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How to add complementary food? Master the things added by baby complementary food.
* The professional parts involved in this article are for medical professionals' reference only.

It is said that breast milk is good, why should we add complementary food?

How old is allergic baby to add complementary food?

At present, there are many babies who are allergic to milk protein, and some mothers think that it is more thorough to add complementary food in the later stage. At present, there is no research showing that diet restriction can effectively prevent allergies. Earlier than 4 months or later than 8 months, it is easy to increase the risk of allergies.

Therefore, it is suggested that children with allergies and high risk of allergies should be added together with normal children, and different kinds of foods should be introduced from 4 to 6 months.

Supplementary food addition can follow the following principles

① With the decrease of breast milk, the amount of complementary food gradually increased;

(2) firstly, mud food rich in iron, such as baby rice flour and minced meat, is added;

③ Only one new food is introduced at a time, and one new food is added every 3-5 days to gradually realize food diversification;

(4) Starting from mushy food (which can be scooped up with a small spoon and will not drip down quickly), gradually transition to solid food;

⑤ Vegetable oil should be properly added in complementary food.

In addition, you need to record your diet notes to help you find allergic foods.

The baby recommends an ideal diet.

Meat can improve the nutritional status of zinc in infants (zinc is obtained from breast milk after 6 months, and zinc is obtained from complementary food after 6 months; Zinc loss increases when allergic children have diarrhea symptoms); Meat contains more iron;

Eggs can increase the saturation of plasma iron and transferrin and the level of DHA in red blood cells. Promote height and weight; Eggs are allergic foods. Early addition can reduce egg allergy and avoid protein.

It is confirmed that eggs are allergic (vomiting, diarrhea, eczema and other adverse reactions occur within 1~2 d), and it is necessary to add about 30g of meat.

Recommendation of milk quantity in supplementary food addition period

7~9 months old: 400ml breast milk, 200kcal food supplement;

10~ 12 months old: breast milk 400ml, 300kcal as food supplement;

13~24 months old: 500ml breast milk, 550kcal food supplement;

/kloc-not less than 600ml within 0/year.

How to arrange the baby's three meals and meal time reasonably?

In order to cultivate good working habits of infants and facilitate family life, complementary feeding should be arranged at the same time or close to family dinner from the beginning. The meal time of infants and young children should be gradually consistent with the meal time of family members for three meals a day, and the feeding times should be increased by 1 time between meals, namely breakfast and lunch, lunch and dinner, and before going to bed.

Baby should try to reduce night feeding after 6 months.

Generally, infants aged 7-9 months are fed complementary food twice a day and breastfed 4-6 times;

10~ 12-month-old infants should be supplemented with food 2~3 times a day and breastfed 4 times;

/kloc-children aged 0/3 ~ 24 months are given complementary feeding and breast-feeding three times a day.

Babies are allergic,

Should certain foods be avoided when adding complementary foods?

Allergic children should not avoid eating allergic food when adding complementary food, and early addition is more likely to induce tolerance;

There was no difference in the amount of complementary food added between mild and moderate allergic children and normal children.

Children with severe allergies: accompanied by nutritional deficiency, malnutrition and impaired intestinal function, the nutritional needs and ways of providing nutrition are different from those of normal children. Adding complementary food, one is to promote psychological and physiological development, and the other is to meet nutritional needs.

Baby loves allergies, how to reduce food allergies?

Early intervention: start to add complementary food from 4 to 6 months, but continue breastfeeding;

Diversified diet: including common allergic foods [milk, eggs (introduced from April to June), fish and peanuts (introduced from 4- 1 1 month)];

Continuous feeding: exposure to potential allergens several times a week.

If the baby has a rash after eating fish and shrimp during lactation, the addition time of this kind of food should be postponed. Once the allergic reaction of eggs is found, stop adding it immediately, and try again after the baby's symptoms disappear at 1~2 weeks. If the same symptoms still appear, please ask the doctor to confirm whether the baby is allergic to eggs. If you are allergic, you should follow the doctor's advice and try a small amount after 3-6 months or after the baby is one year old.

The Significance of Breastfeeding for Allergic Infants

How do allergic babies choose formula milk?

The formula of deeply hydrolyzed protein is recommended for mild and moderate milk protein allergy;

Amino acid formula feeding is seriously recommended;

Feeding the above formula for at least 6 months or to 9~ 12 months. Then select partial hydrolysis formula and gradually transition to complete protein formula;

It is best for children with eczema to breastfeed: for eczema caused by non-food, it is not necessary to choose hypoallergenic formula.

