How You Are Feeling

  • Taking care of yourself gives you the energy to care for your baby. Remember to go for your postpartum checkup.
  • Find ways to spend time alone with your partner.
  • Keep in touch with family and friends.
  • Give small but safe ways for your other children to help with the baby, such as bringing things you need or holding the baby’s hand.
  • Spend special time with each child reading, talking, or doing things together.

Your Growing Baby

  • Have simple routines each day for bathing, feeding, sleeping, and playing.
  • Put your baby to sleep on her back.
    • In a crib, in your room, not in your bed.
    • In a crib that meets current safety standards, with no drop-side rail and slats no more than 23/8 inches apart. Find more information on the Consumer Product Safety Commission Web site at www.cpsc.gov.
    • If your crib has a drop-side rail, keep it up and locked at all times. Contact the crib company to see if there is a device to keep the drop-side rail from falling down.
    • Keep soft objects and loose bedding such as comforters, pillows, bumper pads, and toys out of the crib.
    • Give your baby a pacifier if she wants it.
  • Hold, talk, cuddle, read, sing, and play often with your baby. This helps build trust between you and your baby.
  • Tummy time—put your baby on her tummy when awake and you are there to watch.
  • Learn what things your baby does and does not like.
  • Notice what helps to calm your baby such as a pacifier, fingers or thumb, or stroking, talking, rocking, or going for walks.

Safety

  • Use a rear-facing car safety seat in the back seat in all vehicles.
  • Never put your baby in the front seat of a vehicle with a passenger air bag.
  • Always wear your seat belt and never drive after using alcohol or drugs.
  • Keep your car and home smoke-free.
  • Keep plastic bags, balloons, and other small objects, especially small toys from other children, away from your baby.
  • Your baby can roll over, so keep a hand on your baby when dressing or changing him.
  • Set the water heater so the temperature at the faucet is at or below 120°F.
  • Never leave your baby alone in bathwater, even in a bath seat or ring.

Your Baby and Family

  • Start planning for when you may go back to work or school.
  • Find clean, safe, and loving child care for your baby.
  • Ask us for help to find things your family needs, including child care.
  • Know that it is normal to feel sad leaving your baby or upset about your baby going to child care.

Feeding Your Baby

  • Feed only breast milk or iron-fortified formula in the first 4–6 months.
  • Avoid feeding your baby solid foods, juice, and water until about 6 months.
  • Feed your baby when your baby is hungry.
  • Feed your baby when you see signs of hunger.
    • Putting hand to mouth
    • Sucking, rooting, and fussing
  • End feeding when you see signs your baby is full.
    • Turning away
    • Closing the mouth
    • Relaxed arms and hands
  • Burp your baby during natural feeding breaks.

If Breastfeeding

  • Feed your baby 8 or more times each day.
  • Plan for pumping and storing breast milk. Let us know if you need help.

If Formula Feeding

  • Feed your baby 6–8 times each day.
  • Make sure to prepare, heat, and store the formula safely. If you need help, ask us.
  • Hold your baby so you can look at each other.
  • Do not prop the bottle.

What to Expect at Your Baby’s 4 Month Visit

We will talk about

  • Your baby and family
  • Feeding your baby
  • Sleep and crib safety
  • Calming your baby
  • Playtime with your baby
  • Caring for your baby and yourself
  • Keeping your home safe for your baby
  • Healthy teeth
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