Table Of Content7.375 × 9.125 SPINE: 1.9063
NOW IN ITS SEVENTH EDITION! FROM THE AMERICAN
ACADEMY OF PEDIATRICS, THE MOST UP-TO-DATE, EXPERT
ADVICE FOR MOTHERS, FATHERS, AND CARE PROVIDERS
THE COMPLETE AND AUTHORITATIVE GUIDE
All parents want to provide the very best care for their children. This essential resource from
CARI NG FOR
the most respected organization in child health is the one guide pediatricians routinely recommend.
CARING
Parents can safely trust the guidance, which covers everything from preparing for childbirth to toilet
training and from breastfeeding to nurturing your child’s self-esteem. Whether it’s resolving common
childhood health problems or detailed instructions for coping with emergency medical situations, this FOR
YOUR BABY AND
new and revised edition of Caring for Your Baby and Young Child has everything you need, with
information on:
YOUR
· Basic care from infancy through age five
· Milestones for physical, emotional, social, and cognitive growth, as well as visual, YOUNG CHILD
BABY
hearing, language, and movement mileposts
· Information on healthy development and disabilities, including what to watch for and
AND
when to seek help
· Injuries, illnesses, congenital diseases, and other disabilities addressed in a complete
YOUNG
health encyclopedia
· Updated content dedicated to environmental hazards and allergies MORE THAN
CHILD
· Guidelines for prenatal and newborn care, with spotlights on maternal nutrition, 4.7 MILLION
exercise, and screening tests during pregnancy COPIES
· An in-depth discussion of breastfeeding, including its benefits, techniques, and challenges BIRTH TO AGE 5 IN PRINT
· Revised nutrition recommendations, including the importance of early introduction of
allergenic foods and obesity prevention tips Seventh Edition
· Updated safety standards: the very latest AAP recommendations, from CPR instruction,
safe sleep, and immunizations to childproofing tips, car safety seats, and toy safety
· Tips for choosing childcare programs
· Cutting-edge research on early brain development and how babies and young children think
· Updated media chapter, including the effects of media and technology exposure on
children and how to make the most of screen time in the home
TANYA ALTMANN,
Caring for Your Baby and Young Child is an essential childcare resource—recommended by MD, FAAP,
pediatricians and trusted by parents. Editor-in-Chief BIRTH TO AGE 5
DAVID L. HILL,
$24.00
A BANTAM BOOKS TRADE PAPERBACK ISBN 978-1-61002-343-6 MD, FAAP,
from the American Academy of Pediatrics CCoovveerr dpehsoitgong:r aRpuhbsy: SLehvuetsteqrusetock 52400 Associate Medical Editor NEW AND REVISED SEVENTH EDITION
HealthyChildren.org is the official
American Academy of Pediatrics web- Find your next great read, and get TANYA ALTMANN, MD, FAAP, Editor-in-Chief
site for parents. Visit today for reliable, the latest on our books and authors.
pediatrician-approved children’s health Sign up for the Random House newsletter.
and safety information. randomhousebooks.com 9 781610 023436 DAVID L. HILL, MD, FAAP, Associate Medical Editor
BANTAM
amer_9781610023436_cvr_all_r2.indd 1 7/18/19 4:53 PM
Caring for Your Baby and Young Child
This invaluable volume was prepared under the editorial direction of distin-
guished pediatricians Tanya Altmann, MD, FAAP, and David L. Hill, MD,
FAAP, and draws on the contributions and practical wisdom of more than 100
pediatric experts and an editorial review board. Written in a warm, accessible
style and illustrated with more than 300 helpful drawings and diagrams, this
book gives you the information you need to safeguard your child’s most pre-
cious asset: his or her health.
In Caring for Your Baby and Young Child you’ll find:
• A month- by- month guide to your baby’s first year that lets you know
what to expect in terms of growth, behavior, and development
• A yearly guide to ages one through five, with practical advice for dealing
with sleeping, toilet training, and temper tantrums
• “Health Watch” features that alert you to potential medical problems at
each stage
• “Safety Check” reminders for home, outdoors, and car travel
• A discussion of family issues— from grandparents and siblings to single
parenting and stepfamilies
Plus reliable information on:
• All common infectious diseases, from chickenpox and measles to flu and
ear infections
• Developmental disabilities, such as congenital abnormalities, cerebral
palsy, hearing loss, autism, and intellectual disability
• Skin problems, from birthmarks to head lice and sunburn
• Emergencies, including bites, poisoning, choking, and CPR
• Feeding and nutrition
• Car safety seats
The seventh edition of this book includes current AAP policy information and
updated content on developmental disabilities, early brain development, breast-
feeding and nutrition, obesity, and safety standards, as well as updated content
on the effects of media and technology on children.
