Age 2-4 Months


FEEDING / GROWTH:

Your baby’s primary source of nutrition is breast milk or formula. If you are breast feeding, make sure you are drinking plenty of fluids, at least 8 glasses/day and eating a well balanced diet. We are happy to discuss breast pumping methods with you. Babies often undergo another growth spurt, and may feed more often.

Formula fed babies should be taking between 20-30 ounces/day. Almost half of normal newborns will spit up some of their feedings in the first 4-5 months. If the baby is growing well and not in pain right after the spitting, then there is no cause for concern. No adult cow’s milk or honey until 1 year of age. No foods or juice yet unless specifically recommended by us. Start solids between 4-6 months. Please do not prop the bottle or let the baby go to sleep with a bottle. This will prevent dental cavities and help prevent ear problems.


SLEEP:

Most babies are still awakening every 3-4 hours to eat during the night. Babies do not sleep longer if fed solids. Nap if possible during the day when the infant is sleeping. BACK TO SLEEP To help prevent SIDS, we want all babies to sleep on their backs.


URINE & STOOLS:

Your baby should have at least four to six wet diapers/day. Stools may decrease in frequency to as little as 2 times/week. Stools are normal if they are soft or watery and can vary in color (brown, tan, yellow, or green).


CRYING:

Crying will decrease over the next few weeks.


DEVELOPMENT:

This is a fun time to be with your baby. You will notice your baby developing more interest in you with smiling and imitating facial expressions. Your baby may begin rolling. Never turn your back if the baby is on a changing table, couch or bed. Cuddle, talk, sing, read and play with your baby. If you have other children, try to set aside a small portion of the day just for them. Fifteen minutes can be enough! Parents need to spend time alone as well.


SAFETY:

PREVENT BURNS: Prevent burns by turning down the water heater to 120 degrees. Never hold the baby while you hold hot soup, tea or coffee.

CAR SEAT: A car seat must be used for every journey. The seat should be rear facing until 20 pounds and 1 year.

SMOKE EXPOSURE: Smoking is very harmful to your health (causing lung cancer, heart disease, and other serious illnesses) and to your child’s health. If you smoke, your child is more likely to get infections of the ears, sinuses, and lungs. If you do smoke, talk with your doctor or other health care provider about getting help with quitting.

HANDWASHING: Wash hands to prevent infections. Have everyone wash their hands before touching the baby.


GOING BACK TO WORK:

Many mothers will be going back to work. This may be a difficult time for parents, but most babies do quite well with other caregivers. We will be happy to discuss daycare issues with you.


NEXT VISIT:

The next visit is around 4 months of age. Please review the immunization information.