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Well Child Care > Well child care: 0-2 Months

Well child care: 0-2 Months

Information regarding developmental goals, safety, immunizations, and nutrition information.

Developmental Goals

  • Baby should smile, coo, look at objects, respond to loud noises and have an early grasp by 2 months.
  • Put baby on tummy for supervised play time only.
  • Offer brightly colored mobiles and soft toys to play with.
  • Read, sing and talk to child daily.
  • Play peek-a-boo.
  • Fussiness peaks at about six weeks. Be patient!
  • Colic (crying for a few hours, same time each day) develops between 3 weeks and 3 months and lasts a few weeks or months.
  • Sometimes it’s okay to let them cry. Call for help if you become too upset.
  • Never shake a baby.
  • Babies cannot be spoiled at this age.
  • Consider registering with Parents As Teachers with your first baby to learn more how to help your child grow and develop!
  • See also Speech Development

Safety

  • Put baby on his / her back to sleep.
  • Do not use positioners, bumper pads or pillows in crib. Use a blanket only if it is tucked under the baby or the mattress.
  • Babies should be buckled into rear-facing car seat positioned in back seat only. Do not use thick layers of clothing, jackets, or sweaters that bunch up under the seat belt. Use a car seat cover or blanket if needed for warmth.
  • Turn hot water heater down to below 120° F.
  • Never place baby on bed, couch chair or any surface without constant supervision.
  • Don’t leave baby alone with small children or pets.
  • Check your smoke and carbon monoxide detectors and replace batteries regularly.
  • All parents should learn CPR and refresh skills every 2 years. For a list of CPR classes for both non-medical and medical professionals, search for "CPR" with your zip code on a web search engine.
  • Keep products in their original containers. For instance, do not pour cleaning solution into a soda pop can/bottle.
  • Leave original labels on products. Read the label before using a product.Be sure to only use products in the ways they are supposed to be used.
  • Always leave the light on when giving or taking medicine. Check the label and dosage every time to be sure you are giving the right amount of the right medicine.
  • Clean out the medicine cabinet 1-2 times a year. Safely dispose of unneeded medication when the illness for which it was prescribed is over. Do not pour medications into the sink or toilet. For earth friendly and child safe ways to dispose of medication, click here.
  • Use child resistant packaging properly. Close it securely after every use.A few seconds could save the life of your child.
  • When products are in use, never let young children out of your sight. This means even if you have to pick them up and take them with you to answer the door or phone.
  • Be sure to follow these rules away from home also – such as Grandma’s house.

For more safety tips, click here.

Immunizations

  • Fever is common after shots. For fussiness that limits sleep or eating you can give Acetaminophen every 4-6 hours as needed. There is research that shows that giving fever reducers after vaccines diminishes the response, meaning less immunity after the vaccine. For this reason we no longer recommend routine use to prevent symptoms.
  • Sugar solution to suck on during injections has been shown to decrease the pain of injectable vaccines. This can be made by simply dissolving sugar in water and dipping a pacifier into the solution before the shots.
  • Bring your shot record to each visit!
  • Review the VIS (Vaccine Information Sheet) before visits.
  • Check our After Immunization Page for more details.
  • Parents should have current Pertussis (whooping cough) shots and seasonal flu shots.

Diet

  • Your baby needs only breast milk or iron-fortified infant formula for the first 4 to 6 months of life. Most formula fed babies will eat every 2 to 4 hours and breastfed babies every 2 to 3 hours. Click here for more information on how to chose the proper type of milk to decrease future allergies.

Guidelines

Breast Milk or Infant Formula (no water or juice yet)

Intake may also vary depending on weight of the infant. Bigger babies will eat more.

Feeding tips

  • Your baby is likely getting enough to eat if he is having 6 to 8 wet diapers per day.
  • Breastfed babies may need to eat more often than formula fed babies. This is normal. Breast milk is digested faster and babies will become hungry earlier than if they were formula fed.
  • Babies need only breast milk or formula for the first 4 months of life. Avoid giving your infant juice or food (including cereal) until 4 months of age (unless your doctor recommends it).
  • Do not add cereal to the bottle, unless recommended by your doctor. It does not make babies sleep longer.
  • Avoid putting your baby to bed with a bottle of formula. This may lead to tooth decay.
  • Hold your baby upright when feeding. Lying a baby flat to drink a bottle may cause choking or ear infections.
  • Do not force your baby to finish a bottle. When your baby gets full, he will turn his head and push the nipple out of his mouth or fall asleep.
  • In addition to being hungry, your baby may cry because he is bored, lonely or needs a diaper change.
  • Hold your baby close to you and cuddle him as you feed him.
  • Look at your baby and let him look at you while he eats.
  • Gently try to burp your baby mid-feeding and at the end of each feeding.
  • Breast milk or infant formula provide all the nutrition your baby needs for the first 6 months with the exception of Vitamin D.
  • See our breastfeeding pages for help with breastfeeding.
  • If you are bottle feeding, you will notice that a baby drinks about 4-5 ounces per feeding by 2 months and increases about an ounce per feed each month to a maximum total of 8 ounces per feed by about 6 months of age.
  • No need to sterilize bottles before use. Wash with warm, soapy water and rinse well.
  • Use cold tap water or baby bottled water to make formula, then heat later in warm water, not the microwave. Warm tap water has more minerals in it, so is not ideal to drink.
  • Vitamins: The American Academy of Pediatrics recommends all primarily breast fed infants and infants getting less than 33 ounces of formula begin vitamin D supplementation within days of birth, unless formula amount meets requirements. It is recommended that infants under 1 year receive 400 IU of vitamin D per day. You can learn more here.
    • Vitamin D is not in sufficient quantities in breast milk unless mother takes 6400 IU/day. There is 100 IU in each 8.3 ounces of formula. Your skin can make it if exposed to sunlight, but no one knows how much is ideal and the risk of too much sun is great.
    • Iron is in breast milk and term babies are born with iron stores in the liver to last 4-6 months, but many babies are deficient when tested. Because iron deficiency can cause growth and developmental problems, prevention is worth the effort.
WIC (Women, Infant, and Children) provides nutrition counseling, breastfeeding support, and food to families who have needs. For more information click here.

Be sure to obtain any required health forms at your well visits!

Has your child been seen for their 0-2 month well child care appointmet? Click here to request an appointment now!

Insurance

Review your insurance contract to see who is responsible for payment of specific things within your well visit. Many companies do not require a co pay for well care visits, but if additional topics are discussed (such as ill topics or refills of medications) they might require a payment from you. They might also require you to pay for all or part of any labs or testing done at well visits.

If you have questions about how your insurance handles codes performed at the time of well visits, please visit our insurance pages on patient responsibility with billing and Why am I being billed? I have insurance!
0-1 months 18-24oz. in 24 hours
1-2 months 22-28oz. in 24 hours
2-3 months 25-32oz. in 24 hours
3-4 months 28-36 oz. in 24 hours

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