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Discussion Starter · #1 ·
I was wondering if your midwife performs any newborn care after your homebirth, heal tests,etc, and if not do you take baby to ped for any testing?<br><br>
thanks
 

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Most CNMW's require you to take the baby to a doc within 72 hours of birth. I think it is a requirement for their licensing, but I could be mistaken.<br><br>
Ours did a re-check at home 3 days after, and we took her to a ped for a check-up as we were required to. We had a very AP, non-vax friendly ped.
 

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My mw did all the neccesary checks with dd. She also did the pku test for us at our 1 week check up with her.<br>
I took dd to establish her as a patient when she was a few weeks old but many mothers do not do that too. It is up to you and what you feel most comfortable with.<br>
I see no need to take the baby if you think the baby is in no ill health.<br>
I also would though find a ped that is friendly to parents delaying or choosing not to vaccinate and your mw will be able to help you with that information most likely.<br><br>
She did all the reflext tests etc. Mw's are very skilled birth professionals.<br>
My mw is a lay mw in an illegal state btw and she does all of this.<br><br>
There is no law I do not belive.
 

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We didn't go anywhere after the birth. Our midwife checked out the baby's hips, breathing, etc. and then did the PKU test the following week.<br><br>
HTH!
 

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Our ped wanted to see DS 4-5 days after the birth, he was very supportive of our homebirth and helped us with a variety of things. Other than that -- my midwife kept tabs on DS through the postpartum period.
 

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In most places where midwifery is legal, the DEM and CNM care for the infant up to 6 weeks *if that is what their practice includes*. Some midwives will do the inital newborn exam at birth but want the baby to be seen by a pediatrician/family doc soon. I will take care of the mom and baby pair up to six weeks barring any reason to refer them to another health care provider earlier.<br><br>
Beware that some pediatric practices will not care for babies born at home.
 

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Our midwife did several home visits up to 6 weeks. She also recommended that we pick a pediatrician that does house calls for newborns born at home, and we did that. So our ped (actually a family doctor) came to our house for the first newborn visit, and the first time we went to her office was for his 2 month WBV.<br><br>
Edited to add that our midwife also does the heel stick for the PKU a few days after birth.
 

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My mws always do the newborn care (newborn screen at a week, checks hips and breathing, heart, etc). My fp dr doesn't do any testing on peds, he sends us to a lab so I would rather my mw do it. I like to establish care around 3 weeks with my dr. My fp dr has us come in really early or really late in the day and makes sure we aren't in the waiting room so that the babies are exposed as much. Also make sure you find a ped now if you plan on not vaxing, found that one out the hard way! Some don't take you if you aren't vaxing.
 

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MW did a NB exam, DH wanted a pedi to check DD2 over so we went in when she was a week or so. The MW did a more extensive exam then the pedi did.
 

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Best moment ever with my ped -- He asked if I was concerned about my 2 year old's (middle son) nutrition when we went for the 2 year well baby... when I had last seen ped a few weeks earlier, DS was still nursing but he was weaned then. When I said I was actually kind of concerned about his intake he said to me "Why did you wean him?" LOL<br><br><br>
That's the day when I fell in love with my ped.<br><br>
My MW handled the newborn screenings-type stuff... except for the hearing screening. When DS3 was about 6 months old my ped set up a referral for a hearing screening for me, since we skipped the newborn one.
 

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My home birth doc is a D.O. who was a midwife first for 20+ years. She offers all the standard newborn screenings, but asks that you decide which ones you want ahead of time so she can order tests etc. She includes a sheet on pros/cons to each test and procedure. She stays for several hours after the birth (have to breastfeed at least twice and baby must pee and poop and mom must eat and drink and pee before the doc will go home). She even makes chicken soup and apple crisp during the labor so we can all eat something afterwards! She comes back in a couple of days to check mom and baby, again at 2 weeks, and again at 6 weeks. After that mom/baby can see her in her office as needed. She can be the family Dr for us, but my insurance only covers her 50% so we'll end up back at my peds after 6 weeks.<br><br>
We aren't doing any of the screenings or eye goo or vit K or anything after looking into our options.
 

