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Many women don’t know that they can actually set up consultations with pediatricians for a prenatal visit/ consultation. This is a great opportunity to pick the best doctor for your baby. Rather than picking someone last minute, or having the hospital pick a pediatrician for your baby while you are in the hospital, you have the ability to interview and feel good about your baby’s doctor for the next 18 years.
These interviews usually take only fifteen to thirty minutes. Before you get there, save time by calling ahead to ask if the doctor is running late. When you get there, note whether the waiting room is well equipped with toys and books to keep a child entertained. Also, seek advice from others in the waiting room, especially about the average time they wait. You can learn a lot about a practice by the way other parents feel about the doctor, and you will get a firsthand view of how the staff handles you and your child.
To make sure you are covering all the important questions, bring this printout with you:
- What is your medical education, training, and certification?
- Why did you choose pediatrics? Open-ended questions like this will reveal much about the physician’s personality and attitudes. Can you ask a silly question or does the doctor intimidate you? She shouldn’t be impatient or condescending with you either.
- How long have you been in practice?
- Will you examine my newborn infant in the hospital? How often?
- Where do you stand on the issue of _______? You should also raise some of your values and your philosophy of mothering for discussion. Choose subjects that are important to you, such as:
- Allowing your baby to sleep in your bed
- Feeding on demand
- Placing a six-week-old or twelve-week-old in child care
- Starting to feed solid food
- Bonding immediately after birth
- Phone management of childhood illnesses
- You should expect to receive literature regarding nutrition, development, and safety, as well as information about classes and other child-related activities.
- Do you have children? It may be comforting to know if your doctor has children.
- Are you part of a group practice? If you go with a doctor in a solo practice, find out who covers when he’s/she’s away. If he’s part of a group practice, ask about the background of the other doctors. Some practices have pediatric nurse practitioners. They are fully trained nurses often with an MA and specialized training.
- Do you have call-in hours?
- What are your office hours?
- When are you available?
- How long does a typical check-up last? Ideally, it should last at least 20 minutes.
- Who will be answering questions? Often a busy pediatrician will have a medical assistant or nurse practitioner take care of the common, non-urgent problems. Some offices actually have a 24/7 nurse’s line just for this purpose. Are you or a backup doctor available twenty-four hours a day, seven days a week?
- Do you separate well-being and sick-baby appointments?
- What is your policy on medication?
- Do you prefer trying noninvasive aids first?
- How do you handle emergencies? The answer will tell you about hospital affiliations and what procedures to follow in the case your child has an emergency. It should include directions about who to call after office hours.
- Do you make house calls? Under what circumstances?
- What do you charge for office visits, lab tests, and immunizations?
- Will I be charged for telephone consultations?
- Will I be charged for a canceled appointment?
- Will I be billed for a visit or will I have to pay at once?
- Will your office accept a credit card or a check?
- If a medical procedure is expensive, will you be able to pay in installments?
- Does your staff do the paperwork or must I?
Once you’ve narrowed your decision to two contenders, trust your instincts to pick your baby’s health-care provider you can trust and with whom you can talk openly. You won’t want to feel as if she or he can’t talk at your level, and you don’t want to feel as if the doctor is too busy to answer your questions. You want a pediatrician who you respect, who will meet all your needs and your child’s needs, and who will be available for the long-term as your child grows.
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