Home birth newborn care
Direct parents to contact Member Services at 1-888-901-4636 as soon as possible to enroll their newborn in their chosen health plan and to select a pediatric primary care provider. The pediatric provider may be a family physician or pediatrician. Refer all well-newborn and acute care to this pediatric physician.
Immediate post-partum care
Immediately after delivery, you will provide the following care:
- Arrange for transfer to the hospital if infant is experiencing complications. (See Home birth consultation.) Use a Kaiser Permanente owned or network facility except in emergent or life-threatening situations. Contact the 24-hour Emergency Notification Line at 1-888-457-9516 when transferring an infant to the hospital.
- Evaluate the condition of the newborn by means of Apgar scoring between 1 to 5 minutes. Perform a 10-minute score if the 5-minute score is less than seven.
- Allow time for the new family to become acquainted and for suckling to start.
- Avoid heat loss in the newborn by drying the infant's skin, covering the infant with dry receiving blankets or towels, and keeping the infant in skin-to-skin contact with the mother.
- Administer eye prophylaxis to all newborns, pursuant to Washington state law.
- Administer vitamin K intramuscularly, after informing parents of the rationale for doing so and obtaining their consent.
- For infants whose mothers are hepatitis B surface antigen-positive, or if surface antigen status is unknown, administer HBIG and the first dose of the hepatitis vaccine within 12 hours of delivery. Infants of hepatitis B surface antigen-negative mothers should receive the first dose of hepatitis B vaccine between birth and 14 days.
- Review postpartum instructions pertaining to newborn care and signs of emergency.
- Provide parents with educational materials regarding metabolic screening of newborns.
- Refer infant to the pediatric primary care provider for a visit between 7 to 10 days of life. The physician will perform a newborn screen, including PKU, at this visit.
- Complete record of all examinations and newborn procedures.
- Provide copies of medical records to the pediatric practitioner.
Additionally, be teaching parents through performing a thorough newborn exam, which shall include:
- Weight, length, and head circumference measurement.
- Determination of gestational age.
- Review of systems.
- Assessment of reflex response.
- Recognition of gross anomalies.
Lactation consulting services
For information on lactation consulting services in your area, contact the Provider Assistance Unit at 1-888-767-4670 or a Kaiser Permanente owned or contracted obstetrics/gynecology clinic.
Content on this page is from the provider manual | Disclaimer