# Pediatrician visits

6 month visit 
RSV vaccine when he's 5 months old - before end of September 
##### Aug 28 - 4-month well-child visit
- Vaccination
	- Rotavirus vaccine
	- Diphtheria, tetanus, acellular pertussis vaccine (DTaP)
	- Haemophilus influenza type B vaccine (Hib)
	- Pneumococcal conjugate vaccine (PCV)
	- Inactivated polio vaccine (IPV)
- Questions 
	- Saliva spitting - happened twice today 
	- Cleaning gums - when should we start this? 
	- How to sleep train? Any recommendations? 
- Prune juice - 15ml if needed 
- 2.5ml of Tylenol if needed 
- Nasal saline drop 

##### Aug 15 notes
Here is Veer’s feeding & he’s taking on average 7-9 feeds, but it’s still difficult to get him calm and ready to drink while he’s awake. 
Aug 15-370ml till 12:15pm 
Aug 14-720ml
Aug 13-820ml
Aug 12-825ml
Aug 11-750ml

Couple of questions 
- Can we add formula to make breast milk calorie dense? If yes, how much should we add? 
- Does continuing to feed when he’s asleep going to create any bad habits later? 

##### Aug 11
- Feeding - he’s distracted or rejecting feed when he’s awake, how to change that
- Daycare - how is it possible for daycare staff to feed him like this? What’s the alternative?
- Weight 13.5lb 
- Length 60cm
- Feed him in dark quiet room with no distractions 
- Target for 800-900ml 
- Don’t force feed him if he’s not taking in milk and let him be for the day and see if he gets hungry again next day
##### Jun 30
- Validate that the right vaccines are being given 
- Immunization Update - Your baby should receive the hepatitis B vaccine soon after birth and before they are discharged from the hospital, and again at least four weeks after the first dose. At 2 months, your baby should receive:
	- ﻿﻿1 - DTaP vaccine
	- 1 - ﻿﻿Inactivated polio vaccine
	- ﻿﻿1 - Hib (Haemophilus influenzae type b) vaccine
	- ﻿﻿2 - Pneumococcal vaccine 
	- ﻿﻿Rotavirus vaccine - oral 
	- ﻿﻿3 - Hepatitis B vaccine (if not given at 1 month of age) 
- Humidifier 
- Cry it out & crib sleeping 
- Increase frequency if feeding volume drops
- Infant Tylenol - 1.25 mL max 4 times per day 
- 

##### May 19
- Weight 7lb 10ounces (3.5kg)
- Feed 21 ounce (630mL) in 24-hour 
- Mylicon drop 0.3 mL - OTC
- Baby vitamin D - OTC 
##### May 7
- 2818gm weight
##### May 5
- 6lb weight 
- Shorter feeding cycles and change nipple, 60ml feed volume 
- he needs to turn head more frequently to his left side 
##### Apr 23
- 4lb 14oz 

# Development Milestones
### At 1 month (4 weeks)
##### Social
- Looks at parent; follows parent with eyes
- Has self-comforting behaviors, such as bringing hands to mouth
- Starts to become fussy when bored; calms when picked up or spoken to
- Looks briefly at objects
##### Language
- Makes brief, short vowel sounds
- Alerts to unexpected sound; quiets or turns to parent's voice
- Shows signs of sensitivity to environment (such as excessive crying, tremors, or excessive startles) or need for extra support to handle activities of daily living
- Has different types of cries for hunger and tiredness
##### Motor
- Moves both arms and both legs together
- Holds chin up when on tummy
- Opens fingers slightly when at rest
### At 2 months (8 weeks)
##### Social
- Smiles responsively
- Makes sounds that show happiness or upset
##### Language
- Makes short cooing sounds
##### Motor
- Opens and shuts hands
- Briefly brings hands together    
- Lifts head and chest when lying on tummy    
- Keeps head steady when held in a sitting position    
### At 4 months (16 weeks)
##### Social
- Laughs aloud 
- Looks for parent or another caregiver when upset    
##### Language
- Turns to voices    
- Makes long cooing sounds   

##### Motor
- Supports self on elbows and wrists when on tummy    
- Rolls over from tummy to back    
- Keeps hands unfisted    
- Plays with fingers near middle of body    
- Grasps objects   

### At 6 months (24 weeks)
##### Social
- Pats or smiles at own reflection 
- Looks when name is called

##### Language
- Babbles, making sounds such as "da," "ga," "ba," or "ka"
##### Motor
- Sits briefly without support 
- Rolls over from back to tummy
- Passes a toy from one hand to another
- Rakes small objects with 4 fingers to pick them up
- Bangs small objects on surface    

