Well Child Visits

9 Month Visit

At this visit, your doctor will …

  • Check baby’s weight, length and head circumference.
  • Do a physical exam with your baby undressed while you are present.
  • Discuss baby’s development.
  • Address any concerns/questions you may have.
  • Immunizations: No vaccines at this check-up unless there is a need to catch up.

Feeding

  • Be patient with baby as he/she learns to eat without help; Being messy is normal.
  • Give 3 meals and 2-3 snacks each day.
  • Start giving more table food; Avoid raw honey and chunks that could cause choking.
  • Vary the thickness and lumpiness of baby’s food.
  • Do not give baby soft drinks, tea, coffee and flavored drinks.
  • Avoid forcing baby to eat; Babies may say no to a food 10-12 times before trying it.
  • Help baby to use a cup.
  • Let your doctor know if baby has had any reactions (such as throwing up, diarrhea, or a rash) to a new food.

Sleeping

  • The average amount of daily sleep is about 12 to 16 hours.
  • Your baby is probably still taking two naps a day — one in the morning and another sometime after lunch —
    but every baby is different. Waking at night is common at this age.
  • Check on, but do not pick up baby if he/she wakes at night.
  • If you haven’t lowered baby’s mattress all the way, make sure you do so now.

BACK-TO-SLEEP

(guidelines for reducing the risk of SIDS, Sudden Infant Death Syndrome)

  • Always place baby to sleep on his/her back
  • In your room in a bassinet or crib not in your bed
  • In crib which meets current safety standards: Bars should be no more than 2 3/8 inches apart. Allow no more than a width of 2 adult fingers between the crib mattress and frame. For full crib safety and standards visit www.cpsc.gov
  • Use a firm mattress without any bumpers, blankets, quilts, pillows, plush toys, ribbons or ties
  • Avoid overheating by keeping the room temperature comfortable
  • Consider putting your baby to sleep sucking on a pacifier

Routine Baby Care

General Care

  • Keep Daily routines for baby; Continue feeding, sleeping, bathing and playing routines.
  • Make the hour before bedtime loving and calming.
  • Watch over baby as he/she explores inside and outside of the home.
  • Avoid yelling or scaring baby.

Healthy Teeth

  • You may notice more teeth beginning to erupt in baby’s mouth. If your baby has pain, use a cold teething
    ring. Talk to your doctor before giving acetaminophen for pain.
  • Continue to clean baby’s gums and teeth as soon as you see the first tooth. Use a soft cloth or toothbrush
    with a small smear (size of a grain of rice) of fluoride toothpaste.
  • Do not give a bottle in bed or prop the bottle
  • Have regular times for baby to eat. Do not let him/her eat all day.

Tips for mom

Take care of yourself:

  • Call on others for help.
  • Encourage your partner to care for baby.
  • Spend time socially with your partner, family and friends. Consider forming a parent group.
  • Choose a mature, responsible caregiver or babysitter.
  • Talk with us about your child care choices.

Development

  • Separation anxiety is common around 9 months, and baby may cry when you leave. Stay calm, and keep goodbyes short and loving.
  • Talk, sing and read with your baby daily.
  • Show and tell baby in simple words what you want him/her to do.
  • Play interactive games such as peekaboo and patty cake. Name baby’s features as you touch them (Ex. hand, nose, ears, mouth, etc).
  • Give baby balls, toys that roll, blocks and containers to play with.
  • Limit screen time for your baby (TV, videos, computers, phones).
  • Help baby when he/she needs it.

By 9 months, it’s common for many babies to:

  • say “mama” and “dada”
  • understand “no”
  • sit without support
  • pull to stand
  • walk along furniture (“cruising”)
  • start to use thumb and forefinger to grasp objects (pincer grasp)
  • wave bye-bye
  • enjoy playing peek-a-boo

     * All babies develop at different rates, and meet developmental milestones differently.

