Khám sức khỏe định kỳ cho trẻ sơ sinh: Bé 6 tháng tuổi

What health issues should mothers pay attention to at the age of 6 months?
During your 6-month-old’s routine checkup, your doctor may check for the following:

  • Your baby’s weight and measurements to make sure he’s growing at a healthy, steady rate. If one of those stats changes a little, don’t worry, your baby is just settling into his own pace.
  • Check your baby’s heart rate and breathing.
  • Check your baby’s eye and ear expressions.
  • Head size measurement to mark the development of the baby’s brain.
  • The next general immunization vaccination for the baby (some vaccines should be given to the baby: measles, diphtheria, whooping cough, tetanus, polio; purulent meningitis, pneumonia… by Hib). It’s also time to give your baby a flu shot if it’s flu season.
  • Mention any health-related issues, including how to handle colds and mild diarrhea.
  • Discuss safety issues at this stage before your baby can crawl, and keep harmful substances within reach.
  • Learn your baby’s development, temperament and expression.
  • Make a plan to get your baby into the habit of sleeping through the night.
Periodic health check for newborns: 6 months old baby
During your baby’s routine checkup when your baby is 6 months old, your doctor will want to know about your baby’s mobility

Prepare for your doctor’s questions before your routine physical exam:

  • How is your baby’s sleep? At 6 months of age, your baby will most likely sleep about 14 to 15 hours a day.
  • Baby ready to eat solids? From 4 to 6 months old is the time to start introducing solid foods to your baby. Soft cereals are the first solid foods for babies. Your doctor can suggest how to start introducing solids to your baby. Mention any food allergies that a member of your family has experienced. Also, if you’re introducing solids and your baby refuses to eat or often spits out food, talk to your doctor.
  • How is your baby’s digestive problems? When your baby starts solids, his digestive system will have to work harder and the stools will be stronger. Overall, your baby’s poop is still quite soft. Dry or lumpy stools are a sign of dehydration or constipation. Talk to your doctor if you notice this again.
  • Can baby turn over or sit steady? By 6 months of age, many babies are able to roll over in both directions (from tummy to back and vice versa). Baby can also sit up without being held, although some babies need a little more time to master this skill. If your child doesn’t know how to flip even in one direction, tell the doctor.
  • Has your baby started teething yet? Some babies start to get their first tooth as early as 6 months, or even earlier. As the teeth begin to erupt, your baby may have pain or a fever due to swollen gums. Your doctor may suggest ways to soothe your baby’s gums. When you see the first tooth erupt, the doctor will recommend that you give your baby fluoridated water to protect the baby’s teeth.
  • The lovely sounds of your baby? Your baby’s language development includes babbling, shouting, and even laughter, imitation, and coughing. Baby can also babble syllables like “ba”, “da”, or “ma”. If your baby is not developing further language skills, or is not speaking as before, notify the doctor.
  • Is your baby interested in the world around him? By now, your baby has mastered the activities of “exploring the world”, putting things in his mouth or kicking on the floor, disassembling or tossing objects. Notify the doctor if your baby seems uninterested in toys or surroundings.
  • How are baby’s motor skills developing?
  • Fine motor skills: Your baby will probably reach out and grab objects. Your baby may also use his hand to “swipe back and forth” what is directed at him and move objects from one hand to the other.
  • Gross motor skills: Your baby can already use the strength of his legs to stand up when you pull him up. Slightly arched legs and circling, rather than straight, steps are normal at this age. If your baby moves on one leg, seems to lean to one side when he moves, or tends to use only one hand, let your doctor know.
  • Do you notice any abnormalities with your baby’s eyes or the way he sees things? Your doctor will likely check your child’s eye structure, alignment, and ability to move properly. By 6 months, your baby can already control eye movements and should not be left to look sideways for too long.
  • How is your baby’s hearing? If your baby doesn’t turn towards the sounds, tell the doctor. The earlier abnormalities are detected in the baby’s hearing, the sooner this problem can be treated and handled better.

What are fine and gross motor skills?
Motor skills are divided into two groups, fine motor skills and gross motor skills:
Gross motor skills: It is the development and coordination of the large muscle groups of the child’s body, including the ability to roll, crawl, rotate, walk, run, kick legs, throw, swing arms, pull, push, climb… Children develop gross motor skills before fine motor skills.
Fine motor skills: The ability to control hands and fingers such as grasping toys, turning, twisting, squeezing… Fine motor skills are the basis for children to develop artistic abilities of their hands later.

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