4-Month Visit

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Harvard Medical School
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4-Month Visit

Guiding Your Child Through The Infant Year
4-Month Visit
4-Month Visit
Find out what to expect at the 4-month visit.
InteliHealth Medical Content
The Infant Years



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Reviewed by the Faculty of Harvard Medical School

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4-Month Visit


Date Of Visit:____________________



Head Circumference:____________________

Things the doctor will do at today's visit:

  • Ask for an update on your baby's health.
  • Examine your baby.
  • Recommend one or more immunizations for your baby: DTaP (diphtheria, tetanus, pertussis/whooping cough), rotavirus, Hib, polio, pneumococcus, Hepatitis B.
  • Give you an opportunity to ask questions.

Things you may want to discuss at this visit:

Your baby's growth and nutrition.


Your baby's behavior and development.

Your baby's sleeping habits.


Your plans for returning to work or school, and child-care arrangements.


Any other concerns you have.


Things to keep in mind:

  • Always use a car seat : backward-facing in the back seat until your baby is 2 years old and reaches the maxiumu height and weight for the seat.
  • Do not put your baby to bed with a bottle or prop it in his mouth.
  • Establish a bedtime routine and put your baby to bed while she is still awake.
  • Never leave your baby alone on a changing table, bed, sofa, chair or other raised surface.
  • Keep small objects and harmful substances out of reach.
  • Avoid sun exposure by keeping your baby covered and in the shade when possible.
  • Do not introduce solid foods until 6 months.
  • Talk and sing with your baby.
  • Avoid TV and other media time.

Schedule an appointment for your baby's next visit, usually at 6 months of age.



Based on health-supervision guidelines from the American Academy of Pediatrics and from Bright Futures, which is funded by the U.S. Department of Health and Human Services, under the direction of the Maternal and Child Health Bureau.

Last updated July 31, 2014

29673, 29743,
Last updated July 31, 2014

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