Newborn / Baby Care

Caring for Your Newborn or Baby

Guiding new parents through baby’s first year and beyond is a top priority at Advanced Pediatrics. New parents at Advanced Pediatrics receive our “New Arrival” booklet at either their newborn’s hospital visit or first office visit. More detailed information to help you care for your baby is provided on the page below. Should you need additional assistance, our Nurse Line is available during regular business hours to answer questions regarding newborn care, feeding and illness. When our offices are closed, our After-Hours Service and On-Call Physician are available to handle any urgent concerns.

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Well Baby Visits & Developmental Screening

Regular well care and immunizations are key to keeping your baby healthy, monitoring development and preventing illness. Our providers look forward to getting to know you and your baby better at these important visits. We follow the childhood immunization schedule recommended by the American Academy of Pediatrics and the Centers for Disease Control. You may learn more about what we do at these important visits on our Well Care / Immunizations page.

Beginning at 2 months of age, we will ask you to complete an Ages & Stages Developmental Screening Questionnaire for each well care visit through 5 years of age. These developmental screening questionnaires are designed to provide early detection of any developmental delays, which is important in providing optimal intervention and treatment. The results of this screening will be reviewed by your provider during your baby's well care visit.  To learn more, visit our Child Development page.

Please call our Patient Care Line at 303-699-6200 to schedule well baby care visits at the ages shown below. Appointments for well care may be made three months in advance, so appointments for your baby's next well care can easily be made while you are in our office for a current visit.  When scheduling your baby's well care visit, our care coordinator will ask you for your email address, so that she may email you the appropriate Ages & Stages Developmental Screening Questionnaire.  Please wait to complete the Ages & Stages questionnaire until the week before your visit and then bring with you to your visit.

We would like to see your new baby within 3 days of being discharged from the hospital for a "First Well Baby Visit." Consistent with recommendations from the American Academy of Pediatrics, we recommend the following well baby care schedule:  

FIrst Well Baby Visit  •  2 weeks  •  2 months  •  4 months  •  6 months  •  9 months  •  12 months  •  15 months  •  18 months  •  2 years

Annual well care exams are recommended every year beginning at age 2.

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Lactation Assistance

The providers at Advanced Pediatrics believe that breastfeeding is the healthiest way to feed your baby, and we are dedicated to helping you and your new little one establish successful breastfeeding. At either your baby's newborn hospital visit or your first office visit you should have received our "New Arrival" booklet, which is a great first resource to answer many of the most common breastfeeding questions.  (If you did not receive our "New Arrival" booklet, you may request a copy at any of our office locations.)  A larger library of helpful breastfeeding information --  written by our staff and Pediatric Web --  may be found in the breastfeeding section below.

If you are concerned that you may have an insufficient milk supply or need additional assistance, one of our registered nurses would be happy to assist you. You may reach our Nurse Line during regular business hours at 303-699-6200, Option 2.

Post-Partum Depression

Many new mothers experience some form of postpartum depression within the first year of delivery. There are three different levels of postpartum depression with varying levels of severity and duration:

Baby Blues: Between 50 - 85% of new mothers experience baby blues, which can begin shortly after delivery and last one to three weeks. Symptoms include sadness, crying, moodiness, exhaustion, and difficulty thinking clearly. These symptoms may be due to a number of factors, including a sudden decrease in hormones, interruption to normal sleep patterns, and adjusting to the new responsibilities of motherhood. Some things to try if you are feeling down:

  • Make sure you are getting adequate nutrition, physical activity and healthy sleep.
  • Get help with taking care of household chores, cooking, errands, and, if needed, the baby's needs.
  • Keep in contact with friends and family so that you do not feel isolated.

Postpartum Depression: Between 10 - 20% of new mothers (and 25 - 30% of adolescent mothers) experience true postpartum depression, which can begin within days of delivery or anytime within the first year after birth. Symptoms of postpartum depression are more intense and longer lasting than that of the baby blues and include loss of appetite, irritability and anger, insomnia, lack of joy, feelings of inadequacy, difficulty bonding with baby, and withdrawal from family and friends. New moms experiencing symptoms of postpartum depression are encouraged to seek the help of a medical provider or therapist.

