The 4-Month Well-Baby Visit

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Here's what will happen at your little one's 4-month well-baby visit, including the physical checkup, developmental milestones and shots.

Rolling over, reaching, grabbing and giggles — at 4 months old, your infant’s changing so fast that it’s hard to keep up! Your baby’s doctor will want to note every adorable new skill at this month’s checkup, which will also include another round of vaccines. Here’s what you can expect.

If the answer to these questions is yes, then whether he’s in the 10th or the 90th percentile at his 4-month visit doesn’t matter. he’s just the right size for him!

Your doctor will also perform checks of baby’s eyes, hearing and overall health.

The American Academy of Pediatrics (AAP) recommends that moms be screened for postpartum depression at the 4-month checkup, so ask if you have any questions about your moods or your partner’s.

Developmental milestones

Your little one does much of his developing while he sleeps — although you may be wondering when he’ll develop the ability to sleep through the night! Some (but certainly not all) babies start to sleep for longer stretches at night around 12 weeks, and some even sleep through the night.

The doctor will want to know all about your infant's sleep pattems, including naps and nighttime sleep, so keep notes handy. Your baby’s doctor will also want to know if your baby is ...

• Doing baby push-ups — raising his head and possibly his chest while on his tummy
• Rolling from tummy to back; some babies will have started flipping over, while others may not
• Holding his head up when in your arms or even when held upright
• Paying attention to small objects and trying to reach for everything he sees
• Watching an object move in a 180-degree arc, from one side to the other
• Mixing up those breathy coos with some consonants and other sweet sounds (laughing! giggling!)

Remember, every baby is one-of-a-kind — and there’s a wide range of normal when it comes to development. Still, if you have any concerns about your little one's milestones, make sure you check with your doctor. You can also ask him or her about ways to keep your baby’s development on track or boost it.