4-Month Checkup: Healthy Kids Series

This parenting information is part of the "Healthy Kids, Healthy Futures" series. These fact sheets may be given out by Group Health at routine checkups.


Breast milk or formula will be your baby's main food for the first year. Start to give solid foods when baby is 4 to 6 months old. Use the chart below as a guide only, as babies develop at different rates.

Age Foods to Introduce
4-6 months Iron-fortified rice cereal, then other cereals. Begin with 1 or 2 teaspoons of cereal mixed with lukewarm formula or breast milk. Use a baby spoon.
Introduce pureed foods one at a time. Begin with plain, mildly flavored foods. Offer fruits, vegetables, and iron-rich foods such as meat. You may need to try many times before baby eats it.
6-9 months Continue introducing pureed or mashed solid foods. Slowly start adding healthy finger foods around 8 months.
Emphasize fruits, vegetables, lean meats, and low-fat dairy products such as yogurt and cheese.
9-12 months Table food, meats. A serving is the size of a child's fist. All foods are OK to introduce if there isn't a family history of allergies. Don't give honey during first year.
You may start giving baby whole cow's milk or soy milk after 12 months.

Healthy Habits


Provide a safe environment for your child.


Age Weight Syrup
Under 4 months Under 12 pounds 1/4 tsp or 1.25 ml
4-11 months 12-17 pounds 1/2 tsp or 2.5 ml

If Your Baby Is Choking

If your baby is coughing but is also breathing and crying: Call nearest urgent care or our Consulting Nurse Service for advice.

If your baby is choking and cannot breathe: Call 911, then do the following:

  1. Put baby face down on your arm, supporting the head and with baby's head lower than baby's body.
  2. Give up to 5 back blows with heel of hand between baby's shoulder blades.
  3. Put baby face-up on your forearm with baby's head lower than baby's body.
  4. Give up to 5 chest thrusts near center of breastbone.
  5. Lift jaw and tongue and look in mouth. If foreign body is seen, sweep it out with finger.
  6. If baby is not breathing, tilt head back and give 2 breaths.

Take a CPR Training class for more information.

Suggested Reading

Next well-child visit: 6 months

Adapted with permission from Kaiser Permanente.

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Clinical review by Emily Chao, DO
Group Health
Reviewed 04/01/2013