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A guide to weaning - Health Promotion Agency

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Stage 1: From 4 <strong>to</strong> 6 months<br />

A <strong>guide</strong> <strong>to</strong> <strong>weaning</strong><br />

All the nourishment infants need during the first four <strong>to</strong> six months comes from either<br />

breast milk or infant formula milk. Between four and six months infants should begin<br />

taking a wider variety of foods <strong>to</strong> allow them <strong>to</strong> grow and develop - this process is called<br />

<strong>weaning</strong>.<br />

Weaning before four <strong>to</strong> six months is not recommended as most infants’ digestive<br />

systems and kidneys are not fully developed. Weaning <strong>to</strong>o soon may cause problems,<br />

such as food allergies, in the future.<br />

The tables on the following pages outline current recommendations for the three stages<br />

of <strong>weaning</strong>, ie from four <strong>to</strong> six months, from six <strong>to</strong> nine months and from nine <strong>to</strong> twelve<br />

months.<br />

Texture Suitable foods Foods <strong>to</strong> Notes<br />

avoid<br />

First foods<br />

should be<br />

smooth and<br />

runny.<br />

First <strong>weaning</strong> foods<br />

• baby rice;<br />

• puréed pota<strong>to</strong>, carrot, parsnip,<br />

turnip, cauliflower;<br />

• puréed banana, stewed fruits,<br />

eg apple, pear, apricots;<br />

• unsweetened custard (made<br />

using custard powder);<br />

• plain/natural yogurt;<br />

• suitable commercial baby foods<br />

labelled from 4 months (these<br />

should be free from wheat,<br />

eggs, sugar and salt).<br />

As infants get used <strong>to</strong> spoon<br />

feeds<br />

• puréed beef, pork, lamb,<br />

chicken;<br />

• puréed peas, green beans,<br />

lentils;<br />

• puréed broccoli, Brussels<br />

sprouts, spinach.<br />

The following foods<br />

should be avoided at<br />

this stage:<br />

• rusks and other foods<br />

made from wheat, eg<br />

bread, spaghetti and<br />

other pasta, breakfast<br />

cereals, eg Weetabix,<br />

Shreddies, Ready<br />

Brek;<br />

• eggs;<br />

• fish and shellfish;<br />

• nuts and seeds,<br />

including peanut<br />

butter.<br />

Cook vegetables or fruit<br />

(without added salt or sugar)<br />

until they are soft, then purée.<br />

Breast milk or infant formula<br />

milk can be used <strong>to</strong> mix with<br />

cereals, pota<strong>to</strong>es etc <strong>to</strong> give a<br />

smooth consistency.<br />

At this stage the infant will<br />

continue <strong>to</strong> receive at least<br />

600 mls (20 fl oz) of expressed<br />

breast milk or infant formula<br />

milk each day. This should be<br />

provided in accordance with<br />

the parents’ guidance.<br />

Cooled boiled water can be<br />

offered between feeds if the<br />

infant seems thirsty.<br />

Cow’s milk and follow-on<br />

formula are not suitable as<br />

drinks at this stage, but some<br />

products made from cow’s<br />

milk may be used, eg<br />

plain/natural yogurt,<br />

unsweetened custard, cheese<br />

sauce.


