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Four Months

We will take your baby's measurements at every well child check. We will go over developmental milestones. Please fill out the developmental checklist by clicking the button below. 

Vaccines are due at this visit. See the vaccines page to read about each vaccine that will be administered.

Anticipatory Guidance

Daily Care

Your baby should be very expressive by four months; cooing, giggling, and possibly squealing. They should be reaching for and attempting to grasp toys and objects. Your baby should be more comfortable on their belly and be able to push up to forearms and hold head up well. Some will be rolling from front to back. We encourage lots of floor play and loving interactions with books and toys. Babies do not need any screen time at all.

Continue with breastmilk and/or formula. Some babies may be ready to attempt pureed foods. We recommend starting purees between 4-6 months of age. Start with vegetables; carrots, sweet potatoes, or squash. Go slow until you baby becomes eager for it. Introduce different foods at a pace of 1 per week or so.


Continue to ensure your baby has a safe sleeping environment free from heavy blankets or pillows. Monitor for signs of infection and call if your baby is coughing, breathing abnormally, or vomiting. A fever is common and not necessarily an emergency at this point. But give us a call and let us know.

Depending on the season, you may need to monitor for sun exposure. We recommend keeping your baby in the shade, putting UV protectant clothing, and a hat on your baby. If sunscreen is a must, keep the application as limited as possible.

Monitor the car seat and make sure your baby still appropriately fits. 

Never shake or throw your baby. If you are feeling overwhelmed, sad, angry, or anxious, please contact someone in your support system for help, and let us know as well.


Prior to the visit, please complete the Developmental checklist by clicking the link above.

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