diet should now change from a high fat (50% of calories from fat) to a low fat
(30%) diet. While we were all raised that milk is good for you, it is actually
very high in fat and most medical organizations now recommend only drinking skim
milk or no milk after 2 years of age. Calcium and vitamin D can be obtained from
other sources (cheese, green leafy vegetables; fish, sunlight). Pacifiers
should be taken away by 2 to 3 years or sooner if the front teeth appear to be
molding to the shape of the pacifier. Vitamins are only necessary if your
child does not get a balanced diet. Many children, who donít seem to get a
balanced diet, actually do get one if you average what they eat over a few days.
In other words, they eat meats well one day, and fruits and vegetables well the
next. You may still give a vitamin if you wish. Only give liquid vitamins until
you are sure your child will not choke on a chewable. Vidalyn and Polyvisol are
two liquid brands. Make sure to get the one with iron, and follow the directions
on the box for the dose. If you have well water, please let the doctor know.
ILLNESSES & PROBLEMS
Temper tantrums and behavior problems are a common complaint at this age. There are probably more opinions on this subject than there are grandparents in the world. I will give you some basic pointers, but ultimately, you should listen to all those opinions (mine included) and as parents decide how you want to proceed with child rearing. The pointers:
Never hit a child. 70% of pediatricians advocate corporal punishment only as a last resort or when safety is a concern.
Be as consistent as possible. This is the absolute key to raising a good child. If you cannot be consistent in how you react to your childís behavior problems, then you are going to have problems. This is probably more important than what you actually decide to do.
Try redirecting the childís attention. A childís attention span is very limited, and they are easily moved to another area of interest when they are getting into something that you donít want them into.
Donít expect more than your child is capable of. You canít expect a 9 month old to be potty trained anymore than you can expect a 3 year old to stop something they are doing, and take out the trash.
Donít let your anger guide your decisions. It is very easy to turn a spanking into abuse, even by the best of parents.
You can reason with a child, just donít try to over-reason with them. As the childís speech improves, you can bargain with them about expected behavior and punishments. Expect the child to live up to his or her expectations, and apply the punishment you both decided on. Donít expect perfection.
Try to ignore what you can. Just as a child learning how to speak will say something again if you respond, they will misbehave again if they think you like it. Children often misinterpret ďnoĒ or anger for attention, and will still misbehave.
Praise them when they are good. Children obviously need much love and attention. Children are like clay that is easily molded by a parentís love. While children are often born with a certain temperament, they can definitely be shaped by your love. Also, ignoring will not be effective unless the child knows the difference between this and attention.
Pick your battles. When you ignore a child, they throw a bigger fit, and then you give in, you are only teaching that child that bigger fits gets them what they want. I have patientís that can vomit at will to get what they want. Itís very difficult to be consistent when you know the item you are fighting about is not important. The child innately knows this, and will simply push you. If itís not important, then give it to them. If it is important, then you had better send them a consistent message.
parents start potty training their children at about 2 years of age.
There are many methods and which one you use probably doesnít matter much,
just stick with one. I do have some basic pointers you should always follow:
make your child fearful of the toilet.
chastise a child about potty training. If any tension arises regarding
potty training, then back off. If you chastise your child or push when there
is tension, then your child will not like to go potty and will hold it. This
will lead to constipation, then pain, then holding, then constipation, and
a potty chair and allow your child to play and get acquainted with it.
your child indicates that he or she would like to use the chair, then place
your child on the chair for a set period of time, or until something happens.
your child goes in the chair, then reward him or her with praise.
get your child to tell you when he or she HAS GONE, simply reward them
when they only tell you they have gone. Once they are telling you well
enough, only reward them when they actually have gone. Do the same with
telling you they HAVE TO GO.
children will urinate on the potty up to 6 months before they start having
bowel movements on it.
child is already trying to be independent in many ways. Every time they
do this, let them know that ďbig boys and girls get to do the things they
want and big boys and girls also wear big boy or girl underwear and go potty
on the big pottyĒ. This backfires when they want to be a baby, but it
works for most kids.
and the new very absorbent diapers prevent your child from feeling urine on
their skin. While this prevent rashes well, it has led to later potty
training. You can get around this by putting underwear on under the diaper
or pull-up. This will allow them to feel the urine while preventing messes.
to buy a helmet with the first tricycle. Children have had surprisingly bad head
injuries from even falling off a tricycle. Please donít let this message
prevent you from buying a tricycle, just buy the helmet also and be careful.
Booster seats are meant to raise your childís hips up enough that the seatbelt
works as a lap belt like it should, instead of a waist belt. If the belt is
above the hips, then it could tear into the abdominal organs or aorta with even
a mild crash.
schedule check ups at 24, and 30 months, then every year starting at 3 years of
Your child should not need another vaccine until they are 4 years old
(except for foreign travel and any newly developed vaccines). At the 3 year
visit, we do a finger stick test for anemia and a urinalysis (if they will
urinate in the cup).
„2005 Joe Matusic, MD