Doctor visit: The 2-month checkup
To prepare for your baby’s 2-month checkup, learn what will happen at the visit. You may also want to consider the questions the doctor is likely to ask and jot down answers beforehand.
What the doctor will do.
Weigh and measure your baby
You’ll need to undress your baby completely for weighing. The doctor weighs your baby, measures length and head circumference, and plots the numbers on a growth chart. The chart enables you to see how your baby compares with other children the same age. But it doesn’t matter whether she’s in the 5th or the 95th percentile, as long as her rate of growth is steady from one visit to the next.
Do a complete physical
- Heart and lungs: Uses a stethoscope to listen for any abnormal heart rhythms or breathing problems.
- Eyes: Checks for signs of congenital eye conditions and other problems. May also check for blocked tear ducts and discharge.
- Ears: Looks for signs of infection and observes how your baby responds to sound.
- Mouth: Looks for signs of thrush (an oral yeast infection) among other things.
- Head: Checks the soft spots (fontanels) and the shape of your baby’s head. Also checks to see if your baby’s head is developing a flat spot (now’s the time to catch it).
- Body: Checks your baby’s reflexes and muscle tone, and examines the skin for rashes.
- Belly: Presses gently on the abdomen to check for a hernia or any enlarged organs.
- Genitals: Opens your baby’s diaper and checks for signs of infection.
- Hips and legs: Moves your baby’s legs around to look for problems in the hip joints.
- Give your baby her shots
Your baby will receive the pneumococcal, DTaP, Hib, and polio vaccines (combined in two shots) and the rotavirus vaccine (given orally). She’ll also get the second hepatitis B now if she didn’t get it at the 1-month checkup. An assistant may administer the vaccines. This is usually done at the end of the appointment so you can have some privacy afterward to comfort your baby.
Address any other concerns
Your doctor will recommend giving vitamin D drops to breastfed babies. (Babies who drink 17 to 32 ounces of formula a day are getting enough vitamin D.) The doctor will also address any health concerns (such as reflux, baby acne, and diaper rash), ask you some questions (see below), and help you understand what’s normal at this age.
What is baby acne?
Even though baby acne looks like teenage acne, it’s actually quite different. Watch the video to learn more.
Questions the doctor may ask:
How is your baby sleeping? At this age, many babies are starting to sleep a little longer at night – maybe even staying asleep for a 4- or 5-hour stretch – and less during the day. They’re still snoozing 14 to 16 hours a day on average.
When, how, and how often is your baby eating? Most 2-month-olds still eat every two to three hours, though they may begin to eat slightly less often later this month. The doctor asks feeding questions to determine whether your baby is getting enough breast milk or formula to thrive.
What are your baby’s bowel movements like? Soft feces are best, but color can vary. Dry or pellet-like stools are a sign of dehydration, or a sign of constipation. Tell your doctor if you notice this.
What is your baby’s crying pattern? If your baby is particularly fussy or colicky, the doctor may suggest ways to soothe him. Have you noticed a change? Many babies begin to “settle” at about 8 weeks.
How’s your baby’s head control? Head control is an important developmental milestone. By now your baby should be able to hold his head up when he’s on his stomach.
Can your baby push up on his forearms? This development in your baby’s strength and coordination, which could happen this month or next, is the precursor to the mini-pushup he’ll master at about 4 months.
How does your baby respond when you talk to him? At this age, your baby should be cooing on his own and at you – it’s one of the first steps in his language development.
Does your baby smile? Most babies are smiling voluntarily by this age – it’s one of their earliest social behaviors.
Have you noticed anything unusual about your baby’s eyes or the way he looks at things? At every well-baby visit, the doctor should check the structure and alignment of the eyes and your baby’s ability to move them correctly.
How’s your baby’s hearing? Hearing is mature from birth, so if your baby’s not turning toward voices, especially familiar ones, tell the doctor.
