The Next Step in Quality Pediatric Health Care

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Your Next Visit

The American Academy of Pediatrics recommends the following well visits, which we provide. The chart below lists some developmental milestones and the vaccination schedule. If your child has not reached the developmental milestones at the ages indicated, bring this to our attention either at your child’s next well visit, or give us a call. All children are different and this is often not a reason for concern.

 Visit Vaccines & Other Testing Developmental Milestones
2-3 Day Hep B (if not given in hospital) Feeding well; normal stool and urine output
2 Weeks Hep B (if not given);
Trivisol for breastfed infants
Move all limbs symmetrically
1 Month Hep B Improved vision and muscle coordination
2 Months DTaP, IPV, HIB, PCV 13, Rotavirus Tracks 180 degrees, lifts head when prone, smiles responsively
4 Months  DTaP, IPV, HIB, PCV 13, Rotavirus  Good head control, coos, sits with support
 6 Months DTaP, HIB, PCV 13, Rotavirus; Fluoride supplementation begins  Bears weight on legs, engages with other people, grasps and transfers objects
 9 Months IPV, Hep B Sleeps through the night, sits without control, babbles
 12 Months Hep A, PCV 13, HIB; Lead & Hemoglobin  Cruises, mature pincer grasp, points with index finger
 15 Months MMR, Varicella; MCHAT**  Walks independently, speak 3 words, points with index finger
 18 Months DTaP, Hep A  Walks well, runs, enjoys scribbling, has at least 8 word vocabulary
 2 Years Lead & Hemoglobin    MCHAT**, OAE**   Speaks in 2 word phrases with at least a 50 word vocabulary
 2 1/2 Years Developmental skills continue to be assessed at each visit (including school performance) 
 4 Years IPV, MMR, Varicella, DTaP
 11 Years Meningitis, Tdap, HPV  screening for high cholesterol
 12 Years and older HPV, Hemoglobin (for menstruating adolescents)  Note: Meningitis booster to be given at 16 years old.

 

Note:
(1) Yearly flu vaccines are recommended for children ages 6 months through 18 years.

(2) Catch up Hepatitis A vaccines are recommended for anyone who was not previously vaccinated.  2 doses of this vaccine are required at least 6 months apart.

(3) Prescreening developmental questionnaire  done at all well visits 2 months through 5 years of age.
*VEP-A vision screen for amblyopia done yearly starting at 6 months through 6 years of age.
** MCHAT-an autism screening tool at 15, 18 & 24 months.
*** OAE-a hearing screen that is done yearly from 2 through 10 years of age.

Vaccine Abbreviations:

Dtap: Diphtheria, Tetanus and Pertussis ( wooping cough)

IPV: Polio

PCV 13: Prevnar

HIB: Haemophilus influenzae type B vaccine

MMR: Measles,Mumps, Rubella

HPV: Human Papillomavirus vaccine

Tdap: Tetanus, diphtheria and whooping cough.

Hep: Hepatitis