Four Month Visit

Breast Feeding

The typical breast fed infant will nurse 6-8 times a day. All your baby needs for optimal nutrition is your breast milk. Continue with Vitamin D supplementation.

Formula Feeding

Formula fed infants generally take 3-4 ounces every 3-4 hours for a total of 24-30 ounces a day. Use an iron fortified formula, not low iron formula.

Infant cereal may be introduced to a formula fed infant at this age. Start with one serving a day then increase to two servings of about ¼ cup per serving. Once your infant is doing well with two servings of cereal a day, you may introduce finely pureed foods (stage one). Risk of choking increases as food texture increases; never leave your infant with food while unattended.

Foods to Avoid

Four month old infants should not be fed dairy products nor honey products.

Oral Health

To avoid bad habits which may lead to tooth decay, do not put your baby to bed with a bottle or prop the bottle in the baby’s mouth.


Generally four month old babies sleep 12-14 hours a day including night time sleep and naps. They should be placed on their backs to sleep, even for naps. If your infant rolls over by itself during sleep time, it’s okay. You may be able to start a night time routine, including putting your baby to bed in their crib awake. This allows your child to self settle, therefore, initiating sleep by his/herself.


There is a wide range for “normal” stooling. Where some infants may stool after every feeding, others may

stool every 2-3 days. The stool should be yellow in color and soft. Adding solid foods may change stool patterns.


Use a rear facing car seat placed in the car’s rear seat. Assure hot water at the tap is less than 120F. Use smoke detectors and avoid second hand smoke. Keep hot beverages, cigarettes, small objects and plastic bags away from your infant. Avoid sun exposure.


Your baby will enjoy playing pat-a-cake and peekaboo. The best toy for your infant is one which allows you to interact with them. Talk, sing and read to your baby. Four month old infants enjoy being held, kissed, cuddled and rocked.

While interacting with your infant is important, taking time for yourself will help you be a more effective parent.

Signs of illness

Signs of illness may include fever, failure to eat, vomiting, diarrhea, irritability, lethargy, rash, or cough. If your child experiences one of these symptoms or you are concerned, feel free to call our office for advice or an appointment.

Developmental Milestones

Verbal: Babbles and coos

Social: Smiles, laughs and squeals, turns to voice

Gross motor: On stomach hold head erect and raises body on hands, tries to roll

Fine motor: Opens hands, grasps, reaches for objects

Contact Us

(603) 437-1003

We are located in Building E at 25 Buttrick Road in Londonderry. Buttrick Road is off Mammoth Road (Route 128) just north of the intersection of Routes 128 and 102.  From the east and west, take Route 102 turning north onto Route 128. Two tenths of a mile is Buttrick road, turn right, travel half a mile passing the Elliot Urgent Care on the left and Buttrick Road is on the right.

From the north and south, take Interstae 93 to exit 4.  Take Route 102 west to Route 128. Follow above directions to Buttrick Road.  Click here for a map.



Building E at 25 Buttrick Rd Londonderry, NH 03053


(603) 437-1003


Monday - Thursday: 7:30am - 7pm, Friday: 7:30am - 5pm, Saturday (sick visits only): 9:00am - 11:30 am