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Table of Contents
Nutrition during Pregnancy
1
Breastfeeding
4
Formula Feeding
6
Introducing Solid Foods
7
Homemade & Store Bought Baby Foods
11
Feeding the Older Infant
13
Feeding the Toddler & Preschooler
17
Infant Growth Charts
21
A Guide for your Childs Nutritional Needs
23
Nutrition & Feeding: Frequently Asked Questions
25
Nutrition
during
Pregnancy
Maintain a well-balanced diet
Maintaining a well-balanced diet and proper
nutrition, as recommended by Canadas Food Guide
to Healthy Eating, during your pregnancy is
important for your health and for the proper growth
and development of your baby.
First trimester
The beginning is very exciting! Physical changes are not apparent but your
body is undergoing drastic hormonal changes.These changes do not affect
all women, but you may experience morning sickness as a result.
Also, you may have cravings for certain foods and beverages due to hormone
changes that affect your sense of taste and smell. As long as you meet your
nutrient needs, its okay to eat, in moderation, the foods you crave.
During the first 3 months of pregnancy, you need extra food energy, but not
too much -- an additional 100 calories/day is all. In addition, you need 5 g
more of protein every day. Eating somewhat larger servings of meat and meat
alternatives, fish, seeds, nuts and, or legumes will give you the extra protein
your body needs.
Second trimester
Your baby is growing fast and you can see changes in your body. You may
still have sudden food cravings. You may also experience heartburn, as the
growing fetus puts pressure on the stomach. To prevent heartburn, you
should eat frequent small meals and relax while eating. Eat slowly, chew
your food completely, and avoid spicy or greasy foods.
Eating an extra serving from each of the four food groups or eating
nutrient-dense foods will provide the additional 300 calories/day that
are needed at this stage. In addition, you need 15 g more of protein.
On average, you want to gain only one pound per week during the
second trimester.
Third trimester
This stage is critical for the health of your newborn baby and its also when
you gain most of your weight.You should maintain a weight gain of one
pound per week. Doctors recommend that you continue to take an additional
300 calories/day over what you were consuming before pregnancy. It is
always wise to consult your doctor/dietitian and have them assess your diet
and nutrient intake, and to monitor your weight gain.
Calcium
An additional 500 mg/day of calcium is recommended for fetal bone
development and to maintain your bone strength. This can be easily
achieved by adding 2 cups of milk and other dairy products to your diet.
Soy milk and soy products with added calcium, canned sardines with
their soft bones, cheese, etc. are also good sources.
Breastfeeding
The most complete food
Breast milk is the most complete food you can
offer your baby. It has just the right level and
quality of nutrients that your baby needs. It is safe
and easy to digest which means fewer feeding problems
for your baby. Its also a special time for you to build a
close and comforting bond together.
Iron
You need a large supply of iron to support the increased blood volume
required during pregnancy. An additional 18 mg/day is recommended
during the second and third trimester. Diet alone wont supply this so
iron supplements are recommended during this part of your pregnancy.
Folic acid
It is extremely important that you get enough folic acid before and
during pregnancy to help reduce the risk of serious brain and spinal cord
birth defects. Fruits, orange juice, green leafy vegetables, and fortified
cereals products are good sources of folic acid
TIP
Keeping fit and staying active will
make you feel better throughout your
pregnancy and help you during labor
and delivery. Build up your strength
and endurance by participating in
regular low-impact activities in cool
conditions. Be sure to drink plenty of
water before and after exercise.
Your diet
Your diet affects the quality of your milk so make sure youre eating
nutritiously. Eat according to the Canadas Food Guide To Healthy Eating
and have the recommended daily servings of fruits and vegetables.
Vitamin D
If you are breastfeeding your baby, a daily vitamin D supplement of
400 I.U.fg (10 g) is recommended.
Iron
Breastfed babies will need extra iron at around six months. They should
have 7 mg of iron per day, which can be obtained from iron fortified
infant cereals or an iron supplement
Vitamin B12
If you are a strict vegetarian and are breastfeeding your baby may need a
vitamin B12 supplement. Your doctor, once aware of your diet, will
recommend an appropriate supplement.
Weaning
You are going to hear a lot of different advice about when to wean your
baby. Nursing for six months or more is best for your baby and most
doctors recommend continuing longer if the baby is healthy and
growing well.
Formula Feeding
Choosing the right formula
Breastfeeding is best for your baby. But if you choose to bottle-feed your
newborn, a commercial iron-fortified infant formula is an acceptable
alternative because it provides similar amounts of energy (calories), protein,
vitamins and minerals to those normally found in breast milk.
