Cow's Milk and Babies: From 6 to 12 Months

Quick Facts

• It’s safe to introduce food containing cow’s milk once your baby starts solids (around 6 months), but do not offer it as a drink until the first birthday.

• Offering cow's milk as a drink can replace breast milk or formula, both of which are crucial sources of nutrition during this stage.

• Start with small amounts of milk in food and monitor your baby for any allergic reactions. Cow’s milk is a common allergen, as are some alternatives like soy and tree nuts.

• If your baby has a cow’s milk protein allergy, avoid dairy until your pediatrician advises reintroducing it.

• Transitioning from breast milk or formula to cow's milk should ideally be done with an open cup, not a bottle, around your baby’s first birthday.

Frequently Asked Questions

When can baby start drinking cow’s milk? At 11 to 12 months, small amounts of cow's milk can be introduced, but only in an open cup, not a bottle. Start with 1 to 2 fl oz (~30-60 mL). Milk should not replace breast milk or formula during this time.

Why can’t babies drink cow’s milk before one? As a drink, cow's milk may replace breast milk or formula, which are the main sources of nutrition for babies. While occasional sips are fine, milk can be added to foods like porridge, but stick with breast milk, formula, or water for drinks.

Can babies drink formula with cow’s milk? Yes. Most infant formulas are made from cow’s milk, modified to be a complete nutritional source.

Why does the WHO recommend cow’s milk for babies? This suggestion applies to families who don’t have access to breast milk or formula. Cow’s milk might be recommended as a temporary option under medical guidance.

Can babies have dairy before age one? Yes, in solid foods, but not as a regular drink. Products like butter, yogurt, and ghee can be introduced when baby starts solids (around 6 months). Wait until after the first birthday for regular milk drinks.

Can I mix cow’s milk into baby’s food? Yes. You can mix cow's milk into food such as porridge, pancakes, or other dishes for baby. Always start with small amounts and monitor for any allergic reactions.

Does calcium in cow’s milk affect iron absorption? In the short term, calcium may inhibit iron absorption, but this is not a concern if your baby eats a varied diet. Consuming too much cow’s milk regularly may reduce iron intake and lead to iron deficiency.

Can cow's milk cause constipation? In excess, yes. Too much cow's milk can limit fiber-rich food intake, leading to constipation. In some cases, it may also be a sign of cow’s milk protein allergy (CMPA).

How to safely introduce cow’s milk? Introduce small amounts of cow's milk in food your baby has already tried, such as beans or mashed vegetables. If there’s a family history of allergies, consult with a pediatrician before introducing dairy. Gradually increase the quantity over time.

Can babies be allergic to cow’s milk? Yes. Cow’s milk is a common allergen, and some babies may also be allergic to other animal milk like goat or sheep. Always consult your pediatrician if you're concerned.

Can a baby outgrow a cow’s milk allergy? Yes. Many children outgrow cow’s milk allergies by age 6. Some babies with mild CMPA may even be able to reintroduce milk at their first birthday with guidance from their pediatrician.

How to transition to cow's milk after formula or breast milk? Gradually transition to cow's milk around the first birthday using an open cup instead of a bottle. This helps encourage healthy eating habits and reduces the risk of cavities.

Can I offer raw milk to my baby? No, raw milk poses a risk of foodborne illnesses. Always offer pasteurized milk to reduce the risk of harmful bacteria.