Babies: 0 - 3 Months

Curious about other people's pediatricians

Do they ask you how you're putting the baby to bed and evaluate it, or do they just give you advice if you bring up that you're having troubles?

At beginning of each appt, the nurse asks how often he's eating, and about how long he's sleeping at night (along with a bunch of other questions).  The doc comes in, does a quick exam, looks at the nurse's notes, and asks if I have any concerns.

The only conversation we've ever had about his sleep was me telling her at his 6 month appointment that he suddenly seemed to need to get upset and scream bloody murder (while being held, snuggled, whatever) before he'd go to sleep for the night.  She just chuckled and said some babies his age would refuse to sleep and fight it so hard they'd just be go-go-going and then fall asleep wherever they happened to fall.

I really like our pediatrician, and I think she's pretty hands off - as long as he's growing and meeting milestones, and I'm not worried or looking completely a wreck (she's seen me that way, too, though), she doesn't offer advice.

Are people that are getting lots of scheduling and sleep advice asking, or is the pediatrician saying "this is what should be happening regarding sleep at this stage?"

Oh - we do get a handout at every appointment, and all it said about sleep at six months (this is the first time it's said anything about sleep at all) was that babies around this age start to fight it.

Just curious, because I've never had the experience of our pediatrician telling me what she thinks I should do about a sleep or feeding schedule or, really, anything but vaccines!

Re: Curious about other people's pediatricians

  • IMO, I think a good pedi doesn't just come out and tell you what to do.  I think they listen to your concerns and your questions and help you come up with an approach that works for you.   Ours sounds a lot like yours.
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  • I don't get a handout....I got the same one twice and it was at 7 and 9 months about baby bottle tooth decay and babyproofing the house.

    My pedi asks me if I have concerns but doesn't talk about sleeping, napping, or food unless I ask.  The nurse always asks what we feed him.  When he was younger they used to ask how often he ate.
  • I kind of feel like you. She doesn't offer up much, but is happy to answer any questions that I have. All she really asks about is how much and how often Emily eats.
  • I really like our pedi, but I think he is probably a lot like yours.  He does the exam and asks me a couple of questions about if he's feeding well, pooping, etc.  Then he answers any questions I have.  But he has never really made any suggestions to me unless I have specifically asked.  And we have never talked about sleep at all, but my DS is younger than yours.
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  • I am wondering if my posts earlier are leading to the questions about pedi's advice. I dont mind, as long as you play nice :)

    We live in Vermont and go to a VERY small practice. There are two drs. That is it. No secretary, no nurse, no one else. They answer their own phone, are always on call, and are amazing. We love them!

    After hearing that Henry was up every 1-2 hours and that I had mastitis (from being over tired, per my dr) our pedi made it clear that Henry should be able to sleep for longer stretches. I agree! I know that he can. He goes 4 hours during the day between feedings.

    He laid out the plan that I wrote below as a suggestion. Dh and I took it (because we feel like we have tried everything else) and modified it to a plan that we felt comfortable with.

    Our pedis both have 3+ kids and are very down to earth. This week pedi told us about what he went through trying to get his kids to sleep.

    So I think that I am in a unique boat with unique doctors. I feel very lucky to see them and I felt as though it wouldnt hurt to try pedi's suggestions. It's all for the good of Henry.
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  • I LOVE our pedi.  She doesn't have any kids but always tells us stories about her nephews, how one is a tummy sleeper and how the other didn't sttn until 4 months.  She does ask us how our DD is sleeping and when we told her at the last appt that shes wakes up around 2ish still, she started explaining that some babies wake up  to eat or wake up and want to be held and that we can try to give dd an extra ounce before bedtime to try to hold her over longer at night.  She doesn't ever tell us what to do.  She also is awesome about us splitting up dd's vaccines. 
  • ours asks how often she's eating and if she's still sleeping good at night.  we donb't really have any problems so I don't know how she would respond if I said we were having problems, but she's pretty hands off as well.  and I agree with donkey, i think it's better that way.

    the only thing she really does mention about sleep is "put her on her back, etc" but I think that was really only at the 2 week appt.

    was ben fighting his sleep when you texted me?

