• 1 week ago

First Check-up

Why Is the First Check-Up So Important?

The first pediatric visit is far more than a routine examination—it is a vital first step in assessing your baby’s overall health, physical adaptation, and developmental signals. During the first days of life, newborns undergo rapid changes in body systems, making this check-up crucial for early detection of any potential concerns.

The first visit is also a unique opportunity for parents to ask questions, receive guidance, and build a relationship with their child’s pediatrician. It is the moment where medical support meets emotional reassurance.

When Should It Take Place?

The first check-up should ideally occur between 3 to 5 days after birth. For babies born in hospitals, this happens shortly after discharge. For home births, the visit becomes even more critical and must not be delayed.

This early timing helps evaluate issues such as jaundice, excessive weight loss, feeding challenges, or abnormal reflexes before they escalate.

What Is Assessed During the Visit?

General Physical Examination

  • Heart sounds and breathing pattern
  • Abdominal palpation and organ positioning
  • Chest symmetry and breathing type
  • Fontanelle (soft spot) size and head circumference
  • Skin tone, rashes, bruising, or discoloration
  • External genitalia and umbilical cord area

Jaundice Screening

Jaundice often begins around the 2nd or 3rd day of life. If visible yellowing of the skin or eyes is noticed, your pediatrician will assess whether it’s physiologic (normal) or pathologic. If needed, a non-invasive bilirubin test is performed to determine if treatment is required.

Breastfeeding and Feeding Observation

Feeding patterns are carefully monitored. The strength and duration of suckling, latch position, and milk transfer are evaluated. Breastfeeding guidance is provided as needed, and if tongue-tie or oral issues are suspected, further examination is conducted.

Growth Tracking

  • Baby’s weight compared to birth weight
  • Head circumference and body length
  • First growth chart recordings
  • Calculation of weight loss percentage (concern arises above 10%)

Neurological and Reflex Evaluation

  • Moro (startle) reflex
  • Rooting and sucking reflexes
  • Palmar grasp and stepping reflex
  • Muscle tone, movement symmetry, and activity level
  • Eye contact, reaction to sound and light

What Support Is Offered to Parents?

This visit is also a critical time to educate and support new parents. Dr. Pasinlioğlu provides:

  • Guidance on umbilical cord and skin care
  • Bathing recommendations
  • Feeding schedules and frequency
  • Managing gas and colic
  • Safe sleep positions and environment setup
  • Ideal room temperature and clothing layers
  • Red flags to watch for in the first weeks

The mother’s postpartum emotional state is also taken into account, and compassionate advice is offered if needed.

What Signs Require Urgent Evaluation?

  • Weight loss exceeding 10%
  • Excessive sleepiness or poor feeding
  • Yellowing of the skin or eyes
  • Redness, foul odor, or discharge from the umbilical area
  • Pale skin, rashes, or bruising
  • Rapid breathing or labored respiration
  • Weak, asymmetric, or absent reflexes

These symptoms indicate the need for prompt pediatric assessment.

Why Choose Dr. Ekin Pasinlioğlu for Your Baby’s First Check-Up?

  • Over 10 years of pediatric clinical experience
  • Background from Gazi University and Cleveland Clinic
  • Expert in jaundice management, newborn reflexes, and breastfeeding
  • Clear, empathetic communication with families
  • Customized care and thorough parental education