### At 9 months (36 weeks)
##### Social
- Uses basic gestures (such as holding out arms to be picked up or waving bye-bye)    
- Looks for dropped objects    
- Plays games such as peekaboo and pat-a-cake    
- Turns consistently when name called   

##### Language
- Says "Dada" or "Mama" nonspecifically    
- Looks around when hearing things such as "Where's your bottle?" or "Where's your blanket?"    
- Copies sounds that parent or caregiver makes   

##### Motor
- Sits well without support    
- Pulls to stand    
- Moves easily between sitting and lying    
- Crawls on hands and knees    
- Picks up food to eat    
- Picks up small objects with 3 fingers and thumb    
- Lets go of objects on purpose    
- Bangs objects together    

### At 12 months (48 weeks, or 1 year)
##### Social
- Looks for hidden objects    
- Imitates new gestures    

##### Language
- Uses "Dada" or "Mama" specifically    
- Uses 1 word other than "Mama," "Dada," or a personal name    
- Follows directions with gestures, such as motioning and saying, "Give me (object)."   

##### Motor
- Takes first steps    
- Stands without support    
- Drops an object into a cup    
- Picks up small object with 1 finger and thumb    
- Picks up food to eat   

### At 15 months (60 weeks, or 1 ¼ years)
##### Social
- Imitates scribbling    
- Drinks from cup with little spilling    
- Points to ask something or get help    
- Looks around after hearing things such as "Where's your ball?" or "Where's your blanket?"    

##### Language
- Uses 3 words other than names    
- Speaks in what sounds like an unknown language    
- Follows directions that do not include a gesture

##### Motor
- Squats to pick up object    
- Crawls up a few steps    
- Runs    
- Makes marks with crayon    
- Drops object into and takes it out of a cup    

### At 18 months (72 weeks, or 1½ years)

##### Social
- Engages with others for play    
- Helps dress and undress self    
- Points to pictures in book or to object of interest to draw parent's attention to it    
- Turns to look at adult if something new happens    
- Begins to scoop with a spoon    
- Uses words to ask for help    

##### Language
- Identifies at least 2 body parts    
- Names at least 5 familiar objects   

##### Motor
- Walks up steps with 2 feet per step when hand is held    
- Sits in a small chair    
- Carries toy when walking    
- Scribbles spontaneously    
- Throws a small ball a few feet while standing    

### At 24 months (2 years)
##### Social
- Plays alongside other children    
- Takes off some clothing    
- Scoops well with a spoon    
##### Language
- Uses at least 50 words    
- Combines 2 words into short phrase or sentence    
- Follows 2-part instructions    
- Names at least 5 body parts    
- Speaks in words that are about 50% understandable by strangers
# Friends to be grateful for 
- Ale Chapi - for Italian food 
- Asha Paul - for roasted chicken
- Angela - for baby stuff 
- Mac and Anjali - for crumble cookies
- Jenn Rodriguez - for salad 
- Paulo, Mimi - for Babyletto crib and other baby stuff  
- Pat Heidi - for helping with the house during pregnancy delivery 
- Rupa bhoudi - for helping with house cleaning 

##### Tiffin boxes 
- Square glass Pyrex - Arjun
- Big glass bowl - Carishma
- Medium glass bowl - Jenn R

##### Registry gifts 
- Air purifier - Olga Riddhiman 
- Car seat - Carishma Harsha
- Stroller - Asha Paul
- 



# Financial investments
#### Setting up 529 account and more…

1. https://www.instagram.com/p/DHYrSSwtSwV/?img_index=5&igsh=MTNyYng0ZHJzNmg4dw==
2. https://www.instagram.com/reel/DIl7IswOwTA/?igsh=MTB5aTdqMTJ2eXpheQ==

# Advice
##### Infant Advice
Feeding infants: https://www.facebook.com/reel/1338413497298045/?mibextid=rS40aB7S9Ucbxw6v
New dads: https://www.reddit.com/r/AskReddit/s/GDg6bLKpdx
https://www.instagram.com/reel/DE21p0IyaS4/?igsh=cTh6Y29vYnRuZnZ4
Taking Cara baby 3-4 months old - 
Baby hack - https://www.instagram.com/reel/C_qRUGLO_Lv/?igsh=YTk2NHZpcjExdHVy
Costco foods for baby - https://www.instagram.com/reel/DAOGeHUpBGT/?igsh=MXY2MHpwN3h1YjBkYQ==
Rolling - https://www.instagram.com/reel/DEhoyXcx84P/?igsh=djlhZ3RzdWFrcGgz
##### 6-12 months 
- [Motor skills](https://www.instagram.com/reel/DEfZefEubWO/)
After 8 months - teach the baby good behaviors - https://www.instagram.com/reel/DA-8bRPxb9z/?igsh=MXVvaWFxZ2hyemsxZA==

