New Baby Visits - Unifour Pediatrics




Susan H. Huffman, CMPE
 (Practice Administrator)
 
"New Baby" Visits at

Nursery Visits while your newborn is still in the Hospital:


General Care and Instruction: Either at Catawba or Frye Hospital, we will usually see your newborn on morning rounds, or perhaps on evening rounds (if your baby was born during the day). At that time, Dr. Millsaps, Dr. Hata, or Dr. Spees will take report from the nurse, review the medical records, and carefully examine your infant. We will then be out to your room to discuss our findings, provide you some newborn educational materials and a packet of helpful materials, and and answer your questions. While in the hospital, you infant will be given medicine in the eye to prevent eye infection, Vitamin K to prevent bleeding, and the first Hepatitis B immunization and standard medical care will be provided for your newborn. Whether you have have prior babies, or if you are first-time parents, newborn infants have many common findings that may surprise you, most of which constitute no problems for the health of you new baby. The nursing staff will discuss with you and teach you about feeding issues, growth, immunizations, and many other subjects.

Educational Resources: Fortunately, there are excellent resources that can help you understand newborn and infant care. There are an enormous number of resources that we can provide you either on (or linked from) this website. These include many topics related to newborn care, general pediatric care, development, parenting topics (including 500+ audio lectures ... 10-25 minutes/lecture), and immunizations, to name just a few. If your intent is for Unifour Pediatrics to provide long-term care for your infant, then we will also provide you an excellent 750 page well-illustrated reference book by the American Academy of Pediatrics, entitled "Caring for Your Infant and Young Child, Age Birth to 5 (assuming you do not already have this book, and we have them in stock) or the Spanish version. The continued use of this excellent book (and the other office handouts we will regularly provide you) should save you at least 6-8 office visits per year (saving you money, time and undue concern) and make life for you and your new baby much more enjoyable and worry-free. We find that it is much better to educate and prevent, rather than having to put out fires later (part of our guiding principles)

Circumcision: Should you desire a circumcision in your baby boy, then the procedure will be discussed, a permit will be signed, and the procedure will be performed, usually the next morning. We, or course, use local anesthesia for this procedure.

Hospital Rounds: We will recheck your newborn each morning on "hospital rounds" until the time of discharge. You will be kept abreast of the progress of your infant's health status, and your concerns, if any, will be addressed. We may visit you at other times as well, as we supervise you infant's care. Should you infant develop certain health problems, we may involve the neonatologists as well (Dr. David Berry, and Dr. Samuel Wellman).

Important - Make follow-up appointment: You will need to make an appointment to see us in the office 1-2 days after discharge. Call (828) 328-1118 during office hours. This is usually 2 days after discharge in normal circumstances, or one day if jaundice is developing of there is poor weight gain or if we have specified a one day recheck for some other reason. This appointment is not optional - it is required. We will see you and your new baby in the office at this time even if this is Saturday of Sunday or a holiday (on these days make the appointment as soon as possible after 8AM, before sick children arrive. Here are some guidelines to taking your new baby home.

Problems after discharge:

If you have problems before this recheck visit, then you can contact us to discuss the concerns. If your baby is sick, has a fever, is in distress, is not as responsive, have poor color, etc. etc. then you should contact us immediately. The office number is (828) 328-1118. When you make the appointment, sure that you verify that you will be seen on the lower "Well Baby" level of the office (not open on weekend and holidays).

Office Visit 1-2 days after discharge:

Infants need to be seen in the office 1-2 days after discharge from the nursery, which, in most cases, is at 3-4 days of age. This is because many develop jaundice, have feeding problems, and/or excessive weight loss. There are other, more subtle physical findings that are even more important to check for. There are many questions we will ask you, and we will perform a detailed physical examination, with particular attention to common problems that are often first discovered at 3-4 days age. We will provide advice and recommendations, will answer your questions and concerns, and we will provide you "handouts" to take home. If your infant has developed a significant yellow color ( jaundice), then a blood test may be performed (usually drawn in the office) ... or, alternatively, a "Bilimeter" may be used to check the jaundice optically without having to perform a blood test.

