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Well-baby visit: 6-9 months. All about baby development, child safety, baby health

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By Ricky Richardson & Suzanne Dixon BSc, MBBS, FRCP, FRCPCH & MD, MPH

Dr Ricky Richardson was brought up in Spain, educated in the United Kingdom at Eton College, and took his first Degree with Honours in Cell Biology and Immunology at the University of London. He then proceeded to study clinical medicine at the Middlesex Hospital Medical School, qualifying in 1973. Following three years as an intern and then resident in Internal Medicine, he turned to Paediatrics and he has remained in this field ever since.

Most of his paediatric career has been based at The Great Ormond Street Hospital for Children in London, but a considerable period of time has been spent overseas on specific assignments in Africa, Central America, Southeast Asia and the Middle East.

He spent five years in Brunei to devise and implement a comprehensive integrated paediatric service at the request of the Government of Brunei. He also spent two years in Muscat in the Sultanate of Oman as Senior Paediatric Consultant and advisor to the Ministry of Health.

In addition to his academic role, he was appointed Honorary Consultant Physician at The Great Ormond Street Hospital for Children, a position which he still holds. He is also a Consultant Physician at the Portland Hospital for Women and Children. His clinical interest is in children with specific learning and behavioural difficulties. In 1990, he co-founded Whizz-Kidz, a children’s charity which has become the largest supplier of mobility aids and specialist services to disabled children outside the NHS.

Dr Richardson is an acknowledged authority on the emerging field of e-Health and Telemedicine. He lectures frequently on the subject and is Chairman of the UK Telemedicine Association. He is also involved in an European working group mandated to facilitate e-Health and telemedicine activities across the European Community.

Dr Richardson is a Fellow of the Royal College of Physicians (FRCP), a Fellow of the Royal College of Paediatrics and Child Health (FRCPCH), a Fellow of the Royal Society of Medicine and a Fellow of the Royal Society of Tropical Medicine.

Dr Richardson is married and has two sons.

"I love this job!" says Suzanne Dixon. "I believe I can bring the best of information to families by the thousands every day. I'm not shy about tapping my colleagues and friends all around the country so that we can get the latest, best, and most sensible advice on every issue."

Suzanne Dixon, MD, MPH, was born and raised in Minnesota and graduated from the University of Minnesota, School of Medicine. She did her paediatric training at Massachusetts General Hospital in Boston and then completed a fellowship in Child Development at Boston's Children's Hospital. Dr Dixon joined the faculty at the University of California, San Diego, and did patient care, teaching, and research for 20 years. She ran a large newborn service, performed research in early child development, and was involved in many community outreach activities in maternal child health. Throughout her entire professional life she has maintained an interest in cross-cultural activities, living and working in many parts of the world, including Mexico, India, Kenya, Indonesia, and several countries from the former USSR.

Dr. Dixon is the author of numerous research articles, review articles, and textbook chapters in paediatrics, child and family development, and public health. Her textbook, written with Dr. Martin Stein, Encounters With Children: Pediatric Behavior and Development, has become a classic in child health education andis just coming out in its third edition. She has served as an associate editor for Infant Mental Health and currently reviews for several major paediatric journals.

Dr Dixon is a fellow of the American Academy of Paediatrics and served in national positions in that organization. She is a member of the Society for Paediatric Research, the Society for Research in Child Development, the American Public Health Association, and the Society for Developmental and Behavioral Paediatrics.

Dr. Dixon continues to lecture and consult worldwide on aspects of maternal, child, and family health. She practices behavioral and developmental paediatrics in Montana and works with local advocacy groups on education and women's health. Dr Dixon has been married for 25 years and has three sons. She and her husband travel frequently and enjoy being amateur anthropologists.

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From babbling and crawling to starting solid food, there's lots to discuss at this well-baby visit. What should you do if your baby clings to you, or screams at the sight of the doctor? Read on!

