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Monday, September 10, 2012

How to Transition Your Baby (or Toddler) to Table Foods {Part 1}




Recently, I have been getting a lot of emails about how to transition your baby or toddler onto table foods. These questions usually come from parents that are struggling through the process with a baby (under 12 months old) or from parents that now have toddlers and are still stuck on baby foods.  I am going to try and address this post for both groups of parents, although with the latter, the approach may need to be tweaked and adjusted for your child.  As we saw with Milo in last week's post, his difficulty with transitioning to table foods was a red flag for sensory sensitivity.  

There is so much to cover here, I am breaking this post down into two.  In this post, I will cover when you should start introducing those table foods and how to begin the process.  In Part 2, I will discuss how to completely leave baby food behind and what your feeding schedule will probably look like around this age.
As a mom, each time I had to transition both my boys onto table foods I was frustrated and overwhelmed.  Hmm, maybe I shouldn't admit that, I am an OT, I know how to do this, right?  Well, yes I do, but it was still a challenging time as a mother.  (I have mentioned that I'm Type A, change is hard for me!) The little routine you had starts to shift, as they are also beginning to wean from breast or bottle and learn to drink from some type of cup.  As parents we worry, "Are they eating enough?". With jarred food you can really quantify how much they have eaten, but it gets a little blurry when half of the diced up food you give them is on the floor.  My point is, I have been there!  Okay, let's get going with the basics...

Getting Ready

A week or two before you begin to introduce solids, start to thicken their baby food.  Thicker foods require more movement of the tongue and muscles in the mouth, which helps lay a good foundation for moving a solid piece of food around in their mouth.

If you are making your own baby food (get the DIY here), then add less water or liquid when pureeing and be on stage 2 if you are using jarred food.  Some stage 3 type foods would be great as long as it doesn't have a mixed texture.  Many of the jarred variety have whole pieces of food mixed in with the puree, don't go there-- yet.  That is putting the cart before the horse.  For now, stick with smooth purees, gradually increasing their thickness.  You can also increase thickness by adding cereal or freshly pureed foods into jarred baby foods.

Also, begin to dramatically chew for your baby.  Show them how you put a small piece of food into your mouth using your hand and leave your mouth open so they can see what you're doing.  It may take finding the right moment to get their attention, but this will help peak their interest, as well as teach them what they should do when you hold that piece of food up to them for the first time.  

When to Get Started

Generally speaking, a good time to start for most babies is around 8-9 months.  However, it may be later for your child, especially if they were a preemie.  You will know they aren't quite ready if they refuse, gag, or cough a lot when you try.  That's okay, don't be discouraged, this just means you will need to take it slower and consistently offer safe foods they won't choke on.  

For other babies, it may be even earlier.  As an OT, I can't recommend starting earlier, but of course it is your choice if you feel they are ready.  It is likely that they will be mostly swallowing (not chewing) most of the food though.  

What the First Food Should Be



The best first table food to give your child is Gerber Puffs.  No, I am not getting any kickbacks for saying that!  I have tried a few other brands, but the texture of the Gerber variety is great for beginners. Puffs are perfect because they are hard and crunchy initially, which helps babies realize there is something in their mouth and how to keep track of it once it is in there.  Some people think to start soft with something like eggs or banana. Not bad logic, but because those foods are so soft, babies have a hard time feeling exactly where it is in their mouth.  The wonderful thing about puffs is that they dissolve in saliva in just a few seconds.  So, if your babe doesn't chew and just tries to swallow they aren't going to choke on it.  That is peace of mind.





Puffs are also great because they can be broken into really small pieces for those first attempts with nervous parents.  And, babies can pick them up easily!

Stick with these for a few days to a week, until you can see them munching up and down with their jaw.  Ideally, they should be feeding themselves the puffs, too, but don't let that be a deal breaker on moving forward.

Once they get the hang of puffs, try small pieces of other foods that dissolve really quickly.  Some examples are: Town House Crackers (not Ritz), Graham Crackers, Cheese Puffs, and Baby Mums Mums. I know these are not the healthiest of options, but in terms of safety and learning to chew they are the best.  If you aren't sure if something is safe, do a taste test yourself. How quickly does it dissolve compared to a puff?  How much do you need to chew it?

As your child manages these foods well, you can start with soft foods like bananas, noodles, cheese, breads, and overly cooked veggies in a cube shape.

