4 Months

Healthy Habits


  • Infants this age may start showing signs that they are ready for solid foods – these signs include:
    • ability to hold their head up
    • good trunk control – they are able to sit in a bouncy seat or reclined high chair without falling to the side
    • showing signs of readiness like opening their mouth when they see others eating
  • Most babies will still get most of their nutrition from breastfeeding or formula
  • It is generally recommended that babies start their journey into solids with a single grain infant cereal (rice, oat or barley).  This should always be offered from a bowl with a spoon, not mixed into their bottles.  Start with mixing a small amount of cereal with breast milk or formula to a consistency slightly thicker than the liquid alone.  Start with offering the solid once a day
  • Normally, babies will “spit out” or make faces with feeding in the first week – they are going through the learning process of creating a bolus of food and completing a coordinated swallow
  • Here are some basic guidelines for solid advancement:
    • start with thin purees of fruits and veggies (generally stage 1 baby foods)
    • start with single ingredient purees and leave 3-5 days between feedings to make sure there are no allergic or tolerance issues
    • you may slowly thicken the purees (stage 2) and give combinations of purees as long as it contains only 1 new ingredient
    • meats and broken down dairy like yogurt and meats are generally started after 6 months of age

Infant Care


  • Babbles, coos, smiles, laughs
  • Holds own hands and reaches for objects
  • Raises body on outstretched arms
  • Rolls from stomach to back
  • Recognizes faces and voices
  • Developing own personality

Family Relationships

  • Take time for oneself and with partner
  • Keep in contact with friends and family
  • Have siblings “help” when possible and spend private time with them


  • Pediarix (DTaP, IPV, Hep B)
  • HIB
  • pneumococcal vaccine 13
  • Rotavirus oral vaccine