Why six months
WHO and IDAI recommend starting complementary foods at six months (180 days). Before that the gut and swallowing reflexes are not ready; after that the iron stores from birth start to run out and breast milk alone no longer covers energy, protein, iron and zinc needs.
Readiness signs: sits with minimal support with a steady head, watches people eat with interest, opens the mouth as the spoon approaches, and the tongue-thrust reflex (pushing food back out) has faded.
Principles of the first menu
IDAI advises a complete menu from the start, not days of single fruit purees. One serving ideally contains:
- Carbohydrate: rice porridge, potato, sweet potato.
- Animal protein: chicken, chicken liver, egg, fish, beef. Animal protein matters for iron and zinc and may be given from day one.
- Fat: coconut milk, coconut oil, unsalted butter, babies need fat for energy and brain growth.
- Vegetables or fruit in small amounts.
The first texture is a thick strained porridge, thick enough not to drip when the spoon is tilted. Progress gradually: coarse porridge at 8 months, finely chopped at 9 months, family food cut small towards 12 months.
Amount and frequency
Start with 2 to 3 tablespoons twice a day, then increase slowly to half a 250 ml bowl, 2 to 3 times a day plus 1 to 2 snacks at 6 to 8 months. Breastfeeding continues on demand.
Allergens
Egg, fish, peanut, wheat and dairy can be introduced from six months, one new food every 2 to 3 days so a reaction is easy to trace. Delaying allergens does not prevent allergy. Log every new food in the Catat tab so that if a rash or diarrhoea appears you know the culprit.
This article is general education and does not replace a doctor’s examination. When in doubt, consult a paediatrician.
