Newborn - Westwood Mansfield Pediatrics

Newborn
Proactive in your child’s care.
Empowering families for over 50 years.
Please take the time to read through this material. We provide this information because
we see value in educating our patients.
Westwood Office
Mansfield Office
541 High Street
Westwood, MA 02090
(781) 326-7700
454 Chauncy Street
Mansfield, MA 02048
(508) 339-9944
www.wmpeds.com
The New Enigma in My House
(A Toddler’s Perspective on the Newborn Sibling)
Dear Mom and Dad
I’ve really been had.
It’s like if either of you brought in an additional spouse
Oh, what strife there’d be in the house!
This new little creature gets all the attention
And I’m supposed to respond with no apprehension.
My fear and jealousy force me to act out,
Saying and doing “mean” things no doubt.
You had me toilet trained and out of a crib,
When I regress, please don’t think I’m so spitefully glib.
And hence there will be less to pay.
1. Before the birth, go to the library and get me a video or book on where babies come
from, how they act and how they look.
2. Get out my baby pictures, And make them central fixtures.
3. Get me a present on arrival of the baby, So the first day home won’t be so crazy.
4. Include me in the “creature’s care”, Job assignments make me feel important and
teach me how to share.
5. When guests come to visit the baby, And your attention is away from me, Anticipate
my acting out and let me be. Don’t feel shame, For this is a normal phase and I’m not
to blame.
6. No matter how well I’m prepared Mommy for your leaving, My separation anxiety, Will
have little satiety.
Most of all Mommy and Daddy, remember normal is not easy,
But work as a team, and just watch me beam.
By: Dr. Hartman
Follow Dr. Hartman on Twitter @DrHartmanWMPEDS
Westwood Office
Mansfield Office
541 High Street
Westwood, MA 02090
(781) 326-7700
454 Chauncy Street
Mansfield, MA 02048
(508) 339-9944
www.wmpeds.com
“Proactive in your child’s care”
At Westwood-Mansfield Pediatrics, we are concerned with the health of your whole family as
data indicates that the mental health of parents has a direct influence on the development
and well-being of their children. As part of our ongoing effort to be a proactive practice, we
will be screening for post-partum depression and anxiety.
Postpartum depression and anxiety affects about 10% of mothers and can affect mothers
anytime in the 1st year after the baby is born.*
Who is at greater risk?
 Mothers with a history of anxiety and depression
 Mothers who are worriers by nature
 Mothers who had challenges getting pregnant and/or had difficult pregnancies (i.e.
pre-term labor, hospitalization, bed rest, gestational diabetes and assisted
reproduction)
The most common presenting symptom is generalized anxiety and partners very often
recognize symptoms before the mom does.
Treatment usually entails therapy and may include medication with selective Serotonin
Reuptake Inhibiters (SSRI’s), which does not affect a mother’s ability to breastfeed.
If you are concerned that you or your partner may be suffering from depression or anxiety,
please either contact your obstetrician or utilize the contact information for therapists
specializing in post-partum issues.
As always, please feel free to contact us should you have any concerns between visits.
For more information, please visit www.acog.org (American College of Obstetricians and
Gynecologists): keyword postpartum depression.
* Please not that while our screening focuses on the mother’s mental health, emerging data suggests that fathers also have a
significant increase in depression rates in the first year following the birth of a baby.
5/2014
Postpartum Depression
Having a baby is a joyous time for most women. But many women feel sad, afraid, angry, or anxious
after childbirth. Most new mothers have these feelings in a mild form called postpartum blues.
Sometimes these feelings are called "baby blues." Postpartum blues almost always go away in a few
days.
About 10% of new mothers have a more serious problem called postpartum depression. Postpartum
depression lasts longer and is more intense. It often requires counseling and treatment. Postpartum
depression can occur after any birth, not just the first.
This pamphlet will help you learn about
 causes of postpartum depression
 how to tell if you have postpartum depression
 what you can do to ease these feelings
Baby Blues
Many new mothers are surprised at how weak, alone, and upset they feel after giving birth. Their
feelings do not seem to match the feelings they thought they would have. They wonder, “What have I
got to be depressed about?” They fear that these feelings mean that they are bad mothers.
In fact, about 70–80% of women have baby blues after childbirth. About 2–3 days after birth, they begin
to feel depressed, anxious, and upset. For no clear reason, they may feel angry with the new baby,
their partners, or their other children. They may also
 cry for no clear reason
When to Suspect Postpartum Depression
 have trouble sleeping, eating, and making choices
A new mother may be developing—or already have—
 almost always question whether they can handle caring
postpartum depression if she has any of the following
for a baby
signs or symptoms:
 The baby blues do not start to fade after about
These feelings may come and go in the first few days after
1 week, or if the feelings get worse.
childbirth. The baby blues often go away in a few hours or a week
or so without treatment.
 Strong feelings of depression and anger come
1–2 months after childbirth.
Postpartum Depression
 Feelings of sadness, doubt, guilt, or
Women with postpartum depression have such strong feelings of
helplessness seem to increase each week and
sadness, anxiety, or despair that they have trouble coping with
get in the way of normal functions.
their daily tasks (see box). Postpartum depression can occur at
 She is not able to care for herself or her baby.
any time after birth, but it most commonly starts 1–3 weeks after
 She has trouble doing tasks at home or on the
delivery. Women with postpartum depression need treatment with
job.
counseling and sometimes medication. Without treatment,
 Her appetite changes.
postpartum depression may become worse or may last longer.
 Things that used to bring her pleasure no
longer do.
Postpartum depression does not seem to relate to the mother’s
 Concern and worry about the baby are too
age or number of children she has had. It is more likely to occur
intense, or interest in the baby is lacking.
in women who lack emotional support or who have had
 Anxiety or panic attacks occur. She may be
 postpartum depression before
afraid to be left alone in the house with the
 a psychiatric illness
baby.
 recent stress, such as losing a loved one, family illness,
 She fears harming the baby. These feelings
or moving to a new city
are almost never acted on by women with
postpartum depression, but they can be scary.
Postpartum depression also can occur in women without any of
These feelings may lead to guilt, which makes
these risk factors.
the depression worse.
 She has thoughts of self-harm or suicide.
A few new mothers will develop a more severe mental illness
called postpartum psychosis. However, this condition is very rare.
A new mother having any of these signs or symptoms
Women are more at risk if they have had manic depression
should take steps right away to get help
(bipolar disorder) or schizophrenia or if family members have had
these diseases.
Reasons for Postpartum Depression
Postpartum depression is likely to result from body, mind, and lifestyle factors combined. No two women have the same biologic
makeup or life experiences. These differences may be why some women have postpartum depression and others do not. It also
may help explain why a woman can cope with the demands of everyday life but find the stress of a new baby hard to handle.
Body Changes
The postpartum period is a time of great changes in the body. These changes can affect a woman’s mood and behavior for days
or weeks.
Levels of the hormones estrogen and progesterone decrease sharply in the hours after childbirth. This change may trigger
depression in the same way that much smaller changes in hormone levels can trigger mood swings and tension before enstrual
periods. Some women are more bothered by these changes than others. They may be more likely to have postpartum blues or
depression.
Hormone levels produced by the thyroid gland also may decrease sharply after birth. If these levels are too low, the new mother
may have depression-like symptoms, such as mood swings, nervousness, fatigue, trouble sleeping, and tension.
Many women feel very tired after giving birth. It can take weeks for a woman to regain her normal strength. Some women have
their babies by cesarean birth. Because this is major surgery, it will take them longer to feel strong again.
Also, new mothers seldom get the rest they need. In the hospital, sleep is disturbed by visitors, hospital routine, and the baby’s
feedings. At home, the baby’s feedings and care must be done around the clock, along with household tasks. Fatigue and lack
of sleep can go on for months. They can be a major reason for depression.
Emotional Aspects
Many emotional factors can affect a woman’s self-esteem and the way she deals with stress. This can add to postpartum
depression.
Feelings of doubt about the pregnancy are common. The pregnancy may not have been planned. Even when a pregnancy is
planned, 40 weeks may not be enough time for a couple to adjust to the extra effort of caring for a baby.
The baby may be born early. This can cause changes in home and work routines that the parents did not expect. If the baby is
born with a birth defect, it may be even harder for the parents to adjust.
Having a baby who must stay in the hospital after birth can cause sadness and guilt. A woman may feel guilty that she did
something wrong during pregnancy. Sadness about coming home without the baby is very common.
Mixed feelings sometimes arise from a woman’s past. She may have lost her own mother early or had a poor relationship with
her. This might cause her to be unsure about her feelings toward her new baby. She may fear that caring for the child will lead to
pain, disappointment, or loss. Feelings of loss are common after having a baby. This can add to depression. The loss can take
many forms:
 Loss of freedom. This can include feelings of being trapped and tied down.
 Loss of an old identity. The mother may be used to someone else taking care of her or of being in control.
 Loss of prepregnancy shape and feelings of having sex appeal.
Lifestyle Factors
A major factor in postpartum depression is lack of support from others. The steady support of a new mother’s partner, other
family members, or friends is a comfort during pregnancy and after the birth. It helps when others can assume household chores
and share in child care. If a woman lives alone or far away from her family, support may be lacking.
Breast-feeding problems can make a new mother feel depressed. New mothers need not feel guilty if they cannot breast-feed or
if they decide to stop. The baby can be well nourished with formula. Your partner or other supportive person can help with some
of the feedings, giving you more time for yourself or for rest.
The Role of Myths
Women who have an idea of the “perfect mother” are more likely to feel let down and depressed when faced with the needs of
day–to–day mothering. Three myths about being a mother are common:
Myth No. 1: Motherhood Is Instinctive. First-time mothers often believe that they should just know how to care for a newborn.
In fact, new mothers need to learn mothering skills just as they learn any other life skill. It takes time and patience. It takes
reading child care books, watching skilled child caregivers, and talking with other mothers. As a mother’s skills grow, she will
become more sure of herself.
Mothers also may believe that they must feel a certain way toward their newborns or they are not “maternal.” In fact, some
women feel very little for their infants at first. Mother love, like mothering skills, does not just happen. Bonding often takes days
or even weeks. When the special feelings of motherhood begin to emerge, they should be nurtured.
Myth No. 2: The Perfect Baby. Most women dream about what their newborns will look like. When the baby arrives, it may not
match the baby of their dreams.
Also, babies have distinct personalities right from birth. Some infants are easier to care for. Others are fussy, have upset
stomachs, and are not easy to comfort. A new mother may find it hard to adjust to the baby.
Myth No. 3: The Perfect Mother. For some women, being perfect is a never-ending goal. A mother may think she is not living
up to the ideal. She may feel that she is a failure.
Of course, no mother is perfect. It is not true that every woman can “have it all.” Most women have trouble finding a balance
between caring for a new baby and keeping up with household duties, other children, and a job. They often feel this way even
with a lot of support.
What You Can Do
If you are feeling depressed after the birth of your child, there are some things you can do to take care of yourself and your
baby:
 Get plenty of rest. Do not try to do it all. Try to nap when the baby naps.

