Feeding Your Baby: First-Year Doc Tips

By Dr. Priya Sammani ( MBBS, DFM )

Imagine this: you’re home with your new little one. It’s 2 AM, the world is quiet, and all you hear is that tiny, insistent cry. Or maybe it’s just a little lip-smacking, a restless stirring. Your first thought? “Are they hungry?” It’s one of the very first, and most constant, questions we parents face. That whole first year, figuring out feeding your baby can feel like a big puzzle, but trust me, you’re not alone in this.

That first year of life is just incredible for growth, isn’t it? And what fuels all that amazing development? Good nutrition. Getting it right early on really does set your baby up for better health down the road, even helping to lower their risk of some long-term illnesses. But I know, as a parent, you’re probably swimming in questions: How much? How often? When do we even think about solid foods?

First things first, always have a chat with your pediatrician. They’re your go-to for advice that’s just for your baby because, let’s be honest, every little one is a unique character! If you’re expecting, they can help you map out what’s likely ahead. Don’t hesitate to ask for resources too; there’s a lot of good info out there.

Remember, there’s no single “perfect” way to handle feeding your baby. What we doctors offer are general guidelines – things that are safe and work well for most babies. Learning the dos and don’ts helps you build confidence. You’ll start to trust your instincts, and you’ll know when it’s time to reach out for a bit of extra help.

How Much Should a Newborn Eat?

Okay, let’s talk about those very early days. Newborns get everything they need from breast milk and/or formula. How much they need changes as they grow, so it’s helpful to know some general milestones. But again, every baby is an individual. Your pediatrician will help you figure out the exact right amount for your little bundle. The key is learning their hunger signals and trying to feed them in a paced manner – this helps avoid overfeeding.

Baby Feeding Chart Insights

Those charts you see? They’re handy starting points. For instance:

  • Expressed breastmilk: A newborn might only take a tiny bit, like 5-7 mL (that’s about a teaspoon!) in the first day or two per feed. By one week, it could be 1.5-2 ounces (45-60 mL). And by one month, they might be taking 2.5-5 ounces (80-150 mL) each time.
  • Tummy Size: It’s amazing how small their stomachs are! On day one, it’s like a cherry. By day three, a walnut. A week in, maybe an apricot. And at one month, it’s about the size of a large egg. See? They can’t hold much at first!

How Often Do Newborns Eat?

Newborns have tiny tummies and big needs, so they eat often!

  • First Two Months (Breastfeeding): You’ll likely be feeding every two to three hours. That’s about 8 to 12 feeds in a 24-hour stretch. Yep, day and night!
  • First Two Months (Formula): A little less often, maybe 6 to 10 times in 24 hours.

As they get bigger, they’ll start to take more at each feeding and go a bit longer between meals. From about 4 weeks to 6 months, the total volume they drink in 24 hours stays pretty consistent. Then, around 6 months, we start adding solids into the mix.

For older babies:

  • 6-8 months: Usually two to three solid food meals a day.
  • 9+ months: Often three to four meals, plus one or two snacks.

And all along, you’ll continue with breast milk or formula as your pediatrician advises. Generally, we recommend feeding your baby whenever they seem hungry. But how do you know when they can’t just tell you?

Spotting Those Hunger Cues

Your baby has their own special way of saying, “Hey, I’m hungry!” Learning these hunger cues is super helpful. They might:

  • Pop their hands into their mouth. So cute, right?
  • Open their mouth, like a little bird.
  • Suck on their hands or fingers.
  • Smack or lick their lips.
  • Stick out their tongue.
  • Clench their little fists.
  • Move their head around, searching – this is called rooting, especially if they’re looking for the breast.
  • Seem more alert or even excited when food is near.
  • Get a bit fussy.
  • And then… the cry. Crying is usually a late sign of hunger. They’ve probably been trying to tell you for a bit! It can take a moment to calm them down enough to eat then. So, catching those earlier cues is a win-win.

