1 year well baby visit

Family Life

AAP Schedule of Well-Child Care Visits

Parents know who they should go to when their child is sick. But pediatrician visits are just as important for healthy children.

The Bright Futures /American Academy of Pediatrics (AAP) developed a set of comprehensive health guidelines for well-child care, known as the " periodicity schedule ." It is a schedule of screenings and assessments recommended at each well-child visit from infancy through adolescence.

Schedule of well-child visits

• The first week visit (3 to 5 days old)
• 1 month old
• 2 months old
• 4 months old
• 6 months old
• 9 months old
• 12 months old
• 15 months old
• 18 months old
• 2 years old (24 months)
• 2 ½ years old (30 months)
• 3 years old
• 4 years old
• 5 years old
• 6 years old
• 7 years old
• 8 years old
• 9 years old
• 10 years old
• 11 years old
• 12 years old
• 13 years old
• 14 years old
• 15 years old
• 16 years old
• 17 years old
• 18 years old
• 19 years old
• 20 years old
• 21 years old

The benefits of well-child visits

Prevention . Your child gets scheduled immunizations to prevent illness. You also can ask your pediatrician about nutrition and safety in the home and at school.

Tracking growth & development . See how much your child has grown in the time since your last visit, and talk with your doctor about your child's development. You can discuss your child's milestones, social behaviors and learning.

Raising any concerns . Make a list of topics you want to talk about with your child's pediatrician such as development, behavior, sleep, eating or getting along with other family members. Bring your top three to five questions or concerns with you to talk with your pediatrician at the start of the visit.

Team approach . Regular visits create strong, trustworthy relationships among pediatrician, parent and child. The AAP recommends well-child visits as a way for pediatricians and parents to serve the needs of children. This team approach helps develop optimal physical, mental and social health of a child.

More information

Back to School, Back to Doctor

Recommended Immunization Schedules

Milestones Matter: 10 to Watch for by Age 5

Your Child's Checkups

• Bright Futures/AAP Recommendations for Preventive Pediatric Health Care (periodicity schedule)

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Well-Child Visits: Parent and Patient Education

The Bright Futures Parent and Patient Educational Handouts help guide anticipatory guidance and reinforce key messages (organized around the 5 priorities in each visit) for the family. Each educational handout is written in plain language to ensure the information is clear, concise, relevant, and easy to understand. Each educational handout is available in English and Spanish (in HTML and PDF format). Beginning at the 7 year visit , there is both a Parent and Patient education handout (in English and Spanish).

For the Bright Futures Parent Handouts for well-child visits up to 2 years of age , translations of 12 additional languages (PDF format) are made possible thanks to the generous support of members, staff, and businesses who donate to the AAP Friends of Children Fund . The 12 additional languages are Arabic, Bengali, Chinese, French, Haitian Creole, Hmong, Korean, Polish, Portuguese, Russian, Somali, and Vietnamese.

Reminder for Health Care Professionals:  The  Bright Futures Tool and Resource Kit, 2nd Edition ​ is available as an online access product. For more detailed information about the Toolkit, visit  shop.aap.org . To license the Toolkit to use the forms in practice and/or incorporate them into an Electronic Medical Record System, please contact  AAP Sales .

Parent Educational Handouts

Infancy visits.

3 to 5 Day Visit

1 Month Visit

2 Month Visit

4 Month Visit

6 Month Visit

9 Month Visit

Early childhood visits.

12 Month Visit

15 Month Visit

18 Month Visit

2 Year Visit

2.5 Year Visit

3 Year Visit

4 Year Visit

Parent and patient educational handouts, middle childhood visits.

5-6 Year Visit

7-8 Year Visit

7-8 Year Visit - For Patients

9-10 Year Visit

9-10 Year Visit - For Patients

Adolescent visits.

11-14 Year Visit

11-14 Year Visit - For Patients

15-17 Year Visit

15-17 Year Visit - For Patients

18-21 Year Visit - For Patients

Last updated.

American Academy of Pediatrics

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• Well-Child Visit Handouts

Parent and patient handouts from the Bright Futures Tool and Resource Kit , 2nd Edition, address key information for health supervision care from infancy through adolescence. Bright Futures is a national health care promotion and disease prevention initiative that uses a developmentally based approach to address children’s health care needs in the context of family and community.

See Handouts by Language for well-child visit handouts up to 2 years of age translated into Arabic, Bengali, Chinese, French, Haitian Creole, Hmong, Korean, Polish, Portuguese, Russian, Somali, and Vietnamese.

NEW! September 2022: Bright Futures: Health Equity Resources for Health Care Professionals This compendium of resources was created for pediatric health care professionals to address the impact of racism, bias, and discrimination on the health and well-being of their patients and families.

Handouts are accessible with a subscription. For more information about a subscription, please e-mail [email protected] )

Parent Handouts

Bright Futures Parent Handout: First Week Visit (3 to 5 Days) English PDF    |    Spanish PDF

Bright Futures Parent Handout: 1 Month Visit English PDF    |    Spanish PDF

Bright Futures Parent Handout: 2 Month Visit English PDF    |    Spanish PDF

Bright Futures Parent Handout: 4 Month Visit English PDF    |    Spanish PDF

Bright Futures Parent Handout: 6 Month Visit English PDF    |    Spanish PDF

Bright Futures Parent Handout: 9 Month Visit English PDF    |    Spanish PDF

Bright Futures Parent Handout: 12 Month Visit English PDF    |    Spanish PDF

Bright Futures Parent Handout: 15 Month Visit English PDF    |    Spanish PDF

Bright Futures Parent Handout: 18 Month Visit English PDF    |    Spanish PDF

Bright Futures Parent Handout: 2 Year Visit English PDF    |    Spanish PDF

Bright Futures Parent Handout: 2½ Year Visit English PDF    |    Spanish PDF

Bright Futures Parent Handout: 3 Year Visit English PDF    |    Spanish PDF

Bright Futures Parent Handout: 4 Year Visit English PDF    |    Spanish PDF

Bright Futures Parent Handout: 5 and 6 Year Visits English PDF    |    Spanish PDF

Bright Futures Parent Handout: 7 and 8 Year Visits English PDF    |    Spanish PDF

Bright Futures Parent Handout: 9 and 10 Year Visits English PDF    |    Spanish PDF

Bright Futures Parent Handout: 11-14 Year Visits English PDF    |    Spanish PDF

Bright Futures Parent Handout: 15-17 Year Visits English PDF    |    Spanish PDF

Patient Handouts

Bright Futures Patient Handout: 7 and 8 Year Visits English PDF    |    Spanish PDF

Bright Futures Patient Handout: 9 and 10 Year Visits English PDF    |    Spanish PDF

Bright Futures Patient Handout: 11-14 Year Visits   English PDF    |    Spanish PDF

Bright Futures Patient Handout: 15-17 Year Visits English PDF    |    Spanish PDF

Bright Futures Patient Handout: 18-21 Year Visits English PDF    |    Spanish PDF

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What to Expect At A Well Child Visit

Going to the doctor with your new baby may feel scary—but we’re here to help! Here’s what to expect at a well child visit (plus, a checklist of everything to bring along).

What is an early well child visit?

It’s early check-in with your baby’s pediatrician to make sure they are healthy and seeing all signs of typical development. It is a great place to ask questions, detect and treat any delays, and help parents feel best prepared to care for their child.

When should a well-baby visit take place?

First and foremost, follow the instructions of your doctor. They will let you know when visits should take place for your baby.

The American Academy of Pediatrics (AAP) recommends that most babies have their first doctor visit when they are 3 to 5 days old. After that, the AAP recommends well-baby visits in the first year at 1, 2, 4, 6, 9, and 12 months. See the list of check-in ages here .

What should you plan to discuss?

The doctor will be checking in on your child’s health, development, and overall well-being. Therefore, doctors will ask questions about their development and functioning.

• They will make sure baby is doing activities such as Tummy Time , remaining calm during diaper changes, etc.
• They will make sure baby is sleeping safely and getting enough sleep .
• They will check in on your child’s motor function .
• They will ask about your child’s feeding
• They may ask you if you’ve noticed any delays or issues in your child’s day-to-day activities. You can always visit our age pages to read about the milestones and abilities your child should reach- -and any signs of delay. If there’s something you want to bring to your child’s healthcare provider sooner than their next well-child visit, you can make an appointment at any time.
• They will be checking in on you as well, to make sure you’re informed on how to best care for your baby, so don’t be afraid to ask them questions about your baby’s care.

Remember that early intervention is key to prevention of further delays and complications—so it is always best to tell the doctor if you’ve seen anything concerning, or if your child is having trouble reaching a certain milestone. If something seems delayed or if you think your child might need extra help, trust your instincts and ask your doctor for their input!

Watch this video to learn more!

Your well-baby visit checklist

Before the visit:.

