bw log Appointments 218-9560
510 Kreag Road,
Pittsford, NY 14534

Office Updates

Summer Physical Time! Call now to schedule.

Hours

Monday through Friday

8:00 to 9:00 Walk-ins - No appointment needed for acute problems only. Regular appointments are scheduled from 10:00am to 4:30 pm

Saturday morning: by appointment.

DIRECTIONS to our Office

After Hours: Call 585-218-9560

We work closely with Immediate Care East for after hours urgent care that can't wait until our walk-in hours.

Click for a listing of other Urgent Care Centers in the area.

Newborn Visit

Screening

  • Development Concerns
  • Nutrition and growth
  • Newborn hearing test results done in hospital - review here today
  • Post-Partum Depression
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    Immunizations

  • Hepatitis B if not done in the hospital
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    Nutrition

    Breast milk is the most easily digestible milk for babies.  Formula also provides complete nutrition for your baby.  Both of these are far better for newborns and infants under a year of age than cow's milk.  Breast milk has infection-fighting properties not found in formula, and babies fed breast milk may have fewer bouts of diarrhea and fewer ear infections.  Breast milk can be supplemented with formula.  Formula is  made with cow's milk protein or with a soy bean protein.

    We prefer that you use formula with iron.  You can purchase ready-to-feed formula or formula concentrate or powder.  You do not need to sterilize bottles or boil water to prepare formula, unless you have water from  a well.

    Breast feeding mothers should continue on their prenatal vitamins, maintain a healthy diet with plenty of fluids and get adequate rest and exercise.

    Breast fed infants should get 1.0ml of infant vitamins daily.  (example Poly-vi-sol)

    Frequency and length of breast feeding may vary.  Feed on demand but do not allow your baby to graze.  Most infants nurse at least every 3 to 4 hours.  Your baby will likely go through brief growth spurts that may make him/her hungrier than usual.  Mothers who plan to return to work may want to consider introducing a daily bottle of expressed milk.

    Bottle fed infants usually take 3 to 4 ounces per feeding every 3 to 4 hours.  Bottle fed infants should be on a formula with iron.  All soy formulas contain iron.  According to studies of large groups of infants, formulas with iron do not cause more constipation, gas, abdominal pain, or diarrhea than formulas with low iron.  Iron deficiency anemia has been implicated in later learning problems, even after the anemia has  been corrected. Therefore, low iron formulas should not be used for long term feeding.

    We do not recommend microwave heating.  It can cause uneven heating and burn your baby's mouth.

    To prevent infant botulism do not give your infant honey until his/her first birthday.

    Do not prop bottles or put infant to bed with a bottle.Try to feed the baby in different positions to prevent flattening of one side of the head.

    It is not necessary (and it can be harmful) to give your infant water.

    You will learn to recognize your infant's hunger cues. These include baby's hand in his/her mouth, sucking,  rooting, facial grimaces, fussing, and finally, crying.

    You will also learn to recognize your infant's fullness cues: turning away from the nipple, closing mouth, relaxing the hands.

    Elimination

    An infant's stool may vary in color, consistency and frequency.   Notify us if your baby has fewer than two  stools per day in the first few weeks.  In the next few weeks your infant's stool pattern may change. (Eventually,  a baby may have multiple stools each day or as few as one per week).

    The urine stream of boys should be straight and forceful.

    A child who is feeding well should have four or more wet diapers daily.


    Sleep

    With regard to your baby's sleep environment, there are several factors that can lessen the risk of SIDS (sudden infant death syndrome). Always put the baby to sleep on his/her back. Side sleeping is not recommended as the infant could turn onto his/her belly during sleep. Always have the baby sleep in his/her own space, which should have a firm mattress: crib, bassinet or co-sleeper. If you nurse or feed the baby in your own bed, put the baby back in his/her own place before you fall asleep. Avoid using pillows, stuffed animals, other loose objects or soft bedding in the baby's bed. Make sure there is good air circulation around the baby (running a fan during sleep is recommended), that the room is not overheated, and that the baby is not overdressed. Avoid any exposure of the baby to cigarette smoke. Have your baby spend some awake time each day on his or her belly to strengthen neck and shoulder muscles.

    Using a pacifier during sleep is strongly associated with a reduced risk of SIDS. Consider offering your baby a pacifier for sleep. If your baby is breastfeeding, you may want to wait until he/she is about 1 month of age to ensure that breastfeeding is well established. You do not need to  reinsert a pacifier if it falls out after the baby falls asleep and do not coat it with a sweet solution.

