Four Month Check-Up

  • Well Visit Checklist
    • Check Vitals
    • Vaccines
    • What to expect at this age

    Breastfeeding
    • On-demand, typically 4-6 feedings a day
    • Continue Vitamin D Supplementation

    Bottle Feeding
    • On-demand, typically 4-6 bottles a day

    Starting Solids
    • You may introduce small amounts of pureeds at this time, if you baby is showing signs of readiness.
    • Signs include: decreased tongue thrust reflex Holds head up on forearms
    • Opens mouth easily
    • Sits with support
    • Most babies show signs of readiness closer to 6 mos of age and deferring solids until this time is preferred.

  • Sleeping
    • Baby may start to sleep 6 to 10 hours a night
    • Continue putting baby on their back to sleep
    • Put baby in crib when drowsy to allow to self soothe
    • Develop a daytime schedule

    Development
    • Smiles spontaneously
    • Enjoys social interactions
    • Bring hands together
    • Likes to put hands in mouth
    • Drools
    • Babbles vowel sounds and other noises
    • May start to purposely roll over

    Safety
    • Make sure baby's seat is rear-facing
    • Sunscreen should be used if prolong sun exposure is expected
    • Never leave baby unattended on elevated surfaces or in bath
    • Keep small objects out of reach

  • Downloads
    4 Month Visit

    Immunizations
    DTaP, IPV, Hib, PCV13, RV1

    Please Download, Fill Out, and Bring to Your Appointment
    EPDS English
    EPDS Spanish

Six Month Check-Up

  • Well Visit Checklist
    • Check Vitals
    • Maternal Depression Screen
    • Vision Screen
    • Fluoride Varnish
    • Maternal Resource
    • What to expect at this age
    • Vaccines

    Breastfeeding
    • On-demand, typically 4-6 feedings a day. Continue Vitamin D supplementation

    Bottle Feeding
    • On-demand, typically 4-6 feedings a day

    Starting Solids
    • Start feeding your baby rice cereal and/or Stage 1 Fruits and Vegetables with a spoon 2-3 times a day
    • Allow baby to eat until finished
    • You may also start finger foods at this age; however, remember to always feed your baby in a seated position
    • If your water supply is from a well, ask about a fluoride supplementation

  • Sleeping/Hygiene
    • Baby may start to sleep 6 to 8 hours a night • Continue putting baby on their back to sleep unless baby can roll over and prefers tummy
    • Nap schedule more stable
    • Secure or remove all crib bumpers
    • Begin brushing as soon as your child’s first tooth begins to show
    • Brush your child’s teeth with fluoride toothpaste twice each day after their first and last meal to help prevent cavities

    Development
    • Recognizes familiar faces
    • Uses different vowel sounds and begins to use consonant sounds
    • Holds head up well
    • Starts to sit alone
    • May begin to crawl around
    • Stranger anxiety

  • Safety
    • Make sure your baby's car seat is rear facing
    • Start childproofing your home
    • Insect repellants are now safe to use ("family" or "child approved")
    • Keep small objects out of reach as your baby will begin to put objects in his or her mount
    • Remember water safety and be aware of potential ingestions/poisonings

    Downloads
    6 Month Visit
    Fluoride Varnish Educational Brochure
    Brushing Your Child’s Teeth
    Edinburg Postnatal Depression Screen
    Postpartum Resource Guide Flat
    Responsive Feeding
    Solid Food

    Immunizations
    DTaP, PCV13, HBV, IPV, IIV (seasonally)

    Please Download, Fill Out, and Bring to Your Appointment
    EPDS English
    EPDS Spanish

Nine Month Check-Up

  • Well Visit Checklist
    • Check Vitals
    • SEEK
    • Fluoride Varnish
    • Ages and Stages Developmental Screen (ASQ)
    • What to expect at this age
    • Seasonal Flu Vaccine

    Breastfeeding
    • On demand typically 4 feedings a day
    • Continue Vitamin D Supplement

    Bottle Feeding
    • On demand, typically 4-5 bottles per day

    Starting Solids
    • You should be feeding your baby a combination of pureed foods (stage 2) and finger foods at least 3 times a day
    • Allow your baby to determine when he or she is finished
    • If you water supply is from a well, continue fluoride supplementation