Ask for help from family and friends, especially if you have other children. Have your partner help with feedings at night.
 Take special care of yourself. Shower and dress each day, and get out of the house. Get a baby sitter or take the baby
with you. Go for a walk, meet with a friend, and talk with other new mothers.
 Tell your partner or a friend how you feel. Often just talking things out with someone you trust can provide relief.
Call your doctor if your feelings do not improve or if you feel hopeless. Blues that do not go away after about a week or feelings
that get worse may be signs of a more severe depression. Tell your doctor if you are afraid you might neglect or hurt your baby.
Your doctor can refer you to experts in treating depression. These experts will give emotional support, help you sort through
your feelings, and help you make changes in your life. You also may be given antidepressants. These drugs generally are
considered safe to use during breastfeeding.
Hotlines and support groups are available for women with postpartum depression. Talk to your doctor about finding help in your
area.
To get well, women with postpartum depression need realistic goals and support. Learn how to nurture yourself as well as your
family. Small, daily things can make a big difference. It is important to take time for yourself, get out of the house, and reach out
to family and friends. Do only what is needed, and let the rest go.
Women who have had postpartum depression before are at risk for having it again after another pregnancy. Your doctor may
suggest that you begin treatment right after your next pregnancy to prevent postpartum depression.
Finally...
Many new mothers feel sadness, fear, anger, and anxiety after having a baby. This is normal. It does not mean that you are a
failure as a woman or mother or that you have a mental illness. Having these feelings means that you are adjusting to the many
changes that follow the birth of a child.
If the baby blues do not improve or get worse, you may have postpartum depression. Talk with your doctor. Use resources for
counseling and treatment. Even if your depression is severe, treatment can help you return to normal soon.
Glossary
Antidepressants: Medications used to treat depression.
Cesarean Birth: Delivery of a baby through an incision made in the mother’s abdomen and uterus.
Estrogen: A female hormone produced in the ovaries.
Postpartum Blues: Feelings of sadness, fear, anger, or anxiety occurring about 3 days after childbirth and usually fading after 1
week (sometimes called “baby blues”).
Postpartum Depression: Intense feelings of sadness, anxiety, or despair after childbirth that interfere with a new mother’s
ability to function and do not go away after a few weeks.
Progesterone: A female hormone that is produced in the ovaries and prepares the lining of the uterus during the second half of
the menstrual cycle to nourish a fertilized egg.
Westwood Office
Mansfield Office
541 High Street
Westwood, MA 02090
(781) 326-7700
454 Chauncy Street
Mansfield, MA 02048
(508) 339-9944
www.wmpeds.com
Postpartum Therapists
We strongly suggest you speak with your obstetrician if you feel you might be experiencing signs of
postpartum depression.
Janet Leibowitz, PsyD
345 Neponset St, Suite 6
Therapists
Canton, MA 02021
http://www.janetleibowitz.com/
JoAnn Feldstein, Ed.D.
781-258-3587
93 Union St, Suite 401
Newton Center, MA 02459
Christine Gardosik, LICSW
www.drjoannfeldstein.com/
21 Cohasset St, Suite 3
617-332-9887
Foxborough, MA 02035
Debra Greenberg, LICSW
15 Cottage St
Norwood, MA 02492
dgreenberglicsw@comcast.net
781-329-6696
Eda Spielman, Psy.D
6 Fairfield St
Newtonville, MA 02360
http://www.jfcsboston.org/
617-969-4117
Kathleen O’Meara, APRN
27 Mica Ln
Wellesley, MA 02481
781-431-0207
Ellis Waingrow, MSW, LICSW
24 Lincoln St
Newton Highlands, MA 02461
http://www.selfleadership.org/
617-244-8132
Wendy Hrubec, LICSW
275 Turnpike St, Suite 108
Canton, MA 02021
http://www.selfleadership.org/
781-821-2063
978-808-1635
Needham Psychotherapy Associates, LLC
992 Great Plain Ave
Needham, MA 02492
http://npaonline.com/
781-449-7522
Psychiatrist
Ann Briley, MD
18 Wareland Rd
Wellesley, MA 02481
781-237-7896
Allison Phillips, MD
27 Mica Ln
Wellesley, MA 02481
781-431-0207
How to Take a Child’s Temperature
What's the best way to take a child's temperature?
While you often can tell if your child is warmer than usual by feeling her forehead, only a
thermometer can tell how high the temperature is. A digital thermometer can be used to take
a rectal (in the bottom), oral (in the mouth), or axillary (under the arm) temperature. Your child's doctor can recommend
how to use it depending on your child's age. Taking a rectal or oral temperature is more accurate than taking an axillary
temperature.
Ways to use a digital thermometer by age
Child’s Age
Newborn to 3 Months
3 Months to 3 Years
4 to 5 Years
5 Years and older
Rectal
X
X
X
Oral
Axillary
X
X
X
X
X
Tympanic (ear) thermometers are another option for older babies and children. However, while it gives quick results, it
needs to be placed correctly in your child's ear to be accurate. Too much earwax can cause the reading to be incorrect.
While other methods for taking your child's temperature are available, they are not recommended at this time. Ask your
child's doctor for advice.
Mercury thermometers should not be used. The American Academy of Pediatrics encourages parents to remove mercury
thermometers from their homes to prevent accidental exposure to this toxin.
How to use a digital thermometer
If your child is younger than 3 years, taking a rectal temperature gives the best reading. The following is how to take a
rectal temperature:





