Explain that this 10-15 tries is over a period of months and to not get discouraged.Explain that sometimes it takes a baby 10-15 tries over time before they will actually accept a new food.As the infant grows, it is important to expose the baby to variety of textures. Counsel about the importance of introducing a wide variety of foods, especially vegetables and fruits.Remind parents that this is a very important time and the kinds of foods your baby eats now help him to enjoy healthy foods later.Encourage parents to wait until around 6 months to introduce solids.Share potential calming and soothing strategies for infants, as well as coping strategies for parents. If parent reports fussiness and/or sleeping problems, counsel about the importance of appropriate complimentary food introduction.
Family physicians can use these guidelines to counsel parents about infant formula, countering consumer advertising that is not evidence-based. Most infants with reflux require no treatment. Antireflux formulas decrease emesis and regurgitation, but have not been shown to affect growth or development. Hypoallergenic formulas with extensively hydrolyzed protein are effective for the treatment of milk protein allergy and the prevention of atopic disease in high-risk infants. Soy formulas are indicated for congenital lactase deficiency and galactosemia, but are not recommended for colic because of insufficient evidence of benefit. There is insufficient evidence to recommend supplementation with docosahexaenoic acid or arachidonic acid. Most infants require a term formula with iron.
The wide variety of available formulas is confusing to parents and physicians, but formulas can be classified according to three basic criteria: caloric density, carbohydrate source, and protein composition. Although the American Academy of Pediatrics and the American Academy of Family Physicians recommend breast milk for optimal infant nutrition, many parents still choose formula as an acceptable alternative.
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