What’s your baby’s posture like? By now your baby should have relaxed a bit from the scrunched-up fetal position. His legs should come down when he’s lying on his back. But if he’s overly limp – he feels like he’ll slip out of your arms – or has uneven movements, tell your doctor.
Are you giving your baby tummy time when he’s awake? Supervised tummy time – when your child is awake and active – helps babies learn to push up, roll over, and eventually crawl. It also helps them avoid getting a flat spot on the back of the head.
Your Child’s Checkup: 2 Months
What to Expect During This Visit
Your doctor and/or nurse will probably:
1. Check your baby’s weight, length, and head circumference and plot the measurements on a growth chart.
2. Ask questions, address concerns, and offer advice about how your baby is:
- Feeding. Your baby might be going longer between feedings now, but will still have times when they want to eat more. Most babies this age breastfeed about 8 times in a 24-hour period or drink about 26–28 ounces (780–840 ml) of formula a day.
- Peeing and pooping. Babies should have several wet diapers a day and tend to have fewer poopy diapers. Breastfed babies’ stools should be soft and may be slightly runny. Formula-fed babies’ stools tend to be a little firmer, but should not be hard.
- Sleeping. Your baby will probably begin to stay awake for longer periods and be more alert during the day, sleeping more at night. Breastfed babies may have a 4- to 5-hour stretch at night, and formula fed babies may go 5 to 6 hours. Waking up at night to be fed is normal.
- Developing. By 2 months, it’s common for many babies to: focus and track faces and objects from one side to the other be alert to sounds recognize parents’ faces and voices gurgle and coo (say “ooh” and “ah”) smile in response to being talked to, played with, or smiled at lift their head up while lying on their belly grasp a rattle placed within the hand. There’s a wide range of normal, and children develop at different rates. Talk to your doctor if you’re concerned about your child’s development.
3. Do an exam with your baby undressed while you are present. This will include an eye exam, listening to your baby’s heart and feeling pulses, checking hips, and paying attention to your baby’s movements.
4. Do screening tests. Your doctor will review the screening tests from the hospital and repeat tests, if needed.
5. Update immunizations. Immunizations can protect infants from serious childhood illnesses, so it’s important that your baby receive them on time. Immunization schedules can vary from office to office, so talk to your doctor about what to expect.
6. Because postpartum depression is common, your baby’s doctor may ask you to fill out a depression screening questionnaire.
Here are some things to keep in mind until your baby’s next routine checkup at 4 months:
- Do not introduce solids (including infant cereal) or juice. Breast milk or formula is still all your baby needs.
- Pay attention to signs that your baby is hungry or full.
- If you breastfeed: If possible, breastfeed exclusively (no formula, other fluids, or solids) for 6 months.
- If desired, pumped breast milk may be given in a bottle. If you plan to go back to work soon, introduce the bottle now to get your baby used to bottle-feeding.
- Ask your doctor about vitamin D drops for your baby.
- Continue to take a daily prenatal vitamin or multivitamin. If formula-feeding, give iron-fortified formula.
- If your baby takes a bottle of breast milk or formula: Do not prop your baby’s bottle. Do not put your baby to bed with a bottle.
- Wash your hands before handling the baby and ask others to do the same.
- Avoid people who may be sick. Hold your baby and be attentive to their needs. You can’t spoil a baby.
- Sing, talk, and read to your baby. Babies learn best by interacting with people.
- Give your baby supervised “tummy time” when awake.
- Always watch your baby and be ready to help if they get tired or frustrated in this position.
- Limit the amount of time your baby spends in an infant seat, bouncer, or swing. It’s normal for infants to have fussy periods.
- But for some, crying can be excessive, lasting several hours a day. If a baby develops colic, it usually starts in an otherwise well baby at around 3 weeks, peaks around 6 weeks, and improves by 3 months.
- It’s common for new moms to feel tired and overwhelmed at times. But if these feelings are intense, or you feel sad, moody, or anxious, call your doctor.
- Talk to your doctor if you’re concerned about your living situation. Do you have the things that you need to take care of your baby? Do you have enough food, a safe place to live, and health insurance? Your doctor can tell you about community resources or refer you to a social worker.
