First visit to the paediatrician
First visit to the paediatric clinic with the newborn: what does your mother need to know?
The first visit to a children's health centre with a newborn baby is an important event in the life of a young mother and baby. How to choose the time and day of the visit, what to take with you, how to get there and how to behave on the spot, we will try to talk about everything in the article.
Where to go: paid or free clinic?
By discharge from the maternity hospital you must leave the information where the baby will live – this information is transferred from the maternity hospital to the children's clinic at the place of stay of the child. We emphasize that it is the place of residence, not the place of residence. That's where you'll have to go in a month.
How to choose the time of your visit
In the first month after you leave the hospital, you are visited by a nurse and a pediatrician at home.
Usually the paediatrician comes the day after discharge, examines the baby, asks how the delivery went, starts the card and takes away your child's part of the discharge (it is glued to the child's card.
Later 1-2 times a week, you will be visited by the nurse who leads your precinct.
After a month, you will have to make your first visit to the paediatrician.
This is usually a “baby day” at all children's health centres. – This is one day a week when the paediatrician only sees babies from 1 month to one year, with the exception of emergency patients.
Call yours and ask when it is done. It is better to choose this day for the first trip to the clinic, as it is less likely to encounter sick children and less waiting time.
Relative to the time of day – focus on your pediatrician's schedule and the child's life style. It is more convenient if you get an example in the period between feeding and in time, when the baby is awake, but this is an ideal situation, so it is unlikely to happen, especially if you need to visit one day several specialists.
Okay, if you can sign up for a specific time, it will save you a lot of time and nerves.
In any case, it is better to make the first appointment to the health centre with your newborn baby in the morning – usually at 8-9 a.m. less people.
How do I get to the clinic?
Think about your route in advance. If you know where the clinic is and how to reach it, if the area you are not familiar with – see how to get through or pass.
If there is a private car, it solves the problem – put the baby in a crib and the biggest difficulty – is to park close to the entrance so as not to drag it far away.
Bear in mind that going to a health centre with a baby in a stroller-cradle can make it difficult to use public transport – not all buses and very few trams are equipped so that you can get in with a stroller without having to carry it around.
The exits in the underpasses are also badly adapted for descending and ascending.
Ideally, a walk to the clinic with a pram will take you for a walk in advance – so you can breathe fresh air, choose the best route and see how long it takes to get there – because you have to walk there quite often in the first year.
What you need to take with you
The first thing you need to collect in advance is the documents:
- Medical policy of the child (if already issued, or its temporary version);
- Your passport
- Maternity certificate (part 3-1);
- Medical card of the baby, if you have it in your hands.
li>Birth certificate of the child;
For health care visits with a baby, it is best to have a separate file or folder for the documents.
You'll need to take:
- Diaper or two (you can take one-time). Diaper will be needed in all offices, it will be necessary to undress your baby for inspection, the pediatrician will also need to put the diaper on the scales and when measuring growth. It is possible to take usual flannel or knitted knitwear
- Diapers – it is obligatory! Take two just in case – it is not known how much time you will spend outside the house.
- Wet napkins. Baby and hand toys.
- Toys for the child are better plastic or rubber, which can be easily washed, do not need to collect everything there is – two – three pieces will be enough.
- Don't forget the nipple if you use it. Attach it to a special clothespin with a chain – kids often spit them out in the most unnecessary places. And grab a spare.
- We'll need a bottle of water and if the baby is fed artificially, so will the food. Tip: dilute the mixture with hotter water than necessary and wrap it in diaper. By the time the baby gets hungry, the mixture will have cooled down and the temperature will be at least not cold.
- Maybe I can get some extra clothes, but it's not necessary, as a rule, I can do without them.
- If you have any questions you'd rather write them down in your notebook and take them with you, you'll probably forget to ask the doctor if you don't fix them in advance.
This is a pretty impressive list, and it all needs to be put somewhere. The most convenient option for a young mommy – a backpack – it is spacious and will also free your hands … in line with your baby it is very important. As an option, the bag that comes with the pram will fit into it without any problems.
