The Mom Crowd

How well do you like your Pediatrician? Occasionally I get asked by my friends who my Pediatrician is and how well I like her. When I needed to choose one I read a ton of  articles online about what to look for and asked my friends for referrals. We also interviewed our doctor to make sure that we had the same theories on health care and our personalities fit.

Here are a few practical tips about choosing a Pediatrician:

Consider the location of the office. How far do you want to drive for well baby check ups? Do you want to drive farther if you really love one doctor?

Interview prospective Pediatricians and have your questions ready. They usually have designated office hours to be interviewed. It can really save you a lot of heartache to meet them in person before they show up in your hospital room. Also, you will be able to check out the office before you bring your baby. Is it clean? Are the well children separated from the sick children?

Make sure that they service the hospital you are birthing at. Not all pediatricians have access to every hospital in town.

Do they really match your health care philosophy? For example, how well do they encourage breastfeeding if you want to breastfeed? They may say that they encourage breastfeeding, but what is their philosophy on supplementing? Especially during the time while you are waiting for your milk to come in. Most doctors won’t say that they prescribe a lot of medicine. I think you have to tell their philosophy about meds by the way they speak about prescriptions.

Find out how long the nurse has assisted the doctor. I think you can tell a lot about a doctor by how well they get along with their co-workers. My doctor’s nurse has been with her for over 18 years. That seemed like a good sign to me.  Also, there may be no way of knowing, but having a competent nurse comes in very handy. Many times she has solved my problem over the phone without coming in for a visit.

Ask for referrals from your friends. This is by far the best source of information in finding a Pediatrician. I asked everyone I knew and interviewed one based on the information I received. Moms can tell you first hand if they are pleased with their doctor’s office.

Does the Pediatrician’s office have weekend hours? I have went in on a Saturday once and I was very thankful that I didn’t have to wait three more days with my super sick baby to find out what is wrong.

Find another doctor if you don’t feel comfortable with your own. At your first visit you don’t sign a contract agreeing to only use them as your doctor for the next five years. If you don’t like the care you are getting or the way they communicate information to you, then you have freedom to find another one you like.

Pray and trust your Mom Instincts. Sometimes you have several choices and they all seem like good options. I would go with your instinct and go with the doctor you have peace about. That is how I ultimately chose mine and I have been happy with my decision.

Do you have any tips for new moms looking for a Pediatrician? Do you like your doctor? Why do you like them? Have you had any problems with your Pediatrician?

More Information:

Shopping for a Pediatrician on WebMD

Choosing a Doctor for Your Baby on Baby Center

Choosing a Pediatrician on Expectatant Mother’s Guide

10 Questions to Ask When Choosing a Pediatrician on iVillage

Choosing a Pediatrician on Ask Dr. Sears

My cat, Samuel, tagged a car seat today. The main problem is that it is not my car seat. My friend Rachel called me this morning and asked if I could watch her 5 month old son, Nathan, while she went to a doctor’s appointment. She packed him in the car seat and I noticed that his head rest was wet. It looked like he spit up. Then from my angle I can see a big pool of yellow liquid under his car seat. Pee. I look at my husband, Daniel, and I am mouthing to him “Samuel” and he looks at me and says, “What?” Then I mouth “cat.” Then we all look to the yellow pool and Rachel and Daniel realize it is cat pee. I. was. mortified.

Daniel and I fumbled through an apology and offered to buy her another one. Rachel takes out Nathan and I get a wipe and wipe down the side of his face and his onesie. Daniel is cleaning the pool of pee. Then in my one moment of clarity I offer Rachel my car seat until I can clean hers and return it to her. She is very gracious about the entire event.

So how do you get the pee smell out? What do you do? Daniel and I thought that if this happened to us, then we would buy another one. So you can guess what we did – we bought Rachel a new Graco Snugride. Graco changes patterns like they change their underwear and Babies R’ Us did not have their pattern. So her stroller doesn’t match her new seat.

I have washed the cover in the washing machine twice, once with an 1/4 cup of apple cider vinegar. I might try another homemade cleaner, but I doubt it will work. I think the car seat may be lost forever.

