A Story About Feeding Babies Key Messages • Breastmilk is best for all babies. Healthy babies require only breastmilk for the first 6 months of life, they do not need any other form of liquid or solid food. • Early introduction of food: can cause diarrhoea has no benefits on growth displaces breastmilk intake can cause food allergies can contribute to iron deficiency anaemia in the infant. • Dummies are not recommended for babies because they can interfere with breastfeeding, promote tooth and oral problems, increase the risk of infections, promote sleep disorders and cause speech and language delays. Birth – 6 months From birth to about 6 months Breastmilk only is best for babies Birth – 6 months Key Messages: •From about six months infants should be developmentally ready to start having foods. •By 6 months breastmilk alone is no longer enough for babies; solid foods should be introduced in addition to breastmilk. •Foods should be soft and mashed with expressed breastmilk or clean water (boiled then cooled). •Breastmilk and clean water (boiled then cooled) should be the only fluids given to baby. Baby should be given a cup to drink from. •Always wash your hands before preparing baby’s food and feeding baby. Keep dogs away from baby’s food. •Do not add sugar, salt or flavourings to foods. •Ideally savoury foods (eg vegetables) should be introduced before sweet foods (eg fruits). •Start foods one at a time, try a new food every few days. •Infants should be eating 2-3 times a day in addition to breastfeeding. 6 - 8 months First foods for babies about 6-8 months old At about 6 months babies can do these things and they are ready to start eating foods Baby can sit with support on a lap and hold head up Clean water (boiled then cooled) in a cup Do not add salt or sugar to baby’s food or drink Cereals, rice & noodles Soft, mashed foods Breastmilk Store and bush vegetable Store and bush meat Store and bush fruit Baby opens mouth when food is given Baby watches, gets excited and tries to grab food from you Cereals made with expressed breast milk or clean water (boiled then cooled) 6 - 8 months Key Messages: • Infants need lumpy foods by 10 months. If the introduction of lumpy foods is delayed beyond 10 months it may increase the risk of feeding and speech difficulties later on. • Babies should be given food 3-4 times a day plus additional snacks 1-2 times a day. • Breastmilk and clean water (boiled then cooled) should be the only fluids given to baby. Give baby a cup to drink from. • Cow’s milk can be used on cereals but should not be given as a drink. • Always wash your hands before preparing baby’s food and feeding baby. Keep dogs away from baby’s food. • Eggs and milk-based products (eg yoghurt, cheese and custard) can be introduced if there is no history of food allergies in the family. • If there is a history of allergies in the family; eggs,cheese, yoghurt, custard, fish and wheat should not be introduced until the baby is older than 12 months. • Smooth peanut butter can be given to babies if there is no family history of food allergies. If there is a history of allergies, peanuts and peanut products should be avoided until after 3 years. Peanut allergen can be found in breastmilk and if there is a family history of the peanut allergy, breastfeeding mothers should avoid eating peanuts. 8 months – 1 year Foods for babies 8 months to 1 year old From 8 months to 1 year old babies can do most of these things and they are ready to eat more foods Baby can sit up Start with soft lumpy foods Clean water (boiled then cooled) in a cup Do not add salt or sugar to baby’s food or drink Baby can bite, chew and munch Bread,damper, cereals,rice &noodle Breastmilk Store and bush vegetable Store and bush meat Move to harder foods that babies can pick up themselves Store and bush fruit Yoghurt,cheese & custard Baby can put a spoon in and out of mouth and hold food Baby can drink from a cup but is still messy Baby can stand up and hold onto something Eggs and smooth peanut butter Cereals made with expressed breastmilk, clean water (boiled then cooled) or cow’s milk 8 months – 1 year Key Messages: • At 1 year babies should be eating the same foods that the family is eating. This should include a wide variety of foods from all food groups. • Babies should be given 3-4 meals plus 1-2 snacks per day. • Breast feeding should continue. • As well as breastmilk and clean water, cow’s milk (including UHT and powdered) can now be given as a drink in a cup. • Always wash your hands before preparing baby’s food and feeding baby. Keep dogs away from baby’s food. 1 year and older Foods for babies 1 year and older At 1 year babies can have family foods and can do most of these things Clean water and cow’s milk in a cup Baby can eat by themselves and use a cup Do not add salt or sugar to baby’s food or drink Breastmilk Baby wants food others are eating Bread,damper, cereals,rice &noodles Store and bush vegetable Store and bush meat Babies can have the same healthy foods that the family is eating Store and bush fruit Yoghurt,cheese milk & custard Baby may be able to walk and is very independent and busy Eggs and smooth peanut butter Baby likes to play with foods Cereals made with