Baby’s First Year – Best Guide Line For Heathy Baby

Baby's First Year

Baby’s First Year How Infants Develop from a helpless newborn to an active toddler: It takes just 12 short months for your baby to undergo this incredible transformation. Babies grow and change at an astounding pace, and every month brings new and exciting developments

Baby’s First Year: Month to Month Development Milestones

Gross Motor Fine Motor Language/

Cognitive

Social
1 month Moves head from side to side when on stomach Strong grip Stares at hands and fingers Tracks movement with eyes
2 months Holds head and neck up briefly while on tummy Opens and closes hands Begins to play with fingers Smiles responsively
3 months Reaches and grabs at objects Grips objects in hands Coos Imitates you when you stick out your tongue
4 months Pushes up on arms when lying on tummy Grabs objects — and gets them! Laughs out loud Enjoys play and may cry when playing stops
5 months Begins to roll over in one or the other direction Is learning to transfer objects from one hand to the other Blows “raspberries” (spit bubbles) Reaches for mommy or daddy and cries if they’re out of sight
6 months Rolls over both ways Uses hands to “rake” small objects Babbles Recognizes familiar faces –caregivers and friends as well as family
7 months Moves around –is starting to crawl, scoot, or “army crawl” Is learning to use thumb and fingers Babbles in a more complex way Responds to other people’s expressions of emotion
8 months Sits well without support Begins to clap hands Responds to familiar words, looks when you say his name Plays interactive games like peekaboo
9 months May try to climb/crawl up stairs Uses the pincer grasp Learns object permanence — that something exists even if he can’t see it Is at the height of stranger anxiety
10 months Pulls up to stand Stacks and sorts toys Waves bye-bye and/or lifts up arms to communicate “up” Learns to understand cause and effect (“I cry, Mommy comes”)
11 months Cruises, using furniture Turns pages while you read Says “mama” or “dada” for either parent Uses mealtime games (dropping spoon, pushing food away) to test your reaction; expresses food preferences
12 months Stands unaided and may take first steps Helps while getting dressed (pushes hands into sleeves) Says an average of 2-3 words (often “mama” and “dada”) Plays imitative games such as pretending to use the phone

One Month

A closeup of a baby's eye

Newborn infants’ best visual experience is limited to close distances. The eye-to-eye distance between a mother’s face and her feeding baby’s face (8 to 15 inches) is optimum. Because of such close up vision, it is difficult for a newborn to follow a moving object but you will notice she will spend longer periods of time studying your face during this first month of life. Talking to her while maintaining close eye-to-eye contact will maximize the bonding experience. Babies do see in color from birth; however, they prefer to regard black and white stripes and bright red objects.

Two Months

A baby in a car seat

Your 2-month-old has matured from a glorified doll to a real human being! He will smile at and with you and make purposeful sounds to keep your attention. You even have a solid sense that he recognizes your face and voice as belonging to someone very important in his life. Enjoy this special time by singing songs and having conversations about day-to-day events. Experiencing this visual and auditory input will lay an important foundation for language reception and expression over the next few months.

Three Months

Your baby may start playing with her hands and swiping at things.

By 3 months of age, infants can bring their hands to the midline (in front of their face). This promotes several benefits: they can easily get their fingers, thumb, and often fist into their mouth enabling them to suck on these body parts and thus promote self-calming skills (vs. having to rely on their parents). In addition, the ability to reach out with their hands and tactilely interact with their environment leads to much excitement. During this period it is important for infants to experience “tummy time” – (i.e., placement on the tummy). This position promotes utilization of back and neck muscles. For infants with flattening of their head due to positioning restrictions of lying on the back, the prone position will also help alleviate this cosmetic issue.

Four Months

Social, motor, and language skills are blossoming now.

The 4-month-old baby is generally a very happy person. They are able to recognize and anticipate predictable events and express their emotions with great verbal enthusiasm. Gone are the days of intermittent and soft cooing. By 4 months of age infants will laugh with gusto. The opposite is also true – take away their pleasure and be prepared for howls of rage and frustration. Babies of this age also love more vigorous play, e.g., bouncing on your lap or being held up high in the air. Throwing a baby into the air is not recommended due to their weak neck muscles and the potential whiplash effect and brain injury.

Five Months

Baby's eyes and ears are starting to work as well as yours do.

The vision capabilities of a 5-month-old baby have matured tremendously. She is able to follow the movement of objects both in close and far distance. Brightly-colored and contrasting colors are greeted with excitement and enthusiasm. Similarly, expressive language skills have also advanced. The ability to make repetitive sounds (e.g. “dada”) will bring huge rewards of adult interaction and excitement. This is also the age of practicing making loud vocalizations for the pure excitement of demonstrating a new skill set. Singing songs, reading books and pointing out objects in books and the local environment provide the early foundation of language acquisition.

Six Months

FSoon baby will learn to sit up and move around.

Babies learn to sit independently between 6 to 8 months of age. Acquiring this skill is a wonderful accomplishment from your child’s perspective. He can attain an elevated position and get a much more complete view of the horizontal world – a task not available when lying on your back or stomach. Sitting also allows both hands to be free to explore this new world. Everything that can be grabbed will immediately go into your child’s mouth. Safety is paramount. Any object less than the diameter of the cardboard tube of a roll of toilet paper is a potential choking hazard.

Seven Months

Your baby's hand skills are developing further, especially the pincer grasp.

Between 7 and 9 months of age infants advance through several stages of fine motor skills. The unsophisticated two handed grabbing of large objects is gradually refined to the “pincer grasp” – picking up tiny objects (carpet fuzz balls is a classic example) using only the thumb and pointer finger. Unfortunately, the mandatory urge to place small chokable objects into the mouth is extraordinary powerful. The best way to ensure a safe environment is to get down on your hands and knees and see the world from your child’s perspective. Small food items, coins, tiny rocks, and other assorted potentially lethal items must be discovered by you before being discovered by your child.

Eight Months

Time to stimulate baby's sense of space and word use.

Many 8-month-old children are learning how to pull to stand. When your child is mastering this skill, it is time to lower the crib mattress, take out any large objects or bumpers that might act like a step stool and enable your baby to escape (by falling) from their crib. In addition, pulling to stand next to the couch enables your infant to explore the area under a sofa cushion and discover objects perfect for choking (e.g., peanuts from the recently viewed football game.

Nine Months

Baby may become fascinated with hinged objects and how they work.

Many 9-month-old children find exploration of their parent’s faces great fun. Using their “pointer finger” as a means of exploration of your mouth, nose, eyes, and ears reinforces their fine motor skills as well as generating squeals of delight or pain depending on whether you received a poke in the eye or not. Many children also enjoy patting your face with their open palm. Equally exciting is to remove objects out of a larger container. A box containing various sizes of Tupperware containers allow mastery of the idea of relative size (big vs. little). In addition, banging objects together provides incredible joy to your child as it reinforces mastery and predictability over their environment.

10 Months

Baby may love finding things that are hidden.

One of the most remarkable developments occurs around 10 months of age: the concept of “object permanence.” This skill enables your child to realize that even though a desired toy or person can’t be seen or heard it still exists. Younger infants operate on an “out of sight…out of mind” capability. A 10-month-old child realizes that mom still exists when she leaves him in a playpen to go answer the first doorbell. The corollary to object permanence is separation anxiety – i.e. “I know you should be here and I feel abandoned.” Games which reinforce object permanence such a “peek a boo” prompt squeals of delight.

11 Months

Keep working on language skills with lots of games and songs.