Technology - https://www.instagram.com/reel/DIbl33FKL0m/?igsh=Nnh3OXl5ODVya3pj

Infant formula
Report a problem to FDA
https://www.fda.gov/food/resources-you-food/infant-formula


##### Toddler advice
- [Rules in the house](https://www.instagram.com/reel/DMU8KBoMvsV/?igsh=ZjUyZG5qd2Y2aHBo) 
- Never be the first to let go of a hug
- When they make good choices, brad to their favorite toys, stuffies about how proud you are of their good behavior
- Shift perspective - they're not giving you a hard time, they're having a hard time.
- Call them brave, gentle, kind, caring in front of others. It will become their inner voice.
- Argue with your wife about who gets to put them to bed or give them a bath. It makes them feel so special.
- Spend first 10 minutes of their day fully present with them to set the tone for both of you.
- Get them involved in chores as soon as possible. Children who do chores are more confident and builds their self-esteem.
- [Play tricks with clothes basket](https://www.instagram.com/reel/DGmN1LqMA2q/)
- [Home gym setup for toddlers](https://www.instagram.com/reel/C_JFMXROV9h/)
- Magna tiles 
- Feeding solids and dropping food - https://www.instagram.com/reel/DLTWBEAPG6V/?igsh=cmZxbTNyNHA4a3dl
- [Posture for kids](https://archive.org/details/HealthYo1953)
##### Tummy time
- Newborn 1-5 Minutes, 2-3 times per day
- 1-2 Months 8-10 Minutes, 3-4 times per day
- 2-3 Months 15-20 Minutes, 4-5 times per day
- 3-4 Months 20-30 Minutes total per day
- 4-5 Months 30-40 Minutes total per day
- 5-6 Months 40-60 Minutes total per day
- 6+ Months At least 60 Minutes total per day

##### Misc
- Travel - https://havebabywilltravel.com/a-complete-guide-to-booking-and-using-an-airplane-bassinet/
- Photo ideas - https://www.instagram.com/reel/DEhKtSitw9N/?igsh=MXF6aHFkcXl0c2J5Zg==
- Behavioral cues - https://www.reddit.com/r/NewParents/s/ErjBq9FUsk
- Infant baby noises - https://youtu.be/afMNp6Q4u7s?si=kmKJkE1nGKHF_vEO
- [How To Put Your Baby To Sleep, According To "The Baby Whisperer"](https://www.youtube.com/watch?v=6OtPSfyZXNw&ab_channel=Insider)
- Connection - https://www.instagram.com/p/DIez0XOsJXp/?img_index=3&igsh=MXN6anZ5dWVldGN1aA==
- 
##### Swaddle
https://youtube.com/shorts/9aRbVqwYBl4?si=GEZsYFuMKmPj4ybV
[How to swaddle - San Diego Health](https://youtu.be/QhBBqmuP5jg?si=deo72hHbPfTCai4U)
##### Tips from AAP book
- Fruit juice offers no nutritional benefits. Instead, give fruit and water to baby (after 6 months)
- No honey for first 12 months, one of the bacteria can cause paralysis 
- No walker for the baby ever, it can delay motor skills development 
- Don’t feed anything other than breast milk or formula till 6 months
- Ms Rachel type of voice modulation works in improving language learning when caregiver engages with baby. No screen or not simply Ms Rachel though. 
- Baby height doesn’t predict height when they’re full adult
- No bath till umbilical cord area is healed, just wet sponge wipe
- Neck fold during first 3 months can lead to asphyxia 
- 




# Austin regional clinic 
- 8am to 5pm
- After hour visits possible 
- On call nurse or video visit possible 
- 24/7 on demand virtual urgent care NormalMD app 
- MyChart app for appointments 
- ARCnewborn.com
- Book appointment before leaving hospital
- Babyscripts app 



# Archive
### Links
[[Daycare]] 
[[Newborn - Stuff to buy]]
[[Labor & Delivery]]
[[New Born - handbook.pdf]]
[[Car Seat and Stroller]]
Crib - [[Babyletto Lolly Crib Manual_HS_20220818.pdf]]
Bain - 
- [[Baby Things.xlsx]]
- [[Baby Things Reccommendations - 20220801.docx]]

Ranjitha - https://docs.google.com/spreadsheets/d/1l3i-GHQuqizVXt5Ln8XBcHuMBjAZFz9E0otATWFxdKw/edit

