Are you expecting........

  • Will my pediatrician see my baby in the hospital?

    A Facey provider will see your baby in the hospital within 24 hours of birth.  We all rotate through the hospitals.  The Facey provider who is rounding at the hospital will see your baby and do a complete examination and will be available to answer your questions.
  • What will my baby have done in the hospital?

    In-hospital tests are invaluable in helping assess your baby’s health soon after birth.

    • APGAR
      Scored one minute after birth, and again at five minutes after birth, the APGAR assessment checks the general overall condition of your baby at 1 minute after birth and then again 5 minutes after birth. APGAR is also an acronym for:

         Appearance (skin color)
         Pulse (heart rate)
         Grimace (reflex irritability)
         Activity (muscle tone and neurologic alertness)
         Respiration (breathing)

      Scoring is ranges from 0-2 for each characteristic, with ten totaling the highest score.
    • Hearing Screening
      California requires this hearing test to be done before your baby is discharged from the hospital.  The hospitals wait until a baby is 12-24 hours old. Although hearing loss is rare, early diagnosis and intervention leads to better outcomes later in life.
    • Jaundice
      Yellow coloration of the skin and the whites of the eyes characterize jaundice.  It is secondary to high levels of bilirubin, a byproduct of the normal breakdown of red blood cells.  In utero, bilirubin is eliminated through the mother’s liver.  After birth, it can take a few days for the baby’s liver to do this as effectively.  This jaundice, physiologic jaundice, is the most common in the newborn.

      All babies have jaundice to some extent.  We need to monitor levels to make sure that it is not too high.  The nurses and providers may check transcutaneous levels, not requiring a heel prick, or actual blood levels of bilirubin.  High bilirubin levels will require close follow up in the hospital and the office after discharge.  Please understand that although these frequent rechecks can be inconvenient, it is extremely important for your baby’s well being.  If indicated, home phototherapy may be initiated.
    • Expanded Newborn Screening
      Right before hospital discharge, expanded metabolic screening is done in order to screen for over 30 metabolic disorders.  The test is done by obtaining blood with a prick to the heel. These tests include checking for Phenylketonuria (PKU), Congenital Hypothyroidisim, Cystic Fibrosis, Maple Syrup Urine Disease, and Sickle Cell Disease. The results are mailed to your pediatrician.  If there are any abnormalities, the state program will contact you and your pediatrician. Ideally the test should be performed when the baby is at least 24 hours old and feeding has been established.
    • Eye Ointment
      Since there are is a lot of bacteria in the birth canal, the hospital staff routinely administers an antibiotic ointment into your newborn’s eyes after birth as a precaution to prevent infection such as conjunctivitis or bacterial infection of the eyes.
    • Vitamin K
      By law Vitamin K has to be offered in the first hour of life.  It’s given to babies in a single injection to promote blood clotting since a deficiency in Vitamin K could lead to bleeding in the brain, otherwise known as hemorrhagic disease of the newborn (HDNB) or vitamin K deficiency bleeding (VKDB). Newborns at risk are babies who did not receive the preventative injection at birth (especially those born in difficult vaginal deliveries), babies who will be exclusively breastfed, and babies born to mothers who have seizure disorders.
    • Hepatitis Vaccine
      We follow the recommendation by the American Academy of Pediatrics to give the first dose of hepatitis B vaccine to newborns before they leave the hospital.
  • When to make your first appointment after discharge?

    Typically, your baby’s appointment will be 2 to 3 days after your discharge from the hospital.  If there are other concerns such as jaundice or excessive weight loss, we may have you schedule an appointment earlier.  Please call the office once you know your anticipated date of discharge to schedule an appointment.  Newborn follow up appointments are a priority so we will see you even if we are very busy!
  • What should I expect at our first appointment?

    Be prepared to come in 30 minutes EARLY, as there is paperwork to fill out (Insurance information, Patient information sheet, Pediatric history, Third party consent). You can obtain the forms from our website and fill them out prior to your appointment.  In that case you need to come only 15 min early.  New parents often underestimate the time necessary to make your first outing, so remember to take that into account.  Please bring in your questions, so we can make this visit very productive. Please remember to make the baby’s next appointment before you leave the office.
  • Breastfeeding

    The nurses at the hospital are trained to help new mothers breastfeed and answer questions.  Most hospitals have lactation support groups that are run by lactation consultants.  These do have an additional charge.  If you are interested, ask the nurses at the hospital or you can always call Labor and Delivery after discharge for additional information. Your pediatrician can also provide references for lactation consultants if you want a private consultation. Also check our Resources section, above for more information.