First Year
Routine Check-Ups
Well Child Visits: What will be done? At each visit there will be a history & physical, developmental exam plus:
1-2 weeks Feeding evaluation and weight check.
2 months Immunizations: DTaP,
HepB/Hib (Comvax), Polio (IPV), Prevnar
4 months Immunizations: DTaP,
HepB/Hib (Comvax), Polio (IPV), Prevnar
6 months Immunizations:
DTaP, Prevnar. Fluoride drops to be started
9 months Hemoglobin
blood test (finger poke)
12 months Immunizations: HepB/Hib
(Comvax), Polio (IPV),
Prevnar booster may be given at 12-15
months
TB Skin Test if indicated
15-18 months Immunizations: DTaP,
24 months Immunizations: Hep
A
Immunizations: Research continues and recommendations for your child
changes as new and safer immunizations are developed.
We
encourage you to visit these websites: www.cispimmunize.org, www.immunize.org,
or www.vaccine.chop.edu
for more information.
Chicken
Pox: Given
at 12 months or older (Varivax). If
initiated at greater than 12 years, 2 shots are given.
Flu Vaccine: Recommended for all children 6-23 months old, especially for children with asthma or other chronic diseases. It is given October-November on a yearly basis.
Fluoride/vitamins: Given
at 6 months as a liquid drop and are continued throughout the first 14 years
with dose increases at 3 & 6 years.
If taken regularly, fluoride can reduce cavities by 60% or more. To inquire if your area has fluoridated water
call
Hepatitis
A: Given
at age 2 & over– a series of 2 shots given 6-18 months apart.
Hepatitis
B: Everyone
now needs a series of these important 3 shots, given anytime. These are required for school.
Polio: Injectible
killed vaccine is now given at 2 & 4 months for safety reasons. Oral live vaccine is no longer given.
Prevnar: Pneumococcal
vaccine given at 2, 4, 6, 12-15 months.
¨
Breast milk
and formula should be the only food for first 4-6 months.
Feed on demand, whenever baby is
hungry. Scheduled feedings may begin by
2 months.
Extra water is not needed.
¨
Breast milk
is recommended for the first year of life!
Formula fed infants should be fed formula with iron (Similac or Enfamil)
until 12 months
Whole
milk can be used after 12
months until age 2.
Low-fat
milk (1-2%) can be given after age 2
to 3 years. Non-fat by age 4-5.
Avoid evaporated or whole milk before age 1 as it may lead
to mineral (iron) deficiencies and
stress the child’s system with salt and protein loads.
¨
Solid foods may be introduced at 4-6 months of age. (Most babies can wait until 6 months)
0-4 months Breast milk or iron fortified formula. No baby food necessary.
4-6 months Breast milk or formula. May begin with
rice cereal thinned with breast
milk, formula or water once or twice a day; 2-3 teaspoons to start. Avoid putting cereal in bottle… use baby
spoon. After 2-3 weeks
begin vegetables (squash, carrots,
peas, beans) followed by fruits (bananas,
pears, or applesauce) and other cereals (oatmeal, barley). Juices are unnecessary. It is better for your baby to eat the fruit
itself.
7-8 months Introduce protein foods and meats. Lean meats are best, especially poultry (chicken and
turkey). Other foods include egg yolk, plain
yogurt, cottage cheese, tofu, and beans, other veggies, grains and fruits.
9-12 months Concentrate on developing
balanced meals from the four basic food groups; vegetables, fruits, grains,
and animal products. Increase amount of finger foods and soft
table foods. Drinking filtered water
(not juice) is good in-between meals.
Foods to
avoid until 9-12 months because of potential allergies or reactions: fish, egg white, wheat, peanuts,
citrus, and strawberries.
¨ Try preparing your own baby foods, using a simple baby food grinder or blender. Avoid seasonings. Freeze in ice cube container for individual servings.
¨ Commercial Baby Food:
Check the “use by” date on the container.
Read labels carefully
Refrigerate unused portion immediately. Leftovers should be used in 1-2 days.
¨
Avoid
heating milk or food in microwave, due to “hot spots”
¨
NO HONEY
OR KARO SYRUP until after 1 year of age.
¨
If there is a family history of a specific food
allergy, postpone its use until later.
¨
As your baby grows older, he needs less milk. Encourage filtered water.
¨
Wean baby
off bottle by 12-18 months of age.
¨
Falling
asleep with a bottle of milk or juice in the mouth can be damaging to the
teeth.
¨
Encourage
cup drinking by 12-18 months!
Accidents
¨ Protect baby from common injuries. Do not leave alone on a bed, changing table, or couch.
¨ Always have infant in back car seat, reverse facing, until 1 year of age & 20 lbs., when traveling.
¨ Keep hot water, coffee (beverages) out of reach.
¨ If the skin is accidentally burned (minor injury), place it in cold water & cover with a clean wet cloth & apply Polysporin or Neosporin. If burn is severe, contact your doctor immediately.
¨ Don’t ever leave baby unattended in the bathtub for any reason!
¨
Learn CPR!
Suggested Books to Read
1.
Caring
For Your Baby & Young Child by the
2.
Guide
to your Child’s Nutrition.
3.
New
Guide to Breastfeeding.
4. The Nursing Mother’s Companion, 5th Edition. Kathleen Huggins.
5.
Your
Baby’s First Year.
6.
Touchpoints. Berry
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