##### Newborn photoshoot
Anna Monette Photos - annamonettephotos.com
### Baby shower - March 9 - 10:30am
Baby Shower Invite: https://evite.me/caH9hBrPys
Mar 9th 10:30am-12:30pm
At Mountain View Park
8900 Westerkirk Dr, Austin, TX 78750

Amazon Registry: 
https://www.amazon.com/baby-reg/saurabh-pitkar-may-2025-austin/1K4PQE3SHCTUJ
- [ ] Finalize registry
- [ ] Finalize invitation
- [ ] Send invite link
- [ ] Finalize guest count
- [ ] Buy decoration
- [ ] Finalize food and drinks from caterer
- [ ] Work allocation to - Siddhi, Harsha, Carishma, Alejandro, Cristina
	- [ ] Decoration - Siddhi, Cristina, Harsha, Carishma
	- [ ] Costco trip - Ale, Saurabh, Ruchi
	- [ ] Food pickup - Harsh
- [ ] Plan for return gifts for guests

##### Decoration
- Balloons 
- Stickies
- Big letters to hang on wall
- Wall curtain background
- Table covers x8
- 
##### Invitations 

Status as of Mar 8 - 22 adults + 12 kids 
- ==Ale Chapi +1 - Yes
- ==Lucas Flor +2 - Yes
- ==Harsh Ranjitha +2 - Yes
- ==Harsha Carishma + Anna - Yes
- ==Siddhi - Yes
- ==Prachee Alex +2 - Yes
- ==Seba, Javier - Yes
- ==Yuri Vanessa - Yes
- ==Cristina - Yes
- ==Tyler Jessie +1 - Yes
- ==Jenn Gustavo +1 - Yes
- ==Sergio Gabi +2 - Yes
- ==Adi Anjanah - Yes
- Anjali Alex +2 - No
- Dvir Noga +2 - No
- Martin Monika +1 - No
- Pulkit Sonali - No
- Pat Heidi - No
- Stanley Yaodi +2 - No
- Asha Paul - No
- Denise Thomas - 
- Mac Tom +2 - No
- Holland Neil +1 - No
- Deepika Vinod??
- Shreya Sid??
- Jenn Matt??
- Krutika??
- Ann??
- Shaz Tara??
- Riddhiman Olga??
- Avi Arti??
- Varad Vivienne??

##### Food and drinks
https://www.instagram.com/reel/DFYJNOkvNG_/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA==
1. Plates, decor, fork, cups, tablecloths, thank you bags
2. Vivel Crepes and Coffee - 2011 Main St #500, Lakeway, TX 78734
3. Cake from Lady Quacks Bakery near Mueller Park
4. Drinks from Costco 
	1. Orange juice
	2. Cut fruit platter  
	3. Cut watermelon
	4. Coconut water
	5. Sparkling wine x10 bottles
	6. Water bottles - small size
	7. Coffee jug

### Baby names
- ==Veer==
- Neel
- Om
- Arjun
 
### Pediatrician
[Finding a Pediatrician - HealthyChildren.org](https://www.healthychildren.org/English/ages-stages/prenatal/decisions-to-make/Pages/finding-a-pediatrician.aspx)
[How to Choose a Pediatrician - HealthyChildren.org](https://www.healthychildren.org/English/family-life/health-management/Pages/How-To-Choose-A-Pediatrician.aspx)

Pediatrician referrals: 

| Pediatrician  | Drive time | Associated with          | Comments | Referral from |
| ------------- | ---------- | ------------------------ | -------- | ------------- |
| Jill Nichols  | 15 min     | Austin Diagnostic Clinic |          | Paulo         |
| Daniel Howard | 15 min     | Austin Diagnostic Clinic |          | Tyler         |
| Ian Patterson | 16 min     | North Austin Pediatrics  |          | Ale Chapi     |
| Sapna Shah    | 6 min      | Austin Regional Clinic   | Hindi    | Angela        |
|               |            |                          |          |               |


- Paulo's son Max - Jill Nichols https://adclinic.com/service/pediatrics
- Tyler's son Theo - Daniel Howard, Austin Diagnostic Clinic
- Jenn Gustavo's son Felix - Pediatric Associates of Austin
- Ale Chapi's son Leon - Ian Patterson, North Austin Pediatrics
- Angels's son - Sapna Shah, Austin Regional Clinic
##### Questions to ask
1. What about emergencies is there an On-call doctor
2. What about night time and weekend hours?
3. What about non-life-threatening emergencies? Who should we reach out to?
4. What’s your philosophy about vaccination?
5. Are you affiliated with the hospital where the baby will be born?
6. Will you visit the baby at the hospital?
7. Do you work with United HealthCare insurance? 
8. Where do you stand on breast-feeding
9. How many waiting rooms do you have for infants?
10. How long are routine visits? Are they short like 10 minutes or are they long
11. How many doctors are in your practice? 