- To reduce the risk of sudden infant death syndrome (SIDS):
- Let your baby sleep in your room in a bassinet or crib next to the bed until your baby’s first birthday or for at least 6 months, when the risk of SIDS is highest.
- Always place your baby to sleep on a firm mattress on their back in a crib or bassinet without any crib bumpers, blankets, quilts, pillows, or plush toys.
- Avoid overheating by keeping the room temperature comfortable.
- Don’t overbundle your baby.
- Consider putting your baby to sleep sucking on a pacifier.
- Don’t use an infant walker. They’re dangerous and can cause serious injuries. Walkers also do not encourage walking and may actually hinder it.
- Soon, your baby will be reaching, grasping, and moving things to his or her mouth, so keep small objects and harmful substances out of reach.
- Keep your baby away from cords, wires, and toys with loops or strings.
- While your baby is awake, don’t leave your little one unattended, especially on high surfaces or in the bath.
- Never shake your baby — it can cause bleeding in the brain and even death. If you are ever worried that you will hurt your baby, put your baby in the crib or bassinet for a few minutes. Call a friend, relative, or your health care provider for help.
- Always put your baby in a rear-facing car seat in the back seat. Never leave your baby alone in the car. Don’t smoke or use e-cigarettes. Don’t let anyone else smoke or vape around your baby.
- Avoid sun exposure by keeping your baby covered and in the shade when possible. Sunscreens are not recommended for infants younger than 6 months. However, you may use a small amount of sunscreen on an infant younger than 6 months if shade and clothing don’t offer enough protection.
The 2-Month Well-Baby Visit
Here’s what will happen at your child’s 2-month well-baby visit, including the physical checkup, developmental milestones and shots.
Let’s face it: Caring for a newborn is exhausting (sleep — what’s that?) and sometimes challenging (um, was that a projectile poop?). But that makes the rewards — the first gummy smile, the first sweet sounds — even more worth it. Wondering what you can expect at the 2-month well-baby visit? Here’s a quick look.
The physical checkup
Does your baby suddenly seem longer when she’s on the changing table? As your constantly squirming, ever-growing little one exercises her arms and legs, her limbs loosen up and her muscles stretch out, making her appear to have added inches almost overnight. Of course, the doctor or nurse will measure her during her regular physical exam, so you’ll know for sure — approximately that is, since measuring a wriggly newborn is an imprecise science. The American Academy of Pediatrics (AAP) recommends that moms be screened for postpartum depression at this checkup, so ask if you have any questions about your moods or your partner’s.
Your baby’s body and brain are busy these days. Thanks to big strides in how well your little one’s using her senses, she’s much more aware of the huge world around her. Here are some of baby’s developmental milestones the pediatrician may check for or ask about:
- Smiling in response to a smile (most likely Mom’s or Dad’s), aka baby’s “social smile”
- Vocalizing in ways besides crying (yay!), like sweet little coos
- Turning her head toward a sound, or crying or quieting when hearing a loud noise
- Noticing her hands
- Following and watching an object held about 6 inches above the face and moved from side to side (though this skill may not appear until next month)
- Lifting her head and possibly part of her chest during tummy time
- Kicking energetically when lying on her back
Do milestones vary with premature babies? If your baby arrived early enough to require NICU care, she’s already had many more than her share of checkups (and needle jabs, tests and procedures) during her hospital stay. Still, her first in-office pediatrician visit, whenever it comes, will be momentous — and an opportunity to ask all the questions you’ve collected since leaving the comforting round-the-clock care of the NICU.
One of the first questions you may have: How will my baby’s development match up to that of her full-term peers? Generally, development will track according to a preemie’s “adjusted” age — based on the date she was due, not the date she actually arrived (so if she arrived two months early, she will likely reach 2-month milestones closer to 4 months). This developmental gap typically narrows over time and disappears by the second birthday, at which point she’ll be assessed by her birth age.
