General Pediatrics Clinic

2 months


Vaccinations

DTaP | IPV | HBV | PCV13 | Rotavirus

Development

These skills tend to be quite variable. But at this age the typical child:

  • Hold his/her head temporarily erect but unsteadily when held upright, until 3 months of age.
  • Grasps a rattle when placed in their hand.
  • Holds a rattle briefly.
  • Exhibits a smile.
  • Coos; reciprocally vocalizes.
  • Watches one's face when it is in the direct line of vision; begins to distinguish and respond more to his parents than to others.
  • Responds to loud sounds.

Safety

Injury prevention is proactive. Consider the following:

  • Use car safety restraints.
  • Do not place an infant seat on anything but the floor when the seat is in use outside of the car.
  • Do not leave the baby unattended on a bed or table, as infants may begin to turn over in the third and fourth month.
  • Do not hold the infant when drinking a hot beverage or smoking.
  • Use a playpen after three months as an island of safety.
  • Select toys that are unbreakable, contain no small detachable parts or sharp edges, and are too large to swallow.

Parenting

These activities provide good examples for modeling important skills and encourage your child to grow in a healthy and happy way:

  • It is important at this stage that you as parents have some time away from the baby by yourselves.
  • It is normal to feel some guilt when you are separated from your baby the first one or two times.
  • Encourage your spouse or significant other to take an active role in parenting.
  • Spend individual time playing with or reading to other children in the family. Involve them in the care routines of the new baby.

Nutrition

Good nutrition is essential to a growing body. Tips include:

  • Formula or breast feeding intervals are now from three to four hours during the day, with lengthened intervals at night.
  • Ask your provider about the appropriate time for introduction of solids.
  • If your child was premature, is being breastfed or not on formula ask about iron supplementation.

Behavior

Childhood behavior may go from one extreme to another. This age is no exception:

  • Most infants are still waking every three to four hours at night. The sleep patterns of the infant may be highly variable.
  • The baby's duration of sleep is not related to the amount or kind of feeding.
  • Over the next several months your baby may have an increase in smiling, laughing or squealing, and in the ability to hold his or her head steady.

Resources

The following items may be useful:

  • Partners in Pediatrics
  • Children's Physician Network
  • American Academy of Pediatrics
  • American Academy of Pediatrics. Caring for Your Baby and Young Child: Birth to Age Five 4th edition. Bantam Books, 2004
  • Caplan, Frank. The First Twelve Months of Life. Bantam, 1995.
  • Einzig, Mitchell J. M.D. Baby and Child Emergency First Aid Handbook. Meadowbrook Press, Simon & Schuster, NY, 1992.
  • Eisenberg, Arlene. What to Expect the First Year. 2004.

« Back to immunization schedule

DTaP and Tdap (Diptheria, Tetanus and Pertussis)


The diseases

Diptheria is a serious disease of the linings of the upper respiratory tract. About one in ten people who get the disease die of its complications. Medication can help treat it but only immunization can prevent it.

Tetanus occurs when wounds are infected with the tetanus bacteria. These organisms make a poison which causes the muscles of the body to go into spasm. "Lockjaw" is a descriptive term for the symptoms of tetanus. Four out of ten people who get tetanus die from it.

Pertussis or "whooping cough" causes severe spasms of cough which interfere with eating, drinking and breathing. The younger a child is, the more serious the disease.

The vaccine

The vaccine we use is a combination one which covers all three of these diseases. We use a new, more purified form of the DPT vaccine (acellular) that has fewer associated side-effects.

Side effects

  • Soreness, redness or swelling at the site of the injection (50%)
  • Mild fever (50%)
  • Allergic reaction (rare)

More information


« Back to immunization schedule

HBV (Hepatitis B)


The disease

Hepatitis B is a disease that affects the liver. It can be passed to a child from an infected mother during childbirth. The risk of developing hepatitis is estimated at 5 percent over a lifetime. It can cause tiredness, diarrhea, vomiting, loss of appetite, abdominal pain and death. Chronic hepatitis B can cause liver failure and liver cancer in adults. Each year 200,000 people get hepatitis B and 4,000 to 5,000 die from it.

The vaccine

The vaccine is given during the first year of life. The vaccine series provides protection against hepatits B in 95 percent of children who receive it.

Side effects

  • Soreness, redness or swelling at the site of the injection
  • Fussiness
  • Mild to moderate fever
  • Allergic reaction (rare)

More information


« Back to immunization schedule

HAV (Hepatitis A)


The disease

Hepatitis A is a serious liver disease caused by the hepatitis A virus (HAV). HAV is found in the stool of persons infected with hepatitis A. It is usually spread by close contact or sometimes by eating food or drinking water containing HAV. It can cause flu like symptoms, jaundice, severe stomach pain and diarrhea. 1 in 5 people with hepatitis A will need to be hospitalized and 3-5 out of 1000 people with hepatitis A will die from it.

The vaccine

The vaccine is given at 15 months with a booster dose at 2 years. The vaccine is also recommended for those traveling to countries with a high prevalence of hepatitis A infection. For travelers it is recommended getting the first dose of the vaccine at least 2 weeks before travel with a booster dose 6 -12 months later.

Side effects

  • Soreness, redness or swelling at the site of the injection
  • Headache
  • Decreased appetite

More information


« Back to immunization schedule

HIB (Hemophilus Influenza Type B)


The disease

Hemophilus Influenza Type Bis one of the major causes of serious bacterial illness in young children. Infection with HIB can cause death or serious disabilities.

The vaccine

The HIB vaccine has been shown to be highly effective against diseases caused by HIB.

Side effects

  • Brief fever (1%)
  • Soreness at site of injection (25%)
  • Fussiness (1%)

More information


« Back to immunization schedule