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If a healthy baby has had no problems at the nine-month examination, the next examination takes place at twelve months, or one year of age. However, when an eleven-month-old baby comes to the doctor for any reason, a complete examination is performed.
Growth is assessed first: body weight, length and head circumference are checked. The changes in length, weight and head circumference since the previous examination are assessed. The doctor then checks for infection, listens to breathing and heart sounds, and examines the abdomen and genital area. Examination of the penis in boys, the genital area in girls, and the bottom are assessments to be performed at every child's examination.
The vaccination booklet and records are checked, and any missing vaccine is completed. The doctor tries to talk with the eleven-month-old baby. At this stage, the baby may begin to say a few easy words such as baba, mamma and dede.
From the eleventh and twelfth months, babies may begin to react to the doctor. As their personality develops, they may dislike being touched or having their ears, mouth and throat examined with different instruments. The examination should therefore be performed with the baby's agreement and permission, without distressing them.