If you're going to a health centre by car, take a cradle with you to the health centre – this will save you the trouble of holding your baby in your arms, believe me, 2-3 hours to hold a baby weighing 4-5kg without being able to sit down or put him down, plus a bag of stuff that often has nowhere to put it, too – it's not easy.
How to dress your newborn baby in the clinic
First of all, dress your baby for the first visit to the paediatrician in clothes that are easy to remove and dress – you will need to do it several times and quite quickly – your turn and the doctor can't wait ten minutes for you to deal with complex outfits.
Body or slipper that can be fully unbuttoned.
Collect by weather and season. If it's winter outside, wear a few layers that can be removed if the baby is hot or insulated in case the room is cool.
What to wear to your mother?
In any case, the clothes, and the main shoes were comfortable, not constraining movements.
If you breast-feed, it is worth dressing so that you could feed the baby. Ideally, this is a special clothing for feeding, but you can do without the usual – bring a large handkerchief or use a diaper to close your eyes.
Generally, each clinic has a room for mothers and children, where you can feed the baby, but first, you can skip their turn or it can be closed at all. So get ready for the fact that you will have to feed directly in the corridor.
And if you have to go to the clinic with the newborn baby in the cold season, first dress yourself, and then collect the baby – otherwise he may sweat in a warm overalls and envelope.
Pediatrician's first appointment
Pediatrician's first visit involves a thorough examination of the baby and a detailed interview.
How the visit takes place:
- You undress the baby on the changing table in the office completely.
- The paediatrician examines the skin and mucous membranes, checks how the spring overgrows, listens to the child's heart and lungs, tummy-touches, checks the hip joints – dilutes the baby's bent legs sideways, checks the child's grabbing reflex, and as the baby focuses on checking whether the baby has any neurological problems: there's a lot of hypertonicity, chin shake, and more.
- Physician will ask you about your baby's daily routine, stool condition, frequency and volume of feeding.
- Then the baby is weighed, measured, and the head and stomach volumes are measured.
All this information will allow the doctor to assess the development of the child and give recommendations if necessary.
If you have any doubts or concerns, be sure to ask.
Which procedures a pediatrician can prescribe
Besides the recommendations on the care and regime of the pediatrician based on the results of the examination and interview, a number of procedures can be prescribed.
This may be a massage if the baby has, for example, muscle hypertonicity. Of course, if there are obvious signs of neurological problems, you are advised to see a neurologist.
If there are indications (birth defects or illnesses), blood and urine tests may be prescribed.
Blood analysis you will most likely be able to take the same day. It's taken from newborns.
Urine analysis can be brought later. Buy a plastic container and you can use a special urine collection device that is glued into the crotch to collect. Guarding your baby while peeing himself, especially if you use diapers is a little difficult.
In the same month, if your baby is healthy, they give you a second vaccination against hepatitis B, and if for some reason there was no vaccination at the BCG Maternity Hospital (there was no vaccine, the baby had a yolk or a difficult delivery), then they give it a month. First, you'll be assigned a mantu test.
Meeting other specialists
The first visit to the clinic with a newborn baby is not only an examination by a paediatrician, but also a visit to other doctors.
Precede everything you need to visit a neurologist and orthopaedic surgeon.
Precent years before the visit to the specialists of the kids are sent to the ultrasound of hip joints and the brain, and only then with the results you go to the reception.
The pediatrician checks the baby's reflexes and assesses the state of his nervous system. If you're worried about something about your child's behaviour, such as flinching, tremors, restless sleep, or poor appetite, make sure you tell your doctor.
You'll be referred to a neurologist who will give you recommendations on how to deal with the symptoms.
Memorize that minor abnormalities at an early age are easy to correct and don't worry. If you are diagnosed with a problem, consult another specialist.
