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| Home > Mercy Medical Group > MMG Health Information > Children and Adolescences > Growth and Development |
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Pediatric Development - 9 Months of Age |
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DEVELOPMENT
At this age, your baby can sit up with a straight back indefinitely without
support. Babies may be able to pull themselves to a standing position and
"cruise" (walk holding onto furniture) and may creep or crawl. They now grasp
objects with a "pincher" grasp using their thumbs and forefingers, uncover
hidden toys and release objects grasped by another person. They begin to make
repetitive sounds such as "dada" and "mama" and respond to their name. They may
play games such as peek-a-boo and patty-cake and may wave good bye.
STIMULATION
Encourage your baby's vocalizations by continuing to talk and sing to him or her
during feedings, dressings and playing. Read him or her books and show your baby
pictures, talking about the pictures and pointing out objects in the pictures.
Allow your baby to explore in a safe area of the home, free of small objects,
plants and other things that may be dangerous. Provide him or her with plenty of
toys such as stuffed animals, musical toys and balls; but remember that babies
put most toys in their mouths, so avoid small toys and toys with sharp edges.
DISCIPLINE
As a baby's mobility increases, the need to set and keep limits consistent also
increases. Since a baby's natural curiosity about everything he or she
encounters is vital to normal development, you cannot allow that curiosity to
endanger him or her. Clear and consistent limits are essential. Remember that
your baby has a short memory, so you have to discourage the same behavior
frequently. Use distraction, physical presence, structure and routines to do
this.
Set a bedtime routine and stick to it. Have the baby continue to fall asleep in
the crib, and as a general rule, discourage nighttime awakening by not feeding
or rocking the baby back to sleep when he or she awakes.
Avoid using the word "no" too often, because this will lessen the meaning.
Reserve it for situations where the baby is potentially endangered by his or her
actions. Immediate discouragement is also important when you see your baby
heading toward something with which he or she should not play. Remember to
praise good behaviors.
NUTRITION
At 9 months of age, more of your baby's calories should come from solid foods.
Avoid starting cow's milk until you discuss this with your child's physician. If
you have not introduced junior or table foods yet, this represents a good time
to do so. It will increase both the texture and variety of foods in your baby's
diet. Table foods should be soft, mashed or finely chopped. Avoid small hard
foods such as peanuts, raisins or whole beans, since your baby may choke on
them. As your baby's coordination improves, he or she may begin to feed him or
herself. Finger foods, such as well-cooked pasta and cereals are enjoyable for
most infants. Give your child a baby spoon with which to play. You can help your
child begin to feed him or herself. Only introduce one new food every three to
five days.
BOTTLE WEANING
Ideally, you should wean your baby from the bottle by 1 year of age. Drinking
from a cup should be introduced by this time, too. A trainer cup with a snap lid
is best for this. At first, help your baby to maneuver the cup to the mouth and
tip it so he or she can drink. Do not be surprised if your baby treats the cup
as a toy at first. Until he or she stops playing with the cup, just put water in
the cup to minimize the mess.
IMMUNIZATIONS
Your child may be receiving immunizations at the 9-month visit. Discuss with
your physician which immunizations your child should receive and the potential
side effects. To help with the possibility of some of the side effects, TylenolŪ
(acetaminophen) may be given every four to six hours over the next 24 to 48
hours. If you have any questions about your child's reaction to the vaccine,
please talk with your health care provider.
SAFETY
At this age, your baby is more mobile and new dangers exist. Your infant may now
be able to climb. Do not leave your baby unattended in rooms where he or she can
climb on furniture. A playpen may be useful for short periods of time.
- Gate the bottom and top of stairways so your baby does not have access to
stairs
- Never leave pots or heavy objects near the edge of tables
- Cook on back burners when possible, and turn pots so that the handles
point to the back of the stove
- Do not carry hot foods or liquids near your baby
- Keep surfaces such as coffee tables and sofas clear of small objects that
may cause your baby to choke
- Take precautions to prevent accidental ingestion
- Keep the poison control center number 314-772-5200 or 1-800-366-8888 near
your phone
- Keep one bottle of syrup of ipecac per child in the home. Always call the
poison control or your physician before giving syrup of ipecac.
ILLNESS
Call your doctor if your child develops extreme irritability, lethargy,
breathing difficulties or fever. Minor illnesses, such as colds can be treated
without a visit to the doctor; however, you may call with questions or concerns.
SOURCE: American Academy of Pediatrics; Bright Futures
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