In late 2023, the World Health Organization (WHO) released the WHO Guideline for complementary feeding of infants and young children 6–23 months of age (WHO Guidelines). This was based on systematic literature reviews, extensive consultation with regional offices and a review of existing WHO guidance relevant to infants. In this paper we describe the similarities and differences between the recent WHO Guidelines and the current Australian Guidelines and highlight some of their limitations. The WHO provides advice relevant to all countries in the world, while the Australian infant feeding guidelines are limited to the Australian context. This results in more emphasis on the use of micronutrient supplements in the WHO Guidelines which are not routinely used in Australia. Both sets of guidelines emphasise the importance of exclusive breastfeeding in the first six months of life followed by continuing breastfeeding as long as the mother and infant desire, although there are small differences in wording. No additional foods or drinks are needed before six months, when complementary foods should then be introduced. A variety of different foods and textures should be offered. Toddler milks are not needed. The WHO Guidelines state that animal milk, such as cows’ milk, can be given from 6 months, while Australia recommends that cows’ milk only be given after 12 months due to the possibility of iron deficiency. Cows’ milk also has higher concentrations of protein and electrolytes. Both guidelines give very similar advice.
