Routine Check Ups for Baby

Check ups, or well visits as they are often called by doctors and insurance companies, are an important part of your baby’s first few years. Your baby’s doctor will be monitoring his growth, development, and general health, as well as keeping him healthy with regular immunizations against dangerous diseases. Catching any problems early is vital to treating them successfully, so make sure your baby attends all his scheduled well visits.

When to Go

Every doctor does things a little differently, but the standard visit times for a baby are at two weeks, at four weeks, at 2 months old, 4 months old, 6 months old and then every three months until baby reaches a year and a half old. Some doctors schedule a 21 month well visit, but many do not see baby again until two years old. After two, check ups will become a yearly occasion.

Be sure to ask your baby’s doctor ahead of time what the visit schedule looks like. Especially if the doctor is busy, it’s a good idea to schedule as many appointments ahead of time as you can, to ensure your baby gets in for a visit at the right time. This way, you will also know when the appointments are so that you can plan accordingly.

What to Expect

Most well visits will follow the same pattern, with a few additional procedures at certain check ups. At the beginning of the visit, the baby will be weighed, measured, and her temperature will be checked, probably by a nurse. Many parents have an impulse to give the baby a medication such a Tylenol prior to the appointment to dull the pain of any shots she might receive, but avoid doing this. It could cause a false temperature reading at the office, and baby should not receive immunizations if she has a fever.

After your baby’s stats have been recorded, the doctor will see her for an examination. The standard physical examination will include checking baby’s eyes, ears and mouth, as well as examining the genitals for normal development. The doctor will listen to your baby’s heart and lungs, and may also feel baby’s tummy, spine, and check her hips by bicycling her legs.

The doctor will have a number of questions for you regarding your baby’s eating, sleeping, and elimination habits. You might want to make a record for a few days prior to the appointment of how much and how often she eats, her sleep routine, and how many wet and dirty diapers she has in a day, so that you don’t have to remember on the spot. The doctor will also ask some developmental questions to be sure baby is on track. After all of the doctor’s questions have been answered, you should have an opportunity to present any concerns or questions you may have. If the doctor doesn’t ask, don’t be afraid to speak up! This is your chance to find out what you need to know about your baby’s health and development.

When the exam is complete, the nurse will return to give your baby any necessary shots. You should be presented with an information sheet detailing what shot she is receiving, why, and what the potential side effects are. If you have any questions or concerns, address them prior to the shot be administered.

At some check ups there will be additional tests or procedures. A blood test for anemia is usually performed at either nine months or one year. At 18 months, you may be asked to fill out a questionnaire screening for autism. Depending on the doctor, there may be other differences as well.

Being prepared for baby’s check ups will make them go smoothly and ensure you get the most out of each visit.

The Importance of Check Ups and Immunizations

Keeping baby healthy is every parent’s top priority, and the best way to ensure this is through regular check ups and immunizations against childhood diseases. Your baby’s doctor is also committed to keeping your baby healthy, so be sure to attend all recommended check ups. Vaccinations will protect your baby from illnesses that could be very serious, even fatal, so make sure you stay on track with those as well.

Baby’s Check Ups

Your baby’s doctor will want to see him on a regular basis during the first two years of life. At first, baby will be seen every two months, then every three, every six, and finally once yearly after the age of two. These check ups allow the doctor to keep track of baby’s growth and development, and keep an eye on his health as well.

Through regular check ups, a pediatrician can identify potential developmental delays, and get your child the therapy or intervention that will help him catch up. These visits also allow the doctor to make sure baby is growing the way he should be. If baby isn’t gaining weight at a normal rate, falls off his growth curve, or shows any other abnormalities in growth patterns, the doctor can investigate further to determine the source of the problem.

Every time your baby sees his doctor, he will be given a thorough physical to check for anything abnormal that could indicate illness or some other problem. From the most minor problems to much more serious ones, regular check ups are your best chance of catching something as early as possible, to prevent it from becoming worse. As with the regular visit to the obstetrician during pregnancy, well baby check ups are vital to making sure everything is going as it should, and baby is healthy and developing at a normal rate.

