Safely Feeding Babies - 10 Important Tips

Babies usually triple their birth weight the first year. That's why nutritious and safely handled food, served in an age-appropriate way, is so important. Being aware of safe food handling practices and potential feeding dangers are the best ways to protect your family from food illnesses and accidents, while also giving your child a healthy start on development and growth. Here are a few important tips and reminders.

1. Wash Hands. It's important to wash your hands before preparing food or beverages, especially when feeding babies. According to a Penn State University study of mothers with infants less than 4 months old many moms said they routinely forget to wash their hands after changing baby's diaper, and using the bathroom. Not washing hands could result in infant diarrhea from the bacteria transferred while engaging in these activities.

2. Handle Bottles Carefully. Although some babies will drink a bottle straight from the refrigerator, the American Academy of Pediatrics (AAP) advises most babies prefer milk warmed to room temperature. Warm the bottle by holding it under a running hot-water faucet or putting it in a bowl of hot water for a few minutes. Shake well and test milk temperature to make sure it's not too hot before feeding. Microwaves can heat unevenly. Children's mouths and throats can be severely burned by bottles heated in the microwave. Always discard leftover milk in bottle to reduce the growth of harmful bacteria.

3. Cow's Milk. Avoid serving regular cow's milk until infants are 1-year-old. Before then, infants may experience an allergic reaction, stomachache and low blood iron. When you begin serving regular cow's milk, serve whole milk. Do not switch to lower fat milk until the baby's doctor recommends this change usually around age 2.

4. Mixing Cereal and Formula in the Bottle. Do not serve cereal mixed with formula from a bottle. Many think this practice helps babies sleep better through the night, however there is no evidence of this. Plus, there is a possibility of a baby choking.

5. Hold Baby When Bottle-Feeding. Babies who are put to bed with a bottle are more likely to have cavities. This practice also increases the potential of choking.

6. Limit Juice. Serve only 100 percent juice and in small quantities so it doesn't interfere with the infant eating other nutritious foods. AAP recommends giving juice diluted with water only to infants who are approximately 6 months or older and who can drink from a cup. AAP recommends offering no more than a TOTAL of 4 to 6 ounces of juice a day to infants. (Source: American Academy of Pediatrics Committee on Nutrition)

7. Avoid Honey And Corn Syrup. Do not serve infants honey or corn syrup during the first year of life. These foods may contain botulism spores that could cause illness or death in infants.

8. Food Introductions. When introducing new foods, try only one at a time, and start with single-ingredient foods. Avoid serving mixed ingredient foods until each food has been given separately. Begin by serving about 1 to 2 tablespoons and then increase the amount as baby wants more. Wait at least 3 days before trying another new food so you can tell if there are any adverse reactions.

Iron-fortified rice cereal is usually the first food offered, as this is easily digested. It's frequently recommended to continue fortified baby cereal through the first year of life. Remember your baby will still be receiving the majority of nutrition from breast milk or formula during the first year.

9. Serve Solids Safely. Transfer an amount you feel baby will eat from the baby food jar to a dish. Throw away any food left uneaten in the dish. Avoid feeding directly from the baby food jar. Bacteria from a baby's mouth can grow and multiply in the food before it is served again. Use refrigerated jarred baby foods within 1 to 2 days after opening.

Once opened, do not leave baby food solids or liquids (breast milk or formula) at room temperature for more than 2 hours. Bacteria can grow to harmful levels when food is left out longer than this.

10. Choking Hazards. Avoid serving foods that may choke an infant, such as nuts and seeds, raw carrots and celery, whole kernel corn, raisins, large chunks of meat or cheese, popcorn, chips, pretzels, grapes, whole berries, cherries, unpeeled fruits and vegetables, hard candies, pickles, hot dogs, marshmallows (regular or miniature), and peanut butter. In general, avoid foods that are round and firm, sticky and chewy or cut in large chunks.

As infants grow into toddlers, they can begin eating the foods above, if cut into small pieces. Most pediatricians advise foods should be no larger than 1/4 inch for toddlers and 1/2 inch for preschoolers.

Lisa Barnes is the owner of Petit Appetit, a cooking service devoted to the health and nutrition of infants and toddlers. She is the author of The Petit Appetit Cookbook (Penguin, March 2005) and teaches cooking classes to parents in Northern California, who want to provide fresh, healthy, organic foods to their family. For information and to sign up for a free newsletter visit http://www.petitappetit.com

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President-elect Barack Obama makes remarks on the nations economy, Thursday, Jan. 8, 2009, at George Mason University in Fairfax, Va. (AP Photo/Lawrence Jackson)AP - President-elect Barack Obama's proposed tax cuts ran into opposition Thursday from senators in his own party who said they wouldn't do much to stimulate the economy or create jobs. Senators from both parties agreed that Congress should do something to stimulate the economy. But Democratic senators emerging from a private meeting of the Senate Finance Committee criticized business and individual tax cuts in Obama's stimulus plan.



Palestinian demonstrators use sling-shots to hurl stones at Israeli soldiers during a demonstration against Israel's military operation in Gaza, in the West Bank village of Bilin, near Ramallah,Thursday, Jan. 8, 2009. Israel resumed its Gaza offensive Wednesday after a three-hour lull to allow delivery of humanitarian aid, bombing heavily around suspected smuggling tunnels near the border with Egypt. Despite the heavy fighting, strides appeared to be being made on the diplomatic front with the U.S. throwing its weight behind a deal being brokered by France and Egypt. (AP Photo/Muhammed Muheisen)AP - The U.N. Security Council called for an "immediate" and "durable" cease-fire in Gaza in a resolution Thursday night even as fighting between Israel and Hamas raged — with early morning airstrikes killing seven Palestinians and pushing the death toll to about 760 in the near two-week conflict.



