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4.2

Weaning onto Solid Foods –
  Complementary Feeding

Summary

●● I●nf	antsSduemvmeloapryaBtudllieffteerdenLtisrtates and parents  ●● Introducing finger foods from the beginning of
   should be supported to decide when their                            weaning encourages the development of
   infant is ready to begin solid foods.                               self-feeding skills.

●● Most term infants are ready to begin between                     ●● A positive feeding environment allowing the
   4 and 6 months and the UK Department of                             infant to decide how much they eat and drink
   Health recommends that they begin around 6                          enhances weaning progression. Milk feeds
   months but not before 4 months.                                     should decrease as more food is eaten.

●● Breast milk is the ideal main milk drink during                  ●● Progression through the weaning stages onto
   weaning but most infants in the UK are already                      more complex textures and a wide variety of
   on formula milks by this age.                                       tastes of family foods by 12 months decreases
                                                                       the likelihood of feeding problems in toddlers.

Terminology                                                            at a time when they are receptive to learning to
                                                                       like them.
In the UK the  term ‘weaning’ means the
introduction of solid foods alongside an infant’s                   Ideally, breast milk should continue as the main
milk feeds, rather than the process of moving an                    milk drink throughout weaning (Agostoni et al.
infant from feeding from the breast altogether.                     2008).

   Both the terms ‘introduction of complementary                    When to Begin Introducing Solid
foods’ and ‘complementary feeding’  are used                        Foods
internationally for the introduction of solid foods
alongside an infant’s milk feeds.                                   Over the last few decades recommendations on the
                                                                    suitable age to begin weaning have changed and
Why Wean?                                                           conflicting advice is sometimes given to parents in
                                                                    the UK. The key recommendations from various
The purpose of introducing solid foods alongside                    agencies are summarized in Table 4.2.1.
an infant’s milk feeds is to:
                                                                       Infants all develop at different rates and
●● provide extra energy (calories) and nutrients when               healthcare professionals need to support
   breast milk or infant formula no longer supplies                 parents to decide when their individual infant
   them in sufficient amounts to sustain normal                     is ready to wean. Oromotor skills to support
   growth and optimal health and development                        weaning onto solid food are noticeable in
                                                                    infants between 3 and 6 months of age (Carruth
●● provide infants the opportunity to learn to like                 and Skinner 2002).
   new tastes and textures, based on family foods,
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