Clinical Reference Systems: Pediatric Advisor 10.0
Well Child Care at 6 Months
If you haven't started your baby on baby foods (other than
cereal), you can start now. Begin with fruits and
vegetables. You should start only one new food every 5
days. Do not start meats until your baby is 7 to 8 months
old. Don't start eggs until age 12 months. At meals give
the baby formula, or breast-feed your baby before giving any
Your baby should continue having breast milk or infant
formula until he is 1 year old. Your baby may soon be ready
for a cup although it will be messy at first. Try giving a
cup occasionally to see if your baby likes it. Don't let
him lie down with a bottle. This can lead to tooth decay or
Mix cereal with formula only. Do not mix it with sugar or
fruit. Use a spoon to feed your baby cereal, not a bottle
or an infant feeder. Sitting up while eating helps your baby
learn good eating habits.
At this age babies are usually rolling over and beginning to
sit by themselves. Babies squeal, babble, laugh, and often
cry very loudly. They may be afraid of people they do not
know. Be patient with your baby and meet your baby's needs
For more information see: Normal Development: 6 Months
Six-month-olds may not want to be put in bed. A favorite
blanket or stuffed animal may make bedtime easier. Be calm
and consistent with your baby at bedtime. If your baby is
not sleeping through the night, ask your doctor for further
information about preventing sleep problems.
Avoid Choking and Suffocation
- Cords, ropes, or strings around the baby's neck can
choke him. Keep cords away from the crib.
- Keep all small hard objects out of reach.
- Use only unbreakable toys without sharp edges or small
parts that can come loose.
- Avoid foods on which a child might choke (such as
candy, hot dogs, peanuts, popcorn).
Prevent Fires and Burns
- Develop and practice a fire escape plan.
- Purchase, install, and/or check your smoke detector.
- Keep a fire extinguisher in or near the kitchen.
- Check food temperatures carefully, especially if foods
have been heated in a microwave oven.
- Keep hot foods and liquids out of reach.
- Put plastic covers in unused electrical outlets.
- Throw away cracked or frayed old electrical cords.
- Turn the water heater down to 120ƒF (50ƒC).
- Keep crib and playpen sides up.
- Avoid using walkers.
- Install safety gates to guard stairways.
- Lock doors to dangerous areas like the basement or
- Check drawers, tall furniture, and lamps to make sure
they can't fall over easily.
Keep the following out of reach or locked away:
- cleaning supplies
- plumbing chemicals
- gardening chemicals
- paints and paint thinners
- agricultural chemicals.
At the 6-month visit, your baby should have a:
- DPT (diphtheria, pertussis, tetanus) shot
- Hib (Haemophilus influenza type B) shot
- hepatitis B shot.
Some health care providers may give your child a polio
vaccine either by a shot or by mouth at 6 months. Others
choose to give it at a later time. Both ways are safe and
Your baby may run a fever and be irritable for about 1 day
after the shots. Your baby may also have some soreness,
redness, and swelling in the area where the shots were
given. Acetaminophen drops (3/4 dropperful, or 0.6 ml,
every 4 to 6 hours) may help to prevent fever and
irritability. For swelling or soreness, put a wet, warm
washcloth on the area of the shots as often and as long as
needed to provide comfort.
Call your child's physician if:
- Your child has a rash or any other reaction to the shots
besides fever and mild irritability.
- Your child has a fever that lasts more than 36 hours.
Your baby's next routine visit should be at the age of 9
months. Please bring the shot card to each visit.