Knowing When They’re Full

Just as important is knowing when they’re saying, “All done, Mom/Dad!” Your baby might be full if they:

  • Close their mouth firmly.
  • Relax their hands.
  • Turn their head away from the breast, bottle, or spoon.
  • Push the food away. (Oh, the messes that can make later on!)
  • Even hand food back to you, once they’re a bit older.

It’s really important to follow their lead and let them stop when they’re done. If they eat too much, they might get an upset tummy, become gassy, spit up more, or even vomit.

When Do Babies Start Eating Baby Food?

This is a big one! When can you start introducing baby food and other solids? We usually say around six months. This timing seems to be good for reducing allergy risks and it’s when most babies are developmentally ready.

Is Your Baby Ready for Solids?

How can you tell if your little one is ready to explore new tastes and textures? Look for these signs:

  • They can sit up well in their high chair, with just a little support or none at all.
  • They have good, steady head control.
  • They open their mouth if you bring food towards them.
  • They try to reach for your food or seem super interested when you’re eating. (Little foodies in the making!)
  • They can move food from a spoon to the back of their throat to swallow. If they mostly push it back out with their tongue (this is called the tongue-thrust reflex), they might not be quite ready.
  • They can grab small things, like toys or little pieces of food.
  • They can bring objects to their mouth.

A popular approach many parents try is baby-led weaning. This is all about following your baby’s cues and, when they’re ready, letting them feed themselves with soft, graspable finger foods.

Every baby hits these milestones at their own pace, so please try not to compare. If you’re worried about your baby’s development, just have a chat with your pediatrician.

What About Food Allergies?

It’s natural to worry about food allergies. If there’s a family history of allergies, or if your baby has eczema, it’s definitely something to discuss with your doctor. They can give you specific advice.

Generally, we recommend:

  • One at a time: Introduce new, single-ingredient foods one by one. Wait a day or so before trying another new food. Keep an eye out for any reactions like vomiting, diarrhea, or a rash.
  • Early introduction: For most babies, it’s actually a good idea to introduce common allergens like eggs, soy, dairy, peanut products, and fish around six months. This is a shift from older advice. Some studies suggest that introducing these foods early might help prevent allergies from developing.
  • Testing, if needed: If your baby has severe eczema or an egg allergy, for example, your doctor might suggest testing for a peanut allergy before you introduce it.

Choosing Baby Cereal

When it comes to cereal, look for ones specifically labeled “baby cereal.” These are usually iron-fortified, which is important for your baby’s growth. It’s good to offer different types, like:

  • Oat
  • Barley
  • Multigrain

And a big no-no: don’t add cereal to your baby’s bottle. Feed it with a spoon once they’re at least four to six months old. Putting cereal in a bottle can cause your baby to gag, inhale it into their lungs (aspiration), or gain too much weight.

Foods to Steer Clear Of in the First Year

Some foods just aren’t right for babies yet, either because they don’t offer much nutrition, or they’re a choking hazard, or pose other risks. In that first year, try to avoid:

  • Processed foods made for older kids or adults.
  • Anything with added salt, sugar, or strong seasonings.
  • Hot dogs or meat sticks.
  • Chunks of food (meat, cheese, raw fruit).
  • Whole nuts or seeds.
  • Popcorn.
  • Whole grapes.
  • Candy.
  • Juice (it’s mostly sugar; water is better for hydration).
  • Honey (can contain spores of bacteria that cause infant botulism – a serious illness).
  • Cow’s milk or milk substitutes as a main drink (they can’t digest these well yet, and they don’t have the right balance of nutrients for babies under one).

Also, be mindful of foods with higher amounts of heavy metals, like some rice-based cereals and snacks. Variety is key here.

Tips for Preparing and Starting Solids

Getting those first foods ready and making the introduction smooth – it’s an adventure!

Making Food Baby-Friendly

Your baby can enjoy many of the same healthy foods you do, but they need them prepared differently. They can’t chew like we do yet, so everything needs to be soft enough for them to “gum” or for it to dissolve easily.

