Advanced Pediatrics
358 Route 202, Suite 2, Pomona, New York 10970
(845) 364-9800
Fax: (845) 364-9828
NEWBORN VISIT
GENER AL ISSUES
1) Call i mmediately for Lethargy or for Fever of 100. 4 Rectal Temp
T hi s may i ndi cat e a ser i ous i nfect i on.
T he f ol l owi ng t echni ques shoul d be used t o hel p pr event i nf ect i ons:
- Wash your hands f r equent l y , especi al l y af t er comi n g i n f r o m o ut si de and
bef or e handli ng your baby.
- Do not br i ng t he baby t o cr owded pl aces .
- Li mi t who t ouches the baby and ensur e t hey wash t hei r hands pr i or t o
cont act . T ell f r iends and r el ati ves t o avoi d ki ssi ng t he bab y on t he f ace.
- Do not al l ow peopl e to hol d t he baby i f t hey ha ve a col d or col d sor es .
2) Vitamin D Supplementati on
Br eas t f ed i nf an t s shoul d r ecei ve 400 i u of v i t a mi n D dai l y.
SAFETY ISSUES
1) Back to Sl eep
T he f ol l owi ng wi l l hel p p r e v e n t S u d d e n I n fa n t D e a t h S y n d r o m e ( S I D S ) .
- K eep your i nf ant on hi s or her back dur i ng sl eep.
- Do not put st uf f ed animal s or bl anket s near t he f ace.
- Do not over dr ess your newbor n.
- Do not s mo ke ci gar et t es i n t he house or near your baby.
You ma y gi ve “T ummy T i m e” when you and your bab y ar e awake.
2) Do Not Sleep With Your Baby
Shar i ng your bed wi t h your newbor n ma y f aci li t at e br east f eedi ng and hel p t he
baby sl eep bett er . H ow ever, t his practi ce leads t o i ncreased deat h f rom
suf f ocat i on.
3) Never L eave You r Baby Unattended
T o pr event sever e head i nj uri es, never l eave an i nf ant on a t abl e, bed or sofa
wi t hout keepi ng a hand on t hem, even f or a second. Inf ant s can easi l y f all off
of sur f aces ont o t he floor .
4) Never Shake You r Baby
Inf ant s’ br ai ns ar e ver y sensi t i ve t o shaki ng. Even a br i ef shake can cause
brai n dam age . If yo u f eel you ar e get t i ng f r ust r at ed wi t h your baby’ s cr yi n g,
cal l a fr i end or r el at i v e i mmedi at el y t o r el i eve you .
5) Infant Car S eat
T he car seat must be i nst all ed backw ards to pr ot ect t he i nf ant’ s head unt i l t he
baby i s l east one year o f age and at l east 20 pounds .
FEEDING ISSUES
1)
B reast Mi l k or F ormul a onl y
Inf ant s l ess t han f our mont hs ol d l ack t he coor di nati on t o eat wit h a spoon and
can choke on bab y f ood. NO H oney unt i l aft er t hei r f ir st bi r t hday.
2)
Do Not Change F orm ul a
If you t hi nk t her e i s a pr obl em wi t h t he f or mul a, as k us f i r st bef or e chang i ng i t .
3)
Do Not O verf eed
Babi es r equi r e 2½ ounces of f or mul a per pound per day.
i ncr ease spi tt i ng up.
O ver f eedi ng ma y
T he suggest ed schedule bel ow ma y hel p decr ease spi tt i ng up.
1 s t Week of Li f e
2 Weeks Ol d
1 Mont h Ol d
2 Mont hs Ol d
3 Mont hs and Ol der
1 –
2 –
3 –
4½
6 –
1½ Ounces
2½ Ounces
3½ Ounces
– 5 Ounces
8 Ounces
8
8
7
6
5
bot t l es per
bot t l es per
bot t l es per
– 7 bot t l es
– 6 bot t l es
day
day
day
per day
per day
T he best gui de t o nutr i t i on i s t he gr owt h and wei ght of your ba by. If you ar e concer ned
about wei ght gai n or ar e exper i enci ng f eedi ng pr obl e ms, ma ke an appoi nt ment so we can
moni t or your baby’ s gr owt h.