Peanut butter

kind: food

slug: peanut-butter

title: Peanut butter

status: published

reviewed_by: Allergist

name: Caring for Kids (CPS) - Peanut allergy prevention

organization: Canadian Paediatric Society

grade: A

notes: CPS recommendations for early peanut introduction

feeding_methods: puree blw

form: Thin peanut butter with breast milk, formula, or warm water to a runny consistency and offer in small amounts.

prep: Mix 2 tsp peanut butter with 2–3 tsp warm liquid until thin.

notes: Offer first exposure at home during the day and observe for 2 hours.

texture: Smooth, pourable paste

form: Spread a thin layer on toast fingers or soft oat bars.

prep: Apply a 1–2 mm layer and serve with water or milk.

notes: Continue offering at least 3 times per week to maintain tolerance.

texture: Thin coating that dissolves easily

risk_level: medium

nutrients_focus: protein healthy-fat

do_list: Keep emergency plan ready for high-risk infants

dont_list: Do not serve whole peanuts or thick spoonfuls of peanut butter

why: Peanut butter is an allergen that should be introduced in safe forms to build tolerance.

title: First-time introduction process

description: Give baby 1/4 teaspoon first, wait 10 minutes to observe, then give the remaining amount.

portion_hint: 2 teaspoons of diluted peanut butter each time, at least 3 times per week.


Egg

slug: egg

title: Egg

reviewed_by: Registered Dietitian

name: CDC - When, What, and How to Introduce Solid Foods

organization: Centers for Disease Control and Prevention

notes: CDC guidance on readiness signs and gradual solid introduction

form: Serve fully cooked mashed egg yolk mixed with breast milk or vegetable purée.

prep: Hard-boil for 10 minutes, mash yolk thoroughly.

notes: Offer a small amount for the first exposure and watch for reactions.

texture: Smooth mash

form: Offer scrambled egg or steamed egg cut into strips.

prep: Cook without added salt; slice into finger-length pieces.

notes: Maintain exposure several times per week once tolerated.

texture: Soft curds or custard-like strips

nutrients_focus: protein choline iron

do_list: Serve eggs fully cooked to avoid Salmonella

dont_list: Avoid runny yolks or undercooked eggs for infants

why: Eggs provide protein and choline; regular intake supports early allergen tolerance.

title: Steamed egg method

description: Mix egg with equal amount of water, strain, then steam for 10 minutes. Cool and cut into strips.

portion_hint: 6-8 months: start with 1/4 yolk per meal, gradually increase to half an egg.


Grape

slug: grape

title: Grape

reviewed_by: Feeding Therapist

name: HealthyChildren.org - Choking Prevention

organization: American Academy of Pediatrics

notes: AAP choking hazard list and seating recommendations

form: Peel, deseed, and cut lengthwise into four thin strips.

prep: Wash thoroughly, remove seeds, slice lengthwise then again into quarters.

notes: Feed while the child is upright and supervised.

texture: Soft, juicy strips that squish easily

form: Quarter or eighth lengthwise into bite-sized pieces.

prep: Continue cutting lengthwise to maintain narrow shapes.

notes: Never serve whole grapes or crosswise coins.

texture: Soft but still squishable

risk_level: high

nutrients_focus: vitamin-c fiber

do_list: Peel grapes for younger infants if the skin is tough

dont_list: Do not offer whole grapes or circular slices

why: Whole grapes match the size of a child’s airway and are a leading choking hazard.

title: Peeling technique

description: Blanch in hot water for 10 seconds, then immerse in cold water before peeling off the thin skin.

portion_hint: As a post-meal fruit, provide 2-4 small pieces and observe chewing ability.


Salmon

slug: salmon

title: Salmon

reviewed_by: Pediatric Dietitian

name: Canada.ca - Feeding Your Baby 6 to 12 months

organization: Health Canada

notes: Canadian national guidance on introducing solids and iron-rich foods

form: Flake cooked salmon and mix with breast milk, formula, or vegetable purée to form a soft mash.

prep: Bake or steam 10–12 minutes until fully cooked; check for pin bones.

notes: Retain natural oils to provide DHA.

texture: Soft, moist flakes that mash easily

form: Serve as soft fish cakes or loose flakes.

prep: Combine with sweet potato or oats for fish cakes; pan-sear lightly.

notes: Offer once or twice weekly as part of the low-mercury fish rotation.

texture: Tender, breaks apart readily

nutrients_focus: protein iron omega-3

do_list: Check carefully for bones and skin before serving

dont_list: Avoid smoked or heavily salted salmon for infants

why: Salmon is a low-mercury fish rich in DHA, protein, and vitamin D.

title: Check for bones

description: After cooking, touch each piece to ensure no small fish bones remain.

portion_hint: 1-2 times per week, start with about 1-2 tablespoons each time.


