AJAX_TARGET
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Pediatric Health Maintenance 9 Months quick look
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This chart rates treatment options according to general effectiveness, ease of use,
side effects and safety.
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Check coordination and muscle strength, and language, social skills
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Not available
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Check that the baby sits up alone, can pinch a small object between the fingers, and can feed self. Also check early language.
Tell Me More...
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Full physical exam
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Not available
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Physician compares height to a growth chart to see if growth is normal.
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Full physical exam
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Blood test for "complete blood count" (can be done at the 9-, 12-, or 15-month visit); blood lead level if at risk; and tuberculin testing
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Excellent
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Children at risk for lead poisoning include those in older homes or those with siblings (brother or sister) who have had lead poisoning. Lead poisoning can interfere with proper growth and development, but is treatable if detected early. Tuberculin testing is a skin test for tuberculosis; risk factors for development for tuberculosis are living in close proximity to someone who has it, as well as living in another country where tuberculosis is much more common than in the US
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Blood test for "complete blood count" (can be done at the 9-, 12-, or 15-month visit); blood lead level if at risk; and tuberculin testing
The complete blood count is a check for anemia, and should include tests called "the mean corpuscular volume" (MCV) and the "red cell distribution width" (RDW). Infants at risk for anemia are those who are exclusively breast fed (mother's milk is low in iron), infants who are on a low iron formula, as well as infants who develop a distaste for iron-rich foods.Iron supplements, either in the diet or separately, can easily treat as well as help to prevent anemia.
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Influenza Vaccine
(Flu shot)
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Good
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Children over 6 months of age should get the flu shot every year. The best time to get the shot is from October to mid-November.
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Influenza Vaccine
If a child has never had a flu shot he/she will need two doses (about a month apart) the first year the vaccine is given. After the first year only one dose is needed per year.
The major side effects are pain at the area around the injection and fever. There have been rare severe side effects reported involving the nervous system.
Experts recommend flu shots for all children, except for those with a severe allergic reaction to eggs.
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Routine immunizations
(if previous immunizations given as required)
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Not available
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Immunizations not recommended at this age interval. If all previous immunizations are up to date; the next vaccines will be given at age one year. If the baby is behind in any scheduled vaccines, this interval appointment can be used to "catch up".
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Routine immunizations
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Discuss nutrition and review childproofing
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Not available
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Baby should eat at routine mealtimes with solids, pureed foods (foods that are put in the blender until completely smooth), and finger foods. Steps should be taken to continue to childproof the home.
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Discuss nutrition and review childproofing
Childproofing includes plugging electrical outlets and removing dangling electrical cords. Plastic bags, balloons, medications, and poisonous substances should not be within reach. Stairs should have gates to prevent falls. A good website with excellent childproofing recommendations is: http://www.cpsc.gov/cpscpub/pubs/grand/12steps/12steps.html
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NOTE: Just because a drug or combination of drugs can cause a
symptom does not mean it is actually causing your symptom. Symptoms can be caused by
medical conditions as well. Make sure that your physician is aware of any symptoms you
are experiencing so he/she can work with you to determine the cause. Please DO NOT STOP
MEDICATIONS without first consulting a physician since doing so could be hazardous to
your health.
DISCLAIMER: Please note that the information DoubleCheckMD.com provides is intended
to help individuals to work with their medical professionals and is for educational purposes
only. It does not constitute medical or healthcare advice and serves to supplement, not
substitute for, the expertise and judgment of a healthcare professional. In all cases
individuals should consult with a physician before taking any action based on DoubleCheckMD
feedback including, but not limited to ceasing taking any drug, changing diet or commencing or
discontinuing any course of treatment. The information provided by DoubleCheckMD.com is not
intended to cover all possible uses, directions, precautions, drug interactions or adverse
effects, nor should it be construed to indicate that the use of a particular drug is safe,
appropriate or effective.
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