Infant | Fit Pregnancy


Flu Shots for Babies


The American Academy of Pediatrics recommends that everyone over six months of age take the flu shot. "I agree with the recommendations of the AAP and regularly give flu vaccines to my patients 6 months and older. It is the best way to protect children from getting the flu," Clare Bush, M.D., a pediatrician at Columbia University Medical Center Pediatrician said.

The Truth About Teething

When it Starts

Between 4 and 6 months of age, teeth begin pushing through sensitive gum tissue. As a result, your baby will likely drool more and want to chew on anything near his mouth. The first tooth, often a front bottom one, typically erupts at about 7 months, though getting a first tooth as late as 15 months is still normal, says Bill Stratbucker, M.D., a pediatrician at Helen DeVos Children's Hospital in Grand Rapids, Mich., and an assistant professor of pediatrics at Michigan State University. A full set of 20 baby teeth is generally in by 2 1/2 years.

Soft Spot


Yes, it's bigger than average, and no, you don't need to worry about it. A very large fontanel, or "soft spot," can be a sign of extraordinarily rare diseases and syndromes like dwarfism or hydrocephalus, but believe me, your doctor would know if either of these conditions was present.

Liquid Measure


The key to hydration at any age is to keep the quantities of liquid very small. Don't allow your child to take sips (or gulps) of water or an electrolyte drink; rather, give only a teaspoon every five to 10 minutes or so. When he is able to hold this much down, increase his intake to 2 teaspoons. Yes, he will be thirsty and unhappy, but if you allow him to take sips, he'll get tablespoons of fluid and throw up again.

Double Trouble?


"Two in a family" visits that include a toddler typically don't work as well as individual appointments. But if you can't do it any other way, make the experience smoother for all involved by following these tips:

Dress to undress No putting your baby in bodysuits that have to be snapped and unsnapped; dress her in a shirt that pulls over her head easily. Avoid leggings or tights for your older daughter; put her in underwear she's proud of (if she's out of diapers) so she'll be happier to get undressed.

Baby Bites


The American Academy of Pediatrics and virtually all other experts advise against introducing solids before 6 months of age, so I'd wait awhile before giving him any more. (Babies are not meant to digest solids at 4 months, as you have observed.) When you do offer solids again, start with small amounts of fruits and vegetables, such as applesauce, pureed carrots, smashed pears or sweet potatoes; try them for a few weeks or more before offering oatmeal or cereal grains.

Protect Your Baby's Choppers

The most prevalent childhood disease is dental caries (aka cavities), but thankfully, cavities are largely preventable--as long as you start caring for your baby's teeth as soon as they sprout, usually at 6 to 9 months. "It only takes a couple of months for cavities to form," warns Joel Berg, D.D.S., M.S., a professor of pediatric dentistry at the University of Washington School of Dentistry in Seattle. Here's how to avoid early-childhood tooth decay.

Baby Spacing


In more than 100 years of observing women having children, physicians and medical researchers have noted that the natural timing between pregnancies for healthy women who are breastfeeding and not using birth control tends to be between 18 and 24 months. What's more, a 2006 study published in the Journal of the American Medical Association concluded that spacing pregnancies less than 18 months or more than 59 months apart appears to be associated with a greater risk of problems such as preterm birth and low birth weight.

Milk and Coffee


Most experts recommend caffeine in moderation--that is, one to two cups of coffee daily--while breastfeeding. Since the servings you're having are not the "grande" size, you and your baby should be just fine. (This is one aspect of breastfeeding where cup size does matter!)

Easing baby into his crib


I recommend a very gentle approach. Start by nursing your son for a shorter time in his own room and soothing him to sleep by patting and rubbing him through the bars of the crib. Do this for a few nights; for another few evenings, soothe him to sleep with no nursing. Finally, spend several nights talking to him until he falls asleep, with no rubbing or patting. I don't pretend this is a "no-cry" solution, but your baby's distress will be mitigated by your or your husband's presence. For more information, visit