  • At DD's 4 month old appt., she seemed really concerned about weight, and talked about nothing but. No questions about sleep patterns, how long up at a time, starting solids, etc. I was rather disappointed. We are changing pedi.
  • My pedi does not offer advice about child-rearing unless asked.  She has 4 children (a set of triplets, too!) and I teach her son piano-he is a great kid and I respect her opinion--which is why I will ask at times.  However, if I ever disagreed I would definitely not follow blindly!

    We get packets of info pertinent to DS's age at every appointment.
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  • VTbride - it's all the posts I've seen over the  past several months about pedis giving all sorts of advice that mine just never has - and that I've never asked her for, either. 

    But, I mean, I consider DS to be a pretty easygoing baby, so I've never been desperately seeking help getting sleep for any of us.  I definitely didn't write this post judging in any way - I mean "curious" just like the title says :-)

    When I've had a concern about his sleep or something - like during the disruptions we've had - I've asked other parents.  When he was pooping like crazy, I called the pedi's office!
  • Our pedi doesn't really give advice unless we ask for it.  When at Mason's 4.5 mo appt I said he wasn't sttn, he said, that's normal, give it a few more months.  As for fighting sleep, Mason has been doing that on occasion in the past week or so.  Screaming at the top of his lungs for no apparent reason other than he knows it's bedtime. 
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  • Our pedi will ask how feedings are going, how many ounces, etc. As for sleeping, the only thing she was ever preachy about was making sure the baby sleeps on her back. the only parenting advice she has ever really given us is to enjoy every second because it goes by so fast. she's such a sweet lady! i think that if i wanted advice, she'd give it if I asked. Otherwise we just get the handouts on milestones for the different ages.
  • Mine asks how it is going, and if he is sleeping well.  He really hasnt offered advice other than saying to try not to feed him (when he was going thru a rough sleeping patch) when he wakes up early.  After I explained I thought it was a growth spurt and that he was truly hungry, he agreed and that was that.  He meant it as not to start a habit of feeding him every time he woke if he didnt need it before.  That is the only advice I have ever gotten on my sons sleep.  Other than that he gave me general guidelines (after I asked) on total number of hours a day/night he *should/could* be sleeping.  He is pretty laid back and I like that. 
  • mine sounds like yours. she asked all the developmental questions and eating and stuff, but never brought up how we put her to sleep, etc. i did ask her about the swaddling though, and when we thought dd was colicky.

    and i've known her forever; she was my pedi from when i was like 8. so i trust her judgment. but that doesn't mean if she told me some crazy shit i would do it.

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  • My pedi is really laid back, but he's also a friend of the family, so that really helps.  It's nice, because he knows me and remembers my daughter.  Sometimes I think doctors have so many patients they don't really connect with them.  He usually asks me about how often DD is eating, and he only asked me how long she was sleeping at night for the really early appointments. 

    I did ask once about DD fighting us when she was going to sleep, and he just said it was probably a phase, and maybe she just had a little bit of separation anxiety.  He doesn't offer unsolicited advice, and he's also understanding of our desire for an alternative vaccine schedule. 
  • My beloved pedi asks me if I have any concerns at the end of every apt.

    She has never asked about sleep. She says "How you doing, mom?" and "It's tough, isn't it?" but she's never told me when/how DS should sleep.

    She knows we are a co-sleeping family and doesn't care.  She didn't say anything about solid foods at our last apointment other than, so still just breastmilk, right?

    I love her.  She's an AP dream :)

  • Brahim - there is one giant practice in our city, and only ONE independent pedi in town.  So, in the giant practice's "Owner's Manual" it says in no uncertain terms that you should never ever ever bring the baby to bed with you.  Ev.er.

