Actually, at my hospital facility, every one of our babies has an 
appointment scheduled with their outpatient pediatrician prior to 
discharge. Their d/c record and any other pertinant information is faxed 
to the pediatrician. The mother also has a paper in hand with the same 
information. That is the responsibility of our pediatric hospitalists (24 
hour in-house peds). If there are additional risk factors which require 
other follow-up (like lactation problems, DCF, teen mmoms,substance abuse, 
any other problem), those mother/baby dyads also have a referral to the 
VNA (which often is me if it goes to my agency).

If you check out the AAP guidelines, I think you will find that more 
follow-up is happening much sooner than used to be.

I can only speak for this general central Connecticut area, but through my 
ou-patient VNA work, I often get referrals for well mother/baby dyads, as 
well as for those with difficulties. It appears that the majority of 
public and private insurances pay for well baby homecare follow-up. I 
visit babies from all of the area hospitals (big and little). 
Betsy Riedel RNC, IBCLC

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