TABLE 1.
Intervention Timing and Content
Well Visit | BF | MOMS | OP |
---|---|---|---|
2 wk and/or 2 mo | No solids in bottle for bottle feeding; Appropriate formula mixing; No microwave for warming; No honey | Eat 3 meals/day; Eat 5–7 servings of fruits/vegetables; No meal skipping | Feed breast milk or formula only; No juice or cereal in bottle; Not all crying means hungry; Increase nighttime feeding interval at 2 mo |
4 mo | Same as 2 mo; Introduction to cereal with spoon | Reiterate above, plus Avoid liquid calories; Create a structure for eating; Eat in one place, turn off television, eat together, let infant watch you, eat good foods; Discuss solids | Breast milk or formula only; If formula limit to 4–6 oz, 4–5/day; No cereal in bottle; No juice or soft drinks; If ready: start single-grain cereal 1–2 T by spoon not bottle |
6 mo | Introduction of new foods; No bottle in bed; Limit juice | Reiterate above, plus Mother drink 16–24 oz of milk if can; Drink water; Avoid fast food; Teach infant good nutrition | Continue breastmilk or formula w/Fe; Begin infant food with vegetables; Explain extrusion reflex; Add new food every 3–4 d; Offer new foods >10 times; Portion size 2 T twice daily; Cereal 2–4 T twice daily |
9 mo | Same as 6 mo; Introduce cup; Self-feeding soft foods | Reiterate messages | Breastmilk or formula to 12 mo; Start weaning to cup; Offer variety; New foods up to 10 times for acceptance; Limit 100% juice to 2–4 oz; No sweet drinks; Serving sizes fruits/vegetables 1–2 T (1/8 cup) twice daily; Protein/lean meat 6–8 T/d; Food is not a reward |
12 mo | Switch to whole milk; Self-feeding; Wean from bottle; 3 meals/2 snacks | Reiterate messages, plus It is normal for infant’s appetite to drop; Change to whole milk 16–24 oz/d; Wean and reinforce no bottle in bed; Have consistent routines | Same as 9 mo with added serving sizes; Juice 2–4 oz; Milk/yogurt 1/2 cup; Cheese 1/2 oz; Fruits/vegetables 1/2 cup fresh or 1/3 cup canned; Cereal 1/4 cup; Bread 1/2 slice; Do not force child to eat; Avoid sweet drinks |