36 parenting decisions for the first year

0–12 months. These are the decisions that come up at this stage, grouped by area.

In short

There are 36 decisions at this stage. 2 of them are cornerstone decisions that shape many others, so start with those. For each one, the page linked below gives the options parents choose between, how strong the evidence is, and questions to ask each other.

Parenting philosophy and goals

  • Structure versus child-led

    How much of the day runs on adult-set schedules and rules versus following the child's own rhythms and interests.

    3 options · Your call · 0–6 months

  • Adult-centred or child-centred home

    Whether your child fits into an adult-run household or the household is organized around the child's needs and schedule.

    3 options · Your call · 0–6 months

Roles, work and the couple

  • Default parent for sick days, school and doctor

    Which of you is called when your child is sick, needs to be picked up or has an appointment, and whether that is fixed, alternates or follows who has the more flexible day.

    4 options · Your call · 6–12 months

  • Burnout prevention

    What you will do to avoid running yourselves into the ground: scheduled rest, lowering standards, or buying or asking for help.

    4 options · Evidence leans one way · 0–6 months

  • When one parent travels or works long hours

    How you will handle the stretches when one of you is away or working late: whether the home parent keeps their own rules, routines stay the same, backup is arranged, or the other parent makes up time later.

    4 options · Your call · 6–12 months

Newborn medical choices

  • Tongue-tie release

    Whether to have a quick procedure to release the tissue under the tongue if a baby is thought to have a tongue-tie that affects feeding.

    3 options · Evidence leans one way · 0–6 months

Feeding the baby

  • Breastfeeding duration and night weaning

    How long you hope to breastfeed and whether and when to stop night feeds.

    4 options · Your call · 6–12 months

  • When to start solids

    The age at which you begin offering foods other than milk.

    3 options · Well established · 0–6 months

  • How to start solids

    Whether the first foods are spoon-fed purees, finger foods the baby picks up and feeds themselves (called baby-led weaning), or a mix of both.

    4 options · Your call · 0–6 months

  • Allergen introduction

    Whether and when to give common allergy-causing foods such as peanut and egg to your baby, and how to keep offering them.

    3 options · Well established · 0–6 months

  • First foods

    What you offer first when starting solids, such as iron-rich foods, fruit and vegetables, or infant cereal.

    2 options · Well established · 0–6 months

  • Homemade or commercial baby food

    Whether you make your baby's food yourself, buy jars and pouches, or use some of each.

    3 options · Your call · 0–6 months

  • Sugar and juice before age 2

    Whether your child has juice or foods with added sugar in the first two years, and how strictly you hold that line.

    3 options · Well established · 6–12 months

Sleep

  • Schedules or baby-led routines

    Whether you follow the baby's cues for feeding and sleep, build a flexible routine, or set a firm schedule.

    4 options · Evidence leans one way · 0–6 months

  • Sleep training

    Whether and how to teach your baby to fall asleep and stay asleep on their own.

    6 options · Your call · 0–6 months

Everyday baby care

  • Baby sign language

    Whether you teach your baby simple hand signs for things like milk or more before they can talk.

    3 options · Your call · 6–12 months

Food and eating

  • Who controls what and how much

    Who decides what a child eats and how much.

    4 options · Experts disagree · 6–12 months

  • Organic

    Whether you buy organic food for your family, all of it, selectively, or not at all.

    3 options · Your call · 6–12 months

  • Family dietary pattern

    The overall way your family eats: omnivore, mostly vegetarian with some meat, vegetarian, or vegan.

    4 options · Experts disagree · 6–12 months

Health, body and toileting

  • Childhood and teen vaccines (annual flu and COVID, HPV timing)

    Vaccines train the body to fight specific diseases.

    4 options · Guidance changing · 6–12 months

  • Medication philosophy for common illness

    How readily you give medicine for everyday illness such as fevers, colds and aches: treating promptly, waiting and focusing on comfort, or keeping medicine to a minimum in favor of natural remedies.

    3 options · Evidence leans one way · 6–12 months

  • Complementary and alternative medicine

    Whether you use treatments outside conventional medicine, such as herbal remedies, homeopathy or acupuncture, and how that fits with your pediatrician.

    3 options · Your call · 6–12 months

  • Fluoride

    Fluoride is a natural mineral that strengthens tooth enamel and helps prevent cavities.

    4 options · Guidance changing · 6–12 months

  • Dental care and thumb or pacifier weaning

    When you start dental visits and brushing and how you handle thumb-sucking and pacifier use.

    3 options · Evidence leans one way · 6–12 months

  • Sun exposure

    How you handle sun: strict covering and avoidance, sunscreen with outdoor time, or a relaxed approach.

    3 options · Evidence leans one way · 0–6 months

Safety, risk and independence

  • Baby-proofing

    How thoroughly you childproof the home: gates, locks and anchors everywhere, only the most dangerous hazards, or minimal changes with teaching and watching.

    3 options · Your call · 0–6 months

  • Water safety

    How you teach water safety and swimming: lessons from a young age, infant survival-swim programs, or lessons later with fencing and supervision.

    3 options · Well established · 6–12 months

Childcare and early learning

  • Hours in care

    How many hours a day and week your child spends in care, from full days to part-time or occasional.

    4 options · Evidence leans one way · 6–12 months

  • Babysitters and who may care for the child

    Who may look after your child when you are out, and how soon you start, from regular sitters to family only.

    4 options · Your call · 0–6 months

  • Overnights away from the baby

    When your baby first spends a night away from you, for example with grandparents.

    4 options · Your call · 6–12 months

  • Baby and toddler classes

    Whether you enroll your baby or toddler in classes such as music, gym or early learning, and how many.

    4 options · Your call · 0–6 months

Screens, phones and digital life

  • Screens before age 2

    Whether babies and toddlers under two see screens at all, such as video calls only, occasional shared viewing, or screens as part of the day.

    4 options · Evidence leans one way · 0–6 months

Money, chores and responsibility

  • Education savings

    Whether and how you save for your child's education.

    4 options · Your call · 0–6 months

Values, character and family culture

  • Family travel

    How much travel is part of family life, from waiting until children are older to easy local trips to travel as a core value.

    4 options · Your call · 6–12 months

Family size and siblings

  • Spacing

    How far apart you would like your children to be: close together, moderately spaced or wide apart.

    3 options · Evidence leans one way · 6–12 months

Legal, financial and "what if" planning

  • Travel consent, passports and relocation

    How you handle taking your child abroad, getting passports and moving away: either parent freely, notice and itineraries, or joint consent.

    3 options · Your call · 0–6 months

Last updated 2026-10-05. General information, not medical advice.