• Print out and review the Pathways.org Ability and Milestone Checklists . Check your baby to see if they are meeting their developmental milestones.
• If there are any that they are not meeting, just make a note of it! Just be sure to ask your doctor about it at the visit.
• Speak to any caregivers for your baby to see if they have noticed anything in your child that should be brought up to the doctor.

For the visit:

• Your baby needs to be there, as well as at least 1 parent. Your doctor will have questions about how your baby is doing, so it’s recommended that the parent present can accurately answer those questions.
• Bring your checklists with in case any questions come up about their abilities and milestones.
• Bring a pen and notebook, to write down any important information.
• Write down any questions you may have and bring them with the doctor.

Want to learn more about baby’s development and track their milestones?

Download the free pathways.org baby milestones app .

Track your child’s milestones here!

• 0-3 month milestones
• 4-6 month milestones
• 7-9 month milestones
• 10-12 month milestones
• 13-18 month milestones
• 19-24 month milestones
• 2-3 year milestones

Related Resources

More Than “Good Job!” Try These Ways to Encourage Your Child

6 Things to Know About Picky Eating

Doctor Visits

Make the Most of Your Child’s Visit to the Doctor (Ages 1 to 4 Years)

Take Action

Young children need to see the doctor or nurse for a “well-child visit” 7 times between ages 1 and 4 years.

A well-child visit (also called a checkup) is when you take your child to the doctor to make sure they’re healthy and developing normally. This is different from visits for sickness or injury.

At a well-child visit, the doctor or nurse can help catch any problems early, when they may be easier to treat. You’ll also have a chance to ask questions about things like your child’s behavior, eating habits, and sleeping habits.

Learn what to expect so you can make the most of each visit.

Well-Child Visits

How often do i need to take my child for well-child visits.

Young children grow quickly, so they need to visit the doctor or nurse regularly to make sure they’re healthy and developing normally.

Children ages 1 to 4 years need to see the doctor or nurse when they’re:

• 12 months old (1 year)
• 15 months old (1 year and 3 months)
• 18 months old (1 year and 6 months)
• 24 months old (2 years)
• 30 months old (2 years and 6 months)
• 3 years old
• 4 years old

If you’re worried about your child’s health, don’t wait until the next scheduled visit — call the doctor or nurse right away.

Child Development

How do i know if my child is growing and developing on schedule.

Your child’s doctor or nurse can help you understand how your child is developing and learning to do new things — like walk and talk. These are sometimes called “developmental milestones.”

Every child grows and develops differently. For example, some children will take longer to start talking than others. Learn more about child development .

At each visit, the doctor or nurse will what new things your child is learning to do. They may also ask how you’re feeling and if you need any support.

Ages 12 to 18 Months

By age 12 months, most kids:.

• Stand by holding on to something
• Walk with help, like by holding on to the furniture
• Call a parent "mama," "dada," or some other special name
• Look for a toy they've seen you hide

Check out this complete list of milestones for kids age 12 months .

By age 15 months, most kids:

• Follow simple directions, like "Pick up the toy"
• Show you a toy they like
• Try to use things they see you use, like a cup or a book
• Take a few steps on their own

Check out this complete list of milestones for kids age 15 months.

By age 18 months, most kids:

• Make scribbles with crayons
• Look at a few pages in a book with you
• Try to say 3 or more words besides “mama” or “dada”
• Point to show someone what they want
• Walk on their own
• Try to use a spoon

Check out this complete list of milestones for kids age 18 months . 

Ages 24 to 30 Months

By age 24 months, most kids:.

• Notice when others are hurt or upset
• Point to at least 2 body parts, like their nose, when asked
• Try to use knobs or buttons on a toy
• Kick a ball

Check out this complete list of milestones for kids age 24 months . 

By age 30 months, most kids:

• Name items in a picture book, like a cat or dog
• Play next to or with other kids
• Jump off the ground with both feet
• Take some clothes off by themselves, like loose pants or an open jacket

Check out this complete list of milestones for kids age 30 months .

Ages 3 to 4 Years

By age 3 years, most kids:.

• Calm down within 10 minutes after you leave them, like at a child care drop-off
• Draw a circle after you show them how
• Ask “who,” “what,” “where,” or “why” questions, like “Where is Daddy?”

Check out this complete list of milestones for kids age 3 years . 

By age 4 years, most kids:

• Avoid danger — for example, they don’t jump from tall heights at the playground
• Pretend to be something else during play, like a teacher, superhero, or dog
• Draw a person with 3 or more body parts
• Catch a large ball most of the time

Check out this complete list of milestones for kids age 4 years . 

Take these steps to help you and your child get the most out of well-child visits.

Gather important information.

Take any medical records you have to the appointment, including a record of vaccines (shots) your child has received.

Make a list of any important changes in your child’s life since the last doctor’s visit, like a:

• New brother or sister
• Serious illness or death in the family
• Separation or divorce — or a parent spending time in jail or prison
• Change in childcare

Use this tool to  keep track of your child’s family health history . This information will help your doctor or nurse know if your child is at risk for certain health problems. 

Ask other caregivers about your child.

Before you visit the doctor, talk with others who care for your child, like a grandparent, daycare provider, or babysitter. They may be able to help you think of questions to ask the doctor or nurse.

What about cost?

Under the Affordable Care Act, insurance plans must cover well-child visits. Depending on your insurance plan, you may be able to get well-child visits at no cost to you. Check with your insurance company to find out more.

Your child may also qualify for free or low-cost health insurance through Medicaid or the Children’s Health Insurance Program (CHIP). Learn about coverage options for your family.

If you don’t have insurance, you may still be able to get free or low-cost well-child visits. Find a health center near you and ask about well-child visits.

To learn more, check out these resources:

• Free preventive care for children covered by the Affordable Care Act
• How the Affordable Care Act protects you and your family
• Understanding your health insurance and how to use it [PDF - 698 KB]

Ask Questions

Make a list of questions you want to ask the doctor..

Before the well-child visit, write down a few questions you have. This visit is a great time to ask the doctor or nurse any questions about:

• A health condition your child has (like asthma or an allergy)
• Changes in sleeping or eating habits
• How to help kids in the family get along

Here are some questions you may want to ask:

• Is my child up to date on vaccines?
• How can I make sure my child is getting enough physical activity?
• Is my child at a healthy weight?
• How can I help my child try different foods?
• What are appropriate ways to discipline my child?
• How much screen time is okay for young children?

Take notes so you can remember the answers later.

Ask what to do if your child gets sick. 

• Make sure you know how to get in touch with a doctor or nurse when the office is closed.
• Ask how to reach the doctor on call — or if there's a nurse information service you can call at night or during the weekend. 

What to Expect

Know what to expect..

During each well-child visit, the doctor or nurse will ask you questions about your child, do a physical exam, and update your child's medical history. You'll also be able to ask your questions and discuss any problems you may be having.

The doctor or nurse will ask questions about your child.

The doctor or nurse may ask about:

• Behavior: Does your child have trouble following directions?
• Health: Does your child often have stomachaches or other kinds of pain?
• Activities: What types of pretend play does your child like? What toys or other things do they most like playing with?
• Eating habits: What does your child eat on a normal day?
• Family: Have there been any changes in your family since your last visit?
• Learning: What’s something new your child learned recently?

They may also ask questions about safety, like:

• Does your child always ride in a car seat in the back seat of the car? 
• Does anyone in your home have a gun? If so, is it unloaded and locked in a place where your child can’t get it?
• Is there a swimming pool or other water around your home? Is there a locked door or gate to keep your child from getting to the pool without an adult?
• What steps have you taken to childproof your home? Do you have gates on stairs and latches on cabinets?
• Does everyone who cares for your child know when and how to call Poison Control (1-800-222-1222)?

Your answers to questions like these will help the doctor or nurse make sure your child is healthy, safe, and developing normally. Be honest, even if you’re worried you’re doing something wrong — the doctor or nurse is there to help you.

Physical Exam

The doctor or nurse will also check your child’s body..

To check your child’s body, the doctor or nurse will:

• Measure your child’s height and weight
• Check your child’s blood pressure
• Check your child’s vision
• Check your child’s body parts (this is called a physical exam)
• Give your child any vaccines they need

Learn more about your child’s health care:

• Find out how to get your child’s shots on schedule
• Learn how to take care of your child’s vision

Content last updated July 10, 2024

Reviewer Information

This information on well-child visits was adapted from materials from the Centers for Disease Control and Prevention and the National Institutes of Health.

Reviewed by:

Sara Kinsman, MD, PhD Director, Division of Child, Adolescent, and Family Health Maternal and Child Health Bureau Health Resources and Services Administration (HRSA)

You may also be interested in:

Help Your Child Stay at a Healthy Weight

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You will be subject to the destination website's privacy policy when you follow the link.