Stage 2: From 6 <strong>to</strong> 9 months<br />

Texture Suitable Foods <strong>to</strong> Notes Menu ideas<br />

foods avoid<br />

Between 6 and 9<br />

months infants<br />

will gradually<br />

move on from<br />

puréed foods <strong>to</strong><br />

mashed foods.<br />

From about 7<br />

months the food<br />

does not have <strong>to</strong><br />

be so smooth -<br />

just mash the<br />

food with a fork<br />

leaving some soft<br />

lumps. This will<br />

encourage the<br />

infant <strong>to</strong> learn<br />

how <strong>to</strong> chew.<br />

Foods that can<br />

be added from 6<br />

months:<br />

• foods made<br />

from wheat, eg<br />

bread, pasta,<br />

semolina,<br />

breakfast<br />

cereals such<br />

as plain Ready<br />

Brek, Weetabix,<br />

porridge;<br />

• well-cooked<br />

egg (the white<br />

and yolk should<br />

be solid);<br />

• fish, eg cod<br />

(with bones<br />

removed), tuna,<br />

tinned sardines<br />

(well mashed).<br />

It is recommended<br />

that peanuts and<br />

products<br />

containing them,<br />

eg peanut butter,<br />

are not provided in<br />

the childcare<br />

setting. This is <strong>to</strong><br />

protect children<br />

who may be at risk<br />

of peanut allergy.<br />

All young children<br />

are at risk of<br />

choking on nuts.<br />

During this time offer<br />

the infant a wider<br />

range of tastes and<br />

textures. At this<br />

stage the infant will<br />

continue <strong>to</strong> receive<br />

500-600mls<br />

(16-20 fl oz) of<br />

expressed breast<br />

milk or infant formula<br />

milk.<br />

Introduce a cup for<br />

drinks of infant<br />

formula milk or<br />

water.<br />

Whole cow’s milk<br />

can be used <strong>to</strong> mix<br />

in<strong>to</strong> foods such as<br />

mashed pota<strong>to</strong> and<br />

breakfast cereal, but<br />

should not be given<br />

as a main drink until<br />

after 1 year.<br />

Encourage infants <strong>to</strong><br />

hold spoons.<br />

Begin <strong>to</strong> offer finger<br />

foods (refer <strong>to</strong> page<br />

14).<br />

Main meal ideas:<br />

• mashed hard<br />

boiled egg or<br />

mashed baked<br />

beans with fingers<br />

of <strong>to</strong>ast;<br />

• tuna and pasta<br />

bake with broccoli;<br />

• macaroni cheese<br />

with peas;<br />

• shepherd’s pie<br />

with carrots;<br />

• minced chicken<br />

with mashed<br />

pota<strong>to</strong> and<br />

Brussels sprouts;<br />

• corned beef hash<br />

with sliced green<br />

beans;<br />

• meat or lentil stew<br />

with mashed<br />

pota<strong>to</strong>.<br />

Dessert ideas:<br />

• pieces of fresh soft<br />

fruit, eg pear,<br />

banana, melon;<br />

• stewed fruit, eg<br />

apples, apricots,<br />

prunes (with<br />

s<strong>to</strong>nes removed);<br />

• tinned soft fruit in<br />

its own juice, eg<br />

strawberries,<br />

peaches, pears;<br />

• milk pudding,<br />

yogurt or fromage<br />

frais (do not use<br />

‘diet’ varieties).


Stage 3: From 9 <strong>to</strong> 12 months<br />

Texture Suitable Foods <strong>to</strong> Notes Menu ideas<br />

foods avoid<br />

During this<br />

stage infants<br />

will move on<br />

from mashed<br />

<strong>to</strong> chopped<br />

foods.<br />

All family<br />

foods can<br />

be offered<br />

at this<br />

stage.<br />

It is recommended<br />

that peanuts and<br />

products<br />

containing them,<br />

eg peanut butter,<br />

are not provided in<br />

the childcare<br />

setting. This is <strong>to</strong><br />

protect children<br />

who may be at risk<br />

of peanut allergy.<br />

All young children<br />

are at risk of<br />

choking on nuts.<br />

At this stage<br />

infants will continue<br />

<strong>to</strong> receive about<br />

500-600mls<br />

(16-20 fl oz) of<br />

expressed breast<br />

milk or infant<br />

formula milk each<br />

day.<br />

Water or very<br />

dilute pure fruit<br />

juice can be given<br />

as a drink at<br />

mealtimes. By now,<br />

most drinks should<br />

be given from a<br />

cup.<br />

From 12 months,<br />

the use of a bottle<br />

should be<br />

discouraged.<br />

Encourage infants<br />

<strong>to</strong> eat a wide<br />

variety of foods.<br />

For suitable snacks<br />

and drinks refer <strong>to</strong><br />

pages 14 and 15.<br />

Some meal ideas <strong>to</strong> try<br />

Breakfast:<br />

• unsweetened breakfast cereal<br />

with whole cow’s milk;<br />

• <strong>to</strong>ast with well-cooked egg -<br />

scrambled, poached or<br />

boiled.<br />

Lunch:<br />

• baked beans on <strong>to</strong>ast;<br />

• sandwiches filled with tuna or<br />

chopped chicken<br />

• soup with a sandwich;<br />

• pasta shapes in <strong>to</strong>ma<strong>to</strong> sauce<br />

with grated cheese;<br />

• pizza with chopped fresh<br />

<strong>to</strong>ma<strong>to</strong>.<br />

Dinner:<br />

• minced or chopped meat,<br />

mashed pota<strong>to</strong>es and carrots;<br />

• fish fingers, peas and<br />

mashed pota<strong>to</strong>es;<br />

• chicken casserole and rice;<br />

• lasagne with broccoli;<br />

• vegetable risot<strong>to</strong> with grated<br />

cheese;<br />

• beef or lentil burgers,<br />

courgettes, sliced <strong>to</strong>ma<strong>to</strong> and<br />

boiled pota<strong>to</strong>es;<br />

• cauliflower cheese, boiled<br />

pota<strong>to</strong>es and green beans.


