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110 4.2­  Weaning onto Solid Foods – Complementary Feeding

Table 4.2.6  Foods to limit and avoid

Foods                                     Reason
Foods to limit

Foods with added sugar                    They provide excess calories with fewer nutrients
                                          Infants are born with a preference for sweet foods and weaning is a
Foods with added salt such as adult       time for learning to like other tastes
ready meals and commercial sauces,        In homemade puddings and cooked fruit a small amount may be
soups and packet snacks                   added if necessary to reduce the tart flavour of sharp fruits
Liver
Foods to avoid                            An excess of salt could cause dehydration if an infant becomes ill.
                                          However, nutritious foods that are preserved with salt, such as bread
                                          and cheese, do not need to be limited as infants need a certain
                                          amount of sodium to grow. See Chapter 1.2, page 19

                                          Should be limited to one small serving per week because of the high
                                          levels of vitamin A

Honey                                     Carries a very small risk of botulism
                                          Likely to cause gastroenteritis
Under-cooked eggs, meat, fish and
shellfish                                 May contain mercury
Unpasteurized soft cheeses                A choking hazard and can cause severe reactions if inhaled

Large fish such as marlin, swordfish and
shark

Whole nuts

●● Breastfed infants should begin from 6 months if    UK most at risk of low vitamin D are those of
   their mother was well nourished during             Asian, Black or Middle Eastern origin whose
   pregnancy. If there is any doubt about a mother’s  mothers did not take a vitamin D supplement
   vitamin status during pregnancy then breastfed     during pregnancy.
   infants should begin this supplement at 1 month
   of age.                                            Suitable supplements available

●● Formula-fed infants should begin taking a          Healthy Start children’s vitamin drops are available
   supplement once they are over 6 months and         free for Healthy Start beneficiaries through some,
   drinking less than 500 mL formula per day. This    but not all, NHS Trusts/Boards. A variety are
   is because infant formula is supplemented with     available in retail pharmacies and outlets, but most
   vitamins A and D. This is usually about 11–12      are expensive because they contain additional
   months.                                            vitamins and minerals. Some are prescribable.

This policy may vary locally: in areas where the        Activity 2
incidence of rickets is high due to low vitamin D
status of mothers and infants, some NHS Trusts/          Make up some weaning meals for each of the
Boards recommend this supplement from birth for          three weaning stages, taking care to mix them
all infants.                                             to the correct texture. Buy some commercial
                                                         baby foods and compare the flavour and
   Unfortunately, in some areas a vitamin A and          texture to those you have prepared from fresh
D supplement is not widely recommended to                ingredients.
parents and the recent rise in rickets is linked to
the poor uptake of this supplement. Infants in the
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