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Doctor Visits & Vaccines

Singapore's full well-baby check schedule for the first 3 months - What happens at each visit, what vaccines are given, and what questions to bring.

Well-Baby Check Schedule: 0–3 Months

Visit Where What's assessed Vaccines given
At birth Hospital (KKH, NUH, TMC, etc.) APGAR score, full physical exam, hearing screen (AABR), newborn metabolic screening (heel-prick), pulse oximetry, jaundice check BCG, Hepatitis B (dose 1)
Day 2–4 (hospital discharge) Hospital Final check before discharge - Weight, jaundice level, feeding review -
~2 weeks (optional) Polyclinic or private paed Weight check, jaundice follow-up, feeding assessment if concerns Hepatitis B (dose 2) at some centres
1 month Polyclinic Weight, length, head circumference, developmental check, feeding and sleep review, social smile check Hepatitis B (dose 2)
2 months Polyclinic Growth review, 2-month milestones, feeding, sleep, parental wellbeing screen Pentavalent dose 1 (DTaP/IPV/Hib), Pneumococcal (PCV13) dose 1
3 months Polyclinic Growth, social smile, head control in prone, feeding, 3-month milestones Pentavalent dose 2, Pneumococcal dose 2

Schedule follows Singapore's National Childhood Immunisation Schedule (NCIS). Track all upcoming vaccines with the Immunization Tracker →

Vaccine Details: 0–3 Months

BCG (Bacille Calmette-Guérin)

When: At birth - Given as a single injection in the left upper arm

Protects against: Tuberculosis (TB) - Particularly important in Singapore where TB incidence remains notable

A small red bump forms at the injection site over 2–4 weeks, then ulcerates and heals into a round scar. This is completely normal and expected.

Hepatitis B (HepB)

When: Dose 1 at birth; Dose 2 at 1 month

Protects against: Hepatitis B virus, which can cause chronic liver disease and liver cancer

Singapore has mandatory HepB vaccination. Babies born to HepB-positive mothers also receive HBIG (hepatitis B immunoglobulin) at birth for immediate protection.

Pentavalent vaccine (DTaP-IPV/Hib)

When: Doses at 2 and 3 months, with boosters later

Protects against: 5 diseases: Diphtheria, Tetanus, Pertussis (whooping cough), Polio, Haemophilus influenzae type b (Hib)

Given by injection. Common reactions: injection site redness or swelling, mild fever, fussiness. Paracetamol (at age-appropriate dose) can be given post-vaccine.

Pneumococcal Conjugate Vaccine (PCV13)

When: Doses at 2 and 3 months, with boosters

Protects against: Streptococcus pneumoniae - A leading cause of meningitis, pneumonia, and ear infections in infants

Subsidised under the Singapore National Immunisation Schedule. Available at polyclinics.

What to Expect: The 1-Month Polyclinic Visit

What the nurse/doctor checks

  • Weight, length (lying flat), and head circumference - Plotted on growth chart in Child Health Booklet
  • Fontanelle (soft spot) size and tension
  • Eyes: red reflex test for cataracts
  • Hip stability: Barlow and Ortolani test for developmental dysplasia
  • Testes in boys - Ensuring both have descended
  • Feeding: breastfeeding or formula volumes, frequency
  • Social smile (may not be present yet at exactly 4 weeks)
  • Parental wellbeing - Edinburgh Postnatal Depression Scale may be administered

Questions to bring to the 1-month visit

  • ?Is my baby's weight gain on track?
  • ?How much formula or how often should I breastfeed?
  • ?My baby has yellow eyes / skin - Is the jaundice resolved?
  • ?The umbilical cord hasn't fallen off yet - Is this normal?
  • ?My baby seems very colicky - What can I do?
  • ?Are these skin spots on my baby's face normal?
  • ?When should I book the 2-month appointment?
  • ?My baby's BCG site looks very red/large - Is this normal?

After-Vaccination Care

Normal reactions (expected)

  • Low-grade fever (≤38.5°C) for 24–48 hours
  • Fussiness and crying for 24 hours
  • Injection site redness, swelling, and hardness - May last several days
  • Reduced appetite for 24–48 hours
  • Increased sleepiness

Managing post-vaccine discomfort

  • Paracetamol syrup: 15 mg/kg every 4–6 hours if needed (check dose with doctor)
  • Extra feeds and cuddles
  • Cool damp cloth on injection site if very swollen
Go to A&E if: Fever ≥39°C; inconsolable crying for more than 3 hours; baby becomes very pale, limp, or unresponsive; widespread rash or swelling of face and throat.

Where to Go in Singapore

Polyclinics (subsidised - Bring NRIC)

  • Ang Mo Kio, Bedok, Bukit Merah, Choa Chu Kang
  • Clementi, Geylang, Hougang, Jurong, Kallang
  • Marine Parade, Pasir Ris, Pioneer, Punggol
  • Queenstown, Sengkang, Tampines, Toa Payoh, Woodlands, Yishun

Paediatric hospitals

  • KKH Women's and Children's Hospital - 100 Bukit Timah Rd
  • NUH Children's Medical Institute - 5 Lower Kent Ridge Rd
  • Thomson Medical Centre - 339 Thomson Rd
  • Gleneagles Hospital - 6A Napier Rd

Continue the Newborn Guide:

Medical disclaimer: Educational purposes only. Follow the advice of your paediatrician and polyclinic.

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