Pediatrician

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Nell4Him's picture
Joined: 10/25/06
Posts: 2455
Pediatrician

So I just called the ped that we had with both the boys and scheduled DS#1's 7 year check up (yeah, a few months late) and to also talk to the ped about officially being this baby's ped. Well, the next appointment that fit into MY schedule is Aug 4th. It's really only 2 weeks away, but that puts me at 36 weeks... what happens if I actually deliver BEFORE we officially ask him? :confused:

And I wanted to discuss with him the Vitamin K and eye goop that they like to give the baby at birth, plus the hep b shots and whatever other immunizations I might want to NOT give the baby. :eek:

Did I wait too long to make this appointment? :rolleyes:

heatherliz2002's picture
Joined: 02/02/08
Posts: 2273

Can you ask over the phone if he's accepting new patients, and let him know you have a little one on the way? That might give you a little peace of mind. Maybe he'd be willing to discuss the other things with you over the phone as well?

nori_garsi's picture
Joined: 10/31/06
Posts: 2069

I agree with Heather, maybe you can talk to him on the phone.

I'm in a medical group and they already have it written in my chart who our pediatrician will be so I have no idea when it's standard to start contacting pediatricians.

Nell4Him's picture
Joined: 10/25/06
Posts: 2455

Well, I'm heading to the hospital in just a little bit to pre-register, so I'm gonna ask for their "policy" outline and try to see if I can get some answers as to what they "usually" do so that I can research and make up my birth plan, then I see MY doc on Friday and I will talk to her about them. I'm hoping to get my general birth plan (which is mostly pushing and after) out of my head and down on paper so that I have something just in case my dreams are any indication of when I deliver (this week) and it happens before my appointment on Friday.

Nell4Him's picture
Joined: 10/25/06
Posts: 2455

I figure in the very least, I at least have an appointment with him, so if I DO deliver before then when they ask me who the pediatrician is I can say "well... I have an appointment lined up with Dr so&so...." Lol

lamonsgrl's picture
Joined: 09/18/04
Posts: 1023

I haven't even thought about it. My pedi knows I am pregnant again and I said something about wanting to use her for this baby also. I guess I will try to get in touch with her soon and make sure she will take him.

mandi04's picture
Joined: 08/10/03
Posts: 2272

I've never asked our pediatrician about taking a new baby since my first? They always ask in the hospital and I just give them her name. With my first two she didn't have priveledges at the hospital I delivered at so they just saw the on-call ped while we were there and I saw her a few days after leaving the hospital. Our ped knows I'm pregnant though and I talked to her about the circ for this baby at my DS' 18 month visit last month so I'm assuming she's okay with it Lol As far as the hep b, you can decline that until you talk to your ped., we haven't done hep b with my DS at all at this point and all I had to do was sign a form in the hospital. Vitamin k helps clotting, I felt it was better my last two babies had that because DD2 was born with a lot of bruising (fast delivery) and DS was going to be circumsized. The eye goop...well I declined that, I think the only reason they do it is because of STDs. I'd actually talk more to your ob/midwife about the eye goop/vitamin k thing because your pediatrician won't do those, the nurses at the hospital will. I put it in my birth plan that I was okay with vitamin k and declined the eye stuff and hep b shots.

cherylfhorn's picture
Joined: 08/24/08
Posts: 600

I just had this issue. My appt w the ped. Isn't till Aug.9. When I was admitted 2 days ago i told them exactly that. They still put that doc down as my ped. Now I'm just hoping that he is good.

Joined: 07/12/06
Posts: 831

When I took DD1 and DS for their 2 year and 4 year checkups in May, I asked about the new baby and they just said I just call to make a newborn appointment as soon as we're home from the hospital since their doctors don't have privileges as the delivering hospital. An on-call ped will see the baby in the hospital. Since our family is already a patient of theirs, they automatically take the new baby. I think that's pretty standard practice for any peds practice, that if your family is already one of their patients, they take additional family members.

