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Home Birth Midwifery Service

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Newborn Care

TX Newborn Genetic Screening Program

The Mission of the Texas Newborn Screening Program is to prevent mental retardation, permanent disability, or death through early identification and treatment of infants who are affected by certain heritable disorders and genetic disease. The blood spot test is conducted between 24-48 hours old and again between 1-2 weeks old.


The goal of the Newborn Screening (NBS) Clinical Care Coordination Program is to decrease the morbidity and mortality of infants born in Texas through customer-oriented, high quality newborn screening follow-up, case management and outreach education


The total cost to the client for both of these state-mandated tests is: $120 (including supplies)


As the parent(s) you may refuse/decline this blood test for religious reasons only. You will be asked to complete a waiver form (please maintain a copy for your records) and HBMS will maintain a copy in your chart.




TX Newborn Hearing Screening Program

Texas Early Hearing Detection and Intervention (TEHDI) is dedicated to ensuring that newborns and young children are identified as early as possible if they are deaf or hard of hearing. Our goal is to provide appropriate intervention services in order to prevent delays in vocabulary, communication and cognitive skills development. 

Texas newborn hearing screening was established in 1999 through the passage of House Bill 714 and is being implemented in Texas birthing facilities. The Texas Department of State Health Services (DSHS) is the oversight state agency.

The goal:

  • to identify congenital hearing loss in children before three months of age, and
  • to assure enrollment in appropriate early intervention services before six months of age.


The Code of Texas (TX Code §§37.501 through 37.507) and the associated regulations require that all birthing facilities will screen the hearing of all newborns prior to discharge and report to the TEDHI program.


HBMS has the proper equipment to screen and re-screen our client's babies and report the results to the TEDHI system.


The cost to the client for this state-mandated test is: $85 (cash) -or- $87.55 (credit card)





HBMS recommends the following websites as exceptional information
about caring for your newborn...



Dr. William (Bill) Sears

 Pregnancy & Childbirth
Breastfeeding
Discipline & Behavior
Fussy Baby
Family Nutrition
Sleep Problems
more...

 

BabiesHealthNaturally.com



How to Interview a Pediatrician/Doctor for my Baby:
Source: Adapted for Home Birth Clients from Complete Care Center for Women

Keep in mind — especially if you tend to feel intimidated by doctors — that you'll be hiring this person as a professional to provide care for your baby. Arrive with specific questions about the topics that are most important to you.

Here are some possibilities:


• Does the doctor(s) in the practice support Home Birth?
• When does the doctor want to see my baby after my home birth?
• Are there separate well-baby and sick-baby waiting rooms?
• Can the doctor provide me with a Rx for the state-mandated eye ointment?
• Can the doctor's office perform or order the state-mandated Newborn Genetic Screening?
• If my baby develops jaundice that requires photo-therapy, can the doctor order that to be done in my home with the aid of home health nursing?
• Which hospital(s) is the doctor affiliated with?
• If I have to give birth in the hospital, will the doctor visit/examine my baby there?

• Do the office hours suit my schedule? (You might prefer one who works certain days of the week or who offers evening or Saturday-morning hours.)

• How does the office handle telephone inquiries? Does it set aside specific times for parents to call in with questions or is there an open advice line during office hours? And if staff members handle the inquiries, do they dispense their own advice or relay the doctor's?

• Does the doctor accept and answer questions by e-mail?
• How long does it take to get a non-emergency appointment?
• How are appointments handled for children who are sick? What are the chances my child will get to see his/her own doctor?
• Is the staff warm and helpful?
• How do I reach the doctor if my child gets sick after hours? When my child's doctor is not on-call, who covers? (Some doctors send patients to urgent care clinics, for example, while others will meet you at the office even at night.)
• Does the doctor have a sub-specialty or an area of interest?
• How does the practice handle payments, billing, laboratory charges, and insurance claims?

• Does the doctor share my views on topics such as circumcision, breastfeeding, immunizations, alternative medicine, and parenting issues such as: attachment parenting, co-sleeping, single parenthood, and daycare?
If not, is the doctor open to — and supportive of — other opinions and approaches?


• Pay attention to such intangibles as the doctor's style. Do you want a doctor who offers choices and lets you decide which one works best for you — or would you be more comfortable with one who gives a lot of direction?

• Take note of the overall atmosphere of the office. Is it clean, warm, and inviting?
• Was parking a problem?


Good luck and remember that you can always switch care if the doctor you
originally choose does not satisfy your needs or whose "bed-side manner"
or parenting philosophies/recommendation don't compliment your own.

This is a long-term physician/patient relationship and you need to be
comfortable with and have a good report with your baby's doctor.




Home Birth Midwifery Service
Cell: (832) 942-8324
Contact Kim