Learning a language is much more efficient as an active endeavor. Your 11-month-old will master language more quickly and more completely by hearing conversations, enjoying singing (especially with hand motions such as with “Itsy-bitsy-spider”), and just hearing you talk out loud. If more than one language is spoken in your household, don’t hold back but do point out both (or more) words for the same concept – e.g.. “It’s a “cat” or “gato” or “chat.” The various hi-tech passive DVDs, games, and TV shows can’t compete with the human experience. Your baby likes you more than Big Bird.

Your Baby’s Development

Some babies talk early.

Developmental milestones are often rather broad. For instance, a child generally learns to walk independently between 9 and 16 months of age – that’s a 7-month range! Multiple studies indicate that accomplishing a skill (e.g., walking independently) is not a prognosticator for future superiority of that skill set. Some children enjoy certain activities more than others, yet all children ultimately accomplish the requisite developmental milestones to be considered normal. If you have any questions, speak with your child’s pediatrician.

Better Ways to Feed Your Baby

Avoiding Unfamiliar Foods?

Babies naturally avoid unfamiliar foods, but there are strategies parents can use to combat this tendency.

There are so many frustrations that come with feeding a little person who can’t communicate beyond sobs and screams. But with patience and guidance, you can learn to give your children the food they need in ways they will actually appreciate. Following this guide, you will be closer to that goal, starting with ways to introduce new foods.

It’s common and natural for babies to shy away from unfamiliar foods. With so few food experiences, that makes a wide variety of foods a tough sell at first. There are a few strategies to combat this tendency, though. One is to make sure your little one eats with the rest of the family at mealtime. Babies learn by watching, and by watching their parents and siblings eating and enjoying a wide variety of foods, your infant is more likely to give them a try as well. This is important, because research shows that exposing babies to an assortment of flavors and textures sets them up for better health in the future.

Embrace the Mess

Research shows that babies learn from making messes of their meals.

Anyone who has ever fed a little one knows this cold, hard fact: feeding babies is messy work. And exhausted parents everywhere have searched for solutions to this “problem.” But there is good reason to leave your kid alone and let him or her play. It turns out that playful tots are learning as they squish, mash, and slurp their way through their meals.

A University of Iowa study found that messy foods provide valuable object lessons for children at age 16 months. Solid objects are easier to learn because their shape remains consistent. But ooey, gooey, messy stuff—think oatmeal and baby food—is harder for young minds to fathom. So kids who are allowed to muck it up actually learn these concepts sooner.

Steering Clear of Spit-Up and Vomit

Is your baby spitting up after every meal? Learn tips for avoiding this.

Anyone who has seen their laundry load double with a new baby knows how challenging a spitty kid can be. Time usually cures this problem, but there are some tips that can help frustrated parents in the meantime.

One easy fix is to feed more frequently with less food. The more food in your infant’s belly, the more likely it will be to all come back up again. So try smaller servings more often.

Another approach is to burp your baby more often. Gas can bring everything back up, and if you reserve burping for the end of the meal, that leaves more time for an upset tummy.

Though you should normally wait for the six-month mark to offer solids, there are some babies who should be given a little bit of mild, solid food with their milk or formula. That’s true if your little one has difficulty swallowing (dysphagia) or if spit-up is causing heartburn (reflux). Talk to your pediatrician about best methods.

About 5% of babies have allergies or intolerances to soy or milk formulas. For these spitter-uppers, the best solution may be to switch to a hypoallergenic formula. This kind of allergy or intolerance may show other signs, such as irritability, gassiness, and poop changes.

Also, while tummy time is great for kids for the most part, you may want to forestall this ritual right after mealtime. Any additional pressure on their bellies is more likely to make what went down come back up.

‘No More Food!’

When your young child refuses food, it's best to respect that choice.

Is your little tyke putting hands over mouth when the food choo-choo comes around? Maybe the scene in your kitchen is more like King Kong fending off airplanes, with every swat directed at the feeding spoon. Whatever way your child communicates “no more food,” it’s best to respect that choice, experts say. Refusing food could be a sign your child is sick, distracted, exhausted, or simply full. In either case, your little one will resume eating when ready.

Why Babies are Picky

Neophobia is the natural tendency of babies to avoid unfamiliar foods.

Your kids are born with certain food preferences. From the start, young children prefer smooth, sweet foods that are calorie-dense. These foods are usually easy to chew and provide a lot of energy, but they don’t meet all nutritional needs. So getting your little one accustomed to new foods is important for developing healthy eating habits that can last a lifetime.

For some reason at a certain point your baby will probably start refusing new foods. There’s even a word for it: neophobia. Neophobia usually peaks at 20 months and fades away by the time a child is 5 to 8 years old. Despite this tendency, there are ways to introduce new foods early.

Handling Picky Eaters

Introducing more than one food at a time can help young eaters develop healthy nutritional habits.

Researchers have studied what could possibly make picky eaters adapt more easily to new foods. They’ve found some solutions, too. One is breastfeeding. Because breast milk has more flavor variety than formula, this helps condition a child to accepting a wider range of foods.

But whether or not you choose to breastfeed, another effective solution is to grind your baby food at home. This can involve a blender or grinder, or simply mashing up soft foods with a fork at the dinner table. Why does this work better than baby food from a jar? Jarred food is enhanced to be more palatable. So your little one may prefer it right away, but also may refuse when trying the same food in its natural state.

Another way to introduce a wider variety of new foods in infancy is to introduce more than one food at a time. Timing is important though—this should begin right around 6 months, a time when your children will be more receptive to new flavors and textures, and also the time when they should begin solid foods. The earlier children are introduced to healthy fruits and vegetables, the more likely they are to continue eating them by the time they are 7 years old.

It’s not all about taste, though. Texture plays a big part in the way we eat, and our tongues develop the ability to move solid foods around the mouth between six and 12 months of age. This is also a great time to start introducing lumpier and more solid foods beyond a smooth puree.

Getting started early is really key. Exposing your child early to a wide variety of flavors and textures is known as the “generalization effect.” And the greater the number of new experiences your child has with food before 1 year old, the more likely your child will be to accept a wider variety of healthy foods when he is older.

Food Allergies

Some foods pose higher risks of allergies than others.

Food allergies can be scary. Their symptoms range from a little tingly feeling to life-threatening anaphylactic shock. Knowing what foods are prone to allergic reactions and what to do if your child develops one is important.

Is My Baby Allergic?

Sometimes allergies are confused with other things. Allergic symptoms include itchy skin and hives, swelling, wheezing and throat tightening, upset stomach, vomit, diarrhea, and circulation problems like pale skin and light-headedness. If your child experiences these types of symptoms, this may be a sign of anaphylaxis, and you should seek medical attention right away. The good news is that this type of reaction is rare.

However other reactions can be caused by different things. Sometimes diarrhea and vomiting are caused by food poisoning. Caffeine can make your kid jumpy and restless, and it sometimes sneaks into candy and even breast milk. Some irritated skin can be caused by the high acid content in tomatoes, orange juice, pineapple juice and the like. And sometimes diarrhea is caused by too much sugar from foods like fruit juice.

Foods That Cause Allergies

Some of the most common food allergens include the following:

  • Cow’s milk
  • Fish
  • Wheat
  • Soy
  • Peanuts
  • Eggs
  • Shellfish
  • Tree nuts (almonds, walnuts, pecans, etc.)

There’s good news, though. If your child is allergic, chances are about 80% to 90% that she will outgrow her allergies to wheat, soy, eggs, or milk by the time she reaches age 5. However allergies to peanuts are only 20% likely to go away by age 5. Tree nut and seafood allergies are even more persistent.