Carrot

slug: carrot

title: Carrot

form: Steam until very soft and mash or puree until smooth.

prep: Peel, slice, steam 8–10 minutes until a fork goes through easily, then mash.

notes: For BLW, cut into thick batons and lightly coat with oil to reduce sticking.

texture: Soft mashable purée

form: Serve as pea-sized cubes or soft finger strips.

prep: Continue steaming until fork-tender before dicing.

notes: Pair with iron-rich foods such as egg yolk or lentils.

texture: Tender, easily squashed between fingers

risk_level: low

nutrients_focus: vitamin-a fiber

do_list: Add a small amount of fat (e.g., oil) to enhance carotenoid absorption

dont_list: Avoid offering raw, hard carrot slices that present choking risk

why: Carrots provide beta-carotene to support vision and immune health.

title: Steaming

description: Peel and cut into pieces, then steam until they can be easily squished with your fingers.

portion_hint: Responsive feeding - start with 1-2 tablespoons per meal initially.


kind: guide

slug: allergen-introduction-plan

title: Allergen introduction and maintenance plan

summary: Introduce major allergens around 6 months under clinician guidance and maintain weekly exposure thereafter.

body_md:
## 步骤
1. 确认宝宝健康，无严重湿疹或已知过敏（如有请先咨询专科）。
2. 按顺序尝试花生、鸡蛋、牛奶制品、鱼、芝麻。
3. 每种食物首次少量，间隔 2 小时观察，再补足当天量。
4. 一周 3 次维持，避免超过两周未接触。

guide_type: allergen

type: warning

label: 首次尝试安排在白天，家中备有紧急联系人

type: action

label: 记录每次引入的时间与反应


slug: starting-solids-framework

title: Complementary feeding framework (6–12 months)

reviewed_by: Lead Pediatric Nutritionist

summary: Four-stage plan covering readiness, nutrient targets, and transition toward family meals for 6–12 month-olds.

body_md:
## Staged approach
- **Stage 1 (6–8 months):** Prioritize iron/zinc foods; start with smooth purées.
- **Stage 2 (8–10 months):** Add soft finger foods and open-cup practice; expand allergens.
- **Stage 3 (10–12 months):** Offer modified family meals with soft textures; encourage self-feeding.

## Caregiver reminders
- Breast milk/formula remain primary nutrition until 12 months.
- Aim for each meal to include an iron source, fruit/vegetable, and fat.

guide_type: framework

type: tip

label: Confirm the baby can sit upright with minimal support

label: Offer iron-rich foods twice per day in Stage 1


slug: daycare-milk-hand-off

title: Daycare milk hand-off guide

reviewed_by: JupitLunar Research Team (awaiting external review)

name: Expressing and storing breast milk safely

notes: Storage limits for expressed milk, cooling and reheating best practices.

summary: Establish labeling, storage, and communication routines when sending expressed milk to childcare.

body_md:
## Night before
- Portion milk into 60–120 mL containers and label with date/time.
- Pack a dedicated cooler bag and ice packs in the fridge overnight.

## At drop-off
- Hand cooler directly to staff and confirm fridge temperature log.
- Share feeding plan (volumes, pace feeding notes).

## End of day
- Discard milk that exceeded storage limits; sanitize containers and repack.

guide_type: scenario

label: Print daycare feeding plan with emergency contacts

label: Review storage logs weekly


slug: faq-rice-cereal-first

title: FAQ: Does rice cereal have to be first?

name: CDC - When, What & How to Introduce Solid Foods

notes: Readiness cues, timing and sequence for introducing complementary foods

name: Guideline: Complementary feeding of infants and young children 6–23 months of age

organization: World Health Organization

notes: Meal frequency, fortified foods, and responsive feeding standards for 6–23 months.

name: Iron requirements in the first two years of life

notes: Details iron intake goals, screening triggers, and supplementation criteria.

summary: Rice cereal is optional—prioritize iron-rich variety and rotate grains to reduce arsenic exposure.

body_md:
### Key points
- Any iron-rich food can be a first food.
- Rotate grains (oat, barley, multigrain) to diversify nutrients.
- Puréed meats or legumes meet iron goals immediately.

