Menu planning for babies in childcare

Early childhood services that provide food and drinks for babies from 6–12 months old should provide nutritious foods and drinks in line with the Australian Government’s Infant Feeding Guidelines and Get Up & Grow: Healthy Eating and Physical Activity for Early Childhood.

By making simple changes to the regular menu, services can provide tasty meals and snacks that meet infants’ nutrition needs which are appropriate for their developmental stages.

 

First foods for infants

From around six months, babies need solid food in addition to breast milk or formula, for adequate nutrients and energy. Introducing solid food at this age is also important to help children develop skills required for eating such as chewing.

Foods provided to infants in long day care should be nutritious and of appropriate textures for their ages and developmental stages. See ‘Food textures and consistencies for age and developmental stage’ on the next page.

The daily menu should offer a variety of age-appropriate nutritious foods each day for adequate energy and nutrients.
 

Iron

In line with the Infant Feeding Guidelines, to prevent iron deficiency, nutritious foods that contain iron should be among the first foods introduced. Iron-rich foods include iron-fortified infant cereals, pureed meat, poultry and fish, cooked plain tofu and legumes (e.g. chickpeas, red, green or brown lentils, split peas) and beans (e.g. kidney beans, navy beans, broad beans, azuki beans, mung beans, lima beans, pinto beans).

As long as foods that contain iron are among the first foods introduced, other nutritious foods can be introduced in any order and at any rate that suits the infant. Although cow’s milk products (including full-fat yoghurt, cheese and custard) may be given, cow’s milk should not be provided as a main drink before 12 months.

By 12 months of age infants should be enjoying a variety of nutritious foods from the five food groups, and eating from the regular daily menu.

Breast milk or infant formula should be continued while introducing solids. Long day care services should ensure they have sufficient stock of expressed breast milk or infant formula (provided by families) to support infants’ needs.

Note
Mashed vegetables are a good source of nutrients for infants, but do not provide the iron that babies need for growth and development. To prevent iron deficiency, include iron-rich foods in the menu for babies each day, such as:

  • iron-fortified infant cereal
  • pureed meat, poultry and fish
  • cooked plain tofu and legumes (e.g. chickpeas, red, green or brown lentils, split peas) and beans (e.g. kidney beans, navy beans, broad beans, azuki beans, mung beans, lima beans, pinto beans).
     

Food textures and consistencies for age and developmental stage

Increasing and varying food texture for infants is essential for their oral motor development (e.g. learning skills required for eating, such as chewing) and to help them accept different food textures. It is important to always offer foods that are an appropriate texture and consistency for infants’ developmental stages. This means progressing quickly through the puree/mashed phase and offering foods with varied textures.

Infants should be introduced to a variety of foods of different colours and flavours (e.g. coloured fruit and vegetables). If foods are pureed or mashed (e.g. soft vegetables), they should not be mashed together but should be presented individually either in pieces or on a spoon to encourage infants to taste and accept individual flavours.

The following can be used as a guide for preparing foods of appropriate texture for children in care.

  • From around 6 months – offer coarsely pureed/mashed foods, progressing to lumpy and finely chopped options.
  • By 8 months – offer chopped and finger foods to encourage children to start feeding themselves.
  • By 12 months – offer foods from the regular menu with a variety of tastes and textures in children’s size portions.

Refer to Table 1 for an example of a menu that caters for each of these stages by adapting the regular menu.

 

Drinks for infants – birth to one year and beyond

Breast milk or infant formula should be the main drink in the first 12 months of life. From around 6 months, small amounts of cooled, boiled tap water can supplement breast milk or infant formula.

After 12 months, water and full cream cow’s milk should be the main drinks offered at long day care. Tap water is an important source of fluoride for young children. Clean and safe tap water should be offered where available.

Low fat and reduced fat milks are not recommended in the first 2 years of life, but are suitable for children over the age of 2 years.

 

What not to include on the menu for infants

When providing food and drinks for infants in care it is important to keep the following in mind:

  • For the first three years of life, avoid giving foods with a high risk of choking. Always supervise children during meal and snack times.
  • Cow’s milk should not be given as the main drink before 12 months of age.
  • Salt and sugar should not be added to infants’ food. Offering sweet and salty foods in early childhood can result in children developing a preference for these foods which may be carried into later life.
  • Infants should not be given foods with high levels of saturated fat, added sugar and/or added salt (e.g. cakes, biscuits, confectionery and potato chips).
  • Honey should not be given to babies, as it may contain bacterial spores that can cause infant botulism if given to babies under 12 months of age.
  • Sweet drinks like fruit juice and fruit drinks, flavoured milk, soft drinks and cordials should not be given to infants and children. These drinks add sugar to the diet and can increase the risk of children becoming overweight and developing oral health problems.
  • Tea (including herbal tea) and coffee are not appropriate drinks for infants and children.