  • Cook hard fruits and veggies (like carrots or apples) until they’re soft, then purée them.
  • Cook meats until they’re very tender and easy to mash with a fork. Always remove bones and skin first.
  • Stir a little breast milk or formula into baby cereal or mashed, cooked grains to get the right consistency.
  • Cut round foods like grapes or cherry tomatoes into small, manageable pieces (quarters, lengthwise).

Gentle Ways to Introduce Solids

Starting solids isn’t an overnight switch. It’s a gradual process.

  • Talk to them! As you offer food, use encouraging words like “Yummy!” or make “mmm” sounds. It helps them associate eating with positive feelings.
  • Let them explore. Put a tiny bit of the food on their high chair tray. Let them touch it, squish it, maybe even get it near their mouth. Then try offering a little on a spoon.
  • Show them how. Pretend to take a bite yourself. Babies are great mimics!
  • Familiar first, then new, then familiar again. You could offer a little breast milk or formula, then a tiny bit of the new solid food, and then finish with more milk or formula.
  • Patience is your superpower. Your baby might turn away, make a face, or even get upset. That’s okay! Don’t force it. Just go back to milk/formula and try again in a few days.

If, after many tries, your baby just isn’t taking to solids, it’s worth a chat with your pediatrician. But hang in there. Most of the time, more food eventually ends up in the baby than on the baby!

Should I Keep Breastfeeding If My Baby is Eating Solid Food?

Absolutely, if you can and want to! We generally recommend breastfeeding for at least the first six months, and ideally, for up to two years or even longer if it works for you and your baby. For those first six months, breast milk (or formula) should be their main source of nutrition. When you start introducing solids around six months, it’s more about exposure, developing new skills, and sensory experiences at first, rather than a huge calorie source.

Even when your baby is enjoying pureed peas or mashed bananas, breast milk still provides amazing benefits. It helps build their immune system and can lower their risk of certain illnesses. So, that combination of breast milk and solid foods is a fantastic way to support their growth throughout that first year.

Feeding Your Baby: When to Call Your Doc

It’s always okay to reach out to your pediatrician. Definitely give them a call if:

  • Your baby is consistently refusing solid foods after six months, despite trying for a while, or if they seem to really struggle with eating.
  • Your baby’s poop is very loose, watery, or has mucus in it.
  • You’re worried your baby is eating too little or too much.
  • You just have questions or concerns about feeding your baby. That’s what we’re here for!

And if your baby was born early (a “preemie“) or has any medical conditions, your pediatrician will give you specific guidance on how best to feed them to meet their unique needs.

Good Questions to Ask Your Pediatrician

When you see your doctor, here are a few things you might want to ask:

  • How long do you recommend I continue breastfeeding?
  • What solid foods are best to introduce first?
  • Do you have any special tips for preparing foods for my baby?
  • Does my baby need any supplements, like vitamin D or iron?
  • What’s the best way to feed my baby if they have reflux?

Key Reminders for Feeding Your Baby

Alright, that was a lot of information! Here are the key things I hope you’ll remember about feeding your baby in their amazing first year:

  • Trust your instincts, but talk to your doc: Every baby is different. Your pediatrician is your best partner for personalized advice.
  • Breast milk or formula is key for the first 6 months: This is their complete nutrition.
  • Introduce solids around 6 months: Look for signs of readiness. Go slow and be patient.
  • Introduce common allergens early (around 6 months for most): One at a time, and watch for reactions.
  • Learn hunger and fullness cues: Let your baby guide you on how much they need.
  • Avoid choking hazards and unsafe foods: No honey, cow’s milk as a drink, or whole nuts/grapes in the first year.
  • Continue breastfeeding (if you are) alongside solids: It still offers great benefits.

Navigating feeding your baby is a journey, full of little discoveries and sometimes a few messy moments! You’re learning, your baby’s learning, and you’re doing a great job. You’ve got this.

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