### Safety
- Keep textures smooth at first, then thicken as readiness cues progress.
- Never add cereal to bottles unless prescribed for reflux.

### Further reading
See CPS and CDC guidance on iron needs and solid readiness.

guide_type: other

label: Offer two different iron foods in the first week

label: Swap rice cereal for oat or barley options every few days


slug: holiday-allergen-checklist

title: Holiday allergen safety checklist

name: NIAID Guidelines for the Prevention of Peanut Allergy in the United States (2017)

organization: National Institute of Allergy and Infectious Diseases

grade: B

notes: Peanut introduction timing based on eczema/egg allergy risk

name: AAAAI/ACAAI 2023 Anaphylaxis Practice Parameter Update

organization: Journal of Allergy and Clinical Immunology

notes: Updated EMS guidance after epinephrine, action plan reinforcement

name: Randomized Trial of Peanut Consumption in Infants at Risk for Peanut Allergy (LEAP)

organization: New England Journal of Medicine

notes: Early peanut introduction reduced allergy incidence by 81% in high-risk infants.

summary: Prevent cross-contact and keep epinephrine close during shared meals.

body_md:
## Before the gathering
- Share allergen list and safe recipes with hosts.
- Prepare a separate serving spoon for your child.

## During the meal
- Serve from unopened packages or a reserved plate.
- Maintain weekly allergen exposure schedule even during travel.

## Emergency readiness
- Carry two epinephrine auto-injectors.
- Review action plan with caregivers and babysitters.

label: Pack safe backup meal

label: Confirm location of nearest urgent care


slug: holiday-meal-strategies

title: Holiday meal strategies for infants & toddlers

USDA FSIS - Danger Zone 40°F-140°F

organization: USDA Food Safety and Inspection Service

notes: Two-hour/one-hour rule and safe holding temperatures

summary: Keep routines, prevent choking, and manage leftovers during holiday gatherings.

body_md:
## Protect the routine
- Keep naps and feeding windows close to normal.
- Offer a familiar meal or snack before parties to reduce hanger.

## Buffet safety
- Plate toddler portions yourself and cut foods to pea-size.
- Skip whole nuts, popcorn, marshmallows, and raw veggies.

## Leftovers
- Refrigerate within two hours (one hour if >32	C/90	F).
- Reheat leftovers to 74	C/165	F before serving.

label: Pack safe snacks and toddler utensils

label: Confirm fridge space with hosts ahead of time


slug: blw-and-puree-mixed-path

title: Hybrid BLW + spoon-feeding pathway

notes: CDC guidance on readiness signs and gradual solid introduction

summary: Blend self-feeding with spoon-feeding so infants practice oral-motor skills while meeting nutrition goals.

body_md:
## Why combine approaches?
- BLW fosters chewing and self-regulation; spoon-feeding ensures nutrient-dense foods.

## Implementation
1. Prepare two textures per meal: a soft finger food and an iron-rich purée.
2. Allow self-exploration first, then offer purée responsively.
3. Maintain 90-90-90 seating and choking precautions.

guide_type: pathway

label: Offer mashable finger foods at every lunch or dinner

label: Preload spoons to support self-feeding


slug: iron-and-vitamin-d-playbook

title: Iron + vitamin D playbook (6–24 months)

name: Vitamin D supplementation for Canadian infants

notes: Recommends 400 IU vitamin D during the first year; reassess 600 IU targets after age one.

name: Calcium Fact Sheet for Health Professionals

organization: NIH Office of Dietary Supplements

notes: Dietary reference intakes and upper limits for calcium in 1–3 year olds.

summary: Map out daily iron foods and vitamin D supplementation so toddlers hit both targets without overreliance on dairy.

body_md:
## Daily targets
- Offer at least two iron-rich servings (heme or fortified plant) every day.
- Keep vitamin D drops at 400 IU until the first birthday, then reassess 600 IU needs.
- Space dairy or fortified alternatives between iron meals.

