Dearborn Pediatrics
Two Month Visit

Two Month Visit

Milestones Matter
How your child plays, learns, speaks, acts, and moves offers important clues about his or her development. Check the milestones your child has reached by 2 months.
What Most Children Do By This Age

Socal / Emotional

  • Begins to smile at people
  • Can briefly self-soothe (may bring hands to mouth and suck on hand)
  • Tries to look at parent

Language / Communication

  • Coos, makes gurgling sounds
  • Turns head toward sounds

Cognitive

Learning, Thinking, Problem-solving

  • Pays attention to faces
  • Begins to follow things with eyes and recognize people at a distance
  • Begins to act bored (cries, fussy) if activity does not change

Movement / Physical Developement

  • Climbs well
  • Runs easily
  • Pedals a tricycle (3-wheel bike)
  • Walks up and down the stairs, one foot on each step

Sleeping

  • Climbs well
  • Runs easily
  • Pedals a tricycle (3-wheel bike)
  • Walks up and down the stairs, one foot on each step

Feeding & Elimination

  • Continue nursing or feeding with an iron fortified formula. Water is still not required at this age. Do not begin solid foods until four months of age.
  • Continue to feed your baby in a semi-upright position. Do not prop bottles for a baby to take while lying down on their back. This can lead to choking, increase risk of ear infections, and can cause the swallowing of excess air and spitting up. Always check the temperature of the formula after heating.
  • Spitting up is a common occurrence and is not harmful to infants. Try to hold our baby upright at a 30-degree angle for 15-20 minutes after a feed to help prevent this.
  • You may need to burp the baby between each ounce to prevent the accumulation of gas and a subsequent forceful spit up. Check that the baby has a tight seal between their lips and the nipple. Some babies get in the habit of latching on/off frequently to a bottle/breast and swallow air in between. If your baby is spitting up frequently, appears to be in pain (screaming prior to, during spit ups or feeds, arching their back) please let us know.
  • Vitamins: Babies who are breastfed exclusively or receive more than ½ of their intake from breast milk need to start taking a daily vitamin. Tri-Vi-sol, which is sold over the counter and widely available, provides the additional Vitamin D that is needed if your baby is exclusively breastfed. The recommended dose is 1 cc daily via a dropper.
  • Infants do not need fluoride until six months of age. Infants do not need to drink water until six months of age. Formula and breast milk are sufficient for hydration. If you live in an area supplied with well water, it is advisable to get the water tested for quantity of fluoride. If you use any kind of filter, check with the manufacturers regarding what is filtered out including any possible fluoride filtration.
  • There is a wide variety of normal patterns. Six wet diapers per day is average. Frequency of stools can be once a day or every two to five days. Breast fed babies tend to absorb milk more efficiently and stool less frequently.
  • Grunting, turning red, pushing, and pulling with legs are not necessarily signs of constipation. If the stool is soft your baby is not constipated. If your baby has hard stools, blood, grey or white appearing stools, please let us know.
Your Child Knows Best

Act Early

If you have concerns about the way your child plays, learns, speaks, acts, or moves, or if your child:

  • Does not respond to loud sounds
  • Does not watch things as they move
  • Does not smile at people
  • Does not bring hands to mouth
  • Cannot hold head up when pushing up when on tummy

The American Academy of Pediatrics recommends that children be screened for general development using standardized, validated tools at 9, 18, and 30 months and for autism at 18 months or whenever a parent or provider has a concern.    Ask your Provider about your child’s developmental screening.