What about baby’s immunization schedule? This is usually set to her birth age, which means she will probably get her immunizations right on time, no adjustments needed! Check with your baby’s doctor if you have concerns or are unclear about your preemie’s immunization schedule.
Needle pricks can look a lot worse than they actually feel. But remember, vaccines will almost always be harder on you than they are for your baby — and a few tears (on baby’s side or yours) are a small price to pay to protect your baby from a vaccine-preventable illnesses.
Here are the immunizations recommended by the Centers for Disease Control and Prevention (CDC) that your baby will receive at 2 months:
- DTaP (diphtheria, tetanus and pertussis)
- Hib (haemophilus influenzae type b)
- IPV (inactivated poliovirus)
- PCV (pneumococcal)
- RV (rotavirus), which is an oral vaccine, and not a needle prick
- HepB (hepatitis B), the second of three doses
Ask the doctor or nurse to show you how to hold your baby for comfort during vaccinations. Also feel free to ask questions about the vaccines, the diseases they help prevent, and how to care for your baby after vaccinations.
Questions to ask your doctor
You’ve been writing down all your non-urgent questions for the doctor, right? They really do stack up between visits. At 2 months, you may be wondering about the following:
- How do I choose good child care, especially if I’m going back to work?
- What should I know about pumping, storing and bottle-feeding breast milk?
- When can I expect my baby to give up nighttime feeds?
- How can I prevent SIDS (Sudden Infant Death Syndrome)?
- How do I know if I’m giving my baby enough stimulation?
- What are good toys to buy for my baby that encourage her development?
Don’t forget to make an appointment for the 4-month visit before you leave.
Checkup Checklist: 2 Months Old
Can you believe it? Your baby is almost 2 months old and its time for another visit to the pediatrician. This appointment may cause some tears, so have your tissues ready. In addition to the usual physical exam, your baby may also get a few shots this time.
During two-month checkups, most babies will be immunized against seven or eight different diseases. Typical immunizations given during your child’s 2-month checkup include:
- Hepatitis B vaccine (HBV)
- Rotavirus vaccine Diphtheria, tetanus, acellular pertussis vaccine (DTaP)
- Haemophilus influenza type B vaccine (Hib)
- Pneumococcal conjugate vaccine f Inactivated polio vaccine (IPV)
It may have you thinking, “Is it really safe to give my baby that many shots at once?” The answer is yes. And luckily, your pediatrician can combine some shots so there’s less pricking and hopefully less crying. See “Multiple Vaccinations at One Time.” Get the most out of your time with your pediatrician and make a list of your questions ahead of time.
✅ Screenings Maternal depression:
Your pediatrician will ask you how you are feeling. If you are having postpartum issues with breastfeeding, anxiety, or sadness, or anything else, please feel free to discuss it with your baby’s pediatrician.
✅Feeding & development
Your pediatrician will measure and weigh your baby to make sure their growth is on track, observe their development and behavior, and perform a physical exam.
Questions your pediatrician may ask
Do you have concerns about how your baby sees? Note that occasional crossing of the eyes is normal in these first months. Is your baby getting enough tummy time? It’s important for strengthening the head, neck, back, and shoulders. How many times are you feeding your baby each day?
Questions you may have
Is it normal for my baby to smile at me and not others? When can my baby start solid foods? How can I manage my older children while breastfeeding?
Questions your pediatrician may ask
Do you own a changing table? Falls from a high surface can be serious. Keep a hand on your baby when you are dressing or changing him or her. Also remember not to leave your baby unattended on a bed or couch, since they may be rolling over soon soon (if not already)! Find more safety tips here. How do you calm your baby when he or she is fussy? Here are some ideas to try. Do put your baby on their back to sleep, both at naptime and nighttime? Do you need help searching for high-quality child care?
