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Baby Care Basics Education

Baby Care Basics Education

baby

care

basics

class part two part one was already done in case you missed it you can still access it at hogue youtube hogue health and all of our classes are on that so you can always go back and see them we've done the infant cpr and the breastfeeding class those are already up my name is gina i am part of ob

education

's rn force i'm an rn in an ibclc which means i am internationally board certified all of the team members in ob

education

are ibclc to help you with your breastfeeding we have a tremendous amount of support in ob

education

and as a matter of fact in hogue hospitals mother maternal child health unit as well and so we'll go over some of those resources at the end of the presentation and we will also take questions so write your questions down and know that i'm going to be doing some demonstration we do demonstrations in most of the classes you can kind of watch the first run through and get an idea of what's going on and maybe when you watch it again a second time you can get a

baby

and a swaddling blanket or a doll or a teddy bear or you know anything that you have handy to you that you can practice on because we will be doing swaddling and in the last class we did bathing so one of the first things you're going to do when you have your

baby

at hogue is work on bonding the first thing we do is when the

baby

is healthy and you're healthy and all is good we put the

baby

on your chest in what we call skin to skin and that's a...
baby care basics education
wonderful way to begin the bonding process it also helps with your milk supply and and the

baby

's stability so that is something concentrated on in the first video that we did everything pretty much covered what happens those first couple days when you're at hogue hospital when the

baby

's born and this is kind of a continuation of that for when you go home so when you go home you can continue to do that skin to skin to facilitate bonding you and your partner can do that as often as you like at home there's no way to spoil this

baby

they don't have the neurological development yet to decide to do an action to ask for your help they cry that's their only communication so you can continue to do that bonding at home and do skin to skin and not worry about spoiling your

baby

skin to skin and working to facilitate the bonding and cement the bonding with your

baby

not only creates an emotional attachment a physical and emotional attachment between the two of you it also facilitates the growth and development and emotional development of your

baby

so it's healthy for your

baby

in in many ways and in fact it's it's necessary to have that bonding for your

baby

to develop that that trust and that understanding of unconditional love that comes between a parent and a child this is when it starts in the very beginning soothing your

baby

is something that will be a constant concern for you and there are many ways to do that and one of them of course is...
baby care basics education
this skin to skin you can also find a quiet place and and and lower the stimulation to try to help quiet and soothe your

baby

there is a sound a lot of you have a machine like a shushing machine you may have seen those other parents have them or you may have been given one at your

baby

shower and the shushing is a really comforting thing to a

baby

don't do it too loud and don't do it right in the

baby

's ear but holding a

baby

we have this little one here holding a

baby

and rocking them and and staring at them and is very soothing to a

baby

and can help calm them down as far as those shushing machines i think that it's nice to have it um in your arsenal to help soothe your

baby

try not to make it your uh 24 7 solution i'm seeing more and more people have got that in the stroller they've got it in the nursery they've got it in the car and that's just too much of a good thing so use it when you have done everything else and and you need something else to help soothe your

baby

then you can use that for a period of time but don't make it your 24 7 solution babies have a reflex they're born with called a moral reflex and that moral reflex is when they're startled their arms and their legs go out and then come back to their tucked position because of that they like to be back in the position that they were in when they were carried in you for nine months because remember this

baby

has been in you nine months tightly wrapped in a in a water...
baby care basics education
environment temperature controlled light and noise controlled and they're in this little tucked comfortable position that they know and love and all of a sudden they're born and and we put them down and want them to be flat well the moral reflex will startle a

baby

awake so swaddling them helps to dampen that moral reflex and provide the

baby

with the comfort and the warmth and support to soothe them you can talk to your

baby

people don't realize that a newborn

baby

loves to hear your voice they love for you to talk to them so it's the tone of your voice more than what you're saying but you can read to them you can sing to them when you hold them have them in a position where they can see your face and see your mouth moving and and talk to them in a soothing voice that's something that they love you're going to use all of these senses to soothe and calm your

baby

holding the

baby

upright these little ones have depended on you for literally every single function that requires living while they were in utero all of a sudden they're born and they're independent and they have to do all of those things themselves so because of that transition it's difficult sometimes for babies to process food and gas and temperature control automatically and all of those things so holding a

baby

like we do skin to skin upright against your chest and have their little hands up here so that they can self soothe holding them like this if they're swaddled...
they don't have to be skin to skin and letting the flow of gravity help them to handle whatever is upsetting them so that they can pass gas either way and maybe stool if that's what they need and helps them calm down if your

