Topics to discuss with patients during their well baby visit at 9 months.
Assess
- anthropometric measurements (link to Optimizing Nutrition for Newborns and Infants/Nutrition Assessment Tools/Term Infant Growth Tools/WHO Growth Charts for Infants 0 to 24 Months)
- physical examination
- adequacy of breast milk or formula and complementary food intake which should be continued until 12 months
- Infants should be taking complementary foods from all food groups
- iron intake
- if iron intake is inadequate, especially for breastfeeding infants, then supplements of iron should be continued (1 mg/kg/day).
Discuss
- continue vitamin D at 400 IU/day
- discourage use of whole milk and continue breast milk or iron-fortified formula
Consider Referral
- Growth faltering (failure to thrive)
Additional Resources
- Gastroesophageal reflux and gastroesophageal reflux disease: Parent FAQs, American Academy of Pediatrics.
- Parent’s Guide to GER (Gastroesophageal Reflux Disease) and GERD (Gastroesophageal Reflux
Disease) (handout), American Academy of Pediatrics - Solid Food (Baby Foods) (handout), American Academy of Pediatrics
- Tips for Introducing Solid Foods (handout), American Academy of Pediatrics
- Food Allergy (handout), American Academy of Pediatrics
- Food Allergy and Your Child (handout), American Academy of Pediatrics
- Anaphylaxis (handout), American Academy of Pediatrics
- Common Food Allergies, American Academy of Pediatrics.
- Lactose Intolerance and Your Child (handout), American Academy of Pediatrics.
- Weaning from the Bottle—Before 12 Months (handout), American Academy of Pediatrics
- Weaning from the Breast—Before 12 Months (handout), American Academy of Pediatrics
Last Updated
06/09/2022
Source
American Academy of Pediatrics