Week-by-week library · 4 months old

Month 4: your checklist

Quick answer

What should I actually do at 4 months old?

Sleep patterns can shift noticeably around now, which trips up a lot of routines that were working. 4 concrete tasks below, grouped by what they're for.

Last reviewed 2026-08-28 by First Dad Guide editorial team

What's going on this week

A well-known stretch around four months is often described informally as a sleep regression, tied to a real shift in how babies cycle through sleep stages. It usually settles with some routine adjustment and is not a sign of a problem. A second vaccine round is also typically due around this age.

Your checklist

Night-shift logistics

  • If sleep has gotten noticeably worse this month, treat it as an expected phase to adjust to, not a routine failure to fix overnight.

Appointments & paperwork

  • Attend the four-month well visit and the associated vaccine round.

Household & gear

  • If solids are on the horizon per your pediatrician's guidance, start researching a high chair and feeding gear now, ahead of the actual start date.

Partner care

  • A rough sleep month wears on both of you; keep the overnight rotation honest rather than letting it silently drift to one person.

Sourced to

  • American Academy of Pediatrics (HealthyChildren.org)
  • CDC, recommended immunization schedule

Last reviewed by the First Dad Guide editorial team.

Coming up