TWO MONTH VISIT TWO MONTH VISIT

Development

  • Two month olds have a tremendous growth in personality. They will smile, coo, turn to your voice and listen intently.
  • Encourage some "tummy time" when your baby is awake; Your baby may push up, roll side to side, or even roll over.
  • The baby's visual tracking is improving and they can follow at least to midline with their eyes.
  • A baby's hands and mouth are its favorite toys and provide a flood of sensory input. Your baby may grasp a rattle place in his/her hand.
  • Crying becomes more focused. Parents will recognize the hungry cry, the pain cry, the frustration cry and the "I'm tired and want to be left alone cry."

Activities

  • Interact with your baby: talk, singand play with your baby.
  • Carry your baby in a sling or in your arms, whenever you can. A carseat should only be used when your baby is in the car, going somewhere. Two month old babies are very portable. They would much rather look over a parents shoulder than be pushed in a stroller. Of course you may use a stroller if you are out on a power walk. Slings will allow you to have both hands free while you carry your baby close to you, nurse her/him as needed and go on with your life.
  • Give your baby "tummy time" when he/she is awake.
  • Try mirrors, music and walks outside.
  • Babies enjoy toys/objects with varying textures. At 2 months of age, black and white objects fascinate an infant. By 3-4 months of age, colors such as red become more interesting.

Sleep

  • Parental sleep is important. Nap when you can. 
  • Your infant should only sleep on his/her back, without loose blankets, comforters or crib bumpers as this reduces the risk of sudden infant death syndrome. Rotate your baby's position in the crib from time to time to prevent preference for one side or the other, as this can help maintain normal head shape.
  • Try to develop a bed-time ritual. This can include singing a lullaby, turning on music or rubbing your baby's tummy. Begin to encourage the development of good sleep habits by placing your infant in the crib drowsy but awake which will encourage your baby to put her/himself to sleep.
  • Keep middle of night feeding brief and boring to encourage sleep.
  • Limit daytime naps to less than three hours.
  • Most breastfed babies will continue to wake up a few times during the night to nurse. This is normal and desirable as it will ensure a good milk supply for mom and weight gain for the baby. You do not, however, need to wake your baby for feeds if he/she is sleeping for longer hours at night.

Safety

  • Use a properly fitting rear facing car seat. Center rear seat is the safest position.
  • Never leave baby unattended on surfaces above the floor as infants wiggle and move. Do not place car seats on counters or table tops.
  • Never hold a baby while drinking a hot beverage or smoking.
  • Check your smoke detectors and fire extinguishers on a regular basis. Have a family fire exit plan with ladders in upstairs bedrooms.
  • Avoid necklaces, hood ties or more than 8 inch pacifier cords because they pose a strangulation risk.
  • Never leave a pet alone with the baby.
  • Sign up for an infant CPR or safety class.
  • Secondhand smoke is harmful. A new baby in the family is excellent motivation to stop smoking. Visit www.quitline.com or talk to your own physician about smoking cessation resources.

Parenting

  • Talk to your doctor or your baby's doctor if you feel depressed. Post partum blues are very common. Self-care is essential. It is important to take care of yourself, get some sleep and allow others to help.
  • Parenting groups are a helpful source of support for many new parents. Consider joining a PEPS group (Call 206-547-8570 or visit www.pepsgrooup.org for details).
  • Take time for yourself and to be alone with other family members. This is a good time to allow a grandparent or a friend to watch your baby for a short time while you take a break.

Nutrition

  • Typically babies eat every 2 to 3 hours during the days with a longer stretch at night.
  • Vitamin D is technically a steroid hormone that is synthesized by your skin upon exposure to direct sunlight. It is extremely important not only for bone health but also for the proper function of your immune system. Risk factors for low vit D levels include dark skin color, inadequate exposure to direct sunlight and low maternal levels of vit. D. Following are a few good sources of vitamin D: Just D available online at http://www.sunlightvitamins.com/, or Tri-vi-sol. Give your baby 1 ml or 400 IU of vitamin D3/ day. You may use cod liver oil as well however it is difficult to give it to a young baby. You should never give cod liver oil directly in a baby's mouth
  • Hold your baby during feedings. Do not put your baby to bed with a bottle or prop it in his/her mouth.
  • Solids are not needed at this age. Solid foods can be introduced between 4 to 6 months of age.

Immunizations today

Most babies will have no reaction or are somewhat sleepier following their immunizations. Your baby may develop a fever and/or be fussy for 24-48 hours. Some tenderness or redness at the injection site may occur. Acetaminophen (Tylenol) may be given if any of these symptoms are present. Our website has Tylenol dosing by weight available at www.bainbridgepediatrics.com and can be found under the Medical Information tab.

Next Visit

Please schedule your next visit for when your child is 4 months of age as you leave today.

Books/Resources

  • Your Baby's First Year by the American Academy of Pediatrics
  • Caring for Your Baby and Young Child: Birth to Age 5 by the American Academy of Pediatrics
  • The Family Bed, by Dr. Jay Gordon
  • The No-Cry Sleep Solution: Gentle Ways to Help Your Baby Sleep Through the Night by E. Pantley
  • www.vaccine.chop.edu- great site for vaccine information