For the first two years, checkups focus especially on your baby's psychomotor development (for example, when he starts to turn his head, to pick up objects, etc.), the prevention of contagious or congenital infections and the relationship between parents and baby.
At every checkup, the pediatrician measures and weighs the baby and checks the head circumference to calculate the growth curve, which indicates whether he is meeting his development milestones.
When you have been discharged from hospital after having given birth, your first appointment with the pediatrician should be the first week, in order to meet the doctor and open a clinical record. This will include all your delivery details, family history of illness, the results of tests carried out in the hospital and the type of feeding (breastfeeding, natural or artificial).
During this first visit, the pediatrician will also give you advice and useful tips on how to ensure the health of your baby and your family.
The second checkup will take place at the first month. As well as weighing and measuring the baby, the pediatrician will carry out a physical checkup to check the baby's neurological and psychomotor development is on track. In particular, they will examine the fontanelle (more commonly known as the soft spot), the eyes and the ears to rule out any problems.
The third checkup will be scheduled at two months old. During this visit, the baby will receive the necessary vaccinations according to the schedule of each autonomous region. The pediatrician will give the baby another exhaustive checkup, they will weigh and measure the baby and check the reflexes.
The next checkups will be carried out at 4 months, 6 months, 12 months, 15 months and 18 months, usually coinciding with the vaccination schedule. During these checkups, the doctor will compare the baby's measurements with the growth curve, and check that their hearing, eyesight and reflexes are developing correctly and that their psychomotor development is on track.
The World Health Organization and the Spanish Association of Pediatrics recommend feeding the baby exclusively with breast milk on demand for the first six months, and keep this up while introducing other food until the age of two. When the baby starts with complementary foods, after the age of six months, your pediatrician will give you guidelines on how to introduce new foods.