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Newborn care. Well-baby newborn visits: birth -14 days of your new baby boy or girl

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By Ricky Richardson & Suzanne Dixon BSc, MBBS, FRCP, FRCPCH & MD, MPH

Dr Ricky Richardson was brought up in Spain, educated in the United Kingdom at Eton College, and took his first Degree with Honours in Cell Biology and Immunology at the University of London. He then proceeded to study clinical medicine at the Middlesex Hospital Medical School, qualifying in 1973. Following three years as an intern and then resident in Internal Medicine, he turned to Paediatrics and he has remained in this field ever since.

Most of his paediatric career has been based at The Great Ormond Street Hospital for Children in London, but a considerable period of time has been spent overseas on specific assignments in Africa, Central America, Southeast Asia and the Middle East.

He spent five years in Brunei to devise and implement a comprehensive integrated paediatric service at the request of the Government of Brunei. He also spent two years in Muscat in the Sultanate of Oman as Senior Paediatric Consultant and advisor to the Ministry of Health.

In addition to his academic role, he was appointed Honorary Consultant Physician at The Great Ormond Street Hospital for Children, a position which he still holds. He is also a Consultant Physician at the Portland Hospital for Women and Children. His clinical interest is in children with specific learning and behavioural difficulties. In 1990, he co-founded Whizz-Kidz, a children’s charity which has become the largest supplier of mobility aids and specialist services to disabled children outside the NHS.

Dr Richardson is an acknowledged authority on the emerging field of e-Health and Telemedicine. He lectures frequently on the subject and is Chairman of the UK Telemedicine Association. He is also involved in an European working group mandated to facilitate e-Health and telemedicine activities across the European Community.

Dr Richardson is a Fellow of the Royal College of Physicians (FRCP), a Fellow of the Royal College of Paediatrics and Child Health (FRCPCH), a Fellow of the Royal Society of Medicine and a Fellow of the Royal Society of Tropical Medicine.

Dr Richardson is married and has two sons.

"I love this job!" says Suzanne Dixon. "I believe I can bring the best of information to families by the thousands every day. I'm not shy about tapping my colleagues and friends all around the country so that we can get the latest, best, and most sensible advice on every issue."

Suzanne Dixon, MD, MPH, was born and raised in Minnesota and graduated from the University of Minnesota, School of Medicine. She did her paediatric training at Massachusetts General Hospital in Boston and then completed a fellowship in Child Development at Boston's Children's Hospital. Dr Dixon joined the faculty at the University of California, San Diego, and did patient care, teaching, and research for 20 years. She ran a large newborn service, performed research in early child development, and was involved in many community outreach activities in maternal child health. Throughout her entire professional life she has maintained an interest in cross-cultural activities, living and working in many parts of the world, including Mexico, India, Kenya, Indonesia, and several countries from the former USSR.

Dr. Dixon is the author of numerous research articles, review articles, and textbook chapters in paediatrics, child and family development, and public health. Her textbook, written with Dr. Martin Stein, Encounters With Children: Pediatric Behavior and Development, has become a classic in child health education andis just coming out in its third edition. She has served as an associate editor for Infant Mental Health and currently reviews for several major paediatric journals.

Dr Dixon is a fellow of the American Academy of Paediatrics and served in national positions in that organization. She is a member of the Society for Paediatric Research, the Society for Research in Child Development, the American Public Health Association, and the Society for Developmental and Behavioral Paediatrics.

Dr. Dixon continues to lecture and consult worldwide on aspects of maternal, child, and family health. She practices behavioral and developmental paediatrics in Montana and works with local advocacy groups on education and women's health. Dr Dixon has been married for 25 years and has three sons. She and her husband travel frequently and enjoy being amateur anthropologists.

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How is your newborn doing? From measuring growth to discussing eating, sleeping, pooping, and peeing, learn what your health professional will check during your little one's first well-baby visits.
Well-baby visits: birth -14 days

Your early well-baby visits will usually take in the first fortnight or so after your baby is born. Your GP may visit and your health visitor, or community midwife will check your newborn’s weight and offer you advice on newborn care, how to handle minor illnesses, or concerns at home and when to call the doctor. You will also be given a Red Book or Baby Book, which contains useful information about well-baby visits and immunisations.

You're still getting used to life with your baby, so give yourself time for these well-baby visits as they are offered. If you are going to your GP's surgery or a local clinic make sure you take along whatever you need to keep your baby warm, fed and contented and make sure you take a copy of your newborn's hospital record if you have it.


During these early visits you might find:

Your baby's weight and head circumference will usually be recorded to make sure they're growing at a healthy rate.
There is a check on the umbilical cord stump, to see if it has fallen off and that the tummy button is healing well. If your baby son was circumcised, this will also be checked in the new baby boy.
Any health concerns, such as cradle cap or nappy rash, will be addressed.
You may be given some insights into your baby's individual personality and temperament, as well as physical development.
You may also be asked about your baby's sleeping, eating and elimination patterns ('wee' and 'poo' reports).



Apart from general newborn care other things that may be discussed include:

Has your baby had to see a doctor? If so, why? What was the outcome of that visit, and was any medication or treatment prescribed?
Do they quieten down, at least briefly, when they hear you or when you pick them up?
Do they sleep a little longer during some part of the day or night?
Do they have longer periods when they're alert?
Do they follow you with their eyes, and study your eyes and face when you're close?
Do they respond to your voice or other sounds?
Is your baby put to sleep on their back? Are bedding and room appropriate? Click here for more information on SIDS
Is your baby a little more restless at the end of the day? All of this behaviour is expected at this time.
If you are breastfeeding, are you taking any medication or supplements?
Are there any particular stresses or changes at home?

Exactly what is discussed will partly depend on when your visit takes place.


Talk it over

You no doubt have other concerns, not only strictly related to newborn care. Now's the time to discuss them. Here are a few common issues:
How is your baby feeding and sleeping? Let your doctor know how often your baby feeds.
Your baby may have a common newborn skin condition, such as cradle cap; your health professional can help you understand what it is and how to treat it.
Talk about how siblings and other family members are adjusting.
Ask your health professional to show you how to take your baby's temperature.
Ask about crying management and comforting techniques. Your baby should respond to being held. Discuss the use of dummies as well.


Speak up!

New parents always have questions. Don't be shy. For example, you should mention any of the following situations that apply to your new baby boy or girl:
people are giving you advice that confuses you or is contradictory
your baby doesn't respond to sounds, especially your voice
your baby isn't moving both hands and feet equally
your baby has a puffy or runny eye
your baby doesn't focus on your face when alert .
you're having difficulty comforting your baby
you're feeling down, or having trouble sleeping, or eating
you're going back to work soon and you're not sure how you're going to manage it.

Click here to return to Well-baby introduction


 
 
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