Breast milk or formula is recommended in the first year of life.
Most infant formulas need to be mixed with water, but you can also find
formula that is ready-to-serve. Cows milk-based formulas are the most
commonly used and are best for non-breastfed babies with no family
history of allergies. Ask your doctor about which formula is best for your
baby.
TIP
5
Introducing
Foods
When to start
When your baby is around six months of age, you
can start introducing complementary foods. Your
baby will start showing interest in food or become
Do not force feed. As long as your baby is healthy and achieving normal
growth, respect your babys cues about the types and the amounts of food
he eats. If he rejects a food, try the food again a few days or a week later. If
your baby still does not want it or like it, let it be. If you force your baby to
eat, you may be setting the stage for poor eating habits and creating
negative associations with food and mealtimes.
Infant cereals
Infant cereals are fortified with iron. Therefore, if your baby has been taking
a standard iron supplement, it will no longer be necessary once your baby
begins eating infant cereals regularly. Iron-fortified infant cereals are
particularly good first solid foods because they are also enriched with
calcium, phosphorus and vitamins B1, B2 and niacin which your baby needs
for healthy growth and development.
TIP
Rice
More complex grains (barley, oatmeal)
Multi-grain cereals
Cereals with fruit
Preparing cereal
Breakfast
Lunch
Dinner
Snacks
180 - 240 mL
Breast milk
or formula
feeding
180 - 240 mL
Breast milk
or formula
feeding
180 - 240 mL
Breast milk
or formula
feeding
180 - 240 mL
Breast milk
or formula
feeding
1 - 2 tbsp
Infant cereal
1 - 2 tbsp
Pureed single
vegetable
1 - 2 tbsp
Infant cereal
1 - 2 tbsp
Pureed single
fruit
* Around 6 months babies are usually eating 6-7 breast milk or formula feedings
of 150-180 mL each per day. Around this age you may choose to introduce small amounts
of infant cereal at breakfast and dinner; begin with 1 tsp and gradually increase amounts
to 1-2 tbsp.
The procedure for starting is the same as for cereals: introduce one new
food at a time, a few days apart, and keep an eye out for undesirable
reactions. Offer single foods, such as pureed peas or carrots, before
combinations.
Youre ready to move to the next stage after your baby has become used to
vegetables and fruits and is not quite so surprised when you offer new
foods. This is when you can introduce strained meat, fish and poultry or
alternatives such as dried beans, lentils, or egg yolk. These foods are rich in
protein and iron. They help meet your baby's needs for this incredibly active
growth period.
When baby is tolerant of a variety of foods, and you have seen no sign of
allergic reaction, mixed varieties or dinners may be served. Avoid egg white
during the first year as it may cause an allergic reaction.
If using store bought baby food, feed from a dish rather than straight from
the jar.
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Homemade &
Store Bought
Baby Foods
Good food habits: a lifetime of good health
Helping your baby develop good food habits now will establish good
eating habits through life. How you influence your child in food choices and
physical activities can make a big difference in preventing weight related
issues and dental health problems, as well as a myriad of other health
concerns down the road. Its important to keep your own attitude to food
positive and eat healthy foods yourself.
Preparing homemade baby foods is nutritious, relatively inexpensive and
allows more variety. They must be prepared carefully. The safe preparation
of homemade baby foods takes time, knowledge, and effort. And, although
you will be tempted, do not add salt, sugar or other seasonings to your
homemade baby foods.
Here are some pointers if you choose to make your own baby food:
Wash your hands carefully before preparing foods.
All utensils and containers should be well cleaned.
Select the best produce and thoroughly clean to ensure
you remove any foreign matter
Ensure first solid foods are well blended
Lunch
Dinner
Snacks
3-4 tbsp
Infant Cereal
3-5 tbsp
Strained meat
30-90 ml
Strained juice
4-6 tbsp
Strained
vegetable
3-5 tbsp
Strained
vegetable/
meat
combination
180-240 ml
breast milk or
formula
feeding
180-240 ml
breast milk or
formula
feeding
TIP
11
2-3 tbsp
Strained fruit
2-3 tbsp
strained fruit
3-5 tbsp
Infant cereal
180-240 ml
180-240 ml breast milk or
formula
breast milk or
feeding
formula
feeding
12
Feeding
the Older Infant
Move to more textured foods
As babies grow older and begin to develop teeth, they need foods with
varied textures and tastes. Chewing is an acquired skill and textured foods are
important for teething. If children dont have the opportunity to learn how to
chew, they may have trouble eating anything but pureed foods later on.
