of milk provides calcium and vitamin D that little ones need without crowding out other nutritious foods. Little ones who drink more than 750mL (3 cups) of milk daily increase the risk that they’re not getting the nutrition that they need from eating a variety of foods. But again, it's not your job to referee how many cups he drinks at a meal/snack. Instead, use this as a guideline for how many meals/snacks to offer milk at. Restricting access (i.e. limiting the number of servings at a meal/snack) to a food or drink only increases a child’s desire for it. While restricting access usually comes from good intentions, it actually interferes with learning self-regulation. Another technique that can help make sure toddlers aren’t drinking too much cow’s milk is only offering milk in an open (lidless) cup. Often, toddlers who are drinking too much cow's milk are drinking it from a bottle or sippy cup. An open cup is more difficult for little ones to manage so it slows them down.

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An Update on New Feeding Recommendations

Happy child. Guest post for Love Child Organics: http://www.lovechildorganics.com/blog/

Usually I answer a question from you – a member of the Love Child community. However, something noteworthy happened last month that I thought was worth writing about.

 

Quietly on a Friday last month, a joint statement from Health Canada, Canadian Paediatric Society, Dietitians of Canada, and Breastfeeding Committee for Canada was released called Nutrition for Healthy Term Infants: Recommendations from Six to 24 Months: Principles and recommendations for the nutrition of older infants (six to 12 months) and young children (12 to 24 months)

 

I was happy to see it finally be released because previously there were recommendations for 0 – 6 months and for 2 years and up, but nothing existed for Canadian parents for little ones between the ages of 6 months to 2 years. And, this is a time when so much changes and parents have so many questions! In addition, I was happy to see it be released because I had provided feedback on a draft version quite some time ago.

 

The group who developed this document reviewed the scientific evidence to develop guidelines for feeding our little ones. I wanted to share it with you in hopes that it will help cut through the mixed (and often conflicting messages) out there and help bust some persistent myths.

 

The overarching statement is:

“Breastfeeding - exclusively for the first six months, and continued for up to two years or longer with appropriate complementary feeding - is important for the nutrition, immunologic protection, growth, and development of infants and toddlers.”

 

There are 7 main points (and my comments on each):

  1. Breastfeeding is an important source of nutrition for older infants and young children as complementary foods are introduced.
    • I was happy to see this statement because blog that I wrote previously for my own website received a lot of attention when I busted the myth that breastfeeding once you’ve introduced solid foods only provides water.
  2. Supplemental vitamin D is recommended for infants and young children who are breastfed or receiving breastmilk.
    • Yes, it’s recommended that you continue with vitamin D drops even after you’ve introduced solid foods.
  3. Complementary feeding, along with continued breastfeeding, provides the nutrients and energy to meet the needs of the older infant.
    • An important point that they make is that purees are a great texture. But do introduce lumpy textures before nine months. And, keep progressing through a wide variety of textures by 1 year.
  4. Responsive feeding promotes the development of healthy eating skills.
    • By “responsive feeding” they mean involving your baby as an active participant in eating. This means no sneaking in bites when they aren’t looking and no “here comes the airplane”. Feed your baby as much as they are interested in eating – which will sometimes be a lot and will sometimes be one bite.
    • They also mean the importance of providing your baby with the opportunity to learn eating skills. This includes learning how to self-feed with finger foods and learning how to drink from an open (lidless) cup.
  5. Iron-rich complementary foods help to prevent iron deficiency.
    • Offer iron-rich foods several times each day including meats, meat alternatives, and iron-fortified baby cereal. Choose a variety of these foods that your family eats.
  6. Foods for older infants and young children must be prepared, served, and stored safely.
    • This refers both to avoiding choking hazards and avoiding food poisoning.
    • An important point made here is to not leave kids unsupervised while eating. I’d add the point that kids shouldn’t eat while driving in the car, running around playing, etc because of the choking hazard.
  7. From one year of age, young children begin to have a regular schedule of meals and snacks, and generally follow the advice in Canada's Food Guide.
    • It’s likely not news to you that they recommend minimal sugar, salt, juice, and sugary drinks.
    • I love that they go on to mention how important parents are as healthy eating in role models!

 

While it’s written in language directed to health professionals, you can check out the recommendations for yourself at: http://www.hc-sc.gc.ca/fn-an/nutrition/infant-nourisson/recom/recom-6-24-months-6-24-mois-eng.php

 

Will Starting Solid Foods Make My Baby Sleep Through the Night?

will feeding my baby solid foods make them sleep through the night? {Guest Post at Love Child Organics} Exhausted parents often ask me: “Will starting my baby on solid foods make her sleep through the night?” I understand why Moms and Dads (desperate for some sleep) grasp on to this myth. However, it is a myth. Feeding your baby solid foods won’t make your baby sleep through the night.

Does Starting Solid Foods Make Baby Sleep?

It’s true that some babies start sleeping for longer stretches through the night at about the same time that they start solid foods. But it’s not that the solid foods have caused the sleeping. It’s that for many babies, the developmental stage when we start to feed them solid foods coincides with the developmental stage when they start sleeping for longer periods of time. Sorry exhausted Moms and Dads, it’s not the solid foods causing longer sleep.