Clean the end of the thermometer with rubbing alcohol or soap and water. Rinse it with cool water. Do not rinse it
with hot water.
Put a small amount of lubricant, such as petroleum jelly, on the end.
Place your child belly down across your lap or on a firm surface. Hold him by placing your palm against his lower
back, just above his bottom. Or place your child face up and bend his legs to his chest. Rest your free hand
against the back of the thighs.
With the other hand, turn the thermometer on and insert it 1/2 inch to 1 inch into the anal opening. Do not insert it
too far. Hold the thermometer in place loosely with 2 fingers, keeping your hand cupped around your child's
bottom. Keep it there for about 1 minute, until you hear the "beep." Then remove and check the digital reading.
Be sure to label the rectal thermometer so it's not accidentally used in the mouth.
Once your child is 4 or 5 years of age, you can take his temperature by mouth. The following is how to take an oral
temperature:
 Clean the thermometer with lukewarm soapy water or rubbing alcohol. Rinse with cool water.
 Turn the thermometer on and place the tip under his tongue toward the back of his mouth. Hold in place for about
1 minute, until you hear the "beep." Check the digital reading.
 For a correct reading, wait at least 15 minutes after your child has had a hot or cold drink before putting the
thermometer in his mouth.
Although not as accurate, if your child is older than 3 months, you can take his underarm temperature to see if he has a
fever. The following is how to take an axillary temperature:
 Place the tip of a digital thermometer in your child's armpit.
 Hold his arm tightly against his chest for about 1 minute, until you hear the "beep." Check the digital reading.
Last Updated 1/9/2012
Source Fever and Your Child (Copyright © 2007 American Academy of Pediatrics, updated 9/07)
Westwood Office
Mansfield Office
541 High Street
Westwood, MA 02090
(781) 326-7700
454 Chauncy Street
Mansfield, MA 02048
(508) 339-9944
www.wmpeds.com
Are you choosing to Breast Feed your baby?
If so…
For our families choosing to breast feed, we are able to provide lactation support in both
offices. Our breast feeding philosophy is to support and help each of our moms and families
to meet their breast feeding goals.
Recommended bottles:
Breast feeding moms (to be introduced when you newborn is 3-5 weeks old)
-
Playtex NaturaLatch slow flow nipples with the drops in (backed by research)
Avent bottles
Dr. Browns
Westwood Office
Mansfield Office
541 High Street
Westwood, MA 02090
(781) 326-7700
454 Chauncy Street
Mansfield, MA 02048
(508) 339-9944
www.wmpeds.com
Infant & Toddler Car Seat Safety (0-2 Years of Age)
(excerpted from HealthyChildren.org)
Infants & Toddlers: Rear-Facing
The AAP recommends that all infants should ride rear facing starting with their first ride home from the hospital. All infants and toddlers should
ride in a rear-facing car seat until they are at least 2 years of age or until they reach the highest weight or height allowed by their car seat's
manufacturer.
Types of Rear-Facing Car Seats
There are 3 types of rear-facing car seats: rear-facing only seats, convertible seats, and 3-in-1
seats.
When children reach the highest weight or length allowed by the manufacturer of their rear-facing
only seat, they should continue to ride rear-facing in a convertible seat or 3-in-1 seat.
Rear-Facing Only Seats

Are used for infants up to 22 to 40 pounds, depending on the model.

Are small and have carrying handles (and sometimes come as part of a stroller
system).

Usually come with a base that can be left in the car. The seat clicks into and out of the base so you don't have to install the
seat each time you use it. Parents can buy more than one base for additional vehicles.

Should be used only for travel (not for sleeping, feeding, or other uses outside the vehicle).
Figure 2: Rear-facing car seat.
Convertible Seats (used rear-facing)

Can be used rear-facing, then "converted" to forward-facing for older children.
This means the seat can be used longer by your child. They are bulkier than
infant seats, however, and do not come with carrying handles or separate bases
so are not routinely used outside of the vehicle.

Many have higher rear-facing weight (up to 40-50 pounds) and height limits than
rear-facing only seats, which make them ideal for bigger babies.

Have a 5-point harness that attaches at the shoulders, at the hips, and between
the legs. Convertible car seats with overhead shields are no longer made.
However, if you have one you can use it safely until its expiration date.

Should be used only for travel (not for sleeping, feeding, or other uses outside the
vehicle).
Figure 3: Convertible car seat used rear-facing.
3-in-1 Seats (used rear-facing)
 Can be used rear-facing, forward-facing, or as a belt-positioning booster. This means the seat may be used longer by your
child.

