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Fifteen-month-old office visit

General Information for a 15 month old child:

Behavior –
Allow your child to explore, but you may need to physically remove your child from a dangerous situation. Rather than repeating the word "No", try distracting your child. Limit setting is very important at this age. This is a good time to introduce the use of time out. However, reward good behavior.

Sun & Skin Precautions –
It is never too early to protect your baby from the sun. Using a SPF of 15-30 is recommended. Cataracts are becoming increasingly common leading some people to recommend early use of sunglasses. In terms of insect repellants, never use more than 10% DEET on your child’s skin. Have your child wear long sleeves when possible and apply repellant to the clothes.

Healthy habits –
Encourage reading and try to limit TV watching. It is time to have a bedtime routine.

Development -
Most 15 month-old-babies can say about 3-10 words. They can feed themselves with fingers. They can usually understand simple commands, and point to 1 or 2 body parts. They can walk alone and creep up stairs. Not all kids are ready for toilet training at the same age; many are 18-24 months before they are ready to start. Only 75% are potty trained at age 3. It is a mistake to start too early as this will lead to a fruitless battle of wills. Your child is ready when they can feel the urge, communicate the urge, and then control the urge. Language development is key to toilet training.

Diet -
It is important to discourage the use of a bottle. Prolonged use is associated with multiple caries and ear infections. Also, prolonged use of a pacifier may lay the ground work for future dental visits (braces). Expect a slump in your child's appetite because at this age their rate of growth slows down. Allow your child to use a spoon; expect a mess but this is how they learn. Think about putting a shower curtain under the high chair if it is too messy.

Safety (Falls) –
Never underestimate your child’s ability to climb out of a crib. Lower the mattress if necessary.

Water -
Never leave your child unattended around water (pools, tubs, toilets, and even buckets). Also take care around hot liquids (coffee cup).

Syrup of Ipecac –
Have it available. Only give it if directed by the Poison Control Center. 1-800-222-1222

Car Seat -
At 20lb it is time to have a forward facing car seat.


Vaccinations
Polio vaccine (Spanish)- This shot should not be given if allergic to the antibiotics neomycin, streptomycin, or polymyxin B.
DTaP (Diptheria, Pertusis, and Tetnus) (Spanish)- Should not be given if your child has a newly diagnosed seizure disorder. Can cause fever and redness.
Spanish) - Most common cause of serious diarrhea in children
HIB (Haemophilis) (Spanish) - Can cause fever and redness. Prevents serious cause of meningitis.
Varciella (Chicken Pox) (Spanish) - Can cause fever and redness. Prevents serious cause of meningitis.  

More information on the vaccinations:

Holistic Loudoun Pediatrics Leesburg Newborn and Adolescent Care by Board Certified Pediatricians. Best Pediatrician Top Doctors, Ashburn Pediatrics Loudoun