4 Months: Well Child Appointment Schedule

Development

  • By this age, you can certainly tell that babies are getting more social! Your child may be laughing, babbling more, and really interacting with their environment. It seems like babies don’t want to miss a moment of the action.
  • Don’t worry about spoiling your baby at this age. In fact, we encourage you to do so! Play, talk, sing, and cuddle with them as much as you can.
  • Some babies are starting to roll over now. If your baby is not, however, don’t be concerned. With the recommendation to have babies sleep on their back many are rolling over later, even after six months of age.
  • Babies have much greater control of their hands now. You are probably noticing your child grabbing toys and wanting to put just about everything in their mouth.

Nutrition

  • Breast milk, or formula is still ideal nutrition for your baby. They really don’t need anything more than this.
  • We recommend starting baby food when your child is 4 to 6 months old.  Babies who are 4 months of age and receiving breast milk only should begin supplement with liquid iron drops. Starting iron containing cereals and baby food is another option.
  • Continue to give Vitamin D 400IU daily.
  • Your baby may be down to between 4 and 6 feedings per day.

Sleep

  • Hopefully your child is close to sleeping through the night. Most babies will go at least 6 or 8 hours without waking.
  • This is a good age to train babies to fall asleep independently.
  • Two good naps a day is the most typical for babies at this age.

Elimination

  • Some parents are starting to see changes in the consistency, color, and texture of their child’s stools, although this will become much more apparent when solid foods are introduced.
  • As babies consolidate their feedings and grow, you may see fewer wet diapers per day.

Miscellaneous

  • Is my child teething? Possibly, but all of the drooling and frantic chewing you are noticing is most likely the normal process of “mouthing.” Some babies will develop teeth very early but the most common age for eruption of their first teeth is between 6 and 8 months of age. At this age, babies experience their environment through their mouths. With mouthing, they learn about textures and tastes and even improve their fine motor skills by manipulating all sorts of objects.
  • With your child’s second set of immunizations, you may once again notice a low grade fever and fussiness over the next 24 to 48 hours. You may give your child Tylenol for any of these symptoms, but wait until after the vaccines are given.

Your child’s next visit is a 6 months of age