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Feeding the family 68 times. Vitamin C is found in unsweetened pure orange juice (diluted 1 part juice to 10 parts water), tomato and fresh fruit, e.g. kiwi, orange. This is particularly important if you are weaning your baby onto a vegetarian diet. More foods to try Add to the vegetable, fruit and cereal other foods such as: • Mashed meat and poultry; • Mashed hard boiled egg; • Mashed lentils (dhal) or split pulses, hummus; • Full-fat milk products (yoghurt, fromage frais, custard) unless advised otherwise by your health visitor; • Full-fat cows’ milk can also be used for cooking from six months, e.g. in custard or cheese sauce, but do not use cows’ milk as a drink until your baby is one year old; • Make sure you offer a variety of foods as your baby needs to learn to like them all. Foods to avoid giving your baby • Salt. Do not add any salt to foods for young babies as their kidneys can’t cope with it. Baby foods are not allowed to contain salt, but such ingredients as bacon and cheese will contain some. It’s best not to encourage a liking for salt at any age. When you’re cooking for the family, leave out the salt so your baby can share the food. It’s healthier for you all without any salt anyway. • Sugar. Do not add sugar to the food or drinks you give your baby. Sugar could encourage a sweet tooth and lead to tooth decay when the first teeth start to come through. • Honey. This too is a sugar and can cause the same problems as sugar. Don’t give honey until your child is one year old, even for easing coughs. It can contain a type of bacteria which can produce toxins in the baby’s intestines and can cause a very serious illness (infant botulism). After the age of one, the baby’s intestine matures and the bacteria are not able to grow. • Nuts. Whole nuts should not be given to children under five years in case of choking. See also Nut allergies, page 69. WEANING BEFORE SIX MONTHS Weaning before six months is not recommended. However, if you choose to begin weaning before six months the following foods should also be avoided: • Foods which contain gluten, e.g. wheat flour, bread, breakfast cereals, rusks, spaghetti or other pastas in tomato sauce, etc. • Nuts and seeds including ground nuts, peanut butter and other nut spreads. • Eggs. • • Fish and shellfish. Soft and unpasteurised cheeses. If you decide to wean your baby before six months, start with a teaspoonful of smooth vegetable or fruit puree (with no added salt or sugar) or cereal (not wheat-based), e.g. sago or baby rice, mixed to a thin consistency. Offer it to your baby before or after one of the milk feeds, or in the middle of the feed if that works better. If the food is hot, make sure you stir it and test it before giving it to your baby.
Feeding your child ALLERGIES Babies are more likely to develop allergies if there is a family history of atopy, which means eczema, asthma, hay fever or food allergies. Introduce the common allergenic foods (milk, eggs, wheat, nuts, seeds, fish and shellfish) one at a time so you can spot any allergic reaction, but don’t introduce these into your baby’s diet before six months. Nut allergies Serious allergies to nuts and nut products and some seeds affect about 1 to 2% of the population. In recent years, peanut allergy, although still uncommon, appears to be increasing. It is not yet known why. The following may help to reduce the risk of developing this life-threatening allergy: • Breastfeeding mothers who are ‘atopic’, or those for whom the father or any sibling of the baby has an allergy, may wish to avoid eating peanuts or peanut products while breastfeeding. • Peanuts and foods containing peanuts, such as peanut butter or unrefined or cold-pressed groundnut oil, should not be given to babies from ‘atopic’ or ‘allergic’ families until they are at least three years old. Refined peanut oil, vegetable oils and cosmetics or creams containing refined groundnut oil are considered safe. Read contents labels carefully to check if you need to avoid the product. • If there is no allergy or atopy in the immediate family, there is no need for children to avoid peanuts after weaning, as long as they are ground as nut butter or crushed. • Do not give whole peanuts or any type of whole nuts to children under five in case of choking. As your baby gets used to taking foods from a spoon it is important to move from pureed to mashed and more lumpy foods. For more information about types and textures see page 67. GIVING MORE SOLIDS You can give your baby almost any home-cooked family food, as long as it’s the right consistency for your baby (i.e. mashed or puréed). Avoid adding salt and sugar or honey to your baby’s food. Your baby should still be having breast milk or a minimum of 500–600 ml (about a pint) of infant formula milk. As solid foods become a large part of your baby’s diet, it is important to offer a range of different foods to provide all the vitamins and minerals needed. • Include some starchy foods with each meal, i.e. potatoes, yams, rice, bread, plantain or unsweetened breakfast cereals. • Fruits and vegetables make good finger foods and should be included at two or more meals each day. • Your baby should have one or two servings of soft cooked meat, fish, egg, tofu or pulses, such as beans or lentils (dhal), a day. Red meat (beef, lamb and pork) is an excellent source of iron. Eggs (well cooked) are a quick, nutritious and cheap source of protein. Finger foods and lumps Encourage your baby to chew, even if there are no teeth, by giving finger foods. Avoid giving biscuits and rusks so that your baby does not get into the habit of expecting sweet snacks. Even low-sugar types contain sugar. Finger foods provide chewing practice and encourage babies to feed themselves. Also give foods which have a few lumps. Most babies can start to chew soft lumps, such as mashed banana, mashed vegetables or cottage cheese, from six months even if they have no teeth. If you delay giving ‘lumpy’or finger foods, you may find your baby refuses to eat FIRST FINGER FOODS Toast Bread crusts Pitta bread Rice cakes • Slices of soft, ripe, peeled fruit – bananas – pears – peaches – melon • Cooked vegetable pieces – green beans – broccoli – cauliflower – carrots – courgette Cubes of cheese • Cooked pasta shapes 69
Page 1 and 2:
Birth five to This book gives you a
Page 3 and 4:
Birth five to Your complete guide t
Page 5 and 6:
1 The first weeks There’s somethi
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The first weeks SCREENING AT A GLAN
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The first weeks B REASTFEEDING Brea
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The first weeks 2 Be patient… Sta
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The first weeks Allow your baby to
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The first weeks USING BREAST PUMPS
Page 17 and 18:
The first weeks STERILISING All the
Page 19 and 20: The first weeks Follow the manufact
Page 21 and 22: The first weeks S LEEPING Some babi
Page 23 and 24: The first weeks room is too hot.
