Health-and-Nutrition/C2/General-guidelines-for-Complementary-feeding/English

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Visual Cue
Narration
Slide Number 1

Title Slide

Welcome to the spoken tutorial on general guidelines for complementary feeding.
Image: CF is started at 6 months = strong, tall and intelligent baby


Image: Collage of guidelines listed in the tutorial.

In this tutorial, we will learn about:
  • The importance of starting complementary food for 6 month old babies and
  • Complementary feeding guidelines for 6 to 24 month old babies.
Image: Mother breastfeeding her baby from birth to 6 months.

Image: Formula with a red crossmark.

Image: Food with a red crossmark

Let us begin.

A baby must be breastfed exclusively from the time of birth to 6 months of age.

Image: 6 months of age is not equal to the start of the 6th month of a baby’s life.

Image: Baby has completed 6 months and started the 7th month of her life.

6 months of age does not mean the start of the 6th month of a baby’s life.

She has completed 6 months and started the 7th month of her life.

Image: 6 month old baby with 6 months shown in the calendar.

Image: Only breastfeeding a 6 month old baby is not enough

Image: Breastfeeding + complementary food is the right combo for a 6 month old baby.

Image: Complementary food.

Image: Complementary feeding for a baby from 6 months to 24 months of age.

Image: Complementary food = Tall baby

Image: Healthy baby

Image: doctor, engineer.

At this age, exclusive breastfeeding is not enough for a baby.

Along with breastmilk, nutritious home-cooked food must be given to the baby.

This food is called complementary food.

It must be given to a baby from 6 months to 24 months of age.

It plays a crucial role in making the baby tall, healthy and intelligent.

Image: Complementary feeding is started at 6 month of age.

Image: stunted baby

Image: low IQ, weakness

Image: Baby rejecting solid food at a later age.

It is important to start complementary feeding at 6 months of age.

Otherwise, the baby's growth and development will be hindered.

There are also chances that the baby might reject solid food at a later age.

Image: Complementary food supports breastfeeding

Image: Mother is breastfeeding 2 years old baby

Remember, complementary food supports breastfeeding.

Therefore, breastfeeding must be continued till at least 2 years of age.

Image: Type of food changes with baby’s age.

Image: Consistency of food changes with baby’s age.

Image: Amount of complementary food given changes with age.

Image: Collage of age groups

Image: Collage of graphics from the other complementary feeding tutorial.

The type, consistency and amount of complementary food varies with baby’s age.

There are specific recommendations for each age group.

They are discussed in detail in another tutorial in the same series.

Image: Collage of common complementary feeding guidelines for all ages. Now, let’s discuss important guidelines for complementary feeding at all ages.
Image: Peanut/ nut and its powder is given individually to the baby with a green checkmark.

Image: Peanut/nut powder is mixed with other nut powder and given to the baby with a red crossmark.

Image: Peanut/ nut powder is mixed with other nut powder and given to the baby after it was given individually 1st.

Image: Baby allergic to peanuts

Any new food must be first given separately to a baby.

It should be combined with other foods later.

This will help to assess if the baby is allergic to a particular food.

Image: Collage of all foods

Image: 1st food is given on the 1st day, then the 2nd food is given on the 4th day, then the 3rd food is given on the 7th day.

Image: 1 tablespoon of 2nd food is added to the previously given food.

Image: Amount of the 2nd food is gradually increased every day.

Image: Collage of all food groups

Eating a variety of foods is essential for good nutrition.

Every 4th day, add a new food to the baby’s diet.

Start with 1 tablespoon of the new food along with previously given food.

Gradually increase its amount every day.

Nutrient dense food from all 8 food groups must be added gradually.

Image: 8 Food groups for adding new types of food to a baby’s diet.

Image: All types of food given to a baby

Image: Grains, roots, tubers

Image: Legumes, seeds and nuts

Image: Dairy products

Image: Meat, fish, chicken

The first food group is grains, roots and tubers.

Legumes, seeds and nuts is the second group.

Third group is milk products.

Fourth group is meat, fish and chicken.

Image: Eggs

Image: Vitamin A rich fruits and vegetables

Image: Other fruits and vegetables

Image: Breastfeeding

Egg is the fifth group.

Vitamin A rich fruits and vegetables is the sixth group.

Seventh group is other fruits and vegetables.

Lastly, breastfeeding is the eighth group but the most important one.

It must be included everyday along with other food groups.

Image: Baby is given less than 5 of the 8 food groups every day - red crossmark

Image: All 8 groups are given to the baby every day.

Ideally, a baby’s diet must include all 8 food groups.

If a baby’s diet has less than 5 of these groups, it is a severe problem.

