Well-baby Checkup: Importance, When To Take And What To Expect


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Babies have their first checkup and vital vaccinations right after birth. Along with the subsequent immunizations, babies also need periodic checkups to assess their overall health, growth, and achievement of developmental milestones. These checkups are necessary, even for healthy babies, and are known as well-baby checkups.

Your baby will have checkups at specific ages across infancy and toddlerhood. Read on to learn about the different stages of well-baby checkups, their benefits, and tips for well-baby checkup visits.

When To Take Your Baby For A Well-baby Checkup?

According to the American Academy of Pediatrics, a baby needs a well-baby/well-child checkup at the following ages (1).

  • Three to five days
  • One month
  • Two months
  • Four months
  • Six months
  • Nine months
  • 12 months
  • 15 months
  • 18 months
  • 24 months
  • 30 months
  • 36 months

Why Are Well-baby Visits Important?

A well-baby checkup keeps you updated about your baby’s overall growth and health. It also provides the following benefits (1) (2).

  • Early detection of conditions. Regular well-baby checkups can help in the timely detection of any health anomalies or deviation from normal growth. For instance, the baby will be checked for any anomalies of the heart, mouth, and skeleton to check for problems, including genetic disorders. Early diagnosis and treatment could lead to better outcomes.
  • Prevention of infections. If your doctor notices early signs of infection during a regular well-baby checkup, they may intervene to prevent severe symptoms. Apediatrician may be able to identify early signs of ear infection that may go unnoticed by the parents. In such a case, the baby could be recommended preventive medications and immunizations to avoid severe infection.
  • Periodic review of any alarming signs. Babies are constantly growing and could display signs of a condition later in life. For instance, autism signs and symptoms may become more apparent after the age of 12 months. You may take note of any suspected signs and share them with the doctor. Pediatricians recommend well-child autism assessment at 18 and 24 months of age. 

What Happens In A Well-baby Checkup?

A well-baby checkup could contain various tests and assessments based on the baby’s health and the parameters the doctor wishes to check.

The checkup generally consists of assessments of the following attributes and parts of the body (3) (4).

  • Height and weight: The baby will be laid on a special scale to weigh. The doctor will use a special ruler to check the baby’s height. These measurements are then used to plot various ratios, such as weight-for-age, weight-for-height, and height-for-age. The results are plotted on a graph to determine if the baby is growing healthily and whether there are any regressions.
  • Head circumference: The doctor will measure the baby’s head circumference with a special tape to determine healthy growth.
  • Arm circumference: The arm circumference within a specific range could indicate the baby is receiving adequate nourishment for growth.
  • Soft spots: Soft spots are the spaces between the infants’ skull bones, which are yet to fuse. Anomalies in soft spots’ appearance and shape could indicate disorders or diseases.
  • Eyes, ears, and mouth: The regular checkup of these parts could determine any problems at an early stage. For instance, eye checkups could detect refractive errors early, while mouth checkups could detect any teething problems.
  • Lungs and heart: The doctor will use a stethoscope to listen to the baby’s breathing and heartbeat. Anomalies in breathing may indicate respiratory infection, while heartbeat anomalies, such as heart murmur, may indicate cardiovascular disorders.
  • Abdomen and genitalia: The doctor will press the abdomen to check for any underlying swelling. The genitalia is also checked. These assessments could help determine various problems, such as an umbilical hernia.
  • Bones and joints: The baby’s limbs and various joints are moved to check for healthy growth and movement. The doctor may also check for the baby’s posture. This checkup could help in the early diagnosis of various osteopathic problems, such as hip dysplasia, that could affect long-term bone growth.

Besides these tests, the doctor may also check for the baby’s achievement of various developmental milestones. Parents could be asked about the baby’s sleep patterns, feeding schedules, physical activity, and overall behavior. The baby may also receive an immunization shot if it is due.

If the baby has a condition, the doctor may order further tests, such as X-Rays and blood tests, to diagnose any underlying problem.

How To Choose A Doctor For Baby Checkups?

You may choose a pediatrician you have been visiting since your baby’s birth. It is best to stick to one pediatrician through the course of checkups since it would help build an accurate and comprehensive medical history.

A pediatrician who has been assessing your baby since birth would also be better aware of your baby’s developmental milestones, growth progression, and medical history, making them more likely to detect any problems early. If you wish to switch pediatricians, make sure you carry the baby’s documents, prescriptions, and immunization records when visiting the new pediatrician.

Tips To Make The Most Of Well-baby Checkups

You may consider the following points when planning well-baby checkups.

  • Schedule it as per your baby’s mood: Take an appointment at a time when your baby is most likely to be well-rested, not cranky, and cheerful.
  • Dress the baby appropriately: Dress your baby in attire that is easy to remove and put back during the physical examination.
  • Carry the essentials: Carry necessary items, such as diapers, burp cloth, a small toy, pacifier, baby food, and an extra pair of clothing.
  • Note down your concerns: Be prepared with all your queries and concerns about the baby’s health. If you notice a sign or attribute that you suspect to be a red flag, take a note of it in detail and discuss it with the doctor.
  • Keep track of milestones: The doctor may ask questions about the baby’s developmental milestones. Keep track of these so that you can share them with the doctor. You may also regularly check the baby’s weight and height if you have the requisite equipment at home.

The well-baby check ups help keep track of your baby’s growth and developmental milestones. It is essential not to miss out on any visits. Use the visits as a time to clarify all your doubts related to your baby’s growth, sleep, and diet. If you have any concerns, take a note of them, and discuss them with the pediatrician during the next checkup.


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