Author: Splash Creative

For National Nutrition Month, we want to share advice for starting solids and making sure that your baby is getting all the nutrients they need. Starting solids is an exciting milestone for your baby, but it can also be messy and confusing. Read on to learn how to make the transition easier.

Babies can begin eating solids generally around 6 months of age. Prior to that, it is recommended that they be given only breastmilk and/or formula. Breastmilk has all of the nutrients your baby needs. After 6 months, it is still beneficial to continue breastfeeding until the first year or beyond, while feeding your child introductory foods.

Your baby will be ready to start eating solids when they can hold their head up and sit in an infant seat. They should also generally weigh at least 13 pounds and be able to swallow food. When you start feeding your baby solids, you may notice them spitting out some of the food, leaving a mess on their bib or high chair. This often happens because they’re not used to consuming anything thicker than milk or the taste of other foods. Over time, however, their taste buds will develop and their tolerance of different textures will grow.

To begin feeding, start with tiny spoonful amounts of baby food and gradually increase the amounts as your baby learns how to swallow solids. Patience is key here. Don’t feel discouraged if your baby turns away from the food or starts crying. If they refuse to eat, go back to breastfeeding or feeding them infant formula and try again another time. Eventually, your baby will learn to accept solids and will enjoy it!

What you feed your baby is also really important. There are many types of baby’s first foods to choose from, but you’ll want to make sure that their food includes nutrients such as iron, protein, vitamins, and minerals. Try giving them a variety of options to avoid picky eating later on. When babies begin eating solids, their food should be soft or pureed to prevent choking. Once they’re able to bring their hands and other objects to their mouths, you can give them soft finger foods to learn how to feed themselves. Finger foods should also be cut into small pieces to make it easier for swallowing.  

Baby-led weaning is another approach to starting solid foods.  This approach allows you to follow your baby’s lead and to watch for signs of developmental readiness and, when baby is ready, allowing them to self-feed.  Cutting foods into “finger-size” slices that are made for grasping and food should be firm enough to pick up and hold, long enough that they can see a little portion sticking out of their hand and soft enough to gum or chew.  Examples include soft ripe fruits such as banana, pear, avocado, kiwi and mango or strips of roasted/baked/steamed vegetables such as sweet potatoes, carrots and squash.  Soft, shredded strips of meat that you can move your fingers through is also an option.  Most babies will embark on their solid foods journey with a combination of these two approaches.

Some great first foods for babies include mashed fruits and vegetables like bananas, peaches, applesauce, sweet potatoes, and avocados, as well as grains like oatmeal and baby cereal. Protein options include meat, mashed eggs, yogurt, beans, and tofu. After your baby starts eating solids and there’s no special reason to be concerned about food allergies, you can gradually begin to introduce them to allergenic foods like peanuts, tree nuts, and shellfish. It is advised to keep 3 days in between new foods to ensure there are no signs of allergy to the food introduced.

Once your baby reaches 6 months, they can also be introduced to drinking water. Babies under 6 months get the water they need from breastmilk and/or formula. For babies under age one, 8 ounces of water per day is enough in addition to breastmilk and/or formula. Children under 12 months should not be drinking juice as there is no nutritional benefit at this age. Juice also increases the risk of tooth decay. 

Additionally, you’ll want to avoid feeding your baby anything they can choke on, such as popcorn, nuts, and vegetables that are not mashed. You may notice your child gagging when eating baby food and this can be confused with choking. However, gagging is a normal reaction that occurs when your baby has taken in too much food or pushed it back into their mouth. The gag reflex keeps the food out of the wind pipe and prevents choking. If your child is choking, they will show signs of difficulty breathing. If this occurs, contact emergency right away or perform CPR if trained. 

If you have any questions about introducing solids to your infant, please contact our office. 

Using the 5210 Rule

Looking for successful ways to improve your child’s health? The 5210 rule can be a beneficial program to use for your family. The program includes the following rules:

• 5 servings of fruits and vegetables per day
• A limitation of 2 hours or less of media consumption per day
• 1 hour of physical activity
• 0 sugar-sweetened beverages

Following these guidelines can keep your kids healthy, help them maintain a healthy weight, and set them up for a lifelong of healthy habits. Here’s info about each of these rules.

The 5 rule:

Vegetables and fruits contain essential nutrients needed for your child’s growth and development. Medical evidence also suggest that vegetables and fruits can decrease the risk of cancer, diabetes, and heart disease when consumed regularly. These foods contain antioxidants that protect the cells against free radicals, as well as fiber, which helps control blood sugar and cholesterol levels. Vegetables and fruits tend to be lower in calories than many other types of foods. But due to being nutrient-dense and a good source of fiber, they can be filling snacks, satisfy hunger, and prevent overeating. Include fruits and vegetables as part of every meal and as snacks in between meals.

