Newborn Care

Congratulations ! 
You have just accepted the most important job of your life !
Bringing your new baby home will be a very happy time as well as a challenging one. Many questions will arise… and we are here for 
you.


Breast Feeding Tips
Breast feeding is the best for your baby. In addition to giving proper nutrition, it offers protection against infections and fosters that
special bonding between you and your baby.

The American Academy of Pediatrics recommends "exclusive breast-feeding for four to six months and then continued
breastfeeding for at least the first year of life.

At the beginning of lactation, normal progression includes colostrum (learning milk) for the first 3 days and milk on the 4th day.

Feed the baby every 2 – 3 hours initially to increase milk supply and decrease the risk of breast engorgement.

Early signals of hunger from your baby such as sucking on the fist or rooting should be considered a time to breastfeed.

Follow your baby's wet and stool diapers. Record them the first week.
Your baby should wet at least 6 diapers in 24 hours and may have 1 
to several bowel movements /day.

If you are beast feeding, your baby will need daily supplementation 
of vitamin A, D, C. Breast milk or formula provides all the water 
needed by healthy infants.

If you choose not to breastfeed or if you stop nursing before your baby's first birthday, infant formula provides the best alternative to breast milk.

Formula fed babies usually feed every 3 – 4 hours and finish a 
bottle in 30 minutes or less.

Cow's milk is not recommended until your baby's first birthday.

Keep in mind, that babies don't need to be fed every time they cry. When a baby cries for a short period of time on a regular basis, he may just need more milk at each feeding. He also may be protesting that his diaper is wet or that he is too hot.

Burping your baby helps remove air swallowed during feeding.
Your baby may spit up small amounts of breast milk or formula.
You may need to burp your baby more often.

The best gauge of good nutrition is growth.
During regular visits will determine how well your baby is thriving.

More Resources
http://www.aap.org/healthtopics/breastfeeding.cfm 
(English & Spanish)


Sleeping
The American Academy of Pediatrics recommends that babies be positioned on their backs when sleeping and use a pacifier in their mouths.

 

* Do not dip the pacifier in sugar or honey.
* Babies should sleep in their own crib or bassinet.
* You may allow your baby to stay in your room.
* Avoid soft materials such as comforters, pillows or stuffed 
animals in the infant's crib.
* Avoid overbundling the baby.
* Avoid overheating the baby's sleep environment.
* Educate your babysitter or caregiver to put the baby to 
sleep on his back, not on his side or tummy.
 


Umbilical Cord Care
Keep the cord dry and clean.
Clean the cord with alcohol once or twice a day.
Do not bathe the baby until the cord has fallen.
The cord usually falls within 6 – 8 days after birth.

Call us right away if the cord is foul-smelling or if you see redness around the navel.

Call us immediately if your baby:

* has rectal temperature + 100.4 F
* has a weak cry or if he is crying inconsolably
* is difficult to awaken
* has rapid breathing after the nose is clear
* is pale or his lips are blue
* refuses breast milk or formula
* is vomiting
* has bloody stools or diarrhea