Dr. Carole Keim MD introduces everything to know about babies at 9 months of age in this episode. She details developmental milestones and safety considerations for the 9 to 12 month age range and lets you know what to look for.Dr. Keim encourages parents to have date nights at this stage, to leave your baby with a trusted sitter, and also to start really talking out any parenting differences that may have appeared. She talks about all the ways in which your baby will have developed, from object permanence to repetitive sounds, and covers sleep, nutrition, and teeth as well. This is the age to really start baby proofing your home with outlet covers and stairway gates, and Dr. Keim also shares advice on skincare and the 9 month check up.This episode will cover: ParentsDevelopmentSleepNutritionTeethEliminationSkin CareSafety9 Month check-upParents: 00:26Typically have routines downEngage with child often by speaking with/to them, waiting for them to respondInfant should be able to separate or move away from parent for moments, but will check back to look at themHave a “yes” spaceHave regular date nights with a babysitter watching babyMake time for yourselfHang out with friends Use consistent positive discipline (notice/comment on good behavior, avoid using the word “no” and instead tell them what they CAN do, use distraction, be a role model) Development: 03:00Stranger anxiety / apprehensionSeeks out parentUses repetitive consonant and vowel sounds while babblingSays mama or dada (not specific)Points out objectsHas object permanenceInteractive games (responds to peek-a-boo, cause-and-effect toys)Explores environment with eyes, body, and mouthSome movement across floorCan start weaning pacifier Sleep: 05:2010-12h at night, 2 naps per dayBedtime routine established: quiet time, reading, singingIn crib in parents room; consider moving to own room when 1 year oldStill no blankets until 1 year oldNo bottles in bedNutrition: 06:213 meals and 2-3 snacks per day at the same time as the familyOffer a variety of foods and textures Should be consuming 24-30oz of breast milk or formula dailyCan have water; can start using a cupNo cow’s milk or honey until 1 year of ageShould be eating greens daily; ok to have meat; supplement with iron if not eating greens daily or red meat 3x per weekLots of oral exploration at this age; they might get into dog food/water, eat crumbs off the floor, eat rocks/sticks/dirt outside Teeth: 09:59Brush teeth BID with fluoride-free toothpaste; if there is no fluoride in water source can use a grain-of-rice sized amount of fluoride toothpaste If no teeth yet, brush gums BID with plain water and toothbrushFirst dentist visit will be at 1 year of ageElimination: 11:10Can start potty training by putting baby on potty after eating and upon wakingTypically voiding at least 6x per day, stooling 1-2x per dayIf baby is constipated: first increase water intake, increase fiber (fruit and veggies), then consider prune juice or pear juice 2oz 1-2x per day.  If not enough, talk to your doctor about miralax.Skin care: 13:29Bathe as often as they get dirty (2-3x per week)Can use lotion Use sunblock if spending more than 30 mins outside Insect repellant for babies (citronella based is best)Safety: 14:54Baby proof the house - outlet covers, stairway gates, barriers around space heaters, cleaning products locked away, electrical cords out of reach Keep baby in arms or a high chair or playpen in the kitchen and bathroom; never allow baby to be alone in those roomsSet water temp to 120’F Avoid secondhand smokeRear facing car seat until age 2Don’t leave heavy objects or hot liquids on tablecloths or coffee table Save poison control number in your phone 9mo Checkup: 18:40Expect them to tear up and try to eat the exam room paperThey try to eat my stethoscope and badge Full head-to-toe examPostpartum depression screeningNo vaccines this visit, other than flu and covidNext checkup is at 1 year of age (after first birthday); will do vaccines at that visit Reminder that after 1 year of age should have their first dentist visit and eye exam at ophthalmologist All of the information in this episode is also in The Baby Manual book, which is available for purchase. Remember it is always okay to call your doctor or emergency services if you have concerns about your baby’s health.  Resources discussed in this episode:The Baby Manual - Available on Amazon--Dr. Carole Keim MD: linktree | tiktok | instagram 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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