Owners` Manual - Somerset Pediatric Group
Contents
1. BLVD EXT SUITE 205 WARREN NJO7059 732 560 9080 PHONE 732 560 8085 FAX2. ABY SO HE OR SHE CAN LOOK OVER YOUR SHOULDER BE SURE TO SUPPORT THE BABY S HEAD AND BACK ANOTHER WAY IS TO LAY THE BABY ACROSS YOUR LAP ON HIS OR HER STOMACH OR YOU CAN SIT THE BABY ON YOUR LAP LEANING SLIGHTLY FORWARD WITH YOUR HAND SUPPORTING THE CHEST GENTLY PAT THE BABY S BACK UNTILYOU HEAR A BURP SOMETIMES A BABY WILLNOT BE ABLE TO BURP SO DON T TRY TO FORCE A BURP DON T BE ALARMED IF YOUR BABY SPITS UP A FEW DROPS WHEN BEING BURPED BREAST OR BOTTLE FED BABIES SHOULD BE FED PRETTY MUCH ON DEMAND AT THE BEGINNING THE BREAST MILK SUPPLY IS STIMULATED BY SHORT BUT FREQUENT FEEDINGS RATHER THAN LONGER LASTING ONES LET S BE PRACTICAL THE ALTERNATIVE IS A LOT OF CRYING AND THAT DOESN T DO EITHER THE PARENTS OR THE BABY ANY GOOD AS THE WEEKS GO BY MOST OF THE INFANTS BEGIN TO FIND A SCHEDULE OF THEIR OWN WE WOULD EXPECT THAT BY A MONTH OF AGE ANY FULLTERM INFANT SHOULD BE ON A LOOSE SCHEDULE IN WHICH HE DR SHE IS BEING FED EVERY THREE TO FIVE HOURS THIS IS COUNTING FROM THE BEGINNING OF ONE FEEDING TO THE BEGINNING OF THE NEXT WATER DOES NOT NEED TO BE GIVEN AS PART OF THE DAY S ROUTINE UNDER ORDINARY CIRCUMSTANGES THERE IS PLENTY OF WATER IN THE BREAST MILK OR FORMULA FEEDING SOLIDS YEARS AGO INFANTS WERE FED CEREAL AND OTHER SOLIDS VERY EARLY IN LIFE INFANTS CANNOT DIGEST STARCHES UNTIL FOUR MONTHS OF AGE THE COORDINATION OF THE LIPS TONGUE AND SWALLOWING MOVEMENTS REACHES THE RIGHT LEVEL FOR HANDLING SOLIDS SOMEWHER
3. BABLY NEED SOME DIETARY CHANGE PLEASE CONSULTWITH US IF YOU FEEL YOU HAVE ANY OF THESE PROBLEMS TEETHING BABIES VERY RARELY HAVE TEETH AT BIRTH AND WHEN THEY DO IT IS ALWAYS ONE OR TWO OF THE LOWER FRONT INCISORS MANY BABIES HAVE SHINY WHITE PEARL OBJECTS ON THE GUMS ORIN THE ROOF OF THE MOUTH WHICH ARE NOT RELATED TO TEETH THESE WILL SOON VANISH REAL TEETHING HAS NOTHING TO DO WITH THE ONSET OF DROOLING OR THUMB SUCKING BATHING WHAT S DIRTY NEEDS TO BE WASHED WHEN AND WHERE IT S DIRTY AN ALLOVER BATH ONCE A DAY OR ON ALTERNATE DAYS IS SUFFICIENT USE NON PERFUMED SOAP AND USE IT EVERYWHERE ALMOST ALLINFANTS DEVELOP A RASH ON THE FACE WHICH MAY THEN EXTEND FROM THE CHEEKS AND EYEBROWS INTO THE SCALP BEHIND THE EARS AND ELSEWHERE THIS USLIALLY APPEARS AT THREE OR FOURWEEKS OF AGE AND IS DUE TO AN EXCESS DILINESS OF THE SKIN AND IS AGAIN RELATED TO MATERNAL HORMONE STIMULATION PRIOR TO BIRTH THIS SEBORRHEIC DERMATITIS