Between seven and nine months is the usual time to introduce chunkier
baby foods. Junior Foods contain pieces large enough to encourage your
baby to chew, while still being safe and digestible
Store bought Junior Foods offer a variety of tastes and textures for the
developing palette. Like strained foods, Junior Foods contain no added salt.
In addition, all infant vegetables, meats, juices and most fruits contain no
added sugar.
If you are giving your baby mashed or chopped table foods, prepare them
from the freshest ingredients, without added salt, sugar or strong spices.
Dangerous foods
Even under your watchful eye, your baby should not be offered
any of the following foods, which can cause choking:
Raw, hard fruits and vegetables
Fruits with seeds/ pits such as cherries
Dried fruits, except raisins that are small and seedless
Hot dogs, popcorn, nuts, seeds, whole grapes, chips or small round hard
or chewy candies that can get stuck in the airway.
Certain popular foods are safe and healthy for your baby and some should
be avoided as they offer little nutritional value or could cause choking.
Heres a guideline that should help you select whats best.
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14
You will want to ensure that everything you feed your baby is free of germs,
appropriate in size and texture, and nutritionally sound. Here some tips to
ensure that food is safe and sanitary:
Breakfast
Lunch
5 tbsp
Infant Cereal
4-6 tbsp
Junior meat
90 ml
Juice
6-8 tbsp
Junior
vegetable
Double check to ensure the safety seal has not been broken before
opening a fresh jar of store bought baby food.
Carefully cover and refrigerate all unused food immediately to prevent
bacteria growth.
Leftover store bought baby foods should be properly stored in the
refrigerator and used within three days (two days for meat), or
otherwise discarded.
Seal and store home prepared food properly. Containers should be
thoroughly cleaned and have tops that screw on or otherwise
fit snugly.
150 ml
formula/breast
milk
Dinner
3-4 tbsp
Junior fruit
1/2 slice
150 ml
Whole wheat formula/breast
toast
milk
Snacks
8-10 tbsp
150 ml
Junior
formula/breast
vegetable/
milk
meat
combination
3-5 tbsp
Infant cereal
1/2 slice
Whole wheat
toast
3-4 tbsp
Junior fruit
150 ml
formula/breast
milk
Do not feed straight from the jar as bacteria and saliva can
contaminate the remaining food.
Discard all unused frozen foods that have been thawed.
Throw away all unused refrigerated homemade foods after 24 hours.
When traveling long distances with your baby, vacuum packed,
store bought baby food may offer greater food safety in preventing
spoilage and bacteria growth compared to homemade foods.
TIP
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16
Fat is found in substances such as breast milk, formula, whole milk, cheese
and red meat. There is no evidence that restricting fat in a child's diet
benefits them now or later in life. If youre concerned about your childs
weight, dont reduce the portion of healthy food normally received. Instead,
limit the intake of sweets and high fat foods such as chips and fried foods.
If weight continues to be a problem, consult a doctor or nutritionist.
eating habits.
At mealtime, offer a healthy balance of food from
the basic food groups recommended in Canada's
Food Guide to Healthy Eating. Not all meals
Healthy snacks include whole wheat crackers or whole grain cereal, cheese,
yogurt, fruits such as sliced apple, banana or pieces of seedless orange.
Vegetables such as grated raw carrots or soft pieces of cooked frozen
vegetables like peas or diced carrots are fine provided your child is old
enough to handle these foods without choking.
Your child should also receive whole milk or fruit juice - not fruit-flavoured
drinks or soft drinks.
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18
Poor eaters
Here are some additional tips for feeding your infant and toddler:
At some point in their young lives, children are likely to assert their
independence by rejecting the food you offer. Do not take it personally.
There are some techniques for encouraging poor eaters to change their ways.
Older infants and toddlers with small appetites often get turned off by large
amounts of food on a plate.Try giving your child just a spoonful or two at a time.
Occasionally, a poor appetite is the result of boredom. Offer your child a
wide variety of appetizing foods.
Some children show a distinct dislike for certain vegetables or other foods.
Try to find a nutritionally sound substitute that your youngster likes.
When your picky eater is old enough, you can let him/her help you select
foods at the supermarket and help prepare at home.
Do not force your child to finish a meal, but be firm about no snacks or
desserts in between meals if these interfere.