Peanut Allergies

Peanut allergies need special consideration. Peanut allergic reactions can be more severe than other reactions, and about 1% to 2% of children are currently allergic. But the results of a new study could change that.

Recent research shows that giving infants peanut products at around 8 months reduces their chances of developing a peanut allergy by 70%. That usually means just a little bit of peanut, such as licking a spoon with a bit of creamy peanut butter. You can also introduce it into a food puree.

Crying Interrupting Mealtime?

Sometimes babies are colicky due to overfeeding.

Every baby cries sometimes. But for about one in five babies, the crying does not settle down after the infant is three or four months old. This persistent day-and-night crying is known as colic.

Colic can have many causes, which can include overfeeding. Make sure to limit feeding to once every two to two and a half hours to avoid this. Another feeding issue related to colic is food sensitivity. In some rare cases, a little one may be upset from either their feeding formula or by something being passed through mother’s milk based on her diet.

Whatever the cause may be, know that a colicky tot may need to be soothed before he is willing to eat. For soothing, the American Academy of Pediatrics recommends swaddling, using pacifiers, or walking your little one in a baby carrier. Using white noise from a vacuum, fan, or clothes dryer can also help.

If you suspect your child has colic, you should consult a doctor. A pediatrician can rule out more serious causes, including hernias and illness.

Number 2 Issues

What your baby leaves in the diaper can offer clues to his or her health.

Whether it’s moving too fast or too slow, bowel issues can be scary for parents. That’s especially true for new parents, who may be wondering if everything is normal, or if it’s time to call the doctor. Here are some tips.

Seeing Green?

If a soiled diaper shows green, that’s actually normal. Healthy newborn poop color ranges from yellow to green to orange to light brown, or any combination of these. That color is caused by normally occurring bacteria as well as bile, the digestive juice used to neutralize stomach acid during digestion.

Green, yellow, and orange stools are usually no big deal. But if you see black, bright red, or a colorless/ivory color, these can be signs of a more serious condition. Colorless, pale, or ivory-colored poop may indicate bile is not being secreted and is cause to see a doctor. Black and red can indicate bleeding (dried blood can turn black), so these are also reasons to contact a doctor right away.

Diarrhea

The first thing parents should understand is what diarrhea is—and what it isn’t. Loose stool is not considered diarrhea. But if the stool is watery and is occurring as much as 12 times a day, you should check for other symptoms as well.

If your little one is under three months old, has a rectal temperature of 100.4 F or higher, vomits, refuses feeding, lacks energy, or exhibits signs of dehydration (mouth is dry, isn’t urinating for three hours or longer), call the doctor.

Constipation

Constipation is unusual in infants. And it can be easy to mistake normal behavior for a problem. Under normal circumstances, a bottle-fed baby will usually poop once a day, but she may go a day or two without passing stool. One who is breast-fed may not be feeding enough if he isn’t pooping once a day, but can actually go as long as a week between movements under normal circumstances.

If you suspect constipation, try to determine if your little one is excessively fussy, spitting up more often than usual, if the baby strains for longer than 10 minutes while trying to pass stool, or if the stool is unusually hard, particularly if it contains some blood. These can indicate real constipation.

What do you do if real constipation is suspected? You can try apple or pear juice, which can help add water to poop and make it pass more easily. Limit the juice to one ounce per month the child is old. So a three-month-old could normally be given three ounces of juice per day. If you’ve already introduced solid foods, try fruits and veggies—especially prunes. If these home remedies for constipation don’t work, call the doctor.

Doing Jar Food Safely

Jarred food should not be saved for later meals, as this can introduce harmful bacteria.

There are good reasons to consider grinding your own food for baby’s mealtime, but one big advantage store-bought jar food has is preservatives. Preservatives keep foods fresher longer, so jarred food usually doesn’t spoil quite as quickly as anything made fresh at home.

“Longer” is not the same as “forever,” though. If you’re saving jarred leftovers for the next meal, that can introduce bacteria from your baby’s mouth into the leftovers, where the bacteria can grow, potentially upsetting little tummies next time. If you’ve been doing this and notice symptoms like diarrhea or vomiting, try changing mealtime habits.

Set Healthy Patterns By Avoiding Junk Food

Healthy eating habits started early can last a lifetime.

It’s hard to believe, but your helpless little bundle of joy grows quickly, and soon he is eating a lot of the same foods you are. But if what you eat is junk food, this can be a dangerous time for your young one’s digestive health. By introducing salty, sweet, and fatty, greasy foods early, you may be starting your child down a long road of unhealthy food habits. These habits can be tough to break, so for better health for the whole family, start making healthy food a priority in your home.

Food No-Nos

Some foods present choking hazards, such as whole grapes and hot dogs.

It can be so exciting introducing new foods to your baby. This should be a joyful experience, but to make sure it stays that way you should be aware of a few foods to avoid. One of these is honey if your baby is less than one year old. Honey can cause infant botulism, a very serious condition. Also avoid chunky foods that may pose a risk of choking such as whole grapes, hot dogs, popcorn, cheese chunks, and pulpy raw fruits and veggies.

Spices and Seasonings: Should Baby Food Be Bland?

It's OK to give young children more flavorful foods.

Lots of young children are fed bland, starchy food because these foods fit their natural preferences and are reliably eaten with fewer complaints. But the healthier options you really want them to eat tend to have more complicated flavors. And there’s nothing wrong with zesting up baby food, which can make an easier transition to more solid, healthy choices down the road.

When to Start Solid Foods

Taking your baby off the bottle at the right time is important for his or her nutritional development.

When is it time to ween your baby from the bottle? For best care, here’s what doctors have to say. Babies should not start on solid foods until they reach six months, according to the American Academy of Pediatrics. Many babies start on solids sooner—around the three-to-four-month phase. That’s especially true if you bottle-feed your baby, or if you perceive your baby as fussy.

But doing so poses special health threats. Babies who start solids before six months are more likely to gain weight. Not only do they often gain weight, but they gain the unhealthy kind—they get fatter. That extra weight could be setting your child up for a lifelong struggle with obesity, so stick to the advice of doctors and hold off on solid foods until the six month mark.

Juice: Good or Bad?

Fruit juice may have the word

Fruit juice is a common part of even the tiniest children’s diets. But doctors now recommend avoiding it completely before their first birthday. That’s because whether or not it has the word “fruit” in it, fruit juice is not particularly healthy. It shouldn’t be used as a substitute for real fruit, according to the American Academy of Pediatrics, as it can lead to obesity.

Their guidelines also suggest you limit fruit juice for kids 1-3 to four ounces a day or less. Part of the problem is tooth decay, which is particularly risky if your child has a sippy cup or juice box to draw from anytime she likes. Also, avoid any juice that is unpasteurized. Some children take medication that grapefruit juice can interfere with, so if your child is on medication, ask his doctor first.

When a Doctor Should Be Called

Troubling symptoms like persistent constipation and diarrhea may require a doctor's treatment.

Are you troubled by the way your baby is eating, or not eating? If your concern isn’t addressed here, or if you’re noticing troubling signs like your baby losing weight, vomiting, or gagging on certain foods, you should call the pediatrician right away. That’s also true if you think your baby has acid reflux, or if the child is experiencing constipation, diarrhea, or dehydration. When you have concerns about your baby’s diet, don’t hesitate–call the doctor.

Feeding Baby Year 1: Starting Solids With Baby Food in Pictures

Start Solids at 4-6 Months

That's the recommended time to introduce solid foods.