## Weekly rhythm
- Plan 2 meat/fish meals, 2 legume meals, and 3 fortified cereal servings.
- Use sunlight and outdoor time alongside supplements when possible.

## Troubleshooting
- Check for constipation or refusal and adjust textures.
- Ask for bloodwork if appetite drops or pallor is noted.

guide_type: nutrition

label: Log iron-rich foods offered each day

label: Set a reminder for daily vitamin D drops

label: Review portion sizes with pediatrician if growth falters


slug: postpartum-mental-health-plan

title: Postpartum mental health plan

name: Postpartum depression: Information for parents

organization: Public Health Agency of Canada

notes: Screening signs, urgent care pathways, and family support recommendations.

summary: Recognize postpartum mood changes, map crisis resources, and enlist support partners.

body_md:
## Know the signs
- Persistent sadness, irritability, or anxiety beyond two weeks postpartum.
- Intrusive thoughts or difficulty bonding with baby.

## Build your circle
- Identify two support people to check in weekly.
- Share feeding plans so night help is informed.

## Seek help early
- Contact your family doctor, public health nurse, or crisis line when symptoms escalate.
- If thoughts of self-harm appear, seek emergency care immediately.

label: Add perinatal mental health hotline numbers to your phone

label: Schedule a six-week mood check with your clinician

label: Create a shared calendar for respite care


slug: pumping-while-traveling-checklist

title: Pumping while traveling checklist

TSA - Traveling with Children

organization: Transportation Security Administration

notes: Allowances for breast milk, formula, ice packs in carry-on luggage

summary: Plan power adapters, screening conversations, and cold-chain logistics for travel days.

body_md:
## Before departure
- Confirm power voltage and pack backup pump parts.
- Freeze milk flat for efficient packing.

## In transit
- Declare breast milk and ice packs at security; request visual inspection if needed.
- Keep milk in an insulated bag with frozen packs; add hotel ice if travel exceeds 24 hours.

## On arrival
- Transfer milk to a fridge or freezer immediately.
- Log pump times and volumes for daycare communication.

label: Print TSA/airline breast milk policy

label: Pack two sets of pump parts to rotate

label: Carry a small thermometer for cooler checks


slug: travel-feeding-checklist

title: Travel feeding checklist

reviewed_by: Food Safety Specialist

FoodSafety.gov - The 2-Hour Rule

notes: Federal food safety timeline for refrigeration and reheating

summary: Quick checklist for travel and outings, covering safe packing and emergency contacts.

body_md:
## Packing essentials
- Ready-to-feed formula or pre-measured powder with safe water.
- Cooler with ice packs, thermometer, disposable bibs, wipes, spare clothing.
- Travel-safe foods such as shelf-stable pouches, soft pre-cut fruit, crackers, yogurt.

## On the road
- Follow the 2-hour/1-hour rule for perishables.
- Keep cold foods at or below 40°F (4°C).

## Communication
- Share feeding instructions and allergy information with all caregivers.
- Include pediatrician and emergency contacts on a handoff card.

label: Pack insulated cooler and ice packs

label: Carry printed allergy and feeding plan


Beef

slug: beef

title: Beef

notes: Canadian national guidance on introducing solids and iron-rich foods

form: Blend slow-cooked beef with broth or breast milk to a thin purée or offer meat broth on a spoon.

prep: Pressure cook or braise boneless beef until shreddable, then blend with cooking liquid.

notes: Skim excess fat and avoid added salt.

texture: Silky purée

form: Offer very soft shredded beef strands or finely minced patties.

prep: Shred along the grain and moisten with broth to prevent dryness.

notes: Serve with mashed beans or vegetables.

texture: Moist, shreddable

form: Serve tender meatballs or slow-cooked cubes cut into pea-sized pieces.

prep: Cook ground beef with breadcrumbs or oats for softer texture.

notes: Drain grease and pat dry to remove excess fat.

texture: Tender, easy to chew

nutrients_focus: iron zinc protein

do_list: Choose lean cuts like chuck or sirloin and cook until very tender

do_list: Serve with mashed vegetables to keep bites moist

do_list: Offer water and watch for chewing fatigue

dont_list: Do not serve steak strips that require tearing

why: Beef delivers heme iron and zinc, which have higher bioavailability than plant sources.

portion_hint: Start with 1–2 tablespoons of purée; toddlers may take 30–60 g per meal.


