New Birth Appointment
- Red book
- Parental Wellbeing
- Financial Support
- Premature Baby
- Heel Prick Test
- Baby's Skin
- Feeding Cues
- Vitamin D
- Domestic Abuse
In Norfolk most children receive their Personal Child health Record (the red book) from the hearing screeners at the hospital. Please ask someone at the hospital if you do not get one before discharge home. Health professionals will write in this, as can you. You can use it to write your child's developmental milestones and their personal details.
In the red book you can find information on your child's immunisation schedule, useful information for parents and your child's growth chart. Your midwife,health visitor and GP will weigh and measure your baby in the first few weeks. You can look on Just One Norfolk for guidance on how to self weigh your baby and where you can go to do this.
Looking after your own wellbeing is the most important step to feeling well and ready for your new arrival. Taking care of yourself is good for you, your partner and the rest of the family. We know adapting to parenthood can have an impact on mental health, we are available to offer support or signpost you to other services who are able to help.
If there are specific things you want to discuss about your health and wellbeing with your heath visitor, there will be an opportunity for this.
Before you were pregnant you may not have been entitled to some benefits, but as your circumstances change, you may now be.
Some families on a low income will be entitled to Healthy Start vouchers and these can be signed in pregnancy or postnatally by your health visitor or midwife. During the coronavirus outbreak these do not need to be signed by a professional. *Click Here* to find out more.
If this is your first baby and you are on a low income, towards the end of the pregnancy, or before your baby is 6 months old, you may be entitled to a Sure Start Maternity Grant. This is £500 to help with the cost of having a baby, and does not need to be paid back. Speak to your health visitor to find out more.
During pregnancy and until your child is one year old, mum is entitled to free NHS prescriptions and dental care, with a Maternity Exemption Certificate. You can discuss this at your midwifery appointments. Children are entitled to free prescriptions and dental care, whilst they are in full time education.
Babies born early may go to NICU/Special care. If this is the case, we can contact you to ask what would work for you, whether we visit you at home or at the hospital or when would be good for you.
Parents of babies born prematurely sometimes need a little extra support and these babies can be a little bit slower reaching some of their developmental milestones. Therefore all babies born before 37 weeks will be added to our “additional needs” list which ensures we will offer a yearly contact for at least their first 2 years, to provide us with an opportunity to offer any additional support required.
Usually on day 5 a midwife will do your baby's newborn blood spot test, this is a small prick to the baby's heel and blood is placed on some special paper to be tested. It tests for 9 rare but serious health conditions.
By the time of the new birth visit health visitors do, most babies will have had their heel prick test. you may have had the results of this or the health visitor may be able to tell you them if they are on your child’s health record. If you haven’t heard anything by 4 weeks, call us.
We’ll give you information about your baby’s immunisations schedule and these can be booked at your doctor’s surgery, we recommend you get your baby registered with your GP.
We look at your baby's skin, as some baby’s are jaundiced (have a yellow tinge to their skin) or can have some dry skin. Jaundice in baby's usually goes without needing treatment and can last longer in breastfed babies. If your baby has jaundice ensure you feed them frequently and discuss with a health professional.
You may notice your baby has some areas of dry skin. Dry skin is common in baby's as their skin adjusts from being in the outside world. It usually flakes off and does not need any products, like moisturiser on it. If you feel your baby does need something for their skin, discuss it with a health professional who will be able to advise you.
If you notice your child has a birthmark we encourage you to speak to your midwife about this and ensure they document it in the Red Book. This is because there is a strict procedure health visitors have to follow if they observe a undocumented birthmark.
Parents sometimes notice rashes or spots on their baby. *Click Here* for more information.
We will ask if your baby's umbilical cord is off and if the area appears healthy. If you have any concerns about this speak to a health professional.
During the visit we will talk about how feeding is going and ask questions to make sure your baby is getting enough milk. We recommend feeding your baby when they tell you they want to, we call these feeding cues. See the feeding cues tab for more information.
Good indicators of whether your baby is getting enough milk is whether they're weeing and pooing often and you notice they have times when they are awake and alert. If you have any worries about how feeding is going we can observe a feed and discuss position.
If you’ve chosen to breastfeed and need any extra support we can observe a feed or give you some tips on positioning and attachment. It’s recommended breastfed baby’s are given extra vitamin D supplement. See the vitamin D tab for more information.
If you’re formula feeding we will talk about preparing, storing and sterilising, we can advise you on what is safe. We do not recommend the use of formula prep machines as they do not prepare formula to a safe temperature to kill bugs.
*Click Here* for a free online breastfeeding course.
The more you get to know your baby, you'll start to notice their personal feeding cues, here are some common cues:
- Mouth movements, including smacking or licking his lips.
- Sucking on lips, tongue, hands, fingers, toes, toys, or clothing.
- Rooting, head bobbing or nuzzling against whoever is holding him.
- Fidgeting or squirming a lot.
- Crying—a late sign of hunger.
It is recommended breastfed babies from birth up to one year of age also be given a supplement of 8.5 to 10 micrograms vitamin D per day.
Babies who are formula fed do not require vitamin D if they are having 500ml or more per day of infant formula. This is because infant formula already has added vitamin D.
We routinely discuss domestic abuse during visits. We do this because we know domestic abuse can get worse during pregnancy and after the baby is born.
Adjusting to having a baby can be a stressful for parents. You may get lots of well meaning advice from relatives or friends that is different to what the midwife or health visitor has suggested. You may have different ideas about parenting than your partner. You could be tired or sore from your delivery and emotional because of the post birth hormones, disturbed sleep and the initial needs of looking after a new baby. All of these things could cause conflict to arise in your parental relationship.
Domestic abuse can take many forms and is not always physical violence. It can be;
- Controlling behaviour, such as preventing someone seeing their friends and family.
- Making someone feel humiliated, stupid or bullied.
- Sexual abuse.
- Financial abuse, such as getting you or the family into debt or controlling the money you can access.
Charities who can offer support:
- Leeway - A Norfolk Domestic Abuse charity - 0300 561 0077 (24 hour helpline).
- The National Domestic Abuse helpline - 0808 2000 247 (open 24 hours).
We Need Your Help!
Video appointments are new, so we would love to hear from you about how your appointment went. *Click Here* to let us know.
Parents with babies under 1 year - what do you know about Vitamin D?
Due to some cases of babies being unwell due to low Vitamin D levels, the Norfolk & Norwich University Hospital (NNUH) and the Healthy Child Programme have developed a survey to try and help prevent this.
The survey is to find out what parents know about Vitamin D and vitamin supplements. The survey responses will be collected and reviewed by the NNUH paediatricians and the results used to help prevent babies becoming unwell.
The survey is anonymous. It would be great to get as many responses as possible.
*Click here* to complete the survey.
Who Can Help?
You can contact the Healthy Child Programme by calling Just One Number on 0300 300 0123 or texting Parentline on 07520631590. Our opening hours are 8am-6pm Monday-Friday (excluding bank holidays) and 9am-1pm on Saturdays.
The Lullaby Trust - Baby Check App - This app has simple checks that you can do if your baby is ill and helps you think about whether they need to see a doctor or health professional.