    Try to place your infant in crib or bassinet while drowsy but awake.  You will be helping your child learn how to get him/herself to go to sleep on his/her own.

    Try to establish a consistent bedtime routine by 1-2 months of age.

    Fever/Ilness

    Infant noses are often stuffy or congested. If the congestion is interfering with feeding or comfortable breathing, a few saline drops may be instilled into the nostrils to moisten secretions, and then suctioned out with a bulb syringe. This should not be done more than once or twice in a 24-hour period, as frequent suctioning may actually cause further irritation to the nasal passages. To make your baby more comfortable, elevate the head of his/her bed (by placing a pillow under the mattress, not directly under the baby's head).  A cool mist vaporizer or humidifier may be helpful.

    Before two months of age, if your infant is very fussy, not eating well or seems very hot, take a rectal or ear, or temporal artery temperature (forehead scanner).  If the temperature is greater than 100.5 degrees Fahrenheit,  please call the office for further advice.

    Do not give Tylenol unless instructed by your physician.

    To prevent illness and infection, make sure all caretakers are cleansing hands before feeding or handling the baby, and after diaper changes.

    To protect your infant from pertussis exposure, caregivers should be immunized for pertussis. Contact your primary care provider to obtain this vaccine.  Vaccine is called Tdap ("Adacel" or "Boostrix").

    During cold and flu season, use careful judgement when deciding to take the baby out and about in the community.

    If you are a breastfeeding mother and you have a cold, it is fine to continue nursing your baby throughout the cold. Make sure to practice good hand washing before handling your baby.


    Healthy Habits/Safety

    Use rear-facing infant safety seat in the back seat. The middle of the back seat is the safest location.

    Never place baby in front seat with a passenger air bag. Disable the airbag if the infant must ride up front.

    The definitive website for car seat information is www.aap.org/family/carseatguide.

    Keep home and car smoke-free.

    Avoid exposing the baby to direct sunlight by keeping him or her in the shade, and covered with lightweight cotton clothing. Sunscreen is not recommended before 6 months of age.

    Babies' temperaments can vary. Talking, singing and reading to the baby are all strategies that can be used to help console during fussy times. Fussiness often peaks at about 6 weeks of age.

    It is not possible to spoil an infant at this age.  Hold him/her as much as you want.

    Please make sure carbon monoxide and smoke detectors are installed and working


    Parental Well Being

    This is an exciting but stressful time as you are adjusting to your baby's needs and your new role as parent. For mothers who have given birth, this is also a time of physical recovery. Please don't hesitate to ask for assistance from us, or other support people, if you are feeling overwhelmed or overly sad.

    Signs of post-partum depression include: overwhelming sadness or hopeless, sleeping too much or too little, extreme difficulty focusing, remembering or making decisions, feelings of worthlessness or guilt, disinterest in the baby. These symptoms are usually more extreme than the mild fatigue and stress that many parents feel in the first few weeks. If you are concerned about any of these symptoms, please call us.

    Caring for an infant can occasionally be frustrating or confusing, especially if the baby cries a lot, doesn't go to sleep easily or has feeding problems. Please remember that if you are having a difficult time with your baby, it is OK to place the baby in a crib or other safe place for a few minutes and take a break. Try to have various support people to help you out as well. NEVER shake or squeeze an infant. This can cause injury, permanent brain damage or death.

    If your partner is abusing or threatening you physically or emotionally, please consider reaching out to us to help you, for the sake of your child's well-being as well as your own.
    Infant CPR courses are offered through The American Red Cross.  Call 241-4434 to schedule an appointment. The poison control hot line is 275-3232 locally and 1-800-222-1222 nationally. Walkers are dangerous and we advise against purchasing one.


    Suggested Reading


    Caring for Your Baby: Birth to Age 5, by the American Academy of Pediatrics.

    Infants and Mothers, by T. Berry Brazelton.

    Touch Points, by T. Berry Brazelton.

    Guide to Your Child's Symptoms, by the American Academy of Pediatrics.

    What to Expect, the  First Year.



    RESOURCE PHONE NUMBERS

    Poison center 275-3232.  Toll-free 1-800-222-1222.

    The information in this handout is in accordance with the publication Bright Futures, a manual of guidelines for pediatric health supervision published by the American Academy of Pediatrics.

    Next Visit 1 or 2 months