A guide to weaning - Health Promotion Agency
A guide to weaning - Health Promotion Agency
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.