Finger foods:<br />

• soft fresh fruit, eg banana, melon, peeled pear;<br />

• pieces of cooked vegetables, eg green beans, cauliflower, carrot;<br />

• fingers of <strong>to</strong>ast, unsalted breadsticks, pitta bread;<br />

• fingers of hard cheese;<br />

• low-sugar rusks (these should only be used occasionally, as even low-sugar varieties<br />

still contain a lot of sugar).<br />

Snacks for older infants aged 9 <strong>to</strong> 12 months<br />

Snacks that contain a little or no sugar can be given freely. These include:<br />

• chopped fruit and vegetables, eg peeled apple, pear, peach, banana, orange, carrot,<br />

cucumber;<br />

• bread, <strong>to</strong>ast, breadsticks, scones, pancakes;<br />

• plain yogurt, plain fromage frais;<br />

• cheese.<br />

If on occasions, sweet foods are <strong>to</strong> be given <strong>to</strong> infants, they should be given at<br />

mealtimes when they are less damaging <strong>to</strong> teeth.


Drinks for infants up <strong>to</strong> 12 months old<br />

Breast milk or infant formula milk<br />

This should be the main drink during the first year.<br />

Follow-on formula<br />

This is unsuitable for infants under six months. It may be used after six months but has<br />

no advantage over breast milk or ordinary infant formula milk.<br />

Cow’s milk<br />

Whole cow’s milk should not be used as the main drink until after one year. Between<br />

one and five years it is recommended that whole cow’s milk should be used routinely in<br />

the childcare setting as it contains more calories and vitamins A and D.<br />

Other drinks<br />

A little cooled boiled tap water can be given if an infant seems very thirsty (after six<br />

months, water straight from the mains tap is suitable). Very dilute fruit juice (one part<br />

pure orange juice <strong>to</strong> eight parts water) from a cup may be given occasionally with meals.<br />

Drinks that are not recommended<br />

• Baby juices and herbal drinks contain sugar and can damage developing teeth if they<br />

are used frequently or given from a bottle.<br />

• Sugary diluting squashes contain sugar and can damage developing teeth. If used,<br />

they should be very well diluted (one part squash <strong>to</strong> eight parts water) and given<br />

from a cup at main meals.<br />

Drinks that should not be given<br />

• Colas, lemonades and fizzy drinks including ‘diet’ drinks are acidic and can cause<br />

damage <strong>to</strong> teeth. ‘Diet’ drinks are also high in artificial sweeteners which are<br />

unsuitable for babies under one year.<br />

• Tea and coffee may reduce the absorption of iron.<br />

• Bottled mineral waters, both still and sparkling, may contain high levels of minerals<br />

which make them unsuitable for babies under one year.<br />

• Goat’s and sheep’s milk lack essential vitamins and minerals needed for babies’<br />

growth and development.


Menu planning<br />

The following points will be helpful when planning menus.<br />

• Children need <strong>to</strong> eat regularly and it is recommended that they are offered something<br />

<strong>to</strong> eat at least every three hours.<br />

• All children need a breakfast. This could either be at home or in childcare if available.<br />

• Children in full day care will receive most of their food while in childcare. It is<br />

recommended that they receive one hot meal (lunch) and two snacks (mid-morning and<br />

mid-afternoon). It is assumed that the evening meal will be taken in the child’s own home.<br />

• Children in half-day care should receive one meal and at least one snack.<br />

• Sessional care does not normally include a main meal. Children who attend for a<br />

morning or afternoon session should receive at least one snack.<br />

• Some children may eat slowly. It is important <strong>to</strong> ensure that all children have enough<br />

time <strong>to</strong> eat.<br />

• The menu cycle should be for a minimum of three weeks, with a range of dishes used.<br />

• A variety of foods from the four main food groups should be served throughout the<br />

menu cycle in meals and snacks.<br />

• Copies of the menu should be displayed in a prominent position and/or made<br />

available <strong>to</strong> the parents/guardians. It is recommended that parents/guardians are<br />

given the opportunity <strong>to</strong> contribute ideas <strong>to</strong> the menu.<br />

• A main meal must include a food from the following food groups:<br />

- bread, other cereals and pota<strong>to</strong>es;<br />

- fruit and vegetables;<br />

- meat, fish and alternatives (see information on food groups, pages 7-9).<br />

• Choose combinations of colours <strong>to</strong> make the food attractive. Three or four defined<br />

areas of colour look good on a plate.<br />

• A combination of different textures increases appeal. Children will appreciate crisp,<br />

crunchy, chewy, smooth and soft foods.<br />

• Taste should be varied but meals containing <strong>to</strong>o many different new flavours may not<br />

be acceptable <strong>to</strong> children.<br />

• Some finger foods, as well as foods which require cutlery, allow variation at mealtimes.


