Your Child's Visits - Four Month Visit

Diet:

If more than 50% breast-fed, Tri-vi-sol vitamins daily (for extra vitamin D)

Consider starting solids-

  1. Begin with rice or oatmeal cereal, mixed to a soupy consistency with formula or breast-milk.
  2. Start when your infant is likely to be hungry but not starving.
  3. Use a soft infant spoon to place a small amount of cereal in the middle of baby’s tongue (stroking their chin or cheek will get them to open their mouth easily.)
  4. Once your infant is eating more than spitting, and enjoying the experience, you may start one daily meal of cereal (any time of day, approximately 3-5 tablespoons of dry cereal mixed to a loose paste.)
  5. You may experiment now with fruits and vegetables- introducing no more than one new food every three days.  If you make your own, freeze leftovers in ice-cube trays for later feedings.
  6. Carrots and spinach OK.

Sleep:

By four months of age many (but not all) infants can sleep thru the night (6-10 hours.)  It is also normal for some infants to cry a few minutes when falling asleep- try to let your baby learn to transition into sleep without interventions (i.e. pacifiers, rocking, feeding.)

Safety:

Your infant has entered a very oral stage- everything will go into his mouth.  Keep small items out of reach.  
If an item can fit thru a toilet paper tube, it is too small for your baby to play with.
Exersaucers and “Jolly Jumpers” are fun, but mobile walkers are dangerous.
Use sunscreen when outdoors- any children’s sunscreen is safe to use; titanium dioxide based preparations are particularly well-tolerated.

Recommendations:

If your child is teething (you will feel or see teeth coming thru the gums) try using a frozen wet washcloth or teething ring for comfort.  If nothing else helps, give a dose of Tylenol.  Numbing creams are less effective and easily overdosed.

Measurements:

Height

Weight

Head Circumference

Vaccination/labs:

Pentacel #2(DTaP, Hib, IPV), Prevnar #2, Rotateq #2

Tylenol dose:

 

Next visit at six months of age