Preventive Health Care Visits in Infants

Healthy infants should be seen by their doctor often during the first year of life. Preventive health care visits (also called well-child visits) typically take place within a few days after birth or by 2 weeks of age and at 1, 2, 4, 6, and 9 months of age. During these visits, the doctor uses age-specific guidelines to monitor the infant's growth and development and asks the parents questions about various developmental milestones (see table Developmental Milestones From Birth to Age 12 Months ). Tests are sometimes done, and during many visits, the doctor vaccinates the infant against various illnesses (see Childhood Vaccination Schedule ).

Health care visits also allow the doctor to educate the parents about eating, sleeping, behavior, child safety, nutrition, exercise, and good health habits. In addition, the doctor advises the parents what developmental changes to expect in their infant by the next visit.

Examination

The infant's length and height , weight , and head circumference are measured at every visit. The doctor examines the infant for various abnormalities, including signs of hereditary disorders or birth defects .

The eyes are examined, and vision is tested. Infants who were born very prematurely (before the completion of 32 weeks of development in the uterus) usually need more frequent eye examinations by an eye specialist to look for retinopathy of prematurity , which is an eye disease that occurs when infants are born before the blood vessels in their eyes are fully developed and may result in blindness, and for the development of refractive errors , which result in blurring of vision. These disorders are more common among infants who were born very prematurely.

The doctor checks the infant’s hips for signs that the hip joints are loose or dislocated ( developmental dysplasia of the hip ). The doctor checks the infant's teeth , if they are present, for cavities and the mouth for thrush , which is a common yeast infection among infants.

The doctor also examines the heart, lungs, abdomen, arms and legs, and genitals.

Screening tests are done to assess whether infants are at risk of certain disorders.

Blood tests are done to detect anemia , sickle cell disease , and exposure to lead .

Hearing tests are done shortly after birth to determine whether an infant has a hearing disorder or hearing loss (see Newborn Screening Tests ) and are repeated later if new concerns about the infant's hearing develop (see also Hearing Impairment in Children ).

Infants are screened for tuberculosis (TB) risk factors with a questionnaire at all well-child visits, usually beginning in infancy. Risk factors include exposure to TB, being born in or having traveled to areas of the world where TB is common (countries other than the United States, Canada, Australia, and New Zealand and Western and North European countries), having a family member with TB, and having parents or close contacts who are recent immigrants from an area where TB is common or who have recently been in jail. Those with risk factors usually have tuberculosis screening tests done.

At these visits, the doctor gives parents age-appropriate safety guidelines.

The following safety guidelines apply to infants from birth to age 12 months:

Use a rear-facing car seat and place it in the back seat of the vehicle.

Set the hot water heater to 120° F or less.

Prevent falls from changing tables and around stairs.

Place infants on their back to sleep on a firm, flat mattress for every sleep, do not share a bed, and do not place pillows, bumper pads, nonfitted sheets, stuffed animals or other toys, quilts, comforters, or weighted or loose blankets in the crib. (See also sidebar Safe to Sleep: Reducing the Risk of SIDS .)

Do not give infants foods and objects that can cause choking or be inhaled into the lungs.

Do not use baby walkers.

Place safety latches on cabinets and cover electrical outlets.

Remain alert when watching infants in the bathtub or near a pool or any body of water and when they are learning to walk.

Image courtesy of the Centers for Disease Control and Prevention (CDC), National Center for Injury Prevention and Control ( Transportation Safety Resources ). This guidance from the CDC is for the United States, and regulations may differ in other countries.

Nutrition and exercise

For infants, recommendations for nutrition are based on age. The doctor can help parents weigh the benefits of breastfeeding versus formula-feeding and give guidance regarding solid foods .

Parents should provide infants with a safe environment they can roam in and explore. Outdoor play should be encouraged from infancy.

Screen time (for example, television, video games, cell phones and other handheld devices, and noneducational computer time) may result in inactivity and obesity. Limits on the time a child spends using devices with screens should start at birth and be maintained throughout adolescence.

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Information for parents from Canada's paediatricians

Schedule of well-child visits.

If you don’t already have one, you should start looking for a paediatrician or family doctor early on in your pregnancy so you can talk to her about any questions or concerns you have before your baby comes.

• If your local hospital has a family practice unit, they may be able to help you find a doctor.
• You can look online under “physicians and surgeons” in your area.
• Links to organizations that can help you find a doctor for your child.

“Well-baby” or “well-child” visits are a lot like annual exams for adults, but focus on your child’s age and stage of development.

More information from the CPS

• You & you child’s doctor
• Vaccination and your child

Reviewed by the following CPS committees

• Public Education Advisory Committee

Last updated: July 2021

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Catch Up on Well-Child Visits and Recommended Vaccinations

Many children missed check-ups and recommended childhood vaccinations over the past few years. CDC and the American Academy of Pediatrics (AAP) recommend children catch up on routine childhood vaccinations and get back on track for school, childcare, and beyond.

Making sure that your child sees their doctor for well-child visits and recommended vaccines is one of the best things you can do to protect your child and community from serious diseases that are easily spread.

Well-Child Visits and Recommended Vaccinations Are Essential

Well-child visits and recommended vaccinations are essential and help make sure children stay healthy. Children who are not protected by vaccines are more likely to get diseases like measles and whooping cough . These diseases are extremely contagious and can be very serious, especially for babies and young children. In recent years, there have been outbreaks of these diseases, especially in communities with low vaccination rates.

Well-child visits are essential for many reasons , including:

• Tracking growth and developmental milestones
• Discussing any concerns about your child’s health
• Getting scheduled vaccinations to prevent illnesses like measles and whooping cough (pertussis) and  other serious diseases

It’s particularly important for parents to work with their child’s doctor or nurse to make sure they get caught up on missed well-child visits and recommended vaccines.

Routinely Recommended Vaccines for Children and Adolescents

Getting children and adolescents caught up with recommended vaccinations is the best way to protect them from a variety of   vaccine-preventable diseases . The schedules below outline the vaccines recommended for each age group.

See which vaccines your child needs from birth through age 6 in this easy-to-read immunization schedule.

See which vaccines your child needs from ages 7 through 18 in this easy-to-read immunization schedule.

The  Vaccines for Children  (VFC) program provides vaccines to eligible children at no cost. This program provides free vaccines to children who are Medicaid-eligible, uninsured, underinsured, or American Indian/Alaska Native. Check out the  program’s requirements  and talk to your child’s doctor or nurse to see if they are a VFC provider. You can also find a VFC provider by calling your  state or local health department  or seeing if your state has a VFC website.

COVID-19 Vaccines for Children and Teens

Everyone aged 6 months and older can get an updated COVID-19 vaccine to help protect against severe illness, hospitalization and death. Learn more about making sure your child stays up to date with their COVID-19 vaccines .

• Vaccines & Immunizations

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What to Expect at Well-Child Visits

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Well-child visit schedule.

• Newborn Well-Child Visit
• Baby Well-Child Visits

1-Month Well-Child Visit

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• Vaccines Schedule From 0-2 Years

While it’s a no-brainer that you take your baby or toddler to the doctor when they’re sick, it’s also important to bring your child to the pediatrician for regularly scheduled visits when they are feeling just fine! Enter: The well-child visit. The American Academy of Pediatrics (AAP) recommends that each kiddo goes to the doctor within days of birth, then almost monthly, then annually for must-have screenings and assessments. Here’s what to expect at childhood checkups—and when to expect them .

In the first few years of life, you’ll get to know your child’s healthcare provider very well.

Typical child well visit schedule:

• Within 3 to 5 days of birth
• Annually after 3 years

What to Expect at the Newborn Well-Child Visit

Congrats! You just brought your baby home from the hospital…now pack up the diaper bag and head to their very first visit to the pediatrician! (Still haven’t secured your baby’s pediatrician? Use our guide to help you find the perfect doc .) All newborns need a first-week checkup within 3 to 5 days from birth.

What to bring to Newborn Well-Child Visit

Beyond your sweet babe, you may need to bring all your hospital paperwork, which should contain info about your baby’s discharge weight and/or any possible complications that occurred during pregnancy or birth. Some hospitals and practices use online charts that multiple providers can access, but if yours doesn’t, you’ll want to have that information on hand. (If you’re unsure, just ask!)

Newborn Well-Child Visit Vaccines

If your little one did not receive the Hepatitis B (HepB) vaccine while at the hospital, they should receive the first HepB vaccine dose now.

Newborn Well-Child Visit Screenings

Your baby’s pediatrician will likely tackle the following screening measure and exams:

Your baby will be measured and weighed to ensure they’re growing as expected.

Baby’s head, ears, eyes, and mouth will be examined.

Baby’s skin will be looked at for birthmarks or rashes.

The doctor will review the results of two newborn screenings your baby received shortly after birth: hearing and blood test results. (Rescreening may be done.)

If your baby did not have their hearing screened at the hospital—or if they were born at home or a birthing center, their hearing will be screened .

The pediatrician will press gently on your baby’s tummy to check organs and for an umbilical hernia.