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Additional Parenting Books from
the American Academy of Pediatrics
COMMON CONDITIONS
Allergies and Asthma: What Every Parent Needs to Know
The Big Book of Symptoms: A– Z Guide to Your Child’s Health
My Child Is Sick! Expert Advice for Managing Common Illnesses and Injuries
Sleep: What Every Parent Needs to Know
Waking Up Dry: A Guide to Help Children Overcome Bedwetting
DEVELOPMENTAL, BEHAVIORAL, AND PSYCHOSOCIAL INFORMATION
ADHD: What Every Parent Needs to Know
Autism Spectrum Disorder: What Every Parent Needs to Know
NEWBORNS, INFANTS, AND TODDLERS
Baby and Toddler Basics: Expert Answers to Parents’ Top 150 Questions
Baby Care Anywhere: A Quick Guide to Parenting on the Go
Dad to Dad: Parenting Like a Pro
Guide to Toilet Training*
Heading Home With Your Newborn: From Birth to Reality
New Mother’s Guide to Breastfeeding
Raising Twins: Parenting Multiples From Pregnancy Through the School Years
Retro Baby: Cut Back on All the Gear and Boost Your Baby’s Development with
More Than 100 Time- Tested Activities
Retro Toddler: More Than 100 Old- School Activities to Boost Development
* This book is also available in Spanish.
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Understanding the NICU: What Parents of Preemies and
Other Hospitalized Newborns Need to Know
Your Baby’s First Year*
NUTRITION AND FITNESS
Achieving a Healthy Weight for Your Child: An Action Plan for Families
Food Fights: Winning the Nutritional Challenges of Parenthood Armed
With Insight, Humor, and a Bottle of Ketchup
Nutrition: What Every Parent Needs to Know
SCHOOL- AGE CHILDREN AND ADOLESCENTS
Building Resilience in Children and Teens: Giving Kids Roots and Wings
Caring for Your School- Age Child: Ages 5 to 12
Parenting Through Puberty: Mood Swings, Acne, and Growing Pains
Raising Kids to Thrive: Balancing Love with
Expectations and Protection with Trust
FOR ADDITIONAL PARENTING RESOURCES,
VISIT THE HEALTHYCHILDREN BOOKSTORE AT
SHOP.AAP.ORG/FOR- PARENTS/.
* This book is also available in Spanish.
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Caring for Your Baby
and Young Child
Tanya Altmann, MD, FAAP
Editor- in- ChiEf
Pediatrician and Founder, Calabasas Pediatrics Wellness Center
Calabasas, California
Assistant Clinical Professor of Pediatrics, UCLA Mattel Children’s Hospital
Los Angeles, California
David L. Hill, MD, FAAP
AssoCiAtE MEdiCAl Editor
Goldsboro Pediatrics
Goldsboro, North Carolina
Adjunct Assistant Professor of Pediatrics
University of North Carolina School of Medicine, Chapel Hill, North Carolina
Steven P. Shelov, MD, MS, FAAP
founding Editor, EMEritus
Founding Dean
Professor of Pediatrics
NYU Long Island School of Medicine
Robert E. Hannemann, MD, FAAP
AssoCiAtE MEdiCAl Editor, EMEritus
Visiting Professor, Child Psychology, Biomedical and Chemical Engineering
Purdue University
BANTAM BOOKS
New York
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A note about revisions: Every effort is made to keep CARING FOR YOUR
BABY AND YOUNG CHILD consistent with the most recent advice and
information available from the American Academy of Pediatrics. In addition
to major revisions identified as “Revised Editions” and “Seventh Edition,” the
text has been updated as necessary for each additional printing listed below.
2019 Bantam Books Trade Paperback Edition
Copyright © 1991, 1993, 1998, 2004, 2009, 2014, 2019 by the
American Academy of Pediatrics
All rights reserved.
Published in the United States by Bantam Books,
an imprint of Random House, a division of Penguin Random House LLC,
New York.
BAntAM Books and the HousE colophon are registered
trademarks of Penguin Random House LLC.
Originally published in the United States in hardcover in 1991 and in revised
paperback editions in 1993, 1998, 2004, 2009, and 2014 by Bantam Books,
an imprint of Random House, a division of Penguin Random House LLC.