baby

is breastfeeding well and your milk supply is in all is going well they're about three weeks of age it's okay to also give them the pacifier at this time and you can hold them like this with the pacifier and they love it it's very very soothing and like i said between the pacifier which helps with gi motility and the gravity you're helping them transition you're helping them process food as far as soothing goes i think swaddle in the first couple of months is huge we're gonna swaddle until the

baby

is starting to turn over once they show signs of starting to turn over which is usually after two months then no more swaddle because then that puts the

baby

at risk there's a couple swaddles that are used pretty universally and there are variations but almost all the variations are based on the two basic styles so i'm going to show you both basic swaddles here and when you come to hogue and you have your

baby

you will encounter many different ways of swaddling from the different nurses that come and take

care

of your

baby

and that's a really great way for you to learn all the different techniques and you will undoubtedly see one that somebody does that you just identify with it works for you works for your

baby

...
you remember it and you're great at it and so don't be intimidated by swaddling a

baby

it's really really easy it's just a matter of practice and trial and error and finding which one works for you so this is the one that i always used my background is the nicu and i had to make sure that babies couldn't get their little hands around tubes or wires or anything and so we wanted to handicap their little their little hands and this one works really well for that as far as a term

baby

a

baby

that you take home we want them to be able to get their hands it's developmentally appropriate for them to learn about their world and have their hands up so i'm going to hold this blanket against me to demonstrate how to swaddle this is not how you do it at home at home you're going to put this on a table so pretend like this blanket is on a table not on me and that there's a camera above me so practice this at home on a table not against your body so i have you can see just the top of the blanket folded down a little bit and then i'm going to put the

baby

shoulders right at the top of that fold and the

baby

's hands are actually going to be like this and this

baby

does not want to cooperate with me at all so we're going to ignore it and we're going to pretend like the

baby

's hands are right here what you will do is the same on both sides you're going to hold out this side and what helps you to remember is over the shoulder under the...
hip and secure it there so it's nice and tight and then with this one also over the shoulder and down under the hip so you have got a v and the

baby

's hands would be right there and that little v and they can get their little hands up in their mouth i folded the top down and if for some reason you didn't want the

baby

to get their hands you could put their little hands in that fold and they'd still have their hands right here there'd just be a folded blanket over the top of it then you can see all the way down here there's a straight edge you're going to go right in the middle of that straight edge and you're going to bring it up to the

baby

's chest then you'll take this side and wrap it around the

baby

this side and wrap it around the

baby

and you have a very secure swaddle okay so you guys this will be available on youtube and you can watch it over and over again and you can practice it and you can see if it's one of the ones that you like the other swaddle this one we started with it as a square or an oblong the other swaddle is going to start as a diamond this direction and this is probably the most common one that you will see so for a newborn

baby

you're going to roll that down pretty well that corner down pretty well so now you've kind of got a triangle but you're going to position the

baby

the same way you did for the other swaddle which is having that fold right at the shoulders and again we want the little...

baby

's hands up like this we're going to pretend that's where they're at for this one you're going to go kind of shoulder to shoulder up higher and tuck it under the

baby

and then when you have that then you're going to go down here and get this piece if you can see it and you're going to bring it up here you can even tuck it in if you want to so that's very secure and then the other side is going to go around the

baby

and then anything that's left there's not a lot left on this

baby

this blanket's not as big as most but anything that's left you can kind of twist it up and fold it under so the

baby

is all nicely swaddled what you want to make sure with your

baby

is that you swaddle the upper body tight and secure with their little arms all tucked in and then remember that your

baby

was inside of you with their little legs up also their little legs were also tucked so we don't want to swaddle the

baby

's legs down and we don't want to swaddle too tight around the hips there is a increase in possibility of causing a hip dysplasia which is a problem with the hip joints in a newborn

baby

if you position their hips wrong and too tightly so we want to make sure there's enough room in that in those hips for the

baby

to have their little knees up basically you want their little knees up and and slightly out that is their comfortable tucked position always go back to thinking of what they looked like when you were carrying...
them and and they will loosen and straighten out later on but right now that's a position of comfort for your babies swaddling is um really a lifesaver at night a lot of times parents will say that their

baby

is waking all night and and maybe it was hot during the day and they weren't using a swaddle and then you'll ask them are you swaddling at night and they usually say no swaddling can can make a

