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Your Nine-Month Old Baby

  • Feeding:

    ·        Many babies enjoy soft table foods and “Stage 3” foods.

    ·        Avoid giving any large pieces of food, popcorn, nuts, seeds, whole grapes, or hotdogs that your baby may choke on.

    ·        Breast-feed your baby 3-4 times, until your baby seems content.  Continue prenatal vitamins while breast-feeding.

    ·        If you do not breast-feed, use an iron-fortified infant formula. At 9 months, many babies eat 16-24 ounces per day.

    ·        Breast-fed babies need a vitamin supplement like Tri-Vi-SolÔ with Iron. The dose is 1 mL/day.

    ·        Do not give honey or corn/Karo syrup in the first year of life.

    ·        Avoid giving your baby juice; offer meals on a schedule.

    ·        Have family meals – babies enjoy the social aspects of eating.

    ·        Whole milk will be introduced around 12 months of age.

    ·        If you have a family history of food allergies, please consult our office before introducing foods that contain eggs or fish. Do not give any peanut butter or peanut containing products before 3 years of age.

    ·        Try a sippy cup of breast milk, formula, or  a little water with meals.

    ·        Over the next few months, introduce more texture and table foods into your child’s diet. Try these suggestions!

    Average Diet for Older Infants:

    Serve a variety of foods working in different textures according to your baby’s ability. Slowly increase table foods working up to 3 meals and 2 snacks/day.

    ·        Cereals – Iron-fortified infant cereal (rice, mixed, barley, or oatmeal); cooked or instant Cream of Wheatä, or oatmeal, Cheeriosä or other non-sugar-coated cereals

    ·        Fruits – Fresh, canned, or baked; small pieces of fruits according to chewing ability. Try avocado!

    ·        Vegetables – Fresh steamed or boiled, canned (watch salt) or frozen. No raw vegetablesoffer vegetable soup!

    ·        Meats/Poultry –Boiled, roasted, broiled tender meats and poultry or served in soups; Use strained baby meats as a sandwich spread

    ·        Dairy – Soft pasteurized cheeses (cottage, cream, American, cheddar), pudding, yogurt (Yo-babyÔ or custard style), margarine or butter

    ·        Starch – Potato (boiled, baked, or mashed), whole grain breads, crackers, pastas, spaghetti with tomato sauce, macaroni and cheese, rice cakes

    ·        Meat Substitutes – Macaroni and cheese, cheese dishes served with milk, yogurt, beans, cottage cheese, cream cheese, tofu, soy nut butter.

    ·        Keep in mind it may take 10-15 tries before your baby will accept some foods!

    Sleep:

    ·        The average baby sleeps 14 hours per day at this age.  It is normal for your baby to sleep more or less than the average.

    ·        Most babies take 2 naps per day.

    ·        Sleep routines are very important, choose activities that help your baby relax.

    ·        If your baby is waking in the middle of the night, continue to check on her and settle him back to sleep- this routine can help your baby put herself back to sleep.

    Development: (9 to 12 months):

    ·        Crawls, push to sit,scoots and creeps, pulls to stand, may walk alone or assisted

    ·        Understands “no”, may say “mama” and “dada” with meaning, imitates sounds and gestures

    ·        Pincer grasps, finger feeds, uses cup, waves, claps, plays peek-a-boo, “so big”

    ·        Stranger anxiety, searches for hidden object, cries when parents leave the room

    ·        Try simple cause and effect toys like shape sorters, toy cars and trucks, balls. Also songs with gestures and clapping are especially fun…”itsy bitsy spider” 

    Safety:

    ·        Always use a carseat and place it rear-facing in the back seat. Your child needs to be rear facing until a year of age regardless of weight.

    ·        Time to baby proof the house! Make sure the environment is safe rather than trying to teach your baby how to be safe at this age.

    ·        Keep cleaners, medications, plastic bags, and small objects away from your baby.  Use cabinet locks, outlet covers and safety gates (especially on 2nd floor windows and stairs). Tie up your blind cords.

    ·        Think about dropping his crib mattress down to the lower level as your child increases his mobility and pulls to stand. A crib tent may be safer for the more adventurous toddler.

    ·        Your child can drown in just a few inches of water, do not allow your child access to standing water in baths, buckets, play pools, or toilets (lock the seat!)

    ·        Keep these numbers by your telephone:

    Illinois Poison Center (800) 222-1222

    CMH Emergency Room (773) 880-3800

    ·        Never leave your baby unattended on the bed, sofa, changing table, or in the bathtub!

    ·        Limit “no” to the most important and dangerous consequences…use descriptions of the behavior that is desired such as “time to sit” rather than “don’t stand”

    ·        There is preliminary evidence that polycarbonate bottles and sippy cups bearing the #7 should be avoided due to high bisphenol A (BPA) content. Use plastic bottles/sippy cups with #1,#2,or#4.

    ·        Visit www.cpsc.gov for a list of recalled toys.

     

    Other Things to Keep in Mind:

    ·        Use a small soft toothbrush or cloth to clean your baby’s teeth twice a day.

    ·        Do not give your baby a bottle of formula or juice in bed – it can cause cavities!

    ·        Protect from sun exposure with clothing, blankets, or an umbrella.  Use a PABA-free sunscreen with SPF 15 or higher.

    ·        Do not smoke around your baby – it may lead to respiratory problems. Outside is the only safe place and then change your clothes before handling baby.

    ·        The AAP recommends “no TV until age 2”.

    Tests/Immunizations for Today:

    ·        Hepatitis B#3 vaccine will be given today. Please review the information sheet.

    ·        You will be given a 10 month developmental questionnaire to complete at home and mail back.

    At the 12 month check-up:

    ·        Your baby will have a physical examination. Your questions and concerns will be addressed and answered.

    ·        Your baby will receive the MMR (measles, mumps, rubella) or Prevnar #4 and Varicella (chicken pox) vaccine. A tuberculosis skin test will be performed to check for exposure. A simple test will be performed to check for anemia and lead exposure.  

    ·        You will be given a 12 months Ages and Stages developmental questionnaire to complete at home and mail back to our office.

    Suggested Reading:

    The Nursing Mothers Companion”

    “What to Expect the First Year”

    “Caring for Your Baby and Young Child”

    “Solve Your Child’s Sleep Problems”

    “Healthy Sleep Habits, Happy Child”

    “Feed Me, I’m Yours”

    “The Healthy Baby Meal Planner”

    Acetaminophen Infant Drops Dose:

    Every 4-6 hours & no more than 4 doses/day

    12-17 lbs. = 0.8mL (1 dropper)

    18-23 lbs. = 1.2mL (1-1/2 dropper)

    24-35 lbs. = 1.6mL (2 droppers)

    Ibuprofen Infant Drops Dose:

    Every 6-8 hours

    12-17 lbs. 50 mg=1.25 mL Infant drops

    18-23 lbs. 75 mg=1.875 mL Infant drops

    24-35 lbs. 100 mg=2.5mL infant drops

    Additional Instructions:

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