Your Child's Checkup: 1 Month

Your Child's Checkup: 1 Month

Lea este articulo en Espanol

What to Expect During This Visit

Your doctor and/or nurse will probably:

1. Check your baby's weight, length, and head circumference and plot the measurements on the growth charts.

2. Ask questions, address any concerns, and offer advice about how your baby is:

Feeding. Infants should be fed when they seem hungry. At this age, breastfed babies will eat about eight to twelve times in a 24-hour period. Formula-fed infants consume about 24 ounces a day. Burp your baby midway through feedings and at the end.

Peeing and pooping. Infants should have several wet diapers a day. The number of poopy diapers varies, but most breastfed babies will have three or more. Around 6 weeks of age, breastfed babies may go several days without a bowel movement. Formula-fed babies have at least one bowel movement a day. Tell your doctor if you have any concerns about your infant's bowel movements.

Sleeping. Infants this age sleep about 16 hours a day, including 4 or 5 daytime naps. Breastfed babies may still wake often to eat at night, while bottle-fed infants may sleep for longer stretches.

Developing. By 1 month of age, babies should:

3. Perform a physical exam with your baby undressed while you are present. This will include an eye exam, listening to your baby's heart and feeling pulses, examining the belly, and checking the hips.

4. Update immunizations. Immunizations can protect babies from serious childhood illnesses, so it's important that your child receive them on time. Immunization schedules can vary from office to office, so talk to your doctor about what to expect.

Looking Ahead

Here are some things to keep in mind until your next routine visit at 2 months:

Feeding

  1. Continue to feed your baby on demand (when he or she is hungry). Pay attention to signs that your baby is full, such as turning away from the breast or nipple and closing the mouth. Between 6 and 8 weeks, your baby may be hungrier due to a growth spurt.
  2. Don't introduce solids or juice, and don't put cereal in your baby's bottle unless directed by your doctor.
  3. Continue to burp your baby midway through and at the end of feedings.
  4. If you breastfeed:
    • You may now begin pumping and storing breast milk for future use.
    • If breastfeeding is well established, it's OK to introduce a bottle or pacifier.
    • If you plan on going back to work, introduce the bottle in the next few weeks to get your baby used to bottle-feeding.
    • Continue to take a prenatal vitamin or multivitamin daily.
    • Ask your doctor about vitamin D drops for the baby.
  5. If you formula-feed:
    • Give your baby iron-fortified formula.
    • Follow the formula package's instructions when making and storing bottles.
    • Don't prop bottles or put your baby to bed with a bottle.
    • Talk to your doctor before switching formulas.

Routine Care

  1. Wash your hands before handling the baby and avoid people who may be sick.
  2. Hold your baby and be attentive to his or her needs. You can't spoil a newborn.
  3. Give your baby supervised "tummy time" when awake. Always supervise your baby and be ready to help if he or she gets tired or frustrated in this position.
  4. It's normal for infants to have fussy periods, but for some, crying can be excessive, lasting several hours a day. If a baby develops colic, it usually starts in an otherwise well baby at around 3 weeks, peaks around 6 weeks, and improves by 3 months.
  5. Use fragrance-free soaps and lotions.
  6. Call your doctor if your baby has a fever or is acting sick. Don't give medication to an infant younger than 2 months old without consulting a doctor first.
  7. It's common for new moms to feel tired and overwhelmed at times, but if these feelings are intense, or you feel sad, moody, or anxious, call your doctor.
  8. TV viewing (or other screen time, including computers) can interfere with the brain development of young children. Therefore, TV is not recommended for those under 2 years old.

Safety

  1. To reduce the risk of sudden infant death syndrome (SIDS):
    • Always place your baby to sleep on a firm mattress on his or her back in a crib or bassinet without any crib bumpers, blankets, quilts, pillows, or plush toys.
    • Avoid overheating by keeping the room temperature comfortable.
    • Don't overbundle your baby.
    • Consider putting your baby to sleep sucking on a pacifier.
  2. Don't smoke or let anyone else smoke around your baby.
  3. Always put your baby in a rear-facing car seat in the backseat.
  4. Keep all cords, wires, and toys with loops or strings away from your baby.
  5. While your baby is awake, don't leave your little one unattended, especially on high surfaces or in the bath.
  6. Never shake your baby — it can cause bleeding in the brain and even death.
  7. Avoid sun exposure by keeping your baby covered and in the shade when possible. Sunscreens are not recommended for infants younger than 6 months. However, you may use a small amount of sunscreen on an infant younger than 6 months if shade and clothing don't offer enough protection.

These checkup sheets are consistent with the American Academy of Pediatrics (AAP)/Bright Futures guidelines.

Reviewed by: Mary L. Gavin, MD
Date reviewed: July 2013





Note: All information is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor.

© 1995-2014 KidsHealth® All rights reserved.
Images provided by iStock, Getty Images, Corbis, Veer, Science Photo Library, Science Source Images, Shutterstock, and Clipart.com





Bookmark and Share

Related Resources
OrganizationAmerican Academy of Pediatrics (AAP) The AAP is committed to the health and well-being of infants, adolescents, and young adults. The website offers news articles and tips on health for families.
Web SiteZero to Three Zero to Three is a national nonprofit organization that promotes the health and development of infants and toddlers.
Web SiteNational Immunization Program This website has information about immunizations. Call: (800) 232-2522
OrganizationImmunization Action Coalition This organization is a source of childhood, adolescent, and adult immunization information as well as hepatitis B educational materials.
OrganizationAmerican Academy of Family Physicians This site, operated by the American Academy of Family Physicians (AAFP), provides information on family physicians and health care, a directory of family physicians, and resources on health conditions.
Web SiteAmerican Academy of Pediatrics (AAP) Bright Futures Bright Futures is a national health promotion and disease prevention initiative that addresses the health needs of growing children. To learn more, visit the website.
Related Articles
Burping Your Baby Feeding a baby for the first time is an exciting experience for any new parent. Here's a quick guide to one important aspect of feeding - burping.
Bonding With Your Baby Bonding, the intense attachment that develops between you and your baby, is completely natural. And it's probably one of the most pleasurable aspects of infant care.
Diaper Rash Diaper rash is a very common infection that can cause a baby's skin to become sore, red, scaly, and tender. In most cases, it clears up with simple changes in diapering.
Growth and Your 1- to 3-Month-Old Like newborns, most babies continue to grow quickly in weight and length during the first few months of life.
Pregnancy & Newborn Center Advice and information for expectant and new parents.
Choosing Safe Baby Products Choosing baby products can be confusing, but one consideration must never be compromised: your little one's safety.
Communication and Your 1- to 3-Month-Old Your baby is learning to communicate through facial expressions like smiling or frowning as well as crying, squealing, babbling, and laughing. And those sounds are early attempts to speak!
Sleep and Your 1- to 3-Month-Old At this age, babies generally have their days and nights straightened out. Many infants even "sleep through the night," which means 5 or 6 hours at a time.
Feeding Your 1- to 3-Month-Old Whether you've chosen to breastfeed or bottle-feed your baby, your infant will let you know when it's time to eat.
Breastfeeding vs. Formula Feeding Making a decision to breastfeed or formula feed your baby is a personal one. There are some points to consider to help you decide which option is best for you and your baby.
Nursing Positions If you're a first-time parent, breastfeeding your newborn may seem complicated. Check out this article for information on common nursing positions, proper latching-on techniques, and how to know if your baby is getting enough to eat.
iGrow iGrow
Sign up for our parent enewsletter