Primrose Newborn Care
personalized home care for mothers and infants


How my visits differ from home nurse visits

It’s not unusual for some of the smallest and sickest preemies to qualify for home nursing visits. These visits are usually 20-30 min long, occur within the first few weeks after discharge, and are covered by insurance. In most cases, larger preterm infants and full-term infants do not qualify for these types of visit. My home visits are different than RN visits for all of the following reasons:

1.    I am available to visit all newborns, including preemies, late preemies, and full-term babies who were never in the NICU.

2.    I am a pediatrician with years of special training and experience taking care of newborns, both in the hospital and outpatient office setting. This means that I am able to diagnose and immediately treat problems that come up during my visit(s). For example, if I diagnose a baby with thrush during my visit, I can call in a prescription for Nystatin. Or, if we detect that a tongue tie is interfering with a newborn’s breastfeeding, I can clip it during my home visit. I can also check newborns’ jaundice levels at home, and if levels are too high, I can make an immediate plan for treatment of jaundice with my patient’s family.

3.    My visits are longer (60+ min) and more detailed and individualized than home nurse visits. We can focus on whatever your greatest needs are, i.e. colic or feeding intolerance and/or needing to introduce formula supplementation. I do not have to follow a strict insurance-dictated checklist for my visits.

4.    The parents I work with have unlimited follow-up with me by phone, text, and/or email for the 4-6 weeks after I visit. So, when parents call me that know that I know exactly what is going on with their baby and they do not have to worry about talking to an on-call RN or MD who they have never met.

5.    I will soon have the ability to use telemedicine for virtual visits for minor concerns. For example, if it’s a Sunday evening and a new mom is concerned about her baby’s rash we can talk about it, I will be able to see the rash through a video call, and then we can make a plan for how to proceed with treatment, timing of follow-up, etc. Parents will be able to have peace of mind and not be stuck worrying and waiting until they can be seen by their pediatrician during the upcoming week.

6.    I am able to provide evidence-based guidance, counseling, and recommendations in regards to new therapies for babies, i.e. probiotics.

7.    As a board-certified pediatrician I am able to check older siblings for minor illnesses during my visits, i.e. if one of my families was to have a 3-year-old with an ear ache while I am visiting, I will be happy to use my otoscope to check his/her ear for an ear infection while I am there.

I hope that, through these examples, that I have been able to paint a picture of how I can help families who have new babies and demonstrate that I provide home newborn and pediatric services that do not currently exist in NE Ohio. Thank you for reading!