It must be corrected immediately.

Image: Baby doesn’t have access to breastmilk

Image: Food from the remaining 7 groups is given in her daily diet

Image: 500ml of animal milk

Image: 2 extra servings of meals per day is given to the baby

Some babies do not have access to breastmilk at all.

Include food from the remaining 7 groups every day in their diet.

Also, give them 500 ml of animal milk and 2 extra servings of meals per day.

Always boil the animal milk before feeding it to the baby.

Image: 1st 5 food groups

Image: 6 month old baby needs higher quantity of nutrients.

Image: Baby’s stomach capacity is small.

Image: 1st 5 groups have nutrient dense food.

Now, let’s discuss the order of adding new food groups to a baby’s diet.

Along with breastmilk, start giving complementary food from the first 5 groups.

Baby needs a higher quantity of nutrients after 6 months of age.

However, the quantity of food that can be given in the initial days is small.

Therefore, nutrient dense food from the first 5 groups can be given.

These foods are rich in nutrients such as protein and good fats.

They are important for the development of the baby's height and muscle mass.

Good fats are important for baby’s brain development.

Image: Vegetables and fruits

Image: Vegetables and fruits contain vitamins and minerals

Image: Vegetables and fruits have less protein and fat as compared to the 1st 5 groups.

Image: Weight stagnation or loss

After these foods, start giving vegetables and fruits.

Vegetables and fruits are high in vitamins and minerals.

However, they are not as dense in protein and fat as the first 5 groups.

Therefore, they are started later to avoid weight stagnation or loss.

Image: Fruits are sweet to taste

Image: Variety of tastes

Image: Picky eater

Also, fruits are sweet to taste.

It is important that babies try a variety of tastes before the sweet taste.

Trying different tastes helps babies to accept more foods.

This reduces the chances of them becoming a picky eater later.

Hence, fruits are added to a baby’s diet after adding all other types of food.

Image: Fresh, seasonal, local fruits are given twice a day to the baby.

Image: Fruit is given as dessert after a regular meal

Image: Fruit puree should not be mixed with baby’s regular meal.

Image: Fruit juice should not be given to a baby.

Giving fresh, seasonal, local fruits once or twice a day is recommended.

Fruit can be given as a dessert after a regular meal.

Fruit puree should not be mixed with baby’s regular meals.

Fruit juice is not recommended for this age group.

It includes both homemade and readymade fruit juice.

Image: Breastfeeding a 2 year old Remember, continue breastfeeding upto 2 years.
Image: Hard foods - collage

Image: Baby is choking

Image: Whole nuts

Image: whole grapes

Image: hard chickpeas

Image: raw carrot pieces

Avoid giving hard foods that may cause a baby to choke.

Whole nuts, grapes, chickpeas and raw carrot pieces are examples of such foods.

Image: Freshly cooked food, prepared hygienically, with a green check mark

Image: Baby food is stored.

Image: Collage of safe storage guidelines from another tutorial.

Image: Collage of images from safe preparation tutorial

Image: Collage of safe serving guidelines from the tutorial.

Freshly cooked homemade food, prepared hygienically, is the best for the baby.

If baby food is to be stored, please watch our tutorial on safe storage.

Safe preparation and serving of baby food is also discussed in the same tutorial.

Please visit our website for more details.

Image: Complementary food + boiled and cooled water for a 6 month old baby.

Image: 30 to 60 ml boiled and cooled water is given to the baby twice a day.

Image: Quantity of water given is increased in hot weather.

Image: Quantity of water given is increased as per baby’s demand.

Along with food, boiled and cooled water can be given to a 6-month-old baby.

Start with 30 to 60 ml of water, twice a day.

It should be increased in hot weather and as per baby’s demand.

Image: Breastmilk

Image: Water for a baby

Image: Baby is breastfed or given water after a meal

Image: Baby is breastfed or given water right before a meal with a red crossmark.

Image: Hungry baby is eager to try new foods as compared to a baby who is full.

Image: Baby is given breastmilk/ water about 20 to 30 minutes before or after a meal.

Breast milk and water are the best drinks for a baby.

However, they must be timed correctly.

Do not breastfeed or give water to a baby before a meal.

A hungry baby is more likely to try new foods.

Baby can be breastfed or given water 20 to 30 minutes before or after a meal.

Image: Adequate complementary feeding along with breastfeeding = baby grows well Adequate complementary feeding is necessary for a baby to grow well.
Slide Number 2

Acknowledgement

Slide Number 3

Disclaimer

This brings us to the end of this tutorial.

Thank you for joining.

Contributors and Content Editors

Bellatony911