Questions you may have
Is it safe for me to take medicine while breastfeeding? Always make sure that your doctor is aware of any medications you are taking while you are breastfeeding. Communication is important for optimizing the safety of both you and your baby. What is a safe water temperature for my baby’s bath? (The American Academy of Pediatrics recommends adjusting your water heater so the hottest temperature at the faucet is no more than 120 degrees Fahrenheit [48.9 degrees Celsius]). If my baby rolls over when sleeping, is there a danger of sudden infant death syndrome (SIDS)?
✅ Communication tips
Never hesitate to call your pediatrician’s office with any questions or concerns—even if you know the office is closed. If your pediatrician is unable to see you but believes your baby should be examined, he or she will advise you on the most appropriate place for your baby to receive care and how quickly your baby should be seen.
Baby’s 2-Month Checkup: What to Expect
Congratulations! You’ve survived the first two months, and will soon be getting a glimpse of your baby’s personality. Even though your little one is just 2 months old, your baby may already be smiling, looking at you, and starting to hold their head up! This is a great time to talk to your baby’s doctor about these exciting developmental milestones and more.
Here’s what to expect at your baby’s 2-month checkup.
You Can Expect Your Baby’s Doctor to:
Give your baby’s first combination immunizations. These may include:
- DTaP (diphtheria, tetanus, acellular pertussis)
- Hib (haemophilus influenzae type b)
- IPV (polio vaccine)
- PCV (pneumococcal conjugate vaccine)
- HBV (hepatitis B)
- RV (rotavirus)
Remember, these vaccines are safe, and your baby really needs them to protect them from many life-threatening illnesses, such as pertussis or whooping cough.
Questions Your Baby’s Doctor May Ask
Is your baby getting tummy time? Can your baby hold their head up sometimes? Has your baby smiled yet? Is your baby alert to sounds? Is your baby stretching and moving their arms and legs well?
Continue to feed your baby when they want to be fed, about 7 to 8 times a day. Your baby may be going longer between feedings and have fewer poopy diapers, and that’s okay. Spitting up is common. Holding your baby upright in your arms, in a swing, or in a car seat for about 30 minutes after feeding may help. Make sure you continue to burp them after each feeding. Don’t give your baby infant cereal, juice, or other solids yet. Their digestive system is not ready. And NO water. Breast milk or formula is all your baby needs right now! Sleeping Questions You May Have I’m so tired — when will my baby sleep through the night? How can I help my baby learn to go to sleep on their own?
Just hang in there! Your baby may start sleeping for 6-hour stretches at night very soon — some babies do this as early as 10 weeks of age. To encourage night sleep, change or feed your baby at night with low lights on and don’t play with your baby right before bed. This way, your baby knows it’s time to sleep, not play. To help your baby go to sleep on their own, put your baby down when they are drowsy, not overly tired. This is also a great time to start talking to your baby. They’ll be fascinated by your voice and will likely respond with coos and smiles! And enjoy every moment — your baby will change quickly! Feeding Questions You May Have Should my baby be nursing less often now? When is it time to start solid food?
Top 11 Questions Parents Ask at Baby’s 2-Month Checkup
Your baby is now 2 months old, you’re finally getting into a rhythm and your little one is rewarding you by being more social and sleeping more at night. Still, there are probably a bunch of things you’re curious or worried about. Here, we answer the top questions parents usually ask us during baby’s two-month health checkup.
1. What Developmental Milestones Should I Look for at 2 Months? At 2 months, baby’s motor skills typically include lifting up their head more when they’re lying on their belly and not clenching their fists so tightly any more. Visually, your child’s eyes are more coordinated and can follow objects past the midline or a full 180 degrees. They can also see farther distances (you may notice they’ll start to visually track you around the room!). Around this age babies will become more social, will recognize you and will reward you with a first real smile. They’ll also begin to make vowel sounds.
2. How Much Should Baby Be Eating? Every child will eat a variable amount, and it’s more important to follow your child’s cues in terms of hunger and satiety. The average 2-month-old will eat 3 to 6 ounces per bottle five to eight times per day, while a breastfed infant will feed on demand, approximately five to eight times per day. Again, listen to your child. As long as they’re growing well and have regular wet diapers, try not to compare them to other infants their age who seem to be eating more or less. Every child is unique, and this is true even with eating at this age!