When you see an orthopaedic surgeon, he or she will first examine your hip joints for underdevelopment – this is a fairly common diagnosis. Depending on the results of the examination and the ultrasound, if a defect is detected, you will be prescribed treatment – usually, it consists of wearing a special baby strut. The treatment period is prescribed by the doctor individually.
Don't be afraid if doctors recommend any procedures or refer you for additional examinations.
How to make a visit to the clinic easier
First visit to the pediatrician is stressful for both baby and mother, especially if the child is the first one and you don't know how everything is organized and how to behave.
What can be done to simplify the visit:
- If you can take another adult to the clinic for help. Wear the baby, run around the office or in the reception desk is easier if there is someone to replace you.
- Take sure that the baby's clothes were easily removable – in clinics often open windows for airing, so it is important that the baby did not sweat and it did not blow.
- Don't forget that in addition to you in the clinic there are many sick children with different viruses, of course, on a baby day they are less than usual, but still make sure that the baby does not touch the face of the mattress and the side of the changing table, be sure to wash the fallen toy or nipple (or better yet, give the baby a spare, and clean the dirty one at home). Just in case, put oxolin ointment on the baby's nose. Recently there are doubts about the effectiveness of its use, but in any case it will not hurt.
- Save your nerves – the clinic has a lot of people who want to go quickly to the office, and the phrase “I only ask” is familiar to everyone who has ever been in our medical institutions. So try to be more calm about what's going on. Still, as a rule, on a “baby day” parents behave adequately in line.
- Memorize that there are categories of children who can be examined without waiting in line.
Prepare for a visit to the health facility in advance. Go to the doctor in a good mood, try not to be nervous or angry, because your mood is transmitted to the baby.
Follow the recommendations in the article, look for more information about how the first visit that interests the pediatrician. Prepare everything you need and your first visit to the paediatrician will be no problem. Then you'll decide what to take with you and not necessarily what time is best for a visit.
First visit to the pediatrician: when to go what to take with you
The first visit to a pediatrician is an important event. How to prepare and what to take with you on your first visit to the paediatrician? If the baby was born healthy and you took him out of the hospital without any additional recommendations, the next meeting of the baby with the health care system will come only after the sixth week of his life.
In this time, the child is vaccinated against hepatitis B, diphtheria, tetanus, whooping cough and type b hemophilus vaccines after preliminary examination. At the same time, the paediatrician will be able to examine the child carefully, check whether he or she is developing correctly, and parents will be able to ask the doctor all the important questions they are interested in.
Which polyclinic should I go to?
We can no longer choose a medical facility by area of residence – we have the right to go to any polyclinic, and if there are several paediatricians (doctors who provide medical care for children), we can easily make a choice that will satisfy us. Therefore, it is necessary in advance, even before the birth, to make some inquiries among friends who have children, parents who walk on the street with prams. Choosing a clinic on the other side of the city is not a good idea, it is much better to have a doctor nearby, it is optimal – in a few minutes walk (with a pram), because it can happen so that during a trip to the doctor you can not use a car, and a trip with a child by bus or taxi can be tiresome.
Prepare for your first visit to the paediatrician
The gods say he saves, so be prepared in advance:
- Choose clothes that are easy to remove from your child: body and jumpsuit with buttons from top to bottom will work best here. Bring a second, spare set of clothes in case of any surprises.
- You need to take everything you need to change the baby: diapers, wet wipes (even if you don't use them every day), changing mat.
- Take 2-3 diapers so that you can put the baby on them during the examination and weighing process.
- Place a spare nipple in the bag if the child uses it and a bottle of milk if the child is not breastfed.
- Don't forget your documents – policy, passport.
- If you have questions for your doctor, write them down in advance on a piece of paper and take them with you to the doctor. If it's warm, just take a diaper.
- Think about how long it takes to get to or from the clinic and be time oriented. Start preparing in advance, taking into account that sometimes a fully clothed child will have to be changed. It's better to wait outside the doctor's office than to be late.
What will the doctor see?