  • Sleeping/Hygiene
    • Most babies will sleep 8-10 hours at night and take 2-3 daytime naps
    • Nighttime awakenings may increase due to separation anxiety
    • Develop a consistent bedtime routine and allow baby to put self to sleep
    • Try not to pick up or talk to your baby during nighttime awakenings
    • Briefly soothe and allow him/her to put him/herself back to sleep
    • Begin brushing as soon as your child’s first tooth begins to show
    • Brush your child’s teeth with fluoride toothpaste twice each day after their first and last meal to help prevent cavities

    Development
    • Lots of social interaction
    • Stranger anxiety
    • Separation anxiety
    • Using lots of sounds
    • Developing object permanence
    • Plays peek-a-boo and so big
    • Crawls, pulls to stand, cruises

  • Safety
    • CHILDPROOF your baby's environment
    • Water safety/accidental falls/poisonings
    • Make sure your baby's car seat is rear facing
    • Sunscreen and Natural or DEET containing insect repellants are safe to use
    • Remember, exploring babies are dangerous babies

    Downloads
    9 Month Visit
    Developmental Screen
    SEEK Parent Questionnaire
    CPA Resource List
    Fluoride Varnish Educational Brochure
    Brushing Your Child’s Teeth

    Immunizations
    IIV (seasonally)

    Please Download, Fill Out, and Bring to Your Appointment
    PEARLS English
    PEARLS Spanish
    ASQ (English)
    ASQ (Spanish)

12 Month Check-Up

  • Well Visit Checklist
    • Check Vitals
    • Vision Screen
    • Fluoride Varnish
    • Anemia & Lead Test
    • What to expect at this age
    • Vaccines

    Breastfeeding
    • On-demand, typically 4 feedings a day, continue Vitamin D supplementation

    Bottle Feeding
    • Wean to cup, change to whole milk, provide 3 dairy servings daily

    Starting Solids
    • Most babies will be on table/finger foods and self feeding with hands
    • A portion size is about the size of your baby's fist
    • Avoid peanut butter and shellfish until 2 years old
    • If you water supply is well, continue with fluoride supplementation

  • Sleeping/Hygiene
    • Should be sleeping through the night with only occasional nighttime awakenings
    • 1 to 2 naps per day
    • Continue a consistent bedtime routine and allow baby to put self to sleep
    • Brush your child’s teeth with fluoride toothpaste twice a day after their first and last meal to help prevent cavities
    • Schedule first dental exam

    Development
    • Lots of social interaction
    • Stranger anxiety
    • Separation anxiety
    • Using lots of sounds
    • Developing object permanence
    • Plays peek-a-boo and so big
    • Crawls, pulls to stand, cruises

    Safety
    • CHILDPROOF your baby's environment
    • Water safety/accidental falls/poisonings
    • Make sure your baby's car seat is rear facing
    • Sunscreen and Natural or DEET containing insect repellants are safe to use
    • Remember, exploring babies are dangerous babies

  • Downloads
    12 Month Visit
    Fluoride Varnish Educational Brochure
    Picky Eaters
    Finger Foods
    Baby’s 1st

    Immunizations
    HAV, PCV13, IIV, Hib, Hemoglobin /Lead Level

    Please Download, Fill Out, and Bring to Your Appointment
    PEARLS English
    PEARLS Spanish
    ASQ (English)
    ASQ (Spanish)

JAMES ISLAND
776 Daniel Ellis Dr. Bldg 2,
Suite A
Charleston, SC 29412
Office
843.795.8100
Fax 843.722.3010

MOUNT PLEASANT
1952 Long Grove Dr. Suite 202
Mount Pleasant, SC 29464
Office
843.971.2992
Fax 843.971.2998

SUMMERVILLE
2015 2nd Ave, Suite 101
Summerville, SC 29486
Office
843.737.9465
Fax 843.737.9466

WEST ASHLEY
2067 Charlie Hall Blvd.
Charleston, SC 29414
Office
843.573.2535
Fax 843.573.2534