The Sixth Month

dearborn-peds-first-year-visits

Robert Levy, MD    Joel Moses, MD

Houda Dagher-Rodger, MD       Melissa Hoisington, MD

Tiffany A. Harris, CPNP   Kerri Bernard, CPNP

2845 Monroe    Dearborn MI  48124    Telephone:  313-730-0070

 

Six Month Visit

Today’s Measurements:  Height: _______ Weight: _________    Head:  _________

 

Feeding:

  •     Continue nursing or feeding with an iron fortified formula.  If you have already started solid foods, you will notice that your baby may be taking less milk.  This is expected and each infant will proceed at his/her own pace with solid foods.
  •     Some infants at this age are eating solids two to three times per day.  Follow your baby’s cues on comfort with increasing textures of foods.  You may be making your own baby food and be able to control the texture of foods more easily.
  •     Try mixed baby foods once your baby has had each individual food item separately. Introduce one new food no more often than every two to three days.
  •     You may now offer your baby whole milk yogurt (preferably the plain variety to avoid added sugar), eggs (small pieces of scrambled), fish and foods containing peanut butter. Continue to be aware of choking hazards and do not offer foods that your baby cannot manage.
  •     If you have not begun offering meats, now is a good time to do that as well.  As always, if you do not feel your baby is ready to move on to additional foods, you may wait another month or two.
  •     Continue to avoid honey or corn syrup until twelve months of age.
  •     Introduce a sippy cup to your baby at nine months of age.  Try to introduce breast milk or formula in the cup as well as water.  This will make weaning from the breast or bottle easier later.  If your baby takes a pacifier, try to decrease its use.  The sooner the weaning process begins, the easier it will be for you and baby.

Vitamins:

  •     If baby is still exclusively breast fed or receives greater than fifty percent of intake from breast milk, you will continue to give Tri-Vi-Sol 1 cc once a day.  If baby is not getting any fluorinated water and is breast fed as above, the vitamin will be changed to Tri-Vi-Flor.
  •     If baby is getting adequate fluoride from tap water or nursery water, no fluoride supplementation is necessary.  Well water needs to be tested for fluoride content.  Formula fed infants normally do not require vitamin supplementation unless they do not have a fluoride source in their diet.  Infants drinking water that is adequately fluoridated requires approximately six ounces per day.

 Elimination:

  •     Again, there is a normal variability in stool frequency ranging from one to three times a day for some and once every few days for others.  Let us know if your baby consistently has hard stools.

Sleep:

  •     Many babies are sleeping at least six hours a night.  If your baby is waking up at night, avoid giving feeds or providing any stimulation.  Continue a night time routine that promotes good sleep hygiene and teaches baby to fall asleep on his/her own.  Never put baby to sleep with a bottle in hand as discussed previously.  Always wipe gums or brush teeth gently prior to laying baby down.  Continue to read to your baby each night and lay him/her down slightly drowsy or awake if possible.

Development:  Your baby is becoming more aware and interactive with his/her surroundings.  The following are milestones at this age.

  • Motor:  Hold head high when on stomach; raises body up on his/her hands well; holds head steady while sitting; rolls over; sits with support.
  • Fine Motor:  Plays with his/her hands; uses raking movements to obtain small objects; holds a rattle well; transfers objects between hands.
  • Communication:  Follows people/objects 180 degrees visually; turns head towards sounds, babbles, laughs, initiates vocalizing and babbling with others; imitates sounds
  • Social Skills:  Initiates social contact by smiling, cooing, laughing, squealing; looks at, recognizes, and studies parents, siblings and other caregivers; shows pleasure and excitement with interactions with parents and other caregivers; may be displeased when a parent moves away or a toy is removed.

 

Safety:  Accidents are the leading cause of death in children.

  •     Baby should continue to face the rear of your vehicle.  If baby is greater than twenty pounds, use a large car seat (convertible) that can ride both rear and front facing.  Get your new car seat inspected.
  •     The crib mattress should be completely lowered.
  •     Childproof your home at this point because baby will be crawling before you know it.  This includes locking cabinets, plugging electrical outlets, gating stairs, etc.
  •     Place all cords from telephone, chargers, lamps, curling irons, portable hair dryers, etc., behind tables and out of baby’s reach.  Keep all plastic wrappers, bags, balloons out of reach.  Never leave baby unattended on a bed, sofa or changing table.
  •     Keep babies out of the sun and away from insects.  You may use sunscreen and bug repellants.  If you use a bug repellant, always remove clothing and wash skin at night prior to putting baby down to sleep.
  •     We do not recommend the use of walkers. A saucer which is immobile is fine.
  •     The phone number to Poison Control is 1-800-POISON (1-800-764-7661).