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Pediatric Guidance

2-month guidance

Introduction

Your baby is now 2 months old. Most of the advice from the 1-month page still applies, but a few things have changed. I will provide all the relevant advice here so you do not need to read through the 1-month page as well, and I will emphasize what is different now that your baby is a little bit older. If you have questions about how any of this should apply to your child, please check with your child's healthcare team.

Sleep

Now that your baby is 2 months old they may sleep a little longer throughout the night, though they still may wake up every few hours to eat. You can let them sleep as long as they want.

At the age of 2 months you still cannot do much to influence your baby's sleep habits, but you are in full control of helping them sleep as safely as possible. Learn more about this below, and feel free to look through the "Helpful Websites" for further information.

Safe Sleep

Please read through this article, which describes how to ensure your infant has a safe sleeping environment. Note that your baby should always sleep alone, on the back, in an empty crib (or other safe sleep device like a bassinet or pack 'n play). Once your baby starts to roll from back to front you do not need to reposition them on their back, but you should always set them down to sleep on their back. You can watch the following two videos for additional information.

Now look at the two images below. One shows a safe sleep environment, and the other shows an unsafe sleep environment. Click the buttons below the images for an explanation of the differences.

Safe sleep

safe sleep image

Unsafe sleep

safe sleep image

Nutrition

At 2 months your baby should still only receive breast milk or formula; it is dangerous (and unhealthy) to give water, juice, other types of milk, or any type of food unless guided to do so by your child's healthcare team. Breastfeeding has health benefits over formula feeding, so provide breast milk if possible. Otherwise, if your child has no medical conditions, provide an FDA-approved iron-fortified infant formula. You may need to provide vitamin D supplementation, particularly if your baby is receiving breast milk.

Many families will notice their baby being fussier at this age and think the formula may be the problem; usually the formula is not causing the fussiness (see the FAQ section below for more about fussiness), but ask your child's healthcare team if you have concerns.

Helpful websites

Below I will show some particularly helpful videos for breastfeeding, formula feeding, and how to feed with a bottle. Look through the "Helpful Websites" for additional information.

Breastfeeding

Here are two videos that give several tips for breastfeeding effectively, both from this excellent video series:

Formula feeding

Here are two videos that provide good information about how to prepare formula bottles for your baby:

Feeding with a bottle

These two videos discuss how to practice responsive feeding with a bottle while still breastfeeding, but they also apply to people exclusively feeding with a bottle, regardless if you are providing breast milk or formula in the bottles. "Responsive feeding" means you follow your baby's feeding cues about when they are hungry and full and let them determine how much they will eat.

Peeing/pooping

Now that your baby is 2 months old they will still pee a lot but they may poop much less frequently. Pooping anywhere from several times a day to once every 7-10 days is normal as long as the poop remains soft. You only need to be concerned if:

  • the poop is hard or very watery consistently
  • the poop is dark black, a shade of red, or pale
  • your baby has less than 6 wet diapers in 24 hours

If any of the above concerns occur, let your child's healthcare team know.

Safety

At the age of 2 months your child may not be moving around the home just yet but that time is coming! You want to make sure they are safe in the moment while also preparing the home for when they do start moving around. I will go through several of the primary safety concerns for infants and toddlers in the cards below, and you can read through the "Helpful Websites" for more general information.

Helpful websites

*This website is based in Australia so any discussion of laws or what is required may not apply to the United States.

Below are several different safety topics, click on each topic to learn more about them.

General

Car safety

Ingestions

Choking/CPR

Sleep

Toys

Falls

Water/Bath

Burns/Fire

Equipment

Outdoors

Home/Pets

Vaccines

Other than the initial hepatitis B vaccine given in the birth hospital, the first full set of vaccines is typically given at the 2-month check-up. In the USA the vaccines follow the CDC schedule and at this age include:

  • Hepatitis B - this protects against a virus that can infect the liver
  • Rotavirus - this protects against a virus that can cause terrible diarrhea
  • DTaP - this protects against:
    • Diptheria (a rare illness)
    • Tetanus (a disease from a bacteria that can kill people, has no cure, and can be caught by cutting yourself on certain things in the environment)
    • Pertussis (a bacteria that causes whooping cough, an illness that can make babies stop breathing (and thus die) and older people cough for 100 days)
  • Hib - this protects against a bacteria that can infect the brain (as well as other places in the body)
  • PCV20 - this protects against bacteria that can cause pneumonia, ear infections, and other infections
  • IPV - this protects against polio (a rare illness)

That may seem like a lot, but the Rotavirus is given as a liquid, and the other vaccines are usually combined into 2 or 3 shots. These have been given to millions of people and we know that they are safe and effective. If you would like more information, look through the "Helpful Websites" listed below:

Common questions

Many parents have similar questions about their 2 month old babies. Feel free to look through some of the most common ones below.

FAQ

General topics

Normal things that seem abnormal

Various conditions

Conclusion

Enjoy your time with your baby! As sleep-deprived as you may be, many parents are surprised at how quickly the time flies. If you are unsure about how any of this information should be applied to your child, make sure to check with your child's healthcare team.

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