Newborn: First examination after delivery

Most parents can’t wait to take their baby to the pediatrician for the first time. No wonder – this will actually be the first official confirmation that the baby is progressing, that everything is fine with her motor development and that you as parents are doing everything right.

The maternity hospital will tell you when to bring the baby for the first examination, and that is usually when the baby is one month old.

U the first month baby’s life adapts to the environment. She learns to eat and spends a lot of time just sleeping and eating.

The baby usually calves (loses weight) in the first week after birth. Until the baby and you get used to the feeding and daily rhythm, you will have the support of a community nurse who will come long enough to give you the right support and send you on the right path.

At one month of age, many babies have already given birth. They should have regained and exceeded their weight at birth, so now is the right time for a pediatrician to check on the baby’s progress.

What is checked at the first baby’s examination?

Baby weight

What most parents worry about is whether the baby has progressed in weight. On average, babies gain between 560g and 800g in the first month of life.

If your child does not belong to this average, it does not necessarily mean that something is wrong.

Based on all the indicators, the pediatrician will check if the baby is healthy, and give you suggestions regarding nutrition, if necessary.

Motor development

In addition to taking the baby’s measurements – weight and length, the doctor will check whether the baby’s central nervous system is well developed.

The doctor checks this by monitoring the baby’s reflexes to certain stimuli. The baby is born with these innate “tools” that help it adapt to the outside world.

Lip search reflex and sucking reflex are very important in establishing successful breastfeeding and feeding.

Fun reflex – It is manifested by a specific “twitch” of the baby when you place it on its back or some other stimulus (sudden beam of light or sudden sound).

Capture reflex – The baby will bend his fingers if he strokes his palm or sole, as if he wants to catch himself.

Automatic walk and jump – When you hold the baby upright and leaning forward, she will start to take steps in the air, and if she feels an obstacle, she will try to jump over it.

These are just some of the many reflexes that a baby is born with, and which the doctor checks at the first examination.

Physical development

In this segment of the examination, the doctor will check the baby’s head and fontanelle, eyes, nose and ears, neck, abdomen and skin.

He will also listen to the baby’s heart and lungs.

Examination often reveals certain temporary deformities, such as crooked feet and crooked neck (torticollis).

These conditions usually disappear over time, but you need physiotherapy or exercises that you can do at home with your baby.


The baby will most likely receive the second dose of Hep B vaccine at this check-up (if she received the first dose at the maternity hospital).

The doctor will tell you what reactions you can expect in the next few days, as a potential response of the body to the vaccine.

What will you find out at the first examination?

Going to a pediatrician will come in handy to get answers to many questions that have accumulated since coming from the maternity ward to here.

At the first examination you will find out:

  • How healthy is your baby and how is her progress?
  • When you should bring your baby to the next checkup.
  • In what situations should you call a doctor or take a child for an examination.
  • What to do if your baby has a fever.
  • What types of exercises to do with the baby (to stimulate development).
  • You will receive recommendations on baby nutrition.
  • You will receive recommendations on baby skin care.
  • You will also receive instructions for the first ultrasound examination of the hips.