Safety

Car Safety

  • Visit healthychildren.org for complete car seat guidelines provided by the American Academy of Pediatrics (AAP).
  • Make sure car seat is installed correctly (the Fire Department will check car seats for correct installation)
  • Make sure seat is rear-facing in the back seat, and never in the front seat with a passenger side airbag
  • Never leave baby alone in the car
  • Always wear a seat belt, and do not drive under the influence of alcohol or drugs

Child Safety Seat Inspection:
1-866-SEATCHECK (732-2432) or www.seatcheck.org

General Safety

  • Do not smoke/vape or allow others to smoke/vape around baby
  • Do not leave baby unattended
    • Never leave a baby alone with siblings or pets, in the bath, on a changing table, or any other raised surface.
  • Make sure your home’s water temperature is set to below 120º F
  • Do not carry or drink hot liquids while holding baby
  • Test baby’s formula temperature with your wrist
  • Keep small objects such as balloons, bags, toys from other children away from baby.
  • Never feed baby hard pieces of food such as raw carrots, hot dogs, grapes, apples, peanuts, and popcorn.
  • Do not use a baby walker as they are more likely to cause accidents.
  • The kitchen is a dangerous place. Avoid letting baby crawl in kitchen by using a playpen or high chair.
  • Don’t leave hot irons or hair care appliances plugged in.
  • Never feed baby hard pieces of food such as raw carrots, hot dogs, grapes, apples, peanuts, and popcorn.
  • Lock up all cleaning cleaning supplies, medicine, an poisons. Call Poison Help if your baby eats them.
  • Keep up with childproofing:
    • Place gates on stairs, and close doors to rooms where baby might get hurt.
    • Lock up all cleaning cleaning supplies, medicine, and poisons. Call Poison Help if your baby eats them.
    • To prevent drowning, close bathroom doors, keep toilet seats down, and always supervise around
      water (including baths).
    • Don’t leave hot irons or hair care appliances plugged in.
    • Keep small objects such as balloons, bags, toys from other children away from baby.
    • The kitchen is a dangerous place. Avoid letting baby crawl in kitchen by using a playpen or high chair.
      Turn pot handles inward on the stove.
  • Protect your child from gun injuries by not keeping a gun in the home. If you do have a gun, keep it unloaded and locked away. Lock up ammunition separately. Make sure kids cannot access the keys.
  • Avoid sun exposure by keeping your baby covered and in the shade when possible. You may use sunscreen (SPF 30 or higher) if shade and clothing don’t offer enough protection.

When to Call

Call Doctor

  • Fever: Rectal temperature below 96.8º or above 100.4º
  • If you suspect baby is not acting normal for any reason

Medication

  • Always follow the advice of your doctor when giving any medication.
  • Use our Medication Dosing Chart as a guideline for the appropriate dose of Tylenol (acetaminophen) or
    Advil/Motrin (ibuprofen) to give baby.

What our parents say

  • “Southeastern Peds is filled with friendly, caring people. I know that my son is in great hands. I will continue to recommend SEP to other friends and family!”

    Mom to Justin

  • "Awesome nurses, staff, and doctors - I would recommend any of them. They listen to every concern - big or small. Same-day appointments are a bonus. I love this place!"

    Mom to Joey, Carsen, & Patrick

  • "I have been using this facility for 24 years. My own 2 children were patients and now my 2 grandchildren are patients. I think that speaks volumes about my confidence in this facility. Keep up the good work.”

    Grandmother of Bryar & Abbi

  • "Great staff! We have been several times during the COVID period, and we have gotten quick and excellent service. We love the text check in and waiting in the car.”

  • "Great service. Friendly staff. Excellent physicians!”

    Mom to Sophia & Victoria

    Office Hours

    *Closed for Lunch 11:45AM - 12:45PM
    Monday - Friday 8:00 AM - 5:00 PM
    Saturday 8:00 AM - 11:00 AM
    Sunday 2:00 PM - 4:00 PM

    © 2018 Southeastern Pediatric Associates, P.C., All Rights Reserved.
    Website Design | Tim Tolleson Design