IS RELATED TO DANDRUFF OF OLDER AGES THOROUGH WASHING THE SCALP WITH DANDRUFF SHAMPOO IS OFTEN THE MOST EFFECTIVE SOLUTION WE STRONGLY ADVISE AGAINST THE USE OF ANY BABY OILAND PREFER THAT POWDERS AND LOTIONS BE USED SPARINGLY LOTIONS SHOULD ONLY BE USED IF THERE IS EXCESSIVE DRYNESS THIS IS COMMON WITH POST MATURE BABIES BUT RARE OTHERWISE IF YOU USE POWDER MAKE SURE IT IS FORBABIES AND SHAKE IT SPARINGLY INTO YOUR HAND AND AWAY FROM THE BABY EXTREMITIES MOST NEWBORNS HAVE CROOKED LEGS AND FEET T
4. E SYMPTOMS OF CABIN FEVER IF CONFINED TOO LONG THE BABY MAY GO OUT AS SOON AS MOTHER IS FIT ENOUGH AND ABLE TO TAKE A WALK TEMPERAMENT PERHAPS EVERYONE DREAMS OF HAVING AN EASY BABY DNE WHO SMILES A LOT CRIES INFREQUENTLY ONE WHO HAS REGULAR HABITS AND YET IS ADAPTABLE TO CHANGE ONE WHO IS FRIENDLY AND OUTGOING YET ONE WHO WILL BE SECURE SELF SUFFICIENT AND INDEPENDENT TEMPERAMENTS HOWEVER DIFFER AT BIRTH VARIOUS FEATURES OF TEMPERAMENT HAVE BEEN ACCURATELY IDENTIFIED AT ONLY A FEW DAYS OF AGE IT IS UNCOMMON TO HAVE ALLTHOSE WONDERFULATTRIBUTES WRAPPED UP IN ONE PERSON SOME REQUIRE MUCH MORE PATIENCE AND HARD PARENTING WORK THAN OTHERS BUT THE REWARD WILLBE JUSTAS GREAT IN THE LONG RUN PERSONALITY AND CHARACTER ARE VERY MUCH A RESULT OF THOSE EFFORTS ROUTINE APPOINTMENTS SCHEDULED WELLBABY EXAMINATIONS WILL USUALLY INCLUDE VISITS AT 2 3 DAY ONE WEEK AND THEN AT MONTHS 1 2 4 6 9 AND 12 FORTHE FIRST YEAR A 2 AFTER HOURS CALLS SHOULD BE RESERVED FORACUTE INJURY OR URGENT ILLNESS WHICH CANNOT WAIT UNTIL THE NEXT REGULAR OFFICE HOURS WE HAVE NURSES TRIAGING AFTER HOUR PHONE CALLSFDOR OUR PATIENTS IN ADDITION ONE OF OUR PHYSICIANS IS ALWAYS ON GALLWHEN THE OFICE IS NOT OPEN BOOKS FOR PARENTS AMERICAN ACADEMY Caring for Your Baby and Young Child 1998 ar PEDIATRIG Your Baby s First Year 1998 CURRENT EDITION Guide to Your Child s Sleep 2000 Guide to Your Child s Nutrition 2000 Guide to Your Child s Symptom
5. E BETWEEN FOUR AND SIX MONTHS OF AGE BABIES NEED DIFFERENT AMOUNTS OF FOOD TO BE COMPLETELY CONTENT THE BREAST FEEDING MOTHER DOESN T KNOW HOW MANY OUNCES HER BABY TAKES DOES SHE BUT SHE DOES KNOW THAT THE BABY IS CONTENT AND GROWING WELL WE SHOULD TREAT THE BOTTLE FED BABIES IN THE SAME WAY MILK SUPPLIES ALLTHE CALORIES AND ALLTHE NUTRIENTS THE INFANT NEEDS UNTIL SIX MONTHS OF AGE FULLBELLY DOES NOT MAKE BABIES SLEEP THROUGH THE NIGHT AND HUNGER DOES NOT WAKE THEM WHEN WE SLEEP DUR HUNGER PAINS SIMPLY DON T HAPPEN MILK INTAKE USUALLY REACHES A PEAK AT FOUR MONTHS