Physician, or rather nurse – first take measurements. The circumference of the head, chest and height should be measured (approximate, because no one will be able to straighten the legs of a child). After undressing the baby naked, he's weighed. The right weight is an important indicator of a child's development.
The doctor will ask you questions about the course of the pregnancy, the diseases you have experienced during the pregnancy, and the delivery process. Then he will check the information in the health card, ask about the way of feeding the child. If you are feeding him with an artificial formula feeding, the doctor should tell him which formula feeding to choose, how much to give, and when to change it.
If you are breast-feeding, he may ask you to put your baby at the breast to make sure you are doing it right.
After that, the paediatrician will examine the baby to remove the diaper. The doctor examines the sexual organs and watches over the baby: how he behaves, moves his hands and feet, whether he should look after the object, how to react to sound.
will pay attention to the child's skin and tell you how to care for it. The doctor will give advice on how to treat the wound that has formed at the site of the TB vaccination, then check the navel condition. Don't be surprised if the doctor will sniff it, because it's the best way to check if there's any inflammation.
Check the boy's testicles and make sure they're down in the scrotum, and the girls will check if there's a labial fusion. He will ask if there are any problems with urination.
The doctor will examine the stomach, listen to the child from the front and back. In the course of the research, it is better not to distract the doctor and let him/her examine the baby in peace, but to clarify everything you are interested in, it will be possible to do so later.
If you are afraid that you will forget to ask any important question, add him/her to your list.
You will have time to ask questions (when you can clarify all the details you have included in the list), vaccinations, and consultations with your doctor, who will tell you how he or she assesses your child's health.
If your doctor notices any problems, he or she will give you a detailed explanation of their causes, refer you to a test or specialist. The paediatrician may also recommend taking multivitamins, frequent walks, and other ways of putting the child to bed. Don't forget to take all the recipes and directions you need during this visit if you need them.
We hope you don't have to worry about your first visit to the pediatrician. No doubt you'll be much calmer the next time you visit your paediatrician.
First visit to the paediatrician – video
The first visit to the outpatient clinic with the newborn: memo for beginner parents
The first visit to a health centre with a newborn baby often raises a lot of questions. When it is best to come to a pediatrician, what to bring with you, what to say about the child – all of this often carries a lot of problems for beginners parents. In this article, we will answer all of these questions.
Care at the clinic: timing
As the stage of discharge from the hospital, the young mother leaves information about where she will live with her baby. This data is then transmitted to the children's health centre, which is attached to the child. The role of the place of stay is secondary.
As soon as a mother is discharged from the hospital, a nurse and a pediatrician will come to her house in the first month. A pediatrician's visit often takes place on the first day after discharge. He examines the baby, finds out all the details about the birth and prepares a map of the baby. Then, about 1-2 times a week, a nurse will come to your home to take care of your area.
When only a month has passed, you need to come to the pediatrician with a baby. Children's polyclinics often have a special “baby day” – On this day, the doctor only sees children from one month to one year.
You can find out at your health centre what date your baby is scheduled to be seen. On this day you will be able to minimize contact with sick children attending the clinic.
You will also not need to wait long, which is another significant plus.
To choose the right time to visit, you need to study the doctor's appointment schedule. It is also possible to start from a mode of activity of the kid.
Ideal variant – to get on reception of the pediatrician in that period when the kid is awake.
However such accuracy is practically unattainable, therefore it is better to come in at some certain time – it is desirable early, when in polyclinic not so many people. Estimated time is about 8 a.m.
Path to the clinic should be carefully considered by parents. If you don't know the area very well, it makes sense to study it in detail. When there is a car, it solves the problem somewhat, because the baby can be placed in a special car seat. All you have to do is find a convenient place to park, which does not require long transportation of the cradle.
Other route planning tips:
- If you decide to use public transport, remember that buses and trams can be crowded, so putting up a stroller will be very difficult.
- Subterranean crossings do not always have convenient exits to transport the stroller.
- Route planning is better done in advance to know all the details of the way, as well as to specify the time of the road. You will need to see a paediatrician often – especially in the first year of your baby's life.