### OB GYN appointments
##### Week 6 PP - Garcia - 5/29
- Blood pressure 116/68
##### Week 36 - Garcia - 4/14
- 134 heart rate, 131 heart rate
- Weight 5 pounds 1 ounce, same weight on 18th
- Blood Pressure 116/63, 120/76, 115/74, 102/61, 108/59
- Check about if Ruchi has Group B Strep
- Check if Ruchi has preeclampsia 
- Pimple on Ruchi’s left libia 
- Call 512-901-2631 at 36 weeks to schedule your pre-admission appointment after completing step #1 (or after being scheduled for your C-section or induction).
- Check about high risk pregnancy tell her about 6 and 8 weeks leave thing 
##### Week 34 - Garcia - 3/31
- Blood pressure 116/68
- Baby heart rate 132
- TSH 1.9
- Blood and platelet count test 
- Weight in pounds 
- How to avoid depression proactively and any prep possible? 
- Pediatrician feedback - distance vs hospital system - any feedback on what we should prioritize. Plus any feedback on doctors? 
	- Sapna Shah - ARC
	- Jill Nichols - st David’s 
	- Daniel Howard - st David’s 
- Pubic symphiosis - question on relief during sleep 
- 
##### Week 31 - Garcia - 3/13 
- Blood pressure 116/74
- Baby heart rate 140
- Weight 3 pounds 12 ounces 
- Weight is 25%ile 

##### Week 28 - Garcia - 2/18
- 8:29am glucose taken  
- 157 heart rate 
- 2 lb 11 ounces 
- Blood pressure 116/70
- Weight is 44%ile
- 
##### Week 24 - Garcia - 1/21
- Blood pressure 112/64
- 134 heart rat
- Formula feeding options, recommendations
- Prenatal classes to prepare for pregnancy and post pregnancy
- Birth plan
- Hospital care visit and baby training session
- What all vaccines do I need? And when should I take Covid vaccine? TDap vaccine in next visit
- Until when I can fly? - 32 weeks 
- 31 weeks - 3/13 11:15am  
- 34 weeks - 3/31 8:15am
- 36 weeks - 4/14 7:45am
- 37 weeks - 4/22 8:15am
- 38 weeks - 4/28 8:15am
- 39 weeks - 5/5 8:15am
- 40 weeks - 5/12 8:15am
-  
##### Week 20 - Garcia - 12/18
- Anatomy scan - blood pressure 104/68 and baby growth is going well. 
- Cervix measurement - 34mm
- Exercise suggestions - weight bearing exercises 
- Compression socks for flights
- Should I use heatpad and Theragun? Yes
- Weight 11 ounces =0.312 kilograms 
- 65%ile 
- Choline - 450mg dose - tablets 
- Magnesium tablets - optional
- Do Yoga for any discomfort and stretching

##### Week 16 - Garcia - 11/26
- Blood pressure 112/62

##### Week 13 - Garcia - 11/5
- Blood pressure 118/72
- Neck fold length 1.7mm (should be less than 3.5)
- Placenta position - posterior 
- Baby health and growth
- Travel in December
- Protein sources for Ruchi? 
- Sex during pregnancy? Is it safe? 
- Reschedule 11/27 appointment
- Thyroid 
- Week 24 - Jan 21st 10:30am 
- Week 28 - Feb 18th 9:30am 
- Week 

##### Week 10 - Garcia - 10/10
- Blood Pressure - 100/72
- Travel
- Diet changes
- Baby heart rate - 167bpm
- Placenta placement - too early to tell
##### Week 7 - Garcia - 9/19
- Blood pressure - 118/66
- Understand next set of tests
- Diet and exercise routine 
- Tests that can be done before October 12 
- Travel restrictions - hike for how long and international travel 
- Anxiety and Depression - how to manage?
- How to avoid exhaustion? Physical and mental. 
- Fetal pole position
- Heart rate
- Placenta placement
- Can we do upper abdomen ultrasound? 
- Oct 10 - 1:30pm appointment 

 
##### Pregnancy Diet 
- Increase calcium intake - milk, dairy, eggs
- Folic acid 
- Greens and fruits
- Iron - Spinach 
- Protein - lean meat, eggs, low fat milk (3-4 glasses per day), tofu, peanut butter
- Oranges - Vitamin C
- 