OF AGE THE OVERLY HUNGRY AND OVEREATING FOUR DR FIVE MONTH OLD DEFINED AS NEVER SATISFIED AND WANTING TO EAT ALLTHE TIME MIGHT BE GIVEN SOME GEREAL FORA FILLER NOT FOR NOURISHMENT ORDINARILY WE WILL BEGIN SERIOUS SOLIDS AT SIX MONTHS OF AGE THERE ARE FAR FEWER BELLY AGHES AND CRANKY NIGHTS FORBABY AND LESS TROUBLES FORMOTHERS WITH THIS SENSIBLE LATE INTRODUCTION OF SOLIDS JAUNDICE JAUNDIGE IN THE NEWBORN IS A COMMON PROBLEM SOMETIMES IT RESULTS FROM A BLOOD TYPE INGOMPATIBILITY BETWEEN THE MOTHER AND CHILD MUCH MORE OFTEN THE NORMAL BABY S LIVER SIMPLY NEEDS TIME TO START GETTING RID OF THE EXCESS PIGMENT IN THE BLOOD WITH EARLY HOSPITAL DISCHARGE PLEASE OBSERVE YOUR BABY GAREFULLY JAUNDIGE MAY APPEAR ON THE SECOND DR THIRD DAY AND SHOULD PEAK ON THE FIFTH DAY GOOD BREAST MILK OR FORMULA NOT WATER FREQUENT STOOLS AND DIRECT SUNLIGHT ON THE BABY S SKIN ARE VERY H
6. ELPFLIL IF IN ANY DOUBT PLEASE CALL THE NEED FORMORE AGGRESSIVE TREATMENT DEPENDS ON THE CAUSE AND THE AMOUNT OF BILIRUBIN AS MEASURED BY THE LABORATORY WHEN NECESSARY THE BABY S SKIN IS EXPOSED TO PHOTOTHERAPY LIGHTS WHICH HELP TO RID THE BODY OF YELLOW PIGMENT DARK URINE AND PALE STODLS ARE A SPECIAL CONCERN BELLY BUTTONS A DARK BLUE PURPLE DYE IS APPLIED TO THE BABY S CORD AT BIRTH TO PREVENT INFECTION IT ALSO PROLONGS THE TIME NEEDED FORTHE CORD TO DRY AND FALLOFF THE USUALTIME IS THREE WEEKS A SMALLAMOUNT OF OLD DARK BLOOD MAY SHOW ON THE DIAPER AS THE CORD EDGES SEPARATE FROM THE SKIN THERE IS NO TRUTH TO THE OLD STORY THAT THE WAY THE CORD HEALS WILL DETERMINE THE SHAPE OF YOUR BABY S BELLY BUTTON WHEN YOU GO HOME APPLY ALCOHOL TO THE BASE OF THE CORD SEVERAL TIMES A DAY UNTILIT IS OFF AND FOR APPROXIMATELY TWO DAYS BEYOND WIPE GENTLY BUT FIRMLY AND DON T JUSTDAB AT IT IF BLEEDING OR OOZING OF ANY SORT PERSISTS FORMORE THAN THREE DAYS AFTER THE CORD IS OFF PLEASE LET US KNOW BOY S GENITALIA IF THE BOY IS CIRCUMCISED THE BANDAGE SHOULD BE REMOVED THE NEXT DAY BY THE NURSE OR BY THE PARENTS IF DISCHARGED SOAK A STUCK BANDAGE WITH WATER WASH THE AREA GENTLY WITH SOAP AND WATER WHENEVER SOILED AND DURING THE DAILY SPONGE BATH APPLY VASELINE DIRECTLY ONTO PENIS OR ALONG THE INSIDE OF THE DIAPER UNTIL REDNESS AND SWELLING SUBSIDE AND IT IS HEALED IT WILLTYPICALLY HEAL IN FIVE TO SEVEN DAYS GIRLS GENITALIA NEWBOR