That’s the recommended time to introduce solid foods. But it’s not just about age. Before starting solids, your baby should be able to sit up (with support), turn his head away, and make chewing motions. He should also be past the reflex that makes him spit out anything including liquids.

Keep Going With Breast Milk or Formula

Babies usually don't eat a lot of solid foods right away.

Babies usually don’t eat a lot of solid foods right away. So think of solids as something you’re adding to your baby’s diet, not as a replacement for breast milk or formula. Remember, you’re introducing solid foods, not totally changing your baby’s diet or eliminating milk. That will happen gradually.

Why Start With Rice Cereal?

Try a single-grain, iron-fortified infant cereal with a neutral to no flavor.

You don’t have to — there’s no hard-and-fast rule about what solid foods you should start your baby on first. In fact, you don’t have to start with cereal at all. But if you do, try a single-grain, iron-fortified infant cereal with a neutral to no flavor. It also will be a bit easier to notice any food allergies than with a cereal made from several grains. You may want to mix it with formula or breast milk to get a runny consistency at first, so it’s not a drastic change for your baby. Gradually thicken it more until your baby gets used to the new texture.

Eating Solids Takes Practice

It may seem like it’s something natural, but being fed by a spoon is new to your baby.

It may seem like it’s something natural, but being fed by a spoon is new to your baby. Up until now, she’s only had a liquid diet. She’ll need practice to get used to the spoon and to the feel of having solid food in her mouth. So don’t expect her to eat a whole lot — maybe a teaspoon or two at a time — when you start. Instead of trying to get her to eat a certain amount, focus on letting her get used to the experience.

Start Fruits and Vegetables, One at a Time

Fruits, vegetables, grains, and even pureed meats can all be on the menu for your baby.

Fruits, vegetables, grains, and even pureed meats can all be on the menu for your baby. You may want to introduce them one at a time to see how your little one reacts to the flavor and texture and to make sure no allergies develop. If your baby won’t eat them at first, try again later. Babies need to reject a food at least 5 to 10 times on different occasions before you can truly say they don’t like the food. Tell your pediatrician if you think your baby might have any food allergies to any new foods tried. Use soft baby food from a jar, or soften foods by heating and/or pureeing them. Put just enough on the spoon for your baby to swallow easily. Don’t force feed the food.

Avoid Milk and Honey

Most pediatricians say you should wait until after your baby's first birthday to start offering cow's milk.

Most pediatricians say you should wait until after your baby’s first birthday to start offering cow’s milk. That’s because nutritionally it doesn’t measure up to Mother’s milk or have the nutritional value of specially developed formulas. And, don’t give honey to babies younger than 1 year. That’s because of a possible botulism risk that a baby’s developing immune system can’t fend off.

Stop When Baby’s Ready to Stop

Your baby will let you know when he’s done eating.

Your baby will let you know when he’s done eating. He might swat at the spoon, turn his head away, zip his lips tightly, spit out whatever you put in his mouth, or cry. Don’t make him eat more than he wants. Kids will eat when they’re hungry and stop when they’re full. Honoring those instincts may help them avoid overeating now and when they get older.

Got a Fussy Eater? Don’t Fret

Just because your baby doesn't immediately like a new food doesn't mean he’s doomed to be picky forever.

Just because your baby doesn’t immediately like a new food doesn’t mean he’s doomed to be picky forever. Wait a few days and try again. And again. And again … It may take your child more than a couple of times before she’s ready to give peas a chance. Remember, you’re a role model, so your baby may be more interested in foods she sees you eating and enjoying. But don’t force your child to eat, and don’t make a big deal about new foods.

It’s Going to Get Messy

As your baby grows, he'll try to feed himself.

As your baby grows, he’ll try to feed himself. Chances are, a good bit of food is heading for his face, hands, hair, bib, clothes, or high chair tray — not to mention you or any surfaces within flinging range. Learning to eat solid food is a full-body, tactile experience for your baby. Put a mat underneath his highchair to catch some of the mess, dress accordingly, and be patient — this phase won’t last forever.

Try Finger Foods When Baby’s Ready

Around 9 months or so, your baby will be able to pick up small pieces of soft table food to eat.

Around 9 months or so, your baby will be able to pick up small pieces of soft table food to eat. You’ll still need to spoon-feed for a while, and continue formula or breast milk. Some great “finger foods” include ripe banana pieces, cooked chunks of carrots, cottage cheese, well-cooked pasta, dry cereal, and scrambled eggs. Avoid choking hazards like hard candy, chips, raw vegetables, grapes or raisins, hard cheese, and whole hot dogs.

Your Child’s First Year of Development

Great Expectations: Baby’s First Year

A happy baby boy.

You have survived pregnancy and childbirth and are now officially parents! Congratulations and welcome to the most challenging and rewarding years of your life! Enjoy the highlights of your baby’s first year with WebMD’s guide to your child’s milestones.

Smiles

A close-up of a smiling baby.

Who would have thought “sleeping like a baby” meant getting up multiple times during the night? Just when you thought you would soon lose your mind, you discover your baby is a person — at about 2 months of age, he smiles at you and coos irresistible sounds. He even seems to follow you with his eyes around the room. You can tell he recognizes your face and enjoys seeing you.

Laughing

A mother and baby laugh.

By 4 months of age, your baby can help herself get over life’s frustrations. Having the capability of getting a hand to her mouth, she is magically capable of sucking on her fingers and thus promoting a self-soothing behavior. Another indication of your daughter’s neurologic development is the loss of the wild and jerky arm and leg movements that characterized the first few months. Her laughter and squeals are infectious, and she is a happy 4-month-old.

Sleeping All Night

A baby sleeps on one side.

By 5 to 6 months of age, most infant’s brain maturity enables a continuous night of restful sleep. You can have a life again! In addition, a daytime nap schedule is usually established by this time. Once again, you can schedule your time (sort of).

Sitting Up

Two babies sit up.

For a 6-month-old baby, being vertical is necessary. The life of looking at the ceiling from a supine position is very boring, but looking horizontally opens up a world of interesting people and objects. Hand-eye-mouth coordination enables a baby to learn about objects by both tactile and oral sensations. Everything must go into the mouth! Children learn to sit independently between 6 to 8 months of age.

Crawling

A baby crawls.

Within four to six weeks of sitting independently, many babies are crawling everywhere. The drive to get from point A to point B is very strong but has a built-in emotional struggle: “It is fine for me to crawl away from you; it is not OK for you to walk away from me since I have tremendous separation anxiety.” It is not essential an infant crawl on their hands and knees; “combat crawling” (on the belly like a soldier going under barbed wire) is a normal variant. Safety proofing the house is a must since babies will crawl to an object and want to put it into their mouth. They are also exceptionally skilled at finding hidden objects under sofas.

Waving ‘Bye-Bye’

A baby waves goodbye.

Language acquisition is a critical element in a child’s development. The random squeals and various noises slowly evolve into repetitive undulations and then sounds. Many are meaningless, but over time a baby discovers that “ma, ma, ma, ma” and “da, da, da, da” always get a much better adult response than “za, za, za, za.” Likewise, hand gestures such as waving “bye-bye” become associated with predicable behavior (parents leaving) and may lead to frustration.

Eating Finger Food

A baby puts food in his mouth.

By 9 months of age, most children have an ability to pick up the tiniest object and rapidly put it into their mouth. Home and environmental safety is a must. However, the ability to pick up such objects also heralds the neurologic developmental readiness to learn to chew. Suddenly, the baby spoon is rejected and finger foods are all the rage. Unfortunately, infants also discover that gravity works every time they drop food onto the floor, which can be truly amazing from their perspective.

