Growth and Development



Bright Futures Parent Handout: 2 Month Visit

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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.

  • Find ways to spend time alone with your partner.

  • Keep in touch with family and friends.

  • Give small but safe ways for your other children to help with the baby, such as bringing things you need or holding the baby's hand.

  • Spend special time with each child reading, talking, or doing things together.

Infant Behavior

Your Growing Baby

  • Have simple routines each day for bathing, feeding, sleeping, and playing.

  • Put your baby to sleep on her 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 she wants it.

  • Hold, talk, cuddle, read, sing, and play often with your baby. This helps build trust between you and your baby.

  • Tummy time—put your baby on her tummy when awake and you are there to watch.

  • Learn what things your baby does and does not like.

  • Notice what helps to calm your baby such as a pacifier, fingers or thumb, or stroking, talking, rocking, or going for walks.

Safety

Safety

  • Use a rear-facing car safety seat in the back 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 plastic bags, balloons, and other small objects, especially small toys from other children, away from your baby.

  • Your baby can roll over, so keep a hand on your baby when dressing or changing him.

  • Set the water heater so the temperature at the faucet is at or below 120°F.

  • Never leave your baby alone in bathwater, even in a bath seat or ring.

Infant-Family Synchrony

Your Baby and Family

  • Start planning for when you may go back to work or school.

  • Find clean, safe, and loving child care for your baby.

  • Ask us for help to find things your family needs, including child care.

  • Know that it is normal to feel sad leaving your baby or upset about your baby going to child care.

Nutritional Adequacy

Feeding Your Baby

  • Feed only breast milk or iron-fortified formula in the first 4–6 months.

  • Avoid feeding your baby solid foods, juice, and water until about 6 months.

  • Feed your baby when your baby is hungry.

  • 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

  • Burp your baby during natural feeding breaks.

If Breastfeeding

  • Feed your baby 8 or more times each day.

  • Plan for pumping and storing breast milk. Let us know if you need help.

If Formula Feeding

  • Feed your baby 6–8 times each day.

  • Make sure to prepare, heat, and store the formula safely. If you need help, ask us.

  • Hold your baby so you can look at each other.

  • Do not prop the bottle.

What to Expect at Your Baby's 4 Month Visit

We will talk about

  • Your baby and family

  • Feeding your baby

  • Sleep and crib safety

  • Calming your baby

  • Playtime with your baby

  • Caring for your baby and yourself

  • Keeping your home safe for your baby

  • Healthy teeth

© 2010 American Academy of Pediatrics

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