7. HEY HAVE JUST GOTTEN UNFOLDED FROM SOME MIGHTY AWKWARD POSITIONS MOST OF THE CROOKED FEET SEEN AT BIRTH WHETHER IN OR OUT UP OR DOWN WILL RESOLVE WITH TIME AND THE OPPORTUNITY TO STRETCH AND MOVE WHEN WE FEEL THAT THE FOOT S POSITION IS LESS THAN ACCEPTABLE WE WILLGERTAINLY ADVISE SOME FORM OF ACTIVE TREATMENT IT IS QUITE REMARKABLE HOW MUCH APPARENT DEFORMITY WILL SPONTANEOUSLY CORRECT WITH TIME SNEEZING AND SNORTING HICCUPS SNEEZING AND STARTLING ARE NORMAL IN THE NEWBORN INFANT AND ARE CAUSED BY THEIR IMMATURE NEUROLOGIC SYSTEM DRY SNEEZES AND RATTLY SNORTING NOISES DO NOT MEAN A COLD IF YOU HEAR IT YOU DON T SEE IT AND IF IT DOESN T BOTHER THE BABY WHEN HE IS EATING OR SLEEPING YOU CAN SAFELY IGNORE IT IT S JUST A LOT OF NOISE AND IT S NATURAL SLEEP POSITION THE BEST POSITION THE TRADITION IN THIS COUNTRY HAS BEEN TO PUT THE BABY ON HIS OR HER STOMACH STATISTICAL STUDIES FROM SEVERAL COUNTRIES INCLUDING OURS HAVE SUGGESTED THAT WE CHANGE OUR OLD HABITS THERE APPEAR TO BE SIGNIFICANTLY FEWER CASES OF SIDS AMONG THOSE WHO SLEEP ON THEIR BACK OR SIDE NO ONE CONTENDS THAT SIDS WILLBE ENTIRELY SOLVED BY THIS SIMPLE IDEA BUT THERE APPEARS TO BE A SIGNIFICANT DIFFERENCE IF LEFT ALONE MOST BABIES WILL PREFER TO SLEEP WITH THEIR FACE TURNED TO THE RIGHT PLEASE MAKE SURE THAT YOUR BABY DOES NOT ALWAYS SLEEP IN EXACTLY THE SAME POSITION THE HEAD AND THE FACE WILLBECOME UNATTRACTIVELY FLATTENED PUT THE BABY T
8. ION ROUTINE VISION HEARING ROUTINE VISION VISION HEARING BOOSTRIX MENACTRA VISION VISION VISION CERVARIX FEMALES ONLY ROUTINE VISION ROUTINE ANNUALLY VISION FIFTEEN EIGHTEEN YEARS DTAP IF DT GIVEN gt 2 YEARS EIGHTEEN YEARS CHOLESTEROL Enjoy this new member of your family Time patience and love bring many rewards Dear Parents Congratulations Whether you are a parent for the first time or are experienced your baby is the greatest gift you will ever receive You will experience many feelings from excitement and joy to confusion and of being overwhelmed But most importantly you will develop a bond that is intensely personal and which will last a lifetime We the physicians and staff of the Somerset Pediatric Group are honored that you have chosen us to help you care for your child It is our desire to help you care for your baby and ease your burden in times of need But first things first The following pages are offered as a guide to make your first days and weeks easter Certainly we welcome your questions It is time to begin APPEARANCE THERE ARE MANY MARKS AND BUMPS TO BE SEEN ON NEWBORNS AMONG THE MOST COMMON MARKS ARE PATCHES DF TINY BLOOD VESSELS WHICH APPEAR AS A RED STAIN SEEN IN SUCH PLACES AS UNDER THE HAIR AT THE NAPE OF THE NECK ON THE FOREHEAD BETWEEN THE EYES ON THE EYELIDS OR SOMETIMES ON THE NOSE NEAR THE NOSTRILS COMMONLY CALLED A STORK BITE IN THE BACK AND ANGEL S