Standing

A baby tries to stand on the stairs.

Generally, infants learn to walk independently between 9-16 months of age. However, many weeks of mastering the art of pulling to a stand and sitting again in a controlled fashion are a must. After this accomplishment comes the ability to “cruise” — going sideways in a crablike fashion along the length of the family couch. The final process to be mastered enables the infant to reach and traverse from one piece of furniture to another.

Taking a Step

A baby walks.

The final process of walking is often felt to be more psychological than physical. Many infants will walk all over the house with the minimal reassurance of holding a parent’s finger. Remove that crutch and the baby will just sit and often cry in frustration. Extend your finger and the tears stop instantly.

Speaking Words

A baby talks on a toy phone.

By the time your child is ready to celebrate their first year on planet Earth, they will commonly have established the basics of receptive and expressive language skills. Calling their name, saying “no,” or pointing to a familiar object or person truly is understood. You can see it in their eyes. Reciprocally, “mama” and “dada” truly mean you! Your baby is growing up!

Your Toddler: Typical Second-Year Milestones With Pictures

Great Expectations: Year Two

Toddler looking up

Every day with a toddler is an adventure — and there’s so much to look forward to as your child grows. Wondering when your little one will start to walk, talk, and do all those cute toddler things? Here’s what to expect in baby’s second year.

Baby’s First Steps

Toddler smiling and trying to walk

One of the most thrilling toddler milestones usually comes early in the second year. That’s when your child will probably walk without help, one wobbly step at a time. Most kids start walking between 9 and 17 months. The average age is about 14 months. There’s no stopping them now!

Running Around

Toddler running

The chase is on! About six months after your toddler masters walking, he or she will probably be running. Then the question is, can you keep up?

Climbing

Toddler climbing

Your child will really start to explore once he figures out he can go up! “Up” means climbing up stairs and climbing on the furniture — and in some cases out of his crib — so be prepared for an adventure. Your toddler will probably start climbing furniture and stairs (while holding the railing) some time during the second year, so keep an eye on her. Once your child gets close to climbing out of his crib, stop using the crib.

Kicking a Ball

Toddler kicking a soccer ball

Kicking a ball is a big step. Your toddler needs the coordination to kick, plus the ability to make the connection that if he kicks the ball, it will roll or bounce. Once your child discovers that balls bounce, he will probably throw toys, food, and other objects to see if they bounce, too.

Scribbling and Eating

Toddler scribbling and drawing

It’s too soon to tell if you’re raising the next Picasso, but your child’s early doodles will be priceless to you. During the second year, kids get more control over the small muscles in their hands and fingers. These fine-motor skills help toddlers scribble with crayons and eat with a spoon.

Plays Make-Believe

Toddler playing make-believe with her toy bear

Your child’s imagination is coming to life. Between 18 and 24 months, a toddler’s brain is ready to start playing make-believe. You may catch her “feeding” a teddy bear or talking into a toy phone. Enjoy her sense of magic.

Talking, For Real

Toddler talking on the phone

Until now, your toddler may mostly babble. But around 15-18 months, you can expect to hear some real words. Between 18 and 24 months, most kids start using simple phrases, like “no more” or “go there.” By age 2, you may even hear a short sentence or two.

Plays with Friends

Toddler having fun playing with friends

Let the play dates begin! By the end of their second year, most toddlers show more interest in the company of other children. They may not be quite ready to share their toys when they play, but it’s a big step in their budding social life.

Top Reasons Children Can’t Sleep in Pictures

No. 1: She’s Too Young!

Few babies sleep through the night right away.

Few babies sleep through the night right away. For the first two months, newborns sleep off and on at random times for 12 to 18 hours a day. Most babies sleep through the night by the time they’re about 9 months old. Even then, “night” means just five to six hours in a row.

No. 2: You’re The Sleep Aide

Rock a baby to sleep every night, and he can't learn to fall asleep on his own.

Rock a baby to sleep every night, and he can’t learn to fall asleep on his own. Instead he cries to get what helps him — you. Put him to bed when he’s sleepy, but not sound asleep. He’ll become a “self-soother” who learns to fall asleep on his own, even if he wakes up in the middle of the night.

No. 3: He’s Over-Tired

Toddlers and preschoolers need 11 to 14 hours of sleep every 24 hours.

Toddlers and preschoolers need 11 to 14 hours of sleep every 24 hours, including nighttime and naps. Routine is key, so set regular times for bed, waking up, napping, meals, and play.

No. 4: Separation Anxiety

It's normal for your child to go through this phase.

It’s normal for your child to go through this phase. Try not to encourage it with lots of talking, singing, rocking, or extra feedings. At around 6 months, you can help a baby to go back to sleep on her own. As long as she doesn’t seem sick, speak softly and rub her back. Comfort her, but don’t make it too rewarding by picking her up or feeding her. A nightlight may comfort toddlers who are afraid of the dark.

No. 5: No Bedtime Routine

Doing the same things each night before bed helps your child know it's time to sleep.

Doing the same things each night before bed helps your child know it’s time to sleep. Create a bedtime routine to wind down and relax. For instance, each night your child gets a bath, listens to you read them a story, has a snack, and then it’s lights out. Do the same routine every night and always end in your child’s room. It’s best to start a routine early, by 4 months.

No. 6: Bedtime Stalling

Some kids delay bedtime.

Some kids delay bedtime. They make up reasons to stay up or ask for more stories, a drink, or a trip to the potty. Stick to the routine. Go into your child’s room to respond. Be kind and firm. Make your visits shorter each time. Let your child know it’s truly time for sleep.

No. 7: Not Enough Nap Time

Photo of toddlers napping midday.

If they don’t nap enough during the day, young kids may have trouble falling asleep at night. Most babies need two or three naps a day. Toddlers need at least one nap. Most kids still take an after-lunch nap until age 5. If your child is cranky and sleepy, let her nap, as long as it’s not too close to bedtime.

No. 8: Obstructive Sleep Apnea

It's rare, but some children can't sleep due to obstructive sleep apnea.

It’s rare, but some children can’t sleep due to obstructive sleep apnea — when the airways are blocked, often by enlarged tonsils and nasal tissues called adenoids. Kids with sleep apnea usually snore loudly, have labored breathing, and restless sleep. It affects about 1 in 100 kids and is most common from ages 3 to 7, when tonsils and adenoids are at their biggest. Treatment includes surgery or having the child wear a nose mask at night.

No. 9: Snoring

About 1 in 10 kids snore.

About 1 in 10 kids snore. They can snore for many reasons, including sleep apnea, seasonal allergies, stuffiness from a cold, or a deviated septum. If their sleep is OK, your pediatrician probably won’t treat snoring. But see your pediatrician if your child isn’t sleeping well because of snoring or breathing problems.

No. 10: Bad Dreams

Kids occasionally have bad dreams.

Kids occasionally have bad dreams. That’s normal, and most bad dreams are harmless. Soothe your child after bad dreams. Make sure he gets enough sleep and has a soothing bedtime routine. If bad dreams won’t stop, mention it to your pediatrician.

No. 11: Walking While Asleep

Some children sleepwalk.

Some children sleepwalk. When they’re not fully awake they may walk, talk, sit up in bed, or do other things. Their eyes may be open, but they’re not aware. Most kids outgrow this by their teens. Don’t wake a child who sleepwalks. You may scare her. Gently guide her back to bed. Keep the area she may roam in safe: Lock doors and put up safety gates near steps.

No. 12: Allergies, Asthma, and More

Some health problems can keep kids from sleeping.