The Vaccination Question

Recently, a great deal of controversy has surrounded the issue of vaccination. Many parents are choosing to vaccinate their children on an alternate schedule, while others are skipping vaccinations altogether. The bottom line is that vaccines exist to protect children from very serious illnesses that could even result in death. The American Academy of Pediatrics comes down firmly on the side of vaccinating on schedule, as the benefits outweigh the potential risks.

Vaccinations have nearly eradicated numerous serious illnesses such as polio that once claimed many young lives. By ensuring that your child receives all of her vaccinations on schedule, you can help to keep things like polio in the past. Address your concerns about vaccines with your child’s doctor. Hopefully, you will be given the latest information to help put your mind at ease. New research has recently debunked some of the more frightening tales be circulated about vaccines, and your doctor can also share with you what the real risks of immunizations are so that you can avoid misinformation.

As a parent, you want to make the best decisions possible for your child’s health and well being, and sometimes that can be difficult. Remember that your baby’s doctor is your partner on the path to health, and is there to answer your questions and provide you with information to make it easier. Seeing your baby’s doctor regularly will ensure that your baby has the best possible chance of staying healthy and avoiding illness.

Your Baby’s Immunizations

In recent years there has been a lot of controversy surrounding vaccines. However, at this time immunizations are the best method we have of protecting our children from potentially fatal childhood illnesses, many of which are no longer seen in the United States thanks to immunization programs. A recommended immunization schedule has been created to make sure your child gets the vaccinations they need at the appropriate times. Some vaccines have been combined into one shot so that your child needs fewer sticks with a needle.

The Standard Schedule of Immunizations

The CDC has a recommended schedule of vaccinations, which should be followed to maximize your child’s protection. If you are interested in an alternate schedule, discuss it with your child’s doctor to be sure you have all the information to weigh the pros and cons. The standard schedule for the first two years is as follows:

At Birth

Before your baby leaves the hospital, the first dose of the Hepatitis B vaccine will likely be administered. If it is not given in the hospital, your baby’s doctor will administer it at the first check up.

At 1-2 Months Old

If your baby had the first Hepatitis B vaccine at birth, the second one may be given at one month old, or your doctor may wait until two months old. At two months, your baby will also receive the following vaccines:

  • DTaP (diphtheria, tetanus, and acellular pertussis, otherwise known as whooping cough)
  • Hib (Haemophilus influenzae type b)
  • Polio, or IPV
  • RV (rotavirus)
  • PCV (pneumococcal disease)

At 4 Months Old

Your baby will receive another round of shots similar to the ones given at the 2 month visit. Many vaccines require two or more shots to be completely effective, so don’t be surprised if you see the same ones repeatedly. At four months your baby will once again receive:

  • DTaP
  • Hib
  • Polio, or IPV
  • RV
  • PCV

At 6 Months Old

At your baby’s 6 month visit, your baby will receive another round of the same vaccines you have seen before. In addition to these shots, you may be offered an influenza vaccine depending on the season during which baby’s 6 month visit is scheduled. At this visit, your baby will receive shots for:

  • DTaP
  • Hib
  • PCV

Also optional at this visit is the next round of Hepatitis B and Polio vaccines, which should be given between 6 and 18 months of age.

At 12 to 15 Months Old

At the 12 month visit, you will see some new vaccines as well as more of the ones your child has received previously. All of these vaccines can be given between 12 and 15 months old, so you can choose to do them all at once, or split them up. Again, influenza will be offered seasonally. The 12 to 15 month shots are:

  • PCV
  • Hib
  • Varicella (chicken pox)
  • MMR (measles, mumps and rubella)
  • Hepatitis A

At 15 to 18 Months Old

At the 15 month check up, your child will receive any vaccines you chose to put off from the 12 month visit. Baby will also be due for one more DTaP shot between 15-18 months. As with previous visits, influenza may be an option depending on the season.

Your doctor will help to make sure all of baby’s vaccinations are on schedule, and answer any questions you might have about the immunizations.