9. KISS IN THE FRONT THEY ARE TECHNICALLY KNOWN AS A SALMON PATCH AN OGNEVUS FLAMMEUS THEY ALWAYS FADE NEVER GROW ANY LARGER AND NEVER CAUSE ANY PROBLEMS THE INFANTS PARTICULARLY PREMATURE INFANTS DEVELOP ONE OR MORE BRIGHT RED OFTEN RAISED HEMANGIOMAS ON MOST ANY PART OF THE BODY THESE STRAWBERRY HEMANGIOMAS MAY SOMETIMES BE SPOTTED AT BIRTH AS A SMALL WHITE AREA THESE BECOME RED AND RAISED A FEW WEEKS LATER THE STRAWBERRY GROWS LARGER FOR APPROXIMATELY SIX MONTHS THEN REGRESSES VERY SLOWLY AND IS USUALLY GONE OR FADED TO AN INSIGNIFICANT LITTLE MARK BY AGE FIVE YEARS MOST ARE LEFTTO NATURE TREATMENT IS APPROPRIATE ONLY FORA FEW THAT ARE UNUSUALLY LARGE OR STRATEGICALLY LOCATED BLUE NEVUS OR MONGOLIAN SPOT IS A DARK PATCH MOST COMMONLY SEEN ON THE BUTTOCKS AND LOWER BACK OCCASIONALLY ON THE SHOULDERS THESE ALSO FADE OR VANISH ENTIRELY BUT MAY TAKE YEARS TO DO SD THE ELONGATION OF THE SKULL RELATED TO LABOR WILLBE VISIBLY IMPROVED IN ONLY A FEW DAYS AND WILL DISAPPEAR ENTIRELY IN FEW WEEKS GEPHALOHEMATOMA IS A SWELLING UNDER THE SCALP AND OUTSIDE THE BONES WHICH USUALLY DOES NOT HAVE ANY MEDICAL SIGNIFICANCE OR ANY IMPLICATIONS FORTHE BABY THE SWELLING FIRST HARDENS AROUND THE EDGES AND IS THEN ABSORBED OVER A PERIOD OF MONTHS AS THE HEAD GROWS LARGER NURSING BREAST FEEDING IS NOTHING NEW TO THE WORLD IT HASN T REALLY CHANGED IN ALLTHESE YEARS YET NOT ALLMOTHERS NOR INFANTS HIT IT OFF IMMEDIATELY ONLY SMALLAMOUN
10. N GIRLSINVARIABLY HAVE A THICK VAGINAL MUCUS DISCHARGE AND OFTEN SHOW VAGINAL BLEEDING WHEN THEY ARE THREE TO FIVE DAYS OLD THIS IS DUE TO THE WITHDRAWAL OF MATERNAL ESTROGEN HORMONES THE LABIA ARE ALSO ENLARGED DUE TO THIS SAME HORMONAL STIMULUS THE APPEARANCE DF THE GENITALIA WILL CHANGE CONSIDERABLY OVER THE NEXT FEW WEEKS BOWELMOVEMENTS BOWELMOVEMENTS VARY A GREAT DEAL BOTH FROM INFANT TO INFANT AND IN THE BEGINNING FROM ONE DAY TO THE NEXT FIRST COMES MECONIUM A DARK BROWN BLACK STICKY MATERIAL THIS IS FOLLOWED BY A TRANSITIONAL STOOLAND FINALLY THE REAL STOOL THE NUMBER OF STOOLS ALSO VARIES AMONG BREAST FED INFANTS THE NUMBER CAN BE AS MANY AS 12 PER DAY A WEEK OF AGE AND THEN DECLINE TO FOUR TO FIVE DURING THE FOLLOWING WEEKS SOME PERFECTLY NORMAL BABIES SURPRISINGLY HAVE ONLY ONE OR TWO THIS SAME PATTERN OCCURS WITH MOST FORMULA FED BABIES BUT THE NUMBERS ARE SMALLER THE MILK STOOLS OF THE