6 Month Visit Bright Futures Handout edited by Mark Simonian MD 

Feeding Your Baby
1. Most babies have doubled their birth weight
2. Your baby's growth will slow down
3. If you are breast feeding continue as long as you like
4. If you are formula feeding use an iron fortified formula
5. You may begin solid foods if you haven't started cereal I suggest oats or barley and rice use sparingly
6. Signs that your baby is ready for solids are: opens mouth for spoon; sits with support; good head and neck control; interested in food you eat

Starting New Foods
1. Introduce new foods one at a time. I suggested no more than one new food a week
2. Use iron fortified cereal
3. Introduce fruits or vegetables after starting cereal but you may skip cereal if you like
4. You may start with 1-2 Tablespoons of solids 2 to 3 times a day
5. Avoid feeding the baby too much by watching for signs of fullness like like leaning back or turning away
6. Do not force your baby to eat or finish foods
7. It may take 10-15 times trying a new food before your baby will accept it. 
8. Avoid starting with foods that are associated with allergies like peanuts, street nuts, sea food or shell fish
9. To avoid the baby choking on foods use very soft, small bites of finger food
10. Keep small objects and plastic bags away from the baby

How Your Family is Doing
1. Call on other others for help
2. Encourage your spouse to help care for the baby
3. Join a parent grpoup
4. Choose a mature, trained and responsible babysitter or care giver

Healthy Teeth
1. Many babies begin to have teeth emerge
2. Use a soft cloth or soft tooth brush to clean debris on teeth
3. I will prescribe a vitamins ADC and fluoride at this visit
4. Do not give a bottle in bed or prop the bottle
5.  Have regular times to eat; do not feed all day

Your Baby's Development
1. Place your baby so he or she sit up and look around
2. Talk with your baby
3. Look at and read books together
4. Play games like patty cake, so big and peek-a-boo
5. Offer active play games with mirrors, floor gyms and colorful toys to hold
6. If your baby is fussy, give her safe toys to hold and put in her mouth and make sure she or he is getting regular naps and playtimes
7. Put your baby to bed when she or he is sleepy but still awake

Crib and Playpen
1. Lower the crib mattress all thew way when your baby begins to stand
2. Use a crib with slats no closer than 2 3/8 inches
3. When your baby is in the crib , make sure the drop side if up
4. Don't use loose or soft bedding
5. Use a mesh playpen with weaves less than 1/4 inch

Safety
1. Use a rear facing safety seat in the rear seat of all vehicles, even for short trips
2. Never put your baby in the front seat when there is an airbag
3 Don't leave your baby alone in the tub or high places such as changing tables, beds or sofas
4. While in the kitchen keep your baby in a playpen or high chair
5. Be careful if using a walker because of the risk of tipping and falls
6. Put gates on stairs
7. Close doors to rooms where child could be hurt like the bathroom
8. Prevent burns by setting the water heater below 120 degrees F
9. Turn pot handles inward that are on the stove
10. Do not leave hot irons or hairs care products plugged in
11. Never leave your baby in the bath water or near it, even in a bath seat or ring
12. Always be close enough to touch your baby
13. Lock up poisons, cleaning products or medicines; call poison control 1-800 222-1222 if you believe baby eats them

What to Expect at 9 Month Visit
1. Disciplining your baby
2. Introducing new foods and establishing a routine
3. Help your baby learn
4. Car seat safety
5. Safety at home

Poison Control 1-800-222-1222
Child Safety Seat Inspection: 1-866-SEATCHECK; www. seatcheck.org