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Pediatric check-ups in the baby's second year of life

Pediatric check-ups in the baby's second year of life



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How often do we have to take the baby to the pediatrician for his health check-ups? Each country and even city has its own protocol for visiting the pediatrician. However, it is often the norm of making frequent check-ups during the first months of life and spacing them as the baby grows.

During the baby's first months of life, the reviews are focused on the prevention of infectious and congenital diseases, as well as an assessment of the growth and development of the baby. Analyze the baby's diet, its adaptation to the family environment, general care or check the vaccination status.

Depending on the evolutionary moment of the baby, it will be only the pediatrician who evaluates the baby, only the nurse or both doctors.

Baby's 12-month checkup

- The administration of vitamins is suspended and walks are recommended to obtain vitamin D from the sun.

- Introduction of new foods progressively: cooked egg white, ham, crushed legumes (lentils and chickpeas). Solid foods can be introduced to complete the dinner (meat, fish, croquettes, pasta, etc). Do not supplement meals with salt or sugar. Stimulate chewing. Start the administration of the chopped food.

- Complete physical examination with special attention to psychomotor development (stands alone, walks with support, says three words with meaning, points with the index), sight and hearing, genitalia, percentiles and dentition.

- Regarding the vaccines, it will be verified that Rubella, Mumps, Measles and Meningococcus C. have been administered at this age.

Revision of baby's 15 months

- In children allergic to eggs, they will be vaccinated with Moruviraten® (vaccine against measles and rubella). Other vaccines that are not included in the schedule may be reported: heptavalent conjugate vaccine against Pneumococcus and varicella vaccine.

- General physical examination with assessment of psychomotor development (walks alone, scribbles, says 3-6 words, imitates adults, obeys orders).

- Feeding tips: make a progressive incorporation of food, according to tolerance and teething, achieving a varied diet: milk (at least 500 ml daily); daily cereals, vegetables and fruits; daily potatoes, rice or pasta; daily meat or white fish; eggs, no more than 2 or 3 a week; daily olive oil; legumes, mashed frequently. Avoid viscera and visible fat from meat or fish. Encourage the incorporation of the child at the family table, stimulating healthy habits through imitation.

- Recommendations regarding footwear: use flexible, light, breathable shoes with a moderate friction sole and very flexible. The toe should be wide and reinforced and the heel counter should be strong to prevent the heel from drifting outward.

Revision of baby's 18 months

- Administer the vaccines corresponding to their age: diphtheria, tetanus, acellular pertussis, Haemophilus Influenzae b and inactivated polio.

- General physical examination and assessment of psychomotor development: he climbs stairs hand in hand, turns two or three pages at a time, says 'no', points to 2-3 parts of his body, says 10-15 words, handles the spoon ... Warning signs: absence of ambulation.

- Feeding tips: their diet can be as varied as that of an adult, through a progressive incorporation of food, according to tolerance and teething. The varied diet is achieved by following the same indications as at 15 months. In addition, blue fish can be introduced.

Revision of the 2 years of the baby

- General physical examination with special attention to cardiovascular health: prevention of obesity, family history of a history of early ischemic heart disease and screening for hyperlipemia.

- Oral health: prevention of dental trauma and primary prevention of malocclusions (removing the pacifier). Eating tips: prevention of obesity through a varied diet, avoid sweets and sweets and maintain a milk intake of 500 ml daily.

- Assessment of psychomotor development: runs with ease, turns pages one by one, uses 2-3 word sentences with verb, knows 4 parts of his body. Warning signs: non-development of symbolic play and verbal stereotypes.

You can read more articles similar to Pediatric check-ups in the baby's second year of life, in the category of on-site development stages.


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