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WELCOME TO THE WORLD BABY!2225 LINE AVENUESHREVEPORT, LA 71104 318-221-2225WELCOME TOMID CITY PEDIATRICS G R E A T C A R E F O R G R E A T K I D S !Our team of experienced doctors, nurses and staff are here for you and yournew baby. We are excited you chose Mid City as your medical home. OFFICE HOURS:M-F 8:00-5:00SAT: 8:00-12:00WWW.MIDCITYPEDS.COM

TRUSTED SINCE 1985For more information visit www.midcitypeds.comScott E. Ritch, M.D.Angela M. Cush-John, M.D.David J. Pace, M.D. Through the years, we have maintained the philosophy of putting thechildren and there needs first. We are here to provide you with thebest heath care possible. Some of the benefits of becoming a patient at Mid City Pediatrics:-weekend hours-after hour on-call physician-walk-in sick visits-same day appointments-on sight lab and x-ray Welcome to Mid City Pediatrics, where we LOVE kids!. It is often saidthat our children are our future. Every parent knows they are also verymuch our present. Excellent healthcare is vital to all children to givethem the best chance to grow into healthy, happy, and productiveadults. It is our mission at Mid City Pediatrics to work with you andyour children to give them the the best possible foundation.Great care for great kids! Jennifer P. Cockrell, M.D. Gretchen G. Petterway, M.D. Elle F. Ratliff, M.D. Bryan L. Roberts, M.D. www.midcitypeds.com

Notes:____________________________________________________________________Notes:____________________________________________________________________Notes:____________________________________________________________________Baby’s Visit Information 2 week check-up 2 month check-up 4 month check-up 6 month check-up 9 month check-up 12 month check-up 15 month check-up 18 month check-up 2 year check-up 4 year check-up 11 year check-up 16 year check-up Weight:__________________Length:__________________Head:____________________ Weight:__________________Length:__________________Head:____________________ Weight:__________________Length:__________________Head:____________________ Weight:__________________Length:__________________Head:____________________ Weight:__________________Length:__________________Head:____________________ Weight:__________________Length:__________________Head:____________________ Weight:__________________Length:__________________Head:____________________ Weight:__________________Length:__________________Head:____________________ Weight:__________________Length:__________________Head:____________________ Weight:__________________Length:__________________ Weight:__________________Length:__________________Weight:__________________Length:__________________Notes:____________________________________________________________________Notes:____________________________________________________________________Notes:____________________________________________________________________Notes:____________________________________________________________________Notes:____________________________________________________________________Notes:____________________________________________________________________Notes:____________________________________________________________________Notes:____________________________________________________________________Notes:____________________________________________________________________

BIRTH Hepatitis B9 MONTH CHECK2 WEEK CHECK 12 MONTH CHECKPrevnarHibHepatitis A2 MONTH CHECKPediarix*HibPrevnarRotarix15 MONTH CHECKDtapVaricellaMMR Overview of Visits and Vaccines 4 MONTH CHECKPedarix*HibPrevnarRatarix6 MONTH CHECKPediarix*Prevnar1 8 M O N T H C H E C K2 Y E A R C H E C KHepatitis A*combination vaccine: DtaP, IPV and HepB

4 YEAR CHECKMMRVaricellaKinrix (Dtap and IPV)16 YEAR CHECKMeningococcalBexsero (need seconddose after one month) 11 YEAR CHECK TDaPMeningococcalGardasil (need seconddose after 6 months)18 YEAR CHECKOverview of Visits and Vaccines Flu vaccine: recommended for all children ages 6 months and older.Your child will need 2 doses at least a month apart the first time theyrecieve a flu vaccine if they are under the age of 8. Yearly well child exams: A well child visit is recommended annually.It is important that your child be seen in the office for a well visit eachyear, even if vaccines are not needed that visit. This is because theremay be other issues that arise that you might not be aware of.