Are often bigger in size, so it is important to check that they fit in the vehicle while rear-facing.

Do not have the convenience of a carrying handle or a separate base; however, they may have higher rear-facing weight (up to
40-45 pounds) and height limits than rear-facing only seats, which make them ideal for bigger babies.
Installation Tips for Rear-Facing Seats
When using a rear-facing seat, keep the following in mind:

Place the harnesses in your rear-facing seat in slots that are at or below your baby's shoulders.

Ensure that the harness is snug and that the harness clip is placed at the mid-chest level.

Make sure the car seat is installed tightly in the vehicle. If you can move the seat at the belt path more than an inch side to side
or front to back, it's not tight enough.

Never place a rear-facing car seat in the front seat of a vehicle that has an active front passenger air bag. If the air bag inflates,
it will hit the back of the car seat, right where your baby's head is, and could cause serious injury or death.

If you are using a convertible or 3-in-1 seat in the rear-facing position, make sure the seat belt or lower anchor and tether is
routed through the correct belt path. Check the instructions that came with the car seat to be sure.

Make sure the seat is at the correct angle so your infant's head does not flop forward. Check the instruction manual to find out
the correct angle for your seat and how to adjust the seat angle if needed. All rear facing seats have built-in angle indicators or
adjusters.

Still having trouble? There may be a certified CPST in your area who can help. If you need installation help, see the end of this
article for information on how to locate a CPST.
Common Questions About Rear-Facing Car Seats
What if my baby's feet touch the back of the vehicle seat?

Your child can bend his legs easily and will be comfortable in a rear-facing seat. Injuries to the
legs are rare for children facing the rear.
What do I do if my baby slouches down or to the side in his car seat?

Blanket rolls may be placed on both sides of the infant and a small diaper or blanket between
the crotch strap and the infant. Do not place padding under or behind the infant or use any
sort of car seat insert unless it came with the seat or was made by the manufacturer of the
seat.
Why should I dress my baby in thinner layers of clothing before strapping her into a car seat?

Bulky clothing, including winter coats and snowsuits, can compress in a crash and lead to
increased risk of injury. Ideally, dress your baby in thinner layers and tuck a coat or a blanket
Figure 4: Car seat with a small cloth between crotch strap
around your baby over the buckled harness straps if needed.
Do preemies need a special car seat?

