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The First Busy Weeks
We
have prepared the following information to help you through the first
busy weeks with your infant. The physician that sees your baby
should have told you when to make your first appointment. Please
call our office at (480) 732-0044 to make that appointment as soon as
you arrive home.
If
you deliver at Mercy Gilbert your
newborn will be seen by either Dr. Ciminello, Dr. Salek or Dr. Chiles. If you
deliver at Banner Gateway, Banner Baywood, Banner Desert or Chandler Regional your newborn will be seen by
the IPC pediatrician. If you deliver at another area hospital,
ask your obstetrician to help you select a pediatrician to see your
newborn in the hospital.
Many
parents ask about Vitamin K. We do follow the recommendations of the
Academy of Pediatrics and advise that your child get that medication
in the hospital.
Hemorrhagic Disease of the Newborn (Vitamin K Deficiency) We
also recommend antibiotic ointment to prevent newborn
conjunctivitis.
We
see your newborn each day that you are in the hospital. If you
wa nt your son to be circumcised, we will discuss the procedure with
you in the hospital. Both of us prefer to do the procedure in
the hospital. You may review the following links
Circumcision Information for Parents and
Circumcision: Frequently Asked Questions, if you have other
concerns.
Infants should sleep in a crib or bassinet. We discourage
sleeping in the parents' bed. Do not leave your infant on a sofa
or on adult bed. Newborns will fall off of a surface that does
not have restraints and may be seriously injured.
It
is recommended that you position your infant on his back while
sleeping. There may be an increased incidence of SIDS (Sudden
Infant Death Syndrome) with those patients positioned on their
stomachs.
Check the hot water heater thermostat. It should be on the
lowest setting or less than 120 degrees.
Any
time the infant rides in the car, he/she should be in an approved car
restraint. IT IS THE LAW!
Sneezing and hiccups are normal. Infants normally have nasal
congestion and may benefit from a vaporizer in their room at night.
The congestion seems to improve during the day.
Newborn infants are more wakeful during the night and cry more.
They sleep more during the day. We advise the mother to sleep
when the infant naps. Infants commonly have fussy time between 5
and 7 PM due to being overly tired. Just expect it, it is not
due to gas or colic.
Limit visitors during the first two weeks, neither Mom or baby will
tolerate the excitement well.
Do
not bathe your infant daily. Every other day or every three days
is OK. Use a mild soap, such as Neutrogena. Do not tub
bathe until the umbilical cord has fallen off and the stump is dry.
The cord will fall off in 2-4 weeks. Blood may be noted at that
time. It may also smell bad. Clean the cord with a Q-tip
soaked with alcohol.
Feeding is on demand. That is, when the infant cries, feed him.
However, there is no need to feed your infant more often than every
two hours. Formula fed infants will take 1-2 ounces every 3-4
hours. Baby Feeding and
Nutrition Breast fed infants should be feeding 10 minutes every 2-4
hours. Your milk will come in between day 3 and 4.
Breastfeeding — Best for Baby. Best for Mom.
During the first 3 days your infant will lose weight and will pass
urine less frequently and you may notice a red stain in the urine that
is NOT blood. It is urates and reflects very concentrated urine.
Girls may pass blood and mucous from the vagina during the first week.
This is normal.
Hands and feet are normally dry and peel. Apply a moisturizing
cream such as Keri lotion or Nivea cream. Hands and feet
commonly turn blue. As long as the face an trunk are pink and
the infant is breathing comfortably, do not become alarmed. It
is due to immature circulation.
Jaundice (yellow skin) is a common problem and may be due to many
things. You may be asked by your physician to have a bilirubin
test performed, which is a heal stick to obtain blood. More than
one blood test may be required and treatment may be needed, which
consists of special lights that may be used at home or in the
hospital, depending upon the circumstances.
Learn to take a temperature on your baby. The normal
rectal temperature
is 99 to 100 degrees. When the infant is bundled snugly, the
temperature under the arm may be the same as the rectal temperature.
Formula fed infants will have 1-3 stools per day. Breast fed
infants will begin to have frequent watery golden yellow stools
between 3 and 5 days of age. They may have between 10 and 12
stools per day.
Spit
ups are normal!
Your
first office visit is usually between 3 and 5 days of age. You
should be advised by your pediatrician or in some instances by your
health plan as to where your are to take your baby for the follow up
exam.
Click here to go to our new patient Registration form,
which is to
be completed before your infant's newborn check-up. Please
arrive 15 minutes prior to your appointment time with the forms
completed. If not completed you will need to arrive 30 minutes
early.
We
hope you find this information helpful and please call our office as
soon as possible to schedule your infant's first office visit.
In the meantime, we are available to help you with any questions or
concerns you may have.
Our
doctors are available 24 hours a day. Should you have an urgent
need that cannot wait for normal office hours, call our main number
480-732-0044 and listen to instructions on how to reach our physician.
Insuring
Your Newborn
We
would like to take this opportunity to congratulate you on your new
arrival.
We
would like to give you the following suggestions on how to have your
newborn added to your insurance policy.
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Call the employer that will be insuring the baby. Fill out the
necessary enrollment forms to notify the employer of the birth.
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Call your insurance company (the # is on the back of your insurance
card). Again notify the insurance company of the birth.
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Adding the baby to your policy is not automatically done. You,
the insured, need to call and initiate the addition to your policy.
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If
your plan requires a Primary Care Physician, be sure to select our
practice or one of our providers.
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Make copies of all correspondence to your insurance company.
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Please remember if the baby is not added to the insurance policy you
will be financially responsible for all charges that are incurred.
Hopefully, with these helpful hints, this adjustment will go smoothly.
If you have any questions or concerns please do not hesitate to call.
First
Trip to the Doctor
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Completed Registration Forms |
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Insurance Card |
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Diaper Bag |
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Diapers |
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Be
Prepared to Feed Your Baby |
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List
of Questions you may have for the Provider |
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