baby

so much more comfortable and sleep a lot better talking about sleep that's something that everybody is concerned about interested about as a new parent and you won't feel like it because you will either be feeding or diapering or bathing your

baby

or or doing something with that

baby

so it's hard for you to believe that your

baby

will sleep 16 hours or more in 24 hours and and that's what we expect and they you know a little more a little bit less they're all individuals as far as your

baby

sleeping all night that's probably not going to happen until three months or after and and even then it's still very individual since your

baby

is going to be spending that much time sleeping and since we always put a

baby

back to sleep you need to make sure that every time you put your

baby

down you position their head a little bit differently so that they don't get a flat spot on the back of their head so eventually they'll get to where they're turning their head all by themselves but every time you put the

baby

down if you put them...
down facing to the right a little bit next time put them down facing to the left not always straight back where they get a flat spot on their head because they will get really upset at you if they go to wear a ponytail when they're 16 years old and their head is flat in the back it doesn't cause any harm it's just cosmetic but that's something for the the first couple of months that's really important to pay attention to is the positioning and and their head a

baby

that is uh fussy sometimes they're fussy because they want to sleep babies are easily overstimulated so to put a

baby

to sleep and to try to concentrate on the ability of your

baby

to have the best sleep at night and the most awake time during the day decrease the stimulation at night so lower the light maybe when you get up in the night to do

care

s and feeds just have a a little night light that you can turn on keep the noise quiet don't talk and visit with them and stimulate them keep it quiet you're getting up and you're going to take

care

of them and their needs and then you're going to put them right back to sleep that is the best way to maximize their understanding and they're transferring days and nights after they've been born so at three months they may be able to sleep six to eight hours at night and and that's okay if they do it's very individual with the

baby

what you should do is to try to make sure that the

baby

's wake time has as much of the...
feeding and stimulation and interaction during the day so that you can save that night time just for the babies to to sleep and recover your

baby

's communication is just one thing crying the only way they can communicate with you is by crying they cry when they're cold when they're wet when they have a stomach ache all different things and initially that cry sounds the same to you no matter what it is they're indicating eventually you'll get to where you can actually differentiate which cry means what oh that's the hungry cry oh that's the hurt cry that's the mad cry and you'll know that you'll know your

baby

so well that you'll be able to pick up on those you won't know it right away and actually it's part of your

baby

's communication they're learning that they're learning how to communicate so different cries for different things and if your

baby

is been fed the diapers changed everything you can think of is already done and this

baby

is crying or fussing or squirming and kicking feet and just in general acting uncomfortable there's a possibility that your

baby

might have had too much stimulation so always keep in mind over stimulation can be a factor when your

baby

is fussy and upset babies that are born late pre-term which means they're born before 37 weeks babies that are born premature those babies are more likely to be highly susceptible to being over stimulated so so keep that in mind if you do...
end up in the category that has one of those little ones that your

baby

may take a little while a little longer to transition and may become over stimulated easily if your

baby

has been fed everything's done they're warm and they're happy and they start this fussiness and and you know kind of crying and kicking then take them to a quiet place always have a quiet place it's nice to have a quiet place to breastfeed your

baby

too and sit down and lower the stimulation drop the noise level drop the light level cuddle your

baby

just tuck them in there in their little tucked position and and try to soothe them that way and sometimes it takes a little while for them to calm down rocking them is a good thing you have your

baby

and your

baby

is upset and you're trying to soothe them you can kind of you can kind of rock them and soothe them with pacifier and they can look at your face and sometimes just that helps soothe them and calm them down as far as a smile your

baby

may smile about the first month and that's also a form of communication that they will have with you because a smile is not gas a smile is not gas for a

baby

any more than it is gas for you or i a smile is an involuntary reflex and they smile because they're happy so they have a happy memory a happy thought maybe they are remembering being at the breast maybe they're remembering hearing your voice or seeing your face those are those are the best things in the world for your

baby

at this...
age so when they bless you with a smile it is the most amazing thing ever and you will see that smile more and more often and evolve more and more often to where when you walk in the room they break out in a great big smile communication is something that you will begin to really share with your

baby

and develop with your

baby

and all the more reason for you to interact with them and to to watch and pay attention to the developmental cues that lead you to the next level play time is something that your

baby

will be ready for depending on different developmental levels how quickly the

baby

develops some are ready more often than others but it's another one of those things where they just seem discontent and maybe they're bored and that's the time to introduce different things as far as play for your