Some health problems can keep kids from sleeping. Stuffy noses from allergies, colds, and asthma can make it hard to breathe. In babies, colic, acid reflux, earaches, or teething pain can also hamper sleep. Your pediatrician may be able to help.

No. 13: Drugs

Some cold and allergy medicines or ADHD drugs can affect a child's sleep.

Some cold and allergy medicines or ADHD drugs can affect a child’s sleep. If drugs seem to be keeping your child up, talk to your pediatrician to see if changing the drug, dose, or timing might help. Never make those changes on your own.

No. 14: The Teen Body Clock

When a child becomes a teen, their sleep cycle changes.

When a child becomes a teen, their sleep cycle changes. They become more alert in the evening and sleepier in the morning. Work with those changes. Let your teen do homework at night and sleep later if she can. Teens still need at least 8.5 hours of sleep.

No. 15: No Pacifier or Teddy Bear

Sometimes having a special object close by can help a young child fall asleep.

Sometimes having a special object close by can help a young child fall asleep. Blankies or stuffed animals are among the top comfort objects. Pacifiers may please a baby’s need to suck, even if they’re breastfeeding. A white noise machine soothes their ears and hushes sounds.

No. 16: A Room That Says, “Stay Up!”

To create the right space for sleep, keep your child's room dark at night.

To create the right space for sleep, keep your child’s room dark at night. (A small nightlight is OK.) Dress your child in something lightweight and comfy. Keep the room quiet. Shut the door if your child can hear a TV or people elsewhere in your home.

No. 17: Ignoring Tired Cues

Is your child nodding off at school?

Is your child nodding off at school? Does she have trouble falling asleep within 30 minutes of going to bed, or getting up in time to start her day? Check that she’s getting enough sleep. Kids ages 5 to 10 years need at least 10 hours of sleep a night.

No. 18: Screens in the Bedroom

Phones, computers, video games, and TVs can be irresistible.

Phones, computers, video games, and TVs can be irresistible. Keep them out of your child’s bedroom. Power down before bedtime. Even big kids need a relaxing routine to wind down for bed.

No. 19: Stress

Stress can affect kids' sleep. Help them relax with deep breathing.

Stress can affect kids’ sleep. Help them relax with deep breathing, a warm bath, and a calm bedtime routine. You can also start teaching them good ways to manage stress during the day, so it doesn’t affect their sleep.

Get the Facts About Bottle Feeding and Infant Formula

Glass or Plastic Bottles?

A baby holding drinking out of a baby bottle.

Your baby may give you clues about which he likes better. Some things to consider: Plastic bottles are lighter than glass and are shatterproof. But they may not last as long as glass. In the past, some parents chose glass to avoid a chemical called bisphenol A (BPA) that is used in some plastic bottles. Now, all plastic bottles sold in the U.S. are BPA-free.

What to Know About Nipples

Baby bottle nipple.

Most are made of silicone or latex, and they come in various shapes. They sometimes have different “flow rates,” based on the size of the nipple’s hole. You may want to try several types to see what your baby likes and can drink easily from. Check nipples often for signs of wear or cracking. Replace any that are worn or discolored.

Wash Bottles and Nipples

Woman washing bottle at kitchen sink.

You can wash them with detergent and hot water, by hand or in the dishwasher. Do it each time you use them. You may prefer to wash plastic bottles by hand, since some studies show that chemicals leak from plastic when it’s exposed to hot temperatures. Most experts feel there’s no need to boil bottles.

Stick to Breast Milk or Formula

Close-up baby drinking from a bottle.

Give your newborn only pumped breast milk or formula in the bottle — no water or juice. Mix formula exactly as it says on the label. Adding too much water thins the formula, skimping on nutrition. And it may cause low salt in the baby, which can lead to seizures. Too little water may be hard for your little one’s stomach and kidneys.

How to Choose a Formula

Baby formula on store shelves.

Most parents start with one made from cow’s milk. You can also buy soy and hypoallergenic kinds. Make sure you use one that’s iron-fortified. You can buy formula in powdered, concentrated, or ready-to-use forms. By 6 months, your baby should be drinking between 6 and 8 ounces per feeding.

Warm or Room Temperature?

A father shakes bottle formula on to his wrist to test the temperature.

It’s fine to give your baby a cool or room-temperature bottle. If he prefers warm formula, put the filled bottle in warm water or run hot tap water over it for 1-2 minutes. Or you could use a bottle warmer. Don’t use the microwave. It can cause hot spots that could burn your baby’s mouth. Shake the formula and put a drop on the top of your hand to test the temperature. Don’t test it on your wrist — it’s less sensitive to heat.

How to Hold Your Baby

A mother feeds her baby.

Put a bib on him, and have a cloth ready to clean any spit-up breast milk or formula. Now, cradle him with his head a bit higher than the rest of his body. Hold the bottle and watch him eat. Watching your baby will help you know when he’s finished. Try to burp him halfway through the feed to help limit spit-up.

Keep a Grip on the Bottle

An infant with baby bottle.

When you’re tired, it can be tempting to prop up the bottle on a pillow and let your baby feed herself. But there are lots of perks if you hold the bottle while she eats. It’s great for bonding, and it’s safer. Leaving your baby with a propped-up bottle makes choking and tooth decay more likely. It can also cause ear infections. So enjoy your bottle time!

How Do You Know When Baby’s Done?

An infant drinking from a bottle.

Your little one will let you know when she’s finished feeding. She may stop sucking, turn away from the bottle, or, if she’s old enough, push the bottle away. Give her a chance to change her mind, but don’t make her finish what’s in the bottle. If your baby tends to spit up after feeds, you may need to give her less.

How to Burp Her

A mother burping her baby.

If your baby needs a burp during or after feeding, hold her on your lap or rest her on your shoulder. Gently pat or rub her back. You can also lay her tummy-down on your lap, supporting her head, while you pat her back. She may spit up some milk, so have a cloth handy. If she doesn’t burp after a few minutes but seems content, don’t worry. Not every baby burps after every feeding.

Cut Down on Spit Up

A baby spitting up on his dad's shirt.

If your baby spits up a lot, burp her every few minutes during feedings. Don’t lay her down or play with her for 45 minutes after she eats. Hold her upright or prop her up in a car seat after the meal. Spitting up often gets better when a baby starts sitting up. If you’re worried about how much she spits up, talk to her pediatrician.

Should You Switch Formulas?

A woman and her baby with a doctor.

If your baby spits up a lot or is fussy, you might blame the formula. Sometimes, babies can have allergies that can cause things like diarrhea, vomiting, or dry, red skin. If you see this, talk to your little one’s doctor. He’ll tell you if you need to change formulas — and if so, how to do it best. Don’t make a change before you talk to the doctor.

How Long Can You Store Milk?

A father holding three baby bottles.

Make formula as needed. Don’t mix big batches. Always throw out formula that’s left over in the bottle. Refrigerate opened packages of liquid formula right away, and use them within 48 hours. If you have mixed formula from powder, you can store it for 24 hours in the fridge. If formula is left out more than 2 hours, throw it out. Refrigerate breast milk for use within 7 days. Or freeze it. Breast milk can last 3 months in a regular freezer that’s kept at 0o F, or 6 months in a deep freezer.

How to Diaper Your Baby

Diaper Changing, Step-by-Step

Photo of baby diaper change.

Whether you’ve never changed a diaper before or you’re an old pro, you’ll get plenty of practice with your new baby. Most parents have made common mistakes, like putting a diaper on backward or lopsided, or even getting an unexpected spray of urine from their baby boy. These step-by-step tips will help you master the art of diaper changing and fix any first-time mistakes fast.

