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follow up exam for newborn after homebirth... - Page 2  

post #21 of 33
hmmm

with dd, our midwives did follow up care through six weeks. She didnt see a ped until four months, for a wbc.

with this baby, our midwife will do follow up care through six weeks. And then... I don't know. i haven't found a new ped / family doc that I am crazy about. I can tell you I won't be going anytime in the first two months or so though! (provided of course that babe is healthy and happy)
post #22 of 33
My MWs came to me for a one-day check, three-day check, PKU at two weeks and I went to them last Fri for a 6 week check (one week late.)

My family practicioner's nurse gave me a hard time about not being there yet, I called when he was three weeks old to verify about the PKU. She said he was a week late for his first check. I explained that my MWs handled everything up to 6 weeks and no way would I be bringing a young babe into a germy office for no reason. She didn't respond well, kept saying that it was just a 'get-to-know-him' appointment. Blah, blah, blah. Anyway....he's 7 weeks old now and we still have no distinct plans to hit the doctor's office unless he's sick. I do plan to go at SOME point, so that CPS wouldn't be looking over our shoulders if anyone complained down the road about no vax or something. Anyway, do what YOU feel is best for your child.
For me (and my DH,) best was this: We are very in tune with our animal/parenting instincts and they tell us that he is healthy, inside and out. If we had doubts or were not in touch with ourselves, we'd probably feel that we needed a doc to give him the thumbs up.

WAIT, WAIT...I just noticed your sig. You're naming your boy Jet? That's too cool. That's what we named our son and everyone just says, "What?" when we say his name....not in the WHAT?!!? sense, just in the "I'm sorry, I didn't hear you. Please repeat yourself" way. I repeat, "His name's Jett" and they generally just say, "oh." I would have expected more of response, either positive or negative. All I have gotten so far is some gentle negativity from our family and "Oh, hi there Jett Travolta." from a fellow pilot. (Hopefully, very few know it's a celebrity name, since that's NOT why we used it, ack.) A few have just said, "Well, that's appropriate."

If you do go to the doc with your son, please have the AAP's print-out on caring for an intact penis. You have no idea how fast a nurse/doc can forcably retract their foreskin and cause them pain and possible scarring. That's a huge nono and while docs shouldknow it, soooo many do not. They'll give you all sorts of detrimental advice on how you 'have to' care for his penis. It's hooey. Just be sure to check in on the "The Case Against Circumcision' forum for good information. :

And, of course, Congratulations!!!!
post #23 of 33
Our midwife recommended we take dd1 to the ped the next day since she had a hemotoma & was likely to become jaundiced (we did & she did). It was miserable getting around at that time for me though. Dd2 was born on the weekend and all seemed fine so we took her in 3 days later. It wasn't so bad. I think I'd still feel best having the baby looked over by a ped at first (we didn't continue with wbc's with dd2 after 6 months and really should have stopped before then even since we don't vax). We did get some hassel about refusing the hep b shot with dd1. No one bothered us much with dd2 (except to request that we re-read about vax before deciding for sure).
post #24 of 33
so I told you to ask the midwife on my first response, my kids did not see doctors until they were very sick or hurt so-- I think that my daughter who is now 20 saw the doctor when she slipped on some roller skates and broke her arm. I have had clients who don't take their kids in but it is not for everyone and I really don't want someone thinking I am a substitute for a doctor- if they feel confident enough in their own health care knowledge to not consult a doctor then that is up to them I have no idea what someone's skill/knowledge level is. A teen mom and her baby who lived with us for a while took her baby in for every little thing drooling, red face... you name it she just didn't think she knew anything- and she did not trust "moms" so much of this is a judgment/personal preference call.
post #25 of 33
We found a family practicioner who views homebirth favorably. She had her son at a Birthing Center. I felt fortunate to have found her. Dd was in perfect health after our homebirth, but I was floored by a nasty UTI that kicked in 36 after her birth.

We had planned on taking dd in shortly after birth. She was born on Saturday, July 3, so the offices were closed on Monday anyway. We took her in on Tuesday morning, and I ended up scheduling an appointment for myself as well. I had to try two types of antibiotics. It took about a week to really recover, and then another month to overcome to resulting thrush.