They’ll also move your baby’s legs to check for dislocation or other issues with their hip joints.

Your baby’s genitalia will be examined for signs of infection, such as tenderness or lumps.

What to Expect at Baby Well-Child Visits

During the first year of your baby’s life, they will visit the pediatrician every month or so for a well-child checkup. All first-year well-visits entail the following:

Baby’s weight and height will be recorded.

The pediatrician will check on your baby’s developmental milestones.

Baby’s heart rate and breathing will be checked.

The doctor will examine your baby’s skin.

They’ll also press on Baby’s belly to detect enlarged organs or an umbilical hernia.

Baby’s legs and hips will be checked for dislocation or other joint problems.

Baby’s genitalia will be inspected for signs of infection.

Beyond the screenings listed above, you can also expect:

Your little one may receive the HepB vaccine, though sometimes this occurs at Baby’s two-month checkup.

Mom will be screened for postpartum depression. The American Academy of Pediatrics (AAP) recommends moms be screened for postpartum depression (PPD) during well-child visits at 1, 2, 4, and 6 months of age.

If your baby is breastfeeding or consuming less than 27 ounces a day of vitamin-D containing baby formula, the pediatrician will offer advice about vitamin D supplementation .

Possible questions about feeding, sleep, number of wet and dirty diapers, and other 1-month milestones

Beyond the screenings listed above, you can expect:

Baby is set to receive the following vaccinations: RV, DTap, Hib, PCV13, and IPV.

Mom will be screened for postpartum depression .

Possible questions about feeding, sleep, number of wet and dirty diapers, tummy time , and other 2-month milestones

Your bub will likely receive the following vaccinations: RV, DTap, Hib, PCV13, and IPV.

Mom will be screened for postpartum depression.

Blood may be drawn to screen for anemia , which is a condition marked by a low supply of healthy red blood cells.

If your baby is partially or completely breastfed, the doctor will offer advice about introducing an iron supplement . 

Possible questions about sleep regression , babbling, Baby’s gums, teething, starting solids soon, when/how to introduce allergens , and other 4-month milestones

Your baby will likely get the following vaccinations: DTap, Hib, and PCV13. If your bub received the PedvaxHIB vaccine, they don’t require a 6-month Hib shot. If your Baby received the RotaTeq (RV5) vaccine, they’ll get their third dose now.

If your baby’s 6-month well-visit falls during flu season, they should get the recommended flu shot —with the second dose four weeks later. If it’s not flu season, your pediatrician will advise you when to return to get this important vaccine.

Fluoride varnish may be applied if your bub’s first tooth has popped through (most babies start cutting teeth around this age).

Possible questions about starting solids, introducing nuts , teething, and sleep, and other 6-month baby milestones

If your baby hasn’t yet received their third HepB and IPV shots, they may get them now. Technically, babies can get either of these vaccines between 6 and 18 months, and many doctors opt to give them during the 9-month checkup.

Your baby’s pediatrician will conduct a more formal developmental screening than usual, asking several questions about your little one’s growth and behavior. The doc may even ask if they can observe you and your little one playing together. All of this is to see whether your baby is developing at an expected rate or further testing is needed.

Possible questions about pointing, babyproofing , sippy cups, constipation, and other 9-month baby milestones

Baby will likely receive the following vaccinations: Hib, PCV13, MMR, VAR, HepA (second dose around 6 months later). Your little is eligible for all these vaccines at their one-year checkup, but that doesn’t mean they’ll occur all at once. For example, babies should receive Hib, PCV13, MMR, VAR vaccines between 12 and 15 months. And you have until 23 months to tick the HepA shot off your list.

Your baby may be screened for anemia .

Based on your little one’s risk, their hearing, vision, blood pressure, and/or their blood lead levels may be tested.

Possible questions about crawling, walking, talking, transitioning to whole milk , and other first-year baby milestones

During Baby’s first year, doctor appointments were coming at you in rapid succession. But now that you’ve got a toddler on your hands, the time between well-visits widens. Between 15 months old and your bub’s third birthday, you’ll be back at the pediatrician’s office just five times for checkups. Here’s what you can expect at every well visit: 

Your toddler’s weight and height will be recorded.

The pediatrician will check on your tot’s developmental milestones.

Your toddler’s head, ears, eyes, and mouth will be examined.

Toddler’s heart rate and breathing will be checked.

A skin examination will likely occur.

The doctor will press on your child’s belly to feel organs and for an umbilical hernia.

Your toddler's genitalia will be looked at for signs of infection, such as tenderness or lumps.

Depending on which vaccines your child got at their 12-month visit, they may be due for Hib, PCV13, MMR, VAR, which are all recommended between 12 and 15 months.

Your toddler may be checked for anemia.

Based on specific risk factors, your toddler may have their vision, hearing, and/or blood pressure checked, too.

If your tot has already received a fluoride varnish on their teeth, a second application may occur .

Possible questions about sleep, motor skills, social skills, eating, talking, and constipation, and other 15-month milestones

Depending on which immunizations your kiddo got during their last well visit, they may be due for HepA with a second dose about 6 months later and/or DTap

Based on your child’s risk factors—or possible concerns—your tot’s pediatrician may screen for anemia or lead poisoning, do a blood pressure check, and/or conduct a hearing or vision test.

In addition to regular developmental surveillance and screening, all 18-month-olds need a formal screening for autism spectrum disorder (ASD) at their well-child visit. There are several screening tool options, but the 23-point questionnaire called the Modified Checklist for Autism in Toddlers–Revised with follow-u (M-CHAT-R/F) is the most common screening tool used in pediatric offices.

Possible questions about sleep, eating, motor skills, play habits, potty training, tantrums, and other 18-month milestones

Once your tot is 2 years old, they can get the nasal spray version of the flu shot. (Your toddler is still too young to get their annual jab—or FluMist—at the local pharmacy.)

The AAP recommends all children get screened for autism spectrum disorder at both their 18- and 24-month well-child visits. ( Learn about early autism signs. )

Your child’s doc will likely start using BMI (body mass index) to screen for overweight and obesity in children beginning at 2 years old.

Your child’s doctor may order tests for anemia, lead, high cholesterol, and/or tuberculosis if needed.

Possible questions about sleep, potty training , motor and language development , and other 24-month milestones

Plan for all of the basic well-visit screenings at the 30-month (or two-and-a-half year) checkup. If your toddler is up to date on vaccines and feeling good, not much else happens at this checkup! But just because there’s nothing “big” happening at this well visit, doesn’t mean it’s not important. Remember, these checkups are how doctors track your child’s development. It’s a time to ask questions about your child’s 30-month milestones . And these visits ensure that your toddler is getting the care they need to stay healthy!

While visual acuity screening (seeing details of letters or symbols from a distance) is recommended to begin between the ages 4 and 5, cooperative 3-year-olds can easily be tested, too.

Your child’s blood pressure will be checked.

Again, your child may be checked for anemia, lead, and/or tuberculosis, if needed.

Possible questions about sleep, speech and language development, motor skills, and other 3-year milestones

Well-Child Visit Vaccine Schedule: Birth to 2 Years

The first two years are prime for protecting your child against numerous diseases and infections. Here’s the rundown of the recommended vaccine schedule for your little one’s earliest years:

Vaccines at 1-month checkup: HepB vaccine. Sometimes this occurs at Baby’s two-month checkup, instead.

Vaccines at 2-month checkup: RV, DTap, Hib, PCV13, and IPV

Vaccines at 4-month checkup: RV, DTap, Hib, PCV13, and IPV

Vaccines at 6-month checkup: DTap, Hib, PCV13, flu shot. While all 6-month-olds should receive their annual flu shot, your baby’s 6-month checkup may not occur during flu season. If that’s the case, your baby will receive the vaccine later. Regardless, your child may need a second dose of the flu vaccine four weeks after the first. Also, if your Baby received the RotaTeq, (RV5) vaccine, they’ll get their third dose at 6 months.

Vaccines at 9-month checkup: HepB, IPV (though they can be given as early as 6 months and as late as 18 months)

Vaccines at 12-month checkup: Hib, PCV13, MMR, VAR, HepA (second dose ~6 months later). Your baby is eligible for all these vaccines at their one-year checkup, but that doesn’t mean they will all occur at once. For example, babies should receive Hib, PCV13, MMR, VAR vaccines between 12 and 15 months. And you have until 23 months to tick the HepA shot off your list.

  For a more in-depth look at the recommended vaccine schedule for children, please check out our soup-to-nuts vaccine guide .

