Caring Hands Pediatrics

North Office: 412-369-7720
Robinson Office: 412-921-2345

12 month visit

Feeding
At one year of age, you can switch from breast milk or formula to whole milk. Your baby should continue to drink whole milk (rather than reduced fat or skim) until 2 years of age. The extra fat helps in brain development.  After 2 years of age, your child can drink 2% or reduced fat milk.  If your child is still using a bottle, try to wean him off all bottles and use only cups.


Your baby may now be eating table foods for all the meals, although some babies will continue to prefer some baby foods. Feed your baby 3 meals a day plus a mid-morning and a mid-afternoon snack. Try to ensure that your baby is eating a variety of foods from all the food groups. Keep in mind, though, that children do not grow as fast in the second year of life and may eat less than they used to. Let your child determine the amount he wants to eat.
Avoid foods that are a choking hazard, such as peanuts, popcorn, raw carrots or celery, hard candy, or tough meat. Hot dogs and grapes should be cut into small pieces. Even though food may be in small pieces, small children frequently put large amounts in their mouths and can still choke. Always supervise your child while eating.


Development

  • Crawls and pulls to stand
  • May be walking already
  • Says "mama" and "dada" and one other word
  • Finger feeds himself or herself
  • Uses a pincer grasp when picking up small objects
  • Points to things

Children learn so much every day and constantly absorb information from the environment. Give your child lots of encouragement in exploring new things.  Read to your child every day.


Dental
Keep your child's teeth clean and healthy by brushing after meals and before bedtime. You can use a toothbrush with fluoridated toothpaste, but only use a grain of rice-sized amount to prevent too much fluoride. The fluoride will help protect your child's teeth from decay.  ​​Limit your child's juice intake to 4-6 ounces/day, and avoid sipping juice throughout the day. Avoid drinking milk or juice before bed after the teeth have been brushed. It is better to drink water once the teeth have been brushed at bedtime. If your water supply is not fluoridated, your child may also need to take fluoride supplements.


Safety

  • Always empty buckets and tubs immediately after use. Children can drown in even a small amount of water.
  • If you have a swimming pool, make sure it has a four-sided fence with a self-closing, self-latching gate.
  • Keep all medicines, cleaning agents, and gardening chemicals locked away.
  • Keep the Poison Control Center​ number handy - 1-800-222-1222
  • New recommendations state that your child should be in a rear-facing carseat until 2 years of age.
  • If you have gas appliances, install carbon monoxide detectors and ensure that they are working properly.
  • Make sure that your smoke alarms are working properly.
  • Do not smoke in the house, car or around the baby.
  • Be sure to test the water temperature before bathing your baby.
  • Turn your water heater down to 120 degrees F.
  • Never leave an infant or toddler in the bathtub alone.
  • Never leave the infant alone in the house or car, even for a minute.
  • Install gates at the tops and bottoms of stairs.
  • Use sunscreen; try to avoid sun exposure between 10:00am and 3:00pm.
  • If you have guns in the home, store the guns unloaded in a locked cabinet.


Immunizations


ALL children 6 months of age and older should receive a Flu vaccine every fall!


Your baby may get a fever and be fussy for 24-48 hours after the immunizations. Acetaminophen may be given to help make your baby more comfortable. There may also be some soreness, redness and swelling at the site of the immunizations. MMR may cause a fever and mild rash 7-12 days after the vaccine. Varivax may also cause a mild rash up to a month after the vaccine.

For more detailed information about each vaccine, click on the above links.​