During your baby’s four month check-up, the pediatrician will conduct a routine physical examination akin to the previous visit. Your little one will be weighed and measured, and the doctor will review her growth on the chart. This growth will be discussed in terms of percentiles, but don’t be alarmed if these numbers are different from what you anticipated. The charts serve to monitor growth rates, and as long as your baby is consistently progressing from one appointment to the next, you’re in a good place.
Following the physical exam (and sometimes during), your pediatrician will inquire about your baby’s sleeping and feeding patterns, as well as the estimated number of wet and soiled diapers she has daily. You’ll also discuss your baby’s bowel movements at this visit—not only the frequency but also the color and consistency. Topics such as crying patterns, oral thrush, teething, diaper rash, the introduction of solid foods, reflux, sleeping positions, and the significance of tummy time will likely come up. Additional discussions might include constipation management, what to do if your baby catches a cold, the sounds she’s making, and her motor skill development.
Your pediatrician will welcome any questions or concerns you may have at this stage and provide insights on what to expect from your baby in the upcoming month.
Immunizations
Your baby will receive her second dose of the Pneumococcal vaccine (PCV), DTaP (Diphtheria, Tetanus, and Pertussis), Haemophilus Influenza Type B Conjugate vaccine (Hib), and the Polio vaccine, just as before. Additionally, she will get her second round of the Rotavirus vaccine (RV), administered orally. Shots are typically given by the nurse towards the end of the visit.
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Summary
At your baby’s four month check-up, expect a physical examination similar to previous visits, discussions about growth percentiles, and inquiries regarding sleeping, eating, and diaper habits. The pediatrician will also address any concerns you may have and explain upcoming developmental milestones. Your baby will receive several important vaccinations at this time.