While I’m at it busting myths related to starting solid foods, I’ll take the opportunity to address a couple more.

Do Big Babies Need Solid Foods Early?

Myth: Big babies need to be fed solid foods early. This is false. There’s no evidence to support starting solids early for babies who are at the top end of the growth curve. Breast milk and formula are very rich. And, your baby is likely an expert at breastfeeding or formula feeding by this age. Therefore, continuing exclusively breastfeeding or formula feeding until about 6 months is recommended (the same as average-size babies).

Do Small Babies Need Solid Foods Early?

Myth: Small babies need to be fed solid foods early. This is also false. There’s no evidence to support starting solids early for babies who are on the small end of the growth curve. As I mentioned above, breast milk and formula are very rich and your baby is an expert at breastfeeding or formula feeding by this age. So continue to exclusively breastfeed or formula feed your baby until about 6 months (the same as average-size babies).

In summary, starting solids early won’t provide big babies or small babies with extra nutrition. Nor will it make your baby sleep through the night.  Introduce solid foods when your baby is about 6 months old.

 

Ready to start your baby on solid foods? Here's how to start your baby with purees or Baby Led Weaning (BLW)

Solid-Food Strikes: Should You Worry & What to Do

solid food strike Thank you to the VIP who asked me this question: “[My son is] 19 months. I still nurse him quite a bit, and for the last 4 days he has refused any kinds of foods…and wants to nurse every 30 mins. (He does this when he has a cold, and people tell me teething).  Besides driving me crazy, I am concerned about his nutrition...are these breastfeeding [solid food] strikes still providing him with what he needs?” 

Why Babies Do Solid Food Strikes

In general, it is quite normal for little ones to regress to just breastmilk or formula when they aren't feeling well, such as with a cold/flu or teething. It's similar to when we adults are sick with a cold or flu and all we consume for a couple of days is chicken soup.

Solid Food Strike: Should You Worry

Breastmilk or formula alone doesn't meet all of a 19 month old's nutrition needs. As long as it's just for a few days it doesn't have a significant impact on his overall nutritional health because our bodies store carbohydrate and fat for exactly these types of situations. Of course their bodies are smaller than ours so they can’t go as long without adequate nutrition as we adults can. If a breastfeeding strike, or perhaps a more accurate term is “solid-food strike”, lasts more than a couple of days I recommend having your little one seen by your health professional to determine if something else is going on and whether any supplemental intake is required. In other words, this is the point when individual assessment is needed – my generalized advice that I can provide in this form of Q & A is no longer appropriate.

Solid Food Strike: What to Do

Even if he’s refusing to eat solid foods, continue to provide the same opportunities to eat solids as you would normally. Although perhaps prepare smaller servings so that you waste less food if/when he refuses to eat. I recommend this for two reasons:

  1. Just as quickly as kids get sick, they get better. The next opportunity to eat may be the one that he’s feeling better at and decides to eat a ton because his appetite’s returned.
  2. Sticking to your routine will make it easier to transition back when he’s feeling better.

If you suspect that it’s teething that’s causing the solid-food strike, then plan snacks that are soothing for sore gums. Cold and/or smooth are characteristics that can be soothing for sore gums. Examples include:

How Long Should I Breastfeed?

How Long Should I Breastfeed? I shared this post previously with the Modern Mama Community. It got lots of attention so I wanted to share it with you too.

When leading my workshop for 9 – 18 month olds, I’m often asked this question. Sometimes moms are planning to return to work after being on maternity leave and are wondering how to make the transition. Other times, moms are receiving pressure from friends and family members to wean their babies (often these folks express their unsolicited opinion in an un-delicate ways).

The answer that I share with parents is actually quite simple (and perhaps surprising):

From a nutrition point of view there is no age that you need to stop breastfeeding.

The recommendations from the World Health Organization that both Health Canada/ Public Health Agency of Canada and provincial health ministries have adopted is:

“Breastfeed until 2 years or beyond.”

When you first start your little one on solid foods (baby food), breastmilk will meet the majority of your child’s nutrition needs. Gradually over time, other foods and beverages will play a larger and larger role in meeting your child’s nutrition needs.

I’ve been asked this question too so I want to be really direct here – even after your toddler is eating meals and snacks with lots of finger foods, breastmilk still provides more than just water. They’re still receiving a variety of healthy fats, carbohydrates, vitamins, minerals, and immune support. And of course there’s also the comfort and snuggle factor when breastfeeding.

From a nutrition point of view there are no hard and fast rules around when to stop breastfeeding. Some little ones wean themselves – at a wide range of ages. Some Moms stop breastfeeding because they’re returning to work. Some Moms stop because they feel “done”. No matter what age you stop breastfeeding, unfortunately, you’ll likely receive judgment from people about your decision. It’s another example of how we need to stop the “mommy wars”, put away the judgment and instead celebrate that there are a multitude of “right” ways to parent.

The bottom line: Breastfeed as long as you feel comfortable doing so - you are supporting your child’s nutrition needs.