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Dr. Ann Kellams

Assistant Professor of Pediatrics, University of Virginia

Dr. Ann Lenox Kellams, assistant professor of clinical pediatrics in the Division of General Pediatrics and medical director of the newborn nursery at the University of Virginia Children’s Hospital, is an expert in newborn care and breastfeeding. Kellams teaches pediatric clinical skills to students and residents and authored the Newborn Nursery Resident and Student Curriculum and Orientation Manual for UVA Children’s Hospital. Kellams serves her surrounding community by being a mentor for the African American Student Mentorship Program, by serving on the Virginia Breastfeeding Advisory Committee and by hosting various community education workshops on newborn and infant care. She received the Outstanding Graduate Designation from her alma mater, the University of California, San Francisco School of Medicine.

How much spit up from my baby is normal before I call the doctor?

Assistant Professor of Pediatrics Dr. Ann Kellams discusses normal baby spit up habits.

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Host: How much spit up for my baby is normal before I should call the doctor?

Dr. Ann Kellams: So, baby spit up is normal and thats why we have burp rags and burp cloths and things like that. I start to get more interested or more concerned if it is a projectile shooting out of the babys mouth every time the baby eats. If the wet diapers are decreasing or for some reason the baby is not gaining weight appropriately or if there is anything that looks like blood or bile which would be a green color to the vomit, those are all serious concerns for which you would call the doctor. You know what they typically do is a little burp out of the mouth here or there is very normal, very common regardless of the timing of the feeding.

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