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All is Well Wednesday, Week 9: 18 Months Old

All is Well Wednesday is a weekly blog post detailing the periodic well visits. Each week we take a closer week at a visit, and this week is the 18 month old visit. These originally were posted on our social media and have now moved to here. Be sure to look back ta previous weeks  to see the newborn through 15 month visits. 


There are no routine labs on this visit. 


  • Hepatitis A:  Typically, children receive two hepatitis A vaccines, six months apart, at 12 months and 18 months old. The vaccine is developed from inactivated virus and offers long-lasting immunity. Hepatitis A is a very serious liver disease that is transmitted through fecal-oral (stool to mouth) route. Individuals can catch it through contact with contaminated food, water, and other objects. 

  • Seasonal influenza (Children 6 months and older may also get a flu vaccine if appropriate age and season.) 

Click here to review our previous post 

 Why Do We Recommend Vaccines?

Surveys: Remember to visit the portal (shultspediatrics.com) before your visit to check for any surveys. As of September 1, 2020, we have transitioned to a new electronic medical records system, so the portal will have also changed. There are two surveys at this visit focusing on the development of your child.

  • Modified Checklist for Autism in Toddlers (M-CHAT)

A new survey is first seen at this visit, the M-CHAT. This is a validated screening tool used to identify children between the ages of 16 and 30 months who may benefit from a more thorough evaluation for autism and other developmental disorders. This tool is not diagnostic.

  • Ages & Stages, 18 months 

The Ages & Stages Questionnaire (ASQ) is a developmental screening tool used to assess your child’s development periodically through 5 years old. The parent completes the age specific questionnaire before the visit to help the pediatrician gauge the child’s development in five domains: Communication, Fine Motor, Gross Motor, Personal-Social and Problem-solving. Please, allow 15-20 minutes to complete the survey. It is helpful to have your child with you when completing to better answer some of the questions.

If your child has not mastered all the skills in the survey (and most have not), don’t worry. The survey is designed to check for a range of development. 

Next routine well visit: 2 years old. There will NOT be vaccines on this visit. 

As always, take care and remember we are here if you need us! 

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