- If you don't have your own vehicle, you can take a taxi with a child car seat. Be sure to check on the phone to make sure the chair is available. You may be charged an additional fee for this service, but it will still be more convenient than putting the stroller on the bus.
What to take to the clinic
Let's first look at the documents you need:
- Medical policy (or temporary document);
- Mother's passport;
- Birth certificate of the child;
- Medical card of the child (when it is already available);
- Medical certificate.
It is best to have a separate folder where all important documents will be stored. So you won't forget anything and won't leave home.
Things that will be useful when you visit the clinic:
- Diapers. This attribute will be needed when going through all the doctors without exception. A pediatrician will need to put the diaper on the scale when measuring the baby's height. Good variant: regular flannel diapers.
- Diapers. It is best to take several diapers at once, as it is not known how long the first visit to the clinic will take.
- Wet napkins. Another important attribute to take to the clinic. One set must be for the child and the other for the parents.
- Children's toys. We can bring a couple of toys with us. This will help to entertain the baby and stop him crying. It is worth remembering that children often spit out the nipple, so it is better to fix it on a special chain. Also take a spare nipple just in case.
- The bottle of water and food for the baby (when the baby is artificially fed). If your baby gets hungry, you can always feed him.
- Notepad or phone. Write down everything the doctor says. During an oral conversation, you might forget something.
List of things is quite large. It's all gonna have to go somewhere. It's the perfect backpack. He's gonna help you free your hands while you're visiting a pediatrician. Another way to transport things is to use the bag, which comes with a pram. It is quite roomy.
If you arrived in your car, the child can be taken to the clinic right in the cradle. It's a lot more convenient than holding the baby in your arms. Not every mother will be able to bear a newborn baby weighing 4-6 kg when there's a backpack or bag hanging behind her.
Clothes for visiting the clinic
What clothes to choose for visiting the clinic with your child? Pediatricians recommend choosing clothes that are easy to remove and quick to put on.
The best option is a slipper or a body with buckles. Clothes should be picked up based on the weather outside the window. The baby should not be too hot or too cold.
Mom should also choose the right clothes. If your mother is breast-feeding, you can use the special breastfeeding kits. In some cases, even a simple handkerchief will do.
In polyclinics there is a specialized room for mother and child, but often it is closed or in a too large queue. That's why moms have to breastfeed their newborn right in the hallway. Keep this in mind and dress appropriately.
At the time of your first visit, the paediatrician will examine your baby and ask your mother clarifying questions:
- You will need to undress your baby on the changing table.
- The doctor studies the skin, mucous membranes, checks the spring, joints, tummy, listens to the heart and lungs. The doctor also investigates a sufficient reflex, checks the baby's vision and neurological reactions. Very often babies have hypertension or chin tremor. The paediatrician will give you advice on how to deal with this kind of trouble.
- The doctor will find out from you what are the peculiarities of the daily routine of the baby, in what state the baby's chair is, how often he eats, etc.e.
- The podiatrist sets the height, weight, head, and belly volume of the child.
Data helps to understand how the child is developing. If you're worried about anything related to the newborn, ask the pediatrician a question – he or she will give you an answer.
Physician may prescribe some procedures after examining the baby. Among such procedures:
- Massage. This is a frequent phenomenon if a baby has a hypertension.
- Meeting a neurologist. Any neurological symptoms require referral to the appropriate physician.
- Urine and blood analysis. If there are disorders or illnesses, the paediatrician may refer you for tests. A newborn baby's blood comes from his finger. For urine collection, you can use a specialized urine receiver.
- Vaccination. In the first month, the baby is given a second hepatitis B vaccination, as well as a BCG vaccination (if it was not given at the hospital).
Other doctors you'll need to get around
As well as a pediatrician, you'll also need to get around other doctors at the clinic. We should start with an orthopaedic surgeon and a neurologist. Recently, all children have been referred to the brain ultrasound and pelvic joint ultrasound. You'll need to have the results of the survey with you.