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Well Child

Please browse these sites for even more pediatric information:

Rafael A. de Haro, MD
Erin Marshall, MD
Nina Cheng-Lo, PNP
Maureen Havrilla, PNP

Wyoming Springs Pediatrics
7200 Wyoming Springs, Suite 200
Round Rock, Texas 78681

Phone: 512-244-5959
Fax: 512-244-1156

We accept most insurance plans, please contact us for specifics.

Well Child

Your child may look and feel great, but it may be time for a pediatric visit anyway. Sure, you are very aware that your infant must see his doctor for well-baby visits, but did you know that last year, the American Academy of Pediatrics (AAP) updated its recommendations for well-child checkups from birth through age 21. The new guidelines strengthen the focus on prevention and finding problems early, when treatment has the best chance of success.

One of the biggest changes is the addition of screening for autism disorders in the second year of life. This change comes on the heels of AAP guidelines that help doctors identify the signs of autism and refer children for treatment. Early intervention has been shown to have long-term benefits.

In general, the update includes more well-child visits in the early years and some changes in the testing done during these visits. The added visits help doctors:

The following information will help you determine when to schedule your well-child visits.

Keep immunizations on schedule
  • Observe the developing child more closely

  • Address any concerns the parents have

  • These extra visits can also help a doctor know a child better and build a trusting relationship.

What's changed? The main changes include:
  • Checking newborns within two to three days after hospital discharge for feeding problems and jaundice

  • Screening for developmental problems at ages 9, 18 and 30 months

  • Screening for autism at 18 and 24 months

  • Referral to a dentist starting at 12 months

  • Checking body mass index (BMI) starting at 24 months, which can help a doctor assess the risk for weight-related problems

  • Assessing for risk factors of cholesterol problems (dyslipidemia) at ages 2, 4, 6, 8 and 10 years and then every year, with cholesterol testing done between ages 18 and 21

  • Three new routine visits, at ages 30 months, 7 years and 9 years

How often does my child need a checkup? The AAP recommends that:
  • Newborns should see their doctor within three to five days after birth and within two to three days after leaving the hospital.

  • Babies should be seen at age 1 month, 2 months, 4 months, 6 months, 9 months and 12 months.

  • Toddlers should be seen at age 15 months, 18 months, 24 months and 30 months.

  • After age 3, children should see their doctor once a year.

These guidelines are for healthy children. Children who have health problems or are at risk may need to see their doctor more often. Insurance companies may have their own schedule for well-child visits. Check your policy to see how many well-child visits are covered.

Whether you are a new parent, or have toddlers or adolescents, we are eager to provide you with the quality care you and your family deserve. We look forward to meeting you! For added convenience, download and complete your new patient forms and fax them to 512-244-1156 or simply bring them with you to your appointment. Wyoming Springs Pediatrics: Where your Family Comes 1st.

AAP Committee on Practice and Ambulatory Medicine and Bright Futures Steering Committee. Recommendations for preventive pediatric health care. Pediatrics. 2007;120(6):1376. Accessed January 9, 2008.
Myers SM, Plauche Johnson C, Council on Children with Disabilities. Management of children with autism spectrum disorders. Pediatrics. 2007;120(5):1162-1182. Accessed January 9, 2008.

If you think you are having a medical emergency, call 911 or the number for the local emergency ambulance service NOW!  And when in doubt, call your doctor NOW or go to the closest emergency department. Click here for full disclaimer information.

Article Information Courtesy of Dr. Barton D. Schmitt
Barton Schmitt, M.D. is professor of pediatrics at the University of Colorado School of Medicine. He is Medical Director of the After-Hours Call Center at The Children's Hospital of Denver that covers calls for over 320 pediatricians and 100 family physicians throughout Colorado and Wyoming. He is the author of books/information sheets for parents, and telephone triage books/software for physicians.