The arrival of a baby, whether or not it’s your first, is a major milestone in every parent’s life. For 40 years, the guide From Tiny Tot to Toddler has been trying to answer the many valid questions parents have. The guide, which is provided to you free of charge, is designed to help you make the best decisions for you and your baby.

To provide clear, accurate, scientifically based information, the Tiny Tot team of writers relies not just on health professionals, but also on parents. Maintaining regular contact with parents helps to know exactly what kind of information you need to prepare for the challenges that lie ahead.

Year after year, the team tracks ongoing developments in scientific and practical knowledge to keep your From Tiny Tot to Toddler as up-to-date as possible. It’s a privilege for the Institute to be involved in producing this important publication. I hope you will find this guide to be a handy and useful companion over the years to come.

Happy reading!

Nicole Damestoy
Chief Executive Officer
Institut national de santé publique du Québec

Nicole Doré
Danielle Le Hénaff

Emilie Audy, Specialized Scientific Advisor, Editor-in-Chief
Roseline Olivier-Pilon, Scientific Coordinator
Élise Jalbert-Arsenault, Scientific Advisor, Dietitian

With the collaboration of
Caroline Laberge
Danielle Landry

Administrative and Technical Support
Louise Allard
Igor Baluczynski

Nicole April, Chantale Audet, Emilie Audy, Christiane Auray-Blais, Lucie Baribeau, François Beaudoin, Céline Belhumeur, Amélie Blanchet-Garneau, Julie Boissoneault, Luce Bordeleau, Marie-Andrée Bossé, Nicole Boulianne, Amélie Bourret, Lise Brassard, Marie-Ève Caty, Brigitte Chaput, Isabelle Charbonneau, Catherine Chouinard, Aurore Coté, Rosanne Couture, Gabrielle Désilets, Cécile Fortin, Denis Gauvin, Christian Godin, Édith Guilbert, Julie Guimond, Anne Harvey, Élise Jalbert-Arsenault, Mélissa Lafrenière, Danielle Landry, Josée Laroche, Richard Larocque, Julie Lauzière, Johanne Laverdure, Michel Lavoie, Sylvain Leduc, Lyse Lefebvre, Céline Lemay, Anne Letarte, Patrick Levallois, Chantal Levesque, Sylvie Lévesque, Michel Lévy, Nadia Maranda, Andréane Melançon, Jean-Claude Mercier, Caroline Morin, Christina Morin, Réal Morin, Laurie Plamondon, Julie Poissant, France Poliquin, Marie-Claude Quintal, Faisca Richer, Hélène Rousseau, Marie-Josée Santerre, Isabel Thibault, Lucie Thibodeau, Diane Tousignant, Lucie Tremblay, Roch Tremblay, Jean-Jacques Turcotte, Mylène Turcotte, Pascale Turcotte, Hélène Valentini, Annie Vallée, Raymond Villeneuve.


Cover photos
Audrey Lebrasseur: La garçonne culottée photographie (C1)
Mireille Lewis (C2)
Denis Demelin (C3)
Jérôme-Nicolas LeBel (C4)

Graphic design and computer graphics
Sophie Charest
Florencia Torres

Photo calibration
Atelier Photosynthèse


Doré, Nicole; Le Hénaff, Danielle. From Tiny Tot to Toddler: A practical guide for parents from pregnancy to age two. Québec, Institut national de santé publique du Québec, 2020. 840 pages.

We would like to warmly thank all of the individuals and organizations who help make the guide possible; your individual contributions are vital to this collective work. Given the challenge of naming our many collaborators, we apologize if we forgot to mention your name, and we thank you all the more!

Sophie Arpin, Stéphani Arulthas, Sarah Baribeau, Marie-Thérèse Bertier, Christina Blais, Amélie Bouchard, Stéphane Caron, Manon Cyr, Pierre-Maurice Damas, Albert Daveluy, Isabelle Demers, Gaston De Serres, Jean-Philippe Drolet, Nathalie Drouin, Louise Duchesne, Isabelle Dufresne, Gabrielle Durette, Daniel Fortier, Dominique Fortier, Suzanne Gagnon, Yves Giguère, Marie-Pier Gingras, Marie-Christine Gervais, Barbara Harvey, Yun Jen, Catherine Labelle, Claire Laliberté, Denis Laliberté, Emilie Langevin, Jessica Lara-Carrasco, Suzanne Lepage, Jessica Lesage, Geneviève Mailhot, Pierre Maurice, Heather McMillan, Karen Medeiros, Véronique Ménard, Geneviève Plourde, Éric Poulin, Ghislaine Reid, Guy Roy, Caroline Rouleau, Onil Samuel, Dina Salonina, Maryse Saint-Gelais, Louis Saint-Laurent, Marie-Ève Saint-Laurent, Jenny-Lynn Saint-André, Stéphanie Sicard-Thibodeau, Julio Soto, Elizabeth Robinson, Julie Tranchemontagne, Catherine Trottier, Mathieu Valcke, Marie-Pier Veilleux, Gäelle Vekemans, Nancy Wassef, Carine Youssef.

The regional coordinators in charge of distributing From Tiny Tot to Toddler at the Directions de santé publique of the CISSS and the CIUSSS: Thank you for your unconditional support; without you the guide would not make its way into the hands of Québec parents..

Info-Santé; Health Canada; Ministère du Travail, de l’Emploi et de la Solidarité sociale.

Throughout the year, we get comments from parents who take time to write us or come talk to us at events we attend. We’d like to thank each and every one of them for helping us improve the guide, meet the needs of parents, and stay up to date with their concerns.

We also wish to thank all the other parent-photographers whose pictures appear in the guide. Thank you for letting us into your day-to-day life by sending us your colourful pictures. We greatly appreciate your generosity.

Using the guide

The content of the guide is not intended as medical advice

The content of the guide is for information purposes only. The information is not necessarily adapted to your specific situation. This guide is not intended in any way to replace medical advice, diagnosis, or treatment, or a recommendation of preventive or curative treatment. If you are unsure, consult your health professional or Info-Santé (8-1-1). For emergencies, call 9-1-1.

Integrity of the information

The information in this guide is based on the knowledge available at the time of printing. Since knowledge is constantly evolving, it is possible that certain sections of the guide do not reflect the latest changes.

Knowledge about COVID-19 is changing fast. If there are any important changes in knowledge concerning pregnant women or children age 0 to 2, they will be posted on the Guide website at

This guide is only intended for parents residing in Québec

The instructions in this guide may not be suitable for situations outside Québec.

Liability disclaimer

The From Tiny Tot to Toddler guide is a collective work to which many professionals have contributed. The Institut national de santé publique du Québec (INSPQ), its managers, administrators, employees, physicians, and the contributors to the guide are not responsible for how the information in the guide is consulted or used. Therefore, they cannot be held liable for the texts or any other information conveyed through the guide.

Links to other websites

Several websites are suggested in the guide as additional resources on the subjects discussed. The sites are managed by third parties, and the INSPQ is not responsible for their content.

Brand names of products described in this document are given as examples only.

Reproductions for private study or research purposes are authorized by virtue of Article 29 of the Copyright Act. Any other use must be authorized by the Government of Québec, which holds the exclusive intellectual property rights for this document. Authorization may be obtained by submitting a request to the central clearing house of the Service de la gestion des droits d’auteur of Les Publications du Québec, using the online form at or by sending an e-mail to

Information contained in the document may be cited provided that the source is mentioned.

The information published on the website is identical to the information published in the printed guide.

The information in this guide is based on the knowledge available at the time of printing. Since knowledge is constantly evolving, it is possible that certain sections of the guide do not reflect the latest changes.