Children following a vegetarian diet<br />

People who follow vegetarian diets may differ in the types of food they eat or exclude. It is<br />

important therefore <strong>to</strong> find out the type of food that the vegetarian child can eat. For<br />

example some children may eat chicken, fish, eggs, milk and dairy products such as<br />

cheese or yogurt, whereas strict vegans exclude all foods of animal origin.<br />

A vegetarian diet is a healthy diet providing that a wide variety of foods are eaten. When<br />

meat and animal products are excluded from meals it is important that the nutrients they<br />

provide are gained from other foods.<br />

Vegetarian sources of protein should be<br />

provided at each meal. Refer <strong>to</strong> the notes<br />

on Meat, fish and alternatives, page 9 for<br />

main meal ideas.<br />

To ensure an adequate intake of all the<br />

essential amino acids, a vegetable<br />

source of protein (pulses, nuts) should<br />

be eaten with a cereal food (bread, rice,<br />

pasta), for example chickpea casserole<br />

with pasta, lentil stew with rice, beans<br />

on <strong>to</strong>ast.<br />

Children from ethnic<br />

communities following a<br />

traditional diet<br />

When planning food provision and<br />

menus, childcare providers must<br />

accommodate the traditions and<br />

cus<strong>to</strong>ms of ethnic communities. Details<br />

of the foods traditionally avoided by particular groups are shown below:<br />

• Hindus and Sikhs are strict vegetarians and do not eat meat, fish, eggs or anything<br />

made with them.<br />

• Muslims eat meat provided it has been killed by the halal method. They exclude all<br />

pork and pork products. Other foods may also be avoided if there is uncertainty<br />

about the content, eg pastries and puddings which may contain pig fat. Many<br />

savoury baby products contain meat which has not been killed by the halal method,<br />

and these products are unacceptable <strong>to</strong> Muslims.<br />

• Jewish people eat meat provided it is kosher. They exclude all pork and pork<br />

products. They eat those fish which have fins and scales, but exclude all shellfish and<br />

eels. Products from animals that have not been prepared by the kosher method are<br />

also avoided, eg gelatine, animal fats. They do not eat meat and milk or milk products<br />

at the same meal. They should not be offered cheese that contains rennet or biscuits<br />

that contain animal fat.<br />

• Chinese people generally exclude dairy produce. The Chinese community also<br />

believes that good health depends on a balance of two opposite elements in the<br />

body: yin (referred <strong>to</strong> as ‘cold’) and yan (referred <strong>to</strong> as ‘hot’). Infant formula milk is<br />

regarded as ‘very hot’. Where a mother has chosen <strong>to</strong> bottle feed her baby, she may<br />

want <strong>to</strong> give her baby ‘cooling’ drinks such as cooled boiled water.


Children with special dietary needs<br />

Providing special diets<br />

Special diets such as gluten-free (coeliac), diabetic, milk-free or nut-free, can be quite<br />

complex. Parents should be able <strong>to</strong> provide a diet sheet about their child’s specific<br />

dietary needs which has been prepared by a State Registered Dietitian.<br />

Food allergy<br />

Many parents believe that their child is sensitive <strong>to</strong> certain foods. However the true<br />

incidence of food allergy is likely <strong>to</strong> be much lower than reported. Parents requesting<br />

special diets for their children because of food allergy should be encouraged <strong>to</strong> seek<br />

medical advice. It is unwise <strong>to</strong> restrict food choice among young children without<br />

professional help and advice.<br />

Peanut allergy<br />

Peanut allergy is usually severe - sensitive individuals may even react <strong>to</strong> peanut dust. All<br />

nuts and nut products must be avoided, including peanut butter.<br />

Care should also be taken <strong>to</strong> prevent accidental consumption of food containing nuts or<br />

nut products or food that has come in<strong>to</strong> contact with them.<br />

Children with peanut allergy are advised <strong>to</strong> carry identification and may require a pre-filled<br />

syringe of adrenaline (eg epipen, anopen) which can be administered if they have a reaction.<br />

The Department of <strong>Health</strong> Expert Panel recommends that children with a family his<strong>to</strong>ry<br />

of asthma, eczema, hay fever or food allergy should avoid peanuts and peanut products<br />

until the age of three years.<br />

So as a precautionary measure, it is recommended that childcare facilities should not<br />

provide peanuts or foods containing them, eg peanut butter, <strong>to</strong> any children in their care.


