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 Week Visit

Development:
Your child is “settling in” and is more comfortable with familiar persons than with strangers. He is developing a social smile and occasionally makes throaty noises as his main communication. He  is starting to lift his head when lying on his stomach. His posture is relaxed, and he now lies more readily with his head turned to the side. He is probably not yet reaching for things, but will grasp  (by reflex) objects pressed against his palm. He enjoys eye contact with you. He still responds primarily to things placed in his line of vision but is starting to follow objects with his eyes. He  may stop fretting and become quiet whenever he hears you approaching. At the same time, he may be startled by sudden or loud noises.
 
Infants at this age need to feel they have some control over their environment. This is best accomplished by your consistent and prompt response to their behavior. They relish being held and cuddled, especially during feeding. Close personal contact with you is important for them. Your smiles will soon make them smile. They like being talked to. They feel helpless if you don’t promptly change them when their cry alerts you to a wet diaper.

As mentioned above, you can encourage your baby’ s development by holding, feeding, rocking, changing your baby’s position, establishing eye contact, talking and singing. Suggested crib toys include noisy clocks, music (radio or tapes), and simple patterns (such as a happy face on plain paper) approximately 10 inches from your baby’s face or the side of the crib.

Feeding/Elimination:

Breast milk or formula still supplies all the nutrients the baby needs. He will soon be taking 4 to 5 ounces per feeding or nursing 10 minutes per breast. Spitting up after feeding remains common. If spitting up is a concern prop your baby upright for 45 minutes after feeding. Breast fed babies usually have a bowel movement with each feeding, which is normally yellow and not well formed. Some breast fed infants may go as long as a week between bowel movements. It is normal for your baby to grunt and strain and appear red-faced during a bowel movement. You can expect a wet diaper at each feeding and approximately 6 to 8 wet diapers per day.

Sleep:

Your baby is now spending more and more time awake. He may be now sleeping 3 to 4 hours between night feedings. He is also likely to be fussier those times he is awake, especially in the early evening.

Safety:

To prevent the risk of SIDS (Sudden Infant Death Syndrome), position your child on his back when he is sleeping. To enhance his development, it is also important that he have time on his abdomen while supervised and awake. Your baby will soon be rolling over- be careful where you set him. Avoid assigning too much responsibility to older children to care for their new brother or sister.
 
Special Concerns:
Fever- It is important that you be comfortable taking your baby’s rectal temperature using a thermometer. If you have questions, please ask our nurse to assist you. If your baby develops a fever of 100.5 or higher by rectal thermometer, call us immediately. Use Tylenol to treat a fever (not Aspirin) and only after checking first with your health care provider.
 
Colic- Many babies have times when they seem excessively fussy. They may scream, draw up their legs, clench their fists, get red in the face, pass gas and generally look uncomfortable. You may be able to help by holding the baby over your shoulder, rocking him, walking with him or talking to him in a soothing monotonous tone. You might try a pacifier. If your baby seems excessively colicky, call us.

The Blues- Now is a common time for mothers to feel sad or perhaps a bit let down. There may no longer be extra help at home. The routine of child care and interrupted nights can take its toll. It’s important that both mother and father have some time alone away from the baby. If you’re feeling really down, please talk to us about it.

Items to Have Available for the Health and Safety of Your New Baby:

-Rectal thermometer
-Cool mist humidifier
-Smoke detectors
-Emergency numbers by the phone: MD, ambulance, poison control, fire department
-Approved car seat

Immunizations:

Your baby will have most likely received his first Hepatitis Vaccine in the hospital. At age 2 months, your baby will receive immunizations as recommended by the American Academy of Pediatrics and the Center for Disease Control. If you wish, you may bring infant Tylenol (acetaminophen) and we will give you the appropriate dose based on your baby’s weight. Please review the enclosed vaccine information sheets and feel free to ask any questions.
 
                                                                                                 adapted from John Chamberlain
                                                                                                                     Rose Boynton, et.al.
                                                                                                                             Barton Schmidt