3. What’s the Best Way to Introduce Formula? There is no one “best way” to introduce formula or one ‘it’ formula that we recommend. Most children will do well with traditional, cow’s milk-based formulas. Some parents decide to supplement formula with breastfeeding, while others may choose to solely formula-feed. If you decide to supplement, you can first breastfeed and then after offer a bottle of formula. Some breastfeeding mothers find it easier to give solely formula when it may be more convenient, such as while Mom is at work or when another caregiver is feeding the child. We don’t like wasting breast milk, so most pediatricians recommend that if you’re supplementing after a breastfeed and have a stash of expressed breast milk, try to give the bottle of expressed milk first and then the bottle of formula. If you mix the two and baby doesn’t finish the bottle, you have to throw out the remainder, which includes your precious breast milk. If baby doesn’t initially like the formula, however, you can try mixing a little of the formula in with the expressed breast milk and then gradually increasing the amount of formula while decreasing the amount of expressed breast milk every few days.
4. How Much Should Baby Be Sleeping? At this age your child should start to give you longer stretches of sleep at night, and may sleep for stretches of four to nine hours at night! During the day, baby will be awake for about two hours before becoming sleepy and needing a nap. Sleep often begets sleep, and the better a baby naps during the day, the less likely they’ll be over tired and cranky and the more likely they’ll better sleep at night.
5. What Shots Will Baby Get and What Are the Side Effects? Each year in the United States, scientists and doctors work together to decide the vaccines that are recommended for children and come up with a vaccine schedule for children and adolescents that is then approved by the American Academy of Pediatrics (AAP), the Centers for Disease Control and Prevention (CDC), and the American Academy of Family Physicians. According to the AAP, the schedule and timing of each vaccine is based on when the scientists believe the body’s immune system will be able to provide the most protection after the vaccination. It’s also based on the need to protect children when they’re most at risk for the particular disease. For the two-month well visit, the following vaccines are recommended: • DTaP (Diphtheria, tetanus, and acellular pertussis) vaccine. This protects against diphtheria (which can lead to a fever, sore throat, weakness, lymphadenopathy, heart failure, coma, paralysis and death), tetanus (which can cause stiffness in the neck and abdominal muscles, trouble swallowing, fever, trouble breathing and death) and pertussis, also known as whooping cough (which causes a bad cough, trouble breathing, pneumonia and death). • Hib (Haemophilus influenzae type b) vaccine. This protects against Haemophilus influenzae type b, which can cause meningitis (an infection around the brain), cognitive delays, epiglottitis (a life-threatening infection involving the airway), pneumonia and death. • Prevnar (Pneumococcal conjugate) vaccine. This protects against pneumococcus, which can cause pneumonia, an infection in the blood, meningitis and death. • IPV (inactivated poliovirus) vaccine. This protects against polio, which can cause sore throat, fever, paralysis and death. • Rotavirus vaccine. This protects against rotavirus, which can cause severe diarrhea, fever, vomiting and dehydration. After the two-month vaccines, baby might have no reaction at all! However, your child also might experience a fever (usually begins within 24 hours and lasts one to two days), local reactions at the site of the vaccines such as redness, swelling and tenderness or other reactions such as sleepiness or crankiness. If your little one is uncomfortable, you can place a cool compress on the area the same day the vaccines were administered and a warm compress on it the next day. You can also give baby acetaminophen to ease any discomfort. The dose is based on baby’s weight, so remember to ask your pediatrician about the proper dose at the visit. Your little one might experience the side effects of the vaccines that night or the day after, but usually will be back to normal in two to three days. If you’re worried about your child’s reaction to the vaccines, especially if you notice that baby is acting very sick, crying excessively or has usual symptoms such as blood in the stool, then your pediatrician would be happy to discuss what’s normal and what’s out of the ordinary and if your child needs to be seen.