Get Your Supplies Together

Photo of a diaper changing table.

Have everything at hand, because you never want to leave your baby unattended. You’ll need a clean diaper or two, something to wipe your baby with, and a flat surface. If your baby has diaper rash or is less than a month old, have cotton balls or squares, warm water, a towel, and diaper rash cream handy.

Always Keep One Hand on Your Baby

Photo of removing dirty diaper.

Wash your hands, and place your baby on the changing table or a flat surface. Use the safety straps, or keep one hand on your baby so he doesn’t roll off. Never leave your little one unattended, even for a few seconds. If he wiggles a lot, distract him with a mobile or a brightly colored toy. Undo the dirty diaper. Hold your baby’s legs with one hand, and use the other hand to pull down the front of the diaper. Don’t remove it yet.

Wipe From Front to Back

Photo of a dad wiping the baby from front to back.

First, use the front part of the diaper to help wipe your baby. Always wipe from front to back to prevent a urinary tract infection. Then use a mild wipe or wet washcloth to clean your baby, again wiping from front to back. For a newborn or a baby with diaper rash, use cotton balls or squares and warm water. Pat your baby’s bottom dry. If you have a boy, keep a clean diaper or washcloth over his penis while you’re changing him so he doesn’t pee on you.

Swap Dirty Diaper for Clean One

Photo of a mom putting a clean diaper under the baby.

Lift your baby’s legs, and slide the dirty diaper out. Hold his legs to keep him from touching the messy diaper. Slide a clean diaper underneath him. On a disposable diaper, the adhesive tabs go in back and should be about belly-button level. Pull the front up between your baby’s legs. For a boy, make sure his penis is pointing down so he doesn’t pee out the top of his diaper.

Use Your Fingers to Test the Fit

Photo of a mom fastening the baby's diaper.

Close the tabs on a disposable diaper, or snap or Velcro a cloth diaper shut. Make the diaper snug, but be sure you can place two fingers between the diaper and your baby’s waist. With a newborn, fold the top of the diaper down so the umbilical stump is exposed. Or use a newborn diaper with a cutout for the stump.

You May Want to Flush the Poop

Photo of a dad holding a dirty diaper.

What do you do with the old diaper? If it’s made of cloth, shake any solid waste into the toilet. Then toss the diaper into the diaper pail until it gets washed. Some parents shake solid waste into the toilet from disposables, too. Then tape up the disposable and put it in the trash or diaper pail. You could put disposables in a plastic bag or zipper-top bag before you put it in the pail to cut down on the smell.

Take Your Time and Enjoy

Photo of a dad changing his baby's diaper.

Many moms and dads find that a diaper change is a great time to connect with their babies. After all, you’re leaning over your baby, touching, and talking or cooing to him or her. Your baby looks up at you and listens to your voice. Take some time to sing a song or play peekaboo. Although some diaper changes will have to be done quickly because you only have a few minutes, try to enjoy the ritual.

10 Tips to Soothe Your Crying or Colicky Baby

Swaddle Her

To you, swaddling might feel like being in a straitjacket.

To you, swaddling might feel like being in a straitjacket. But to a crying, fussy baby, it’s like being back in the womb. How tight do you wrap this baby burrito? Snug enough so she can’t wriggle her arms and legs free. Make sure to always place her on her back. Stop swaddling when she is able to roll over on her own.

Shift Positions

Parents tend to cradle a colicky baby face-up, but that may not help.

Parents tend to cradle a colicky baby face-up, but that may not help. Instead, hold her face down — with your hand under her belly and her head on your forearm. The pressure on her tummy can help relieve uncomfortable gas.

Turn On White Noise

A little white noise can help your baby feel like he's back in the womb.

A little white noise can help your baby feel like he’s back in the womb. There was a lot of whooshing and background noise in there. To re-create these soothing sounds, turn on a fan, put the bassinet near the dishwasher, run the vacuum, turn on the shower, or tune a radio to static. You want a constant, low-level sound.

Pacify Her

Infants have a strong sucking instinct, so a pacifier can calm your colicky baby.

Infants have a strong sucking instinct, so a pacifier can calm your colicky baby. Bonus: Studies show binkies may help prevent sudden infant death syndrome (SIDS).

Shh!

Make this sound right in your colicky baby's ear.

Make this sound right in your colicky baby’s ear. Don’t be timid. Shh loudly enough so that your baby can hear you over her own racket.

Take a Ride

Babies in the womb get used to a lot of motion.

Babies in the womb get used to a lot of motion. Get your baby moving and he may go right to sleep. Put him in a swing. Cradle him in a rocking chair. Lay him in a vibrating infant seat. You might even set out for a drive in the car, but don’t hit the road if you’re too tired.

Baby Massage

The soothing power of your own touch can work wonders on a colicky baby.

The soothing power of your own touch can work wonders on a colicky baby. Many babies love skin-to-skin contact. And studies show infants who are massaged seem to cry less and sleep better. Just undress your baby and use slow, firm strokes over her legs, arms, back, chest, and face. It may calm you down as well. Check with your pediatrician before using any oils or lotions on your baby.

For a gassy baby, rub his tummy in a clockwise motion, or bicycle his little legs to relieve some pressure.

Wear Your Baby

In many cultures, infants spend much of the day in slings on their mothers' backs or chests.

In many cultures, infants spend much of the day in slings on their mothers’ backs or chests. When you put a colicky baby in a sling or carrier, he can snuggle close and — with luck — may be lulled to sleep by your movement. Slings can also give your aching arms a rest or free a hand to fix a sandwich. just remember that there should be no cooking, eating, or drinking anything hot while carrying baby in the swaddle.

Give Her a Burp

A crying baby can gulp down a lot of air.

A crying baby can gulp down a lot of air. That can make her gassy and bloated — and make her crying worse. Burp her with gentle thumps on her back. The classic position — with the baby’s head over your shoulder — works, but can leave a trail of spit-up down your back. Switch things around: Lay your baby face down across your lap, or sit her up. Support her chest and neck with one of your arms.

Take a Breather

Night after night with a colicky baby is hard on parents.

Night after night with a colicky baby is hard on parents. It’s normal to feel overwhelmed, frustrated, and not up to the job. If nothing seems to work, take a break. Hand the baby off to your partner, a family member, friend, or sitter. When that’s not an option, remember that it’s OK to let your baby cry in the crib for a little bit while you collect yourself.

See the Doctor

If you're concerned about your baby's crying, take him to the doctor.

If you’re concerned about your baby’s crying, take him to the doctor. Your pediatrician can give you guidance and rule out any medical causes. Odds are there’s no special reason. Some babies just cry more than others. So the next time your baby’s wailing makes you wince, remember two things: It’s not your fault, and it won’t be like this forever.

Back-to-School Health Checklist

Remember Your Child’s Health as School Starts

Keep your kids healthy for the start of a new school year.

You’ve got the pens, the notebooks, and a few fresh new pairs of clothes. But what have you done to look after your children’s health as they head off to school? Follow this checklist and discover the problems and solutions that impact the health of your star students, including overloaded backpacks, bullying, and back-to-school separation anxiety.

Be a Lunchbox Hero

Healthy lunches are essential to kids’ success.

Little changes can make a big difference over time. Changing the way you pack your kids’ lunches can make them healthier over the long term. Plus, you’re helping them appreciate what healthy food tastes like. Try filling their lunchboxes with colorful fruits and vegetables. Grapes, apples, mangoes, berries, and thin slices of red bell peppers and carrots are often popular, or mix in a few of your kid’s favorites. Switch juices and sodas for water. And consider substituting white bread for whole grains to add more fiber to their diets.