Lentils

slug: lentils

title: Lentils

feeding_methods: puree mixed

form: Cook red or yellow lentils until very soft and blend with breast milk, formula, or broth for a smooth purée.

prep: Simmer lentils in water or sodium-free broth for 15–20 minutes until they mash easily.

notes: Add a teaspoon of canola or olive oil to boost calories.

texture: Smooth purée

form: Serve as thick mash or shape into soft patties for self-feeding.

prep: Combine cooked lentils with mashed sweet potato or oat flour to bind, then pan-sear lightly.

notes: Offer alongside vitamin C produce to aid absorption.

texture: Soft mashable patties

form: Mix into soups, stews, or dal with finely chopped vegetables.

prep: Continue cooking until lentils keep their shape but squash between fingers.

notes: Serve with whole grains to create a complete protein.

texture: Tender lentils in sauce

nutrients_focus: iron fiber protein

do_list: Rinse dried lentils thoroughly before cooking

do_list: Pair with citrus, tomato, or berries to enhance iron absorption

do_list: Freeze extra portions in small containers for quick meals

dont_list: Do not offer crunchy, undercooked lentils

why: Lentils provide non-heme iron, folate, and fiber for infants with vegetarian or mixed diets.

portion_hint: Start with 2–3 tablespoons and follow appetite cues.


Plain Yogurt

slug: yogurt

title: Plain Yogurt

name: HealthyChildren.org - Cow's Milk and Your Child

notes: AAP guidance on introducing whole cow's milk after 12 months

feeding_methods: spoon mixed

form: Offer plain, full-fat yogurt on a pre-loaded spoon or let the infant self-feed with caregiver assistance.

prep: Use pasteurized yogurt without added sugar; stir in pumped milk to thin if needed.

notes: Avoid honey-sweetened yogurt before 12 months.

texture: Smooth and spoonable

form: Swirl in mashed fruit or nut-free seed butter for additional nutrients.

prep: Use mashed berries or fruit purée; add iron-fortified cereal for texture.

notes: Offer with cup of water and an iron-rich side.

texture: Thick, scoopable

form: Serve as part of breakfast bowls with oats, chia, or sliced fruit.

prep: Portion 1/2 cup servings and keep chilled until serving.

notes: Choose unsweetened or <6 g added sugar per serving.

texture: Thick, spoonable

nutrients_focus: calcium protein probiotics

do_list: Look for full-fat, unsweetened yogurt with live cultures

do_list: Offer alongside iron-rich foods to balance calcium

do_list: Introduce small amounts of nut or seed butter after allergen clearance

dont_list: Avoid yogurts with honey or artificial sweeteners for infants

dont_list: Do not use plant-based yogurt lacking calcium or vitamin D without supplementation

why: Yogurt supplies calcium and probiotics that support gut and bone health in infants and toddlers.

portion_hint: Start with 2–4 tablespoons and work toward 1/2 cup portions by toddlerhood.


kind: rule

slug: two-hour-cold-storage-rule

title: Follow the 2-hour/1-hour cold storage rule

summary: Discard prepared foods left at room temperature beyond 2 hours—or 1 hour if above 90°F (32°C)—and reheat leftovers to an internal temperature of 165°F (74°C).

category: storage

do_list: Refrigerate cooked foods within 2 hours (1 hour in hot weather)

do_list: Use coolers and ice packs when travelling with expressed milk or prepared foods

do_list: Reheat leftovers thoroughly and stir to distribute heat evenly

dont_list: Do not refreeze thawed purées or formula once warmed

dont_list: Avoid leaving perishable foods in the “danger zone” (40–140°F)

why: Bacteria multiply rapidly in the danger zone, increasing risk of foodborne illness in infants.

title: Travel safety

description: Pack a thermometer with coolers; discard perishable items after 2 hours without refrigeration.

compliance_notes: Derived from USDA FSIS/FoodSafety.gov guidelines; informational only.


title: Fruit juice limits for 12–36 months

name: HealthyChildren.org - Juice Recommendations

notes: AAP statement on juice limits for infants and toddlers

summary: Do not serve juice before the first birthday. Limit 100% fruit juice to 4 oz (120 mL) per day for ages 12–36 months and offer only in a cup with meals.