6. When Should I Stop Swaddling Baby? According to the AAP, the best time to stop swaddling is when baby is around 2 months old, before they start to roll. You also want to remove the swaddle before baby starts to break free from it, because if the blanket covers baby’s face, it creates a possible risk of suffocation.
7. How Can I Switch Pediatricians Without Seeming Rude? The relationship between a pediatrician and a family is a very personal one, and it’s important that a family feel at ease with their pediatrician. Parents need to trust their doctor’s advice, feel comfortable calling their pediatrician with any concern and generally “connect” with them. If it’s not a perfect match, it’s completely okay (and definitely recommended!) to change to a pediatrician that’s a better fit. Pediatricians don’t get offended by this whatsoever. It happens all the time, and we always want what’s best for the child and family.
8. Can I Give Tylenol If Baby Gets a Fever? If baby just had their shots and you therefore know the cause of the fever, it’s okay to give baby acetaminophen (ibuprofen is not recommended until baby is over 6 months old). However, if a 2-month-old baby has a fever (100.4 to 101 rectally) and you don’t know the cause of the fever, since your child is so young, your pediatrician will want to know about any fever and will likely want you to bring baby in for a visit. Check with your pediatrician first before giving any medication in this circumstance.
9. Why Is Baby So Gassy? There are many reasons why a child is gassy. Some parents use over-the-counter gas drops or probiotic drops, but these remedies don’t always help. Colic, which is associated with fussiness and crying for three or more hours a day for three or more days per week, starts around two to three weeks of life and will peak between six to eight weeks of life. Babies have periods of crying that will typically begin in the evening hours and last until the wee hours of the morning. There is no known cause or treatment for colic, but most parents believe their baby is gassy during this time. Some parents find it helpful to do bicycle exercises with their child to help their child pass the gas more easily. If you’re breastfeeding, you may wonder about eliminating foods from your diet—but if your child is growing well and otherwise doing well, that may not be helpful. Speak to your pediatrician to see if there are certain foods in your diet that you consume in large quantities or are concerned about. The good news is that the gas will pass in a few short (or long) weeks and usually resolves around three or four months.
10. Is a Lot of Spit-Up Normal? Babies can spit up a whole lot in the beginning! Most of the time the biggest issue is all the laundry that needs to be done, but it’s still not fun to see your little one spit up what appears to be everything they just ate. Children who have gastroesophageal reflux (GER) are usually known as “happy spitters.” Happy spitters are not in pain when they spit up, and they typically eat well and gain weight well. The “D” in GERD (gastroesophageal reflux disease) is added when there are complications, such as feeding problems, weight loss or poor weight gain and pain with feeding.
11. What Are Good Questions to Ask the Doctor? It’s always good to come to baby’s well visit with a list of questions that have come up since your last visit. In addition to the frequently asked questions above, some other common questions include: Is my baby on track developmentally? What should I look for developmentally for the next visit? Is my baby gaining enough weight and following their growth curve? What can I do to stimulate my baby? What are signs that I should call you? When should I go directly to the ER? Where should I take my baby if the pediatrician’s office is closed? Where should my baby be sleeping? Can I take my baby outside? If I need formula, what is a good formula to give?
Your Baby’s 2-Month Checkup
What your provider will want to know Talk It Over Speak Up!
At 2 months, your baby still keeps you guessing, but her sleeping and eating habits are starting to become more predictable.
At this point her natural eye color will start to change and her face will start looking thinner and her body chubbier than even a week ago. Her size and weight will be the focus of this health check visit, along with feeding and the build-up in crying that’s expected at this age. Also, it’s time for the first set of immunizations. At this visit, your provider will probably:
- Check your baby’s weight to make sure she’s growing at a healthy, steady rate. Click here to view our growth chart. Ask you about your baby’s hearing, eyesight, and other new skill developments.
- Give you some insight into your baby’s development and behavior at this age.
- Give your baby her first big round of immunizations.