Prepare With Good Sleep Hygiene

Reading a book at bedtime is much healthier than iPad screen time.

Sometimes the long days of summer throw sleep routines out of whack. Your kids will be more alert and focused in class if you start to get them ready for their school schedule ahead of time. School-aged children need at least 10 hours of sleep every night. Teens need between nine and 10 hours. For good sleep hygiene, get kids accustomed to the same bedtime every night. Also, try removing screen devices from their rooms at night, like cell phones, tablets, computers, TVs, and other gadgets.

Immunize, Immunize, Immunize

Get your kids vaccinated before classes begin.

Polio was once one of the most dreaded childhood diseases in the United States, causing paralysis and even death. In 1955 a vaccine was created and widely implemented. Today polio has been nearly wiped out worldwide.

Vaccinations save children from unnecessary pain, illness, and death. That’s why all 50 states require school-aged children to be immunized against diseases like measles, mumps, rubella, pertussis, and chickenpox. Be sure your child’s immunizations are up-to-date for their safety, and for the safety of others.

Flu Shots

Flu shots can keep both you and your children virus-free.

Every year, kids in school are at risk of contracting the flu virus, which interferes with learning and in certain cases can be deadly. To reduce the risk for your children and their classmates, make sure to get them immunized. Everyone above 6 months old should be vaccinated every year to control the spread of flu, according to the CDC. Ideally, get your family vaccinated before October, the start of the flu season.

Staying Physically Fit

Teach your kids to play outside and exercise daily.

Kids need at least an hour a day to exercise. Making sure they get enough exercise is a matter of balancing their priorities. For instance, setting limits on TV-watching, video game time, and similar low-energy activities can give kids the encouragement they need to pick up a ball or a jump rope or go out and explore their surroundings. Doing so helps kids maintain a healthy weight, sleep better, and feel less stressed out.

Teach Them the Rules of the Road

Teach your kids to safely cross the street and wait for a crossing guard.

As the school year starts, remember to teach your children about walking and bicycling safely. These statistics show how important it is to teach schoolchildren to stay safe:

  • In 2014, car crashes in the U.S. killed 4,884 pedestrians and 726 bicyclists and injured many more.
  • In 2013, one in five U.S. children under the age of 14 killed in an auto crash was a pedestrian.
  • Children ages 5-14 are the most likely pedestrians to be injured in car crashes.

Be sure your kids know to always walk on a sidewalk when available. When there is no sidewalk, always walk on the shoulder of the road facing traffic. And whenever possible, cross the road at intersections with clearly marked crosswalks.

Battling Backpack Burdens

Lighten up your children’s backpacks.

Most experts say that carrying any more than 10-15 percent of a child’s body weight in backpacks can cause problems. Heavy backpacks can cause significant pain in children’s backs, necks, and shoulders. Girls are particularly prone to back pain from overburdened backpacks. Lightweight backpacks with waist belts and padded backs can help. Using both shoulder straps is also a good idea. Finally, finding ways to reduce the extra weight like using lockers more frequently between classes can help prevent unnecessary pain.

Sick at School? Have a Plan

Have a plan for your kids if they get sick while at school.

Now that most parents work, getting a call from the school nurse can be a major disruption. Caring for your child when they come down with a flu or other illness takes preparation when you’re away from home. Your backup plan can include a trusted family member or family friend who can care for your child for the day, or bring them to a babysitter or child care facility flexible enough to take sick kids. Or you could start a parent network at your school for support during challenging situations like this.

Prepare for Emergency Medication

Get a doctor’s note for your child if they require medication.

When your child needs medication, the law may prevent schools from administering it without your written consent and a note from a doctor. School staff is not allowed to administer medications as needed, so you need to give them specific instructions on how to medicate your child. Also consider asking your pharmacist to put your child’s medication into two labeled bottles – one for use at home, the other to be kept at school. And remember that when it comes to transporting medication, make sure adults are in charge until your child is mature and responsible enough to handle the job.

Keep Clear of Colds

Teach your kids to prevent the spread of germs.

Don’t let colds and other infectious diseases stand in the way of your child’s success. Teach your kids the basics of cold prevention. Wash your hands frequently for at least 20 seconds, avoid touching your face, sneeze into tissues or sleeves, and throw tissues away after using them. Finding ways to lower your kids’ stress can help them keep colds at bay, too.

Allergy Awareness

Chalk dust can make allergies worse.

The new school year can also bring new allergy concerns. Common classroom allergy triggers include mold, dust mites, and chalk dust. Food allergies present another challenge. Try talking with teachers, coaches, and other school staff about your child’s allergy needs. If your child has hay fever, pay attention to local pollen counts and plan accordingly with allergy-fighting medicine. If your child has a life-threatening food allergy, make sure school staff know how to administer auto-injectable epinephrine.

Beware of the Heat

Keep kids hydrated when it’s hot outside.

It’s easy to forget that for most students in the U.S., the beginning of the school year is the hottest time of the year. One of the most important ways to protect your child’s health in the heat is to be sure they’re staying hydrated. For kids aged 4-8, about two quarts of water should be enough on a hot day. The amount increases for each age group, leveling out as teenagers at about 3.5 quarts for boys and 2.4 quarts for girls each day.

Get Them in for a Checkup

Make an appointment with your kid’s pediatrician for a back-to-school checkup.

It’s a good idea for kids to have a yearly checkup to keep up with their growth progress and other health concerns. From birth until early adulthood, doctors recommend that children be seen annually to check on their progress. Let the first day of school be a reminder each year that the annual checkup is an important time to assure your child’s health and wellness.

Time for Glasses?

Make sure to get your child’s vision checked to see if they need eye glasses.

As children head to school, some of them will begin to notice trouble with their vision. Nearsightedness, farsightedness, astigmatism, and many other vision problems may create barriers to learning. Yet young children often do not tell their parents about their vision problems or even recognize that they have problems with their sight. A yearly eye exam can help. Also, watch for signs of vision problems like squinting, rubbing eyes, sitting too close to the television, frequently losing their place while reading, closing one eye to see better, and frequent headaches.

Stop Bullying

Only you can stop bullying.

Bullying is a complicated social problem in our schools. Bullies have the potential to hurt children physically, socially, and emotionally. It can lead to academic problems, later substance abuse, and even death in extreme cases. However, there are many ways to fight bullying at school. Teach your children to tell you and other trusted adults if they are being harassed or see harassment of others, and to be kind to bullied kids. Teach them to speak up for themselves by telling the bully clearly to stop, or, if that seems unsafe, to walk away and stay away. Experts do not recommend fighting back.

Overcoming Separation Anxiety

Learn to send your kids off to school without getting upset.

It’s common for both parents and children to feel anxious over being apart as the school year starts. But there are ways to relieve this separation anxiety. Try practicing separation ahead of time by leaving kids with caregivers for short periods. Developing a simple goodbye ritual can help reassure children. Make goodbyes short and sweet—don’t stall! And realize that your own trouble saying goodbye may feed into your kid’s anxiety. Forging a good relationship with the teacher can help you and your child both feel better about saying goodbye for the day.

Building a Healthy Future

Keep your children safe and healthy this school year.

Little eyes are watching. By taking steps to secure your child’s health at school, you are leading by example. Children learn how to take better care of themselves when you take them to get annual checkups, teach them how to face bullying, make preparations to manage their allergies, and follow the other steps listed here. What’s more, those lessons can last a lifetime, setting them on the right track to become and remain healthy adults.

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