You should take your baby to the doctor for regular exams beginning in the
first days and weeks after birth.
The appointments are important even if your child is not sick. Seeing the
doctor can help prevent future problems.
The doctor will make sure that your child's growth and development are normal.
Your baby will receive routine tests and vaccinations.
If you have any questions or concerns about your baby's health, ask the
doctor at your baby's checkups. You know your baby best. You spend the most
time with him. Any questions or concerns you have are important.
Write down questions or concerns you have at home as they come up and bring
the list to the appointment.
The doctor will give you safety tips at each appointment to help you prevent
injuries as your baby gets older and learns new skills.
Your physical and mental health affects the baby's health. Your doctor will
also want to know how you are feeling. Feel free to ask questions about your
own health.
What happens at the first checkup?
The first checkup is usually within two weeks after birth.
The appointment is usually relaxed so that the doctor can take the time
to get to know you and your new child.
Some typical questions the doctor might ask you are:
How are you adjusting to this new baby?
What is the baby eating? How often?
How is the baby sleeping?
Does the baby's sight and hearing seem to be normal?
How active is the baby?
Does the baby cry often? What comforts him?
What have you noticed about your baby?
The doctor will measure your baby's head size, body length, and weight.
The doctor will use a growth chart to see if your baby's size falls within
the normal range.
The most important measure is how well your baby has grown since birth.
Other things the doctor will check:
the baby's responsiveness
the size and softness of soft spots on the baby's head
chest sounds, breathing, lungs
movement, muscle tone, strength
proper movement and placement of hips
the abdomen (looking for tenderness or masses)
the genitals
seeing if a circumcised boy is healing okay
seeing if the navel (belly button) is healing okay
checking for skin rashes
listening to the baby's heart
checking the eyes, ears, and mouth
Your baby may receive his first immunizations. The shots may give your
baby a sore leg for a day or two. Ask your doctor about giving acetaminophen
for pain.
What happens at the two-month checkup?
The routine will follow previous appointments.
The doctor will measure your baby's head size, body length, and weight and
compare them to measurements from the last visit.
You know the most about your baby. Discuss any concerns or questions you
have.
Discuss changes you have noticed. How is the baby sleeping? Feeding? Moving?
The doctor will check:
the size and softness of soft spots on the baby's head
the baby's sucking reflex; Is the baby making more saliva?
the baby's eyes; Do they follow moving objects?
the baby's ears; Is wax a problem?
has the baby had sneezing or congestion?
the heart, lungs, abdomen, and hips
the healing of the navel (belly button)
the healing of a circumcised boy
boy's testes should be descended
the baby's reflexes
Your baby may receive more immunizations. Give acetaminophen
for pain.
What happens at the four-month checkup?
The routine will follow previous appointments.
The doctor will measure your baby's head size, body length, and weight and
compare it to measurements from the last visit.
Discuss any concerns or questions you have.
Discuss changes you have noticed. How is the baby sleeping? Feeding? Moving?
Other things the doctor will check:
the size and softness of soft spots on the baby's head
skin irritations
the baby's eyes; Crossed-eyes should have naturally corrected by now.
the baby's nose
the baby's mouth, drooling, and chewing motions
the baby's gums (and teeth)
sounds in the baby's heart and lungs
the abdomen
movement in the baby's hands, feet, hips, and legs
movement, muscle tone, and strength
genitals
Your baby may receive more immunizations. Give acetaminophen
for pain.
What happens at the six-month checkup?
The doctor will measure your baby's head size, body length, and weight and
compare them to measurements from the last visit.
Discuss any concerns or questions you have.
Discuss any changes you have noticed. How is the baby sleeping? Feeding?
Moving?
The exam will focus on your baby's activities, movement, and abilities.
Other things the doctor will check:
the baby's heart and lungs
the size and softness of soft spots on the baby's head
skin irritations
incoming teeth and gums
head control
your baby's ability to sit and stand with help
movement of the baby's legs, feet, and hips
genitals
movement, muscle tone, strength
watching how your baby reaches for things, grabs things, and lets go
the baby's eyes, how he focuses
checking sight and hearing
Your baby may receive more immunizations. Give acetaminophen
for pain.
What happens at the nine-month checkup?
Your baby may not be as comfortable during this exam. At this age, babies
usually do not like to be separated from their loved ones and are often afraid
of strangers. The doctor may examine your baby while you hold him on your
lap.
The doctor will measure your baby's head size, body length, and weight and
compare them to measurements from the last visit.
Discuss any concerns you have or changes you have noticed.
The doctor will again check the soft spots on your baby's head, check the
heart and lungs, feel for new teeth, and check his hips.
The doctor will want to know about your baby's motor skills:
Can your baby get to a sitting position and stay sitting without your
help?
How does your baby pick things up?
Can he stand with your help?
Does he hang onto the edge of things and walk sideways?
Can he pull himself up to a standing position?
How does he talk to you?
How is he eating, drinking, and sleeping?
The doctor may give your baby a routine test to check for tuberculosis
(TB).
Your baby may also be given a blood test.
He may receive more immunizations. Give acetaminophen
for pain.
Your doctor will give you more safety tips. Since your baby is moving around
more, it is important to know CPR and prevention for choking, poisoning, drowning,
and burns.
Quick Answers
You should take your baby to the doctor for regular exams. The appointments
are important even if your child is not sick. Seeing the doctor can help prevent
future problems.
The doctor will make sure that your child's growth and development are normal.
Your baby will receive routine tests and vaccinations.
The doctor will usually check your baby's heart, lungs, chest, head, abdomen,
eyes, mouth, ears, sight, hearing, teeth, movement, strength, motor skills,
and skin.
If you have any questions or concerns about your baby's health or your health,
ask the doctor.
References
MayoClinic. Baby's first checkup. 2000 December 15 (cited 2002 March 29).
URL: http://www.mayoclinic.com/findinformation/conditioncenters/invoke.cfm?objectid=37A81590-DE56-4A88-B8D233B1E936BC43
MayoClinic. Baby's four-month checkup. 2000 December 15 (cited 2002 March
29). URL: http://www.mayoclinic.com/findinformation/conditioncenters/invoke.cfm?objectid=C7E4F407-99FF-46D8-95ED9BC38EB77365
MayoClinic. Baby's nine-month checkup. 2000 December 15 (cited 2002 April
1). URL: http://www.mayoclinic.com/findinformation/conditioncenters/invoke.cfm?objectid=C9998B3F-6957-482A-ADC8BAE8DCA48945
MayoClinic. Baby's six-month checkup. 2000 December 15 (cited 2002 April
1). URL: http://www.mayoclinic.com/findinformation/conditioncenters/invoke.cfm?objectid=5CDB710A-7DF3-4B2B-BBDD99E8F5A128FC
MayoClinic. Baby's two-month checkup. 2000 December 15 (cited 2002 April
12). URL: http://www.mayoclinic.com/findinformation/conditioncenters/invoke.cfm?objectid=2D1C1B33-575B-491B-A3F288728E673F7B
"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.
Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.
Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.
The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.