• American Academy of Pediatrics (AAP): 1st Week Checkup Checklist: 3 to 5 days old
• Centers for Disease Control and Prevention (CDC): Recommended Vaccinations for Infants and Children, Parent-Friendly Version
• Nemours Children’s Health: Hearing Tests
• Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice, Pediatrics, January 2019
• AAP: Where We Stand: Vitamin D & Iron Supplements for Babies
• AAP: Checkup Checklist: 4 Months Old
• AAP: Checkup Checklist: 6 Months Old
• AAP: Checkup Checklist: 9 Months Old
• AAP: Checkup Checklist: First Birthday (12 Months Old)
• Centers for Disease Control and Prevention (CDC): Important Milestones: Your Baby By Fifteen Months
• AAP: How Pediatricians Screen for Autism
• National Alliance of State Pharmacy Associations: Pharmacist Administered Vaccines, Updated August 2022, Based on NASPA Analysis of State Pharmacy Practice Laws   
• CDC: About Child & Teen BMI
• Nemours Children’s Health: Your Child's Checkup: 2 Years (24 Months)

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KENNETH W. LIN, MD, MPH, Georgetown University School of Medicine, Washington, District of Columbia

Am Fam Physician. 2015;91(6):362-364

More than two-thirds of practicing family physicians report that they provide care for children, 1 and well-child visits provide the best opportunities to deliver evidence-based preventive services. These services include administering immunizations, assessing growth and development, and counseling children and parents about behavioral issues, nutrition, exercise, and prevention of unintentional injury. 2

The American Academy of Pediatrics (AAP) recently updated its recommendations on preventive health care for children, 3 which define a set of services that, under the Affordable Care Act, must be covered by Medicaid and private insurers at no out-of-pocket cost. 4 The current AAP Bright Futures guideline (available at http://www.aap.org/en-us/professional-resources/practice-support/Periodicity/Periodicity%20Schedule_FINAL.pdf ) includes three screening tests that were not recommended for all children in previous versions: autism screening at 18 and 24 months of age, cholesterol screening between nine and 11 years of age, and annual screening for high blood pressure beginning at three years of age.

It should be noted that none of these screening tests are included in the American Academy of Family Physicians' (AAFP's) list of recommended preventive services for children ( Table 1 ) . 5 The AAFP's clinical preventive services recommendations are generally consistent with those of the U.S. Preventive Services Task Force (USPSTF). The USPSTF methods for developing recommendations include performing a systematic evidence review of the benefits and harms of a preventive service, and recommending that the service be provided to the general population only after consistent data from high-quality randomized controlled trials or other prospective studies establish that the benefits exceed the harms. 6 This rigorous approach to the development of clinical practice guidelines has been endorsed by the Institute of Medicine. 7 In contrast, few AAP policy statements on well-child care are supported by direct evidence of net health benefit. 8 , 9

The rationale for the AAP's recommendation to routinely screen toddlers for autism spectrum disorders (ASDs) with ASD-specific screening tools is to advance the time of diagnosis and deliver early interventions. 10 Although a systematic review of 40 studies found that a policy of universal screening for ASD increased rates of diagnosis and referral, the effects of such policies on time of diagnosis or enrollment in services are unclear. 11 The entire body of evidence that intensive behavioral interventions improve language skills and cognitive or functional outcomes in children with ASD consists of a single randomized controlled trial and several prospective cohort studies of varying quality. 12 , 13

The AAP recommends measurement of blood pressure and cholesterol levels in children to identify modifiable risk factors for cardiovascular disease and to provide early interventions to reduce future risk. However, no studies have evaluated whether treating primary hypertension in persons younger than 18 years reduces adverse cardiovascular outcomes in adulthood. 14 , 15 Similarly, evidence is lacking that lowering cholesterol levels with lifestyle changes or medications improves cardiovascular outcomes, and long-term statin use is associated with rare but serious harms. 16 , 17

Time is a precious clinical resource. Clinicians who spend time delivering unproven or ineffective interventions at health maintenance visits risk “crowding out” effective services. For example, a national survey of family and internal medicine physicians regarding adult well-male examination practices found that physicians spent an average of five minutes discussing prostate-specific antigen screening (a service that the AAFP and the USPSTF recommend against because the harms outweigh the benefits 18 ), but one minute or less each on nutrition and smoking cessation counseling. 19 Similarly, family physicians have limited time at well-child visits and therefore should prioritize preventive services that have strong evidence of net benefit.

editor's note: Dr. Lin is associate deputy editor of AFP Online and chair of the Subcommittee on Clinical Practice Guidelines of the AAFP's Commission on the Health of the Public and Science. Because of Dr. Lin's dual roles, two other medical editors independently reviewed this editorial for publication.

Bazemore AW, Makaroff LA, Puffer JC, et al. Declining numbers of family physicians are caring for children. J Am Board Fam Med. 2012;25(2):139-140.

Riley M, Locke AB, Skye EP. Health maintenance in school-aged children: part II. Counseling recommendations. Am Fam Physician. 2011;83(6):689-694.

Simon GR, Baker C, Barden GA, et al. 2014 recommendations for pediatric preventive health care. Pediatrics. 2014;133(3):568-570.

American Academy of Pediatrics. Bright Futures. http://brightfutures.aap.org . Accessed August 20, 2014.

American Academy of Family Physicians. Summary of recommendations for clinical preventive services. July 2014. https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/cps-recommendations.pdf . Accessed August 20, 2014.

Melnyk BM, Grossman DC, Chou R, et al. USPSTF perspective on evidence-based preventive recommendations for children. Pediatrics. 2012;130(2):e399-e407.

Graham R, Mancher M, Wolman DM, et al., eds. Clinical Practice Guidelines We Can Trust . Washington, DC: The National Academies Press; 2011.

Moyer VA, Butler M. Gaps in the evidence for well-child care: a challenge to our profession. Pediatrics. 2004;114(6):1511-1521.

Belamarich PF, Gandica R, Stein RE, Racine AD. Drowning in a sea of advice: pediatricians and American Academy of Pediatrics policy statements. Pediatrics. 2006;118(4):e964-e978.

Johnson CP, Myers SM American Academy of Pediatrics Council on Children with Disabilities. Identification and evaluation of children with autism spectrum disorders. Pediatrics. 2007;120(5):1183-1215.

Daniels AM, Halladay AK, Shih A, et al. Approaches to enhancing the early detection of autism spectrum disorders. J Am Acad Child Adolesc Psychiatry. 2014;53(2):141-152.

Warren Z, McPheeters ML, Sathe N, et al. A systematic review of early intensive intervention for autism spectrum disorders. Pediatrics. 2011;127(5):e1303-e1311.

Reichow B, Barton EE, Boyd BA, Hume K. Early intensive behavioral intervention (EBI) for young children with autism spectrum disorders (ASD). Cochrane Database Syst Rev. 2012;10:CD009260.

Chiolero A, Bovet P, Paradis G. Screening for elevated blood pressure in children and adolescents: a critical appraisal. JAMA Pediatr. 2013;167(3):266-273.

Thompson M, Dana T, Bougatsos C, Blazina I, Norris SL. Screening for hypertension in children and adolescents to prevent cardiovascular disease. Pediatrics. 2013;131(3):490-525.

Grossman DC, Moyer VA, Melnyk BM, Chou R, DeWitt TG U.S. Preventive Services Task Force. The anatomy of a U.S. Preventive Services Task Force recommendation: lipid screening for children and adolescents. Arch Pediatr Adolesc Med. 2011;165(3):205-210.

Psaty BM, Rivara FP. Universal screening and drug treatment of dyslipidemia in children and adolescents. JAMA. 2012;307(3):257-258.

Moyer VA U.S. Preventive Services Task Force. Screening for prostate cancer: U.S. Preventive Service Task Force recommendation statement. Ann Intern Med. 2012;157(2):120-134.

Pollack KI, Krause KM, Yarnall KS, Gradison M, Michener JL, Østbye T. Estimated time spent on preventive services by primary care physicians. BMC Health Serv Res. 2008;8:245.

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This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP.  See permissions  for copyright questions and/or permission requests.

Copyright © 2024 American Academy of Family Physicians. All Rights Reserved.

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Well baby visit: 1-year checkup.

It's the 1-year checkup! Your baby will be more wiggly and worried about being examined than ever before, but don't worry — it's expected. Your healthcare provider's office no doubt has lots of interesting toys for children to play with, but don't be surprised if your little one wants to keep close to you when your provider comes closer.

Immunizations

Your baby will be getting quite a few shots at this visit. It doesn't help much to warn a baby this young about having shots, as her sense of time and her comprehension is limited. She'll pick up any apprehension in your voice or manner. Be there to hold your baby and distract her with a song or a game. If you stay calm and supportive, your baby won't get so upset.

Since she'll be getting several shots at this visit, consider giving your baby a little acetaminophen for the pain. Check with your doctor first.

At This Visit, Your Provider Will Probably:

Weigh and measure your baby. Her rate of growth will start to slow now. Click here to see our growth chart .

Give your baby her next round of immunizations.

Answer any questions you may have about vitamins, supplements, and your baby's diet.

Address any concerns about your baby's growth or weight. By 1 year, she'll have about tripled her birth weight. Your baby will be growing more slowly, but steadily, in this second year.