Florida's Tim Tebow (15) throws a pass over Oklahoma's Auston English (33) during the third quarter of the BCS Championship NCAA college football game in Miami, Thursday, Jan. 8, 2009. (AP Photo/Mark Humphrey)AP - The game defied expectations. Tim Tebow fulfilled them. He rescued No. 1 Florida, running through and throwing over No. 2 Oklahoma for a 24-14 victory Thursday night that gave the Gators their second BCS championship in three years.



Rep. Jack Franks (D-Woodstock) votes to recommend the impeachment of Illinois Gov. Rod Blagojevich to the House during an Illinois House Impeachment Committee hearing Thursday, Jan. 8, 2009, in Springfield, Ill. The committee voted unanimously to recommend impeachment putting the matter before the full house.  (AP Photo/Seth Perlman)AP - A key panel unanimously recommended impeachment for Gov. Rod Blagojevich on Thursday, setting up a vote that could make him the first governor to face such fate in Illinois' sordid political history. Blagojevich should lose his job for abusing power, mismanaging government and committing possible criminal acts, including federal allegations he tried to sell off a U.S. Senate seat, the special committee concluded.



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Neel Kashkari, the assistant treasury secretary in charge of the bailout program, speaks at the Brookings Institution in Washington, Thursday, Jan. 8, 2009. (AP Photo/Haraz N. Ghanbari)AP - Less than a month after its first report, a congressional panel overseeing the Treasury Department's $700 billion financial bailout is demanding more answers.



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Vice President Dick Cheney pauses during an interview with the Associated Press at the White House in Washington Thursday, Jan. 8, 2009. (AP Photo/Ron Edmonds)AP - Vice President Dick Cheney said Thursday that he sees no reason for President George W. Bush to pre-emptively pardon anyone at the CIA involved in harsh interrogations of suspected terrorists. "I don't have any reason to believe that anybody in the agency did anything illegal," he said.



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The east side apartment building where Bernard Madoff remains under house arrest is seen Thursday, Jan. 8, 2009, in New York. Prosecutors said Thursday that investigators found 100 signed checks worth $173 million in Bernard Madoff's office desk that he was ready to send out to his closest family and friends at the time of his arrest last month. (AP Photo/ Louis Lanzano)AP - Prosecutors said Thursday that investigators found 100 signed checks worth $173 million in Bernard Madoff's office desk that he was ready to send out to his closest family and friends at the time of his arrest last month in what is alleged to be largest financial fraud in history.



Palestinian women mourn as they watch the funeral of Palestinians killed at a U.N. school, in Jabalya in the northern Gaza Strip January 7, 2009. (Mohammed Salem/Reuters)Reuters - Israel pushed ahead with its offensive in the Gaza Strip on Friday, ignoring a U.N. Security Council resolution calling for an immediate ceasefire to the 14-day-old conflict.



Jaclyn Holt (R) fills out an application form at a job fair organized by the New Hampshire Employment Security agency in Salem, New Hampshire December 17, 2008. (Brian Snyder/Reuters)Reuters - U.S. employers probably cut the most jobs in at least 34 years last month as the global economic crisis gathered pace and moves by policy makers took time to filter through to struggling companies.



People taking the Long Island Foreclosure Tour arrive at a foreclosed home for sale in New Hyde Park, New York in this May 17, 2008 file photo. Citigroup could soon agree to principles that would let troubled borrowers save their homes through bankruptcy, sources familiar with the talks said on Thursday, while industry groups are easing their opposition to the plan. (Shannon Stapleton/Reuters)Reuters - Financial giant Citigroup Inc will support a proposal in Congress to rewrite U.S. bankruptcy law to help troubled mortgage borrowers avoid foreclosure, Chief Executive Vikram Pandit said on Thursday.



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Timothy Geithner (R), pictured in Chicago, November 24, 2008. (Jeff Haynes/Reuters)Reuters - President-elect Barack Obama's economic team is urgently overhauling the $700 billion financial rescue package to broaden its scope beyond Wall Street, The Washington Post reported on Friday.



Usama al-Kini, Al Qaeda's operations chief in Pakistan, is pictured in this undated FBI Most Wanted photograph. Al-Kini, also known as Fahid Mohammed Ally Msalam, and a top aide are believed to be dead, a U.S. counterterrorism official said on January 8, 2009, in what appeared to be the latest results of a campaign targeting the militant group's leadership. Operations chief al-Kini was thought responsible for attacks, including the bombing of a Marriott hotel in Islamabad that killed 55 people in September, and an unsuccessful attempt to kill former Pakistani Prime Minister Benazir Bhutto, who was later assassinated in a separate attack, the official said. (FBI/Handout/Reuters)Reuters - Al Qaeda's operations chief in Pakistan and a top aide are believed to be dead, a U.S. counterterrorism official said on Thursday, in what appeared to be the latest results of a campaign targeting the militant group's leadership.



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An Israeli army tank takes position on a hill at the border between Israel and the northern Gaza Strip on January 8, 2009. Israel was under intense pressure Friday to end its two-week-old offensive in the Gaza Strip after the UN Security Council called for an immediate ceasefire as the death toll from the war rose past 760.(AFP/David Buimovitch)AFP - Israel carried out new deadly air raids on the Gaza Strip on Friday as the UN Security Council called for an immediate ceasefire to end the two-week-old conflict in the Palestinian enclave.



A man carries firewood in the suburbs of Sofia, Bulgaria. Hopes for a quick resumption of Russian gas supplies to Europe were rising Friday after Russia agreed on the terms for the deployment of monitors in Ukraine.(AFP/Dimitar Dilkoff)AFP - Hopes for a quick resumption of Russian gas supplies to Europe were rising Friday after Russia agreed on the terms for the deployment of monitors in Ukraine.




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