So if you have cats and your visitor has animals at home, then you better put their car seat away to keep from being tagged!

The physical reaction to the MMR vaccination may be old news to parents who have children over the age of 1 but I hope that my daughter’s experience will help all those who are coming up on their little one’s 1-year check up. I don’t intend to give any medical advice here; I am only sharing what happened to my daughter, Annabelle.

The MMR vaccine stands for Measles, Mumps, and Rubella. Children receive 2 doses of the vaccine. The first does is given at 12-15 months of age and the second at 4-6 years of age when they are about to enter school and are at a higher risk of contracting one of the diseases.

Annabelle received the MMR vaccine, Chickenpox vaccine, and Pneumoccal Conjugate vaccines at her 1-year well visit check up. My pediatrician warned me that in 10-14 days she might get a fever and a rash, because of the MMR shot. Exactly 10 days later she got a high fever. She was sick for three days with a fever of almost a 103 degrees and she had funky, runny poop. Then as the fever was finally settling down she broke out in a rash and her face swelled up. My instructions said that the rash shouldn’t last more than three days and to call if they turned purple. Thankfully the rash only lasted three days, but she was ill for a total of a week.

In the bigger picture I would rather my daughter get a fever and rash that goes away, than the more serious risks of measles, mumps, or rubella. The CDC states that 1 in 5 persons will get a fever and that 1 in 20 persons will get a rash from the vaccine. Annabelle was one of the lucky recipients of the 1 in 20 chance.

Some parents choose to separate the vaccine into three different shots to decrease the chance of a reaction. The CDC claims that there isn’t any reason to separate the shots and “studies have shown” that parents may forget to schedule the extra visits to receive all the rest of the vaccinations and thereby put their children at a higher risk of not getting vaccinated. I don’t know what exactly Dr. Sears suggests on the MMR vaccine, but a recent blog post on his site says that there may be a shortage of the plain Mumps vaccine and gives a few suggestions about how to handle the shortage. The decision to separate the combination shot or not to separate the shot is up to you.

Additional Resources:

The CDC Information Statement about MMR

Detailed Background and History about Measles and Mumps vaccines from The National Academies Press

Related Post:

Aluminum in Vaccines

Did your child have any reaction to the MMR shot? Did you separate the shot into three?

I prepared for childbirth like most moms. My husband and I attended a series of child birthing classes and created a birthing plan. I had incredibly fast labors with both of my children. During my first delivery, my epidural made my whole bottom half incredibly numb (just like it’s supposed to) which made it hard to push. My nurse asked me if I wanted to use the mirror so I could see the muscles contracting and I could know how to push effectively. Well, I wasn’t planning on keeping the mirror there for very long, but Darah came very quickly and there wasn’t time to tell the nurse to get the mirror out of the way. I watched her delivery and it was incredible! I was so glad the mirror was there! It was so amazing to see her little body enter the world for the first time. I will never forget that moment. It was perfection!

Fast forward two years and three months later. I found myself again in the delivery room, dilated to 10cm, and ready to PUSH! I specifically asked the nurse for the mirror this time because I wanted to have that magical moment of watching my second child’s delivery. Well, this one didn’t just slide right out like my first. I know this isn’t record breaking, but compared to the time it took to push my daughter out (less than 10 minutes), 45 minutes felt like an eternity! I was getting nervous because he wasn’t coming out very quickly and was very irritable. The mirror was getting on my nerves. I didn’t remember that it was a magnified mirror before and my butt was huge! This was not nearly as romantic as using the mirror with my daughter’s delivery, but I felt committed. Second children always get the short end of the stick, and I didn’t want to start short-changing things for my second child in the delivery room!

So, the mirror stayed and I (and everyone else in the room) stared at my butt in a 10x magnified miror for 45 minutes. The saddest part is my eyes were closed during his delivery and I missed it anyway. We later found out why he had such a hard time arriving…he was 10 pounds! The second he was born, I completely forgot the mirror was there and gazed at my perfect little boy. I then looked back down and saw the crazy long umbilical cord (I had no idea how long that thing was!) and saw the doctor going to town with a needle and a thread on my poor body…all magnified in that blasted mirror! I told the nurse to move the mirror and went back to heaven in my arms.

