Your baby should still be taking breast milk or infant formula. The American Academy of Pediatrics recommends waiting until six months of age before introducing juices. Baby cereal can be started between 4 to 6 months of age. While not usually necessary for infant nutrition, it may be a fun experience for your baby to learn to eat from a spoon.
When you start cereal, start with rice cereal mixed with breast milk or formula. You may want to start with a thin mix of cereal and then gradually thicken it as the infant learns to handle it. When your baby readily eats the cereal, you can gradually feed her pureed fruits and vegetables. Don’t start new foods more often then 3 to 5 days to make sure she is not allergic to the new food.
Never leave your baby in bed with a bottle. It leads to poor sleep habits and can eventually lead to tooth decay. Don’t give your baby a bottle just to quiet him when she really isn’t hungry. Bottles should be used for infant nutrition, not for comfort or baby sitting.
Continue to put your baby on her tummy for playtime. She should be starting to roll over from stomach to back. She should be laughing and squealing when happy. She will cry or fuss when hungry or tired. Be gentle and soothing when holding or talking with her. Babies enjoy toys that they can start to grasp. They also enjoy toys that make a noise when shaken.
It is still normal for babies to cry. It is best to try to meet their needs as quickly as possible. You won’t spoil your baby at this age.
Many babies are now starting to sleep all night. Remember to put your baby in her crib awake for naps and at bedtime to teach her to fall asleep on her own.
- To avoid suffocation or choking, remove hanging mobiles or toys before your baby can reach them. Keep cords, ropes or strings away from your baby, especially near the crib.
- Keep plastic bags and balloons out of reach. Use only unbreakable toys without sharp edges or small parts that can come loose.
- Never eat, drink, or carry anything hot near the baby or while you are holding her.
- Turn down your water heater to 120 degrees.
- Never heat formula in a microwave. Check it carefully for proper temperature.
- Use an approved infant car seat correctly in the back seat.
- Never leave your baby alone in a high place.
- Do not put your baby in a walker.
Your baby will need the same immunizations that she received at the two month visit. Some immunizations may be given in a combination vaccine.
- DTaP – This immunization protects your baby against Diphtheria, Tetanus and Pertussis, or Whooping Cough.
- IPV – This vaccine prevents paralytic poliomyelitis. It is an inactivated vaccine.
- HIB – This vaccine protects against Hemophilus Influenza Type B, a common cause of meningitis and other life-threatening diseases.
- HEPATITIS B – This vaccine protects against the type of liver disease that may lead to liver cancer or cirrhosis of the liver.
- PREVNAR – This is a vaccine that protects against certain diseases caused by Streptococcus pneumonia bacteria. It protects the infant from meningitis, bacteremia (bacteria in the bloodstream) and to a lesser extent, ear infections.
- RotaTeq – This is an oral vaccine that protects against a serious diarrhea disease caused by rotavirus.
CALL OUR OFFICE IF:
- Your child has a reaction other than a low-grade fever less than 101 or mild irritability.
- Your child gets a fever that lasts longer than 48 hours.