Four month handout

Photo by Unsplash by Kelly Sikkema

FEEDING

  • Breast milk and iron-fortified formulas are still the main sources of nutrition at this age.
  • See Feeding  Handout for instructions on introducing solids.

SAFETY

  • We do not recommend baby walkers because they can tip over, or fall down stairs, and can allow the child to reach to dangerous things.
  • Babies this age can roll. Use caution when the baby is on a sofa, changing table etc.
  • Always secure your baby in a car seat in the car.
  • Watch out for small choking objects like earrings, jelly beans, peanuts, or hot dog pieces.

DEVELOPMENT

  • Read to your children at all ages.  It advances language skills, attention span, and social skills.  
  • Your baby is becoming very aware of his surroundings, help him explore it.

SLEEPING

  • Place your baby in the crib when drowsy but still awake   It is helpful for her to learn to self soothe and fall asleep by herself.
  • Try to have bedtime at the same time each night. Use a soothing nighttime routine including singing, rocking or reading to her.
  • You don’t need to wake the baby at night for feedings at this age if they are sleeping through.
  • In the middle of the night, try to settle your baby without feeding. If he must feed, see if you can delay the feed for 10-15 minutes. You will encourage him to sleep a little longer the next night.

TEETHING

  • On average, babies get their first teeth around 6 months of age but this can be very variable.  
  • Teething may cause some babies to become fussy.
  • While teething can cause very low-grade fevers, any temperatures above 100.4 are likely due to something else.  If your baby has a temperature, call your doctor.
  • For teething discomfort babies may want to suck on a frozen washcloth.  You may use acetaminophen (Tylenol) as directed by your doctor occasionally. Do not use teething gels, tablets or teething necklaces as all of these are hazardous.
  • Babies should not go to bed with a bottle. The sugar in milk promotes teeth decay and bottles at night can lead to ear infections.


RESOURCES

  • Domestic Violence Hotline 800-799-SAFE (7233)
  • Food Assistance WIC 1-800-WIC-1007 and SNAP www.mass.gov/snap
  • CDC Vaccine Page www.cdc.gov/vaccines
  • Domestic Violence Hotline 800-799-SAFE (7233)
  • www.healthychildren.org Site by pediatricians about variety of health topics
  • App: Pediatric Symptom MD – variety of pediatric advice

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