I went to our pedi today for one of my children who is having dental surgery, pre-op physical. I thought since I'm expecting I would ask about them taking my infant as a patient. It isn't what I expected at all, it's not all bad, but it isn't all good.
Basically for those new parents out there I have this warning: If you survive getting out of a hospital/ birth center without Vit K, Screenings etc. -- beware you may not get into a pediatric office! They sure do make it hard to do what you as the parent feel is right for your child!
I'll start by saying the way around this is how I've done it before, I start care with a FP who haven't got a clue about required test or that lay mw don't do them and then transfered to our now pedi. Also note, I live over an hour away from this wonderful pedi (all 3 women are good and the practice has been accomidating to our non-vaxing but I started with a 13 mo old born at home dd there, not an infant so this is new territory for me).
Pediatrician requirements -
1) seen within 24 - 48 hours since I'm having another hb
2) all my prenatal labs and documents
3) vit K injection, they do not believe oral is good enough, this requirement is good until the baby is 2 weeks old after that they would not insist on it
4) All the State mandated metabolic screenings PKU etc up until age 6 mo would be a requirement
And I was told that if I come to them at any of these times with the infant and refuse their requirements above they will decide not to treat my new infant as a patient.
The problems -
1) Birth is hard on me and I stay in bed for at least 2wks. I also do not feel up to traveling over 50 miles away a few days after birth. She did seem to understand that and was fine with my seeking care more locally and transfering.
2) I see a lay mw, I have no labs. I have records that I've received care and I did have an u/s (Finally after much debate). Actually, I had labs drawn for life insurance purposes a few weeks ago, I can stick those in. I didn't say anything, just jotted it down and listened.
3) I see vit K totally unnecessary in a healthy mom and healthy newborn, I increase my alfalfa intake in the last trimester to aid my baby in this area
4) Given my son does have an autoimmune disorder and the Pedi did state that since they tend to run in families etc the screenings would be a wise decision to do earlier rather than later. I actually do not have a problem with this one at this point at this moment. The pedi did state that a thyroid disfunction needed to be discovered within 2wks or the child will start to loose IQ points (scare tactic or the truth, I don't know, I need to do a bit of research in this area along with how it relates to our genetic autoimmune disorders). My dd did not have any testing done by our mw or the FP.
So all in all I'd say for me #1 and #3 are the biggies for starting care with this pedi practice. My big issue with the FP is I know for a fact I will be sent to the local hospital for the PKU and screenings, which will put me in a place I don't want to be.
I'm needing to do a little research on the screenings for VA and refresh myself on Vit K injections. And of course I'll speak with my mw, she may have the ability to do the VA screenings or know how we can do it.
Just one more thing to be concerned about. I really do like our pedi practice and given the medical condition of 1 of our children, it is important to have soemone to go to who is knowledgable. I had no problems w/ the FP deal until they could not help my ds2 and gave me bad information regarding my dd and our prior local pedi also was not competent enough to help my ds2 I left there when he was 7 mo old. I already know I'll be choosing the German lady pediatrician for this newborn, he will be an intact boy and as I understand it Europeans are more likely to know not to retract or do harm to him!
Any links to Vit K and VA Screenings would be appreciated, it would cut down on my research time if someone has those handy.