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Well Baby Visit: 2 Months

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Suzanne Dixon
By Suzanne Dixon M.D., M.P.H.
"There is nothing so amazing as the development of a child," says Suzanne Dixon, M.D., a behavioral and developmental pediatrician who was one of the founding members of the Pampers Parenting Network. "Every day is a new adventure when you have a child around you. I never get tired of learning from the children who have been a part of my life, professionally and personally."Suzanne Dixon, M.D., M.P.H., was born and raised in Minnesota and graduated from the University of Minnesota, School of Medicine. She did her pediatric training at Massachusetts General Hospital in Boston and then completed a fellowship in Child Development at Boston's Children's Hospital. Dr. Dixon joined the faculty at the University of California, San Diego, and did patient care, teaching, and research for 20 years. She ran a large newborn service, performed research in early child development, and was involved in many community outreach activities in maternal child health. Throughout her entire professional life she has maintained an interest in cross-cultural activities, living and working in many parts of the world, including Mexico, India, Kenya, Indonesia, and several countries from the former U.S.S.R. Dr. Dixon is the author of numerous research articles, review articles, and textbook chapters in pediatrics, child and family development, and public health. Her textbook, written with Dr. Martin Stein, Encounters With Children: Pediatric Behavior and Development, has become a classic in child health education and is in its fourth edition. She is Editor in Chief of the Journal of Developmental and Behavioral Pediatrics, an international journal of high standing in the professional world. She also has served as an associate editor for Infant Mental Health and currently reviews for several major pediatric journals. Dr. Dixon is a fellow of the American Academy of Pediatrics and served in national positions in that organization. She is a member of the Society for Pediatric Research, the Society for Research in Child Development, the American Public Health Association, and the Executive Council of the Society for Developmental and Behavioral Pediatrics. She serves as consultant to several national and international organizations and has received an award from Healthy Mothers, Healthy Babies.Dr. Dixon continues to lecture and consult worldwide on aspects of maternal, child, and family health. She practices behavioral and developmental pediatrics in Montana and works with local advocacy groups on education and women''s health. Dr. Dixon has been married for over 30 years and has three sons. She and her husband travel frequently, are outdoor enthusiasts, and enjoy being amateur anthropologists.
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At 2 months, you baby still keeps you guessing. But her sleeping and eating habits are starting to become more predictable. You should be enjoying her more all the time. At this point, her natural eye color will start to emerge, and her face will start looking thinner and her body chubbier than even a week ago. Her size and weight will be the focus of this well-baby visit, along with feeding and the build-up in crying that's expected at this age. Also, it's time for the first set of immunizations.



At this visit, your provider will probably:

 
    • Ask you about your baby's hearing, eyesight, and other new skill developments.
 
    • Give you some insight into your baby's development and behavior at this age.
 
 
    • Address any minor health concerns, such as how to alleviate cradle cap or diaper rash, for example.
 
    • Answer any breastfeeding questions you may have.
 
    • Talk about how to handle minor illnesses at home.
 

 

Your provider will want to know:

    • Has your baby seen another health care provider since the last visit? If so, why? What was the outcome of that visit, and were any medications or treatments prescribed?
 
    • Does your baby hold her head up when you put her on her tummy?
 
    • Use her forearms to elevate her upper chest when put down?
 
    • Smile on her own?
 
    • Make cooing sounds when you talk to her?
 
    • Bring her legs up when she's on her back?
 
    • Hold her head more steadily when you hold her up to your shoulder or pick her up?
 
    • Sleep longer at night and less during the day?
 

 

  • Have a crying spell at the end of the day? All of these behaviors are expected at this time.

    Talk It Over

      • How's your baby eating? How's she sleeping? What are her crying patterns like? Discuss these things with your provider. If your baby seems especially fussy, your provider may be able to show you ways to soothe her.
     
      • If you must return to work soon, discuss with your provider ways to make the transition smoother for you and your baby.
     
      • Discuss confusing or contradictory advice on how to deal with your baby. Everyone has theories about child raising, but your health care provider is the one you should listen to for the most current recommendations.
     
      • Discuss how your family is adapting to life with the new baby, and bring up any sibling issues that are becoming hard to manage.
     
      • If you haven't been out of the house with your new baby, discus this with your health care provider.
     
      • Are you ready to handle minor illnesses or a fever that may follow your baby's shots? Get instructions before you leave, although there is help here.
     


    Speak Up!

    Many new parents notice changes in their baby's vision and hearing around this age. Talk to your provider about any concerns you have. Your provider will want to know about it if your baby:

      • Doesn't look at you or follow you with her eyes as you move from side to side within her range of vision. At this age, her range is about 6 to 18 inches.
     
      • Doesn't turn toward voices, especially yours or those of familiar people such as caregivers or other relatives.
     
      • Still feels so limp that it seems she'll slip out of your grasp, or her head still bobbles a great deal.
     
      • Moves unevenly or moves one leg or arm more than the other.
     
      • Has any problems with her eyes, particularly if they're runny or have pus. She may have a plugged or narrow tear duct that needs attention.
     
      • Doesn't make any sounds.
     
      • Doesn't stay alert for more than 30 minutes at any time.
     
      • Doesn't have health insurance. There are programs available to get that coverage.
     


    If things are not falling into place for you as a parent or haven't improved at all since last month, let your provider know. If you are depressed, your baby will be able to pick up on it, and it could affect her development. She needs you to be at your best for her own mental and emotional growth, so get some help now. You can ask your provider or the health care facility for a referral.

    Click here to return to Well Baby Introduction.

     

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