ISBN 978- 1- 9848- 1770- 9
Printed in the United States of America on acid- free paper
randomhousebooks.com
2 4 6 8 9 7 5 3 1
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Reviewers and Contributors
Editor-i n-C hief Council on Children with Disabilities
Tanya Altmann, MD, FAAP Council on Community Pediatrics
Council on Early Childhood
Associate Medical Editor Council on Environmental Health
David L. Hill, MD, FAAP Council on Genetics
Council on Injury, Violence, and Poison
AAP Board of Directors Reviewer Prevention
Jane Meschan Foy, MD, FAAP Disaster Preparedness Advisory Council
Section on Administration and Practice
American Academy of Pediatrics Management
Section on Allergy and Immunology
CEO/Executive Vice President (Interim) Section on Breastfeeding
Mark Del Monte, JD Section on Cardiology
Section on Child Death Review and
Chief Product and Services Officer/ Prevention (Provisional)
SVP, Membership, Marketing, and Section on Clinical Pharmacology &
Publishing Therapeutics
Mary Lou White Section on Critical Care
Section on Dermatology
Vice President, Publishing Section on Developmental and Behavioral
Mark T. Grimes Pediatrics
Section on Emergency Medicine
Manager, Consumer Publishing Section on Endocrinology
Kathryn Sparks Section on Epidemiology, Public Health
and Evidence
Editor, Consumer Publishing Section on Gastroenterology, Hepatology
Holly Kaminski and Nutrition
Section on Hematology/Oncology
American Academy of Pediatrics Section on Home Care
Reviewers and Contributors Section on Hospital Medicine
Committee on Drugs Section on Infectious Diseases
Committee on Nutrition Section on Lesbian, Gay, Bisexual and
Committee on Pediatric AIDS Transgender Health and Wellness
Committee on Pediatric Emergency Section on Nephrology
Medicine Section on Neurology
Committee on Substance Use and Section on Neurological Surgery
Prevention Section on Obesity
Council on Child Abuse and Neglect Section on Ophthalmology
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Section on Oral Health Subcommittee on Children and
Section on Orthopedic Surgery Adolescents with Attention- Deficit/
Section on Otolaryngology— Head and Hyperactivity Disorder
Neck Surgery Subcommittee on Type 2 Diabetes
Section on Pediatric Pulmonology and Subcommittee on Febrile Infants
Sleep Medicine Subcommittee on Hyperbilirubinemia
Section on Plastic Surgery Subcommittee on the Management of
Section on Rheumatology Infantile Hemangioma
Section on Surgery Subcommittee on Screening and
Section on Tobacco Control Management of High Blood Pressure in
Section on Uniformed Services Children
Section on Urology Subcommittee on Urinary Tract Infection
Subcommittee on Bronchiolitis Task Force on SIDS
Acknowledgments
We thank Founding Editor Emeritus, Steven P. Shelov, MD, MS, FAAP, and
Associate Medical Editor Emeritus, Robert E. Hannemann, MD, FAAP, and
the countless contributors and reviewers for their work on the first six editions
of Caring for Your Baby and Young Child: Birth to Age 5. Special thanks to
Marc Weissbluth, MD, FAAP, for his review and consultation on the “Sleep”
chapter and the “How to Tell a Nightmare from a Night Terror” chart, and to
Alain Park for his dedicated work on this current edition.
Illustrators:
Wendy Wray/Morgan Gaynin, Inc.
Alex Grey
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Please Note
The information contained in this book is intended to complement, not substi-
tute for, the advice of your child’s pediatrician. Before starting any medical
treatment or medical program, you should consult with your child’s pediatri-
cian, who can discuss your child’s individual needs and counsel you about
symptoms and treatment. If you have questions regarding how the information
in this book applies to your child, speak to your child’s pediatrician.
Products mentioned in this book are for informational purposes only. In-
clusion in this publication does not constitute or imply a guarantee or an en-
dorsement by the American Academy of Pediatrics.
The information and advice in this book apply equally to children of both
sexes (except where noted). To indicate this, we have chosen to alternate be-
tween masculine and feminine pronouns throughout the book. Best efforts
were made to use people first language, and as such, certain phrasing may not
read as familiar. For example, “an overweight child” now reads as “a child
with overweight” or “a child has overweight.”
~ ~ ~
The American Academy of Pediatrics constantly monitors new scientific evi-
dence and makes appropriate adjustments in its recommendations. For exam-
ple, future research and the development of new childhood vaccines may alter
the regimen for the administration of existing vaccines. Therefore, the schedule
for immunizations outlined in this book is subject to change. These and other
potential situations serve to emphasize the importance of always checking with
your child’s pediatrician for the latest information concerning the health of
your child. For additional information on caring for your child and their health
and well- being, visit HealthyChildren.org.
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