BREAST FED BABY MOST OFTEN RESEMBLE BIRD SEED IN A PUDDLE AND ARE ACCOMPANIED BY MUCH NOISE THE FORMULA STOOLS VARY FROM TOOTH PASTE TO MUSTARDLIKE CONSISTENCY STOOLS EVERY TWO OR POSSIBLY THREE DAYS COULD BE CONSIDERED NORMAL THEY SHOULD BE OF SOFT CONSISTENCY AND PASSED AFTER BRIEF STRAINING AND WITHOUT EVIDENCE OF REAL PAIN STRAINING AND PUSHING FOR LONG PERIODS OF THE DAY SHOULD GET SOME HELP THIS IS REALLY NOT CONSTIPATION FOR QUICK RELIEF A GLYCERIN SUPPOSITORY WILLWORK CONSTIPATION IS TRUE HARD FORMED STOOL THIS WILLPRO
11. NOT GET THE BENEFIT OF THE FLUORIDE THAT THEIR MOTHERS DRINK PLEASE CHECK WITH YOUR PUBLIC WATER COMPANY TO SEE IF YOUR WATER CONTAINS FLUORIDE BREAST MILK S ONLY OTHER IMPERFECTION IS AN UNRELIABLE OR INADEQUATE AMOUNT OF SOME VITAMINS PLEASE PURCHASE OVER THE COUNTER ACD VITAMIN DROPS AT SIX MONTHS OF AGE THOSE BABIES WHO ARE ENTIRELY OR PREDOMINATELY BREAST FED WILL RECEIVE PRESCRIPTION VITAMIN DROPS WITH FLUORIDE SUPPLEMENT FORMULA FED BABIES HAVE ALLTHEIR VITAMINS IN THE FORMULA AND ONLY NEED A FLUORIDE SUPPLEMENT IF IT IS NOTIN THE WATER WE RECOMMEND THAT ALLINFANTS REMAIN ON BREAST AND OR FORMULA UNTIL ONE YEAR OF AGE ALLINFANTS NEED IRON IT IS ESSENTIAL FOR NORMAL GROWTH AND THE AVOIDANCE OF ANEMIA BREAST MILK AND IRON FORTFIED FORMULAS BOTH DO AN EQUALLY GOOD JOB SUPPLYING THOSE NEEDS FOR THE FIRST SIX MONTHS AFTER THAT AGE ADDITIONAL FOOD SOURCES OF IRON ARE ALSO NEEDED BURPING BURPING IS A VERY OVER RATED ITEM THE ONLY REASON WE LIMIT THE BOTTLE FEEDER IN THE FIRSTTHREE DAYS IS THAT OVEREATING USUALLY ENDS UP WITH VOMITING SO AFTER A FEW DAYS WHEN THE SORE NIPPLE PHASE PASSES BOTH BREAST AND BOTTLE BABIES CAN BE TRUSTED TO STOP WHEN THEY ARE FULLAND NEED TO BURP IF YOU POP THE NIPPLE OUT OF THE INFANT S MOUTH EVERY FIVE MINUTES ORAFTEREVERY OUNCE YOU WILLSOON HAVE A FRUSTRATED DISCOURAGED EATER DURING AND AFTER BREASTFEEDING OR BOTTLE FEEDING BURP YOUR BABY BURPING HELPS REMOVE SWALLOWED AIR TO BURP HOLD THE B
12. O SLEEP ON EACH SIDE EQUALLY OFTEN CRYING THE WAKE SLEEP CYCLE IS CONTROLLED IN THE BRAIN AND NOT IN THE STOMACH ALLCRYING IS NOT HUNGER EITHER ALTHOUGH AT FIRST NEITHER YOU NOR YOUR MOTHER NOR YOUR MOTHER IN LAW NOR YOUR PEDIATRICIAN CAN TELLDIFFERENCE WITH ANY DEGREE OF RELIABILITY SOON HOWEVER YOU WILL DRYING IS IN ITSELF HARMLESS HOW MUCH NO ONE KNOWS ON THE OTHER HAND YOU CANNOT SPOIL A BABY IN THEIR FIRSTMONTHS BY PICKING THEM UP IT TAKES UP TO SIX MONTHS BEFORE AN INFANT CAN CATCH ON TO THE POWER OF