Overview of Visits and Vaccines Hospital Follow-Up Typically between 48-72hours after discharge.“The littlest feet make thebiggest footprints in ourhearts”-unknown Your newborn may lose up to 10% of their birthweight. It may take 2 weeks to regain this weight back. Your baby can respond to sound: will startle, turn head, blink, cry, orsettle down.Can hold arms in a flexed position and move arms and legs equally.Babies have strong newborn reflexes:Moro (startle reflex): Infant will throw arms and legs out, then pullthem back in.Rooting and sucking: If stroked on a cheek, you baby will turntowards that side and try to suck.Grasp: Babies will grasp a finger when placed in their palm.Fencer pose: Infants will straighten an arm when head is turnedto that side and will bend the opposite arm. Sleep: Your newborn will sleep a LOT!A newborn can sleep 14-17 hours in a 24 hr period of time.Babies should wake up often to feed. Breast fed babies maywake every 2-3 hours and formula fed babies every 2-4 hours.Your baby should not sleep longer than a 4 hour period in thefirst couple of weeks. Once back to birth weight, they may beallowed to sleep for longer periods of time. Development:

Overview of Visits and Vaccines Hospital Follow-Up Typically between 48-72hours after discharge.Feed your baby when your baby showssigns of hunger.Hunger cues: lip smacking, waking up,looking alert, putting hands to mouth, and nuzzling towards the breast. Nutrition: You will know your baby is done with a feed by looking for signs thatyour baby is full. Signs include turning away from the nipple orbottle, if your infant stops eating, closes mouth, or falls asleep. Breastfed babies:Your milk ”comes in” on day 3-6. First milk is called colostrum. Feeding times range between 10-15 min per breast, howeverevery baby is different.Burb your baby between switching sides.Alternate starting sides.When breastfeeding, you may experience uterine cramps thefirst few days. This helps your uterus return to pre-pregnancysize.Formula fed babies:Some women cannot breastfeed, choose to strictly formula feed,or want to do a combination of both. The important thing toremember is that formula fed babies are just as happy andhealthy as breast fed babies. There are three types of formulas: milk based, soy based, andsimple protein based formulas. All formulas used are ironfortified. The AAP advises against goat milk formulas.

Two Week check-up Your baby should be back to birth weight.Should be gaining about an ounce per day.May have their first “growth spurt.”You may notice your newborn beginning to havesome periods of being more alert/awake.Babies can raise their head during tummy time. Your baby can now respond to noises. Your baby is near-sighted. Your infant can seebest 8-10 inches away, while objects further awaymay seem fuzzy. Infants begin to focus on faces at this age. Development: Overview of Visits and Vaccines If Breastfeeding:Your milk supply should now be more established by this period.Cluster feeds often occur during this period because manyinfants experience their first growth spurt during this period. It is recomended to allow breastfed infants to feed “on demand”.Usually babies will nurse 8-12 times per day. You will need to start Vit D drops by this point. (Ask your MD) It is best to store your breast milk in smaller amounts (2-4 oz) toprevent waste. Storage of pumped breast milk: room temp-4 hoursrefrigerator-4 daysfreezer-6 months or longerNutrition:

Overview of Visits and Vaccines Two Week check-up You cannot “spoil” a newborn. Your baby still enjoys skin-to-skincontact, being rocked, or carried in a baby carrier even thoughthey are sleeping a good bit of the time. Babies this age should have around 3-4 bowel movements perday (normal for some to go a little more or less).Babies still sleep a lot! Your baby could sleep up to 16 to 20 hoursa day. Unfortunately this may not be all in a row. Many babies start to “wake up” a little around this age. They mayexpress themselves by crying more often. Some babies have day/night confusion.To reverse your baby’s day/night confusion, try to keepnighttime stimulation to a minimum. Other:If formula feeding:let your baby set the pace.all infants require different amounts of formula, most willtake between 2-3 ounces.you will know your infant is full when they are no longersucking and fall asleep. They should not still be actively besucking and acting like they are hungry at the end of thefeedYou do not need to warm breast milk or formula. It can beserved cool, room temp, or warm. If you warm your infants mild,do not use a microwave. Nutrition:

Overview of Visits and Vaccines 2 Month check-up Makes sounds other than crying.Smiles when you talk or smile.Calms when spoken to.Lifts head and chest when on tummy.Can hold head steady when in seated position. Watches you as you move.Opens hands briefly. Development:Breastfed babies still feed 8 or more time/day.You should plan to introduce a bottle to yourbreastfed baby if you are planning to go back towork. Start storing some pumped milk if planning to returnto work. Remember to store in small amounts (2-4oz).Formula fed babies will feed 6-8 times per day. Stooling patterns may change/decrease infrequency.Nutrition:Tummy time is important. Talk to your baby.Read to your baby.Other:.Only breast milk or Take care of yourself! formula is needed..