Nell4Him's picture
Joined: 10/25/06
Posts: 2455

Well, I asked at L&D about the immunizations and what not that they do to the baby after it's born and they said they didn't have a printable list or anything, but that they do the eye goop (antibiotic ointment), Vit K and Hep B, but that I could opt out of the eye goop and Hep B. She made it sound like I have no choice of the Vit K, but that it's also really important. So I'm gonna look into it cause I read somewhere recently that colostrum (or was it breast milk) has PLEANTY of Vit K... I'm just gonna have to look some more.

heatherliz2002's picture
Joined: 02/02/08
Posts: 2273

You definitely can opt out of vitamin K, although a lot of times they give you a hard time about it. But you absolutely can if you choose to, you just might have to sign a waiver. If you really don't want it and they are giving you a hard time, keep insisting!

Starflyr's picture
Joined: 10/20/07
Posts: 428

"Nell4Him" wrote:

So I just called the ped that we had with both the boys and scheduled DS#1's 7 year check up (yeah, a few months late) and to also talk to the ped about officially being this baby's ped. Well, the next appointment that fit into MY schedule is Aug 4th. It's really only 2 weeks away, but that puts me at 36 weeks... what happens if I actually deliver BEFORE we officially ask him? :confused:

And I wanted to discuss with him the Vitamin K and eye goop that they like to give the baby at birth, plus the hep b shots and whatever other immunizations I might want to NOT give the baby. :eek:

Did I wait too long to make this appointment? :rolleyes:

In all honesty, only about 5% of the newborns I see in my practice have had an appointment with me *prior* to the birth - and NONE of my established patients do so on a pre-emptive basis. Most parents dont call to ask if we're accepting new patients either. Most pediatricians that I know of will accept siblings of established patients no matter what. The likelihood of your pediatrician being the one to actually see your baby in the hospital is not very high, though it CAN happen (depends on the hospital, who has privileges, and the call setup). I would include your preferences in your birth plan that you take to your delivery and discuss it with the pediatrician who ends up seeing your bay.

And make an appointment to see your pediatrician within 48 hours of hospital discharge to ensure good follow up.

I REALLY wouldnt stress about it, honestly.

Star

ETA: Re: vitamin K. It really *is* important. it prevents a complication called hemorrhagic disease of the newborn. Now, granted, this disease isnt overly common (I dont have the numbers in front of me at the moment), but if it DOES occur, it's disastrous. Babies dont have the liver function at birth to produce their own vitamin k (which is very important in clotting) and will be deficient in it until about a week after birth. Babies who get hemorrhagic disease of the newborn are at high risk for brain bleeds and other devastating complications. There have been studies done comparing oral vitamin K and the injectable kind, and the injectable kind is much much better at preventing hemorrhagic disease than the oral drops.

Nell4Him's picture
Joined: 10/25/06
Posts: 2455

"Starflyr" wrote:

In all honesty, only about 5% of the newborns I see in my practice have had an appointment with me *prior* to the birth - and NONE of my established patients do so on a pre-emptive basis. Most parents dont call to ask if we're accepting new patients either. Most pediatricians that I know of will accept siblings of established patients no matter what. The likelihood of your pediatrician being the one to actually see your baby in the hospital is not very high, though it CAN happen (depends on the hospital, who has privileges, and the call setup). I would include your preferences in your birth plan that you take to your delivery and discuss it with the pediatrician who ends up seeing your bay.

And make an appointment to see your pediatrician within 48 hours of hospital discharge to ensure good follow up.

I REALLY wouldnt stress about it, honestly.

Star

ETA: Re: vitamin K. It really *is* important. it prevents a complication called hemorrhagic disease of the newborn. Now, granted, this disease isnt overly common (I dont have the numbers in front of me at the moment), but if it DOES occur, it's disastrous. Babies dont have the liver function at birth to produce their own vitamin k (which is very important in clotting) and will be deficient in it until about a week after birth. Babies who get hemorrhagic disease of the newborn are at high risk for brain bleeds and other devastating complications. There have been studies done comparing oral vitamin K and the injectable kind, and the injectable kind is much much better at preventing hemorrhagic disease than the oral drops.

THANK YOU for your input. I forgot we had a ped here on our bb! Smile

Yeah, we've decided to allow the vit K. Considering that the highest "risk" patients are otherwise healthy breastfed babies.... :confused:

But I think our hospital only does the oral vit K and I'm worried that it will somehow interfere with breastfeeding (bad taste and all).