| |
Six Month Exam
Diet: Beginning or advancing solids. Breast milk
or formula.
Common problems:
Carotenemia ("Yellow Noses"): When children
begin to eat yellow vegetables, the yellow pigment, carotene, is
often retained in their skin, particularly the face, giving it a
slightly yellow appearance. This is harmless, so keep feeding as
usual. It will fade in a few months
Night wakings: Predictable in healthy children
between the ages of 6 - 10 months, even in the best sleepers. Why
they occur may be a combination of factors including teething, sleeping
lightly, dreaming, and the beginning of manipulation of parents.
Comfort your child with the first waking, but be progressively firmer
with subsequent wakings so that baby doesn't get the idea that you
ENJOY getting up in the middle of the night to tend to him. Unless
he is sick and feverish, treat otherwise as in "teething".
Once the child gets revved up, letting him "cry it out"
rarely works. You pretty much have to go into his room and settle
him down. (See Solve Your Child's Sleep Problems, by Dr. Richard
Ferber, in recommended books, below.)
Risk Prevention: Anticipate your child's next
stage, which is increased mobility, by childproofing. Childlock
your cabinets, cover your electrical sockets and secure dangling
lines, avoid table cloths. Place breakable keepsakes out of reach.
They won't be safe for at least ten years, if then.
- A playpen is a useful purchase to keep your exploring, increasingly
mobile baby safe when you must momentarily leave a room. It can
also serve as a portable crib.
- Never leave your baby alone with a household pet, not even a
Golden Retriever.
- Walkers: Walkers are a big risk for active, exploring
infants. We have seen many infants go for unscheduled
flights down the stairs in a walker.. If you use one against our
recommendation: never leave your baby unsupervised in a walker.
Make sure the door to the cellar stairs is always locked. Place
a bolt lock high on the door to safeguard against older children
leaving the door open.
Teething: Some sail through it unscathed, others
are not as lucky. The average age for the first teeth to erupt (in
90% it’s the lower front two) is 7 months. A few babies don't
begin teething until after age 1. It seems that most of teething-pain
is deeply rooted in the jaw and not helped by local anesthetics
rubbed on the gums. The pain may radiate to the ears, causing infants
to tug on them, simulating an ear problem. Teething irritation can
be relieved in part by teething toys and foods, which include stale
or frozen rolls or bagels, french bread, heels of bakery bread,
meat bones, puppy toys, or special teething toys. Acetominophen,
in a dose appropriate for weight may be helpful.
Teething may be associated with copious drooling and mild diarrhea,
but probably does not cause fever. In 90% of infants, the first
teeth to come in are the lower central incisors. Often babies have
little bumps, or "pearls," of cartilage on other parts
of the gums, but these are not teeth, and eventually disappear.
View
More Health Information
|