# Presentation: 448931

## 

Cómo darle 
alimentos
sólidos
a los bebés

**Cómo darle **
**alimentos**
**sólidos**
**a los bebés**

**Notes:**
Hello, my name is __________.  In today’s class we will be discussing introducing your baby to solids.  The information contained in this class are general recommendations.  If you have any doubts about feeding your baby, please call your baby’s doctor.  Does anyone know what signs say a baby is ready to have his first solid food?  Pause 3-5 seconds for discussion to start.

## ¿Cuándo empiezo con los alimentos 				  sólidos?                               2

****** ****se sienta con apoyo**
****** ****sostiene la cabeza firme**
****** ****puede mantener la comida en la boca y tragarla**
**el bebé muestra interés por los alimentos y por comer**
**generalmente entre los 4 y 6 meses de edad****	**

**Notes:**
Here are the usual signs that your baby is ready for his first food.  (Go over list).

##  ¿Porqué es peligroso darle alimentos                         	        antes de tiempo?			3													

- podría ocasionar alergias
- podría relacionarse con la diabetes
- aún no puede digerir sólidos
- nutritivamente no es necesario

**Notes:**
Are there any dangers to feeding too early?  Pause 3-5 seconds for any discussion to start.  There are some concerns about feeding too early such as triggering food allergies.  Feeding before the 4th month has also been linked to developing diabetes later in life according to the American Medical Association.  You may also want to think about feeding too early as wasting the cereal you feed.  Babies usually can not digest the cereal that is fed so no nutrition is being gained from the food given.  Up until the 6th month, babies can get all the necessary nutrients from breast milk or formula. 

## ¿Qué pasa si tardo en darle alimentos?														4

****** ****rechazo a los sólidos**
****** ****fuerte apego al biberón**
****** ****podría relacionarse con la diabetes**

**Notes:**
Feeding too late isn’t dangerous, but it can make getting your baby started on solids challenging and difficult.  Starting feeding after the 6th month and beyond may prove to be difficult at best.  Baby may reject solids preferring to use the familiar route of getting nutrition...the breast or the bottle.  Recently, the American Medical stated that introducing food after the 7th month may be linked to diabetes as well.  So make sure to start solids when your baby shows readiness in the window period of 4-6 months.

## 		Primer alimento									5

- Cereal de arroz de grano simple para bebés, fortificado con hierro
-  Mezclar con leche materna o fórmula
- 		  Debería tener la consistencia cremosa
- 			  Alimentar con cuchara
- 		 No agregue cereales al biberón

**Notes:**
Baby’s first food should be single grain rice cereal specially made for babies.  Why do you think single grain rice cereal is recommended as the first food to introduce?  Pause 3-5 seconds for discussion.  Rice cereal is easy to digest, has low risk of the baby being allergic to it and is easy to swallow.  The   (Show box for example, should we do demo?)  Do not put cereal in the bottle this poses a serious risk of choking the baby.  The cereal should be fortified with iron.  Starting around 4-6 months babies need to be getting iron in their diets.  Especially breastfed babies.  Babies on formula that is iron fortified are getting iron in every bottle.  You may also try baby oatmeal and barley cereals.  Do not buy the cereal with fruit added.    

## ¿Qué alimentos deberían servirse después? 					6	

- vegetales y frutas en puré
-  comience con vegetales
-  5-7 meses
- se sienta sin apoyo
- comienza a masticar
- ¿Por qué?
- Los bebés tienden a rechazar los alimentos menos dulces como los vegetales si primero se les da alimentos dulces como las frutas.

**Notes:**
After cereal what food is best to serve next?  Pause 3-5 seconds for any discussion.  Vegetables are the best choice to serve next.  Around 5-7 months when your baby can sit up without support and begin to chew, it is appropriate to start fruits and vegetables.  Start with vegetables first.  Does anyone know why it is recommended that vegetables be served first?  Pause 3-5 seconds for any comments.  Babies are less likely to reject vegetables because they are less sweet if served first.  After baby has tried a couple of different vegetables, fruits can be served.

## Agregue un alimento nuevo a la vez								7

**¿****Por qué****?**
**Para detectar reacciones alérgicas:**
******sarpullido en la piel, incluso sarpullido del pañal**
****** ****diarrea**
****** ****gases**
****** ****silbido asmático**
****** ****moqueo**
******puede volver a probar el alimento en aproximadamente un mes**

**Notes:**
Add each new food to baby’s diet as a single item and feed that for 3-5 days.  Does anyone know why this is recommended?  Each new food that is introduced should be given exclusively for 3-5 days while watching for any allergic reactions.  Allergic reactions include rashy skin, diaper rash, diarrhea, gas, wheezing, difficulty breathing and/or runny nose.

