The second month is when a baby first truly communicates with the world around them. The reflex-driven behaviour of the newborn period slowly gives way to deliberate responses.

What to expect this month

Social and emotional

  • Smiling while looking at your face (social smiling)
  • Recognising your voice and turning towards sound
  • Settling when picked up

Movement

  • Briefly lifting the head while on the tummy
  • Moving arms and legs more smoothly, with fewer sudden jerks
  • Sometimes bringing the hands to the mouth

Vision and hearing

  • Following a face at a distance of 20-30 cm
  • Startling in response to a loud sound
  • Beginning to track a moving object with the eyes

Feeding

At this age the only food is breast milk; nothing else is needed, not even water. Breastfeeding is usually every 2-3 hours, 8-12 times a day. In formula-fed babies the interval can be a little longer.

The two most reliable measures to follow are weight gain and six or more wet nappies a day. Vitamin D drops are continued daily in this period.

Sleep

Total sleep is around 14-17 hours but comes in blocks of 2-4 hours. Sleeping through the night is not expected. For safe sleep, the baby should be placed on their back on a firm, flat mattress, with no pillow or soft toy in the cot.

This month's vaccinations

Vaccine Note
6-in-1 (DTaP-IPV-Hib-HepB) 1st dose
Conjugate pneumococcal (PCV) 1st dose
BCG (tuberculosis) Single dose
Rotavirus Optional, 1st dose — detail

A mild fever and irritability lasting a day after vaccination is an expected response.

When to see a doctor

  • If there is no response at all to a loud sound
  • If the eyes never follow a moving object
  • If there is still no social smiling after week 8
  • If the head cannot be lifted at all while on the tummy
  • If the baby refuses to feed, is constantly sleepy, or is extremely unsettled
  • If the temperature is 38°C or above — fever at this age should always be assessed

Next step: 3-month-old baby development. A summary of the whole year is on the 0-12 month milestones page.