If your baby is too chubby, she may be drinking too much milk. Your healthcare provider will let you know if your baby's weight is out of proportion to her height and whether you should change what she's eating. Babies don't need "diets," just a healthier menu.

Discuss juice, as many nutritional problems stem from a baby having become a juice “addict.”

What Your Healthcare Provider Will Want To Know

Every baby is different and reaches developmental milestones at unique times. Still, it's good to talk about your baby's individual development with your provider.

Has your baby seen another healthcare provider since the last visit? If so, why? What was the outcome of that visit, and were any medications or treatments prescribed?

Does your baby have any teeth yet? If so, how many?

Can she pull herself to a standing position and move away from whatever is supporting her? Can she get from one place to another somehow?

Is she walking on her own or with her hand held?

Can she say more than "Mama" and "Dada"? If so, what?

Does she use nonsense words and listen to conversations? Can she imitate somewhat?

Does she turn to the sound of her name and the names of familiar objects?

Point with her finger at things she wants or at things she wants you to notice?

Play games like "peekaboo," and "So Big," or do gestures to favorite songs?

Play with objects using both hands working together?

Feed herself with her hands or drink from a cup?

Try to imitate familiar tasks like sweeping the floor or washing her face?

Can she look for hidden objects?

Talk It Over

Lead testing. This may be a mandatory or an optional blood test. Discuss possible lead exposures. Many healthcare providers have a checklist to assess you child's risk for lead poisoning. If your baby lives in a house built before 1972, he'll probably need the test.

Follow-up tests. If your baby had a previous hearing test or eye exam because of some special concern, remind your healthcare provider. It may be a good time for follow-up tests.

Contagious diseases. If someone in your household or in frequent contact with your baby has a serious infectious disease such as tuberculosis, hepatitis, or meningitis, your baby may need to be tested.

Recent illnesses, medications, or emergencies . If your child is taking any medication or has visited an emergency room for any reason since the last visit, let your provider know. Bring the records or medicine with you.

Discipline. Your healthcare provider can help you with discipline, an issue on most parents' minds at this age. It's good to get some advice now because your toddler's behavior is likely to get more challenging. Get everyone in the household in on this discussion with your provider, if possible.

Family issues. If there's been a big change in your family, such as job switch or loss, a death, a divorce, or anything that might be causing stress in the family, let your provider know. This will affect your baby, and you'll want to learn ways to help him deal with it.

Health insurance. If you no longer have health insurance for your child, say so. There are programs available to get that coverage.

There may be some issues of special concern to you or your health care provider. Let your provider know if your child:

Can't or won't bear his weight on his legs.

Has one or both eyes crossed, even part of the time.

Doesn't use both hands equally.

Doesn't use any real words, doesn't know his name, and /or doesn't babble or talk gibberish.

Isn't crawling or moving forward in some way.

Doesn't seem curious, exuberant, or happy most of the time, or doesn't seek out social interaction with familiar people.

Has no fear of strangers or anxiety at separations. (Fear and anxiety in these situations are normal at this age.)

Doesn't point at things.

Seems to have problems with his vision or hearing.

Has lost an ability he had before.

Is not feeding himself.

Chokes or gags frequently, drools, or has a hard time swallowing liquids.

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Sheriff: 1-year-old ‘miracle baby’ found alive near where brother found dead; mother arrested

VINTON, La. (KPLC) - In the harsh elements of Hurricane Beryl, the usually calm welcome center in Vinton was anything but, and Monday afternoon something was spotted in the choppy water.

A 1-year-old baby was found alive in a ditch off of I-10 East near Vinton, a few miles from where his 4-year-old brother was found dead Monday .

The baby survived two days in a ditch but is doing well, Calcasieu Sheriff Stitch Guillory said at a news conference Tuesday afternoon.

“We looked at this one-year-old, he was our miracle baby because he was still alive,” Guillory said. “Unbelievable. This kid spent two days out in the weather on the side of the highway thank god that trucker saw him when you look at the video here he was, you know, crawling toward the highway.”

The children’s mother, Aaliyah N. Jack, 25, of Lake Charles, was located in Mississippi and arrested on charges of failure to report a missing child. Her bond is set at $300,000.

After the 4-year-old boy was found in the water behind the Louisiana Welcome Center in Vinton on Monday, deputies put out a BOLO for information.

A family member from Mississippi reached out saying she was concerned it may have been her family member and also told law enforcement about the missing 1-year-old.

The Calcasieu Sheriff’s Office Marine Division was prepared to search the waters for the 1-year-old, but around 9 a.m. Tuesday, a trucker spotted the baby in a ditch. Guillory said the child had bug bites on him, but otherwise the “miracle baby” was okay.

The sheriff’s office is awaiting the autopsy to determine the 4-year-old’s cause of death.

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Who is JD Vance's wife? Here's what we know about Usha Chilukuri Vance

Former President Donald Trump picked J.D. Vance, 39, to be the vice-presidential nominee for the Republican Party. Should the Trump-Vance ticket win in November, Vance's wife, Usha Chilukuri Vance, would become the Second Lady of the United States.

Usha Vance has traditionally stayed out of the spotlight, working as a litigator at a national law firm until recently.

Here's what we know about her.

How did J.D. Vance and his wife meet?

Vance and his wife, Usha, 38, have been married since 2014 and have three children: Ewan, Vivek and Mirabel.

The pair met at Yale Law School, which they both attended. Their wedding took place a year after they graduated.

Where is Usha Vance from?

The New York Times has reported Usha Vance is the daughter of Indian immigrants and grew up in the San Francisco area.

What is Usha Vance's educational background?

Usha Vance has her undergraduate degree in history from Yale University, according to her LinkedIn profile . She also has a master's degree in philosophy from the University of Cambridge.

While at Yale Law School, she worked on the Yale Law Journal and participated in the school's Supreme Court Advocacy Clinic, the Media Freedom & Information Access Clinic, the Iraqi Refugee Assistance Project and the Pro Bono Network, according to her LinkedIn.

Where did JD Vance go to college? Vice presidential candidate has multiple ties to Columbus

Usha Vance worked as a law clerk for both the Supreme Court of the United States, working for Chief Justice John Roberts, and the United States Court of Appeals for the District of Columbia Circuit, working for Judge Brett Kavanaugh.

What does Usha Vance do now?

Mrs. Vance had worked as a litigator for Munger, Tolles and Olson LLP , a national firm based in San Francisco. She chose to leave her job in the wake of her husband's vice-presidential nomination, according to a statement from the firm.

"Usha has been an excellent lawyer and colleague, and we thank her for her years of work and wish her the best in her future career," the statement said.

Where does Usha Vance stand politically?

According to Ohio voter registration records, Usha Vance registered to vote in Ohio in 2018.

Records show she pulled a Republican primary ballot in the 2022 election. She has not voted in Hamilton County since the 2022 General Election, including the 2024 Ohio presidential primary, according to the Hamilton County voter list.

Usha Vance's previous voting history shows she voted as a Democrat at least once while living in Connecticut.

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• Minnesota Golden Gophers

In December 2022 Elijah Spencer transferred to Minnesota from Charlotte. He was coming off a sophomore season where he had 57 catches for 943 yards and 9 touchdowns. With two years of eligibility remaining, he looked like a future star for the Gophers.

On3 ranked him as the 22nd-best receiver from the transfer portal before the season, notably ahead of former Gophers receiver Corey Crooms Jr., Malik Washington, who led the nation in receptions last year at Virginia, and North Carolina's Nate McCollum, who had 15 catches against Minnesota last season.

In his first season in the Big Ten, Spencer totaled 9 catches for 65 yards but added three touchdowns. He was third in Minnesota's wide receiver room with 420 total snaps. He was targeted only 19 times, which means he simply didn't get much opportunity to make plays.

"Did I do everything that I was able to do? Of course, the answer is no," Spencer said. "So I am just looking for ways to fill those holes and fill those gaps, so I can perform at a high level this season.

Making the transition from the American Athletic Conference (AAC) to the Big Ten can be tough for any player and Spencer recognized that. At 6-foot-2, 190 pounds, he still has all of the traits to be a successful wide receiver. He just needs to regain the confidence he had at Charlotte.

"The biggest thing is, the fact that everybody has the same level of skill, so you have to find different ways to separate yourself," Spencer said when asked about the transition. "While at Charlotte, it's a lower level with people who may not be as committed to the game of football."

As a true freshman, Spencer reeled in 28 balls for 381 yards and 6 touchdowns. He was even named Conference USA Freshman of the Year. Minnesota has a talented wide receiver room heading into 2024, led by returning senior Daniel Jackson, who is well aware of what Spencer brings to the FBS level.

"He just needs to continue to be himself, Elijah is an excellent and great player," Jackson said. "A lot of players weren't able to truly see his fullest potential, but a lot of great talk and great things coming up for him this upcoming year. I think just continuing to be himself and that confidence is going to be the main thing for receivers."

