Your baby is now super cute at 4 months old and are laughing, smiling, and doing happy feet. In this episode, Dr. Carole Keim MD talks about weaning your baby and the difference between the traditional purees method and baby-led feedings. With new foods comes how to handle food allergies and brushing your baby's teeth. She also talks about protecting your baby while outside and safely using sunscreen or bug spray. Bookmark this episode! This information will apply for the next two months.Just like previous episodes Dr. Carole Keim MD will go into detail about your baby’s development, sleep patterns, peeing and pooping, skin care, and what to expect at their 4-month check-up. As a new parent, you should be feeling a lot more confident about the overall care of your baby. Also a reminder those little hands are stronger than they look so if it is in grabbing distance be prepared.Parents: (00:24)Feeling more confident overallBaby is laughing and babbling, really interacting - this is when most parents fall in love with the babyStart wearing hair up / no jewelry - baby can grab objects!Development: (01:32)Social smile / laugh / happy feet Consoles selfBabblesDifferent types of cryingIndicates happy/sadResponds to affectionLift chest when prone, roll (typically front to back)Sleep: (03:02)Variable at this age; some have sleep regression, others are sleeping better than everSafe sleep: alone, on their back, in a crib.  (Time to move to a crib!)Crib should be in parents’ room until 1 year of age, new studies show babies sleep better in their own room starting at 4mos but it’s not an official recommendation yetNo blankets until 1 year, no pillows til age 2 - very high risk at this age - starting to rollStart a bedtime routine;  feed, brush teeth/gums with water, read, sing, set down awake but drowsy Things that can help, but only if they need it: blackout blinds, white noise machine, musicEating: (06:27)Primarily breastmilk or formula; starting to consider solids6-8x per 24 hours, 24-30oz per 24hCan take 4-6oz at a time and be full 4-6 hoursSigns of food readiness: showing interest in food, good head control while seated supported, loss of extrusion reflexHow to start solids: Baby-led weaning vs. purees (traditional)rice/oat cereal optional (pros/cons)progression green veggies - orange veggies - fruits; ok to give anything other than honey and cow’s milk (dairy products are ok)one new food every 3-4 days signs of food allergy: rash, vomitingWhen to start water (ounce per ounce with foods)Peeing/pooping: (17:11)They have found their pattern: typical 1-2x per day, the rule of 7’s still applies (until they start solids): once per week up to 7x per day is normal; after starting solids should be 1-3x per dayPeeing about 6x per 24hSkin: (17:54)Bathing 2-4x per week; wipe skin folds a few times per dayCan use lotion or cream or ointment after bathsSunscreen, insect repellant: any baby sunscreen is ok but not fully protective til >6mos, citronella works for insects and is safe Diaper rash and drool rash - might be infected if it lasts more than 2-3 days despite normal diaper cream (zinc-oxide-based like Desitin or petroleum-based like Vaseline or Aquaphor)Candida (yeast/fungal) - solid pink area with tiny pinpoint-sized pink dots around it (satellite lesions). Can try mixing apple cider vinegar and water 1:1, OTC antifungal cream, or call a doctor for a prescription for Nystatin.Teething: (22:25)Teeth can appear anytime; brush 2x per day with waterTeething toys, frozen washcloths, frozen fruit/breastmilk/formula in mesh bagsMedicines: tylenol (ask your doctor for the dose), topical teething gel like orajel4-month check up: (26:19)baby should have gained about 2-3lbs since last checkup, or should be about twice their birth weight (avg weight 14lb)Second round of vaccines: DTaP, Polio, Hib, PCV, rota (2 shots, one oral)Anticipatory guidance: Safety: never leave baby on high surfaces, use rear-facing car seat until age 2, avoid secondhand smoke, set water temp to 120'F to avoid scald burnsDevelopment: tummy time (30 mins twice a day), anticipate rolling, laughing, babbling. Can inspire rolling with toys placed just out of reach. They’re not sitting on their own yet or crawling (those are at 9 mos).Next WCC in 2 mos; same vaccines as the 2mo visit Resources discussed in this episode:The Baby Manual - Available on Amazon--Dr. Carole Keim MD: linktree | tiktok | instagram
Win an awesome bundle of vegan hair dye and accessories.The Baby Manual Podcast is running a competition in collaboration with Arctic Fox where you could be in with the chance to win a FREE complete hair transformation kit.How to enterEntering the competition is easy:Follow The Baby Manual podcast on YouTube (link here), Spotify (link here),  or Apple (link here).Fill in this form (link here)We'll pick a winner at random.We'll let the lucky winner know (with the email you've provided).Arctic Fox will be in touch to arrange shipping of your PRIZE.Check out Arctic Fox's website - use code DRKEIM at checkout for 15% discount.Important informationYour details will be shared with Arctic Fox so they can arrange shipping your prize. Arctic Fox don't ship to: Algeria, Argentina, Chile, China, Greece, Indonesia, Iran, Italy, Malaysia, Mexico, Peru, Russia, Spain, Republic of Türkiye, Ukraine, Uruguay, Vatican City, Venezuela, Vietnam, and International PO Boxes.—— Did you know an estimated 18 to 20 billion disposable diapers go into the landfills every year in the us? And those diapers take between 400 and 500 years to break down because of the plastic in them. HIRO Diapers is helping the planet and also helping parents out by not being any more expensive than regular disposable diapers.These diapers are made with no plastic. They also come with these packets of fungal spores that you can drop in the diaper. And when those go into the landfill, they grow into a fungus that eats the plastic around them so you can help the planet get healthier while also helping your baby.Check out the website. They also do a monthly diaper subscription. Use code DRCAROLEKEIM for a discount.  Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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