and infant, retainer clip positioned at the midpoint of the
infant’s chest, and blanket rolls on both sides of the infant.
The car seat should be approved for the baby's weight. Very small babies who can sit safely in a semi reclined position usually
fit better in rear-facing only seats. Premature infants should be tested while still in the hospital to make sure they can sit safely
in a semi reclined position. Babies who need to lie flat during travel should ride in a crash-tested car bed.
Westwood Office
Mansfield Office
541 High Street
Westwood, MA 02090
(781) 326-7700
454 Chauncy Street
Mansfield, MA 02048
(508) 339-9944
www.wmpeds.com
Area Car Seat Safety Technicians
Attleboro Fire Department
100 Union Street
Attleboro, MA 02703
508-222-2324
Contact: Stephen Stellakis, Phillip DeCosta
Brockton Police Department
7 Commercial Street
Brockton, MA 02042
508-897-5208
Easton Police Department
46 Lothrop Street
Easton, MA 02356
508-230-3322
Contact: Darren Mangott
North Attleboro Police Department
102 South Washington Street
North Attleboro, MA 02760
508-695-1212
Plainville Fire Department
157 South Street
Plainville, MA 02762
508-695-5252
Sharon Police Department
213 South Main Street
Sharon, MA 02067
781-784-1588
Canton Police Department
99 Revere Street
Canton, Ma 02021
781-828-5090
East Bridgewater Police Department
153 Central Street
East Bridgewater, MA 02333
508-378-7223
Mansfield Police Department
50 West Street
Mansfield, MA 02048
508-261-7300
North Attleboro Fire Department
50 Elm Street
North Attleboro, MA 02760
508-699-0140
Contact: Daniel Jackman
Plainville Police Department
157 South Street
Plainville, MA 02762
508-699-1212
Stoughton Police Department
26 Rose Street
Stoughton, MA 02072
781-344-2424
Westwood Office
Mansfield Office
541 High Street
Westwood, MA 02090
(781) 326-7700
454 Chauncy Street
Mansfield, MA 02048
(508) 339-9944
www.wmpeds.com
Information for New Parents
Important Things to Have at Home
When preparing to bring a baby home from the hospital, there are certain items that we believe each
household should have. These include the following:
•
•
•
•
•
•
•
•
Rectal Thermometer
Vaseline
Infants’ Tylenol*
Ocean Drops (Saline Nasal Drops)
Bulb Syringe
Cool Mist Humidifier
Balmex or Desitin (or other diaper cream with Zinc Oxide)
Nail Files
*
Please call the office before using Infants’ Tylenol for any baby under 3 months of age!
Normal Newborn Things Which Can Frighten Parents!
Eye Rolling – Uncoordinated eye movements in a newborn is normal as long as it is intermittent. It
does not represent a seizure.
Twitching Movement of Arms and Legs – As newborns fall asleep (or are waking up) their arms and
legs may twitch for several seconds. If this twitching is brief and if you can stop it with your hand, it
should not be a concern.
Vaginal Bleeding – In babies, vaginal bleeding may occur in the first two weeks of life. The blood
spots can be the size of a quarter and may last up to a few days.
Choking Episodes – When a newborn chokes it appears quite frightening. Breast milk (or formula) can
come out of the nose and the child may turn a dark red color. As long as the child is not blue and the
episode is brief, the only intervention necessary is to use a bulb suction syringe to clear the mouth
and nose.
Hiccups, Sneezing, Yawning, Wheezy – like Noises, and Irregular Breathing –The above noises are
very common and generally normal in a healthy newborn. Wheezy-like noises don’t suggest asthma,
but almost always represent the fact that newborns breathe through their nose (and not their mouth)
until they get close to four-to-six months old. Therefore even the smallest amount of mucous can
cause noisy breathing. No intervention is needed as long as your child feeds comfortably, has good
color, and sleeps well.
Mildly Irregular Breathing – In a pink baby, mildly irregular breathing is normal and will become
more regular as the child gets older. This is not a warning sign of Sudden Infant Death Syndrome
(SIDS). SIDS occurs in approximately 1 in 2,000 births. One way to lower the chance of SIDS is to place
your baby on the back to sleep, not on the stomach or side.
Westwood Office
Mansfield Office
541 High Street
Westwood, MA 02090
(781) 326-7700
454 Chauncy Street
Mansfield, MA 02048
(508) 339-9944
www.wmpeds.com
New Mom Groups
MOMS Club of Canton
www.meetup.com/MOMS-Club-of-Canton
MOMS Club of Stoughton
www.meetup.com/MOMS-Club-of-Stoughton
Dedham Parent Time
www.bigtent.com/groups/dedhampt
MOMS Club of Walpole
www.bigtent.com/groups/momswalpole
Dover Mothers’ Association
www.bigtent.com/groups/dovermoms
Canton-Westwood Mom Social Group
www.meetup.com/Westwood-Moms-Social-Group
MOMS Club of Easton
www.facebook.com/momsclubofeastonma
Wellesley Mothers Forum
www.wellesleymothersforum.com
MOMS Club of Foxboro
www.foxboromom.com/Home.php
MOMS Club of Franklin
www.meetup.com/MOMS-Club-of-Franklin
The Mansfield Mothers’ Club
www.mansfieldmothersclub.com
MOMS Club of Medway and Bellingham
www.momsclubmb.com
Millis Moms
www.facebook.com/millismomsanddads
Newton Mothers’ Forum
www.newtonmoms.com
MOMS Club of Norfolk, Plainville and Wrentham
www.npwmoms.org
MOMS Club of North Attleborough
www.northattleboroughmoms.org
MOMS Club of Norton
www.nortonmoms.org
The Working Mom’s Playground (Norwood)
www.meetup.com/TheWorkingMomsPlaygroup
MOMS Club of Sharon
www.momsclubofsharon.com
Child Care Resources
Go to: http://www.childcareaware.org/en/
to find child care near you.
Early Intervention
We will screen your baby for developmental issues at
each visit. Your provider may suggest you contact one of
the following agencies.
Enable Inc. Early Intervention
275 Prospect Street
Norwood, MA 781-255-1817
Thom Neponset Valley Early Intervention
101 Vanderbilt Ave. Route 1
Norwood, MA 781-551-0405
Riverside Early Intervention at Dedham
450 Washington St. Suite 102
Dedham, MA 781-329-0909
Kennedy Donovan Center EIP -Attleboro
25 Forest Street
Attleboro, MA 508-226-6035
On Location, Resource Center
Please visit our “Resource Centers” located in both
offices. These centers offer parents and patients the
opportunity to borrow books or DVD’s on a variety of
“Doctor” recommended subject matters. Please feel
free to request any medical or educational
material on topics of interest.
Important Contact Information
Emergency: 911
Regional Poison Center: 1-800-222-1222
Police Department:_____________________________
Informational Brochure
for New Parents
Fire Department:_______________________________
Doctor:_______________________________________
Local Hospital:_________________________________
Dentist: _ _____________________________________
Specialist:_____________________________________
Specialist:_____________________________________
Babysitter: ____________________________________
Emergency
Contact Person:________________________________
Phone Number:________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
We hope you find this information to be helpful.
Westwood/Mansfield
Pediatrics - 2011
541 High Street
Westwood, MA 02090
781-326-7700
Fax: 781-251-0910
454 Chauncy Street
Mansfield, MA
508-339-9944
Fax: 508-261-7772
To find out more information about our
providers and what our practice has to offer,
visit our website at: www.wmpeds.com
New Mom’s Groups, Classes & Support Groups
Do you want to meet other new moms, have a place to
talk about the joys and challenges of motherhood, and
be able to ask questions?
The Parent Connection at Beth Israel Deaconess
Medical Center offers Free groups for moms and their
babies. Groups are located in: Braintree, Chestnut Hill,
Dedham, & Lexington.
To register, or for more information, please contact
BIDMC Parent Connection Office at 617-667-BABY
(2229) or www.bidmc.harvard.edu/obgyn
The Center for Early Relationship Support provides free
support groups for the community. Contact them at 781647-5327 or visit their website at www.jfcsboston.org/
fcs/early_relationship.cfm for more information on the
different groups available.
You need to schedule appointments for your baby
throughout his/her first 2 1/2 years of his/her life. We encourage you to set up your next appointment before you
leave the office, or call ahead of time.
Here are a list of appointments that need to be scheduled:
Appt.
2 Month
4 Month
6 Month
9 Month
12 Month
15 Month
18 Month
Newton
617-558-1278
2 1/2 Year
Caritas Norwood Hospital
Me and My Baby
781-0278-6402
Caritas Norwood Hospital
Me and My Toddler
781-0278-6402
ISIS Parenting
Brookline, Needham
781-429-1500
www.isismaternity.com
Mansfield Mothers Club
mansfieldmothersclub@yahoo.com
To find your local Massachusetts Mom’s Club visit
www.momsclub.org/links.html#Massachusetts
Date
1 Month
The Center for Early Relationship Support Locations:
Boston
617-227-6641
Norwood
781-551-0405
Scheduled
24 Month
Other Resources Available for Expecting and
New Parents: Products & Services
Academy of Breastfeeding Medicine
www.bfmed.org
American Academy of Pediatrics
www.aap.org/healthtopics/breastfeeding.cfm
Lactation Care, Inc.
Newton, MA 617-244-5593
Lactation Consultants
www.iblce.org
International Lactation Consultant Association
www.ilca.org
La Leche League International
http://www.llli.org/
Massachusetts Breastfeeding Coalition
http://massbfc.org/zipmilk/
Cambridge Medical Supply
for pump rentals and pumping supplies
617-876-3810 or 617-491-1511
If you chose to breastfeed, we have our own on staff
lactation consultants. Please contact the office for further
information.
Compass Medical Supply
for pump rentals and pumping supplies
617-566-6772
If you need additional support, our lactation consultants
can be helpful facilitators.We have provided some community resources, however, we encourage you to use the
one with whom you are most comfortable with. We do not
endorse any one in particular.
M&M Medical Supply Company
They carry only Medela pumps
877-966-6337 or 508-966-3290
www.ziplink.org - Web page designed by the Massachusetts coalition of Breastfeeding to help you find the
lactation support close to home.
Norwood Hospital’s Breastfeeding Drop-in Groups on
Wednesdays at 11:45am. Contact Anita for more information at Anita.ponica@caritaschristi.org
Isis Parenting- Free weekly Breastfeeding Drop-in
Groups in all 4 of its locations (Needham, Boston,
Brookline, and Arlington). Check out their website at
www.isisparenting.com for dates and times.
Lactation Care Inc. in Newton, Ma - Providing breast
pump, Breastfeeding accessories and support . For more
information call 617-244-5593 or visit their website at
www.lactationcare.com
ISIS Parenting
Isis Maternity centers are the premier resource
for Boston’s expecting & new parents.
Classes and products addressing needs from
early pregnancy through the early childhood years.
781-429-1500
www.isisparenting.com
JF&CS
Jewish Family & Children’s Services
Support groups/home consultation
617-558-1278
www.jfcsboston.org
National Woman’s Health Information Center
www.womanshealth.gov/breastfeeding
Westwood Office
Mansfield Office
541 High Street
Westwood, MA 02090
(781) 326-7700
454 Chauncy Street
Mansfield, MA 02048
(508) 339-9944
www.wmpeds.com
Westwood-Mansfield Pediatric Associates
Information for New Parents
Recommended Resources:
As a new parent, you will quickly realize that nearly everyone you meet has a different opinion about parenting
and newborn care (many are not shy sharing these opinions). It is important to remember that there are many
“correct” ways to raise children, and that you must sort through this advice to find the information that is
helpful to you. We have compiled the following selection of recommended resources to help you.
A great place to start is the American Academy of Pediatrics “Health Topics” website, www.aap.org/healthtopics.
This website contains terrific information on all the topics listed below (and many others).
Child Development
 Caring for Your Baby and Young Child-Birth to Age 5 (Steven Shelov, American Academy of
Pediatrics)



