Newborn Basics

What Happens At Baby’s Two Month Checkup?

Baby’s two-month checkup is coming up. What questions, procedures and immunizations should I expect?  

Brace yourself for a whole lot of shots. Preeti Parikh, MD, explains what else usually happens at this checkup. 

Questions the doctor will ask

• How are things going? Do you have any concerns? Is there anything new going on?

• Is baby holding his head up, cooing and smiling? Are there signs he recognizes mom and dad? 

• Are you breastfeeding or using formula? How frequently? (At two months, baby is probably still feeding every two to three hours.) If it’s formula, how many ounces is baby drinking per day? 

• How many times does baby poop per day, and how many times does he pee?

• Are there any signs of dairy intolerance, like diarrhea or blood in stools?

• What is baby’s sleep schedule like? (Sleep is especially important for brain development, and baby should still be sleeping for the majority of the day.)
 
Procedures the doctor will do

Weight check. Just like last month, the doctor or nurse will measure and weigh baby, and plot weight, height, and head circumference on a growth chart that indicates the average height and weight for boys and girls. Don’t freak out about the numbers. What really matters isn’t baby’s percentile — it’s that baby stays within the same percentile range from checkup to checkup. 

Physical. The doctor will check baby’s heart, joints, eyes, ears, mouth, lungs, genitals and reflexes. She’ll also check the shape of baby’s head and check his soft spots (fontanels) to make sure they’re developing properly.

Vaccines  baby may get

These come at the end. Depending on the practice, some are given in combo vaccines.

• Pneumococcal (PCV)
• DTaP
• Hib
• Polio vaccines
• Rotavirus vaccine (given orally)
• Hepatitis B
 
Recommendations the doctor will make

• If your baby is breastfeeding, you’ll need to supplement with vitamin D droplets. Parikh recommends sticking to liquid in a syringe, because it’s hard to tell if baby actually consumed all of the vitamins when you mix it with formula or breast milk.

• To lower the risk of SIDS, make sure that baby is still sleeping on his back.

Expert: Preeti Parikh, MD, is a pediatrician in New York City and spokesperson for the American Academy of Pediatrics.

By Anisa Arsenault