Having a new baby is a thrilling and rewarding experience for any parent. We welcome your family to our practice and look forward to providing quality health care for your baby. Expecting parents can schedule a free prenatal appointment with one of our providers to get information about our practice.

Newborns

Insurance

Call our office as soon as possible once the baby is born. You will be asked to provide insurance information for BOTH parents, regardless of marital status, and regardless of which parent’s plan the baby will be added to. It is important that we hear from you before baby is born to make sure that there are no potential insurance issues. During this initial call, our staff will ask you for some information and answer any questions you may have about our practice. At this time, if you'd like, you can schedule an appointment for a prenatal visit, where you can meet with one of our providers, have your questions about the practice answered, and get a feel for the office. However, a prenatal visit is NOT required to enroll with us.

It is extremely important that you add your new baby to your health insurance policy once your baby is born. Most insurance plans have a 30 day grace period for newborns to be added. Once the grace period has expired, if the baby has not been added, the parent will be responsible for charges incurred. Please remember to bring your insurance card, copay, and patient forms to your first visit. 

My Baby's First Visit

​We care for newborns once they are discharged from the birth hospital. Usually the babies are seen 3-5 days after discharge. The first 2 visits usually involve weight tracking, feeding issues and other newborn issues like jaundice, umbilical cord care, circumcision care, etc. 

 

Since all hospitals administer the first Hepatitis B vaccine at birth, the next vaccine (Hepatitis B #2) is administered at 1 month of age. We firmly believe that vaccines are one of the most important aspects of preventive health care for children and are a safe and effective way to protect children from certain infectious diseases that may cause devastating consequences including, but not limited to, death. 

 

At My Kids we adhere to the immunization guidelines recommended by the American Academy of Pediatrics and the CDC.  We don't support any significant delays or omissions from that schedule.

Feeding Your Baby

My Kids is distinguished for its breastfeeding and lactation resources. We offer in-office consultations to help both mom and baby accomplish a breastfeeding plan that works for them.

 

We spend a lot of time at breastfeeding visits and checkups talking about feeding. Basically a newborn eats very frequently, both day and night. Babies are born with extra fluid and initially all babies lose weight, stabilize, and regain their birth weight in the first week or 2. Once growing well they gain between ½ and 1 ounce/day. We encourage breastfeeding! It may take 2-4 days for your milk to “come in.” Breast babies usually feed every 2-3 hours for 20—30 minutes. Sometimes the baby will be sleepy at first – if he is difficult to rouse, try to wake the baby up by removing clothes, tickling his feet and even applying a cool washcloth to his head or feet. It also can be normal for the baby to “cluster feed,” or feed very frequently every half to one hour for a stretch of time. There is a learning curve for most moms and babies for breastfeeding. Don’t get discouraged – the majority of problems with breastfeeding can be solved.

 

Bottle babies usually feed every 3-4 hours and start off with between 1-3 ounces per feed. Use an iron-fortified infant formula. Babies do not need supplemental water. It is normal to have a slight coating of milk on the tongue. This is not harmful. Regular feedings, wet diapers and bowel movements are all signs that things are going well. We will help you by monitoring this closely.

Spitting: Most babies spit up at least a little, although it can seem like a lot comes out. If the baby is growing well, not very fussy with arching of the back and not having scary coughing or choking spells this is normal. Vomiting is more forceful with retching most often from overfeeding. Excessive vomiting requires medical attention.

Diapers

Diaper Rash: The area is so sensitive and there is so much contact with urine and stool that it is impossible to not get at least a mild rash from time to time. Change the diaper frequently, use the right size diaper, and keep as dry as possible. Zinc (Desitin), Cetaphil, Aquaphor work well as barriers. Use water or low alcohol wipes to clean stool. No wipes are needed for urine. If a pimply looking rash develops after several days of irritation yeast may be present and Lotrimin or other yeast cream may need to be added. 

Stooling Patterns: The initial tarry meconium stools transition to soft sometimes seedy stools. Initially there may be stools with each diaper change but later on many babies, especially breast fed babies will stool once every several days. What matters is not how often the baby goes, but that the stools remain soft. Babies grunt, grimace, and make a lot of noise as if in pain, but this is normal.

Bathing

Bathing: We recommend waiting to put your baby directly in water until the cord and/or circumcision heals. Your baby has been soaking for 9 months and the skin is waterlogged, often peeling, and very sensitive. It is ok to wash the diaper area and face with warm water. No soap is needed. A mild shampoo can be used for the hair. Bathing every 2-4 days is plenty. It is not necessary to remove the mucus many girls have in the vaginal area.

