2-Month-Old Well Child Check

Your baby is getting stronger and should be able to hold his or her head a little steadier and be able to lift it while enjoying tummy time.

Nutrition

Feedings

Both human milk and formula continue to supply all the nutrients and fluids necessary at this age. Delay giving solid foods until your baby is four to six months of age; do not put cereal in your baby's bottle. Early introduction of solids may lead to obesity, high blood pressure, allergies, excess salt intake and digestive problems. Formula with iron is always recommended. Remember, your baby should be consuming two to two and one-half ounces of formula or human milk per pound of body weight per day.

Vitamins

The American Academy of Pediatrics recommends supplementing exclusively breastfed babies with vitamin D. One such supplement, D-vi-sol, can be purchased over the counter; give one dropper daily. Nursing mothers should continue their prenatal vitamins. Formula fed infants receive adequate vitamin supplements from commercially prepared formula.

Development

At this age your baby should:

  • Focus both eyes on your face and on some objects
  • Follow objects visually to midline
  • Smile responsively and begin to laugh, squeal and coo
  • Hold head a little more steady and lift head while on tummy

Vaccinations

At this visit, your child is scheduled to receive the DTaP, Hib, IPV, Hepatitis B, Pneumococcal Conjugate, and Rotavirus vaccines

Common Issues And Concerns

Medications

To see information on Acetaminophen (Infant Tylenol) dosage, click here. Remember to always dose based on the weight of your child.

Sleep

(Helpful hints for preventing problems)

  • Infants should always sleep on their backs to decrease the chance of SIDS.
  • Infants should not sleep in their parent's bed.
  • Don't allow your baby to hold his bottle or take it to bed.
  • Try to delay middle-of-the-night feedings. Begin to discourage the 2:00 a.m. feeding by whatever means seem appropriate to you.
  • Never awaken your baby at night for a feeding except at your bedtime.
  • If your baby awakens, try holding her briefly to see if that will calm her prior to preparing a bottle or nursing. If you must feed her, give an ounce or two less than normal or nurse for a shorter interval at night.
Fever

Check your child's temperature if he feels warm or is acting ill. If your child is acting ill or you have concerns, contact your physician. Remember, a fever is a common side effect of the immunizations given at two months. There is no need to contact your physician when fever is associated with immunizations, unless your child appears ill.

Rashes

Babies have sensitive skin and frequently develop transient rashes.

Stooling

Bowel movements are highly variable in frequency, amount, color and consistency. Each baby is different.

Eye Drainage

Blocked tear ducts are a common occurrence and may cause a thin mucous eye discharge.

Recommendations
  • Remember to use a car seat at all times.
  • Do not leave your baby unattended.
  • Stimulate your baby with talk and touch.
  • You can talk, sing, read to your baby, or play music - he will enjoy it
Depression During and After Pregnancy

Depression during and after pregnancy is common and treatable. Having a baby is challenging and every woman deserves support. We will screen for caregiver depression at your child's well-child visits through the first year. Talk to your child's healthcare provider or your healthcare provider if you are experiencing symptoms. Please review this information from the CDC regarding postpartum depression. There are also resources available. Contact the Postpartum Support International Warmline and a trained helpline volunteer will call/text you back to identify a local coordinator and resources in your area:

  • Call 1-800-944-4773, #1 en Espanol or #2 English
  • Text 503-894-9453

Next Well Child Visit

Your child's next well child visit will be at four months age.