After this check, your infant will usually not be seen back in the office until the next routinely scheduled well child checkup at 2 weeks age. However, if your newborn has developed significant  jaundice, he/she may be seen back the following morning at 8AM. Of course, if there are any problems, you can always call back to be seen earlier, or you can receive telephone help from our nurses. Another source of excellent advice is the book Caring for Your Infant and Young Child, Age Birth to 5, by the American Academy of Pediatrics, a large 750 page paperback with thousands of age-specific healthcare topics. We also advise the use of many excellent website links available on this Unifour Pediatric web site.

Preparing for the next Office Visits at 2 weeks age and then at 2 months age:

The most common questions asked about the upcoming two week and two month checkups are question regarding immunizations. We have included these excellent references should you decide to read more on this subject. We strongly encourage you to proceed on with the standard immunization schedule advised by the CDC, NCIP, AAP, AAFP, VYB, etc. For an exhaustive list of immunization information resources, click HERE. These are the immunizations to be given at 2 months age: DTaP, IPV, HIB, Prevnar, Hepatitis B, and Rotavirus. Usually, the DTaP, IPV, and HIB are combined as Pentacel (one injection). Prevnar and Hepatitis B given separately (2 more injections, so 3 total). Rotavirus immunization is given my mouth (must be started by 12 wks).

2 Week Old Well Check-up:

History & physical examination and questions answered.   No immunizations. Usually no blood tests. Handouts provided with health information and anticipatory guidance, information about growth and development, breast or bottle feeding, safety, skin care, etc. See additional references below regarding immunizations etc.


2 Month Old Well Check-up:

History & physical examination and questions answered.   Immunizations: DTaP
, IPV, HIB, Prevnar, Hepatitis B, and Rotavirus.
  - Usually DTaP, IPV, and HIB combined as Pentacel (one injection).. - Prevnar and Hepatitis B given separately (2 more injections, so 3 total). - Rotavirus immunization is given my mouth (must be started by 12 wks).   Usually no lab studies. Handouts provided with health information and anticipatory guidance. Review of growth, feeding, development, sleep, learning, play, communication, senses, and medical care. See additional references below regarding immunizations, etc.

Preview of Well Check-up coming up:

To view a a more complete list of upcoming check-ups,CLICK HERE

Future Reference: To display and print a PDF copy of Office Hours and Contacting Us (often placed under a refrigerator magnet or at bedside), click here.


    ** Links from AAP may not work (temporary) **
Helpful References/Links for "Sick/Problem/Well/Parenting" Care:

Pediatric Health Advisor excellent pediatric medical advice (indexed)
Pediatric Advisor - Spanish - (Spanish version of the above - McKesson).
Pediatric Advisor - Other Languages- (Other languages - McKesson).
Helpful Videos - (educational Pt Ed videos - from Boys Town Peds).
Childrens's Hospital Minnesota - excellent educational references

KidsHealth for Parents - excellent pediatric and parenting reference!
Kids Health for Parents - Spanish - excellent pediatric reference!
KidsHealth for Teens - (excellent Teen version of the above - McKesson).
KidsHealth for Teens - Spanish - (excellent Teen version - McKesson).
KidsHealth for Kids - (excellent "Kids" version of the above - McKesson).
KidsHealth for Kids - Spanish - (excellent "Kids" version - McKesson).
KidsHealth in Spanish  - (excellent Spanish version of the above).
Medication/Drug Information Look-up - RxList.com  - (Info about  Meds).
Medication/Drug Information Look-up - Drugs.com  - (Info about  Meds).
Medication/Drug Info and Safety - Pharmacists - Info/Safety abouts Meds

Medication/Drug Information Mobile Apps  - (Android and iPhone).
HealthyChildren.org Pediatric Health Info  - excellent info (AAP, In English).
HealthyChildren.org Pediatric Health Info  - excellent info (AAP, In Spanish)

C C Parenting Network - Catawba County Parenting Network - classes.
The Parents Journal Parenting Tips - Tips from other parents - parenting.
The Parents Journal Radio Show  - NPR radio program on parenting.
The Parents Journal Audio Clips - 500+ parenting lectures to listen to!
The Parents Journal Main Page - Great programs for parenting issues
KidEmergencies.com - Childhood Emergency and Poisoning Resource.
DrGreen.com - Great Information for parents of many topics.
Kids Health First: - General information on child care.
Growth and Development - Excellent for up through school-age..
Teen Growth and Body Concerns - Excellent for teens through college.