THE CRY AND HIS ABILITY TO THREATEN YOUR SANITY IF YOU DON T DO THINGS HIS WAY CRYING TO SLEEP WHEN ALLIS WELLAND THERE IS NO PAIN OR HUNGER OR OTHER NEED IS ACCEPTABLE AND SOMETIMES NECESSARY CLOTHING AS A GOOD RULE OF THUMB THE INFANT SHOULD WEAR ONE LAYER DF CLOTHING MORE THAN YOU DO IN ANY GIVEN SITUATION THEIR HEAT LOSS IS GREATER AND THEIR MUSCULAR ACTIVITY WHICH GENERATES HEAT IS LESS THERE ARE MANY SITUATIONS IN WHICH A HAT IS APPROPRIATE BECAUSE THE BABY S HEAD REPRESENTS AT LEAST 10 DF HIS BODY SURFACE AND THEREFORE A SLIBSTANTIAL AREA FOR HEAT LOSS TEMPERATURE THOUGH THERE IS NO EXACT RIGHT TEMPERATURE FORTHE HOUSEHOLD WE WOULD ADVISE 70 IN THE WINTER OR 72 IN THE SUMMER FORTHE FIRSTMONTH WE DON T HAVE TO GO THROUGH OLD PRACTICE OF DRESSING UP FOR THE NORTH POLE AND OPENING ALLWINDOWS SO THE INFANT CAN GET SOME FRESH AIR ON A WINTER DAY ON THE OTHER HAND MOTHERS HAVE BEEN KNOWN TO DEVELOP ACUT
13. OWNERS MANUAL JACK NEEDLEMAN M D F A A P ERIC YORKE M D F A A P JOHN FISCHER JR M D F A A P NEIL YOUNGERMAN M D F A A P GERARD FRITZ M D F A A P LYNN HARTMANN M D F A A P STEPHANIE LEVINE D D F A A P DANIEL ABRAHAM M D F A A P ROBYN FERRANTE M D F A A P SIHARDN FILLER M D F A A P SYLVIA PIEZAS M D F A A P KARANJA HARVEY M D F A A P KEREN EBEL M D F A A P TRUPTI PATEL M D F A A P CAROLYN TREND M D F A A P MADAN HEDE M D F A A P FAYE WONG M D F A A P CYNTHIA HOENS RNC CPNP CSN ROUTINE VISIT SCHEDULE 2 3 DAYS AFTER D C ONE MONTH TWO MONTHS FOUR MONTHS SIX MONTHS NINE MONTHS TWELVE MONTHS FIFTEEN MONTHS EIGHTEEN MONTHS TWENTY FOUR MONTHS THIRTY MONTH THREE YEARS FOUR YEARS FIVE YEARS SIX YEARS SEVEN YEARS EIGHT YEARS NINE YEARS TEN YEARS ELEVEN YEARS TWELVE YEARS THIRTEEN YEARS FOURTEEN YEARS FIFTEEN TWENTY THREE YEARS AGO ROUTINE ALL PATIENTS ROUTINE ALL PATIENTS PEDIARIX HIB PREVNAR ROTARIX PEDIARIX HIB PREVNAR ROTARIX PEDIARIX HIB PREVNAR MUST BE AFTER 6 MONTH BIRTHDAY ROUTINE PREVNAR VARIVAX LEAD CBC MUST BE AFTER 1ST BIRTHDAY HIB MMR HEP A DTAP MCHAT TEST HEP A CBC LEAD MGHAT TEST ROUTINE VISION SCREENING KINRIX MUST BE AFTER 4TH BIRTHDAY HEARING AND VISION MMR VARIVAX HEARING VISION ROUTINE VISION HEARING ROUTINE VIS