 

Special diets

Allergies

There is emerging evidence that delaying the introduction of solids beyond 7 months of age can increase allergies (particularly introducing allergens like wheat, egg, nuts, soy, fish and cow’s milk). Avoidance of egg, peanuts and other nuts, wheat, cow’s milk and fish is no longer routinely recommended, even in children with a family history of allergy. Some families may request that their children are not given specific foods because of fear of allergies. This should be discussed with families and health professionals as required.

Appropriate complementary foods should be provided for children with a diagnosed food allergy.

For more information about managing allergies in early childhood services and cooking for children with food allergies, visit the allergy section of http://www.heas.health.vic.gov.au/early-childhood-services/allergy-and-intolerance
 

Plant-based diets

Plant-based diets, such as vegetarian and vegan diets, may not provide babies with enough important nutrients like iron, zinc and vitamin B12. The use of iron-fortified foods, such as iron-fortified cereals, is especially important for babies eating a plant-based diet because iron is vital for their neurocognitive development.

Advice from a health professional (such as a dietitian) may be required to ensure that the diet of vegetarian and vegan babies includes enough of these important nutrients. This should be discussed with parents.

 

Adapting the menu for infants

Providing a menu that meets the nutrition and developmental needs of infants and young children does not need to be a difficult task.

By making simple changes to your regular menu, you can provide tasty meals and snacks that are appropriate for infants’ developmental stages.

Table 1 outlines how to adapt one day of an example menu (including breakfast, morning tea, lunch, afternoon tea and late snack) to meet the requirements of infants from birth to 1 year.

Table 2 provides additional examples of foods, drinks and textures that are appropriate for infants from birth to 1 year and beyond. You can use this table to help you choose appropriate foods and drinks when planning meals and snacks for infants.
 

Important points for food and drinks for babies:

  • Include iron-rich foods such as meat, chicken, fish, tofu and legumes every day.
  • Don’t delay introducing meat.
  • Move on from smooth mashed and pureed foods, to minced and chopped foods as soon as possible. Encourage finger foods and self-feeding from around 8 months.
  • Encourage a variety of colourful fruit and vegetables.
  • It can be easy – just modify the regular centre menu.
     

Table 1: Adapting the childcare menu for infants

Click the image to open it in a larger size. This is an example of a menu that caters for each oinfant feeding stages by adapting the regular menu.

Click to open in a new window

 

Table 2: Foods, drinks and textures from birth to 1 year

Age

Texture

Food and drink examples

Birth – around 6 months

Liquids only

  • Breast milk, infant formula

Around 6 months – 8 months

Mashed, progressing to minced and lumpy

  • Breast milk, infant formula cooled boiled tap water (as required)
  • Iron-fortified infant cereals
  • Cooked, finely chopped or pureed meat/chicken/fish, minced beef/lamb/pork
  • Mashed tofu/beans/chickpeas
  • Mashed hard boiled or scrambled egg
  • Mashed cooked vegetables (e.g. pumpkin, potato, sweet potato, zucchini, carrot, broccoli, cauliflower, peas, spinach). Ensure these are not mashed together
  • Mashed soft fruit (e.g. banana, avocado) or cooked fruit (e.g. apple, pear, apricot)
  • Rice, risoni, semolina
  • Yoghurt, custard, cow’s milk in food (not as a drink)

8 months and beyond

Grated, diced, chopped, finger foods

  • Breast milk, infant formula, cooled boiled tap water
  • Diced tender cuts of meat, pieces of soft cooked meats (e.g. casseroles), lamb cutlets (with bone to chew meat off)
  • Diced tofu, cooked lentils
  • Sliced hard boiled eggs, scrambled eggs
  • Pieces of soft cooked vegetables (e.g. potato, pumpkin, sweet potato, carrot, zucchini, parsnip, green beans, broccoli). Ensure these are not mashed together
  • Diced soft fruit (e.g. peach, mango, pear, avocado, melon, pawpaw)
  • Grated apple, ripe banana pieces, stone fruit (stones removed), sliced watermelon
  • Yoghurt (full fat), custard, cottage/ricotta/cream cheese, grated cheese
  • Grain (cereal) foods such as bread, toast, oats, pasta, noodles, rice, couscous
  • Cow’s milk in food

12 months and beyond

Variety of textures

 

  • Breast milk, cow’s milk as a drink, water
  • Casseroles (mildly seasoned), meat balls or rissoles (cut into bite sized pieces)
  • Eggs – boiled, poached or scrambled
  • Canned baked beans (salt reduced)
  • Continue above vegetables and start adding celery, cucumber, tomato, capsicum, mushrooms, cooked cabbage, cooked Brussels sprouts
  • Continue above fruits and start adding seedless grapes (cut in quarters with skins removed), orange or mandarin segments (membrane and pips removed), kiwifruit, pineapple
  • Cheese sticks or slices, cream cheese
  • Soft cracker biscuits, pikelets, pasta (differing shapes, noodles and spaghetti cut up), couscous
  • Bite-sized sandwiches with moist fillings such as avocado, cream cheese
  • Smooth peanut paste*
  • Eating from the regular menu

*If your service has a nut-free policy, peanut paste must not be provided to any child in your care.