category: beverages

do_list: If offering juice, choose 100% fruit juice and serve in an open or straw cup

do_list: Pair juice with meals or snacks rather than between meals

dont_list: Avoid juice in bottles or sippy cups for constant sipping

dont_list: Do not serve sugar-sweetened beverages or juice cocktails

why: Excess juice contributes to dental caries, diarrhea, and displacement of nutrient-dense foods.

title: 逐步引入

description: 12 个月后可在餐后提供 1–2 oz，并观察大便情况。

compliance_notes: Educational summary; always consult your pediatrician for personalised advice.


title: Introduce whole cow’s milk after 12 months (16–24 oz/day)

summary: Do not substitute cow’s milk for breast milk or formula before 12 months. After the first birthday, offer whole cow’s milk in cups and limit to 16–24 oz (480–720 mL) daily alongside iron-rich meals.

do_list: Transition to whole cow’s milk gradually after 12 months using cups

do_list: Keep total daily milk 16–24 oz to protect iron absorption and appetite

do_list: Discuss fortified alternatives with a clinician if dairy intake is low

dont_list: Do not replace breast milk or formula with cow’s milk before 12 months

dont_list: Avoid sending the child to bed with a bottle of milk

why: Cow’s milk lacks the iron infants need and excessive intake can cause iron deficiency and dental caries.

title: Stepwise transition

description: Swap one bottle for a cup of whole milk every few days after the first birthday while monitoring stooling and appetite.

compliance_notes: Summarizes AAP/CDC beverage recommendations; not a substitute for individualized medical advice.


slug: choking-prevention-mealtime-basics

title: Maintain 90-90-90 posture and avoid high-risk foods

reviewed_by: Pediatrician Review Team

notes: AAP choking hazard list and seating recommendations

summary: Seat infants upright with hips, knees, and ankles at 90 degrees and avoid round, firm foods such as whole grapes or hot dogs. Supervise meals without distractions.

category: feeding-environment

do_list: Use a high chair that provides trunk support and footrest contact

do_list: Slice grapes, cherry tomatoes, and hot dogs lengthwise before cutting into small pieces

do_list: Keep mealtimes calm—sit with the child and supervise actively

dont_list: Do not allow children to walk, run, or ride in a car while eating

dont_list: Avoid hard, round, sticky foods that cannot be mashed easily

why: Proper seating and food preparation reduce airway obstruction risk, the leading cause of feeding-related injury in infants.

title: Prep high-risk foods

description: Cut cylindrical foods into thin strips before chopping; offer shredded or mashed alternatives when possible.

compliance_notes: Based on CDC choking prevention tips; educational use only.


title: No honey before 12 months

HealthyChildren.org - Honey Guidance

notes: AAP consumer guidance on botulism risk from honey

summary: Avoid honey and honey-containing foods during the first year to prevent infant botulism.

category: food-safety

do_list: Choose pasteurized alternative sweeteners if needed

do_list: Remind all caregivers and childcare providers about the honey restriction

dont_list: Do not feed raw or processed honey to infants under one year

dont_list: Do not coat pacifiers or bottles with honey

why: Honey can contain Clostridium botulinum spores. Infant intestines cannot block toxin production, leading to potentially fatal paralysis.

title: Check ingredient labels

description: Review packaged foods, cough syrups, and baked goods for honey, honey powder, or raw honey before serving.

title: Caregiver briefing

description: Share the no-honey rule with grandparents, babysitters, and daycare staff.

compliance_notes: Summarizes CDC food safety guidance; for educational use only.


slug: offer-iron-rich-foods-daily

title: Offer iron-rich foods daily from 6 months

notes: Meal frequency, fortified foods, and responsive feeding standards for 6–23 months.

notes: Details iron intake goals, screening triggers, and supplementation criteria.

summary: Serve iron-rich animal or fortified plant foods every day starting with first solids to preserve iron stores and prevent anemia.

category: nutrition

do_list: Rotate heme iron options (beef, dark poultry, salmon) two to three times weekly

do_list: Pair plant sources like lentils or beans with vitamin C fruits or vegetables

do_list: Keep iron-fortified infant cereal or legumes in the meal rotation if accepted

dont_list: Do not let dairy displace iron-rich foods at mealtimes

dont_list: Avoid delaying iron-rich foods until teeth erupt

why: Infant iron stores are depleted by 6 months; daily heme and non-heme sources maintain growth and cognitive development.

