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Four-month-old office visit

General Information for a 4 Month Old Baby:

Oral Stage –
Everything tends to wind up into his or her mouth. Watch for choking hazards.

Walkers –
Avoid using them, they are dangerous and will delay walking.

Sleeping -
Your baby should be sleeping better and at predictable times by now. Keep early morning awakenings calm with minimal excitement. Try to wean feeds at this time of the night, and substitute smaller amounts of formula or water when possible.

Sun Exposure –
It is never too early to protect you baby from the sun. Using a SPF of 15-30 is recommended.

Development -
Your baby will learn to laugh and should already be smiling. Your baby will soon be able to lift his or her chest off of the bed by using his or her forearms. Many babies have discovered their hands at this age.

Diet -
It is a good time to introduce solids to your baby. How fast you can introduce different consistencies will depend on how many teeth your baby erupts and how quickly. Teething starts as early as 3 months or as late as 12 months. Generally, start with rice or grain cereals and then the infant foods. Remember that infant formulas taste horrible, so don't go straight to apple sauce and sweet potatoes. Start with the green beans, squash, and other vegetables. After your baby develops a taste for them then you can introduce the sweet treats. Introduce only one new product per week; this way if an allergic response occurs, you will be able to identify the culprit.

Safety Toys -
Be careful that small objects and containers are outside baby's reach. Watch out for sharp objects.

Falling –
Do not leave your baby unattended on elevated surfaces.

Sleep - Your baby should sleep in a crib on his or her side or back.

Cars –
Continue to use a rear facing car seat until your baby is 20lbs.

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.
Rotavirus vaccine (Spanish) - Most common cause of serious diarrhea in children
HIB (Haemophilis) (Spanish) - Can cause fever and redness. Prevents serious cause of meningitis.
Hepatitis B (Spanish) -Prevents most common cause of serious hepatitis
Prevnar (Streptococcus pneumoniae) (Spanish) - Can cause fever and redness. Prevents serious cause of pneumonia and meningitis.

More information on the vaccinations:

Ashburn Pediatrics Loudoun. Leesburg Pediatrician near Ashburn Lansdowne