TimingGrowth and nutritionOther recommendations
24 to 48 hours after dischargeMeasure weight (compare birth, discharge, and current), length, and head circumference*; perform physical examinationAssess void/stool pattern, maternal adaptation; counsel parents to reduce the risk of sudden infant death syndrome (each visit for first 12 months)
Review feeding history (type, amount of feeding)Review and verify any future specialty appointments with the parents
Review hospital course, medications, medical equipment, and immunizations (hepatitis B1); if weight is less than discharge weight, a follow-up visit in 72 to 96 hours is recommended
2 to 4 weeks after dischargeMeasure weight, length, and head circumference*; perform physical examinationAdd iron for breastfed infants, lower dose for formula-fed infants
Review feeding history (type, amount of feeding)Review any past and future specialty appointments with the parents
Use premature growth chart for 24 months (catch-up growth occurs in head circumference first, then in weight and length); assess medications and ongoing clinical complications
2 months' chronologic ageMeasure weight, length, and head circumference*; perform physical examinationReview any past and future specialty appointments with the parents
Review feeding history (type, amount of feeding)Perform developmental screening
Administer immunizations per schedule: rotavirus (> 6 weeks and < 15 weeks of age), palivizumab (Synagis)
Assess medications and ongoing clinical complications
Repeat hearing screening in at-risk infants (3 months of age)
4 months' chronologic ageMeasure weight, length, and head circumference*; perform physical examinationReview any past and future specialty appointments with the parents
Review feeding history (type, amount of feeding); consider initiating complementary foodsAdminister immunizations per schedule: palivizumab
Assess medications and ongoing clinical complications
Screen for iron deficiency (4 to 8 months of age) and developmental status
6 months' chronologic ageMeasure weight, length, and head circumference*; perform physical examinationReview any past and future specialty appointments with the parents
Review feeding history (type, amount of feeding), initiate complementary foodsImmunizations (per schedule):
Palivizumab
Influenza at 6 months' chronologic age (2 doses, 4 weeks apart)
Screen for ophthalmologic problems (6 to 9 months) and developmental status
9 to 12 months' chronologic ageMeasure weight, length, and head circumference*; perform physical examinationAdminister immunizations per schedule
Review feeding history (type, amount of feeding), continue advancing diet, transition to whole milk at 12 monthsScreen for iron deficiency, lead level (12 to 24 months),§ and developmental delay; repeat hearing screening