Newborn and Baby Care
Are You Expecting a New Baby?
If you are, Advanced Pediatric Associates would like to offer you our warmest congratulations! This is an exciting time for you and your family, and we look forward to getting to know you! Advanced Pediatrics is dedicated to providing compassionate, comprehensive and convenient pediatric care. We invite you to learn more about us by visiting the About Us Quick Links above.
Free "Meet the Doctor" Visit!
If this is your first baby or you are new to our practice, call our Patient Care Line at
(303) 699-6200 to schedule a free prenatal visit with one of our physicians. These
free visits offer expectant parents the opportunity to meet one of our physicians and
learn more about our practice.
We look forward to meeting you!
back to top
If you will deliver your baby at Medical Center of Aurora, Rose Medical Center (beginning 2014), Parker Adventist Hospital or Sky Ridge Medical Center, let your obstetrician or the hospital staff know that you would like one of our physicians to visit your new baby in the hospital. One of our physicians will thoroughly examine your baby, discuss any questions you might have, and present you with our "New Arrival" booklet outlining new baby care recommendations from our staff.
Before your baby is discharged, hospital staff will do the first newborn screen to detect certain genetic disorders. We recommend that your baby also receive a Vitamin K injection and the first Hepatitis B vaccine while in the hospital. Be sure to bring a record of the newborn screen, Vitamin K injection and Hepatitis B vaccine to your first visit to our office.
If you are interested in having your baby circumcised by one of our physicians, please let the nursery staff or the APA physician who sees your baby in the hospital know of your interest. If your baby is not circumcised in the hospital, we can also do the circumcision in our office following discharge from the hospital. Please let our care coordinator know of your interest when scheduling your first office visit.
If you will deliver your baby at a hospital other than those listed above, a hospital staff pediatrician will examine your baby in the hospital. Upon discharge from the hospital, we will schedule a longer first visit at one of our offices to ensure plenty of time to thoroughly examine your baby and answer any questions you might have. Your provider will present you with our "New Arrival" booklet at this first visit.
back to top
First Office Visit
The providers at Advanced Pediatric Associates would like to see your new baby within three days after you are discharged from the hospital. Please call our Patient Care Line at (303) 699-6200 as soon as you are given a discharge date to schedule your baby's first office visit. At this visit your baby's weight will be checked, a physical exam will be performed, and your provider will answer any questions you may have. Please bring any information about your baby that you are given from the hospital, including records of the newborn screen, Vitamin K injection and Hepatitis B vaccination. Following this initial visit, we will see your baby regularly until feeding and weight gain are established and again at 2 weeks of age at which time we will do the second newborn screen.
back to top
Addition of New Baby to Your Insurance Plan
It is extremely important that your baby be added to your insurance policy as soon as he or she is born, and that one of our physicians is chosen as the baby's primary care physician (PCP) if a PCP is required. We accept most commercial insurance plans, as well as Tricare, Colorado Access and CHP+. (We accept Medicaid insurance for current patients only.) For more information regarding insurance see our Financial Policies page.
The first year of life can be expensive because of recommended well-care visits and immunizations, so it is important that you understand your insurance benefits. Recent health care reform laws require most insurance plans to provide 100% coverage for children's regular well care visits and immunizations. For patients whose insurance does not cover vaccines, our staff can give you names of community resources that may provide vaccines at a reduced cost. In addition, patients with no insurance are eligible to receive vaccines (in our offices) from the State of Colorado's "Vaccines for Children "(VFC) program at a reduced cost. If you have any questions regarding your insurance coverage please contact your health care plan.
For information regarding average pediatric charges for the first year of a newborn's life, please click on the link below:
back to top
Important Vaccinations for New Parents, Family Members and Caregivers
Pertussis (Whooping Cough) -- Pertussis is a bacterial infection (spread through sneezing and coughing) which causes swelling and narrowing of the breathing passages and a severe, violent, and rapid cough, which can last for months. Pertussis is most severe in infants under 6 months of age, particularly if premature. Complications of pertussis include pneumonia, seizures and sudden death. A combination Diphtheria, Tetanus and Pertussis vaccine is generally given at 2, 4, 6 and 15 months, with a booster at 4 - 5 years. Because infants under 6 months are most at risk, new mothers who have not yet received the Tdap vaccine should get vaccinated before leaving the hospital with their newborn. Others who will be around the infant - parents, siblings, grandparents, other family members and caregivers - are also encouraged to check with their physician to make sure they are up to date on vaccine protection against pertussis. It takes two weeks to establish immunity against the pertussis bacteria. For parents who have not yet been vaccinated, they may be vaccinated in our office at their newborn's two day visit (payment must be made at time of service).
