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Infant feeding guide[1,2]

Infant feeding guide[1,2]
  0 to 4 months 4 to 6 months 6 to 8 months 8 to 10 months 10 to 12 months
Breast milk and/or fortified infant formula*[3] 8 to 12 feedings
  • 2 to 6 oz/feeding (60 to 180 mL/feeding)
  • 16 to 28 oz/day (480 to 840 mL/day)
4 to 6 feedings
  • 4 to 8 oz/feeding (120 to 240 mL/feeding)
  • 22 to 30 oz/day (660 to 900 mL/day)
3 to 5 feedings
  • 6 to 8 oz/feeding (180 to 240 mL/feeding)
  • 24 to 30 oz/day (720 to 900 mL/day)
3 to 4 feedings
  • 6 to 8 oz/feeding (180 to 240 mL/feeding)
  • 20 to 30 oz/day (600 to 900 mL/day)
3 to 4 feedings
  • 6 to 8 oz/feeding (180 to 240 mL/feeding)
  • 20 to 30 oz/day (600 to 900 mL/day)
Grains
  • 1 serving = 2 tbsp cereal, pasta
  • 1/2 slice bread
  • 2 crackers
None None 2 to 3 servings/day
  • Iron-fortified baby cereal
  • Soft, cooked bread
  • Crackers
2 to 3 servings/day
  • Iron-fortified baby cereal
  • Soft, cooked bread
  • Pasta
  • Crackers
4 servings/day
  • Iron-fortified baby cereal
  • Bread
  • Pasta
  • Crackers
Fruits and vegetables
  • 1 serving = 2 to 3 tbsp
None None 1 to 2 servings/day
  • Plain-cooked, mashed, or strained baby foods, vegetables, and fruits
  • Avoid combination meat and vegetables dinners
2 to 3 servings/day
  • Soft, cut up, and/or mashed vegetables and fruits daily
4 servings/day
  • Soft, cut up fruits and vegetables
Protein foods
  • 1 serving = 2 tbsp meat, poultry, fish, beans, cheese
  • 1 egg
  • 1 tbsp nut butterΔ
None None 1/2 to 1 servings/day
  • Plain-cooked, puréed protein food
  • Avoid combination dinners
  • Introduce peanut-containing productsΔ
1 to 2 servings/day
  • Cooked, soft, finely cut, or puréed protein food
  • Peanut-containing products if introduction was toleratedΔ
2 servings/day
  • Cooked, soft, finely cut, or chopped protein foods
  • Peanut-containing products if introduction was toleratedΔ
Hunger cues
  • Cries or fusses, gazes at caregiver, opens mouth during feeding to indicate desire to continue, brings hand to mouth
  • Cries or fusses, gazes at caregiver, opens mouth during feeding to indicate desire to continue
  • Reaches for spoon or food, points to food
  • Reaches for food or points to food
  • Shows excitement when food is presented
  • Expresses desire for specific foods with words or sounds
Fullness cues
  • Spits out nipple or falls asleep, stops sucking
  • Turns head away from nipple, stops sucking
  • May be distracted or notice surroundings more
  • Slows down in eating, clenches mouth shut, pushes food away or plays with food
  • Pushes away food, slows down in eating
  • Shakes head to indicate "no more"
Developmental milestones/eating skills
  • Baby develops a suck-swallow-breathe pattern during breastfeeding or bottle feeding
  • Tongue moves forward and backward to suck
  • Sits with help or support on tummy, pushes up on arms with straight elbows
  • Sits independently
  • Can pick up and hold small objects in hand
  • Leans toward food or spoon
  • Learns to keep thick purées in mouth
  • Pulls head downward and presses upper lip to draw food from spoon
  • Tries to rake foods toward self into fists
  • Can transfer food from 1 hand to the other
  • Can drink from a cup held by feeder
  • Learning to crawl
  • May pull self up to stand
  • Learns to move tongue from side to side to transfer food around mouth so food can be mashed
  • Begins to use jaw and tongue to mash foods
  • Plays with spoon at mealtime, may bring to mouth but does not use it for self-feeding yet
  • Can feed self finger foods
  • Holds cup independently
  • Holds small food between thumb and 1st finger
  • Pulls self to stand
  • Stands alone and takes early steps
  • Feeds self easily with fingers
  • Can drink from a straw
  • Can hold cup with 2 hands and take swallows
  • More skillful at chewing
  • Dips spoon in food rather than scooping
  • Demands to spoon-feed self
  • Bites through a variety of textures
NOTE: While there is no comprehensive research indicating which complementary food is best to introduce first, focus should be made on first foods that are higher in iron and zinc such as puréed meats and rice cereal. Beyond that, developmental/texture progressions should be considered.

DRI: dietary reference intake; tbsp: tablespoon.

* Volumes are based on DRI for age and may be adjusted depending on infant's intake, supplemental foods, and/or growth velocity.

¶ Fruit juice should not be introduced before 12 months of age.

Δ Peanuts/peanut butter should be introduced using safe feeding practices, as outlined by the American Academy of Pediatrics.
Adapted from:
  1. Pediatric Nutrition Handbook, 7th ed, Kleinman RE, Greer FR (Eds), American Academy of Pediatrics 2014.
  2. Butte N, Cobb K, Dwyer J, et al. The start Healthy Feeding Guidelines for infants and toddlers. J Am Diet Assoc 2004; 104:442.
  3. Ahuja JKC, Casavale KO, Li Y, et al. Perspective: Human milk composition and related data for national health and nutrition monitoring and related research. Adv Nutr 2022; 13:2098.

From: Texas Children's Hospital Pediatric Nutrition Reference Guide, 12th ed, Beaver B, Carvalho-Salemi J, Hastings E, et al (Eds). Copyright © 2019, Texas Children's Hospital. Reproduced with permission.

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