ALL patients are seen at our Portsmouth office on Saturday and Sunday for sick visits from 9-12 am

Offices:

Hampton

603.929.3838

55 High Street
Suite 102
Hampton, NH 03842

Portsmouth

603.436.7171

330 Borthwick Avenue
Suite 101
Portsmouth, NH 03801

Well Child Visits

The 2 Month Visit

Development:
Your baby is becoming a very social creature and is very responsive to his surroundings. He is fascinated by large bright objects and enjoys mobiles. He prefers to look at people and enjoys attention from anyone. He recognizes your face and is learning that mother (or parent) means food. He is beginning to show unhappiness, excitement and delight. This is a happy age, but it can also be a very fussy one. Fussiness usually reaches its peak by about 8 weeks of age. Your baby is also becoming more easily soothed by your voice and being held.

By now many babies are cooing, laughing and uttering vowel sounds. Every day is a new discovery for them. Most have a social smile and follow your movements about the room intently with their eyes and by turning their heads. When pulled to a sitting position, the head still requires Support. Your baby is probably starting to grasp at objects moving nearby and may be batting at them with his arms. His movements are more defined. He enjoys new scenery and likes being propped in an infant seat so that he can see what is going on around him. At this age babies like to be talked to. Hearing your voice is important to their development. It is never too early to begin reading to your child. The rhythm of nursery rhymes or lullabies are favorites.
 
Feeding/Elimination:
Breast milk or formula is still all your baby needs. Many babies are now content with 4 to 5 feedings a day. Night feedings may continue until large amounts are taken during the day. Solids are not necessary for another 2 to 4 months and are not advised because of an increased risk of developing food allergies as well as immature development of muscles that are needed to swallow solids. Don’t prop bottles when feeding- your baby thrives on personal contact. Propping bottles is associated with ear infections. Frequent stools will most likely continue as the intestinal tract is still immature and doesn’t absorb fluids completely. However, stools may decrease to as few as one or two per week. Remember, grunting and becoming red in the face with an appearance of straining is normal for infants. Hard stool is a sign of constipation. Urination will continue with each feeding.

Sleep:

At this age some babies are sleeping 6 to 8 hours at night.  If not, you can help by not jumping up the second the baby whimpers; Instead, giving him 5-10 minutes to settle. Try a pacifier. Your baby will be awake for longer periods during the day, but will most likely sleep a total of 16-20 hours per day, which will gradually decrease over the next few months.

Special concerns:

You may notice that your baby’s eyes cross on occasion. This is normal at this age and should stop by 4 to 6 months of age. If the eyes constantly remain crossed, please consult with us.

Safety:
Your baby can roll off anything at this age, and no strap can be trusted to hold him safely. Infant seats may tip over-don’t set them on tables or counters. Car seats are required in the car. Make your home safe by installing smoke and carbon monoxide alarms. Have written instructions for the baby sister with emergency numbers, (fire ambulance, MD, poison control), posted at your phone.

Immunizations:
Your baby will receive immunizations as recommended by the American Academy of Pediatrics and the Center for Disease Control. Tylenol prior to vaccine administration is no recommended routinely as this may adversely impact the effectiveness of the vaccines.

Your baby may have some mild swelling at the injection sites, develop a low grade fever or be fussy. If your baby develops these symptoms a few hours after the vaccine, you may administer a dose of acetaminophen. At the 4 month visit your baby will receive a second series of immunizations. Please feel free to ask any questions or request information on any of the vaccines.

  

                                                                                            adapted from
                                                                                                     John Chamberlain
                                                                                                       Rose Boynton, et.al.
                                                                                                                Barton Schmidt