Children develop differently – each in their own way and at their own pace. A paediatrician is best placed to assess whether your child is developing normally, within a specialised approach to paediatrics in Marbella.
There is a good reason why preventive medical check-ups take place at specific intervals: early detection and timely treatment of certain conditions are only effective within particular age ranges. For example, during the U3 examination in the fourth to fifth week of life, the hip joints are assessed using ultrasound to detect developmental issues early.
At every check-up, your child will be thoroughly examined from head to toe. Particular attention is given to physical, motor and mental development. Depending on age, different developmental milestones are assessed, from head control in infants to cognitive and motor skills in older children and adolescents. Vaccination status is also reviewed, and guidance is provided on key health topics, often in coordination with family medicine.
Depending on age, various motor, hearing, vision and speech tests are performed.
Eye test:
Using an ophthalmoscope and the Plusoptix Vision Screener, visual impairments can be detected at an early stage. Early detection allows effective treatment and helps prevent amblyopia. Functional visual issues are often missed in young children, which can lead to permanent damage if untreated. For this reason, eye screening is a key part of preventive check-ups. When needed, further evaluation may be supported through related specialties such as internal medicine.
Visual impairments that can be detected include anisometropia, astigmatism, hyperopia, myopia, strabismus and anisocoria.
Hearing test:
A child-friendly audiometer evaluates both hearing and speech comprehension. Thanks to its interactive format, it can be used even in preschool-aged children, enabling early detection of hearing issues.
Blood test and ultrasound:
In adolescents, blood tests are performed according to German medical guidelines, including lipid profile, cholesterol and thyroid hormones. Ultrasound examinations of abdominal organs and the thyroid gland may also be carried out if needed, sometimes complemented by further evaluation in gastroenterology.
All check-ups follow the recommendations of the German Society for Paediatric and Adolescent Medicine.
As a partner of Charité Berlin, the official preventive check-up booklet can be issued.
The following check-ups are recommended for children in Germany:
| time | Investigation |
| immediately after birth | U1 |
| 3rd to 10th day of life | U2 |
| 1 month (4th to 5th week) | U3 |
| 3 months (3rd to 4th month) | U4 |
| 6 months (6th to 7th month) | U5 |
| 1 year (10th to 12th month) | U6 |
| 2 years (21st to 24th month) | U7 |
| 3 years (34th to 36th month) | U7a |
| 4 years (46th to 48th month) | U8 |
| 5 years (60th to 64th month) | U9 |
| 7 to 8 years | U10 |
| 9 to 10 years | U11 |
| 13 years | J1 |
| 16–17 years | J2 |
Dr. Med. Laura Schrörs – Adolescent Medicine and Paediatrics