Newborns:

Newborn CareExcellent Newborn resources from KidsHealth.com.

Development/Growth:
Development and Growth - growth and development section of KidsHealth.
Zero to Three - excellent information on early childhood
Developmental milestones- age-specific developmental milestones listed.

Behavior/ADHD/Stress:

Behavior & Emotions- great, emotions and behavior section of KidsHealth.
Rainbows for Crisis - programs helping children through grief process.
All Kinds of Minds  - programs for children with learning/school problems.
Dads and Daughters  - fostering great relationships -  fathers & daughters.
Child/Adol Psychiatry  - am. acad. of child & adolescent psychiatry.
Child/Adol Psychiatry  - AACAP - Helpful Mental Health Facts for Families.
CHADD - Children and Adults with ADHD web-site - lots of resources.
WonderWise Parents  - resources for child development and parenting.
Quotes For Parents  - great quotes for parents to think about.

Disabilities, Special Needs
Disabilities (AAP) - information about disabilities from the Acad. of Pediatrics.
Disabilities Resource Community - Learning Disabilities Resource Comm.
IEPs - information on Individualized Education Plans (IEP's)
Dyslexia Support Group - The International Dyslexia Program web-site.


More Health Information:
Patient Education Clearlinghouse - Dept of Pediatrics - UMHS, ENG.
Patient Education Clearlinghouse Spanish - Pept. Peds. UMHS, Spanish.
Animated Body Guide  - pictorial anatomy guide/lessons, InnerBody.com.
CDC in Atlanta - Centers for Disease Control in Atlanta - excellent info.
CDC Diseases/Cond. - Centers for Disease Control -  info. on conditions
Nat. Libraries Medicine  - National Libraries of Medicine (searchable)
NIH Health Information  - National Institutes of Health Info (searchable)
MedlinePlus Health Info  - excellent - Medline Plus (US NLM and NIH)

Reading/Education:
Audio Clips - Education - excellent  - Parents Journal audio education
Reach Out and Read!  - Making books part of healthy childhood
Home Schooling - National Home Education Research Institute - NHERI
Harvard Educ. Letter - Harvard Education Letter - great information
Child Financial Training - Coalition for Personal Financial Literacy - children.
Financial Aid for College - SmartStudent Guide to Financial Aid (for college)
Picture Book Reviews  - List/Reviews of recommended books for children.
After-School Alliance- After-School programs for children ways to start them.
Dolly Pardon Imagination Library - Books sent to home monthly to age 5.


Immunizations:
Vaccinate Your Baby- EXCELLENTreference about immunization info.
Vaccine public service announcements: PSAs by Amanda Peet & AAP, etc.
Vaccinate Your Baby - EXPERT INFOabout immunizations - MANY sources.
Vaccine Education Center - EXCELLENT- Children's Hosp of Philadelphia.
Autism's False Profits - Bad Science, Risky Medicine, Search/Cure - Great.
Detailed reviews of diet/autism info: Article is excellent and informative. 
AAP Immunization Info- American Academy of Pediatrics immunization info.
AAP Immunization Safety - American Academy of Peds immuniz. safety.
Every Child by Two - Every Child by Two immuniz. safety - Rosalynn Carter.
AAFP Immunization Info - American Academy of Family Practice  imm. info.
AMA Immunization Info - American Medical Association  immunization info.
CDC Immunization Safety - Centers for Disease Control immunization info.
10 Vaccine Myths - Busted - Parenting Magazine.
Immunization Omission/Delay Deaths - Case History of Deaths - no "shots".
Immunization Action Coalition  - Immunization Info for health professionals.
Institute for Vaccine Safety  - EXCELLENT Immunization Info in great detail.
National Network for Immunization Information  - EXCELLENT Information.
Parents of Kids with Infectious Diseases - Ask experts questions directly.
Voices for Vaccines  - Dedicated and Reliable source of immunization info.
Vaccines & Immunizations - Centers for Disease Control & Prev (CDC).
Immunization Practices - ACIP - Advisory Committee for Immun Practices.
Vaccine Info Statements - Vaccine Information Sheets - many languages.
The Truth about Vaccines and Autism EXCELLENTImmunization Info
National Association for Immunization Information - Excellent reference.
NC Immunize - Information on Immunizations for the State Of NC.
Do Vaccines Cause That? - Clearly sets the record straight about safety.
FDA information on Immunization Safety -  FDA studies on vaccine safety.