## ¿Cuáles son los alimentos que comúnmente producen alergia? 																8					

- huevos				trigo
- nueces y maníes 		chocolate
-                               leche de vaca
- cítricos
- 		     fresas				mariscos

**Notes:**
What are the most common food allergies?  Pause 3-5 seconds for discussion to begin.  Eggs are a common source of food allergies.  The egg white is the usual cause of allergy.  Wheat products which include white flour, cakes, cookies and bread.  Anything that has flour in it has a potential to cause an allergic reaction.  Cow’s milk should not be given until one year of age and then observe to allergic reactions.  Chocolate, citrus, (which includes limes, lemons, oranges, and tangerines) and shellfish (which includes shrimp, lobster, clams, and crab) are also common sources of food allergy and should not be added into the diet until at least one year of age.  Observe to signs of allergy.  If an allergy is present, most children will grow out of it by age 5.   What are your questions about this topic?  Pause 3-5 seconds before moving on.  

## ¿A qué edad se le puede dar carne?								9

- Entre los 7 y 8 meses...alimentos con proteínas
- agarra y retiene las cosas
- Carnes en puré
- frijoles en puré y colados
- yema de huevo cocida, machacada y diluida
- queso blanco
- yogur simple (sin sabor)

**Notes:**
What age do you think it is okay to give meat or other protein sources?  Pause 3-5 seconds for comments.  Around 7-8 months when your baby is able to grasp and hold onto things protein items can be served.  

## Cómo hacer alimentos caseros para bebés								10

-  licuadora o molinillo de comida para bebés
-  frutas, carnes o vegetales cocidos
-  agregue fórmula, leche materna o agua
-  consistencia fina
- ¡no le agregue nada más a la comida!

**Notes:**
Homemade baby food is inexpensive, nutritious and easy to make.  You can use a baby food grinder or your home blender to puree food for baby’s first meals.  Add formula, breast milk or water to thin consistency of food.  It is not necessary or recommended to add anything else to the prepared food.  So do not add spices or salt to homemade food.  Extra food can be made up ahead of time and frozen in an ice cube tray or small Tupperware style containers.  Heating food in microwave is not recommended as baby can get burned from uneven heating of foods.

## No le sirva los siguientes productos caseros:								11

-  zanahoria
- 	 espinaca
- 		 betabel
- 			 nabo
- 				 acelgas
- 		¡antes de los 6 meses de edad!

**Notes:**
Do not serve these homemade vegetables before 6 months because of possible nitrate poisoning which is rare, but can be very serious. (If further discussion is needed:  Nitrates are found in the soil and in making homemade baby food this substance is removed in the cooking process.  Commercially prepared baby foods of these foods are fine.)

## Alimentos para bebés comprados								12

- elija selecciones con un único ingrediente
- cuidado con los rellenos
- evite los alimentos que contengan agua como el ingrediente No. 1
- escuche que la tapa del frasco salte o haga clic
- revise la fecha de vencimiento
- no le dé de comer del frasco

**Notes:**
fillers such as tapioca and modified food starch.  water listed as first ingredient

## No le dé a su bebé:			13

- “endulzantes” artificiales
- lácteos o jugos no pasteurizados
- bebidas con cafeína
- té de hierbas
- alcohol
- suplemento de vitaminas distintos a MD Rx
- sushi

## 	¡¡¡Nada de miel!!!14

- _!__Nunca_ le dé miel a su bebé
-  o alimentos que contienen miel
-        pueden causar una grave enfermedad o incluso la muerte

**Notes:**
Before we talk about anything else today I want to make sure and impress upon you the importance of not giving a baby less than one year of age honey.  It can be deadly due to spores that honey can contain. (Honey may contain botulism spores which can paralyze muscles making it impossible to breath.  One of the first signs of botulism in a baby is constipation.)  After one year of age honey is okay because the digestive system is more fully developed.

##  Empezar con las texturas...    15

**Senales de estar listo para las texturas...**
- el bebé puede sentarse sin apoyo
-  utiliza las encías/dientes para masticar
-  generalmente a los 7 meses

## ¿Con qué pueden ahogarse fácilmente los bebés?	    16	

**	****	****	****        ****salchichas calientes**
**	****	****  ****nueces y semillas**
**	****	****	****	****	****	****             ****palomitas de ****	****	****	****	****	****	****	****    maíz **
**	****	****	****   ****patatas fritas **
**	****	****	****	****	****       ****uvas **
**   ****pasas **
**                     ****	****	****vegetales crudos **
**	****crema de cacahuate**

## ¿Está bien darle jugo?			17

- ¡¡¡El jugo puede tener más calorías por onza que los refrescos!!!
- Diluir el jugo con la mitad de agua
- A partir de los 6 meses está bien darle jugo diluido en taza
- 2 onzas (1/4 taza) de jugo por día únicamente

## Resumen

## ¡Gracias por
venir
a la clase de hoy!

- venir
- a la clase de hoy!