Q: Hi Doctor. What does a 4-month old baby eat? And can he have yoghurt? cereal? And how much milk per day? I have a grandson of 4 months and his mom gives him yoghurt and cereal but now he takes less milk. I’m concerned. Please advice
A: Weaning can be a trying period for a mum…when should I start? What should I give? For how long? What if he doesn’t like it? Just like adults, a good number of babies are resistant to change. They are comfortable eating what they had been eating? Life was good…why do you want to change it???? 😀 Okay, that’s some babies. Others are more than happy to move on to the next stage! Maybe that’s the case with your grandson? 🙂
When to start? At 6 months. From birth to 6 months, please focus on exclusive breastfeeding with not even a drop of water. From six months, baby is ready to be introduced to some other food.
It appears that in this case, your daughter has accelerated the weaning process. I would have advised otherwise…but it is what it is 🙂 So, the same rules I am giving below for weaning, apply.
For a long time, the standard teaching had been to go for rice cereal as the first add-on meal because it is bland and babies tolerate this well. Other studies question this wisdom now and suggest that foods like meats with lots of essential nutrients like iron may be a good place to start. What should you do? You can boil beef/chicken very soft and blend it up for baby. If baby tolerates this, then by the next week, you could try adding some rice cereal. Try not to introduce more than one food per week so that you have time to study how your baby adapts to it and of course, look out for/isolate food allergy. And, to start off, only one meal of the complementary feed should be given daily. The rest should be the usual…breast milk 😀 This will, of course, change as baby tolerates. So, I understand your concern. I would definitely suggest that given that he is not yet 6 months, your grandson should be getting a lot of breast milk and less of the complementary meals (one complementary meal and the rest should still be breast milk). After six months, we can revert to the advice above where as the baby tolerates more complementary foods, then breastfeeding should reduce. Remember though, that the standard teaching is for breastfeeding to continue until baby is 2 years old.
Generally, foods to start off weaning should be just slightly thicker than milk and so, if it retains its shape on a spoon, it may be too thick.
From 9 months, baby can be allowed to start experimenting with regular family meals…minus the spices, of course 😀
From one year of age, you can introduce cow milk. Full cream cow milk is advocated at this time for proper brain development. Thereafter, please switch to skimmed/1%/2% milk as full cream milk has a lot of saturated fat which may contribute to poor heart health. Grains, green leafy vegetables, cow milk, honey, whole eggs can generally be introduced after the baby turns 1 year old.
Generally, other weaning foods that can be introduced include:
Boiled egg yolk (egg whites contain substances that baby may react to), sweet potatoes, fish, chicken, beef, fruits like banana, avocados, boiled beans (with skin removed if possible etc
Simple recipes include, blend some chicken or beef with the stock or mash a banana and add to baby’s cereal.
Our local cereals can also be used and fortified with some breast milk or formula.
As baby tolerates these meals, you can get a little more adventurous.
Boiled carrots mashed with some coconut oil or a little yoghurt with mashed banana may not go amiss too.
An example of a recipe I make for my children is boil potatoes in a pot and place a stainless plate on top of the pot. Add your egg yolk and a drop Olive oil and when the yolk is cooked and potatoes soft, mash all together and feed baby.
Now I know we are all very busy, but weaning is no easy task and so we must commit to trying as much as to prepare these meals ourselves. Packaged meals usually contain additives that may trigger problems/allergies etc in the baby. Hygiene is also critical!
I hope y’all had a great day?