Important Tips

  • Once you begin introducing table foods, offer one at each meal.  Then, slowly increase the variety of foods they are eating as they are managing more foods.
  • Continue to steadily increase the thickness of baby foods as you progress with table foods.  If you aren't making your own baby foods try pureeing what you are eating for dinner or mix this into the jarred baby food.  This will help get your child used to more textures and tastes.
  • Carefully monitor all new foods.  Some coughing and an occasional gag is normal.  If you are seeing this frequently, the texture you are giving them may be too difficult for them.  Wait a week or so before introducing it again and then proceed slowly. Discuss persistent gagging and choking with your doctor.

Part 2 of Transitioning Your Baby to Table will be coming at you in a few weeks!  Have any questions, I want to hear them?  If you need more inspiration for Table Food ideas, check out my Mega List and follow me on Pinterest for lots of cute presentation ideas!

Click here for Part 2 in this series.




11 comments:

  1. Should I wait until my baby gets teeth? He just turned 9 months and loves puffs but we are still waiting on teeth!

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    1. Oh my gosh Beth, no. Your question is so common, I think I need to write a post on it. It is a total misconception that they need teeth to eat. Sure if you were giving them a hunk of steak, but you are giving them soft, easy to eat foods. Plus, you would be surprised at how good their gums work. When teeth do come they are in the front, not the teeth they need to grind their food up. I know it is scary, follow the steps and check out part 2 in this series.

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  2. That's what I thought, but just needed a little extra courage! Thanks!

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  3. Quick question, with the town house crackers should I break them into small pieces or let her take bites from the whole cracker? I'm so afraid that she'll take too big of a bite and choke. My baby is 13 months and we're working on more crunchy foods

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  4. Yes Emily, break them up into pieces, as small as she can pick up at first. Then move to slightly bigger pieces as she is chewing well. Taking a bite is an important skill but it comes later on the continuum. Try that once she is eating fairly large pieces safely.

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  5. Gerber Puffs WERE her first solid food, and she did amazing with them.

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  6. I am so happy I found your blog! I'm working with my 9 month old now on making the transition. He seems interested, but the problem is he hasn't really developed his pincer grasp yet. I've given him large pieces of graham cracker and cheese sticks that he enjoys chewing on and has been pretty successful with (I watch him closely), but puffs and diced steamed veggies remain a big challenge because he can't pick them up. Should I wait it out or give him larger pieces of food that he can pick up and get into his mouth?

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    1. Hi Melissa, is your little guy picking up the puffs with his whole hand or does he not attempt to pick them up at all? If you can demonstrate or put your hand on top of his and show him how- the latter is a little more tricky with their tiny hands. If you feel like he is chewing the larger pieces well, then I would say it is okay, if you are watching closely. But, I would always be encouraging him to pick up the smaller pieces. You can also feed him some of the bites and let him to try and feed some himself to cut down on his frustration. It sounds like he is doing great with the table foods, I wouldn't want you to back off from that. I hope that helps!

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  7. My son just turn 1 year old and most of his food are thick purees(I would say is Stage 3 food). I tried cut the carrot into very small piece, 2mm size, and also steamed minced pork, he tried to chew and eat, but after a while, he vomit out the food. I was so scared and stop giving him these food, and back to thick puree again. After a week I try again and he still vomit a bit. Is my method wrong? Sometimes I find the carrot still a bit hard (I steamed for about 20 minutes), so I'm not sure is it because I choose the wrong table food (carrot)? Anyway, he can eat banana or papaya chunk perfectly.
    By the way, I'm a working mom and my mother-in-law(mil) is helping me to take care of my son when I'm at work. Therefore I always prepare the food in batch (blend and freeze). Since I need to transit his food to table food, I shouldn't blend and freeze them right? Can I cut the raw vege in cube size and freeze it? And steam the frozen chunk food before each meal? I know some nutrition may lost but it's better than I cut part of the vege and keep the rest in fridge for next few meals right?

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    1. I would try and stick to the steps I described in this post and part 2. Go for really soft foods or ones that melt easily at first, it sounds like he isn't chewing the food enough. The carrot is fine, but keep it really soft. It is totally fine to freeze ahead, you don't lose that many nutrients. By the way, if you are in the states you could look into free early intervention services that your state is required to provide. They will come to you or your mil's house to help get him on table foods. Let me know if you need more help with this!

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