compliance_notes: Summarizes Health Canada, WHO, and CPS practice point guidance; incorporate pediatric screening plans for high-risk infants.


slug: rice-cereal-not-required-first-food

title: Rice cereal is optional—lead with iron-rich variety

notes: Readiness cues, timing and sequence for introducing complementary foods

summary: Choose any iron-rich first foods—meat, legumes, fortified cereals—and rotate grains to limit arsenic exposure from rice.

do_list: Offer smooth meat or legume purées alongside fortified cereals

do_list: Rotate oat, barley, or multigrain cereals instead of serving rice cereal daily

do_list: Watch infant cues and adjust textures gradually

dont_list: Do not add cereal to bottles without clinician advice

dont_list: Avoid serving rice cereal multiple times per day

why: CDC and CPS emphasize iron density and variety; rice cereal can be part of the rotation but is not mandatory and contributes more arsenic than other grains.

compliance_notes: Use with regional arsenic advisories; recommend fortified cereals that meet local safety standards.


slug: spread-calcium-servings

title: Spread calcium-rich servings across the day (700 mg target)

notes: Recommends 400 IU vitamin D during the first year; reassess 600 IU targets after age one.

notes: Dietary reference intakes and upper limits for calcium in 1–3 year olds.

summary: Toddlers 12–24 months need roughly 700 mg calcium daily; offer two to three portions of dairy or fortified alternatives spaced between iron-rich meals.

do_list: Serve 120–180 mL (4–6 oz) portions of milk, yogurt, or fortified soy beverage with meals or snacks

do_list: Check plant-based beverages provide vitamin D and at least 300 mg calcium per cup

do_list: Pair calcium foods with snacks so iron-rich main meals stay the focus

dont_list: Avoid sweetened or unfortified plant drinks as a primary milk source

dont_list: Do not exceed 24 oz (710 mL) of milk daily without medical guidance

why: Calcium supports bone mineralization, but excess dairy can crowd out iron; spreading servings balances both needs.

compliance_notes: References CPS, AAP/HealthyChildren, and NIH dietary reference data; tailor volumes for children with medical needs.


slug: vitamin-d-supplement-breastfed

title: Supplement breastfed infants with 400 IU vitamin D daily

name: HealthyChildren.org - Vitamin D for Babies

notes: AAP dosing guidance for vitamin D supplementation

summary: Provide 400 IU of vitamin D daily from birth for breastfed or partially breastfed infants; reassess after 12 months when the target increases to 600 IU.

category: supplement

do_list: Start vitamin D drops soon after birth for exclusively or partially breastfed infants

do_list: Review dosing at well-child visits once the child reaches 12 months

do_list: Demonstrate proper administration (onto nipple or inside cheek)

dont_list: Do not exceed recommended doses without clinician guidance

dont_list: Do not assume formula-fed infants need supplementation if intake already provides 400 IU

why: Vitamin D supports bone and immune health; breast milk alone does not meet the requirement.

compliance_notes: Summarizes CDC vitamin D guidance; confirm dosing with the child’s clinician.


slug: safe-transport-expressed-milk

title: Transport expressed milk with cold-chain safeguards

USDA FSIS - Danger Zone 40°F-140°F

notes: Two-hour/one-hour rule and safe holding temperatures

TSA - Traveling with Children

notes: Allowances for breast milk, formula, ice packs in carry-on luggage

notes: Storage limits for expressed milk, cooling and reheating best practices.

summary: When commuting or traveling, keep expressed milk at 4	C or colder with ice packs and label containers with pump time before handing off to caregivers.

do_list: Pack milk in an insulated bag with at least two frozen ice packs

do_list: Label each container with infant name, pump date, and time

do_list: Transfer to a refrigerator (4	C/39	F) or freezer within 24 hours

dont_list: Do not leave expressed milk at room temperature beyond four hours

dont_list: Avoid partially thawing and refreezing milk

why: USDA, TSA, and CDC guidance stress continuous cold chain to prevent bacterial growth and maintain nutrient quality.

compliance_notes: Adapt for workplace or daycare policies; document chain of custody when required.