Healthy Together Baby’s Next Steps – 4 Month Group

Aims for the session Registration Housekeeping Introducing Solid Foods Vitamins Oral Health Promoting Development Play and Stimulation Sleep Safety Immunisation Infant and Maternal Mental Health Smoking

What's the difference between choking and gagging? Introducing Solid Foods Finger Foods What about milk? What's the difference between choking and gagging? Finger Foods First Foods- getting started How much to food to give? The difference between choking and gagging http://www.nhs.uk/video/Pages/my-young-child-is-choking-what-should-i-do.aspx?searchtype=Tag&searchterm=Information+Service+for+Parents__0+to+3+months&offset=49&

Foods to Avoid Salt Sugar Honey Whole-Nuts Unpasteurised Cheese Low Fat Food Shell Fish, Shark and Marlin

Vitamins When to introduce vitamins Do we need vitamins Healthy start vitamins A,C & D

Happy Teeth = Happy Smiles Oral Health Offer cup of water at 6 months •Stop bottle by 12 months – drink from free flow or open cup •Gums red, one cheek flushed, dribbling, gnawing + chewing •Register your child with a dentist – in case of fall and teeth fall out dentist quicker than A+E •Smear of toothpaste – small amount of fluoride •Baby’s first tooth comes through, start to brush them twice a day – getting them used to routine •Baby toothbrush • Family oral heath: twice a day, dentist, toothpaste, spit don’t rinse etc See slide 6 months No clean flannel toot brush Happy Teeth Happy smiles Teething information up to date Different types of tooth paste Link with family dental health – etc spit not rinse Happy Teeth = Happy Smiles

Promoting Development at 4 months Reduced Screen Time Recognises familiar faces Laughs, gurgles and coos Reaches out to grab toys Attempts to roll on side Reduced Screen Time Watch their hands and chew Quieten at sound of familiar voice Follows and tracks a rattle Singing and looking at books Sits Supported Being Together & Talking

Safety Close supervision of baby Car safety Sun safety Safety around pets Sleeping position Use of safety harnesses Hot drinks Water safety Rolling / moving Smoke alarms / CO” detectors

Safer Sleep for Babies Things you can do; Things to avoid; Always place your baby on their back to sleep in a clear cot or Moses basket Never sleep on a sofa or in an armchair with your baby Don’t sleep in the same bed as your baby if you smoke, drink or take drugs or are extremely tired, if your baby was born prematurely or was of low birth-weight Keep your baby smoke free during pregnancy and after birth Use a firm, flat, waterproof mattress in good condition Avoid letting your baby get too hot Place you baby to sleep In a separate cot or Moses basket in the same room as you for the first 6 months Don’t cover your baby’s face or head while sleeping or loose bedding

Maternal and Infant Mental Health Good days Bad days Realistic expectations Accept Help Talk to somebody Its important to talk & tell someone Public Health Nurse may offer additional contacts if feeling down May need to see GP Even when feeling down try and smile to your baby

Immunisation NHS Choices Health for Kids Health for under 5’s NHS Choices Vaccination planner

What’s Next? Your 10-12 month contact If you need to access the service you can make an appointment at the local ‘advice clinic’ You can contact your Public Health Nurse through our ChatHealth service on the following number; County – 07520615382 City – 07520615381 Use our websites