The Gophers passing attack could look a lot different this season with New Hampshire transfer quarterback Max Brosmer, who Spencer called "a freaking leader." With Jackson back for another year and Georgia transfer Tyler Williams coming into the program, Spencer is a bit under the radar, but he still has the talent to be a big-time contributor in the Big Ten.

TONY LIEBERT

The First-Week Well-Baby Visit

The physical checkup, developmental milestones, read this next, 1-week shots, questions to ask your doctor.

You may also want to ask the results of any newborn screening that was done at the hospital and/or find out when all the results will be in. And don’t forget to make the 1-month appointment !

What to Expect the First Year , 3rd edition, Heidi Murkoff. WhatToExpect.com,  Your Newborn’s Weight: Normal Gains and Losses and What the Average Baby Weighs , August 2020. WhatToExpect.com,  Jaundice in Newborn Babies , October 2020. Centers for Disease Control and Prevention, Vaccines for Your Children, Vaccine (Shot) for Hepatitis B , August 2019. Stanford Children’s Health, Newborn Reflexes , 2021.

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Hattie Wiener, Sex-Positive ‘Oldest Cougar,’ Dies at 88

She was an evangelist for older women having sex with younger men, and the health benefits that she said came with it.

By Penelope Green

Hattie Wiener, an ebullient and bawdy former dancer and therapist who found a measure of celebrity in her 70s for sleeping with younger men and promoting what she said were the anti-aging benefits of her lifestyle, died on June 21 at her home in Manhattan. She was 88.

She had been diagnosed with diastolic heart failure, and chose to end her life by refusing food and liquids, said her daughter, Rama Dunayevich.

Tabloids called her the Tinder Granny and the Oldest Cougar in the World, titles she was proud to claim. Ms. Wiener had long been an evangelist for older women having sex with younger men — a practice she began when she divorced in 1984, when she was 48 — and for the health benefits she felt accrued to those who followed her bedtime regimen, activities she promoted in a self-published book, “Sex and the Single Senior” (2009).

But it wasn’t until she was featured in “Strange Sex,” a 2010 documentary series on TLC, that she began to enjoy a sort of B-list fame, appearing as a reliably naughty guest on television shows like “Access Hollywood” and “Dr. Phil.”

“I realized that by sleeping with young men,” she said in “Strange Sex,” “I’m starting my life over again, because my husband was a young man and we had wonderful sex and now I’m repeating the pattern, but not with my husband or anyone his age.”

In that series, TLC filmed her date with an affable electrician and single father of three named Ron who was 40 years her junior. Ms. Wiener dressed with typical flair, in a studded dog collar, a black minidress and a gold bolero jacket; Ron looked like he was dressed for a barbecue. But he was a kindly date, and noted that he was fond of older women because of their confidence and because, as he put it, “They’re not looking for the happy ever after.”

Ms. Wiener appeared two years later, dressed with similar aplomb and radiating good humor, on “Extreme Cougar Wives,” another TLC series.

“People are always imagining that a cougar, that they’re clawing, they’re beasts of prey going after a boy toy or a cub,” she told “In the Know,” a Yahoo program, in 2020 , “and I have turned that around. At no time have I ever gone after a young man. I wait for a man to come on to me, and that happens quite often.”

Ms. Wiener was a dramatic and engaging presence, with her lush New York accent, her bedazzled style and her shock of white hair. She was cast, memorably, in a Dolce & Gabbana ad shot by Steven Klein for the fashion brand’s resort collection in 2009, wearing a gold one-shoulder, one-piece bathing suit, her hand entwined with that of a well-oiled muscle man (the supermodel Claudia Schiffer is featured, too). And she appeared in a few music videos, including a truly raunchy one by A2M.

Her distinctive look made her a favorite of Manhattan street photographers like Daniel Featherstone , who is partial to shooting older New Yorkers, and of Harry Mavromichalis , a documentary filmmaker and a founder of Glorious Broads , which celebrates women like Ms. Wiener. Mr. Featherstone captured Ms. Wiener on West 56th Street sporting a sheepskin vest and rose-colored glasses for a portfolio of stylish characters whom New York magazine lauded in 2019 as part of its annual series “Reasons to Love New York.”

“The opposite of old is not young,” Ms. Wiener told the writer Jenny Zhang for a short profile that accompanied the photograph. “The opposite of old is new.”

Hattie Messner was born on May 25, 1936, in Manhattan, and grew up in Brooklyn. Her mother, Sarah (Kagan) Messner, embellished the hats made by her father, Nathan Messner , a milliner and store owner who would go on to be president of the United Hatters, Cap and Millinery Workers union, before being forced to resign for refusing to sign a loyalty oath during the Cold War. (Ms. Wiener often said she was named in honor of her father’s profession.) She graduated from the High School of Performing Arts, and earned a bachelor’s degree in psychology from Brooklyn College in 1958.

She met Jack Wiener at a summer program for dance in Connecticut. They married in 1959, and in the early 1960s opened the School for Creative Movement in the Arts, a school for dance, drama and the arts on the Upper West Side. For a time after they divorced, Ms. Wiener took the surname RetroAge as a way of promoting her new business as an anti-aging coach, though she never changed her name legally. She also worked as a masseuse, a therapist and, in recent years, a sex coach.

Ms. Wiener was the author, with Sallie Batson, of “RetroAge: 4 Steps to a Younger YOU!” (2009). She also designed an anti-aging chair in 1992, with a back that supported correct posture. It never went into production.

“She wanted to be this spokesperson for older women,” her son, Joshua Wiener, said, “the next Oprah with the theme that aging women can be beautiful and sexy. It was a massive goal that in many ways didn’t align with her desire to have a life mate. She fluctuated between wanting fame and to be on a big stage and wanting a life partner. Dating young dudes was perhaps not the best choice for long-term happiness.”

“I was a committed virgin till 22,” she often said, “and a committed slut from 55 on.”

In addition to her daughter and son, Ms. Wiener is survived by her sister, Michele Kaufman, and three grandchildren.

In the last year or so, Ms. Wiener earned a modest living by posting erotic photos and videos on OnlyFans, the X-rated online subscriber platform. In the OnlyFans universe, her content was apparently fairly tame. Topless only, her daughter said.

An earlier version of this obituary misstated the year Mr. Wiener published the book “Sex and the Single Senior.” It was 2009, not 1990.

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Penelope Green is a Times reporter on the Obituaries desk. More about Penelope Green

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Bella Hadid Wears the Naked Dress to End All Naked Dresses

Anthony Vaccarello finally figured out how to reproduce his collection of ultra-sheer pantyhose dresses. Bella Hadid hit Cannes in look seven from the Saint Laurent fall 2024 show: a halter dress featuring 10 denier hosiery cups, a knotted pantyhose bodice, and a below-the-knee skirt with a control top hemline.

Hadid, styled by Molly Dickson, leaned into the Old Hollywood glamour that has become synonymous with the Cannes Film Festival, adding a pair of mahogany peep-toe ankle strap heels and an enormous pair of drop earrings from Chopard.

This look fits into Hadid’s latest sartorial M.O. of sheer earthy tones that can only be described as “sexy nymph.” While promoting her fragrance, Orebella, in New York, the model wore a diaphanous nude Dior slip dress by John Galliano, as well as a cream-colored Rokh dress with a lace bodice. And yesterday in Cannes, she further explored brown tones in a simple tank dress . But this look—with only some extremely well-placed seams preserving her modesty—is by far her boldest to date.

When asked about how he would manufacture these ephemeral pieces from the collection, Vaccarello told Vogue, “Don’t even ask me about production—I can’t tell you.” This being the first instance the delicate outfits have been spotted on the red carpet speaks to Hadid’s risk-taking style. Even if she is the only person who ever wears one of these sheer Saint Laurent looks out in the world (let’s see if she can make it to the end of the night without any snags) the fact that Vaccarello was readily willing to make one for her speaks to Hadid’s immense power in the fashion industry.

And if this is Hadid’s wardrobe for her first official day of events in Cannes? We can only imagine what’s to come.

More Great Fashion Stories from Vogue

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Meghan Markle’s New Look Is Taking Shape for Spring

Angelina Jolie Will Wear This Pair of Shoes Anywhere—Even a Shopping Run

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What we know about the Trump assassination attempt and the shooter

Former President Donald Trump was shot during a rally in Pennsylvania on Saturday. He was immediately shielded and taken to safety after his ear was injured. Details are emerging about how it happened and the identity of the shooter, Thomas Matthew Crooks , 20.

President Joe Biden delivered an address from the Oval Office on Sunday night and said he was grateful Trump was not seriously hurt.

Here’s what we know.

Where did it happen?

The shooting took place at a presidential campaign rally in Butler, Pennsylvania , a city in the western part of the state about an hour's drive north of Pittsburgh.

What happened?