Well-baby visit: 6-9 months

This visit will probably take place when your baby is between 6 and 9 months old. Babies at this stage are still growing rapidly. By 6 months, a baby is sitting up, or getting ready to sit up and their back is straightening out. At 9 months your baby is on the move - exploring, investigating and experimenting.

But depending on your baby's age, baby health and baby development this visit could be quite exhausting. A 9-month-old may take one look at your health professional and scream. Don't be embarrassed - it's what we expect them to do.

The more time you allow your baby to take things in from the safety of your lap, the less upset they're likely to get. However, your baby's personality will come out in how they respond to this visit. Some can be coaxed into a smile and play; others will cling to mum or dad the whole time.


At this visit, your health professional will probably:

Weigh and often measure your baby . Click here to see our growth chart
Provide insights into your baby development, temperament and behaviour.

Help you teach your baby to form a good sleep pattern.
Review child safety, as your growing baby can get into more things every day now.


Other things that may be discussed:
Has your baby seen a GP since the last visit? If so, why? What was the outcome of that visit, and was any medication or treatment prescribed?
Does your baby have any teeth yet?
Does your baby 'talk'? Describe any babbling, laughing, squealing, imitating or coughing' they do.
How does your baby play with things? Do they put things in their mouth, drop     them or throw them? Can your baby pass something from hand to hand? Can they use their index finger to poke things?
What games does your baby know (peekaboo, pat-a-cake, wave bye-bye,     etc.)? What are their favourite toys and how does they play with them? Does     your baby shake them, bang them, drop them or throw them?
Can your baby sit up with support? Can they roll over both ways?
Or can your baby sit fairly well without support? Can they twist and turn from a stable sitting position? Can they get into a sitting position easily?
Does your baby turn their head towards you when you enter a room, even before you say anything?
Is your baby crawling or starting to crawl? Creeping, sliding and shuffling along are all legitimate forms of movement.
Can they pull themselves up to standing?
Can they use a pincer grasp to pick up small objects?

Exactly what you chat about from the list above will depend on your baby's age, baby health and baby development stage.


Talk it over

Your baby may be ready or getting ready to start eating solid foods. Tell your health professional about any baby health issues, any food allergies, asthma or eczema that run in your family.
Talk over any sleeping problems your baby may be having. Your health professional will be able to help.
If someone in your household or family has had tuberculosis, or any other serious contagious disease, your health professional will want to check your baby regularly to be sure they haven't been infected. Remind your health professional about any special issues identified at your child's birth. They may need to be checked again, through a hearing test or blood test, for example.

Tell your health professional if you're too anxious to let your baby play on the floor, or in a playpen, or if you don't know how to play with your baby.
Vitamins and/or iron supplements. Discuss vitamins with your health professional before you give them to your baby. If you're a vegetarian, take some extra time to talk about your baby's diet. B vitamins, iron and other minerals will be especially important to a baby if they're not eating meat. Discuss any special dietary issues in your family.
Child safety. This is the time you need to look closely at how safe your household is. Discuss what you've done to childproof your house so far and find out where to go in your local area in case of accidental ingestion or emergencies.You should also look at our child safety section
Discipline. It's best to get advice now, before your baby turns into a toddler with opinions of their own. Discuss limit-setting now.


Speak up!

Remember that this is your chance to talk over any concerns you may have. Things to raise may include:

your baby tends to use only one hand, favours one leg or seems to tilt to one side when they sit or move. Does your baby move in any way that concerns     you?
that your baby fails to turn to sounds or doesn't seem to hear well
they cross their eyes or doesn't seem to see well
they fail to make any sounds or make fewer sounds than before
they gag on food, always choke on liquids in a cup or can't keep food in their mouth
they fail to demonstrate a special relationship with you or other family members, or show no awareness or wariness of strangers
your baby appears pale
that they fail to show interest in toys and objects
they don't roll over - but remember that not all babies do things at exactly the same age.

Click here to return to Well-baby introduction


 
 
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am so glad i read this article cos am just on my way for my babys check up,am rest assured now of wh..

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