by Stahl RJ

Caring for Your Newborn: When to Call the Doctor

Image for new baby article If you’re a new mom or dad, you probably have only one main concern—the health of your newborn. It’s only natural to worry. But, one way you can decrease any worries is to arm yourself with information. Learn what symptoms to be on alert for and when to get medical care.

First Things First

Get accustomed to your newborn’s usual routine. For example, how often does your baby eat and sleep? How many times do you usually need to change a diaper in one day? How does your baby normally respond to you? Your baby’s typical behavior will help you to determine if your baby is feeling fine or if something is wrong.
Also, go with your instinct. If you think your baby may be ill, call the doctor right away. It is common for parents of newborns to call the pediatrician with questions and concerns. So, don’t hesitate to get expert advice.

Be Prepared

You will feel more in control if you already have the following medical information close at hand:
  • The name of your newborn’s doctor and the phone number
  • The doctor’s office hours and on-call hours
  • Instructions as to what to do during after-hours
  • Location of the hospital that the doctor is affiliated with
  • The name, phone number, and location of the pharmacy that you use
If you do need to call the doctor, be prepared for any questions that you may be asked, such as:
  • What are your newborn’s symptoms?
  • What is his temperature? ( Note: Rectal thermometers are typically used with newborns.)
  • How many bowel movements has he had? Does he have loose stools? How many wet diapers has he had?
  • What vaccines has your newborn had? Are they up-to-date?
  • Does he have any allergies or conditions?
  • Does your newborn take any medicine? If so, what kind of medicine and what is the dose?
Also, keep in mind that you may need to write down any instructions that the nurse or doctor gives you. So, have a pen and paper handy.
Another way you can be prepared is by learning first aid and CPR for infants . The hospital may offer these classes or you can check online ( American Red Cross or the American Heart Association ).

Medical Concerns

Call the doctor if your newborn:
  • Has a cough
  • Has any eye problems, such as mucus or redness
  • Has a runny nose, which can make it difficult to breath, even after using a rubber bulb aspirator
  • Yellowish skin or eyes, without any other concerning symptoms
  • Is vomiting
  • Is eating less than usual or is having problems with breastfeeding, such as difficulty latching onto the nipple
  • Is not having regular bowel movements
  • Has stools that are looser than normal
  • Is crying more than usual and is unable to be consoled
  • Has problems sleeping
  • Has blood or pus around the navel, or if circumcised, around the penis
  • Has a rash
  • Has ear drainage
  • Is not responding to sounds
If your newborn has any of the following, call your doctor immediately:
  • Rectal temperature above 100.4°F (38°C)
  • Rectal temperature below 97.8°F (36.5°C)
  • Any breathing problems, like difficulty breathing or fast breathing
  • Other signs of not getting enough oxygen, like blue lips, nose, or fingernails
  • Extreme tiredness or drowsiness, difficulty awakening
  • Is limp
  • Signs of dehydration , such as wetting less than six diapers in 24 hours, sunken eyes, sunken soft spot, no tears when crying
  • Soft spot on the top of the head looks swollen
  • Seizure
  • Bloody urine, stool, or vomit
  • Injury to any part of the body, especially the head
If you are extremely concerned and you think the situation is an emergency, call for medical help right away .
You can care for your newborn’s health by knowing which symptoms to watch out for and by being prepared if medical care is needed. Remember that many moms and dads have felt the same way you do and have reached out for help and guidance from doctors and nurses. If at any time you feel concerned about your little one’s health, call the doctor.

RESOURCES

American Heart Association http://www.heart.org

American Red Cross http://www.redcross.org

CANADIAN RESOURCES

Canadian Cardiovascular Society http://www.ccs.ca

Canadian Red Cross http://www.redcross.ca

References

Medical care and your newborn. Kids Health website. Available at: http://kidshealth.org/parent/growth/medical/mednewborn.html . Updated February 2012. Accessed June 21, 2013.

Newborn appearance. Doernbecher Children’s Hospital website. Available at: http://www.ohsu.edu/xd/health/services/doernbecher/patients-families/health-information/md4kids/symptom-index/newborn-appearance.cfm?WT%5Frank=3 . Updated November 14, 2011. Accessed June 21, 2013.

Newborn baby: when to call the doctor. Cleveland Clinic website. Available at: http://my.clevelandclinic.org/healthy%5Fliving/infant%5Fcare/hic%5Fnewborn%5Fbaby%5Fwhen%5Fto%5Fcall%5Fthe%5Fdoctor.aspx . Updated September 24, 2010. Accessed June 21, 2013.

Tips for talking to your doctor. American Academy of Family Physicians Family Doctor website. Available at: http://familydoctor.org/familydoctor/en/healthcare-management/working-with-your-doctor/tips-for-talking-to-your-doctor.html . Updated November 2010. Accessed June 21, 2013.

When to call your baby’s provider. March of Dimes website. Available at: http://www.marchofdimes.com/baby/when-to-call-your-babys-provider.aspx . Updated June 2011. Accessed June 21, 2013.

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