1 Month Visit

Here are some suggestions from Bright Futures experts that may be of value to your family

Parental Well-Being

How You are Feeling

  • Taking care of yourself gives you the energy to care for your baby. Remember to go for your postpartum checkup.
  • Call for help if you feel sad or blue, or very tired for more than a few days.
  • Know that returning to work or school is hard for many parents.
  • Find safe, loving child care for your baby. You can ask us for help.
  • If you plan to go back to work or school, start thinking about how you can keep breastfeeding.

Infant Adjustment

Getting to Know Your Baby

  • Have simple routines each day for bathing, feeding, sleeping, and playing.
  • Put your baby to sleep on his back.
    • In a crib, in your room, not in your bed.
    • In a crib that meets current safety standards, with no drop-side rail and slats no more than 2 3/8 inches apart. Find more information on the Consumer Product Safety Commission Web site at www.cpsc.gov.
    • If your crib has a drop-side rail, keep it up and locked at all times. Contact the crib company to see if there is a device to keep the drop-side rail from falling down.
    • Keep soft objects and loose bedding such as comforters, pillows, bumper pads, and toys out of the crib.
    • Give your baby a pacifier if he wants it.
  • Hold and cuddle your baby often.
    • Tummy time—put your baby on his tummy when awake and you are there to watch.
  • Crying is normal and may increase when your baby is 6–8 weeks old.
  • When your baby is crying, comfort him by talking, patting, stroking, and rocking.
  • Never shake your baby.
  • If you feel upset, put your baby in a safe place; call for help.

Safety

Safety

  • Use a rear-facing car safety seat in all vehicles.
  • Never put your baby in the front seat of a vehicle with a passenger air bag.
  • Always wear your seat belt and never drive after using alcohol or drugs.
  • Keep your car and home smoke-free.
  • Keep hanging cords or strings away from and necklaces and bracelets off of your baby.
  • Keep a hand on your baby when changing clothes or the diaper.

Family Adjustment

Your Baby and Family

  • Plan with your partner, friends, and family to have time for yourself.
  • Take time with your partner too.
  • Let us know if you are having any problems and cannot make ends meet. There are resources in our community that can help you.
  • Join a new parents group or call us for help to connect to others if you feel alone and lonely.
  • Call for help if you are ever hit or hurt by someone and if you and your baby are not safe at home.
  • Prepare for an emergency/illness.
    • Keep a first-aid kit in your home.
    • Learn infant CPR.
    • Have a list of emergency phone numbers.
    • Know how to take your baby's temperature rectally. Call us if it is 100.4°F (38.0°C) or higher.
  • Wash your hands often to help your baby stay healthy.

Feeding Routines

Feeding Your Baby

  • Feed your baby only breast milk or iron- fortified formula in the first 4–6 months.
  • Pat, rock, undress, or change the diaper to wake your baby to feed.
  • Feed your baby when you see signs of hunger.
    • Putting hand to mouth
    • Sucking, rooting, and fussing
  • End feeding when you see signs your baby is full.
    • Turning away
    • Closing the mouth
    • Relaxed arms and hands
  • Breastfeed or bottle-feed 8–12 times per day.
  • Burp your baby during natural feeding breaks.
  • Having 5–8 wet diapers and 3–4 stools each day shows your baby is eating well.
If Breastfeeding
  • Continue to take your prenatal vitamins.
  • When breastfeeding is going well (usually at 4–6 weeks), you can offer your baby a bottle or pacifier.
If Formula Feeding
  • Always prepare, heat, and store formula safely. If you need help, ask us.
  • Feed your baby 2 oz every 2–3 hours. If your baby is still hungry, you can feed more.
  • Hold your baby so you can look at each other.
  • Do not prop the bottle.

What to Expect at Your Baby's 2 Month Visit

We will talk about

  • Taking care of yourself and your family
  • Sleep and crib safety
  • Keeping your home safe for your baby
  • Getting back to work or school and finding child care
  • Feeding your baby

© 2010 American Academy of Pediatrics

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