Your baby's vital six-week check-up
Don't feel nervous about your baby's very first check-up.

As soon as your little one hits 6-weeks, it's time to get them to their very first trip to the clinic or doctor. 

This check-up can be done by a paediatrician, your family doctor, midwife, pharmacy nurse or well-baby clinic. All findings and immunisations are recorded in your baby's Road to Health booklet that is provided free by the Department of Health.

Remember to follow up on any recommendations should your healthcare professional be concerned about anything. You will be asked about your baby's sleeping and feeding patterns, which will correlate with his growth chart. A few babies will have established their diurnal (or daytime/ night-time) sleeping pattern, others may take a few weeks longer.

Overall appearance

Your six-weeker should be healthy and active- freely waving his arms and kicking his legs in all directions. He should not be floppy or rigid; babies who persistently hold their arms, legs, hands and feet in one position may have temporary nerve damage that needs physiotherapy. Most babies smile at familiar faces by six weeks. His size and weight should correlate woth his birth records and follow the curve on the weight-for-age graph on his card.


Baby's skin tone, colour and texture should be smooth and healthy without rashes or sores. He should feel warm with good circulation to the feet anf fingers. Newborn acne and birthmarks like strawberry haemangioma, storkbite or nevus simplex, port wine stains, Mongolian spots and congenital pigmented nevi don't require treatment. Most will heal in time.  


Your baby's head will be bigger than his chest until the age of two and will be regularly measured. Any change from the normal size can indicate a possible problem. The two fontanelles can still be felt. Birth injuries such as foreceps bruises and bumps that are called cephalhaematoma should have healed by now. Your baby's neck should be strong enough to support his head, and he should turn to sounds and follow an obect with both eyes.

Shoulders, arms and chest

Birth injuries that cause temporary paralysis (for example, erb-duchenne paralysis) should have healed or be improved by now, otherwise physiotherapy will be recommended. At six weeks, babies still move their arms randomly and put their fists in their mouth. Swollen breasts at birth may be caused by an oversupply of mom's hormones during the pregnancy. This will have subsided by now. Baby's breathing and heart-rate will be listened to with a stethoscope. 


Your baby will still have a round tummy because his liver is its biggest organ. His belly-button should not pop outwards- this could be a hernia that may need surgery if it hasn't retracted by one year, but usually sorts itself out with time.


The scrotum of premature boys will be checked to ensure that both testicles have descended. You will be asked about wet nappies and stool patterns. The foreskin in uncircumcised boys will still be tight, but not too tight that it prevents urinating.

Legs and feet

Babies can be "folded" into their foetal position for up to six months after birth- especially breech babies. Gentle massage and physiotherapy may be recommended to encourage your baby to straighten his legs and feet though. When your baby lies on his tummy, the natural thigh and knee creases should line up. If these don't, it could indicate congenital his dislocation that should be corrected as early as possible. Your healthcare professional will alert you to any issues.


You may be kept waiting for your appointment longer than you expected to, so take everything you will need for changing and feeding. You may feel overwhelmed with everything you have to remember, so write a list of questions and pack your nappy bag the evening before. 

Are you a first-time parent? What has been the best thing about your experience so far? What surprised you most? Tell us by emailing to and we could publish your letter. 

Read more 

Sign up for our weekly newsletter to receive Parent24 stories directly to your inbox.  

Read Parent24’s Comments Policy publishes all comments posted on articles provided that they adhere to our Comments Policy. Should you wish to report a comment for editorial review, please do so by clicking the 'Report Comment' button to the right of each comment.

Comment on this story
Comments have been closed for this article.

Everything from parties to pre-schools in your area.

Jobs - Find your dream job

Chief Safety Officer

Mass Staffing Projects
R1 400 000.00 - R1 500 000.00 Per Year

Production Accountant

East Rand
Qetello Holdings CC

Intermediate Software Developer

Mass Staffing Projects
R620 000.00 - R800 000.00 Per Year

Property - Find a new home