Bright Futures

2 Weeks Visit

Here are some suggestions from Bright Futures experts that may be of value to your family.

How Your Family is Doing

If you are worried about your living or food situation, talk with us. Community agencies and programs such as WIC and SNAP can also provide information and assistance.
Ask us for help if you have been hurt by your partner or another important person in your life. Hotlines and community agencies can also provide confidential help.
Tobacco-free spaces keep children healthy. Don’t smoke or use e-cigarettes. Keep your home and car smoke-free.
Don’t use alcohol or drugs.
Check your home for mold and radon. Avoid using pesticides.

Feeding Your Baby

- - Feed your baby only breast milk or iron-fortified formula until she is about 6 months old.
  - Avoid feeding your baby solid foods, juice, and water until she is about 6 months old.
  - Feed your baby when she is hungry. Look for her to
    - Put her hand to her mouth.
    - Suck or root.
    - Fuss.
  - Stop feeding when you see your baby is full. You can tell when she
    - Turns away
    - Closes her mouth
    - Relaxes her arms and hands
  - Know that your baby is getting enough to eat if she has more than 5 wet diapers and at least 3 soft stools each day and is gaining weight appropriately.
  - Burp your baby during natural feeding breaks.
  - Hold your baby so you can look at each other when you feed her.
  - Always hold the bottle. Never prop it.

If Breastfeeding

- - Feed your baby on demand generally every 1 to 3 hours during the day and every 3 hours at night.
  - Give your baby vitamin D drops (400 IU a day).
  - Continue to take your prenatal vitamin with iron.
  - Eat a healthy diet.

If Formula Feeding

- Always prepare, heat, and store formula safely. If you need help, ask us.
- Feed your baby 24 to 27 oz of formula a day. If your baby is still hungry, you can feed her more.

How You Are Feeling

Take care of yourself so you have the energy to care for your baby. Remember to go for your post-birth checkup.
If you feel sad or very tired for more than a few days, let us know or call someone you trust for help.
Find time for yourself and your partner.

Caring For Your Baby

Hold and cuddle your baby often.
Enjoy playtime with your baby. Put him on his tummy for a few minutes at a time when he is awake.
Never leave him alone on his tummy or use tummy time for sleep.
When your baby is crying, comfort him by talking to, patting, stroking, and rocking him. Consider offering him a pacifier.
Never hit or shake your baby.
Take his temperature rectally, not by ear
or skin. A fever is a rectal temperature of 100.4°F/38.0°C or higher. Call our office if you have any questions or concerns.
Wash your hands often.

Helpful Resources: National Domestic Violence Hotline: 800-799-7233 | Smoking Quit Line: 800-784-8669

Information About Car Safety Seats: www.safercar.gov/parents | Toll-free Auto Safety Hotline: 888-327-4236

Safety

Use a rear-facing–only car safety seat in the back seat of all vehicles.
Never put your baby in the front seat of a vehicle that has a passenger airbag.
Make sure your baby always stays in her car safety seat during travel. If she becomes fussy or needs to feed, stop the vehicle and take her out of her seat.
Your baby’s safety depends on you. Always wear your lap and shoulder seat belt. Never drive after drinking alcohol or using drugs. Never text or use a cell phone while driving.
Always put your baby to sleep on her back in her own crib, not in your bed.
◦ Your baby should sleep in your room until she is at least 6 months old.
◦ Make sure your baby’s crib or sleep surface meets the most recent
safety guidelines.
◦ Don’t put soft objects and loose bedding such as blankets, pillows, bumper pads, and toys in the crib.
If you choose to use a mesh playpen, get one made after February 28, 2013.
Keep hanging cords or strings away from your baby. Don’t let your baby wear necklaces or bracelets.
Always keep a hand on your baby when changing diapers or clothing on a changing table, couch, or bed.
Learn infant CPR. Know emergency numbers. Prepare for disasters or other unexpected events by having an emergency plan.

What to Expect at Your Child's 2 Month Visit.

We will talk about

Taking care of your baby, your family, and yourself
Getting back to work or school and finding child care
Getting to know your baby
Feeding your baby
Keeping your baby safe at home and in the car

Consistent with Bright Futures: Guidelines for Health Supervision
of Infants, Children, and Adolescents, 4th Edition

For more information, go to https://brightfutures.aap.org.

The information contained in this handout should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances. Original handout included as part of the Bright Futures Tool and Resource Kit, 2nd Edition.

Inclusion in this handout does not imply an endorsement by the American Academy of Pediatrics (AAP). The AAP is not responsible for the content of the resources mentioned in this handout. Web site addresses are as current as possible but may change at any time.

The American Academy of Pediatrics (AAP) does not review or endorse any modifications made to this handout and in no event shall the AAP be liable for any such changes.
© 2019 American Academy of Pediatrics. All rights reserved.