My midwife does recommend taking a newborn to see a Ped (or Family Practicioner) within 72 hours of birth. I had planned on following this recommendation anyway, since our state is so anti-homebirth.
post #26 of 33
The ped. we've picked wants to see the baby as soon as possible, to do a newborn exam, HOWEVER, he will waive the remainder of his exams until i think he said 1 month (maybe 2) because he knows my m/w will be monitering early weight gain. M/W says its up to us how fast we go in, said that sometimes with intense perineal trauma, mom's just shouldn't be mobile that soon.
So we will play by ear.
post #27 of 33
With my new mw, I'm required to stay in bed for a week and in the house for a week after that, so we won't be going anywhere. With my first, I didn't go see the doc until she was 6 weeks old and only went then for my own post-partum exam and pelvic and so they did an exam for her too (family doc).

I see no reason to take a kid to a doctor unless they are sick, but that's just me.
post #28 of 33
Quote:
Originally Posted by ktmama
I see no reason to take a kid to a doctor unless they are sick, but that's just me.
The reason why *I* felt most comfortable having my dd's check by the pediatrician is b/c you and/or your midwife may simply miss something that the doc is looking more specifically for. For example, when we brought dd1 in for her initial checkup, the ped found a dimple in her butt crack (sorry - no nicer way to put it). She *really* had to check that spot to be sure it wasn't exposing the spine. We - and our mw - hadn't even noticed it. We just didn't do as thorough an exam as the ped did. Luckily it turned out to be nothing more than a very deep dimple, but had it not been who knows what would have happened since we weren't aware. Meconium collected in it and all, so I can only imagine the infection possibilities. On a side note, dd2 had the same dimple, only not very deep. Must be genetic!
post #29 of 33
My midwife did an initial exam after birth, came back at 24 hours, 48 hours & 1 week. She had no requirements regarding medical care.

However, DD1 went to the ped when she was 2 weeks old. DD2 went for the first time at 2 months of age.
post #30 of 33
Quote:
Originally Posted by love_homebirthing
The reason why *I* felt most comfortable having my dd's check by the pediatrician is b/c you and/or your midwife may simply miss something that the doc is looking more specifically for. For example, when we brought dd1 in for her initial checkup, the ped found a dimple in her butt crack (sorry - no nicer way to put it). She *really* had to check that spot to be sure it wasn't exposing the spine. We - and our mw - hadn't even noticed it. We just didn't do as thorough an exam as the ped did. Luckily it turned out to be nothing more than a very deep dimple, but had it not been who knows what would have happened since we weren't aware. Meconium collected in it and all, so I can only imagine the infection possibilities. On a side note, dd2 had the same dimple, only not very deep. Must be genetic!
My midwife looked at all that stuff. I watched her do the exam and she did all the same stuff that the peds do at the hospital before discharging a baby. She checked everything, hips, spine, reflexes, etc, etc, etc. Why wouldn't a midwife do a thorough newborn exam? Or I should ask why couldn't she?
post #31 of 33
Quote:
Originally Posted by mara
My midwife looked at all that stuff. I watched her do the exam and she did all the same stuff that the peds do at the hospital before discharging a baby. She checked everything, hips, spine, reflexes, etc, etc, etc. Why wouldn't a midwife do a thorough newborn exam? Or I should ask why couldn't she?
My midwife *did* do all of that. I don't know why it was missed - it just was. I guess that's my point - that these things can be missed. Maybe it's because of the atmosphere (dim, morning lit bedroom vs. bright ped's office). Not trying to argue. Just saying that it can/does happen.
post #32 of 33
To play devil's advocate...

A ped could've missed it too.
post #33 of 33
Quote:
Originally Posted by heket
To play devil's advocate...

A ped could've missed it too.
Mine did. I was the one who asked about it when he was several years old. Did a x-ray and it was also nothing. Although I have since heard MRI is better. Since he is walking there is obviously no issues with it.

Kathy
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