14. TS OF COLOSTRUM ARE PRODUCED IN THE FIRSTTWO TO THREE DAYS IT IS NATURE S WONDERFUL DESIGN THAT THE INFANT IS NOT BORN HUNGRY AND THAT HIS OR HER APPETITE ALSO DEVELDPS IN APPROXIMATELY THREE TO FOUR DAYS IT IS COMMON FORBABIES TO BE VERY SLEEPY IN THOSE FIRST DAYS AND TO APPROACH EATING WITH VARYING INTEREST SOME REALLY LOOK SICK TO THEIR STOMACH SOME JUSTGAG AND SOME THROW UP MUCUS THE BABY WHO IS AGGRESSIVE AND HAS AN IMMEDIATE INTEREST IN EATING CAN CAUSE SORE NIPPLES THE PROCRASTINATORS EXCITED INEFFECTIVE AND RESTER ALLMAKES MOTHERS WORRY THAT IT WILLNEVER WORK THIS JUDGMENT IS PREMATURE IN EACH CASE A LITTLE PATIENCE AND EFFORTWILLUSUALLY CONQUER ALL WE WILLCONTINLIE TO OFFER THE BREAST FEEDING MOTHER ENCOURAGEMENT SUPPORT AND EXPERT ADVICE BY TELEPHONE ORIN THE OFFICE YOU MAY GALLDURING OFFICE HOURS FOROUR HELP AT THIS TIME MOTTO BE PATIENT BE CALM BE COMMITTED THERE ARE ALSO SPECIAL SUPPORT GROUPS AVAILABLE FORMULA THE MANY WELL KNOWN INFANT FORMULAS ARE EQUALLY NOURISHING AND HEALTHY FORTHE AVERAGE BABY THEY COME AS READY TO FEED CONCENTRATE AND IN POWDER FORM ALLFORMULAS CONTAIN IRON TAP WATER IN MANY COMMUNITIES SUPPLIES THE BABIES WITH FLUORIDE FORHEALTHIER TEETH THERE IS NO NEED TO BOIL THE WATER IF IT COMES FROM A RELIABLE SOURCE WE HAVE NO FAVORITE ONCE YOU ARE HOME YOU ARE GERTAINLY FREE TO GHOOSE ANY ONE OF THE STANDARD FORMULAS MINERALS FLUORIDE HELPS PREVENT CAVITIES BREAST FED BABIES DO
15. s 1999 BiRACREE N amp T Buying the Best for Your Baby KNIGHTSBRIDGE PUBLISHING BRAZELTON T B Infants and Mothers NEW YORK DELACORTE 1969 Toddlers and Parents NEW YORK DELACORTE 1974 On Becoming a Family NEw YORK BANTAM Books 1981 CAPLAN AND CAPLAN The Second Twelve Months of Life New York BANTAM Books 1977 CHESS AND THoMAs Your Child is a Person NEW YORK VIKING 1972 FEBER RIGHARD Solve Your Child s Sleep Problem FAILBERG S The Magic Years NEW YORK SCRIBNER S 1959 LEAGH P Your Baby and Child New York KNOFF 1974 MCCALL R Infants NEW YORK BINTAGE 1980 SPARLING J Learning Games for the First Three Years NEW YORK Books 1979 Spock B Baby and Childcare NEW York Packer Books 1954 RECOMMENDED FOR BREAST FEEDING LALECHE LEAGUE INTL The Womanly Art of Breastfeeding FRANKLIN ILL THE SOMERSET PEDIATRIC GROUP Bedminster Office Z345 LAMINGTON ROAD Suite 101 BEDMINSTER NJO7921 908 470 1124 PHONE 908 470 2845 FAx Bridgewater Office 155 UNION AVENUE BRIDGEWATER NJO8807 908 725 1802 PHONE 908 203 8825 FAx Business Office 3322 ROUTE 22 WEST BUILDING 10 Suite 1002 BRANCHBURG NJ08876 908 725 5530 PHONE 908 253 6559 Fax Hillsborough Office 1 NEW AMWELL ROAD CORNER RT 206 HILLSBOROUGH NJ08844 908 874 5035 PHONE 908 874 3288 FAX Lebanon Office 1390 ROUTE 22 WEST SUITE 106 LEBANON NJOBB33 908 236 9500 PHONE 908 236 7557 FAX Warren Office 65 MOUNTAIN
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