Misunderstanding of infant feeding

Can I add rice noodles to breast milk deficiency?

The baby is about 3 months old and the amylase is not mature yet. If rice flour is added too early, it will affect digestion and absorption. Generally speaking, when the baby is about 4 months old, you can start adding rice noodles, from less to more, one by one.

Baby constipation, can you drink yogurt with miscellaneous grains?

Some parents think that children are constipated, coarse grains contain more cellulose, and yogurt contains probiotics, which can improve constipation.

Infants' intestinal development is imperfect and their digestive ability is weak. It is not recommended to add, just eat rice. /kloc-It is not recommended to eat milk, cheese and yogurt within 0/year old.

The more fruits and vegetables babies eat, the better?

The addition of complementary food emphasizes the variety, not the quantity. Fruits and vegetables contain protein, which has limited energy and can be used in moderation. Such as cereals, vegetables, fruits and other plant foods. It is the main complementary food for infants, and it needs to add about 5~ 10 g of oil. It is suggested that vegetable oils rich in α -linolenic acid, such as linseed oil and walnut oil, should be preferred.

Cooking methods have no effect on improving allergies.

Cooking methods can reduce allergenicity, such as suggesting that eggs and milk should start with biscuits and bread baked at high temperature; Both meat and eggs are cooked, and they should be cooked thoroughly.

Don't let the baby eat salt

Some parents think that children's kidneys are not well developed and can't eat salt.

Sodium is an essential element for human body, which participates in water metabolism, regulates acid-base balance, and maintains normal blood pressure and neuromuscular excitability.

The sodium content in breast milk can meet the needs of infants within 6 months, and the sodium content in formula milk is higher than that in breast milk. Babies aged 7 12 months can get sodium from natural foods, mainly animal foods. For example, 1 egg contains 7 1mg sodium, 100g fresh lean pork contains 65mg sodium, and 100g fresh sea shrimp contains 1 19mg sodium. 13 24-month-old babies can try a small amount of salty family food besides taking sodium from natural food, but it is best to add only a small amount of salt to these foods.

/kloc-after 0/year old, still feed at night.

Night feeding is not recommended after 10 months old. On the one hand, the amount of food eaten during the day has met the energy demand of growth and development; On the other hand, eating at night will affect children's sleep and affect the secretion of growth hormone.

Baby doesn't like fruit, can he drink juice?

Freshly squeezed juice and 100% pure juice contain too much fructose, sucrose and other sugars, but less cellulose, so their nutritional value is not as good as that of whole fruit.

In order to reduce the sugar intake of infants, it is suggested that infants should not add pure juice or dilute juice before 6 months; Babies aged 7~ 12 months had better eat fruit paste and small fruit particles, but they can drink a small amount of pure fruit juice but dilute it; 13~ 24 months old children should drink no more than 120 mL of pure juice every day, and it is best to limit it to meals or snacks.

Drink water to detoxify and let the baby drink as much water as possible.

Babies who drink breast milk or formula milk within 6 months do not need to drink extra water, unless the weather is hot or other reasons cause a lot of sweating and need to drink extra water. Babies who add complementary food after 6 months need to drink more water gradually with the decrease of milk and the thickening of food.

The baby should supplement calcium and vitamin AD at the same time.

After the baby is born, vitamin D 10 μg(400 IU) can be supplemented daily. Exclusive breastfeeding can meet the calcium demand of infant bone growth without additional calcium supplementation.

References:

[1] Zheng Huilian. Answers to common questions about complementary food for infants [J]. Parents must read, 2007, (10):75.

[2], Su,, etc. Guidelines for feeding 24-month-old infants [J]. Journal of Clinical Pediatrics, 20 16, Volume 34 (5):38 1-387.

[3] This print editorial department. Sheng Xiaoyang: When will the complementary food be added, four months or six months? [J]。 Parents must read, 20 16, (3):2 1.

[4] Sheng Xiaoyang. The less salt the baby eats, the later the better? [J]。 Parents must read, 20 17, (7):42-43.

[5] Sheng Xiaoyang. Ask the university who drinks water [J]. Parents must read, 20 17, (8):22-27.

[6] Deng Aifen 1, Xiao Mantian 1, Ye Zhikun 1, etc. Study on Nutritional Intervention of Children with Milk Protein Allergy [J]. Hainan Medical College, 20 15, Vol.26 (12): 1753-.

This article is the first one: Pediatric Channel of Medical Science.