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How to Start Solids at 6 Months: A Step-by-Step Guide

The WHO recommends exclusive breastfeeding until 6 months. Here's how to introduce solid foods safely, what textures to start with, and common mistakes to avoid.

When to start

The World Health Organization recommends exclusive breastfeeding (or formula) for the first 6 months. After this, complementary foods should be introduced alongside continued breastfeeding.

Signs your baby is ready (typically around 6 months):

  • Can sit with minimal support and hold their head steady
  • Shows interest in food (reaches toward it, opens mouth when they see you eat)
  • Has lost the tongue-thrust reflex (stops pushing food out with tongue)
Do not start before 4 months: the gut and kidneys are not mature enough.

What to offer first

Start with single-ingredient, soft foods:

  • Purées: sweet potato, carrot, pear, apple, pea
  • Soft mashed: banana, avocado, cooked lentils
  • Baby-led weaning (BLW): soft finger foods sized like an adult finger (cooked broccoli florets, banana chunks, soft pasta)

Either approach is evidence-based. Many families use a combination.

Foods to avoid under 12 months

  • Honey: risk of infant botulism
  • Cow's milk as a main drink: (small amounts in cooking are fine)
  • Salt and added sugar: immature kidneys cannot process excess salt
  • Whole nuts and large hard pieces: choking hazard
  • Shark, swordfish, marlin: high mercury

Introducing allergens

Current guidelines recommend early introduction of common allergens (peanut, egg, wheat, fish) once your baby has tolerated a few initial foods. Early introduction reduces the risk of allergy developing. Always introduce one new allergen at a time and wait 2–3 days before the next.

If your baby has severe eczema or an existing food allergy, consult your allergist before introducing peanut.

How much to offer

At 6 months, food is about exploration and taste, not calories: milk still provides most nutrition. Start with 1–2 teaspoons once a day. By 8–9 months, aim for 2–3 meals with some snacks. By 12 months, 3 meals plus 2 snacks.

Gagging vs choking

Gagging is normal and protective: it's the baby moving food forward that went too far back. Gagging looks dramatic: coughing, retching, watery eyes. Choking is silent: no sound, blue lips, unable to breathe. Never put your finger in a gagging baby's mouth.

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The Childhood Journal provides general evidence-based information. Always consult your paediatrician for concerns specific to your child.

المصادر

  1. [1]WHO. Complementary feeding: family foods for breastfed children. World Health Organization. 2000.
  2. [2]Fewtrell M, Bronsky J, Campoy C, et al. Complementary Feeding: A Position Paper by the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition. J Pediatr Gastroenterol Nutr. 2017;64(1):119-132.
  3. [3]Rapley G, Murkett T. Baby-Led Weaning. The Essential Guide. Vermilion. 2008.

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