You and Your Child’s Doctor

You and Your Child’s Doctor

When your baby is born, you will start taking him to see a primary care provider (a health professional who provides day-to-day health care and advice) for his health care. Your primary care provider can be a paediatrician, family doctor, nurse or midwife. As your child grows and develops, you’ll likely turn to your child’s primary care provider – with questions or concerns.

How do I find a doctor?

Word of mouth: Ask friends and family members with chil­dren about their doctor.

What will my child’s doctor do?

  • Keep track of your child’s health, growth and development.
  • Diagnose, explain and treat minor to more serious illnesses.
  • Provide information and answer questions.
  • Send you to other health professionals when an illness or condition may need specialized expertise or services.

Babies are usually checked by a health care provider within the first week of going home from the hospital. At this first visit your health care provider will:

  • Weigh your baby and measure his length and head circumference.
  • Check for signs of jaundice.
  • Check on how feeding is going for you and your baby.
  • Do a general physical exam.
  • Ask how the family is adjusting.
  • Complete any screening tests that were not done at the hospital.

This first visit doesn’t have to be with your regular paediatrician or family doctor. Sometimes it is done by a doctor at the hospital where you gave birth, your midwife or a public health nurse. It can be done at home, in the office or in a hospital clinic. If your baby doesn’t see her regular doctor at this visit, it will happen soon after.

“Well-baby” or “well-child” visits are a lot like an adult’s annual check-ups, but focus on your child’s age and stage of development.

Your baby should have regular visits to the doctor at 2,4, 6, 9, 12 and 18 months, 2 years, and then once every year until 5 years of age. When your child is 5 years old, she should see her doctor every 1 or 2 years until she is 18 years old.

A well-baby/child visit usually lasts 10 to 20 minutes. Your doctor and her staff will:

  • Check your child’s weight, height and head circumference.
  • Discuss your child’s eating habits and answer any questions about nutrition and physical activity.
  • Provide advice about safety and other issues related to your child’s age and abilities such as when to switch to a forward-facing car seat.
  • Ask about milestones, such as self-feeding or toilet learning.
  • Ask about your child’s social and emotional development, such as learning words. When your child gets older, this is a good time to discuss any learning problems in school and any social or emotional issues. You might also want to discuss any problems that are happening at home.
  • Do a physical exam, such as looking at eyes and ears and listening to your child’s heart.
  • Give your child any recommended vaccines.
  • See an older child and adolescents without a parent or guardian in the room for part of the visit.

If you have questions or concerns that could take longer than the regular 15-minute visit, let your doctor’s staff know when you schedule the appointment. That way, enough time can be scheduled to answer your concerns.

If you have any questions about your child’s health between regular office visits, call your doctor’s office. Your doctor’s receptionist or nurse will be able to help you with minor problems and decide if you need to see the doctor.

Most provinces and territories have toll-free health lines where you can speak to a registered nurse about general health informa­tion. Nurses can help you assess your child’s symptoms and decide your best first step.

How can I make the visit easier for my child?

  • Schedule visits at a time when your child isn’t usually napping.
  • Use a toy doctor’s kit to teach your young child about all the things the doctor will do when you visit. Or bring along a favorite “buddy,” a stuffed animal or doll, who gets an exam along with your child. This might help her feel more comfortable when it comes time for the real thing.
  • Young children may find it difficult to sit still in a doctor’s waiting room. Bring a couple of books, a favorite toy and a snack to help keep your child busy and happy during the wait.
  • If your child is older, explain why she is visiting the doctor. Use simple, easy-to-understand language. If it is for a regular check-up, explain that all children see a doctor, and that the doctor checks how she is growing and developing. Be honest about what your child can expect from the exam.
  • Tell your older child or adolescent that he can see the doctor without you in the room. This might help him feel more comfortable talking with the doctor.

How can I make the most of our visit to the doctor?

  • Keep a list of any concerns you have. Bring it with you so you remember to discuss them at your visit.
  • Record any symptoms your child may be having. All symptoms are important when talking about health issues.
  • Bring a list of your child’s medications.
  • Bring your child’s immunization record.
  • Involve your child in the visit, both before and during. Talk to him about it before you go, so he knows what to expect. If he is old enough, ask him to tell you and the doctor how he is feeling.

    How many Diapers will my Baby go through?

    How many Diapers will my Baby go through?

    After about a month, the number of wet and dirty diapers may change dramatically and almost any amount is normal. Your baby may have several dirty diapers (i.e., stools) a day, or he may go several days without a dirty diaper. The number of dirty diapers will often decrease a bit for breastfed babies after a couple of months. Keep a diary so you know what is normal for your baby and can tell when there has been a significant change.

    Age

    Average number of wet diapers

     Average number of dirty diapers

    Day 1

    1/day

    1/day

    Day 2

    2/day

    2/day

    Day 3

    3/day

    3/day

    Day 4 to 1 month

    5 or 6/day

    3 or 4/day

    Make an appointment to see your baby’s doctor if:

    • She suddenly has fewer wet or dirty diapers and seems sick or isn’t feeding well.
    • She passes hard or pellet-like stool or appears to be straining and has trouble passing stool.
    • There is blood in her diaper.
    • She has diarrhea or starts having many more bowel movements than normal, especially if they are watery and/or explosive). In newborns, it can be hard to judge whether it’s the stool is actually diarrhea.

    Take your baby to hospital immediately if she has no wet or dirty diapers within a 24-hour period, especially if she is not feeding well or seems unwell.

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