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All is Well Wednesday Week 4: 4 Months Old

By four months old, your baby is likely getting very vocal, including laughs, and is usually getting ready to roll over at least one direction (tummy to back or back to tummy). Babies should still be placed back to sleep but may roll to side on their own. It is also important to encourage tummy time throughout the day while the baby is awake. 

  • Labs: None

  • Immunizations 

Today, marks the second set of vaccinations. They are the same ones your baby received at the 2 month visit:

1. Diphtheria, tetanus, pertussis (whooping cough), polio, and hepatitis B injection

2. Haemophilus influenzae type B (HIB) injection

3. Pneumococcal injection

4. Rotavirus oral

Click here to review our previous post 

 Why Do We Recommend Vaccines?


  • Surveys: Remember to visit shultspediatrics.com and log in to the patient portal before your visit to check for any surveys.


Edinburgh Postnatal Depression Scale. You’ve seen this survey before at the 3 week visit, the 2 month visit, and perhaps at your obstetrician. 


After giving birth, it is normal for the mother to experience a wide range of emotions from joy and excitement to fear and sadness. These are typically most powerful during the first couple weeks, but for some new mothers depression can be longer lasting or can develop in the months after giving birth and is known as postnatal or postpartum depression. The pediatrician is often the first and most frequent point of contact for families and an essential piece of taking care of the baby is taking care of mom. Therefore, at the 3 week, 2 months, 4 months and 6 months visits you will be asked to complete the Edinburgh Postnatal Depression Scale (EPDS). This is a short survey designed to identify mothers at risk for postpartum depression. 


Next routine well visit: 6 months old. There will be vaccines on this visit. 

Take care and remember we are here if you need us!



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