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The Safest Start

For months, your obstetrician has helped keep you and your baby healthy. But once your child is born, a pediatrician or family physician will take over. Here's how to make sure the transition goes smoothly:

Your baby receives his first physical exam in the delivery room shortly after he's born, explains Steven Shelov, M.D., a pediatrician and chairman of the department of pediatrics at Maimonides Medical Center, in Brooklyn, NY, and coeditor of the American Academy of Pediatrics's Caring for Your Baby and Young Child: Birth to Age 5. This exam, called an Apgar test, includes a measure of his vital signs (pulse rate, temperature, and respiration) and an assessment of his coloring, reflexes, and activity level.

During the next few hours, your child will also be measured and weighed, his footprint will be taken, and he'll receive eye drops (to prevent infection) and a vitamin K injection (to promote blood clotting). He'll also have his first bath, at which time his umbilical cord will be treated to prevent infection. At some point during his stay, he'll receive a metabolic screening test, may have his hearing checked, and be given his first hepatitis B vaccination. If you choose, he may also be circumcised.

If you've had a vaginal birth and a full-term baby, both of you will likely stay in the hospital for about two days. This gives you time to heal and enables the medical staff to monitor your baby. If you've had a c-section or a preterm baby, your stay will generally be longer.

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