Robert A. Kaplan, M.D. Health Tips For Your Child Joel J. Widelitz, M.D. Constance S. Shih, M.D. Birth – 2 months 10861 Cherry St., Suite 305 Los Alamitos, CA 90720 (562) 598-4848 NAME: _______________________________ DATE: ___________AGE:______HT:______WT:_________ VACCINES GIVEN TODAY: _____________________________________NEXT VISIT: _______________ INSTRUCTIONS: __________________________________________________________________________________________ __ Safety Tips Feedings / Nutrition Never leave your child unattended. Most serious accidents can be prevented by close observation. Car Safety: Put your infant in a car safety seat for every ride. Babies should be placed facing backward until they are 1 year old and weigh 20 pounds, and should not ride in the front passenger seat. The center of the back seat is the safest position. Breast milk or one of the standard formulas is the only food your baby needs at this age. Use "with iron" formula if tolerated. Infants do not need any supplemental vitamins because breast milk and the standard formulas all contain adequate amounts of essential vitamins. Falls: The most common accident for young babies is a fall off a bed, couch, or changing table. Always stay at your baby’s side when he is not in a safe crib. Place smoke detectors in the hallways near bedrooms. Breast-fed babies usually eat frequently; every 2-3 hours. Bottle-fed babies get 3-4 ounces every 3-4 hours; 24-30 ounces a day is typical. We expect babies to gain over their birth weight by 2 weeks of age, and then gain weight at about an ounce a day, or 2 pounds a month for the first 4 months. Many babies will double their birth weight by 4 months old. Burns: Always check the bath water temperature before giving your child a bath. Have your baby sleep on his back. This is the safest position to reduce the risk of crib death. It is also wise not to use pillows or fluffy comforters that might obstruct your child’s breathing. Development: Muscle tone develops rapidly in infants between birth and 2 months. Their neck and back muscles strengthen and they get very good at kicking. Newborns spend a good part of the day sleeping and eating. As they get older, they will have more quiet alert times and their daytime naps will be shorter. Some babies have their day and night cycles reversed initially, but this will correct with time. Episodes of crying are common, with 4-8 Babies do not need any solid foods, water, or juice until 4-6 months. Do not use honey or syrup for the first year of life. Poor feeding is unusual and is often a sign of ill health. Health Tips: Keep your child away from tobacco smoke. Try to stop all tobacco use. Good hand washing especially after changing diapers and before meals can prevent the spread of infections. At this age, fever is a serious symptom. Normal rectal temperature ranges from 98-100.4. If your child has a fever (a temperature over 100.4), let us know right away. Taking temperatures: Accurate weeks of age being the age of the most crying. Crying may be due to hunger, pain, or discomfort, but it also occurs at times when nothing seems to be wrong. Try to comfort your baby by holding, rocking, or offering a pacifier. temperatures can be obtained with a standard glass thermometer. These are more accurate and reliable than expensive digital thermometers. Vision is intact in newborns, but they don’t focus and follow with their eyes at first. Gradually during the first two months they start to focus on your face and interesting close up objects. You may even get a social smile by 1-2 months old. the armpit. Take your baby’s temperature rectally or in Other signs of serious illness at this ageinclude: Poor feeding Repetitive vomiting Labored breathing Unusual lethargy or marked irritability Most medications are not approved for use in infants under 3 months old. If you think your child is ill, contact us for advice. Parenting Tips: Most parents are concerned with their baby’s crying. Learn to interpret the cry. Sometimes crying means hunger, sometimes it is caused by something that is making the baby uncomfortable such as a wet diaper, and sometimes they are just in the mood to cry. Besides feeding and changing, babies often calm down with holding, rocking, a pacifier or music. Crying tends to increase in frequency from birth until about 6 weeks of age and then gradually decreases as babies get older. Much of the crying behavior in the first two months is not very specific or easily interpreted. This will change as they get older and cry for specific reasons. Don’t worry about "spoiling" your baby. He needs lots of holding and security from his parents at this Having "gas" is also normal. All babies have some burping and pass gas frequently. This is a normal part of digestion. It does not have to be treated with medicines. Babies have different personalities at this age. Some are calm and some are fussy. Some are very reactive and get upset easily whenever there is any change. As you get to know your baby you will quickly see these inborn traits. It’s not a bad idea to take an occasional break from your baby. Find a trusted caregiver with whom you can leave your baby for a few hours and go out to dinner or a movie. You’ll be more refreshed for the job of parenting. It is a job, but it’s also a life changing experience; Enjoy it! age.