cow’s milk 1 year and older Key Messages: • Breastmilk, clean water and cow’s milk (when baby is over 1 year) are the best drinks for babies and children. • Cups are best for baby to drink out of and can be introduced at about 6 months. • Feeding bottles are not recommended because they can: cause infections in babies because they are hard to clean reduce the duration of breastfeeding. • The best cup to start with should: have handles for ease of gripping be unbreakable be able to be tilted up to get liquid from the bottom without tipping the child’s head back have a graded or rolled lip for stability be easy to clean • Low fat milk and soy milk should not be given to babies until they are 2 years or older The best drinks for babies Over 1 year old Birth to about 6 months old 6 months to 1 year old + + Breastmilk Breastmilk Breastmilk Only + Clean water (boiled then cooled) in a cup Clean water in a cup Full cream cow’s milk in a cup Key Messages: • A number of food and drinks are unsuitable for babies and should be avoided or given only in small amounts. Examples include: lollies, soft drinks, chips, ice-creams, cordial, pizza, fruit juice, tea, chocolate, pies, donuts, fried foods and sugar. Excessive consumption of these products can lead to tooth decay and malnutrition. • Whole fruits should be encouraged for babies and children instead of fruit juice. Excess fruit juice consumption can cause growth failure, decreased appetite, diarrhoea, tooth decay and obesity. • Do not give nuts, bubble gum, lollies and frankfurters/sausages to children under 5 years as they may cause choking. • Honey contains the spores of Clostridium Botulinum which can make babies very sick. Honey should not be given until children are 2 years old. • Babies and children need to be supervised at all times when they are eating to prevent choking. Snacks for babies & young children After 8 months After 1 year Too much of these foods is not good for babies or children These foods are dangerous Babies should not for children under 5 years, have honey until they could choke. they are 2 years old. It can make them sick. Key Messages: • Do not give tea to children. • Tea contains chemicals called tannins, which reduce the absorption of iron, and can lead to anaemia. The rates of anaemia are high in the NT. • Tea has little or no nutritional value and often has sugar added to it which can increase the risk of tooth decay. • Breastmilk, clean water and cow’s milk (over 1 year) are the best drinks for infants and children. Tea Tea Babies should not have tea it can make their blood weak Iced tea Tea Tea Tea These drinks are best for baby Breastmilk Clean water and cow’s milk in a cup (for babies over 1 year) Key Messages: • Learning to eat takes time, try new foods every few days. • Babies need to have food more often than adults to help them grow. • Continue breastfeeding for a least one year and preferably beyond. • Wash hands before preparing baby’s food and keep dogs away. • Feed babies slowly and patiently, encouraging them to eat, don’t force them, feed them in a quiet place so they are not distracted and remember feeding times are periods of love and learning. • It is good for baby to have their own bowl and spoon. • It is important to supervise children at meal times. • Playtime is important, try these things to help your baby develop: 0-6 months: provide ways for your child to see, hear, feel and move; have large colourful things for your child to reach for; talk to your child using gestures 6-12 months: give your child clean, safe household things to handle; respond to their sounds and tell them names of things and places 1 year and over: give your child things to stack and to put into containers; play games which involve naming, counting and comparing things; ask your child simple questions; respond to your child’s attempt to talk and answer their questions, teach them stories, songs and games. Feeding babies should be fun for everyone Family meal times should be fun for everyone. The whole family can help baby learn to eat Feed baby in a place with not too much noise or things that will disrupt the baby’s eating Playtime is important to help babies grow Give babies food when they are hungry. Don’t force feed them when they are full Eat lots of healthy food yourself Baby will learn from you Breastmilk and good food gives a healthy start to life! Acknowledgements: This resource was developed by the NT Department of Health and Community Services as part of the Infant Feeding Guidelines Project 2005 and was funded by the Office for Aboriginal and Torres Strait Islander Health in the Department of Health and Ageing Thank you to the following people and organisations for their assistance; • The remote NT community members who provided advice on content and layout • NT Public Health Nutritionists, Strong Women Workers, Aboriginal Health Worker Nutrition Advisors and Indigenous Nutrition Promotion Officers •Tropical Public Health Unit in Cairns for the use of the Growing Strong Manual graphics • Julie Haysom for the illustrations •The NT IFG steering committee and the regional advisory committee members For Further information contact your local nutritionist November 2005