It is not time to start cereal or baby foods yet. If your baby is strictly breastfed, vitamin D supplementation is recommended to prevent bone disease. ” src=”http://www.doctorhuntersville.com/wp-content/uploads/2010/05/mom_baby_smiling-211×300.jpg” alt=”Your baby still needs only breast milk or infant formula to grow healthy and strong. It is not time to start cereal or baby foods yet. If your baby is strictly breastfed, vitamin D supplementation is recommended to prevent bone disease. ” width=”211″ height=”300″ />Your baby still needs only breast milk or infant formula to grow healthy and strong. It is not time to start cereal or baby foods yet. If your baby is strictly breastfed, vitamin D supplementation is recommended to prevent bone disease.
Infant vitamins that contain 400 IU of vitamin D per dose are appropriate and can be found at most pharmacies. Cereal can be started at 4 to 6 months of age. At this age, most babies take about 4 ounces of formula every 2-4 hours. . Even if you only give your baby breast milk, it is a good idea to sometimes feed your baby with pumped milk that you put in a bottle. Then your baby will learn another way to drink milk and other people can enjoy feeding your baby.
When bottle feeding your baby, always hold the bottle in your hand. Do not allow a baby to drink while lying flat. Do not prop the bottle with another object. Always hold your baby during feeding time so your baby knows you are there to meet her needs.
Babies start to lift their heads briefly at this age. They enjoy smiling faces and sometimes smile in return. Cooing sounds are in response to people speaking gentle, soothing words, and they will follow you with their eyes. The main developmental situation your baby needs comes from normal talking, touching, smiling, singing, etc. that you do with your baby when she is awake during the day. Don’t forget supervised “tummy time” during the day.
Many babies wake every 3 to 4 hours, while others sleep through the night. Every baby is different. Place your baby in the crib when she is drowsy but still awake. It is normal for a baby to fidget or cry for awhile before falling asleep. If she is crying, try to soothe her while she is still in the crib. Stroke her, play soft music or sing softly.
Keeping her in the crib will teach her to eventually fall asleep on her own in the crib. Handle nights and naps the same way. Avoid letting her fall asleep routinely at the breast, with a bottle, or in your arms. Never put your baby in bed with a bottle. Always place your baby on her back. Alternate which side you put her head on and the location of visual stimuli to prevent plagiocephaly (abnormal skull shape due to positioning). You should alternate sides this way on her changing table as well.
Never leave your child alone, except in a crib.
Avoid Suffocation and Choking
- Use a crib with slats not more than 2 and 3/8 inches apart
- Place your baby on her back in the crib
- Use a mattress that fits the crib snugly
- Keep plastic bags, balloons, and baby powder out of reach
- Clear the crib of soft toys, stuffed animals or multiple blankets
Prevent Fires, Burns, Scalds
- Never eat, drink, or carry anything hot near the baby
- Turn your water heater down to 120 degrees F
- Install smoke detectors
- Keep a fire extinguisher in or near the kitchen
- Don’t smoke inside the house or near your baby
- Never leave a child alone in a car, even for a minute
- Use an approved infant car seat. Go to safekidscharmeck.org and click on “Calendar” to find out about local car seat checks
- Never step away when the baby is on a high place, even the changing table
- Never place your baby’s car seat unattended on a counter or tabletop
- Keep the crib sides up
At this age your baby should receive the following vaccines:
- DPT (diphtheria, pertussis, tetanus)
- HiB (Haemophilus influenza type B)
- Hepatitis B
- Prevnar (pneumococcus)
- Oral Rotavirus
Some of these vaccines are mixed together to minimize the number of shots. Your baby may run a fever and be irritable for about 1 day after getting shots. Your baby may also have some soreness, redness, and swelling where the shots were given. Tylenol drops (1/2 dropperful or 0.4 ml) every 4-6 hours may prevent fever and irritability. For swelling or soreness, try a cool, wet washcloth on the area.
Call Your Child’s Physician If:
- Your child has a rash or any reaction other than those described above after vaccination
- You are concerned about a fever or if your child is listless
- Your child does not want to eat or vomits multiple times in a day
- Your baby has no wet diapers for 8 hours
- Your child exhibits difficulty breathing
Your baby’s next routine visit is at 4 months of age. Please bring your baby’s “shot card” to each visit.