Postpartum Psychosis: A rare, but serious, condition affecting less than 1% of new mothers which develops within 1 - 3 months of delivery. Postpartum psychosis primarily occurs in women with a previous history of psychiatric issues. Symptoms of postpartum psychosis include confusion, hallucinations, paranoia and / or attempts to harm self or baby. Mothers with symptoms of postpartum psychosis should seek emergency medical treatment.

The providers at Advanced Pediatrics do a routine screening for postpartum depression with all new mothers at their baby's 2 week well care visit and as indicated at any other time.  New mothers should feel free to discuss postpartum feelings with their baby's provider at any office visit, or contact our Patient Care Line at 303-699-6200 if they have questions or concerns regarding postpartum depression.

For more information regarding postpartum depression please visit links in the menu below:

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Calming a Fussy Baby

In most instances crying babies need to be held. They need someone with a soothing touch and voice. During the early months of life too much holding cannot spoil babies. It is, however, normal for a newborn to cry occasionally without reason. In fact, some babies cry in order to fall asleep. When your baby cries make sure that he or she is not hungry and is dry and comfortable (no sign of illness, pain or fever). Then if holding your baby does not console him or her, it is fine to let your baby cry for 10 to 15 minutes to see if he or she will fall asleep.

While all babies cry, some cry more than others. One in five babies is fussy - difficult to comfort and may have trouble feeding and sleeping. For parents, caring for a fussy baby can be exhausting and frustrating. If you have concerns about your baby's fussiness, please call our Nurse Line at 303-699-6200 (option2) and discuss your concerns with one of our registered nurses. No matter how tired and frustrated you may be, NEVER shake your baby. Shaking a baby can cause severe brain damage and other serious disorders - even death. If you find yourself overwhelmed by crying, put your baby in a safe place like a crib, close the door, and check back when you're calm.

For more information on calming a crying baby see:

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Newborn / Baby Care & Feeding

The following newborn care articles have been written by Advanced Pediatrics and Pediatric Web. Should you have any questions regarding the following care recommendations, please call our Nurse Line at 303-699-6200, Option 2.

Basic Care
Premature Infants
Sleep
Breastfeeding
Bottle Feeding
Water, Supplements & Starting Solids
Illness, Symptoms & Medical Conditions
Safety

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Car Seat Laws and Inspection Services

At a minimum, Colorado Law requires that babies ride in the back seat of the vehicle in a rear-facing car seat until they are 12 months old and weigh at least 20 pounds. However, safety experts recommend that children remain in the back seat in a rear facing "convertible" car seat as long as the car seat allows (at least 2 years). For more information on car seat laws and safety, see the additional resources below.  Proper car seat installation is critical to keeping your infant safe.  Visit Colorado Department of Transportation to find a car seat inspection service in your area. 

Additional Resources

Books
Baby Care Classes
Newborn Health / Baby Care
Breastfeeding
Breastfeeding Suppport / Classes & Lactation Consultation
Car Seat Safety
Colorado Car Seat Laws

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Need Additional Assistance?

Call Our Nurse Line
Our registered nurses are available during business hours to discuss questions regarding newborn care, feeding and illness. Through our electronic medical records, our nurses have immediate access to your baby's medical record in order to provide the most up-to-date advice. If you would like to speak to one of our nurses, call our Patient Care Line at 303-699-6200 and select Option #2. For non-urgent general health care advice or questions, you may leave a message for a call back within two days.

After-Hours Service
Our physicians work with Children's Hospital Colorado After-Hours Service to handle any urgent needs when our offices are closed.  To reach our after-hours service, please call our Patient Care Line at 303-699-6200. Our answering service will take some brief information and have one of the registered nurses at Children's Hospital Colorado return your call as soon as possible. These nurses will help evaluate the situation and make recommendations for medical care. When medically appropriate, these nurses will forward messages to our on-call physician.

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