Infant Nutrition

BREASTFEEDING

  • Healthy and growing infants can be exclusively breastfed until 6 months old.
  • It is not necessary to supplement breastfeeding with any further liquids or supplements – for infants up to 12 months old it is possible to administer 1 drop of vitamin D (Vigatol) daily.
  • After reaching 4 months of age (17 weeks) it is desirable to introduce non-dairy foods and other allergens in child’s diet.
  • Even with the non-lactose foods introduced it is possible to continue breastfeeding for another 2 years or longer.

STARTING WITH NON-DAIRY DIET

  • Introduction of non-dairy solids in infant’s diet shouldn’t be earlier than at 4 months of age (17 weeks) and no later than when 6 months old.
  • For infants with increased risk of allergies (siblings or parents have an allergy) the same approach as for low-risk infants applies.
  • Do not be delaying introduction of potential allergens into the diet (fish, egg). Ideally this is done already during the breastfeeding period.

ORDER OF COMPLEMENTARY FOOD INTRODUCTION

  • 1- vegetables
  • 2 - vegetables + meat and/or vegetables + yolks
  • 3 - fruit
  • 4 - cereal foods – blended (porridge)

INTRODUCING GLUTEN

  • No earlier than at the end of 4 months of age (17 weeks) and no later than when 7 months old.
  • Start with ca. 6g of gluten daily – this corresponds to 2 biscuits (“piškot“) crushed in fruit puree or one spoon of flour in vegetable foods or in a soup.

FEEDING TIPS

  • Start feeding sitting infant using a tea spoon – first try only few teaspoons at a time – it is important to be patient as the child is likely to resist the feeding at first. Do not force the child to eat but instead repeat the attempts during the day again.
  • Start with vegetable foods – this prevents the child from developing a “sweet tooth”.
  • At first start with boiled carrot (unsalted, unsweetened!) at a time just prior to the mid-day breastfeeding. Then continue with breast milk. Do not blend the produce if possible but mash it instead. Otherwise the child will develop a preference for fine consistency of food.
  • Only start feeding new type of vegetable every 2-3 days. This helps identifying any specific intolerance.
  • Other suitable vegetables are potatoes, pumpkin, broccoli, cauliflower, peas.
  • After the first 1-2 weeks you can sometimes combine any of the vegetable with lean meat – start with 20g of finely minced meat (poultry, beef, rabbit, lean pork). Once a week you can substitute meat with one boiled yolk (no egg white!).
  • After another 1-2 weeks you can start serving fruit purees as an afternoon snack – apple, pear, banana, apricot, peach.
  • Next up are mashed meals – preferably rice or corn mash before starting with oatmeal. All are best served at dinner time.
  • At 7-9 months old add natural yogurt (for example as an afternoon snack), raw vegetable, cheese and from 8th month also all kind of beans/legumes.
  • At 10-11 months – diet should be varied and served 5-6 times a day. Chop food into small pieces so that your child can grab it using fingers. At this point child should be able to drink form a cup using both hands.
  • UNSUITABLE FOOD: at the age of 7-12 months: all types of nuts, poppy seeds, salt, sugar, cocoa, chocolate, cream, soft cheese, egg white, smoked meat, fatty food – fast food, citruses, produce with artificial sweeteners, fizzy drinks and cow’s milk as a main drink/liquid.
  • 1 YEAR OLD: již zařazujeme i tvaroh, pokrmy můžeme lehce přisolit, strava dítěte se začíná přibližovat stravě dospělých , mléko cca 400 ml/ denně (nyní i kravské)

Other interesting information (in Czech)  www.epediatr.cz

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