Four-Month Checkup


  • Continue with breast milk and/or formula with iron.
  • Solid foods are generally started sometime between 4 and 6 months of age.
  • Start with baby cereal such as rice cereal.  You may then give stage 1 baby foods, starting first with vegetables and then fruits.
  • Solid foods are usually given once or twice a day at this age.
  • Your baby still does not need any water or juice.
  • Breastfed babies should take a vitamin supplement, either Tri-Vi-Sol with iron or Poly-Vi-Sol with iron, 1 ml (one dropper) daily.

Sleep Position:

  • Continue to place your baby on the back only to sleep.
  • Once your baby is able to roll over well, your baby may choose his or her own sleep position.
  • Tummy time: Let your baby spend time on his or her tummy during every awake period.
  • REMEMBER: “Back to Sleep, Tummy to Play”

Car Seat:

  • Your baby should always ride in a car seat facing backwards in the back seat of the car.
  • Your baby should never ride in the front passenger even with an airbag.


  • Normal development for babies between 4 and 6 months of age:
  • Smiling, laughing, cooing
  • Pushes up with arms, improved head control
  • Rolls over, sits with less support
  • Reaches for objects and puts everything in mouth
  • Turns head to noise


Flu Vaccine:

  • Flu vaccines are available every fall for all infants 6 months and older
  • The first year that infants get the flu vaccine, they need two doses given at least one month apart to be protected.

Next Checkup:     In 2 months when your child is 6 months old

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