ALL patients are seen at our Portsmouth office on Saturday and Sunday for sick visits from 9-12 am

Offices:

Hampton

603.929.3838

55 High Street
Suite 102
Hampton, NH 03842

Portsmouth

603.436.7171

330 Borthwick Avenue
Suite 101
Portsmouth, NH 03801

Your New Baby

Congratulations! The birth of a new baby is an exciting time for parents. Choosing names, decorating the baby’s room, and deciding which essentials still need to be purchased are all important issues to address. Also, among important decisions to make is choosing your child’s doctor. For your baby’s medical care, you may choose a pediatrician or a family practitioner. The two types of doctors differ in that, following medical school, a pediatrician receives exclusive training specializing in the care of children from birth to late adolescence. Pediatricians are considered child health experts and remain current children’s health care by attending conferences and seminars that focus strictly on pediatric issues. We hope that this booklet will assist you to make this transition into parenthood as easy as possible by providing guidance, answering questions and addressing any concerns you may have.

Your Baby’s Arrival
Upon admission to the hospital for your delivery, you will notify the staff as to who your child’s pediatrician will be. Your baby’s first visit with one of our physicians will be in hospital. The doctor on call, rounds on all patients each morning and again each evening. Infants born of routine vaginal deliveries during the day will be examined that evening and babies born at night will be examined the following morning. You will have the opportunity to meet the doctor at the time. A pediatrician is present for all deliveries when our obstetrician is concerned about the progression of labor and feels that pediatric expertise is necessary.

You will likely meet two of our pediatricians during your hospital stay. Upon discharge, you will be instructed to call our office to schedule your child’s first checkup.

Office Hours
We hope you find this information helpful in introducing important issues regarding your child. Remember, we are available to provide guidance to ensure you raise a healthy child. We want to help you to have an enjoyable parenting experience.

The Portsmouth office is open Monday through Friday 8:00 a.m. to 5:30 p.m. the Hampton office is open Monday through Friday 8:00 a.m. to 5:00 p.m. weekend appointments for urgent sick visits are available in the Portsmouth office on Saturday and Sunday from 8:00 a.m. to 12:00 p.m.

A physician is always available on call during the off hours for urgent matters. The on-call doctor can be reached by dialing the office number and leaving a message with the answering service. Please be available as the doctor will be returning your call as soon as possible. If your call has not been returned after thirty minutes, please call again and leave another message with the answering service. If you have a true emergency, please go directly to the emergency room.

Telephone Calls
If your child is sick, appointments may be scheduled during regular office hours. On occasion, we may have you speak with a nurse to discuss the nature of the visit so that we may allot the proper amount of time to address your concerns. If you think your child needs to be seen, please call as early in the day as possible to ensure that we see your child in a timely manner. We understood that many issues to arise late in the day and we will do our best to see your child in the office on that day if it is necessary.

We know, that as new parents, you may have questions regarding the care of your newborn. A nurse is available to discuss any questions or concerns you may have. You are welcome to call Monday through Friday from 9:00 a.m. to 5:00 p.m. the nurses have been educated and are able to answer most of your questions.

There are times when the nurse may have to review your concern with a physician. If this is the case, your call will be returned as soon as possible during the day.

Please call us immediately if your baby has any of the following:
Rectal temperature above 100.50 in an infant under two months
Poor feeding
Inconsolable crying
Bluish skin color or difficulty breathing
Lethargy
Bleeding from the circumcision or significant bleeding from the umbilical stump

Please call as soon as possible with the following:
No wet diapers after eight hours
Vomiting (more than spitting up)
Worsening yellow skin tone (jaundice)
Blood in the stool

Well Child Visits
Your child will be seen frequently during the first year. Your first appointment will be at the age of two weeks. If there are any concerns, your child will be examined sooner. Your baby’s well visit will be scheduled for 2, 4, 6, 9, 12, 15 and 18 months. After age 2, your child will be seen for a well child visit on a yearly basis. If there are any concerns with your child’s health, growth, or development he/she will be evaluated more frequently.

Immunizations
Your child will receive several different immunizations during the first year of life. These can be expected during the well child visits at the age of 2, 4, 6, 9 and 12 months. He/she will also receive boosters around 5 and 15 years of age. You will receive information about each vaccine and will have the opportunity to discuss the immunization before your child receives them.

Safety Issues
We urge parents to take the time to review the safety concerns and suggestions we have listed below.
Your infant must be placed in an approved car seat at all times when riding in a car. He/she should be rear facing until one year of age and reaches 20 pounds.
Babies should always be placed to sleep on their backs to reduce the risk of SIDS.
Never leave your baby unattended in the tub, alone on high place, or unattended in an infant seat on a table or countertop.
Do not drink hot beverages while holding your baby.
Become certified in infant/child CPR.
Be careful when using old cribs. Slats should not be more than 2 inches apart.
Never put your baby to bed with a bottle.
We discourage the use of infant walkers (exer-saucers are ok).
Make sure your smoke detectors are in working condition.
Please have emergency phone number available by the phone (MD, poison control, fire, ambulance)

Items to purchase for the health and safety of your baby:
Rectal thermometer
Cool mist humidifier
Smoke detectors
Approved car seat
Safety items (i.e. outlet protectors, cabinet locks, safety gates, etc)