Well-baby visits are important for a newborn’s healthy development and addressing parental questions. These routine appointments monitor a baby’s growth and well-being, and provide guidance on infant care.
The Initial Check-Up
A newborn’s medical journey starts immediately after birth, with an initial evaluation within the hospital. This check-up involves a physical examination, assessment of newborn reflexes, and guidance on immediate concerns like feeding or weight. Hospitals perform a thorough physical examination within 72 hours of birth, checking the baby’s eyes, heart, hips, and, for boys, testicles.
The first pediatrician visit usually occurs within three to five days after hospital discharge, or sooner if there are specific concerns. This appointment establishes a baseline of the baby’s health outside the hospital. During this visit, the pediatrician checks the baby’s weight to ensure proper feeding and address signs of jaundice or other post-birth issues.
The Routine Visit Schedule
After the initial post-discharge appointment, newborns follow a structured schedule of well-baby visits throughout their first year. Organizations like the American Academy of Pediatrics (AAP) recommend these check-ups to track development and provide preventative care.
The typical schedule includes visits at 1, 2, 4, 6, 9, and 12 months. This consistent monitoring helps ensure the baby meets developmental milestones and allows for timely interventions if health concerns arise.
Key Aspects of Check-Ups
During well-baby visits, a comprehensive assessment of the newborn’s health and development takes place. Each appointment begins with measuring the baby’s length, weight, and head circumference, plotted on a growth chart. A physical examination checks various body systems, including the heart, lungs, and reflexes.
Developmental assessments are a key component, where the pediatrician discusses milestones and observes the baby’s behaviors and interactions. These visits offer guidance on feeding practices, sleep patterns, and safety measures. Vaccinations, protecting against childhood illnesses, are administered according to a recommended schedule.
When to Contact the Doctor Urgently
Parents should be aware of signs in a newborn that warrant immediate medical attention outside of scheduled appointments. A fever in a newborn is a concern, particularly if under two months old and with a rectal temperature of 100.4°F (38°C) or higher, requiring an emergency department visit.
Other urgent symptoms include significant changes in feeding (e.g., refusing to eat, persistent vomiting), or a decrease in wet diapers indicating potential dehydration. Lethargy, difficulty breathing, or changes in skin color (e.g., blueness, paleness) necessitate prompt medical evaluation. If a newborn appears unusually sleepy, difficult to awaken, or exhibits inconsolable crying, contact a healthcare provider without delay.