Well-Baby Care in the First 2 Years of Life (1990)

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  • There is good justification for recommending that in most cases well-baby visits be organized according to the vaccination schedule, one earlier visit being arranged for infants of primiparous chronic health problems of those whose parents may have difficult with parenting, clinical judgement should determine the frequency of visits.
  • There is good evidence to include vaccination against diptheria, Hib infection, measles, mumps, pertussis, poliomuellitis, rubella, and tetanus.
  • There is good evidence to include repeated examination of hips, eyes, and hearing, especially in the first year of life.
  • There is good evidence to include counselling on risk factors for accidental injury in the home, nutrition and behavioural problems, particularly persistent night-time crying.
  • There is fair evidence to include screening for mental health retardation through enquiries about the achievement of milestones at each visit.
  • There is no compelling evidence to include the early detection of parenting problems to prevent child abuse.