Baby’s First 24 Hours

Welcoming a newborn into the world is a momentous occasion filled with joy and excitement. In the whirlwind of emotions, it’s essential to ensure that your precious bundle of joy receives the necessary medical attention and care. Within the first 24 hours after birth, your baby will undergo a thorough examination by a pediatrician, setting the stage for their health and well-being in the early days of life.  Thrive Pediatricians round at the Boise and Meridian St. Luke’s hospitals each morning in order to give each Thrive baby a thorough examination after birth.

 During this initial examination, our focus is on assessing your baby’s overall health and detecting any potential issues that may require attention. We will do a head to toe examination and assess heart and lung function and order screening tests for disorders.

Assessment for Malformations and Infections: We carefully examine your baby for any physical malformations or signs of infection. This includes examining the skin, facial features, and limbs for abnormalities or irregularities.  We typically do the examination in your room with mom and/or dad present.  We will undress baby in order to palpate the hips, check for any bruising from the birthing and check for any obvious abnormalities. 

 Jaundice Evaluation: Jaundice, a condition caused by elevated levels of bilirubin in the blood, is common in newborns.  While common, it can feel alarming the amount of monitoring we do in the first few days of life.  We want to ensure that the level doesn’t rise to a dangerous level which can impact the baby’s brain.  The pediatrician will assess your baby’s skin tone and may perform additional tests to determine the severity of jaundice.  We will also assess feeding and number of wet or dirty diapers, because fluids help to flush the extra bilirubin out of the baby’s system.

 Breathing and Vital Signs Monitoring: Monitoring your baby’s breathing patterns and vital signs, such as heart rate and temperature, is crucial for detecting any respiratory issues or abnormalities early on.  As baby adjusts to life outside of the womb, many important changes are taking place.  Sometimes infants have a hard time regulating body temperature or blood sugar.  Regular monitoring of vital signs and feeding patterns ensures that your baby’s health remains a top priority during their early days. We will monitor these closely both in your hospital visit and the initial in-office visit in the first 3-5 days after birth.

 Heart and Bowel Examination: One of the most miraculous things after birth are the changes to an infant’s heart.  During our examination we will listen for heart murmurs and ensure that your baby’s heart is functioning correctly. Additionally, we will check for proper bowel function and examine the genitals for any anomalies.

 Metabolic Disease Screening: A small blood sample may be taken to screen your baby for metabolic diseases, such as hypothyroidism or sickle cell anemia, to ensure early detection and intervention if necessary.

 Following discharge from the hospital, scheduling a follow-up visit with your pediatrician or nurse practitioner within 24 to 72 hours ensures that your baby continues to receive proper care and monitoring. During this visit, your provider at Thrive will assess your baby’s progress, offer guidance on feeding and care, and address any concerns you may have as new parents.

 Navigating the journey of parenthood is a remarkable experience filled with love, learning, and endless possibilities. With the guidance and support of your healthcare providers, you can embark on this journey with confidence, knowing that your baby’s health and happiness are in good hands.