2 Month Visit Preview

Preparing for the 2 Month Visit

• Please make sure you read and understand our guides for 2 weeks to 2 months and 2 months to 4 months.
• Write down any questions you have. It's hard to remember them on the spot!
• Please read our guides on what to expect during an in-home visit as well as the precautions we're taking during COVID-19.

Growth and Nutrition

• We'll measure and discuss your baby's weight, length, and head circumference.
• We plot those numbers on the growth chart to give you a visual of how he is changing from visit to visit.
• Your provider cares about the percentiles, and how they compare to previous visits. We are looking for consistency from visit to visit. The actual numbers for weight, length, and head circumference are less important.

Development

• We'll watch your baby on his back and in tummy time.
• The ideal location for tummy time is discussed in the 2 weeks to 2 month guide.
• Everyone develops differently and at their own pace. That being said, if there's anything you're worried about, please bring it to our attention. See something, say something!

Physical Exam

• Our examination includes a lot in a short amount of time. Please ask questions if you have them! All questions are good questions, and we want you to be involved in your baby's care.

Vaccines

• Several vaccines are given at the 2 month visit. There will be 3 injections, and 1 liquid vaccine your baby will drink.
  • Hep B #2
  • DTaP, Hib, Polio #1
  • Pneumococcal #1
  • Rotavirus #1 (oral)
  • RSV (rsv season only)
    • This is a seasonal vaccine and is only given if your baby did not receive it in the hospital and their birth mother did not receive it during pregnancy.
• Please read our guides to common vaccine reactions and Tylenol dosing you can use if these reactions occur.

Important Information Regarding the Rotavirus Vaccine

• Rotavirus is a virus that causes severe vomiting and diarrhea.
  • Worldwide, rotavirus is the leading cause of death from infectious diarrhea in infants.
• The first time a baby receives the rotavirus (oral) vaccine, it can shed in their poop for the next 3 weeks.
  • This occurs in ~50% of babies during their first dose of rotavirus vaccine, but is very rare after the second and third doses, which are given at 4 months and 6 months of life.
• Your baby won't get sick, because they're receiving the vaccine, but caregivers could contract rotavirus (vomiting and diarrhea) if they aren't extra careful after changing the poop diapers during the next 3 weeks.
  • Wash your hands with soap and water for at least 20 seconds. Pay extra attention to problem areas, such as the areas between your fingers.
  • Clean under your fingernails and under your rings.
  • Any caregiver who is on immune modulating medications should not change the poop diapers for the next 3 weeks.
• The vaccine will not change anything about your baby's poop (color, consistency, frequency, volume).