baby

in the very beginning you can introduce stories reading stories singing to your

baby

music boxes little

baby

music things like that sometimes mobiles mobiles a lot of babies love keep in mind with a mobile that babies love black and white pictures and so a lot of the mobiles have those but when a

baby

is laying on their back and they're looking at they they can't get away from those black and white pictures and black and white pictures can also be over stimulating and they may just be over it and done and they can't really get away with it so kind of keep that in mind depending on your

baby

and you will know whether or not your

baby

is one of those that...
gets overstimulated easily or one that can tolerate more and and as they age they'll tolerate more and more of that too so toys for a

baby

rattles rattles have evolved dramatically over the years when my kids were born you would get tiny tiny little delicate rattles that were very very lightweight and when you put the

baby

babies have a reflex also that will grasp onto your finger they will also grasp onto a rattle and while they've got a good hold on that rattle they don't have any coordination yet so they move their hands around and they often hit themselves in the face with the rattle so keep that in mind if somebody gives you a rattle that's a beautiful rattle maybe a sterling silver rattle or something that's that's very beautiful keepsake but also very heavy a heavy rattle isn't a good idea to put in a

baby

's hand until they've gained coordination they do have some that go on the wrist and those are good because the

baby

can accidentally shake it and hear it and have the have the rattle without any danger of hitting themselves in the face crib mirrors babies love mirrors and they will sit and stare at themselves for a long time they think they've made another friend there's another

baby

in there they're saying hi to and they're just fascinated so uh an unbreakable crib mirror is a great thing to have when your

baby

starts to be interested in playtime and want to play there's activity mats and activity mats are...
great for babies i'm sure you guys have all seen them you may already have one in your arsenal make sure that the

baby

is to the level where they can kind of hold their head up putting them there where they can use the strength in their in their muscles in their arms and their back and holding their head up then the activity mat serves its purpose they can pull back and they can see something and that's a good time to introduce that dancing with your

baby

is great and you can start that right off the bat and you can continue that on for gosh until you can't hold your

baby

anymore my granddaughter is four years old and we still do dancing as a matter of fact some of the songs that we played when she was tiny when she was just a little

baby

and we were dancing with her to music to this day when she hears them she goes to that happy place her mind just goes there i think that we all kind of have songs that maybe we heard in those happy early days that we don't remember the happy early days and the actions that took place but you may remember the feeling that you had and when that music comes on it just unlocks a box in your head and and lets that feeling out it's a nice memory it's a nice thing to build with your with your child so texture toys are also great and there's a lot of those out now there are texture toys that have like a crisp material that crinkles and the babies don't have coordination yet but they accidentally crinkle that and they...
like it and they they hear it and they learn responses that way and there are a lot of other different types of texture toys there are books that have texture and flaps that open and close i guess also with toys you want to always keep in mind there again that if the

baby

is acting fussy and you probably need to back off from that i've seen people with a

baby

that is just over it and usually what they try to do is more stimulation so they start patting the

baby

or bouncing up and down with the

baby

or shaking keys to entertain it and the

baby

's already had it they're over it they no longer have the ability to interact with you they've shut down they're done they want low stimulation and it's hard initially especially if you're out somewhere and you're trying to quiet the

baby

to not do more and more but more and more doesn't fix it usually going someplace quiet and just de-escalating the whole over stimulation for the

baby

is the best thing is what you want to do so we have got a tremendous amount of support at hogue in the entire maternal child health tower available for you if you have never had a

baby

at hog before you may be unfamiliar with a lot of those resources we have a hoag for her which is a great resource for you before the

baby

and after the

baby

they have classes they have mommy and me yoga classes pilates a number of other things available to you and they also have a maternal mental health group there so if you feel like you...
have gotten to this whole journey and you're excited and you're enjoying some of it then you probably got a little postpartum depression and maybe it would just help to talk to somebody but if you're not enjoying any of it you're not getting any any enjoyment of the whole process and you feel guilty because you know you should then you might want to call them because you probably need a little more support than what you can do on your own or what you and your partner can put together so that number for hogue for her and for maternal mental health hope for her is 949-764-7239 and maternal mental health is 949 six four five three three three and they're open nine to five monday through friday um we have a um an app that you'll be given when you have the

baby

that is a great addition that hogue hospital has paid for for our mommies that give birth here to have unlimited uses of and it's called the pacify app we will make sure you get that before you leave the hospital when you have your

baby

and what the pacify app is is a lactation face-to-face app that you can use 24-7 weekends nights holidays unlimited uses courtesy of hogue and with the pacifier app just know it is not a maternal child line it is just for lactation so if the

