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Name:____________________
Date Of Visit:____________________
Weight:____________________
Length:____________________
Head Circumference:____________________
Things the doctor will do at today's visit:
Things you may want to discuss at this visit:
How you are feeling since the delivery.
___________________________________________________________________
Your arrangements at home for the new baby.
___________________________________________________________________
Questions or concerns about breast-feeding or bottle-feeding your baby.
___________________________________________________________________
Sleep position and sleep habits.
___________________________________________________________________
Hearing tests for newborns.
___________________________________________________________________
How to deal with being tired or feeling sad.
___________________________________________________________________
Any other concerns you have.
___________________________________________________________________
Things to keep in mind:
Schedule an appointment for your baby's next visit, usually within one to two weeks after birth.
Date:____________________
Time:____________________
Based on health-supervision guidelines from the American Academy of Pediatrics and from Bright Futures, which is funded by the U.S. Department of Health and Human Services, under the direction of the Maternal and Child Health Bureau.
Last updated December 2, 2011