Travel Medicine:

CDC Travel Health- CD Travelers' Health - excellent information - to anywhere.
MD Travel Health - complete travel health information - to anywhere.

Breastfeeding:
Breastfeeding Basics index to topics - from KidsHealth.com web site.
Drug Lookup Breastfeeding- Drug lookup for pregnancy and breastfeeding.
La Leche League- excellent information to support breastfeeding.
AAP Breastfeeding Medication List - Academy of Pediatrics Info on drugs.

Nutrition and Exercise:
Breast Feeding Basics: menu from the KidsHealth breastfeeding web site.
Fitness and Nutrition- Nutrition and fitness information - from KidsHealth.
Eat Smart More More - North Carolina "Eat Smart Move More" program.
Turn Off TV/Video - Center for Screen-time Awareness (TV/video/computer)
NIH Healthy Lifestyles - National Institutes of Health - Weight control info.

Drug/Smoking Prevention:
Drug Abuse Prevention - Strategies for prevention of drug abuse.
NC Alliance for Health- To reduce smoking around kids and reduce obesity.
Drug Abuse Prevention - The science behind drug abuse - great for teens.


Safety/Prevention:
Safe Kids USA - preventing accidental injury in children.
Toy Recalls- Product Recalls - sponsored by US Government
Recalled Products- Product recalls - US Consumer Product Safety Commis.
Toy Safety - Federation of State PIRGs - finding and removing unsafe toys.
Internet Child Safety - National Center for Missing & Exploited Kids.
Video Game Rating - Entertainment Software Rations Board.
Safe Young Drivers - a guide for parents and teens.
Missing Kids - main site -  National Center for Missing & Exploited Kids.

Child-Care, Camps, etc.
Child Care Resources - National Association for Child Care Resources.
Child Care Facilities Rated - NC Division of Child Development.
Summer Camps - National Camp Association - a recognized authority.
Mothers and More - organization dedicated to improving the lives of mothers.
Twins, Triplets, etc.- supporting multiple birth families - at every step.
Child Care Resources- resource for finding high-quality child care.
America's Promise- resource (Gen. Colin Powell) helping disadvantaged.
American Academy of Pediatrics- search for camps/child-care via site.
Alliance for Childhood- child advocacy for healthy and enriching environment.

Internet Safety, etc.
Internet Safety - KidsHealth- Internet safety information from KidsHealth.
Safe CyberSurfing - Kids- More Internet safety information from KidsHealth.
Screentime Habits/Safety- healthy habits for TV, video games, and Internet.
Teen Internet Safety - safe Internet surfing tips for teens - from TeensHealth.
Internet Checklist - Parents - fill the checklist out & think about your situation.
CyberSafety for Kids- a parent's guide to cybersafety for kids online.
Educational Games - examples of safe educational computer games.
Internet Checklist - Teens- fill the checklist out & think about your situation.
Online Safety Rules- Kids Rules for on-line computer safety.
SafeKids - Internet- discussions, info, and video about Internet safety.



   
 
David Millsaps MD FAAP

Brooke Hata MD FAAP

Richard Rheinbol
t MD FAAP
Barbara Colosimo
MD FAAP
William Elliott MD FAAP

Board Certif. Pediatricians:
Fellows of the American
   Academy of Pediatrics

and our Pediatric
   Nurse Practitioners



Sommer C. Clark, CPNP

Karen Leasure
, CPNP
Camille Glidden
, CPNP
Lauren McFarland
, CPNP

Evina Nanato, CPNP

Gretchen Weeks
, CPNP

Mission:
Unifour Pediatrics is a physician-owned primary care pediatric practice established to provide quality comprehensive healthcare services to infants, children, adolescents & college-age youth.