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Discussion Starter · #13 ·
Ok so now I have to find out if the midwife we chose does the heel stick and newborn screening stuff, I guess if not then I have to findout ifour ped wil take our DD if sheis a homebirth. What about vit K we are a non vaxing family but I still have abit of research to do on the vitk, I am now researching homebirthing and breastfeeding, which i didnt do with our first, It seems so overwhelming, I do though need to see what to do about vit k, does anyone that homebirths do the vit k or do you supplement in another way?<br>
Thanks
 

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I know most mamas here choose NOT to do Vit. K.<br><br>
We decided to do the Vit K.<br><br>
There are two options -- oral and intramuscular. We chose the injection, as the research shows that if you are going to choose one or the other the injection is better absorbed, and I'm very protective of the virgin gut. Our ped wrote a scrip for us. MW did the injection. Filling it was a PITA, though. A good topic to discuss with your MW on what she has available.
 

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My midwives did the initial newborn exam and came and saw him when he was 4 days old to do the PKU test and to check to see if he'd developed jaundice, etc.... and to weigh him again...<br><br>
The pediatrician wanted to see him at 4-5 days old but we didn't take him in until he was a week old (to give me time to get my milk in and get some sort of established feeding going on <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1"> )
 

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MW did all the newborn exam and such. She came to visit us at home twice. She offerred the PKU and vit K, which we declined. The only reason we took our babes to our doc is to get a reciept to show that this baby really does exist to take to get birth certificate and SS#. All that we had to do ourselves. The first time around, she was able to file for the birth certificate, but this last time, things had changed and she can no longer file them.<br><br>
Bunch of BS the stuff homebirthers have to go through to be considered 'legitimate.' The lady at the SS office actually told my husband "This is the problem you people have when you don't birth in a hospital. I suppose you don't have an immunization record either?" DH just laughed it off as ignorance. I was a little peeved at the 'customer service' but when you work for the government apparently you don't have to be nice to anyone.
 

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<div>Originally Posted by <strong>metromidwife</strong> <a href="/community/forum/post/7304085"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Beware that some pediatric practices will not care for babies born at home.</div>
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Really? That seems unfathomable to me... if they had some sort of objection to home birth, you'd think they'd be that much more eager to actually get their hands on homebirth babies so they could 'fix' them or something! I'm not doubting it's true, btw, just aghast, that's all! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1"><br><br>
Has anyone here actually been turned down by a ped ofc because their baby was born at home? I'm just curious - I'd love to hear some personal experiences... Our ds was born at home in October and we haven't been to a dr with him. Our mw's office is at our chiro's office, so I weigh ds periodically when I'm in there; haven't had any occasion to call a doc so I just wonder what has happened to y'all.<br><br>
Oh, and our mw, who is a CNM, did ds's initial newborn exam and then PKU at home a week after his birth.<br><br><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> Heidi
 

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<div>Originally Posted by <strong>mamamoogs</strong> <a href="/community/forum/post/7306357"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Ok so now I have to find out if the midwife we chose does the heel stick and newborn screening stuff, I guess if not then I have to findout ifour ped wil take our DD if sheis a homebirth. What about vit K we are a non vaxing family but I still have abit of research to do on the vitk, I am now researching homebirthing and breastfeeding, which i didnt do with our first, It seems so overwhelming, I do though need to see what to do about vit k, does anyone that homebirths do the vit k or do you supplement in another way?<br>
Thanks</div>
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we had decided not to do VitK, but when DS was born, his head was super-bruised (super fast labor, and he had his arm wrapped around to hold his opposite cheek WHILE being born), and our midwives (CPMs) felt that he could benefit from the vitK, so we did the oral drops.<br><br>
our midwives did all the newborn care and heel stick (which they did with amazing care - heating his heel in a microwaved diaper for about 20 minutes to bring the blood to the surface, and then he nursed through it without flinching. we went to the ped around 2-3 weeks.
 

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<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>heidi_m</strong></div>
<div style="font-style:italic;">Has anyone here actually been turned down by a ped ofc because their baby was born at home? I'm just curious - I'd love to hear some personal experiences... Our ds was born at home in October and we haven't been to a dr with him. Our mw's office is at our chiro's office, so I weigh ds periodically when I'm in there; haven't had any occasion to call a doc so I just wonder what has happened to y'all.</div>
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If you haven't already, I think this would be a great topic to start a thread. If it were the title of a thread, more people would see it and you would get more answers.<br><br>
I am curious to know.
 
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