SAMPLE MENU - WEEK 1<br />

Sample menus<br />

Meal Monday Tuesday Wednesday Thursday Friday<br />

Lunch<br />

Midmorning<br />

and midafternoon<br />

snacks<br />

Homemade<br />

beefburgers<br />

(grilled or oven<br />

baked),<br />

cabbage and<br />

mashed pota<strong>to</strong>es<br />

(as champ)<br />

Milk jelly with<br />

tinned fruit<br />

To drink: milk, water<br />

Pork pieces<br />

casseroled with<br />

pineapple and<br />

peppers, with<br />

boiled rice<br />

Madeira cake<br />

with banana<br />

slices<br />

Savoury mince<br />

with baked<br />

pota<strong>to</strong>es,<br />

frozen peas and<br />

sweetcorn<br />

Semolina with<br />

tinned peaches<br />

For snack suggestions, refer <strong>to</strong> snack list, page 10.<br />

Roast chicken<br />

with<br />

carrots/parsnips<br />

and roast<br />

pota<strong>to</strong>es<br />

Apple crumble<br />

and custard<br />

Grilled fish<br />

fingers with<br />

baked beans<br />

and boiled<br />

pota<strong>to</strong>es<br />

Kiwi fruit with<br />

natural yogurt or<br />

fromage frais<br />

A more substantial snack could be provided for children staying later, eg sandwiches with meat<br />

or alternative filling; beans, cheese or sardines on <strong>to</strong>ast.<br />

SAMPLE MENU - WEEK 2<br />

Meal Monday Tuesday Wednesday Thursday Friday<br />

Lunch<br />

Midmorning<br />

and midafternoon<br />

snacks<br />

Beef casserole<br />

with carrots and<br />

turnip, with<br />

boiled pota<strong>to</strong>es<br />

Fresh fruit salad<br />

with yogurt<br />

To drink: milk, water<br />

Liquidised lentil<br />

soup with bread<br />

rolls/baps<br />

Bread and<br />

butter pudding<br />

with custard<br />

Tuna,<br />

sweetcorn and<br />

pasta bake with<br />

sliced <strong>to</strong>ma<strong>to</strong>es<br />

Peach or<br />

banana custard<br />

For snack suggestions, refer <strong>to</strong> snack list, page 10.<br />

Chicken portions<br />

casseroled with<br />

carrots and<br />

leeks, with<br />

mashed pota<strong>to</strong>es<br />

Apple pie with<br />

custard<br />

Bolognese<br />

mince and<br />

spaghetti with<br />

green beans<br />

Fruit jelly with<br />

ice cream<br />

A more substantial snack could be provided for children staying later, eg sandwiches with meat<br />

or alternative filling; beans, cheese or sardines on <strong>to</strong>ast.


SAMPLE MENU - WEEK 3<br />

Meal Monday Tuesday Wednesday Thursday Friday<br />

Lunch<br />

Midmorning<br />

and midafternoon<br />

snacks<br />

Shepherd’s pie<br />

with cauliflower/<br />

broccoli and<br />

wheaten/soft<br />

grain white bread<br />

Milk-based<br />

instant dessert<br />

with banana or<br />

kiwi fruit<br />

To drink: milk, water<br />

Boiled ham with<br />

cabbage/carrots<br />

and boiled<br />

pota<strong>to</strong>es<br />

Rice pudding with<br />

peaches, tinned in<br />

fruit juice<br />

Irish stew<br />

Sponge <strong>to</strong>pped<br />

with puréed fruit<br />

and fromage frais<br />

For snack suggestions, refer <strong>to</strong> snack list, page 10.<br />

Fish in white<br />

sauce or ovenbaked<br />

fish in<br />

breadcrumbs with<br />

mashed pota<strong>to</strong> and<br />

mixed frozen<br />

vegetables<br />

Fruit sponge<br />

(Eve’s pudding)<br />

and custard<br />

Roast pork or<br />

oven-baked<br />

pork steaks and<br />

gravy with roast<br />

pota<strong>to</strong>es and<br />

green beans<br />

Ice cream with<br />

fresh or tinned<br />

fruit<br />

A more substantial snack could be provided for children staying later, eg sandwiches with meat<br />

or alternative filling; beans, cheese or sardines on <strong>to</strong>ast.

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