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

Time	Narration
00:02	Welcome to the spoken tutorial on general guidelines for complementary feeding.
00:09	In this tutorial, we will learn about
00:14	The importance of starting complementary food for 6 month old babies
00:19	and Complementary feeding guidelines for 6 to 24 month old babies.
00:27	Let us begin.
00:29	A baby must be breastfed exclusively from the time of birth to 6 months of age.
00:37	6 months of age does not mean the start of the 6th month of a baby’s life.
00:45	She has completed 6 months and started the 7th month of her life.
00:52	At this age, exclusive breastfeeding is not enough for a baby.
00:59	Along with breastmilk, nutritious home-cooked food must be given to the baby.
01:06	This food is called complementary food.
01:11	It must be given to a baby from 6 months to 24 months of age.
01:18	It plays a crucial role in making the baby tall, healthy and intelligent.
01:26	It is important to start complementary feeding at 6 months of age.
01:33	Otherwise, the baby's growth and development will be hindered.
01:39	There are also chances that the baby might reject solid food at a later age.
01:47	Remember, complementary food supports breastfeeding.
01:53	Therefore, breastfeeding must be continued till at least 2 years of age.
02:00	The type,
02:02	consistency
02:04	and amount of complementary food varies with baby’s age.
02:10	There are specific recommendations for each age group.
02:16	They are discussed in detail in another tutorial in the same series.
02:23	Now, let’s discuss important guidelines for complementary feeding at all ages.
02:31	Any new food must be first given separately to a baby.
02:37	It should be combined with other foods later.
02:42	This will help to assess if the baby is allergic to a particular food.
02:48	Eating a variety of foods is essential for good nutrition.
02:54	Every 4th day, add a new food to the baby’s diet.
03:01	Start with 1 tablespoon of the new food along with previously given food.
03:08	Gradually increase its amount every day.
03:12	Nutrient dense food from all 8 food groups must be added gradually.
03:20	The first food group is grains, roots and tubers.
03:27	Legumes, seeds and nuts is the second group.
03:32	Third group is milk products
03:37	Fourth group is meat, fish and chicken.
03:42	Egg is the fifth group.
03:46	Vitamin A rich fruits and vegetables is the sixth group.
03:52	Seventh group is other fruits and vegetables.
03:57	Lastly, breastfeeding is the eighth group but the most important one.
04:04	It must be included everyday along with other food groups.
04:11	Ideally, a baby’s diet must include all 8 food groups.
04:17	If a baby’s diet has less than 5 of these groups, it is a severe problem.
04:24	It must be corrected immediately.
04:28	Some babies do not have access to breastmilk at all.
04:33	Include food from the remaining 7 groups every day in their diet.
04:40	Also, give them 500 ml of animal milk and 2 extra servings of meals per day.
04:49	Always boil the animal milk before feeding it to the baby.
04:55	Now, let’s discuss the order of adding new food groups to a baby’s diet.
05:02	Along with breastmilk, start giving complementary food from the first 5 groups.
05:09	Baby needs a higher quantity of nutrients after 6 months of age.
05:16	However, the quantity of food that can be given in the initial days is small.
05:24	Therefore, nutrient dense food from the first 5 groups can be given.
05:31	These foods are rich in nutrients such as protein and good fats.
05:38	They are important for the development of the baby's height and muscle mass.
05:45	Good fats are important for baby’s brain development.
05:50	After these foods, start giving vegetables and fruits.
05:57	Vegetables and fruits are high in vitamins and minerals.
06:03	However, they are not as dense in protein and fat as the first 5 groups.
06:11	Therefore, they are started later to avoid weight stagnation or loss.
06:18	Also, fruits are sweet to taste.
06:23	It is important that babies try a variety of tastes before the sweet taste.
06:31	Trying different tastes helps babies to accept more foods.
06:37	This reduces the chances of them becoming a picky eater later.
06:44	Hence, fruits are added to a baby’s diet after adding all other types of food.
06:51	Giving fresh, seasonal, local fruits once or twice a day is recommended.
06:59	Fruit can be given as a dessert after a regular meal.
07:05	Fruit puree should not be mixed with baby’s regular meals.
07:11	Fruit juice is not recommended for this age group.
07:16	It includes both homemade and readymade fruit juice.
07:23	Remember, continue breastfeeding upto 2 years.
07:28	Avoid giving hard foods that may cause a baby to choke.
07:34	Whole nuts, grapes, chickpeas and raw carrot pieces are examples of such foods.
07:44	Freshly cooked homemade food, prepared hygienically, is the best for the baby.
07:51	If baby food is to be stored, please watch our tutorial on safe storage.
07:57	Safe preparation and serving of baby food is also discussed in the same tutorial.
08:06	Please visit our website for more details.
08:10	Along with food, boiled and cooled water can also be given to a 6-month-old baby.
08:18	Start with 30 to 60 ml of water, twice a day.
08:25	It should be increased in hot weather and as per baby’s demand.
08:31	Breast milk and water are the best drinks for a baby.
08:37	However, they must be timed correctly.
08:42	Do not breastfeed or give water to a baby before a meal.
08:48	A hungry baby is more likely to try new foods.
08:54	Baby can be breastfed or given water 20 to 30 minutes before or after a meal.
09:02	Adequate complementary feeding is necessary for a baby to grow well.
09:08	This brings us to the end of this tutorial. Thank you for joining.

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