4 Month check-up Coos and make soft vowel sounds.Smiles socially (Yes, your baby can interactnow!) Your baby now looks at you and can (and will)move and make sounds to keep your attention.Looks at hands with interest.Holds a toy when placed in hand. Can lift head and chest when on tummy.Can hold head steady when in seated position. Will bring hands to mouth (many parents Development: confuse this with with teething). Overview of Visits and Vaccines Continue breast milk or formula feeding. Some babies may be ready for solids if theycan:hold head upopen mouth and move food to throathave doubled birth weightBreast milk or formula alone is still enough untilMost babies double their birth weight by 4-6months.Nutrition: 6 months of age. Routines areimportant.Allow yourbaby to playwith toys thatcan safely beheld andplaced in themouth.Have funconversationswith yourbaby. Other:

Overview of Visits and Vaccines 6 Month check-up Laughs and makes squeeking noises. Blows “raspberries”.Knows familiar faces,Reaches to grab toys.Puts things in mouth to explore them.Rolls from tummy to back.Leans on hands for support in a seated position.This is know as a “tripod” position. Development:Breast milk or formula Is still the main sourceof nutrition for your baby.You can start to introduce solid foods to yourbaby.There are different ways to introduced solidsto your baby. Talk to your doctor beforestarting solids with your baby.This is a good time to start learning how torecogize when your baby is hungry or full. Hungry cues: pointing to foods, opening hismouth to a spoon, or getting excited whenseeing food.Full cues: pushing food away, closing hismouth, or turning his head away. Nutrition:Read to yourbaby. Point thingsout to yourbaby.Learn to readyour baby’smoods.Teach yourbaby that hecan calmdown/selfsooth. Other:

Overview of Visits and Vaccines 9 Month check-up Can introduce finger foods to your baby.Introduce foods that are smooth, mashed, orfinely chopped.Help your baby get used to food with differenttextures and tastes at this age. Your baby might not like every food on thefirst try.Give your baby a chance to try a food multipletimes. Teach your baby to use a sippy cup. Nutrition:Teach yourbaby to wavebye-bye.Learn aboutchokinghazards.Play withblocks andtoys on thefloor withyour baby.Let yourbaby knowwhen you areleaving orentering aroom, butrememberseparationanxiety. Other:May react when you leave (separation anxiety).Can be fearful of strangers (stranger danger).Looks when name is called.Enjoys playing peek-a-boo.Makes sounds like mama and dada.Can get to seated position by themselves and Uses fingers to “rake” food towards himself.Lifts arms to be picked up.Looks for things when dropped or out of sight. Many babies start to crawl.Development: can sit unsupported.

Overview of Visits and Vaccines 12 Month check-up Waves bye-bye and plays pat-a-cake.Calls parent mama or dada with meaning.Understands what “no” means.Pulls up to stand.Walks holding onto furniture.Drinks from a cup without a lid (with help.)Picks up small objects between thumb and Can look for things you hide. Development: pointer finger (pincer grasp). May introduce whole milk at 12 months.Give 12-16 oz per day of milk.May transition slowly from formula to milk byUse caution with foods which pose a choking Appetite may seem to decrease as comparedto the first year of life.Appetite may vary from day to day, and thisis ok! No one eats the same amounteveryday.Start to wean from the bottle.Give milk in a sippy cup instead of a bottle. Nutrition: mixing breastmilk or formula with whole milk. risk such as grapes, nuts, or other hard foods.Your babydoes not needjuice.Commonchokinghazards:popcorn, nuts,hotdogs,grapes, etc.Baby mustremainbackwards incar seat untilage 2. Birth weightusually triplesby firstbirthday.Babies headshave grown 4-5 inches byfirst birthday.Other:

Overview of Visits and Vaccines 15 Month check-up Tries to say one or two words other than mamaor dada, like ball or dog.Development: Needs a balanced diet of dairy, meat, fruit, veggies, and bread.Limit whole milk to 16-24 oz per day. Your child does not need morethan 24 oz per day.You should be phasing out the bottle if you have not already. Encourage your child to self feed, use utensils, and to drink out of acup.Expect some picky eating habits to start. Continue to offer a varietyof foods. Don’t give up!Toddlers should eat 3 meals/day and around 2 snacks. Allow your child to respond to their own feelings of hunger orfullness. The amount they eat may vary from meal to meal. If yourtoddler is full, don’t force food on your baby. Avoid sugary foods with empty calories (juice is a big one).Nutrition:Claps when excited.Hugs a favorite doll or stuffed animal.Shows parents or loved ones affection (hugs, cuddles, kisses).Can look for a familiar object when you name it.Can follow commands when given with a gesture and instruction.Probably talking some steps on thier own.Uses fingers to feed himself.

Overview of Visits and Vaccines Important General Information for the Toddler Years Injury PREVENTION is the key!Time to childproof your home if you have not already.Ways to childproof your home include:outlet coversanchors to prevent funature, TVs, or other large things fromtipping over.corner and edge bumpers to prevent falls on sharp edges.keep all chemicals and medicines out of reach and locked up. Thisincludes things like laundry detergent pods and fabric scentbeads. no strings hanging from blinds or curtains. This can get caughtaround your child’s neck and choke him. Safety:Brush you child’s teeth with a baby toothpaste (no fluoride) everyday.Keep regular routines.Read and sing to your baby. Play with your baby. These are the funages!Expect temper tantrums. Ways to handle them at this age include: Other Parenting Info: remove the temptation praise good behaviorbe consistent with disciplinemethod.offer some “forced choices” remember it gets better! calmly ignore, distract fromnegative behavior, walk away.

Overview of Visits and Vaccines 18 Month check-up Tries to say three or more words besides “mama”or “dada.”Follows one step directions without any gestures.Points to show you something interesting.Should be walking by now.Can scribble.Plays with toys in a simple way, like pushing a car.Can walk up stairs with one hand held.Can feed himself with fingers and tries to use aspoon. Development:Continueabalanceddied andlimitsugaryfoods. Nutrition:Will ask simple questions like “what’s that?”AAP suggests no screen time for kids 18-24 mo. except for video chat. Give your child simple choices. Allow them to choose between twothings. Ex: “Do you want to wear the red shirt or the blue shirt?”Talk to your child face to face by getting on their level. Get down toeye level when possible. This allows your child to “see” what you aresaying through your eyes/face and not just your words. Expect tantrums. This is normal. Your may choose to distract yourchild or you may choose to walk away. Allow time for your child (andyourself) to calm down. Start teaching names of body parts like eyes, ears, nose, and mouth.Your child can start to learn about feelings. Other Parenting Info:

Overview of Visits and Vaccines Can put two words together in a sentence and usespronouns such as I, me, and you.Has a 20 plus word vocabulary.50% of speech can be understood by strangers. Points to a least 2 body parts, sometimes more.Looks at you in the face to see how you react tosomething.Development:2 Year check-up Pretend plays (ex: dress up) andparallel play with friends (besideone another but not necessarilytogether…so they might not knowhow to share.) Kicks a ballCan runWalks up steps. May changeto 2% milk Discourageexcessivejuice intake.Limit to 4ounces/day.Give healthysnacksversussnacks withemptycalories orsnacks withlots of sugar. You are“training”your child’seating habits.They eatwhat YOUgive them. Nutrition:Let you child help out around the house. Tellthem thank you when they do help out.Encourage pretend play like dress up.Most children begin to show an interest in pottytraining. Talk to them, read about it, show them.Set limits on screen time. Ages 2-5 should haveless than 1 hour/day.Watch your language around your child. Theypick up on every word…good or bad!Most children convert to a toddler bed around 2.Begin simple art projects with your child. Other Parenting Info:

Overview of Visits and Vaccines 4 Year check-up Says sentences with 4 or more words and has alarge vocabulary.Most strangers will understand your childCan answer a simple question and call tell you atleast one part of their day.Most can name colors, letters and numbers.Will express ideas and feelings now.Can engage in pretend play (superhero orprincess).Can tell you what comes next in a well know story. Begin to know to change behavior in differentsettings (place of worship, library, playground).Loves “why” questions!Development:Continue abalanceddied andlimit sugaryfoods. Limit juicefor ages 4-6to 4 to 6ounces/dayonly. Nutrition:Continue with consistent bedtime routines.Limit screen time to one hour of high-quality programs for childrenages 2-5.Tips for screen time for your toddler:Allow educational programs and limit non educational programs.Turn off screens during family meals and outings.Avoid using screens as pacifiers, babysitters or to stop tantrums.Do not use screens 1-2 hours before bedtime and do not allowthem in bedrooms. Have a screen time schedule, esp during theweek..Engage with your child during screen timeOther Parenting Info:

Overview of Visits and Vaccines 11 Year check-up Time of BIG transitions for boys and girls.Puberty will begin during this time. Talk to your child about thechanges that go with it.Bodies are changing and your child may need help accepting this.Encourage a positive body image.Let them know everyone is created different.Don’t compare themselves to others on social media-It is not arealistic picture of that person’s “normal”. Skin may become more oily and acne may start to develop. Typically require 9-12 hours of sleep. Remember that their brains do not always connect immediate actionswith future consequences. Development: (Adolescence) Kids start to become more independent and want to fit in withpeers.Some may engage in risky behavior. Talk to them about thedangers of vaping, smoking, and drinking.Encourage involvement in extracurricular activities.Set rules and expectations. They should have consequences forbreaking the rules, but remember to praise good choices.Share mealtimes and use that time as a chance to communicatewith your preteen. Talk to your child about peer pressure.Other Parenting Information:

16 Year check-up Females should have started their periods and malesshould be showing some signs of pubertaldevelopment by this time. If not, consult your doctor.This age may begin to think abstractly and reflect onhow to make decisions, but are still often impulse-driven and not think about consequences.Still often influenced by peer pressure.Most have an interest in dating and relationships andbegin to have sexual feelings.Still need around 8-10 hours of sleep and should get60 min of physical activity per day. Development: (Adolescence) Overview of Visits and Vaccines Many children will start to drive at this age. Set guidelines/rules forothers riding with your child. Remind them about seatbelt safety.Talk to your child about the dangers of drinking and driving.Discuss (and revisit often) the dangers of vaping, smoking, alcoholand drug use. Continue to encourage involvement in extracurricular activities. Now is the time to start discussing future plans with your teen, suchas college and career goals.Know signs of depression in teens so that you can recognize if yourchild or one of their friends might be struggling with it.Other Parenting Information:

Overview of Visits and Vaccines 18 Year check-up Developing a strong sense of self.By this time most children start to value individualrelationships over large peer groups.Can think abstractly to solve problems.Have become much more independent from parents.Many will have long-term goals for the future.Development: (Adolescence) Continue to encourage your child to peruseoutside areas of interest. Encourage physical activity and healthyeating habits.Remember this is a time of transion for theentire family. Many will go away from homefor the first time. This can be stressful for thewhole family. Talk to them about stress and copingmechanisms.Continue to have open discussions about thedangers of vaping, smoking, alcohol or druguse. Other Parenting Information:“Enjoy thelittle things inlife becauseone day youwill look backand realizethey were thebig things.”-KirkVonnegut

Carseat Safety Use infant seats for childrenunder the age of 24 months. Infant seats must be placed inthe back seat, away from theairbags.Airbags operate with too muchforce and it can be fatal for thechild.Infant car seats:Rear-facing car seats must beused until the child is 2 years old.A child has to ride in the rear-facing seat as long as they fallwithin the seat height and weightlimit described by the car seatmanufacturer.Rear facing seats:After the child has outgrownthe rear-facing seat, whichusually happens by age of 2. The law requires that you usethe forward-facing car seatuntil the child is within theheight and weight limit of theforward-facing car seat.Forward facing car seats:Must be restrained in a belt-positioning child booster seat,secured with a vehicle lap-shoulder seat belt, if he or she isat least four years old and hasoutgrown the forward-facingweight or height limits of the childrestraint system as stated by themanufacturer.Booster seats:When to sit in the front seat? Any child under the age of 13 must bein a rear seat when available.

Important information Poison Control 1-800-222-1222Thank you for trusting and allowingus to care for your child!