Influenza -- Babies under 6 months of age are at a higher risk for serious complications from influenza, but are too young to receive the flu vaccine. As a result, it is very important for parents, family members, and caregivers to be vaccinated against influenza to help form a protective "cocoon" against the flu for newborns and young infants.
back to top
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. Our providers can give you basic information on breastfeeding at your baby's first office visit, as well as some helpful tips to get you started. Learn more about establishing successful breastfeeding in the Newborn Care & Feeding 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.
back to top
Well Baby Visits
Regular well care and immunizations are key to keeping your baby healthy, monitoring development and preventing illness. Please call our Patient Care Line to schedule well baby care visits at the ages shown below (* indicates routine immunizations). 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.
You can learn more about what we do at these important visits on our well care / immunizations page of this website. 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. At each well care visit, you will be given an Ages & Stages Developmental Screening Questionnaire (ASQ) to take home, complete, and return at your next well care visit. Please wait to complete the next questionnaire until the week before your visit and then bring with you to your visit. If you misplace your questionnaire, you may stop by our office in advance of your appointment and pick up a new copy if needed. The results of this screening will be reviewed by your provider during your baby's well care visit.
We would like to see your new baby within 3 days of being discharged from the hospital for a "First Well Baby Visit". Including this initial visit, we recommend the following well baby care schedule:
|1st visit||2 months*||6 months *||12 months*||18 months*|
|2 weeks||4 months*||9 months||15 months*||2 years|
Annual well care exams are recommended every year beginning at age 2.
back to top
More than 50% of new mothers experience postpartum blues after delivery. Symptoms include tearfulness, tiredness, sadness and difficulty thinking clearly. This is probably due to a sudden decrease in hormones and usually resolves over one to three weeks as hormone levels return to normal. Some things to try if you are feeling down:
- Make sure you are getting adequate rest.
- Get help with taking care of household chores, cooking, errands, and, if needed, the baby's needs.
- Keep in contact with other people so that you do not feel isolated.
Please discuss your feelings with a medical provider or call our office if these feelings become overwhelming. For more information regarding postpartum depression please visit the following links:
Depression During and After Pregnancy
Postpartum Support International
back to top
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 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:
back to top
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.
See the following newborn and baby care articles written by Advanced Pediatrics staff:
See the pull down menu below for newborn and baby care advice provided by Pediatric Web and written by Barton Schmitt, M.D. (Professor of Pediatrics at the University of Colorado School of Medicine and Medical Director of the After-Hours Call Center at The Children's Hospital of Denver).
For additional information relating to newborn and baby care, please see the following articles provided by Pediatric Web and written by nationally recognized experts in pediatric care.
back to top
Your Baby's First Year, 3rd edition. S.P. Shelov (ed.), The American Academy of Pediatrics, 2010.
Heading Home With Your Newborn: From Birth to Reality. Laura A. Jana, MD, FAAP & Jennifer Shu, MD, FAAP, The American Academy of Pediatrics, 2010.
Caring for Your Baby & Young Child: Birth to Age 5. Steven Shelov (ed.), The American Academy of Pediatrics, 2009.
Mommy Calls: Dr. Tanya Answers Parents' Top 101 Questions About Babies and Toddlers. Tanya Remer Altmann, MD, FAAP, American Academy of Pediatrics, October 2008.
Baby 411: Clear Answers & Smart Advice For Your Baby's First Year. Denise Fields & Ari Brown MD, 2013.
The Happiest Baby on the Block. Harvey Karp, 2007.
The Happiest Toddler on the Block. Harvey Karp, 2008.
The Nursing Mother's Companion. Kathleen Huggins, RN, MS, 2010.
New Mother's Guide to Breastfeeding. Joan Younger Meek, MD, FAAP. American Academy of Pediatrics, 2011.
My Child is Sick: Expert Advice for Managing Common Illness and Injuries. Barton D. Schmitt, 2011.
Dad to Dad: Parenting Like a Pro. David Hill, 2012.
back to top
Baby Care Classes
Newborn Health / Baby Care
Breastfeeding Support / Classes & Lactation Consultation
back to top
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 carseat 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" care seat as long as the car seat allows (at least 2 years). For more information on car seat safety, see the following:
back to top