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Well Baby Visit 6 Months

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Suzanne Dixon
By Suzanne Dixon M.D., M.P.H.
"There is nothing so amazing as the development of a child," says Suzanne Dixon, M.D., a behavioral and developmental pediatrician who was one of the founding members of the Pampers Parenting Network. "Every day is a new adventure when you have a child around you. I never get tired of learning from the children who have been a part of my life, professionally and personally."Suzanne Dixon, M.D., M.P.H., was born and raised in Minnesota and graduated from the University of Minnesota, School of Medicine. She did her pediatric training at Massachusetts General Hospital in Boston and then completed a fellowship in Child Development at Boston's Children's Hospital. Dr. Dixon joined the faculty at the University of California, San Diego, and did patient care, teaching, and research for 20 years. She ran a large newborn service, performed research in early child development, and was involved in many community outreach activities in maternal child health. Throughout her entire professional life she has maintained an interest in cross-cultural activities, living and working in many parts of the world, including Mexico, India, Kenya, Indonesia, and several countries from the former U.S.S.R. Dr. Dixon is the author of numerous research articles, review articles, and textbook chapters in pediatrics, child and family development, and public health. Her textbook, written with Dr. Martin Stein, Encounters With Children: Pediatric Behavior and Development, has become a classic in child health education and is in its fourth edition. She is Editor in Chief of the Journal of Developmental and Behavioral Pediatrics, an international journal of high standing in the professional world. She also has served as an associate editor for Infant Mental Health and currently reviews for several major pediatric journals. Dr. Dixon is a fellow of the American Academy of Pediatrics and served in national positions in that organization. She is a member of the Society for Pediatric Research, the Society for Research in Child Development, the American Public Health Association, and the Executive Council of the Society for Developmental and Behavioral Pediatrics. She serves as consultant to several national and international organizations and has received an award from Healthy Mothers, Healthy Babies.Dr. Dixon continues to lecture and consult worldwide on aspects of maternal, child, and family health. She practices behavioral and developmental pediatrics in Montana and works with local advocacy groups on education and women''s health. Dr. Dixon has been married for over 30 years and has three sons. She and her husband travel frequently, are outdoor enthusiasts, and enjoy being amateur anthropologists.
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Your 6-month-old laughs and coos when you bring her in for this visit. She'll easily enchant your provider as she has you. Babies this age are still growing rapidly. By 6 months a baby is sitting up or getting ready to sit up and her back is straightening out. This is an enjoyable new perspective for your baby as she learns to play in more elaborate ways. Everything goes in her mouth — it's her way of exploring.

Your baby will get a lot of immunizations at this visit. Her thigh (or wherever your provider administers these shots) might be redder than before, and she may get a slight fever as a result. Don't worry: These reactions show your baby's building up a strong resistance to some serious diseases. Be sure to bring her immunization card.

Tip! To help ease the pain from the shots, give your baby the infant version of acetaminophen. Your provider will be able to give you samples of this pain reliever. If you have your own, bring the bottle with you so your provider can show you the correct dose for your baby's age and weight.

Let the office know if there's been a change in your health insurance. Bring in your insurance card.




At this visit, your provider will probably:

  • Weigh and measure your baby. Click here to see our growth chart.

  • Give your baby the next round of immunizations (probably hepatitis B, DTaP, and Hib).

  • Provide insight into your baby's development, temperament, and behavior.

  • Help you teach your baby to form a good sleep pattern.

  • Review safety, as she can get into more things every day now and she'll be on the move soon.


Your provider will want to know:

  • Has your baby seen another health care provider since the last visit? If so, why? What was the outcome of that visit, and were any medications or treatments prescribed?

  • Does your baby have any teeth yet? Some do and many don't. Don't worry either way.

  • What kinds of sounds does your baby make: "ba," "da," or "ma"?

  • Does your baby "talk"? Describe any babbling, laughing, squealing, imitating, or "coughing" she does. Does she go back and forth with you, and try to imitate your speech?

  • How does your baby play with things? Does she put things in her mouth, drop them, or throw them? Does she pass things back and forth between her hands?

  • What can your baby do with her hands? Does she reach for things, rake in small objects?

  • Can your baby sit up with support or by herself? Can she roll over both ways?

  • Can your baby bear weight on her legs when you hold her up?

  • Does she turn her head toward you when you enter a room, even before you say anything?

  • Has your child been ill? Report the details.


Talk It Over

  • Your baby may be ready or getting ready to start eating solid foods. Tell your health care provider about any food allergies, asthma, or eczema that runs in your family. Be sure you know how to proceed.

  • Talk over any sleeping problems your baby may be having. Your provider will be able to help.

  • If someone in your household or family has had tuberculosis or any other serious contagious disease, your provider will want to check your baby regularly to be sure she hasn't been infected. Let your provider know as soon as you're aware of it.

  • Remind your health care provider about any special issues identified at your child's birth. They may need to be checked again, through a hearing test or blood test, for example. Get the birth records for review if your health care provider doesn't have them.

  • Does your child need fluoride supplements? It will depend on your local water supply.

  • Tell your health care provider if you're too anxious to let your baby play on the floor or in a playpen, or if you don't know how to play with your baby.

  • Discuss where to find materials on play, playgroups, parenting classes, or other community resources.

  • You don't have health insurance for your baby. There are programs available to get that coverage.


Speak Up!

Other issues may concern your health care provider. Let your provider know if your baby:

  • Tends to use only one hand, favors one leg, or seems to tilt to one side when she sits or moves.

  • Moves in a way that worries or concerns you. Remember, though, that bow legs and rounded feet are still normal at this age.

  • Doesn't turn to sounds or doesn't seem to hear well.

  • Crosses her eyes, or doesn't seem to see well.

  • Doesn't make any sounds or makes fewer sounds than before.

  • Appears pale.

  • Doesn't roll over.

  • Shows no interest in toys or objects.

  • Gags on food, always chokes on liquids in a cup, or can't keep food in her mouth.

    Click here to return to Well Baby Introduction.

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