This is how it works at my hospital (Baby Friendly, in Indiana):
- Erythromycin eye ointment/Vitamin K - at some point within the first 6 hours but after the first feeding, some places do it immediately
- Hepatitis B vaccine, if ordered (not all of our docs do) - some point before you go home
- Hearing screen - ideally after 12 hours for vaginal birth, 24 for C-section
- Bath - We want baby's temp to stabilize, so not earlier than a few hours after the birth
- pulse oximetry screening - new in Indiana starting 2012 - between 24-36 hours after birth, if leaving hospital sooner must come back as outpatient for this during this timeframe
- Metabolic Screen (PKU) - before you go home. If it is done after 48 hours of age it does not need repeated, otherwise it will be done between 48 hours-5days old.
- We only check blood sugars in certain circumstances (LGA/SGA, preterm, resuscitation, diabetic mom) - we would check at 1/3/9 hours of age (assuming normal values, if low we'd intervene and check more frequently)
You can decline anything you want, but the nurse will have to discuss the benefits/risks of declining and have you sign a refusal form. For the metabolic screen, you can decline it overall (religious exemption), but if you want to leave sooner than 48 hours you can't decline the first test but plan to get the second.