Week by Week

What do you need to know to care for your 46 week old baby?


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Development & Behavior

How should my baby be developing?

Your baby probably enjoys looking at books and leafing through the pages, though turning those pages one by one doesn’t always happen. They can indulge in great picture books or stick with sturdy and inexpensive board books that can stand up to small fingers.

To add variety to your baby’s reading time and to find out what appeals the most, try your local library or the kids’ section at a family – friendly bookstore – or trade a few titles with friends.

At 46 weeks, your baby is capable to:

  • clap hands or wave bye – bye;
  • walk holding on to furniture;
  • point or gesture to something to get needs met;
  • enjoy looking at books and leafing through the pages.

How to support my baby?

Your baby has probably been wrestling with bouts of separation anxiety during the last several months. This is natural because they love and depend on you. To ease departures, you need to make them short. Be matter – of – fact when you leave your child at daycare or with a babysitter at home, and do not prolong the agony with extended goodbyes and tears. They will be happy again.

You can help your baby feel more independent by not hovering over them all the time. Of course, they still need to know that you are around and dependable. So if they toddle to another room, wait a couple of minutes before following. If you go to another area of the house, call them when you’re in the next room – but don’t come running every time they squawk.

Health & Safety

What should I discuss with my doctor?

Most doctors do not schedule regular checkups for your baby this month, since babies this age do not appreciate the holding during a doctor’s visit. Those with stranger anxiety may also not appreciate the doctors no matter how warm and friendly they are. Do call the doctor if there are any concerns that you cannot wait until next month’s visit.

What should I know?

Your concerns in this stage are weaning and teeth injuries. This part will also give you tips to those concerns.


If you’re still breastfeeding, the end date is up to you and your baby. It’s a personal decision that depends on your specific situation. Your baby may be showing signs that they are ready to wean now, including seeming to be uninterested or distracted during feedings. You may feel ambivalent about whether to quit: Some days weaning sounds like a relief, and yet you hate to bring this special tie to a close. Many moms who have continued breastfeeding this far continue into toddlerhood, but it’s also common to use the 1- year mark as an end goal.

You can do it by gradually reduce the number of daily breastfeeding sessions one at a time or offer formula or cow’s milk (if your doctor gives the okay) in their place. If your child doesn’t take a bottle, you can wean to a cup and save yourself the trouble of weaning your child off a bottle later. Some babies will drop a feeding every few days until they’re finished nursing. You can also shorten the duration of each breastfeeding session. Give the following suggestions a try:

  • Give their plenty of one-on-one attention to replace the intimacy of nursing.
  • Try distracting your baby if they seem to want to breastfeed, and see whether they become interested in something else or will drink from a cup instead.
  • Ask someone else to put your baby to bed so that they won’t be automatically tempted to breastfeed at that time.
  • If your breasts become engorged, use cool compresses and express milk manually or with a pump for the first few days. Ibuprofen can also help.
  • If your baby seems to resist, consider waiting a bit before trying again.

Baby’s tooth injuries

Since those cute little pearly whites will fall out someday anyway to make room for permanent teeth, a small chip in a baby tooth is usually nothing to worry about  considering the number of tumbles the typical fledgling toddler takes in the course of a day instead. Still, it’s a good idea to make sure you’re not dealing with anything that’s more than cosmetic. First, do a quick check of the tooth. If there seem to be any sharp edges, give the dentist a call when you have a chance. They may want to smooth out the edge or fix it with a plastic filling or crown.

Call the dentist right away, however, if baby:

  • Seems to be in any pain (even days later);
  • If the tooth appears to have shifted positions or become infected, swollen gums can tip you off to this;
  • If you see a pink spot in the center of the chipped tooth.

Any of these symptoms might indicate that the fracture has gone into the nerve. In such a case, the dentist will need to determine by taking an X ray-if the tooth should be extracted or if nerve treatment is needed. An injury to the nerve, if left untreated, can damage the permanent tooth that is already forming in your baby’s mouth. Either way, there will be plenty more bumps for your baby on the road to walking.

My Concerns

What I am concerned about?

In the second week of the eleventh month, you may have many concerns. One of these is potty training.

Unless you began infant potty training with your baby before, it’s probably best to wait until your child is between 18 and 24 months old. That is when most children are developmentally ready for toilet training.


Signs that your child is physically ready include:

  • fairly regular and predictable bowel movements;
  • along with their ability to wait at least two hours to urinate;
  • completely empty their bladder when they urinate;
  • help you pull their pants up and down, and to get on and off the toilet or potty chair.
  • other signs of readiness are an ability to understand toilet – related words and to follow simple instructions.


In terms of emotional readiness, your child should show signs that:

  • they are aware that he’s going in their diaper – they might squat in a corner or even tell you with words or gestures that they’s gone.
  • they might become upset when they soils their diaper.
  • given those prerequisites, your baby is considered developmentally ready to learn this important skill.

How is your baby’s development next week?

Hello Health Group does not provide medical advice, diagnosis or treatment.

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