1. Healthy Together Baby’s Next Steps – 4 Month Group

2. 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

3. 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

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

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

6. 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

7. 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

8. 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

9. 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

10. 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

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

12. 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 –
City –
Use our websites