Evidence-Based Feeding Guide

When to Start Solid Foods

A complete guide to introducing solids to your baby—from the first spoonful to table foods. Based on AAP and WHO guidelines.

6-Month Timeline•Pediatrician Reviewed•Updated 2026

Feeding Essentials

The Bottom Line

The American Academy of Pediatrics (AAP) and World Health Organization (WHO) recommend exclusive breastfeeding for about 6 months, followed by introduction of nutritious complementary foods while continuing breastfeeding through 12 months or longer.

Most babies are developmentally ready for solids between 4-6 months, but around 6 months is the sweet spot for most families. Always look for readiness signs rather than just the calendar.

Is Your Baby Ready?

Look for these developmental signs before starting solids. Most babies show these signs around 6 months.

Good head and neck control

Baby can hold their head steady and upright without support

Sits with minimal support

Can sit in a high chair or feeding seat with little assistance

Shows interest in food

Watches you eat, reaches for your food, opens mouth when food approaches

Loss of tongue-thrust reflex

No longer automatically pushes food out of mouth with tongue

Can bring objects to mouth

Demonstrates hand-to-mouth coordination with toys

Doubles birth weight

Has at least doubled their birth weight (usually by 4 months)

Signs That DON'T Mean Baby Is Ready

  • • Waking more at night (often a growth spurt or developmental leap)
  • • Putting everything in their mouth (normal developmental milestone)
  • • Being a larger baby (size isn't an indicator)
  • • Reaching 4 months old (age alone isn't enough)

Month-by-Month Feeding Guide

Here's what to expect as you progress through the first year of solids.

4-6

4-6 Months

Getting Ready

Focus: Watch for readiness signs

  • Most babies aren't ready until closer to 6 months
  • Breast milk or formula remains primary nutrition
  • If starting early, begin with iron-fortified cereal
  • Very thin, smooth purees only
  • 1-2 tablespoons, once daily
6-7

6-7 Months

Introduction Phase

Focus: Single-ingredient purees

  • Start with iron-rich foods (meat, fortified cereal)
  • Introduce one new food every 3-5 days
  • Watch for allergic reactions
  • 2-4 tablespoons per "meal"
  • 1-2 meals per day
7-8

7-8 Months

Expanding Variety

Focus: More textures and combinations

  • Thicker purees and mashed foods
  • Combine foods (banana + avocado)
  • Introduce common allergens
  • 4-6 tablespoons per meal
  • 2-3 meals per day
8-10

8-10 Months

Finger Foods Begin

Focus: Self-feeding practice

  • Soft, dissolvable finger foods
  • Puffs, small pasta, soft fruits
  • Let baby explore textures
  • Continue offering purees alongside
  • 3 meals per day + snacks
10-12

10-12 Months

Table Foods Transition

Focus: Family meals (modified)

  • Most table foods in small pieces
  • Soft-cooked vegetables, tender meats
  • Baby practices pincer grasp
  • Breast milk/formula still important
  • 3 meals + 1-2 snacks daily
12+

12+ Months

Toddler Eating

Focus: Full variety of family foods

  • Can switch to whole cow's milk
  • Most foods are fair game (watch choking hazards)
  • Self-feeding with spoon practice
  • Appetite may decrease—this is normal
  • 3 meals + 2 snacks daily

Best First Foods

Start with iron-rich foods (babies' iron stores deplete around 6 months), then expand to vegetables, fruits, and proteins.

Iron-Rich Foods (Start Here)

Iron-fortified infant cereal

Mix with breast milk or formula

Pureed meat (beef, chicken, turkey)

Excellent iron source

Pureed beans/lentils

Plant-based iron option

Pureed tofu

Soft, mild flavor

Vegetables

Sweet potato

Naturally sweet, smooth texture

Butternut squash

Mild, easy to puree

Peas

High in protein for a veggie

Green beans

Start with smooth puree

Carrots

Naturally sweet, vibrant color

Avocado

Healthy fats, no cooking needed

Fruits

Banana

Easy to mash, mild flavor

Applesauce

Unsweetened only

Pears

Gentle on tummy

Peaches

Soft texture when ripe

Mango

Sweet, tropical flavor

Prunes

Helps with constipation

Introducing Allergens Early

Current research shows that early introduction of common allergens may help prevent food allergies. The AAP now recommends introducing peanuts and other allergens around 4-6 months for high-risk babies.

What Makes a Baby "High-Risk"?