The 2 rule:

Too much media can affect your child’s ability to concentrate, their academic performance, their mental health, and their physical health. When children spend too much time in front of electronic devices, they get less physical activity, which can lead to childhood obesity. Excessive usage may also lead to screen addiction and affect their social life and sleep as a result. Keep media use under 2 hours to prevent these issues.

The 1 rule:

Exercise keeps your kid physically healthy and also improves their mental health. Sixty minutes of moderate to vigorous activity per day is important to keep their muscles and bones strong. To encourage and motivate your children, try involving them in activities they find enjoyable, whether that’s riding a bike, roller skating, swimming, hiking, dancing, or playing a sport. If the activity is fun for your child, they are likely to continue and it can be an effective way to ensure that they’re staying active every day.

 The 0 rule:

Added sugar can be harmful to your child’s health and sugary beverages are among the worst sources. Many of them have a high amount of added sugar and little to no nutrients and fiber. Sweetened beverages such as soda can also lead to obesity, type 2 diabetes, heart disease, and tooth decay. Instead of giving your kids these drinks, opt for water and plain milk.

The best way to encourage your kids to follow these rules is to model them as the parent or caregiver. When your kids see you adhering to these health practices, they’re more likely to do it as well. If your child shows resistance, you can create a simple reward system such as a weekly game night. It’s also helpful to create a 5210 chart and hang it on the fridge to keep track, especially when you have a busy schedule.

MMR Vaccine: Debunking Myths

The MMR vaccine is an important vaccine for children to prevent infection from measles, mumps, and rubella. These three diseases are very common among children and the vaccine can protect them for life.

Measles, mumps, and rubella are contagious viral infections. Measles can cause high fever and severe flu-like symptoms such as cough and a runny nose, as well as pneumonia, ear infections, diarrhea, and a rash covering the body. In rare cases, it can also cause brain damage and lead to death. 

Mumps can also cause fever, in addition to muscle aches, tiredness, and loss of appetite. Most people will experience swelling of the salivary glands under the ears and a swollen jaw. It can also cause deafness and swelling of the brain, and in rare cases, lead to death.

Rubella has symptoms similar to measles, such as a fever, a sore throat, and rash. Other symptoms include headaches and eye irritation. It can also cause arthritis in teenagers and adult women. For pregnant women, there’s a high risk of miscarriage or the baby being born with serious birth defects. 

Due to the severity of these diseases, it is highly recommended that children receive 2 doses of the MMR vaccine, with the first dose administered at 12 months of age and the second one administered at ages 4. Sometimes during outbreaks, a third dose may be recommended. And for babies traveling outside the US between 6 months and 11 months, it is best that they receive the vaccine prior to travel.

There are many myths regarding the MMR vaccine. Below are some of them along with facts.

Myth: The vaccine can cause autism.

Fact: There is no scientific data indicating a connection between the two. There is, however, a lot of evidence that the vaccine does not cause autism.

Myth: The vaccine is fatal.

Fact: No deaths have been associated with the vaccine among healthy people. The vaccine may have side effects such as fever, dizziness, soreness, a rash, and swelling, which are usually temporary. There are other rarely documented side effects which are not commonly seen. It’s important to note that vaccines undergo a vetting process before being approved and for most children, the vaccine is safer than the risk of getting infected by Measles, Mumps or Rubella.

Myth: The MMR vaccine can cause measles.

Fact: The vaccine is made from a live virus, although it does not contain measles and the virus is weakened to the point that it cannot cause disease. Instead, it causes your body to recognize the virus and develop immunity. 

Myth: The MMR vaccine does not protect people from Measles, Mumps or Rubella.

The MMR vaccine is the best way to prevent the spread of Measles, Mumps and Rubella and saves thousands of lives every year. As Measles, Mumps and Rubella are highly contagious, outbreaks occur in the US. But the vaccine has been able to lower the number of deaths and the number of people infected. While proper sanitation can help, Measles, Mumps and Rubella can be spread from person to person and through the air. 

Why can’t I just get them as separate vaccines?  A Measles vaccine, a Mumps vaccine and a Rubella vaccine separately?

The Measles, Mumps and Rubella vaccines are not manufactured separately in the United States, it is only available as a combination vaccine of MMR.  They have not been available as stand alone vaccines since the 1970s in the US. Some reasoning for this is that the combination vaccine was proven to have superior effectiveness and less risk of side effects.

At Peninsula Pediatrics, we firmly believe in the effectiveness of vaccines to prevent serious illness and to save lives as well as the safety of our vaccines.  We follow the vaccine schedule outlined by the Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics (AAP).  If you have any questions or concerns about the MMR vaccine or any other vaccines, please contact our office. 

Sources:

https://www.cdc.gov/vaccines/vpd/mmr/public/index.html

https://www.healthychildren.org/English/safety-prevention/immunizations/Pages/Measles-Mumps-Rubella-Vaccines-What-You-Need-to-Know.aspx

https://www.idsociety.org/public-health/measles/myths-and-facts/