Prompt 36: The Pediatrician + Newborn Decisions Picker
When to use it
You need to pick a pediatrician before birth (you'll see them 2-3 days after hospital discharge). Plus the dozens of other newborn decisions: vaccines, vitamin K, eye ointment, circumcision, etc.
The Prompt
I'm [N] weeks pregnant. I need to choose a pediatrician and make several newborn medical decisions.
My context:
- Location: [CITY / NEIGHBORHOOD]
- Insurance: [E.G., "PPO" / "HMO" / "Medicaid" / "self-pay"]
- Preferences: [E.G., "evidence-based" / "open to alternative" / "open to delayed schedules" / "I want a pediatrician who respects my choices" / "I have no idea"]
- Family history: [E.G., "no allergies" / "asthma" / "autoimmune" / "specific genetic condition"]
- Cultural/religious considerations: [E.G., "no blood products" / "no circumcision" / "we want to delay certain vaccines" / "we follow the standard schedule"]
Please give me:
1. The 7 questions to ask a pediatrician at the interview (most offer free prenatal consults)
2. How to find one (referrals from OB, friends, AAP, insurance)
3. Red flags in a pediatrician (and green flags)
4. The newborn medical decisions explained:
- Vitamin K shot (yes, with reasoning)
- Erythromycin eye ointment (yes for most, with reasoning)
- Hepatitis B vaccine at birth (the actual risk/benefit)
- Circumcision (medical, cultural, religious considerations)
- Newborn screening blood test
- Hearing screen
- First bath timing
5. The "if I want to delay X vaccine" conversation (how to ask, what to expect)
6. When to call them after discharge
Important: I want to make these decisions once and not second-guess at 2am.Example output
*"Pediatrician interview questions: (1) 'What happens after-hours if I have a question?' (2) 'How do you feel about [breastfeeding/formula/etc.]?' (3) 'What's your stance on vaccines?' (4) 'How do you handle a parent who wants to delay a vaccine?' (5) 'How many patients do you see a day?' (6) 'What's your hospital affiliation?' (7) 'When is the first newborn visit?' Green flags: respects questions, explains reasoning, has lactation consultant referrals. Newborn decisions: Vitamin K shot — strongly recommended (prevents VKDB, a serious bleeding disorder). Eye ointment — recommended if you have untreated STI or unknown status, optional if not. Hep B at birth — optional; can start at 2 months. Circumcision — personal choice; medical benefit/cultural reasons/religious reasons. Don't let anyone pressure you on this one."*
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