If we have another baby, I will most definitely use the mirror again. The only thing I’ll change is it will not be pointed to my butt until the baby is crowning!

I’m not even going to ask a question to start some conversation…I am hoping some fun discussions sprout on their own from this brave honesty of mine!

Sometimes babies need a little extra medical attention when they are born and need to stay in the Neonatal Intensive Care Unit. There are many reasons why a newborn would need to visit the NICU. The NICU can be an uncomfortable, scary, intimidating environment. I have spent 15 days in the NICU and many days in various hospital rooms. Some simple things like making sure every nurse in the hospital had our cell phone numbers, posting pictures of our family on my daughter’s bassinet, bringing in the mobile from her empty crib at home, and calling dibs on the next open comfy recliner made our stay more comfortable. There are many other things you can do to make your NICU stay less intimidating and more comfortable.

Create your own privacy

• NICU’s are typically the least private areas of the hospital. While being in a “fishbowl,” it’s important to create some privacy for you and your baby while you’re visiting. Most hospitals will provide screens that you can arrange around your child’s bassinet during breastfeeding or bonding time. Take advantage of those screens!

Kangaroo Care

• Kangaroo Care is a special type of bonding with your newborn. It’s basically just skin to skin holding by undressing your newborn and unbuttoning the front of your shirt. This is great for any newborn, but it’s especially important for babies who aren’t able to go home right after their births. Moms AND Dads can do Kangaroo Care. The benefits of Kangaroo Care can be found here.

This is YOUR baby, not the hospital’s

• When Darah was in the NICU, I felt like the hospital owned her. I wasn’t very proactive in her care because I felt like I would mess everything up. I wish I would have been stronger about voicing my concerns or insisting that I do her basic care when I was present. If you want to give your baby his or her bath or next feeding, then tell your nurse. Do not be late for these appointments because your nurse has other patients they need to attend to and most NICU’s operate in a very structured manner.

Learn the “rules”

• There is usually a limit on number of visitors, age of visitors, and who is allowed to hold the baby. Visitors (and parents) who are sick are to stay away and everyone must go through a hand-washing ritual with surgical scrub brushes.
• If you have a friend whose child is in the NICU, make sure you are following the rules. It made me frustrated when I had to remind people to wash their hands. If you’re a smoker, make sure you put a clean shirt on that you haven’t smoked in before visiting. Second hand smoke is the last thing any newborn needs, especially one with medical issues.

Go Home!

• Spending every minute of your day by your baby’s bassinet will deplete you of the energy you need when your baby comes home from the hospital. If you live far from your child’s hospital, look for the closest Ronald McDonald House and bunk there at night. I stayed at the RMH of Dallas for 6 weeks during one of Darah’s hospital stays, and was able to rest, eat (food they provided!), and meet other families so I was not so lonely.

Take care of YOU!

• You just had a baby and you need to recover (physically and emotionally)! Do not overdo it. If you’re having a hard time emotionally, ask your doctor for a support group of other moms in the NICU or suggestions on coping emotionally. Be watchful for signs of postpartum depression. Make sure you eat and are getting breaks from the hospital.

Most important: Ask questions!!!

• If you don’t understand something, keep asking for answers! If you are not comfortable with something, insist that you receive a better explanation. While these nurses and doctors probably do know more about your child’s health, this is YOUR child and you are an important player in their medical team. Keep a journal of your child’s medical information. Include feeding schedules, weight, medications, procedures, and any new diagnosis in this journal. Darah almost received a very wrong dosage of heart medication, but because my husband and I were aware of her medications, we interrupted what could have been catastrophic! After you leave the NICU, you will have a new title: Momologist, which is just as more important than any other “ologist” (pumonologist, cardiologist, hematologist, oncologist, neurologist, etc..) who takes care of you child!

Check out these informative sites:
Neonatal Nursery

When Your Child’s in the NICU

What has been your experience in the NICU? What helped make your stay more pleasant?