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Four Month Exam
Common problems: Carrying baby: Some infants are too heavy to be comfortably carried in the Snugli® at this age, but have enough head and back control to be carried in a back-carrier or umbrella-type stroller. Prop baby up with receiving blankets. Don't worry if he slumps over, because he'll let you know if he's uncomfortable. Mouthing, drooling, spitting: If it hasn't happened already, it will start soon. Occasionally there are loose or looser stools. Despite these signs, teething usually does not begin for another three to six months. This is the age when babies smell like curdled milk and wear bibs all day. Separation: We urge parents to allow their baby to sleep in his own room as early as they feel comfortable. Every one will sleep better. Find a responsible baby-sitter and go out occasionally without the baby. (You have to first go away, before your baby will understand that you will return.) Sleeping: Many babies are used to falling asleep during feedings and know no other way to fall asleep other than by eating. This is a good age to change that pattern. Start putting your baby to bed while he is still awake. If he can learn to fall asleep like this, you have a better chance that he will be able to fall asleep on his own if he should awaken during the night. Weaning: If you wean at this age, wean to formula. Begin weaning by replacing nursings one by one with formula, saving the first and last nursing of the day. As the mother’s milk supply diminishes, the remaining two nursings can also be phased out, if desired.
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