Topics to discuss with patients during their well baby visit at 1 and 2 months.
Assess
- Head circumference, weight, and length using growth charts (link to Optimizing Nutrition for Newborns and Infants/Nutrition Assessment Tools/Term Infant Growth Tools/WHO Growth Charts for Infants 0 to 24 Months)
- Babies should gain ½ lb per week
- Infants gain approximately 1 inch per month during this time
Discuss
- Continuing exclusive breastfeeding or formula without supplemental water or juice
- Ask mothers who are working whether allowances are made in the workplace for breastfeeding support. Federal law requires providing breaks and adequate place for expressing breast milk.
- Breastfed infants continue to require 8 to 12 feedings per day
- Daily formula intake should increase from 24 oz (at 1 month) to 30 to 32 oz (by 4 months)
Consider Referral
- Growth faltering (failure to thrive) [Nutrition Related Illnesses and Concerns/Growth faltering]
- Persistent dysphagia [Optimizing Nutrition for Newborns and Infants/Breastfeeding the Newborn/Feeding Issues]
- Dysphagia of unknown cause
Additional Information
- Gastroesophageal reflux and gastroesophageal reflux disease: Parent FAQs, American Academy of Pediatrics.
- Parent’s Guide to GER (Gastroesophageal Reflux Disease) and GERD (Gastroesophageal Reflux
Disease) (handout), American Academy of Pediatrics - Breastfeeding Your Baby: Getting Started (handout), American Academy of Pediatrics
- New Mother’s Guide to Breastfeeding, 3rd Edition (book), American Academy of Pediatrics (also available in Spanish)
- Breastfeeding-Baby Questions (handout)
- Preparing Infant Formula: Important Safety Information (handout), American Academy of Pediatrics
- Healthy Active Living—Responsive Feeding (handout) American Academy of Pediatrics
- Bottle Feeding (Formula) Questions (handout), American Academy of Pediatrics
Last Updated
06/09/2022
Source
American Academy of Pediatrics