Discharge Examination
At the time of discharge, the baby is re-examined and a postpartum outpatient visit is scheduled. The discharge examination is essentially similar to the one performed shortly after birth. The purpose is to:
- Assess the infant's progress since birth (feeding, weight, etc.).
- Obtain blood by heelstick for screening for metabolic and endocrine abnormalities. This includes tests for genetic, hematologic, and metabolic disorders such as phenylketonuria, hypothyroidism, galactosemia, congenital adrenal hyperplasia, sickle cell disease, and cystic fibrosis. The tests included in the newborn screen are determined by the state health department, thus vary from state-to-state.
- Perform screens for congenital deafness and critical congenital heart disease.
- Detect problems that may not have been apparent at birth.
- Reassure the parents about any minor conditions and perceived problems.
- Answer any questions that the parents might have concerning feeding, general care, and follow-up, and discuss preventive measures such as immunization and the use of car seats.
- Make arrangements for the follow-up visit. Typically, the baby is seen in the pediatrician's office at two to four days of age.
More information on screening