- Address any minor health concerns, such as how to alleviate cradle cap or diaper rash, for example.
- Answer any breastfeeding questions you may have. Talk about how to handle minor illnesses at home.
What your provider will want to know
- Has your baby seen another healthcare provider since the last visit? If so, why?
- What was the outcome of that visit and were any medications or treatments prescribed?
- Does your baby hold her head up when you put her on her tummy?
- Does she use her forearms to elevate her upper chest when put down?
- Does she smile on her own? Does she make cooing sounds when you talk to her?
- Does she bring her legs up when she’s on her back?
- Does she hold her head more steadily when you hold her up to your shoulder or pick her up?
- Does she sleep longer at night and less during the day?
- Does she have a crying spell at the end of the day?
All of these behaviors are expected at this time.
Talk It Over
Daily routine. How’s your baby eating? How’s she sleeping? What are her crying patterns like? Discuss these things with your provider. If your baby seems especially fussy, your provider may be able to show you ways to soothe her.
Going back to work. If you must return to work soon, discuss with your provider ways to make the transition smoother for you and your baby.
Discuss confusing or contradictory advice. Everyone has theories about child raising, but your healthcare provider is the one you should listen to for the most current recommendations.
Discuss how your family is adapting to life with the new baby, and bring up any sibling issues that are becoming hard to manage. Getting out. If you haven’t been out of the house with your new baby, discuss this with your healthcare provider. Doctor Mom. Are you ready to handle minor illnesses or a fever that may follow your baby’s shots? Get instructions before you leave.
Many new parents notice changes in their baby’s vision and hearing around this age. Talk to your provider about any concerns you have. Your provider will want to know about it if your baby: Doesn’t look at you or follow you with his eyes as you move from side to side within his range of vision. At this age, his range is about 6 to 18 inches. Doesn’t turn toward voices, especially yours or those of familiar people such as caregivers or other relatives. Isn’t smiling in response to you or others. Still feels so limp that it seems he’ll slip out of your grasp, or his head still bobbles a great deal. Moves unevenly or moves one leg or arm more than the other. Has any problems with his eyes, particularly if they’re runny or have pus. He may have a plugged or narrow tear duct that needs attention. Doesn’t make any sounds. Doesn’t stay alert for more than 30 minutes at any time. Doesn’t have health insurance. There are programs available to get that coverage. If things are not falling into place for you as a parent or haven’t improved at all since last month, let your provider know. If you are depressed, yourbaby will be able to pick up on it and it could affect his development. He needs you to be at your best for his own mental and emotional growth, so getsome help now. You can ask your provider or the healthcare facility for a referral.
Finally, remember that every baby is different and develops at his own pace. Talking with your provider if you have any concerns can be just the reassurance a new parent needs.
2 Month Visit
Many babies seem more fussy or colicky at this age. Be patient. Colicky babies eventually outgrow their crying phase. Keeping your baby safe is the most important thing you can do. Even if you feel frustrated, handle your baby gently and reach out for help to friends, relatives or your pediatrician if the crying is getting to be too much. If you need a break and no-one is available to help you, place your baby on his/her back gently in a safe space such as a crib or bassinet and take a few minutes to calm down.
At this visit, we will:
- Measure your baby’s weight, length, and head size and record on a growth curve.
- Administer your baby’s first set of immunizations.
- Immunizations are safe, effective, and keep your child and our community healthy.
During this visit, you will be able to discuss any questions you may have about immunizations. If you need help or support with breastfeeding, please ask to schedule time with our lactation consultant in addition to your pediatrician. Please refer to Bright Futures for information about your child.
Doctor visit: The 2-month checkup
Your Child’s Checkup: 2 Months
The 2-Month Well-Baby Visit
Checkup Checklist: 2 Months Old
Baby’s 2-Month Checkup: What to Expect
Top 11 Questions Parents Ask at Baby’s 2-Month Checkup
Your Baby’s 2-Month Checkup
2 Month Visit