About six minutes into Trump’s speech, the former president could be seen clutching his ear after popping noises rang out over the rally. Trump ducked to the ground as several Secret Service agents rushed to the stage and surrounded him on all sides. There were screams from onlookers as the scene unfolded.

Roughly a minute later, agents helped Trump get up from the ground and stand. He held up his fist to the crowd, prompting cheers from supporters. Several agents then rushed him off the stage and escorted him into a vehicle.

Blood could be seen on Trump’s ear and on the side of his face. He later said on his social media site, Truth Social, that a bullet “pierced the upper part of my right ear.”

According to preliminary reports, which could change as the crime scene is processed, eight shots were fired by the shooter, an official said.

Trump was talking about Biden’s policies on immigration when shots were fired.

Was anyone else hurt? 

One spectator died and two others were critically wounded, Pennsylvania State Police Lt. Col. George Bivens said.

The man who died was 50-year-old former firefighter Corey Comperatore, Pennsylvania Gov. Josh Shapiro said Sunday. He said that Comperatore, whom he called a hero, moved to protect his wife and two daughters when gunshots were heard at the rally.

The two people who were wounded were David Dutch, 57, of New Kensington, Pennsylvania, and James Copenhaver, 74, of Moon Township, Pennsylvania. Both are being treated at Allegheny General Hospital in Pittsburgh and are listed as being in stable condition.

Witnesses described hearing loud popping noises, with one person saying they saw someone who was shot in the back of the head and another person who said she saw someone “bleeding profusely.”

Rep. Ronny Jackson, R-Texas, said in a statement that his nephew was injured in the shooting. Jackson said that his family was seated near Trump and that after they heard shots, his nephew realized something had grazed and cut his neck.

He said his nephew’s injury was not serious and “he is doing well.”

Was it an assassination attempt? Which agencies are investigating?

Law enforcement officials are investigating the incident as an assassination attempt.

“This evening, we had what we’re calling an assassination attempt against our former president, Donald Trump,” said Kevin Rojek, special agent in charge of the FBI’s Pittsburgh field office.

The FBI is investigating it as an act of domestic terrorism. The agency is leading efforts and working alongside the Secret Service and state and local law enforcement. In the aftermath of the shooting, the FBI deployed investigative agents, bomb technicians and evidence response personnel.

Rojek asked that witnesses to the shooting contact the FBI.

Who is the shooter? What was the motive?

The FBI identified the shooter as 20-year-old Thomas Matthew Crooks of Bethel Park, Pennsylvania. He was killed at the scene.

“We do not currently have an identified motive, although our investigators are working tirelessly to attempt to identify what that motive was,” Rojek said.

A senior law enforcement official directly briefed on the matter said the nature of the shooting suggests political ideology as motive but that there was nothing definitive known at the time. The FBI conducted a preliminary analysis of Crooks’ phone but has not found anything to indicate motive, according to a senior U.S. law enforcement official.

Crooks used a semiautomatic rifle, based on what was found at the scene, three senior U.S. law enforcement officials said. FBI officials said that the weapon he used is believed to have been bought by his father, though they don’t have any additional information right now on how he got it. More than a dozen guns were also found in a search of the Crooks family home, according to four senior officials. The family is cooperating with investigators, an official said.

Law enforcement officials found a number of suspicious canisters or containers in Crooks’ vehicle, which was left near the rally, but it was unclear if they were functional as incendiary or explosive devices, two officials said.

The shooter was part of an area gun club, the Clairton Sportsmen’s Club. At its range in Clairton, the club has facilities for skeet shooting, high-power rifle exercises and archery practice.

Voter records from Pennsylvania listed a person with the same name, address and birth date as a registered Republican.

He did not have any affiliation with the U.S. military, according to the Defense Department.

It was not known whether the shooter was acting alone or in coordination with others. There does not appear to be any evidence currently that the shooting had any link to a foreign actor, according to a U.S. official.

Where was the shooter? Did the shooter get past security?

Crooks fired several shots from a nearby rooftop during the rally. The rooftop was outside the security perimeter established by the Secret Service, three senior law enforcement officials told NBC News.

Rallygoers alerted local police of a suspicious person near the magnetometer area, two senior officials said. They tried to search for the suspicious person, believed to be Crooks, but could not find him in the crowd, the officials said.

Two municipal officers also tried to approach Crooks shortly before he opened fire, according to two senior officials. It is unclear where that took place.

Crooks’ father called the police after the shooting to say he was worried that his son and his AR rifle were missing, according to three senior officials.

What have we heard from Trump?

Trump first posted about the incident on Truth Social.

“I was shot with a bullet that pierced the upper part of my right ear. I knew immediately that something was wrong in that I heard a whizzing sound, shots, and immediately felt the bullet ripping through the skin. Much bleeding took place, so I realized then what was happening. GOD BLESS AMERICA!” he wrote.

He expressed gratitude to the Secret Service and law enforcement for their quick response. He added, “Most importantly, I want to extend my condolences to the family of the person at the Rally who was killed, and also to the family of another person that was badly injured.”

“It is incredible that such an act can take place in our Country. Nothing is known at this time about the shooter, who is now dead,” he wrote.

What have we heard from Trump’s family?

Melania Trump released a statement Sunday describing the fear she felt seeing the incident unfold and thanking the Secret Service agents and law enforcement who responded. She also offered sympathy for the victims.

“A monster who recognized my husband as an inhuman political machine attempted to ring out Donald’s passion — his laughter, ingenuity, love of music, and inspiration,” she wrote in the statement. “The core facets of my husband’s life — his human side — were buried below the political machine.”

She encouraged people to look beyond partisan politics: “Let us not forget that differing opinions, policy, and political games are inferior to love.”

Trump’s eldest daughter, Ivanka Trump, condemned the attack in a statement on X , thanking people for their prayers. “I am grateful to the Secret Service and all the other law enforcement officers for their quick and decisive actions today,” she wrote. “I continue to pray for our country.”

“I love you Dad, today and always,” she added.

Trump’s eldest son, Donald Trump Jr., said in a statement through his spokesperson that he spoke to his father over the phone Saturday and that he is in “great spirits.” “He will never stop fighting to save America, no matter what the radical left throws at him,” Trump Jr. said.

Their brother Eric Trump posted on X a picture of his father pumping his fist in the air after the shooting. “This is the fighter America needs!” the post read.

Has Biden responded?

In his address from the Oval Office , Biden shared his condolences to those who were hurt and championed the values of democracy. "The higher the stakes, the more fervent the passions become," he said. "This places an added burden on each of us to ensure that no matter how strong, our convictions must never descend into violence."

The president also held a news conference earlier in the day, in which he said he'd spoken with Trump, who was "doing well and recovering." Biden added that he and Vice President Kamala Harris have been briefed by law enforcement, the national security adviser and Homeland Security.

Biden said he has directed the Secret Service to provide Trump with "every resource capability and protective measure necessary to ensure his continued safety." He has also asked the Secret Service to review security for the Republican National Convention, which begins Monday, and ordered an independent review of national security at the rally.

The president urged unity and cautioned against assumptions about the suspect's motives.

Biden first addressed reporters about the shooting from Rehoboth Beach, Delaware, about 90 minutes after it occurred.

“It’s sick. It’s sick. It’s one of the reasons we have to unite this country,” he said. “We cannot condone this.”

The president's campaigning was put on hold for roughly 36 hours and began again Monday afternoon.

Matt Lavietes is a reporter for NBC Out.

After assassination attempt, Trump and Biden seek calm, unity

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Reporting by Nathan Layne, Gabriella Borter and Soren Larson in Bethel Park, Pennsylvania; Additional reporting by Katharine Jackson, Sarah N. Lynch, Richard Cowan, Caitlin Webber, Nandita Bose, Ismail Shakil, Joseph Ax, Andrew Hay and Kanishka Singh; Writing by Frank McGurty, Scott Malone and Michelle Nichols; Editing by Lisa Shumaker, Howard Goller and Lincoln Feast.

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Thomson Reuters

Washington-based correspondent covering campaigns and Congress. Previously posted in Rio de Janeiro, Sao Paulo and Santiago, Chile, and has reported extensively throughout Latin America. Co-winner of the 2021 Reuters Journalist of the Year Award in the business coverage category for a series on corruption and fraud in the oil industry. He was born in Massachusetts and graduated from Harvard College.

Helen Coster is a U.S. Presidential Election Correspondent at Reuters, where she writes a mix of spot news, enterprise and analysis stories, with a focus on the Republican Party and conservative media. Prior to 2024 she covered the media industry for Reuters, and was also a Senior Editor on Reuters’ Commentary team. A graduate of Princeton University, she has reported from six countries, including Pakistan, India, and Greece.

Senate Republican Rubio defends Trump over Taiwan remarks

Republican Senator Marco Rubio, who was a finalist to be Donald Trump's running mate in the U.S. presidential campaign, said on Thursday he expected the U.S. would continue to support Taiwan under a Trump presidency.