Babies with severe eczema or an existing food allergy are considered high-risk. Talk to your pediatrician about early allergen introduction if this applies to your baby.

AllergenWhenHow to Introduce
Peanuts4-6 monthsIntroduce early (4-6 months for high-risk babies). Mix smooth peanut butter with puree or breast milk.
Eggs6+ monthsStart with well-cooked, mashed egg. Both whites and yolks are fine.
Dairy6+ monthsPlain whole-milk yogurt and cheese are okay. No cow's milk as main drink until 12 months.
Fish6+ monthsLow-mercury options like salmon, cod, or tilapia. Flake finely or puree.
Wheat6+ monthsInfant cereals, small pasta pieces, or toast strips.
Tree Nuts6+ monthsSmooth nut butters mixed into purees. Never whole nuts (choking hazard until 4+).
Soy6+ monthsTofu, edamame (mashed), or soy-based foods.
Shellfish6+ monthsWell-cooked, finely chopped or pureed shrimp, crab, or lobster.

Tips for Allergen Introduction

  • • Introduce one allergen at a time, waiting 3-5 days before the next
  • • Give allergens in the morning so you can watch for reactions
  • • Start with a small amount (1/4 teaspoon) mixed into a food baby already tolerates
  • • Once tolerated, continue offering regularly (2-3x per week) to maintain tolerance

Choking Hazards to Avoid

These foods are choking risks for babies and young toddlers. Modify or avoid until age-appropriate.

High-Risk Foods

Whole grapes (cut into quarters)
Hot dogs (cut lengthwise, then into pieces)
Whole nuts and seeds
Popcorn
Raw carrots and apples (until cooked soft)
Large chunks of meat or cheese
Spoonfuls of peanut butter (thin it or spread it)
Hard candies
Marshmallows
Chunks of bread (can become gummy)

Safety tip: Always supervise baby during meals. Learn infant CPR before starting solids. Food should be soft enough to mash with your tongue on the roof of your mouth.

Baby-Led Weaning vs. Purees

There's no single "right" way to introduce solids. Here's a comparison to help you decide.

Traditional Purees

  • Parents control portion sizes and variety
  • Less mess at mealtimes
  • Easier to ensure adequate iron intake
  • Can start slightly earlier (4-6 months)
  • May take longer to transition to finger foods

Baby-Led Weaning (BLW)

  • Baby develops self-regulation skills
  • Encourages independence and motor skills
  • Baby eats same foods as family
  • May reduce picky eating later
  • More mess; slower eating; food waste

The Best Approach? Combination!

Many parents find success with a mixed approach: spoon-feeding purees for iron-rich foods and meals, while also offering soft finger foods for baby to explore. Do what works for your family!

Common Questions

How much should my baby eat?

Start with 1-2 tablespoons once daily and increase based on baby's interest. By 8-9 months, many babies eat 3 "meals" of about 4-6 tablespoons each. Remember: "Food before one is just for fun"—breast milk or formula remains the primary nutrition source until 12 months.

My baby refuses purees. What do I do?

Some babies prefer to skip purees and go straight to soft finger foods. This is fine! Try offering soft-cooked vegetables, ripe fruits, or strips of toast. Keep offering a variety without pressure.

Should I give water with meals?

You can offer small sips of water (1-2 oz) in an open cup starting around 6 months to help baby learn cup skills. But water shouldn't replace breast milk or formula, which should remain the main drink until 12 months.

Is gagging normal?

Yes! Gagging is a normal protective reflex and is different from choking. Gagging involves coughing, sputtering, or retching—baby is protecting their airway. Choking is silent, and baby may turn blue. Learn the difference and take an infant CPR class for peace of mind.

Can I give honey?

No honey before 12 months. Honey can contain Clostridium botulinum spores that cause infant botulism. This applies to all honey products, including baked goods made with honey.

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Sources & References

  • • American Academy of Pediatrics (AAP) - Infant Food and Feeding Guidelines
  • • World Health Organization (WHO) - Complementary Feeding
  • • LEAP Study - Early Introduction of Peanut Allergy Prevention
  • • CDC - When, What, and How to Introduce Solid Foods
  • • American Academy of Allergy, Asthma & Immunology - Food Allergy Prevention

Every Baby Is Different

Use this guide as a starting point, but follow your baby's lead. If you have concerns about feeding, growth, or allergies, always consult your pediatrician.

This guide is for informational purposes only and should not replace professional medical advice. Always consult with your pediatrician before starting solids or introducing allergens.

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