Newborn wellness check
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Thread: Newborn wellness check

  1. #1
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    Question Newborn wellness check

    I'm planning on giving birth at a free-standing birth center. One of my midwives told me at my appointment today that she doesn't think I should have to bring my newborn in for a pediatrician wellness check until after two weeks because the midwives will be doing baby/mother wellness checks at our home before then including jaundice and PKU screening. One point she really stressed is that she felt baby and I should stay in the comforts of our own home and not go into a clinic where he could be exposed to viruses and such. When I had my prenatal consult with our planned pediatrician a couple of weeks ago, the pediatrician made it very clear that she wanted me to bring the baby in on day 3 so that she could do her own wellness check and give him a Hep B vaccine (our midwife had stated that it would be fine to push the Hep B vaccine back to the 2 month mark especially if we were not going out much). So I'm confused because I feel like I'm getting conflicting info but can see reasons for both sides. If the midwives are doing the early wellness checks the only reason I can see for bringing the baby in to the pediatrician around that time is to start the Hep B vaccine series as per their suggested schedule. Any suggestions?
    Christina

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    Posting Addict Marite13's Avatar
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    We delayed the Hep B until the 2 mos check up. Really no reason not to.

    I think a lot of pedis have this policy about wanting to see the baby early on, because they want to do their own evaluation. I was really unprepared in this dept when my DD was born, and we ended up taking her in on day 3. I plan on delivering with a midwife this time, and like you, will be looking for a pedi who will accept that I will have midwife care post-natally, as will my baby. I know my best friend ran into this, that her pedi wanted to see her second early on too, but she was just really firm that her midwife would be making a house call to do it, and unless he was prepared to do the same, he wouldn't see them until 2 weeks. He accepted that. I guess it's a risk maybe that a pedi might decline to take you on unless you follow their rules (I suppose they have that right).
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    Posting Addict Spacers's Avatar
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    Quote Originally Posted by Marite13 View Post
    ...she was just really firm that her midwife would be making a house call to do it, and unless he was prepared to do the same, he wouldn't see them until 2 weeks.
    I actually never discussed this issue with my chosen pediatrician either time, but the above is pretty much what I'd have said if I had. We didn't do the HepB vaccine for either baby, I don't think, because they weren't in daycare and there were no other risk factors for them. How is the ped going to know you had the baby if you just don't call before two weeks for an appointment? "Oh, I'm so sorry I forgot to call. I just had a baby so I've been a bit forgetful & time is just slipping away & suddenly it's been two weeks! Sorry." What can they do at that point? I'm with an HMO so my ped can't refuse me service if I don't follow her instructions, but honestly any ped that wanted to fire me over a parental decision I wouldn't want anyway. If my child needs to see a ped, I'll take him in; otherwise, we'll just hang out in bed away from the sick kids.
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    Posting Addict TyrantOfTheWeek's Avatar
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    I take mine at 48 hours because my midwives don't do the whole PKU thing. My last 2 home births, I took the babies in and the pedi ordered the bloodwork. We then had to take the baby to the hospital lab.

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    Super Poster kaype's Avatar
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    with our first, our mw did a 2-day visit and a two-week visit. our ped wanted to see DS around 2 days as well, and our mw set us up with that expectation. she was checking on the baby, but really she was checking on me.

    with DD, we did the same thing and i'm really glad. because i wasn't a FTM, our mw only did a phone call, not home visit. DD was losing weight because she was tongue-tied and couldn't nurse. we did need to supplement until we figured that out later -- and wouldn't have known she wasn't gaining unless we'd been to the ped.

    so, i think it's up to you -- DH took both our kids to the ped at 2 days. and, the ped had well-visit-only hours so i felt a lot more comfortable that they weren't around sick kids. if you're having trouble finding a ped who's okay with you waiting, you might ask your mw for a recommendation.
    Katherine & Michael
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    Posting Addict Spacers's Avatar
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    Quote Originally Posted by kaype View Post
    with our first, our mw did a 2-day visit and a two-week visit.
    Around here, the usual schedule of midwife postpartum home visits is the day after birth, three days, five days, 10 days, and then two weeks. And most also do a six-week checkup for mom, although that might be in their office if they have one, not in your home. If my midwife wasn't checking on both of us that frequently, I'd have probably made a ped appointment for around one week at least for a weight check.
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    Posting Addict jolly11sd's Avatar
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    We had planned on seeing our ped. during the first week only because our MW wasn't able to do a PKU test. If she had been able to then we would have waited until our LO was older to go in as the MW did checks the day after birth, 3 days out, 2 weeks, and 6 weeks.
    ~Joy~ DS1-8/5/05, DS2-10/18/10 (VBAC#1), DS3- 4/11/12 (VBAC#2!)


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    Posting Addict Lots-o-Tots's Avatar
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    Yeah, I don't see any reason to rush to the ped's if your mw is doing home visits, except to adhere to a vax schedule. Vax schedules can be modified, though.
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    Posting Addict mommys's Avatar
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    I had a choice either way. We ended up going to ped because of some spitup concerns, but they didn't even mention Hep B at that first appt (other than to verify if we got it at birth or not) and I would have declined it anyway.
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  10. #10
    Super Poster kaype's Avatar
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    Quote Originally Posted by Spacers View Post
    Around here, the usual schedule of midwife postpartum home visits is the day after birth, three days, five days, 10 days, and then two weeks. And most also do a six-week checkup for mom, although that might be in their office if they have one, not in your home. If my midwife wasn't checking on both of us that frequently, I'd have probably made a ped appointment for around one week at least for a weight check.
    wow! that's awesome as a FTM, i think i would have LOVED being checked on that much...and again, when sophie wasn't gaining weight. maybe we would have caught her tongue-tie sooner than five weeks!
    Katherine & Michael
    *Judah, born naturally 10/07
    *Sophia, born naturally 8/09
    *Liam, born naturally 1/12




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