baby

has a rash and you need to talk to somebody about it the pacify app is not who you would call the circle app is also an app offered by hoag hospital to support you and and all of these we will make sure that you know and...
and get before you leave the hospital and then there is um the

baby

line and the

baby

line is multi-use there's a lot of things you can do with that so this is a number that you really want to write down and keep close at hand and if you have another

baby

here and a third

baby

here you will most likely find that this

baby

line will come in handy for you the

baby

line is open nine to five monday through friday and it is staffed by an rn ibclc certified rn and they will help you with any maternal child health concerns that you have know that it is not for emergencies the nurse that staffs the

baby

line is most likely also the one who is seeing clients so she will come back when she's done seeing clients and she'll take all the messages off and she may not get back to you right away but she will definitely get back to you before the end of the day with your questions and help you and we can help you know if you need to call the doctor or the pediatrician or if it's something that we can offer you some support for so a

baby

line is the line that you would also call if you want to make an appointment at the lactation clinic and we all of us at hobie

education

staff the 500 superior building clinic it is a lactation clinic where you come in and have one-on-one with us and we can address any lactation concerns for you or your

baby

we can do a way feed way so if you just need the comfort of knowing that the

baby

is getting enough we can provide you with that...
validation to know exactly how much the

baby

has gotten and we can help you with a bad latch with soreness or engorgement or any of the things that you might have going on with lactation that's our specialty that's what we do so you would call the

baby

line to schedule an appointment for that for that one-on-one consultation and then thirdly the

baby

line is used to rent a pump we have commercial grade pumps that are available for rent we rent them by the week they're especially good for somebody who has a

baby

that comes a little bit early and maybe they need a little bit of help telling their body to make milk anybody that has any supply issues the commercial grade pumps are very very good at helping to overcome those issues so you would call the

baby

line to reserve a pump and to rent it and the

baby

line is 949 764-2229 so as far as our classes we normally do these classes in person and it's been a real transition for us not to be able to see you and and get to know you and meet you all that's part of the fun of doing this is we get to know you before you have the babies and then when we see you on the mother

baby

unit when we make rounds there then then it's fun we get to connect and we get to see what your

baby

looks like and what your birth story is because of covid19 we had to institute a new process and so this is what we are doing and these videos will be going on youtube so that you can always go back and see them again tomorrow will be...
another

baby

saver class and then thursday is another breastfeeding class so tune in for those and also go back to to youtube and check out the classes that are up there it's youtube hogue health and you'll be able to pull up the classes that we've had so do we have any a questions is asking and don't forget to repeat the question a grandparent is asking about precautions to take with coping grandmother is asking about covid precautions babies if they're breastfeeding we're still having the moms breastfeed the

baby

if nobody is is positive we're going to continue to have the same interaction between the parents and the

baby

as we normally would um and even if mom has covid we're still having the mom breastfeed the

baby

that's the best protection for the

baby

her milk is making antibodies putting antibodies into that milk before she even knows she's sick and those are available to pass on to the

baby

as far as visitation we are screening all of the visitors that come to the hospital and we're not letting anybody in except for the parents at this point any more questions uh review tummy time there was a little they weren't sure when to do it and differentiating between back to sleep versus tummy time okay reviewing tummy time and the difference between back to sleep and tummy time back to sleep your

baby

's asleep and you're walking away and if you're going to walk away from your

baby

they need to be on their back tummy...
time you are awake you're watching that

baby

that maybe is never on their stomach when you're not there with them and you're watching them and tummy time is developmental so they're not going to be spending a lot of time in the beginning we're going to start tummy time right off the bat from the time the

baby

is born and we're going to try to aim for 30 minutes a day so you can do that in breakdown 10 minutes and 10 minutes and 10 minutes and you're done it just work it out so that it works for you and your

baby

and how your

baby

tolerates it as the

baby

gets older we increase the tummy time as they gain control of their neck and their their muscles then they can have more more tummy time but still it's always going to be with you staying there watching them not with them sleeping gripe water is it okay to use and when gripe water there's a lot of different there's milo con there's different things out there you can try something i mean if you're your wits and boy and there there are things that you can try and see i would kind of leave that up to your pediatrician and see how your pediatrician feels about that so grandpa is asking about should he wear a mask when he's busy with the