Umbilical Cord: No special care is needed. Normal healing may create a “yucky” look and may smell. This material at the base can be wiped away with water. In the old days alcohol was used to speed drying. Typically the cord comes off in 1-2 weeks. Sometimes there is a small amount of bleeding when it separates, which is ok. Within a week after separation the area should be dry. Many babies have umbilical hernias, which looks like a pouching out of skin and intestine through an opening at the base of where the cord was. This usually resolves on its own.

Nail Care: Please file your baby's nails with an emory board.  Do not clip them for the first 6 months. It is very difficult to tell where the skin ends and the nails begins.  You run the risk of cutting your baby's skin.  

Jaundice

Jaundice is an orangey/yellow skin color seen in many babies, most often in the face and upper trunk, caused by a buildup of the pigment bilirubin. Bilirubin is normally cleared in the liver where red blood cells are broken down, but it takes a few days for a newborn’s liver to get up to speed. If there are any extra risk factors, like prematurity, ABO blood type incompatibility, or bruising the bilirubin may climb higher and the baby may look more yellow. Physiologic jaundice usually peaks on the 3-4th day of life. Jaundice is harmless as long as the level of bilirubin does not get high enough to cross into the brain. We can see jaundice at much lower levels and follow it along, sometimes with frequent measurements and/or phototherapy to make sure the level never gets too high

Concerned About Illness

All babies spit up, sneeze, sound stuffy, hiccup, snort, squeak and make all sorts of noises. They all have gas, and squirm, grunt or make noise when they pass gas or have a bowel movement. You can often hear their stomach gurgling. Some babies sleep a lot and cry very little and others cry a lot and sleep very little. Babies change almost daily so what seems normal one day may be different the next day. Eating well and sleeping well are the best signs that your baby is healthy. There may be fussy periods, but a baby should not be excessively irritable, very sleepy and difficult to arouse, or lose interest in feeding. If you are worried check your baby’s temperature rectally. If the rectal temperature is greater than 100.4 in the first 3 months of life call us immediately.

Nasal Congestion: Babies noses may sound congested, especially when the air is dry. Most of the time this bothers us way more than it bothers the baby. If it seems to interfere with eating or sleeping a cool mist humidifier and/or saline nose drops with gentle aspiration may help.

Sleep

Most babies sleep a lot in the first few weeks, but not necessarily at the times you may hope for! Be patient; try to take naps and sleep when the baby is sleeping. Your sleep deprivation will add up, so you need to take care of yourself. Accept help from others. Some babies need night feedings a bit longer than others. In general a baby over 10-11 pounds and between 2-4 months can sleep through the night without being hungry. Babies should sleep on their backs on a firm surface. We recommend cribs or bassinets. Don’t put any pillows, toys or blankets in the bed. If you must co-sleep, minimize the risk of sudden infant death syndrome (SIDS) by making sure no one in the bed has been drinking or smoking and keep all blankets away from the baby. Your newborn baby is too young to “sleep train.” When the baby cries it is generally to communicate something to you. You are not spoiling your baby by holding him frequently. As he gets older putting him down when drowsy to fall asleep on his own will help him develop natural sleep habits.

Crying

All babies are born with their own unique temperament or characteristics. It is exciting to get to know your baby and watch him change almost daily. Talk in calm, reassuring tones to your baby and hold her a lot. It is impossible to spoil a young infant. Basically babies cannot do anything for themselves, so your job is to do it for them-24/7! They need to be warm, dry, loved and not hungry. All babies cry, for many reasons. They may be hungry, too warm, too cold, over-tired, over-stimulated, or may seem to have no reason at all. Your job is to try to figure it out and calm them when possible. Sometimes they will cry and calm themselves. As they get older their ability to self calm will get better and better. Be sure to get rest whenever you can and enlist the help of others for support.

Visitors

Babies have under-developed immune systems and any illness, even a virus, can be much more serious in the first few months of life. Limit visitors and travel, and require good hand washing before letting visitors hold your baby. It is safe and encouraged to put the baby in the stroller and go for a walk outside or indoor shopping center.  Limit other strangers from trying to touch your baby.  

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My Kids Pediatric Partners, PC

1102 Highway 315 Blvd, Wilkes-Barre, PA 18702

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