Congratulations! Your baby is finally here. Newborns are wonderful, but exhausting! Having friends or family around to provide extra help and support can be very helpful. Make sure all visitors wash their hands well. Your baby’s first visit to our office takes place during his or her first week of life, usually 2-3 days after you are discharged from the hospital.
This is considered the first well visit for your baby. We do a lot at this visit, including:
- Check your baby’s weight.
- Monitor for signs of jaundice.
- Check to see how your baby is feeding.
- Provide a referral for breastfeeding consultation with a local Lactation Consultants (if needed).
- Answer questions about your new baby.
Immunizations: HepB#1 (if not given in hospital),
RSV (during RSV season, if not given in the hospital or if mom did not receive a RSV immunization during the last trimester)
Tests/Screens/Assessments: None
Helpful Info: Caring for Your Newborn
Bright Futures Parent Info
The 7-10 Day Visit is a time for us to re-assess how your baby is doing with feeding, sleeping, elimination, and general comfort.
This is considered a well visit. Babies usually lose weight right after birth, and we like them to have re-gained their birth weight by 10 days. Please remember that it is important to always put your baby to sleep on his or her back in a flat, firm and separate sleep space to reduce the risk of SIDS. As always, we are here to answer questions and offer anticipatory guidance.
At this visit, we are also assessing the parent's ability to cope with the stress of a newborn infant. We like to remind our parents that their friends and family may offer to help. Please honor them and take them up on their offer because they will soon stop asking. They can just sit in the room with the baby while you take a long shower, eat a good meal, or take a walk on your own. If you don't feel they can help with direct care of the baby, then let them do some of the following for YOU: cut your grass, rake your leaves, shovel your snow, pickup some groceries, address your thank you notes, or fold your laundry.
We do a lot at this visit, including:
- Measure your baby’s weight, length and head size and record on a growth curve.
- Assess your baby's feeding regimen and provide appropriate input on breast and bottle feeding.
- Remind you to give your baby a daily supplement of 400 IU of vitamin D drops if you are breastfeeding.
Immunizations: None
Tests/Screens/Assessments:
Repeat Newborn Metabolic Screen
Helpful Info:
Vitamin D for Babies,
Back to Sleep
Bright Futures Parent Info
Families are usually settling in some by this visit. Feeding, sleeping and bowel habits are sometimes a concern. At this visit we will track your baby's growth and development and answer any questions. Your baby may be
starting to spontaneously smile now and should be obviously responding to bright lights and loud sounds. As you are likely to be traveling more frequently with your newborn, it's a good idea to make sure all of your vehicles have securely installed
infant car safety seat base.
Immunizations: HepB#2
Tests/Screens/Assessments: Post Partum Depression Assessment
Helpful Info: Back to Sleep, Tummy to Play
Please Complete Before Your Visit: Post Partum Depression Assessment, add child to your insurance policy
Bright Futures Parent Info
Many babies seem more fussy or colicky at this age. Be patient. Colicky babies eventually
outgrow their crying phase. Keeping your baby safe is the most important thing you can do. Even if you feel frustrated, handle your baby gently and reach out for help to friends, relatives, or your pediatrician if the crying is getting to be too much. If you need a break and noone is available to help you, place your baby on his/her back gently in a safe space such as a crib or bassinet and take a 4-5 minutes out of hearing range of your baby to calm down.
We do a lot at this visit, including:
- Measure your baby’s weight, length and head size and record on a growth curve.
- Provide your baby’s first set of immunizations. Immunizations are safe, effective, and keep your child and our community healthy. During this visit, you will be able to discuss any questions you may have about immunizations.
- Screen for post-partum depression.
Immunizations: Pentacel #1 (DTaP/
HIB/
IPV), PCV20 #1, Rotavirus#1
Tests/Screens/Assessments: Post Partum Depression Assessment
Helpful Info: Colic, Crying and Your Baby: How to Calm a Fussy or Colicky Baby,
Acetaminophen dosing chart
Please Complete Before Yor Visit: Post Partum Depression Assessment, 2 mo ASQ (Ages and Stages Questionnaire)
Bright Futures Parent Info
Your baby is becoming more active and verbal. Be careful not to leave your baby unattended, especially on a bed, couch, or counter. They move faster than you think! Babies need only breast milk or iron fortified formula for the
first 4-6 months of life. We will talk at this appointment about the appropriate time to introduce solid foods and what foods to introduce first.
At this visit we will:
- Measure your baby’s weight, length and head size and record on a growth curve.
- Provide your baby’s immunizations.
- Discuss when to start feeding your baby solid foods
- Screen for post-partum depression.
Immunizations: Pentacel #2 (DTaP/
HIB/
IPV), PCV20 #1, Rotavirus#1
Tests/Screens/Assessments: Post Partum Depression Assessment
Helpful Info: Your Child's Development
Please Complete Before Yor Visit: Post Partum Depression Assessment
Bright Futures Parent Info
Your baby will begin to move more and will be able to sit up independently for short periods of time. Now is the time to start baby-proofing your house if you haven't already done so. You should move the mattress in your baby's
crib down to the lowest level.
At this visit we will:
- Measure your baby’s weight, length and head size and record on a growth curve.
- Provide your baby’s immunizations.
- Discuss the introduction of fluoridated water to encourage the development of strong and healthy teeth. If you have city or rural water, your water is fluoridated. If you have well water, you should have your water tested for fluoride before offering it to your baby.
- Screen for post-partum depression.
Immunizations: Pentacel #3 (DTaP/
HIB/
IPV), PCV20 #1, Rotavirus#1.
Flu vaccine and
COVID vaccine are advised starting at 6 months of age.
Tests/Screens/Assessments: Post Partum Depression Assessment, TB Surveillance, Lead Surveillance, Oral Health Surveillance
Helpful Info: MD Poison Center (888-222-1222),
Starting Solid Foods,
AAP Video on Starting Solids,
Suggested Feeding Schedule,
Your Child's Development,
•Instructions for Introduction of Peanut Products to Infants
Please Complete Before Yor Visit: Ages and Stages, Post Partum Depression Assessment
Bright Futures Parent Info
Your baby may be starting to crawl, pulling to a stand, and cruising on furniture. Babies will want to touch everything; this is how they learn. This is
a messy time! Have fun and be patient.
At this visit we will:
- Measure your baby’s weight, length and head size and record on a growth curve.
- Discuss your baby's upcoming dental care. Your baby should see a dentist at 1 year of age. You should be brushing your child's teeth with an infant toothbrush and a tiny smear of fluoride toothpaste. We will provide you with a list of dentists and encourage you to schedule your baby's first appointment.
Immunizations: Hep B #3
Tests/Screens/Assessments: Ages and Stages Questionnaire, Oral Health Surveillance
Helpful Info: Caring for Your Child's Teeth,
Your Child's Development,
Suggested Feeding Schedule,
MD Poison Center (888-222-1222)
Please Complete Before Your Visit: Ages and Stages Questionnaire
Bright Futures Parent Info