TIP
Lunch
1 cup iron
30 ml
fortified
Meat (Mild
Infant/Toddler cheese or egg)
Cereal mixed
1
/2 -1 slice
with whole
bread
milk
90 ml
Juice
150 ml
Whole milk
1/2 slice
Whole wheat
toast
19
/4 cup
Snacks
30 ml Meat
(Junior or
Ground)
150 mL
Whole milk
1
/4 cup
Mashed
potato, rice or
pasta
/4 cup
Soft (raw)
vegetable
Dinner
/4 cup
Soft vegetable
1
/4 cup
Fruit
Fruit
150 ml
Whole milk
150 ml
Whole milk
20
/2 slice
Whole wheat
toast
Girls Infant
Boys Infant
Growth Chart
Growth Chart
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52
HEAD CIRCUMFERENCE
50
50
48
48
46
46
HEAD CIRCUMFERENCE
44
KG
44
42
14
42
KG
40
13
40
13
38
12
38
12
36
11
36
11
34
10
34
10
9
8
Name:
WEIGHT
CM
CM
Name:
WEIGHT
Date of Birth:
Date of Birth:
1
0
MONTHS
MONTHS
21
22
A Guide
for your Childs
Nutritional Needs
Introducing the right foods
at the right time
Age
From 0 - 3
months
Milk &
Milk Products
Introduce
Breast milk/
formula
Around 6
months
Around 6
months
In the beginning breast milk and formula will offer your baby all
the essential vitamins and minerals needed. As your baby
continues to grow, you will start introducing foods from the
different food groups (described by Canadas Food Guide for
Healthy Eating). As soon as your baby is eating from all four food
groups, planning nutritionally balanced meals is easy. Choose
foods from each of the food groups every day.The foods will
work together to give your child all the energy and nutrients
needed for healthy growth and development.
From 6
months
From 7 - 9
months
Introduce
Infant cereals
Breads &
Cereals
Strained vegetables,
fruits and juices
Fruits &
Vegetables
Meat, Fish,
Poultry
& Alternatives
The first months:
It all begins
with milk
Rice, or Barley,
single-grain
before mixed
varieties
Vegetables
before fruits,
one at a time
From 12 - 24
months
Introduce
Mild cheese/yogurt
Introduce
Whole milk
Introduce
Bread/Toast
Introduce
Toddler cereals
Introduce
Combination
fruits, vegetables
& juices
Introduce
Junior foods
Introduce Pieces
of soft fruits
& vegetables
Strained meats,
Meat Vegetable
Combinations
Introduce
Junior foods
Introduce
Whole egg
Time for
new textures
and tastes
Increase
variety
Note: The pace at which your child eats solid foods and rate of growth are unique. This chart provides a guideline
on when to introduce various foods to your childs diet. It should be used only as a guide.
23
From 10 - 12
months
24
Introduce
table foods,
no additives
please
Q&
A
Nutrition
& Feeding:
cows milk in the first year. Why does Heinz have milk
solids in some of its baby foods?
A. The current recommendation not to give babies cows milk,
specifically focuses on milk as the major source of nourishment.
Cows milk is not as nutritious as breast milk or infant formula. It does
not contain the full complement of nutrients that the infant requires.
Furthermore it is more difficult to digest and contains elements that
may obstruct certain minerals from being properly absorbed.
However a small amount of milk solids as an ingredient is not an
issue particularly if the baby is eating a wide variety of foods.
Occasional yogurt and cheese are also suitable for infants.
* Canadian Paediatric Society, Dietitians of Canada and Health Canada. Nutrition for
Healthy Term Infants, Minister of Public Works and Government Services, Ottawa, 2005.
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Who to Turn to
for Advice
Its comforting to know that there are plenty of professionals
you can turn to for advice about your baby. Heres a short list:
Doctor
Your pediatrician or family doctor is your baby's primary health
caregiver. Your doctor can answer most of your questions or will
refer you to specialists if needed.
Dietitian / Nutritionist
Your doctor may recommend that you seek the advice of a dietitian if
your infant or child has problems relating to foods or nutrition.
Public Health Nurse
In most provinces, a public health nurse will visit you shortly after the birth
of your child. They are excellent sources of information and reassurance.
Breastfeeding Experts
Lactation consultants or breastfeeding clinics in your area will be glad to
help if you have any questions, problems or concerns about breastfeeding.
Postnatal Classes
Many communities offer post-natal classes for new mothers to give them
some guidance on the care and feeding of their infants.
Other Resources
Trained staff at Heinz is available to answer your questions
about baby food and basic infant nutrition. Call 1-800-565-2100
Medical Information Telephone Lines provided by local children's
hospitals answer basic feeding questions.
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