Pediatric Group

6 Month Well Child Visit

Vaccines:

Pediarix: DTaP (Diptheria, Tetanus, whooping cough), Polio and Hepatitis B vaccine

Hib: Haemophilus Influezae Type B

Prevnar: Pneumonia Vaccine

Rotavirus: Prevents rotavirus diarrhea – Given by mouth

    Side effects: Some side effects include fever, irritability and fussiness, excessive crying, vomiting, sleepiness and swelling at injection site. 

        Ask for CDC vaccine information sheet if you need more information.

        Give about 0.8 ml (1 dropper) of Tylenol Infant drops every 4 hours twice

            FEEDING  

·                                     Continue to formula or breastfeed

·                       Start offering a sippy cup

·                       Do not give juice in a bottle - it can cause tooth decay

·         Limit juice to 4-6 ounces daily

·         Serve solids 2-3 times per day using a spoon

·         Avoid choking foods (nuts, popcorn, carrots, raisins, hard candy)

            GENERAL CARE / SAFETY  

·         Use a rear-facing infant seat in the back seat of the car

·         Put baby to sleep on his back

·         Do not use soft bedding or soft toys in bed

·         Lower the crib mattress

·         Start to childproof your home

·         Brush baby’s teeth with a soft toothbrush & water only

·         Never smoke around children

·         NEVER SHAKE A BABY!

                            PLAY

You can encourage development through play

• Provide a mirror that is unbreakable
• Provide large, bright colored toys that make noise or have moving parts
• Play peek-a-boo
• Provide paper to tear
• Speak clearly saying words such as "Mama” & “Dada”
• Use body movements and actions to teach language
• Start naming parts of the body and the environment
• Avoid using the word “NO”

DEVELOPMENTAL MILESTONES

PHYSICAL & MOTOR SKILLS       

• Should have doubled birth weight (usually doubles by 4 months - concerning if it hasn't happened by 6 months)

• Able to lift chest and head while on stomach

• Able to sit in a high chair with a straight back

• Beginning of teething

• Increased drooling

• Able to bear almost all weight when supported in a standing position

• Able to roll from back to stomach

• Able to hold own bottle (but many babies won't do it, or do it only for short periods)

• Able to pick up a dropped object

SENSORY & COGNITIVE SKILLS

• Vision is between 20/60 and 20/40

• Can locate sounds not made directly at the ear level

• Starts to imitate sounds

• Sounds resemble one-syllable words

• Enjoys hearing own voice

• Makes sounds to mirror and toys

• Begins to fear strangers

• Recognizes parents

• Begins to imitate actions

• Begins to realize that if an object is dropped, it is still there and follows it with his eyes             

Developmental Health Watch

Although babies develop at different rates, failure to reach certain milestones may signal a problem.  If you notice any of the following warning signs in your infant, discuss them with your pediatrician.

·         Cannot sit when supported at hips

·         Does not roll from front to back

·         Does not move both hands equally

·         Does not babble or babbles less

·         Is not interested in his environment

Talk with your doctor if you have any concerns about your child’s development

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