Caring for Your School Age Child-Ages 5-12 (Edward Schor, American Academy of Pediatrics)
Touchpoints: Your Child’s Emotional and Behavioral Development (T. Berry Brazelton)
The Incredible Years (Carolyn Webster-Stratton)
Breastfeeding
 New Mother’s Guide to Breastfeeding (Joan Younger Meek, American Academy of Pediatrics)



International Lactation Consultant Association – www.ilca.org
Massachusetts Breastfeeding Coalition – www.zipmilk.org
La Leche League International – www.lli.org
Sleep Resources
 Solving Your Child’s Sleep Problems (Richard Ferber)





The No-Cry Sleep Solution (Elizabeth Pantley)
Nighttime Parenting (William Sears)
Healthy Sleep Habits, Happy Child (Marc Weissbluth)
Sleeping Through the Night (Jodi Mindel)
Secrets of the Baby Whisperer (Tracy Hogg and Melinda Blau)
General Health and Nutrition
 Guide to Your Child’s Symptoms (Donald Schiff, American Academy of Pediatrics)

Guide to Your Child’s Nutrition (William Dietz, American Academy of Pediatrics)
Car Seats
 American Academy of Pediatrics (keyword “car seats”) - www.healthychildren.org


National Highway Transportation Safety Administration (select “Child Passenger Safety”) www.nhtsa.dot.gov
SafetyBeltSafe USA - www.carseat.org
Westwood Office
Mansfield Office
541 High Street
Westwood, MA 02090
(781) 326-7700
454 Chauncy Street
Mansfield, MA 02048
(508) 339-9944
www.wmpeds.com
Congratulation on the anticipated birth of your child!
We are honored that you have considered our Practice for the care of your baby.
After your baby is born, the first few weeks to months will be wonderful but yet,
overwhelming.
Should you decide to have us care for your child’s healthcare needs, completing
the necessary Registration and Family History forms with as much information
as possible PRIOR to the birth will be much more convenient for you and,
frankly, one less thing to think about.
To that end, we have included this registration packet as well as all the Practice
Policies to review while you have a bit more time and energy.
Once the forms are completed, you may mail them back OR bring them to your
first visit, whichever is more convenient for you. You can just use “Baby” and
Last name if you do not know the sex of your child or have not yet decided on a
name.
Please call if you have any questions.
The Staff at Westwood-Mansfield Pediatrics
Westwood Office
Mansfield Office
541 High Street
Westwood, MA 02090
(781) 326-7700
454 Chauncy Street
Mansfield, MA 02048
(508) 339-9944
www.wmpeds.com
The Parent Connection
Welcoming a new baby into the home can be a joyful, exciting and sometimes overwhelming
experience, especially for first-time parents. The Parent Connection at Beth Israel Deaconess
Medical Center continues your care, after you leave the hospital, and in those early weeks as
you become parents.
MENTORING MOMS SERVICE
New moms who join this FREE service are paired with a Parent Connection volunteer who
provides weekly phone call support through the first three months after giving birth. Our
volunteers, all experienced moms, are there to answer questions, provide information about
resources available in your community as well as listen to your concerns and support you
through the joys, fears and challenges you might face as a new mom.
NEW MOMS GROUPS
Parent Connection groups are all facilitated by an experienced group leader and provide an
opportunity for new moms to meet other new moms, to raise questions, and have an easy,
comfortable place to go with your baby. The groups are FREE and meet weekly in Dedham,
Lexington and Chestnut Hill. Our Needham group is a Working Moms group and meets during
evening hours. If none of our group locations work for you, call us and we’ll try to help you
find a group in your community. To sign up for one of our groups, or register for our
Mentoring Moms Service, please call us at 617-667-BABY (2229).
BABY KNOW HOW BLOG
Check out our blog, Baby Know How, at bidmc.org/babyknowhow for postings on new
parent issues or to ask questions.
Westwood-Mansfield Pediatric Associates
Congratulations!
As you anticipate the birth of your child, we
wanted to take some time to introduce ourselves
and our services to you and your family and hope
that you will consider us in caring for the growth
and development of your baby.
We have included several documents that may be
helpful to you in making your choice for pediatric
care.
For more information, please visit our website,
www.wmpeds.com or call 781-234-1923.
Our Practice Assistant will be happy to help you.
Mansfield Office: 454 Chauncy Street, Mansfield, Massachusetts 02048 Tel: 508-339-9944
Westwood Office: 541 High Street, Westwood, Massachusetts 02090 Tel: 781-326-7700
www.wmpeds.com
Westwood-Mansfield Pediatric Associates | Information for new parents
Choosing a Pediatrician: Frequently Asked Questions
There are many factors families must consider in selecting a pediatrician including practice style, office
resources, office hours and locations (accessibility) and more. Ultimately, you must decide which features are
most important. We recommend that you take me to interview a few pediatric practices in your area to make
sure you are comfortable with your choice. We offer “Meet the Practice/Newborn Classes” regularly. Visit our
website, www.wmpeds.com or call 781-234-1923 for the class schedule.
Here are some of the more frequently asked questions (along with the answers for Westwood-Mansfield
Pediatrics).
Who are the providers that would see my child?
Patients of Westwood-Mansfield Pediatrics are seen by pediatricians and nurse practitioners. (See
“About Our Providers” on page 4.) For more comprehensive information, our provider biographies are
present at www.wmpeds.com.
Who will see my baby in the hospital?
During your hospital stay, your baby will
be cared for by one of the pediatricians or
nurse practitioners (NPs) who sees
newborns where you deliver. We do not
round at any hospitals. (See “Who Will
See My Baby in the Hospital” on page 5.)
Do you have experience with children
who have special needs or complex
medical histories?
We take pride in providing comprehensive
healthcare to many children with special
needs including autism spectrum disorders, ADHD, asthma and many more. We work closely with
parents to coordinate the care of children whose conditions may require multiple specialists and services.
To that end, our practice is currently in the process of becoming a Certified Medical Home which will
enhance the development of a partnership between the family and the child’s primary health care
professional based on mutual trust and respect to deliver primary care that is accessible, continuous,
comprehensive, family-centered, coordinated, compassionate and culturally effective care.
What special resources does your office offer patients and families?
In addition to pediatricians and nurse practitioners, Westwood-Mansfield Pediatrics has other staff
members with specialized areas of expertise in childhood issues. We have an Education Specialist
available to help families navigate the school system and identify resources available for children with
learning style issues. Our Medical Care Coordinator provides assistance in coordinating care for children
with multiple specialists. Additionally, Lactation Consultants are available for any breastfeeding
questions.
2
Westwood-Mansfield Pediatric Associates | Information for new parents
Why Choose Westwood‐Mansfield Pediatrics?
Westwood-Mansfield Pediatrics is an established group that has been serving children and their families since
1957. Our providers are dedicated to providing quality, caring and compassionate healthcare to our patients from
infancy to young adulthood. Our office is open every day except for Thanksgiving and Christmas (including
weekends and the other holidays). In addition, we are open on Monday through Thursday evenings to help
accommodate your busy schedule. We utilize electronic medical records and are pleased to offer online access to
request appointments, referrals, prescription refills, and to ask a question of a nurse or provider.
Westwood-Mansfield Pediatrics is well-recognized within the pediatric health care community for our
commitment to the education of our patients and the public. Our providers have spoken at conferences and our
office has organized and sponsored numerous community forums to promote health and wellbeing. Additional
education efforts include regular e-newsletters and e-alerts, online videos, and information packets and literature.
We work hard to continue our own education as well (with monthly provider meetings) and ensure that all our
providers have similar, up-to-date approaches to different medical issues (for example, our philosophy towards
vaccinations or the treatment of ear infections). We are a unified group. As a group, however, our providers all
have their own styles. Patients have the opportunity to meet many of our providers offering different perspectives
and increased patient choice. Additionally, each of our providers has a specific area of interest and specialization
(for example, asthma, breastfeeding, international adoption, or concussions) giving an opportunity to consult with
a different doctor/nurse practitioner within our group for improved care.
Children with special needs make up a sizeable
portion of our practice. Our SKIP (“Special Kids
In our Practice”) program is designed to increase
the attention and care given to our sickest and
most medically (or behaviorally) challenging
children. We routinely administer developmental
tests to screen for autism, anxiety and other
developmental issues.
Westwood-Mansfield Pediatrics is affiliated with Children’s Hospital Boston and the Pediatric Physician’s
Organization (PPOC) at Children’s Hospital. The PPOC is actively involved in the quality improvement of
pediatric practices throughout Massachusetts. We were one of 40 private practices nationwide to be chosen for a
series on improving quality in the primary care office. Recent independent evaluations by the Massachusetts
Healthcare Quality Partners ranked us 4 out of 4 stars in well baby care, provider communication, and healthcare
promotion.
We encourage you to call or email with any questions or concerns. Please use the contact us form at our website,
www.wmpeds.com to email us or call 781-234-1923. We look forward to meeting you and your family. We feel
truly privileged to be a part of the lives of so many wonderful families.
3
Westwood-Mansfield Pediatric Associates | Information for new parents
About Our Providers
Westwood-Mansfield Pediatric Associates is staffed by
Board Certified Pediatricians and Nurse Practitioners.
For updated information on our providers, please visit
our website, www.wmpeds.com.
What is a Pediatrician?
Pediatricians are doctors who specialize in the care of
children and adolescents and are educated in
childhood physical, emotional, and social
development. They understand that children are not
simply small adults, and that each age brings its own
set of challenges, developmental issues, and common
illnesses.
Pediatricians provide guidance to help you to understand and promote your child’s healthy development. At
times, they may also address issues affecting a child’s family and home environment (including major life
stressors such as death or divorce). (Adapted from the American Academy of Pediatrics)
What is a Nurse Practitioner in a Pediatric Practice?
Nurse Practitioners (NPs) are health care providers dedicated to improving children’s health. They have
advanced education in pediatric nursing and health care, pharmacology, and child development. Some are
further certified as Lactation Consultants. They provide a wide range of high quality primary health services
for children through adulthood. (Adapted from the National Association of Pediatric Nurse Associates and
Practitioners)
At Westwood-Mansfield Pediatric Associates, NPs are an integral part of our team and work in collaboration
with pediatricians providing high quality care for both well and sick children. They manage many chronic
conditions including asthma, ADHD, and obesity and are an essential part of our team.
Pediatricians and Nurse Practitioners are trained to provide:






Counseling on growth and development (physical, emotional, and social)
Diagnosis and treatment of acute illnesses
Management of chronic diseases including asthma, ADHD, and obesity
Advice intended to prevent injuries and to promote a healthy lifestyle
Treatment of serious childhood conditions requiring complex care
Guidance in anticipating your child’s needs from birth to adulthood
4
Westwood-Mansfield Pediatric Associates | Information for new parents
Who Will See My Baby in the Hospital?
During your hospital stay your baby will be cared for by one of the
pediatricians or nurse practitioners (NP) who work in the hospital
where you deliver. This pediatrician/NP will provide you with written
information describing your baby’s hospital stay to bring to your first
visit.
We ask you to call us for an appointment the day you leave the
hospital. We plan to see newborns within the first few days after
discharge in order to meet you, closely monitor the baby for weight
gain and jaundice, and to offer support for you and your family.
Lactation consultants are available to provide breastfeeding support
and triage nurses to answer phone calls for any questions you may
have.
We look forward to meeting you and your baby and to developing a
working relationship that ensures excellent health, development, and
safety for your family. Please do not hesitate to contact us with any
questions.
Vaccines (Immunizations)
Westwood-Mansfield Pediatric Associates is a pro-vaccine practice. It is our expectation that you will vaccinate
your child according to the schedule recommended by the American Academy of Pediatrics.
Thanks to the success of immunizations, many of us have not witnessed the devastating effects of illnesses like
whooping cough (pertussis), polio, mumps, and measles (among others). Polio paralyzed millions of children in
the pre-vaccine era. Mothers exposed to measles during pregnancy often had babies with devastating birth
defects. While these vaccine-preventable diseases are now uncommon, outbreaks do still occur.
In the 21st century we live in a global community where travel between continents is routine. Children may still
become infected with preventable diseases if they are not immunized, putting others at risk as well. Babies, the
elderly, and people with immune disorders (as well as a small portion of otherwise healthy individuals) may not
develop adequate protection following vaccines. If enough people in the community are immunized, the
vulnerable members can be protected by “herd immunity.”
All parents are committed to providing their children with the best possible care. Vaccines are a valuable tool to
keep your child healthy. Despite the negative publicity vaccines have recently received in the media, the World
Health Organization and UNICEF estimate that vaccines save over three million lives worldwide each year.
Westwood-Mansfield Pediatrics strongly believes that vaccines save lives.
We will be happy to discuss any concerns that you may have. Please visit the American Academy of
Pediatrics website for more detailed information on immunizations (www.aap.org).
5
Westwood-Mansfield Pediatric Associates | Information for new parents
Important Things to Have at Home
When preparing to bring a baby home from the
hospital, there are certain items that we believe
each household should have. These include the
following:








Rectal Thermometer
Vaseline
Infants’ Tylenol*
Ocean Drops (Saline Nasal Drops)
Bulb Syringe
Cool Mist Humidifier
Balmex or Desitin
(or other diaper cream with Zinc Oxide)
Nail Files
* Please call the office before using Infants’ Tylenol for any baby under 3 months of age!
Normal Newborn Things Which Can Frighten Parents!
Eye Rolling – Uncoordinated eye movements in a newborn is normal as long as it is intermittent. It does
not represent a seizure.
Twitching Movement of Arms and Legs – As newborns fall asleep (or are waking up) their arms and
legs may twitch for several seconds. If this twitching is brief and if you can stop it with your hand, it should
not be a concern.
Vaginal Bleeding – In babies, vaginal bleeding may occur in the first two weeks of life. The blood spots can
be the size of a quarter and may last up to a few days.
Choking Episodes – When a newborn chokes it appears quite frightening. Breast milk (or formula) can come
out of the nose and the child may turn a dark red color. As long as the child is not blue and the episode is brief,
the only intervention necessary is to use a bulb suction syringe to clear the mouth and nose.
Hiccups, Sneezing, Yawning, Wheezy-like Noises, and Irregular Breathing –The above noises are
very common and generally normal in a healthy newborn. Wheezy-like noises don’t suggest asthma, but almost
always represent the fact that newborns breathe through their nose (and not their mouth) until they get close to
four-to-six months old. Therefore even the smallest amount of mucous can cause noisy breathing. No
intervention is needed as long as your child feeds comfortably, has good color, and sleeps well.
Mildly Irregular Breathing – In a pink baby, mildly irregular breathing is normal and will become more
regular as the child gets older. This is not a warning sign of Sudden Infant Death Syndrome (SIDS). SIDS occurs
in approximately 1 in 2,000 births. One way to lower the chance of SIDS is to place your baby on the back to
sleep, not on the stomach or side.
6
Westwood-Mansfield Pediatric Associates | Information for new parents
Feeding Choices: Breast Milk or Formula
The method by which you choose to feed your baby is a personal choice and one of the
more important decisions you will make in the first year of your child’s life. We at
Westwood-Mansfield Pediatric Associates are supportive of whatever feeding method you
choose.
The American Academy of Pediatrics recommends exclusive breastfeeding for the first 6 months of life and
continued breastfeeding for a minimum of 1 year. They state that human milk is the “ideal food” for infants and
that the benefits of breastfeeding include protection from infection (during the first 6 months of life), improved
developmental outcomes, decreased rates of obesity, decreased rates of allergies, and many more.
While breastfeeding may not be the right option for all families, we hope you will give it consideration. We are
committed to supporting any mothers who wish to breastfeed their babies but who may require special
assistance or instruction.
International Board Certified Lactation
Consultants are on staff and are available to
answer questions and meet with you to help
with any breastfeeding needs.
Whatever decision is right for you, WestwoodMansfield Pediatrics will work with you to
promote and ensure your child’s health and
well-being.
7
Westwood-Mansfield Pediatric Associates | Information for new parents
Recommended Resources
As a new parent, you will quickly realize that nearly everyone you meet has a different opinion about parenting
and newborn care (many are not shy sharing these opinions). It is important to remember that there are many
“correct” ways to raise children, and that you must sort through this advice to find the information that is helpful
to you. We have compiled the following selection of recommended resources to help you.
A great place to start is the American Academy of Pediatrics “Health Topics” website, www.aap.org/healthtopics.
This website contains terrific information on all the topics listed below (and many others).
Child Development




Caring for Your Baby and Young Child-Birth to Age 5 (Steven Shelov, American
Academy of Pediatrics)
Caring for Your School Age Child-Ages 5-12 (Edward Schor, American Academy of Pediatrics)
Touchpoints: Your Child’s Emotional and Behavioral Development (T. Berry Brazelton)
The Incredible Years (Carolyn Webster-Stratton)
Breastfeeding

New Mother’s Guide to Breastfeeding (Joan Younger Meek, American Academy of Pediatrics)



International Lactation Consultant Association – www.ilca.org
Massachusetts Breastfeeding Coalition – www.zipmilk.org
La Leche League International – www.lli.org
Sleep Resources

Solving Your Child’s Sleep Problems (Richard Ferber)





The No-Cry Sleep Solution (Elizabeth Pantley)
Nighttime Parenting (William Sears)
Healthy Sleep Habits, Happy Child (Marc Weissbluth)
Sleeping Through the Night (Jodi Mindel)
Secrets of the Baby Whisperer (Tracy Hogg and Melinda Blau)
General Health and Nutrition

Guide to Your Child’s Symptoms (Donald Schiff, American Academy of Pediatrics)

Guide to Your Child’s Nutrition (William Dietz, American Academy of Pediatrics)
Car Seats

American Academy of Pediatrics (keyword “car seats”) - www.healthychildren.org

National Highway Transportation Safety Administration (select “Child Passenger Safety”) www.nhtsa.dot.gov
SafetyBeltSafe USA - www.carseat.org

8
Are you a new mom?
Do you want to meet other new moms, have a place to
talk about the joys and challenges of motherhood, and
be able to ask questions?
The Parent Connection of
Beth Israel Deaconess Medical Center offers
NEW MOMS' GROUPS
FREE for moms & babies under one year of age
*CHESTNUT HILL:
Tuesday afternoons from 1:00p.m.-2:30p.m.
HEALTHWORKS Fitness Center, 1300 Boylston Street, Chestnut Hill
DEDHAM:
Tuesdays from 10:00am-11:30am at the Dedham Health and Athletic Complex, 200
Providence Highway, Dedham
*LEXINGTON:
Wednesdays from 10:30 a.m. to 12:00 p.m. at
Temple Isaiah, 55 Lincoln St. Lexington
NEEDHAM:
Announcing our newest group for Working Moms. This group meets the 2nd and 4th
Thursday of the month from 7:00pm-8:30pm at Isis Maternity, 110 Second Ave, Needham.
(For working moms with babies under one year of age, please call for exact meeting dates.)
To register for these FREE groups or for more information, please contact
the BIDMC Parent Connection office at 617.667.BABY (2229).
*The Chestnut Hill and Lexington groups run on 8 week cycles. Please call for next group
start date.
ARE YOU A NEW MOM?
**New Moms Groups**
Caring for Generations: JF&CS (Jewish Family & Children’s Service)
 http://www.jfcsboston.org/NewsEvents/ViewArticle/tabid/260/smid/722/ArticleID/58/reftab/285
/t/Free-New-Mothers-Groups/Default.aspx#
Expectant Mother’s Guide to Boston:
 http://www.expectantmothersguide.com/local/EBO99.htm
 http://www.expectantmothersguide.com/local/boston_events.php
Isis Parenting
 http://www.isisparenting.com/classes
Beth Israel Deaconess Medical Center
 http://www.bidmc.org/CentersandDepartments/Departments/ObstetricsGynecology/PatientEducati
onResources/YourPregnancy/NewParentSupportGroups.aspx
 http://www.bidmc.org/MedicalEducation/GraduateMedicalEducation/HouseStaffResources/~/medi
a/Files/MedicalEducation/GME/New%20Mom%20Flyer%202010.ashx
Freedman Center for Child & Family Development
 http://www.mspp.edu/community/freedman-center/
To Find Events and Classes at Norwood Hospital
 http://www.stewardhealth.org/evc/page.asp
5/2012