    I don't think my pedi would care, but she's never asked and I don't know if I'd tell her just because of that stupid manual!
  • I know I am totally spoiled.  But I also drive over 45 minutes to the beach to see her. 

    Massahcusetts does have one of the highest percentages of doctors in the country though, so I can pretty much find whatever kind of doc I want.  And I'm very specific

    I wanted:

    a female, educated at a top school, has own child/children, AP ok, affliated w/ a med school and large teaching hospital, and a sick/well waiting room, willing to maneuver vaccine schedule (we are accelerated on vaccs due to India visits)

     

    And I was able to interveiw 4 that met all those critera.  We are lucky to live where we do!

  • both the pedi we liked and the pedi we didn't would talk to us at the beginning of the appt ("still breastfeeding? How's that going? How's he sleeping?", etc) the difference was in how they responded to the information. the first pedi was one we were seeing when seth was dealing with painful reflux and a dairy allergy. he was colicky at night, and would fuss for about 40 minutes before going down. during the routine "how are things going" part, we mentioned this, and he told us that sometimes you have to let the baby CIO. I posted about this at the time - basically I took his advice with a grain of salt because he also told me that co-sleeping was the devil. when we moved, we switched pedis, and I like this one a lot better. during the chat-up, he asked about sleep, and I told him that DS had been STTN, but when I went back to work he started waking up every 90 minutes - 2 hours (he wasn't eating during the day then). his response was that he would like to see us try to stop the nighttime feedings by 6 mo. I didn't feel like it was a mandate or anything, so I liked the response. I guess I agree w/Donkey that I appreciate a more hands-off, if-it-ain't-broke-don't-fix-it mentality.
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  • Our pedi never gives advice on schedules or sleeping. We just talk about his health, eating, etc. Honestly, I talk to her about 2-3 times a week, so I wouldn't be offended if she gave me her advice on these things but since they aren't things I'm concerned about, they never come up.
  • My pedi is VERY much like me. very laid back, offers some suggestions if i ask for them- but other than that just checks to see she is meeting her goals- and such. i am not one to worry at all about 99% of things and i am a pretty confident parent- i have been around a lot of kids.

     

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  • also, this pedi recs waiting until 6 mo to start solids and supports breastfeeding, whereas our last pedi was pushing rice cereal at 6 weeks (for acid reflux, but still). we waited until 13 weeks for the cereal, and it has helped, but I can't imagine starting it at 6.
    Mommy to Seth (4) and Catherine Anne (13 mo.) Excited to welcome a third child in March of 2013!
  • Ours sounds like yous.  I really like him.  Very gentle and non invasive approach.  Never  got sleep afvice from him!
  • Pedi asks just general questions like "are there any problems with DD's sleep/eating?" We haven't had any problems, so that's pretty much the end of that discussion.

    At her first appt. with him, on his new patient list is "crib safety" and he came out and said that he was supportive of co-sleeping if that was something we were interested in. When we told him we already were, he gave me co-sleeping safety tips instead, but that was it.
  • The only thing she ever said to me about sleep was that I should start trying to put her down drowsy but awake. I said she nurses to sleep and she suggested I wake her after nursing so I can put her down drowsy but awake. That made me laugh.

    The only other unsolicited advice she gave us was about getting DD to take a bottle. DD just flat out won't take one. The pedi told me to let her skip a feeding to make her take one because "she won't skip two." I was unwilling to endure the screaming and subsequent misery that would involve for both of us unless it was absolutely necessary (it's not, I SAH), so I blew that advice off. Other than that, I agree completely with her philosophy on babies and love the advice she's given me. For example, I asked about napping (something else DD doesn't always do) because I felt like, from readong posts here, DD couldn't possibly be healthy and happy not taking good, long naps. She told me most babies she sees catnap until about 6 months, and that's fine, not to worry about it. Overall she really eases my concerns about just about everything and tells me what a good job I'm doing, which is nice to hear.
  • Me pedi does the same as yours. She only says things if I have concerns or ask her questions. I love her :o)
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