baby

at home grandpa wants to know if he should wear a mask when he's visiting the

baby

at home if you feel comfortable wearing a mask i mean if you feel yeah if you feel that this is something that you're comfortable with then you just...
kind of rely on yourself and your pediatrician pediatrician can kind of give you a guideline for where we're at right now things are changing so much so anything else where do you recommend where the

baby

should sleep for the first zero to three months where should the

baby

sleep from birth to three months we actually recommend that your

baby

sleeps in a cradle or a um a bassinet at bedside the

baby

actually should be in the room with you for the first six months six months to a year but at least six months you can hear the

baby

's breathing change you'll get really really in tune to your

baby

's needs so it's recommended for the first six months birth to six months that the babies share a room with you not a bed but a room next question is how do you establish a routine for a feed sleep for newborns is that recommended for new newborns or would it be best until they're slightly older um do you establish a routine for feeding a newborn i'm going to shorten that question a little bit and and give you my answer your

baby

should be fed on demand a newborn

baby

should be fed on demand not on a feeding schedule they have got a stomach the size of a marble they don't have enough capacity to go very long and they also fall asleep the minute they're at the breast so they take little sips and they snack and and that's what they're supposed to do they're just supposed to eat eat eat eat all day long all the time for the first couple of...
months so no feeding schedule uh you you can try to to wake them up and feed them more often like every two two and a half hours during the day in the hope that they'll go three hours at night but until they have reached their birth weight at two weeks of age they cannot go more than three hours without being fed so if you feed feed feed feed feed during the day and and let them snack and feed and wake and feed during the day the hope is that they'll go three hours at night but no more than three hours a night until they've regained their birth weight at least by two weeks of age and then you're just going to kind of play it by ear the

baby

's development their weight gain but but they should be allowed to eat and feed on demand the same way we do what do you think about this new bassinet we get this question almost every class what do you think about this new bassinet um the snoo has not been recommended um by the american pediatric association and so we can't recommend it either it hasn't been shown to do anything it's very very expensive so again i'm going to tell you to discuss that with your pediatrician and see what their personal feeling is on it what vaccines do you recommend for parents and family members need before a

baby

comes vaccines that are recommended for family and parents before a

baby

comes well the flu shot is a good one to get and um we have we have a vaccines that your pediatrician will recommend or your ob gyn will...
recommend there are varying different ones but the tdap is a big one and yeah and and parents preference so vaccines are tdap is probably a big one that um i would say is is kind of top of the line but other than that it's it's very much up to your your pediatrician and how they'll direct you with that okay so there was a question about whether the partner can go in and out i ask gabby they the partner can come and go unless mom is tested covered positive then the dad cannot leave okay so the question is can the birth partner when they're here at the hospital and the

baby

is being born and they're in the mother

baby

unit can the birth partner come and go or does the birth partner have to stay in the room with the mom if the mom is not covered positive the birth partner is able to come and go not where we said that but each time they come through they'll go through the main entrance not not where we normally do if mom is covid positive the birth partner must stay cannot leave what do you think uh is it okay for a

baby

to be in a dockatot but not sleep is it okay for a

baby

to be in a dockatot not sleeping um if you're watching the

baby

um i guess it's the same as putting the

baby

on a sofa or anywhere you put the

baby

if you're standing there and you're watching the

baby

and you're making sure the

baby

is safe and breathing and okay then then you can use it how how you want we don't recommend them as far as sleeping for babies...
and neither does the aap when is the first pediatrician visit i don't know or after when is the first pediatrician visit okay well there's kind of two answers to that the pediatrician will see your

baby

in the hospital and if you don't have a pediatrician don't worry at all one will be selected for you and take

care

of your

baby

while they're in the hospital and you can get to know them and if it's a pediatrician you like you can continue with them once you leave the hospital if you have a pediatrician that you already have in mind then you can switch when you leave the hospital and that's okay it depends on the

baby

if the

baby

has got hyperbilirubin issues which is a jaundice issue that babies get from their immature liver if the

baby

is got something like that or weight issues going on your pediatrician may want to see the

baby

much sooner but typically two or three days after you leave the hospital they'll check on the

baby

and then there's a two week checkup and two week checkup we check their weight and their development and kind of make sure they're on target tdap someone asked back to the tdap and we do offer it to just to the mom in the hospital there's a question about whether or not the tdap vaccine is offered here and it is offered but it's only offered to the mother when she comes in to have the

baby

and that's it so thank you very much for for joining me and for being part of our our online classes and i hope...
that you'll check into the classes that we have in the future and the ones also that we've had in the past thank you very much