Well-Child Checkups

Well-Child Care at 9 Months

Department of Pediatrics
University of Iowa Children's Hospital

Peer Review Status: Internally Peer Reviewed
First Published: January 2003
Last Revised: January 2003


Feeding

Your baby should continue having breast milk or infant formula until he is 1 year old. Most babies now take 6 to 8 ounces of formula 4 times a day. Encourage your child to drink formula and juice from a cup now. This is a good time to begin weaning from the bottle.

You can begin adding meat to your child's diet. Soft table foods also may be added. Let your baby try to self-feed.

By now your child probably has one tooth or more. After meals and before bedtime, try to wash off the teeth with a clean cloth.

Development and Discipline

Babies are starting to pull themselves up to stand. They love to bang things together to make sounds. They may start to say "dada" and "mama."

At this age, babies learn what "no" means. Say "no" calmly and firmly and either take away the item that your child should not be playing with or remove him from the situation. If your child continues to do what you told him not to do, you can put your baby in a playpen for 1 minute without any toys or attention from you.

Give your baby a choice of toys to play with and talk to him about the ones he chooses. During play you can give lots of kisses and hugs. Peek-a-boo is a favorite game.

Motor Skills

  • Goes from sitting to lying position unassisted.
  • May pull self to standing position.
  • Stands holding on to furniture.
  • Tries to move one foot in front of the other when held upright.
  • May try to crawl up stairs.
  • May begin to walk with assistance.

Language Development

  • Imitates the rising and falling sounds of adult conversation.
  • Imitates more speech sounds, but does not yet understand them.
  • Repeats sounds again and again.
  • Tries to move one foot in front of the other when held upright.
  • May begin to say "mama" or "dada" appropriately.

Emotional Development

Your Child:

  • Continues to resist doing what he does not want to do
  • Begins trying to imitate some parent behaviors
  • Loves showing off for family audience
  • May cry when parent leaves the room
  • May resist diapering

Using play to help your baby's physical development

What you can do:

  • Provide bright colored toys and toys like cars and trucks that move.
  • Provide toys that make noises--busy boxes that push, open, squeak and move.
  • Supply blocks and shapes that fit inside each other (measuring spoons and cups).
  • Play peek-a-boo games.
  • Help him build towers with blocks.
  • Roll a ball back and forth.
  • Use bath toys that float, squirt, or hold water.
  • Sing action songs together.
  • Read storybooks together.
  • Teach names of body parts by touching and repeating the name.
  • Teach sounds of animals. Point to animal pictures and make the animal's sound.
  • Make sounds that are easily imitated.
  • Play records, tapes, music boxes, and musical toys.

Sleep

A regular bedtime hour and routine are important. Babies enjoy looking at picture books. You may want to read one regularly with your child. A favorite blanket or stuffed animal may help your baby feel secure at bedtime. If your baby wakes up a lot at night, ask your doctor or nurse for advice.

Safety Tips

Car Seat Safety:

If your child reaches 20 pounds and is still riding in an infant seat, it is time for a new car seat. Some car seats can convert from a backward-facing infant seat to a forward-facing toddler seat. Car seats should face the rear of the car until your baby is one year old and 20 pounds. Carefully follow the manufacturer's instructions when installing new or converting old car seats for your child. For more information you can call the National Highway Traffic Safety Administration at 1-800-424-9393.

Avoid Choking and Suffocation:

  • Avoid foods on which a child might choke (such as candy, hot dogs, popcorn, peanuts).
  • Cut food into small pieces.
  • Store toys in a chest without a dropping lid.

Prevent Fires and Burns:

  • Practice your fire escape plan.
  • Check your smoke detector. Replace batteries if necessary.
  • Put plastic covers in unused electrical outlets.
  • Keep hot appliances and cords out of reach.
  • Keep all electrical appliances out of the bathroom.
  • Don't cook with your child at your feet.
  • Use the back burners on the stove with the pan handles out of reach.
  • Turn your water heater down to 120 degrees F (50 degrees C).

Prevent Drowning:

  • Never leave an infant or toddler in a bathtub alone--NEVER.
  • Continuously supervise your baby around any water, including toilets and buckets. Infants can drown in a bucket that has water in it. Empty all water and store buckets turned over.

Avoid Falls:

  • Make sure windows are closed or have screens that cannot be pushed out.
  • Don't underestimate your child's ability to climb.
  • Do not use walkers.

Prevent Poisoning:

  • Keep all medicines, vitamins, cleaning fluids, and gardening chemicals locked away or disposed of safely.
  • Install safety latches on cabinets.
  • Keep the poison center number on all phones. The poison control number in 1-800-222-1222
  • Ask your doctor about syrup of Ipecac. Use it only if you are told to do so.

Avoid cuts:

  • Remove or pad furniture with sharp corners.
  • Keep sharp objects out of reach.

Next Visit

Your baby's next routine visit should be at the age of 12 months. Please bring your shot card.

Additional Health Resources

Credits:

American Academy of Pediatrics
Pediatric Behavioral Health Advisor

 



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