Page 25 and 26: The first weeks If you’re finding
Page 27 and 28: The first weeks NAPPY RASH Most bab
Page 29 and 30: The first weeks WASHING AND BATHING
Page 31 and 32: The first weeks T WINS ( OR MORE) P
Page 33 and 34: YEARS MONTHS 1 2 3 4 5 6 7 8 9 10 2
Page 35 and 36: How your child will grow • Walk o
Page 37 and 38: How your child will grow BRUSHING Y
Page 39 and 40: How your child will grow HEIGHT AND
Page 41 and 42: How your child will grow You should
Page 43 and 44: 3 Learning and playing What we call
Page 45 and 46: Learning and playing I DEAS FOR PLA
Page 47 and 48: Learning and playing H OW TO MAKE S
Page 49 and 50: Learning and playing TRANSITION FRO
Page 51 and 52: Learning and playing MAKING CHILDCA
Page 53 and 54: 4 Habits and behaviour There are so
Page 55 and 56: Habits and behaviour PROBLEMS WITH
Page 57 and 58: Habits and behaviour • By twelve
Page 59 and 60: Habits and behaviour A NEW BABY IN
Page 61 and 62: Habits and behaviour • Sometimes
Page 63 and 64: Habits and behaviour time he or she
Page 65 and 66: Habits and behaviour out to buy one
Page 67 and 68: 5 Feeding your child Food is one of
Page 69: Feeding your child - push the bowl
Page 73 and 74: sensible for adults, but not for ba
Page 75 and 76: Feeding your child • Squashes, fi
Page 77 and 78: Feeding your child FAMILY F OOD For
Page 79 and 80: Feeding your child ‘When you go s
Page 81 and 82: Feeding your child Types of vegetar
Page 83 and 84: Feeding your child • Fruit and ve
Page 85 and 86: Feeding your child F OOD SAFETY You
Page 87 and 88: Feeding your child • If your chil
Page 89 and 90: 6 Illness and accidents Every child
Page 91 and 92: Illness and accidents ● ● out-o
Page 93 and 94: Illness and accidents smoking or en
Page 95 and 96: Illness and accidents D IARRHOEA YO
Page 97 and 98: Illness and accidents ● ● ●
Page 99 and 100: Illness and accidents Alternative t
Page 101 and 102: Illness and accidents After these m
Page 103 and 104: Illness and accidents ILLNESS INFEC
Page 105 and 106: Illness and accidents practice nurs
Page 107 and 108: Illness and accidents swelling wher
Page 109 and 110: ecome a carrier and develop serious
Page 111 and 112: Illness and accidents ❑ ❑ ❑
Page 113 and 114: Illness and accidents ● ● ●
Page 115 and 116: Illness and accidents IF YOUR CHILD
Page 117 and 118: Illness and accidents at the knee a
Page 119 and 120: Illness and accidents THINGS STUCK
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Illness and accidents W HEN A CHILD
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Your own life P HYSICAL PROBLEMS A
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Your own life visitor about other l
Page 127 and 128:
Your own life Stress also comes fro
Page 129 and 130:
Your own life • Share the housewo
Page 131 and 132:
Your own life • Suggest a regular
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8 Your services There is a wide ran
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Your services H OW TO CHANGE YOUR G
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make. The money cannot be taken out
Page 139 and 140:
Your rights and benefits of childca
Page 141 and 142:
Your rights and benefits child’s
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Your rights and benefits Anything e
Page 145 and 146:
Your rights and benefits Who gets t
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Your rights and benefits HOUSING BE
Page 149 and 150:
USEFUL ORGANISATIONS Some of these
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Council for Disabled Children 8 Wak
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INDEX A accidents 108-18 additives
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