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TAKING CARE OF A NEWBORN – FOR NEW MUMS

Congratulations! You have survived 9 months of pregnancy. You have made it through the excitement of labor and delivery, and now you are ready to head home and begin life with your baby. Once home, though, you frantically realize you have no idea what you’re doing!

These tips can help even the most nervous first-time parents feel confident about caring for a newborn in no time.

Consider getting help during this time, which can be very hectic and overwhelming. While in the hospital, talk to the experts around you. Many hospitals have feeding specialists or lactation consultants who can help you get started nursing or bottle-feeding. In addition, nurses are a great resource to show you how to hold, burp, change, and care for your baby.

For in-home help, you might a relative or close friend help you out when you get back home. Even if you disagree on certain things, don’t dismiss their experience. But if you don’t feel up to having guests or you have other concerns, don’t feel guilty about placing restrictions on visitors.

Handling a Newborn

If you haven’t spent a lot of time around newborns, their fragility may be intimidating. Here are a few basics to remember:

  • Wash your hands (or use a hand sanitizer) before handling your baby. Newborns don’t have a strong immune system yet, so they are susceptible to infection. Make sure that everyone who handles your baby has clean hands.
  • Be careful to support your baby’s head and neck. Cradle the head when carrying your baby and support the head when carrying the baby upright or when you lay your baby down.
  • Be careful not to shake your newborn, whether in play or in frustration. Shaking that is vigorous can cause bleeding in the brain and even death. If you need to wake your infant, don’t do it by shaking — instead, tickle your baby’s feet or blow gently on a cheek.
  • Make sure your baby is securely fastened into the carrier, stroller, or car seat. Limit any activity that could be too rough or bouncy.
  • Remember that your newborn is not ready for rough play, such as being jiggled on the knee or thrown in the air.

Bonding and Soothing Techniques

Bonding, probably one of the most pleasurable aspects of infant care, occurs during the sensitive time in the first hours and days after birth when parents make a deep connection with their infant. Physical closeness can promote an emotional connection.

For infants, the attachment contributes to their emotional growth, which also affects their development in other areas, such as physical growth. Another way to think of bonding is “falling in love” with your baby. Children thrive from having a parent or other adult in their life who loves them unconditionally.

Begin bonding by cradling your baby and gently stroking him or her in different patterns. Both you and your partner can also take the opportunity to be “skin-to-skin,” holding your newborn against your own skin while feeding or cradling.

 

Babies, especially premature babies and those with medical problems, may respond to infant massage. Certain types of massage may enhance bonding and help with infant growth and development. Babies usually love vocal sounds, such as talking, babbling, singing, and cooing. Your baby will probably also love listening to music. Baby rattles and musical mobiles are other good ways to stimulate your infant’s hearing. If your little one is being fussy, try singing, reciting poetry and nursery rhymes, or reading aloud as you sway or rock your baby gently in a chair.

Some babies can be unusually sensitive to touch, light, or sound, and might startle and cry easily, sleep less than expected, or turn their faces away when someone speaks or sings to them. If that’s the case with your baby, keep noise and light levels low to moderate.

Swaddling, which works well for some babies during their first few weeks, is another soothing technique first-time parents should learn. Proper swaddling keeps a baby’s arms close to the body while allowing for some movement of the legs. Not only does swaddling keep a baby warm, but it seems to give most newborns a sense of security and comfort. Swaddling also may help limit the startle reflex, which can wake a baby.

Diapering Dos and Don’ts

You will probably decide before you bring your baby home whether you will use cloth or disposable diapers. Whichever you use, your little one will dirty diapers about 10 times a day, or about 70 times a week. Before diapering your baby, make sure you have all supplies within reach so you won’t have to leave your infant unattended on the changing table.

After each bowel movement or if the diaper is wet, lay your baby on his or her back and remove the dirty diaper. Use the water, cotton balls, and washcloth or baby wipes to gently wipe your baby’s genital area clean. When removing a boy’s diaper, do so carefully because exposure to the air may make him urinate. When wiping a girl, wipe her bottom from front to back to avoid a urinary tract infection. To prevent or heal a rash, apply ointment. Always remember to wash your hands thoroughly after changing a diaper.

Diaper rash is a common concern. Typically the rash is red and bumpy and will go away in a few days with warm baths, some diaper cream, and a little time out of the diaper. Most rashes occur because the baby’s skin is sensitive and becomes irritated by the wet diaper.

To prevent or heal diaper rash, try these tips:

  • Change your baby’s diaper frequently, and as soon as possible after bowel movements.
  • After cleaning the area with mild soap and water or a wipe, apply a diaper rash or “barrier” cream. Creams with zinc oxide are preferred because they form a barrier against moisture.
  • If you use cloth diapers, wash them in dye- and fragrance-free detergents.
  • Let the baby go undiapered for part of the day. This gives the skin a chance to air out.
  • If the diaper rash continues for more than 3 days or seems to be getting worse, call your doctor — it may be caused by a fungal infection that requires a prescription.

Bathing Basics

You should give your baby a sponge bath until:

  • the umbilical cord falls off and the navel heals completely (1-4 weeks)
  • the circumcision heals (1-2 weeks)

 

A bath two or three times a week in the first year is fine. More frequent bathing may be drying to the skin.

Sponge baths

For a sponge bath, select a safe, flat surface (such as a changing table, floor, or counter) in a warm room. Fill a sink, if nearby, or bowl with warm (not hot!) water. Undress your baby and wrap him or her in a towel. Wipe your infant’s eyes with a washcloth (or a clean cotton ball) dampened with water only, starting with one eye and wiping from the inner corner to the outer corner. Use a clean corner of the washcloth or another cotton ball to wash the other eye. Clean your baby’s nose and ears with the damp washcloth. Then wet the cloth again and, using a little soap, wash his or her face gently and pat it dry.

Next, using baby shampoo, create a lather and gently wash your baby’s head and rinse. Using a wet cloth and soap, gently wash the rest of the baby, paying special attention to creases under the arms, behind the ears, around the neck, and in the genital area. Once you have washed those areas, make sure they are dry and then diaper and dress your baby.

Tub baths

When your baby is ready for tub baths, the first baths should be gentle and brief. If he or she becomes upset, go back to sponge baths for a week or two, then try the bath again.

An infant tub with 2 to 3 inches of warm — not hot! — water (to test the water temperature, feel the water with the inside of your elbow or wrist). An infant tub is a plastic tub that can fit in the bathtub; it’s a better size for babies and makes bathing easier to manage.

 

Undress your baby and then place him or her in the water immediately, in a warm room, to prevent chills. Make sure the water in the tub is no more than 2 to 3 inches deep, and that the water is no longer running in the tub. Use one of your hands to support the head and the other hand to guide the baby in feet-first. Speaking gently, slowly lower your baby up to the chest into the tub.

Use a washcloth to wash his or her face and hair. Gently massage your baby’s scalp with the pads of your fingers or a soft baby hairbrush, including the area over the fontanelles (soft spots) on the top of the head. When you rinse the soap or shampoo from your baby’s head, cup your hand across the forehead so the suds run toward the sides and soap doesn’t get into the eyes. Gently wash the rest of your baby’s body with water and a small amount of soap.

Feeding

Whether feeding your newborn by breast or a bottle, you may be stumped as to how often to do so. Generally, it’s recommended that babies be fed on demand — whenever they seem hungry. Your baby may cue you by crying, putting fingers in his or her mouth, or making sucking noises.

A newborn baby needs to be fed every 2 to 3 hours. If you’re breastfeeding, give your baby the chance to nurse about 10-15 minutes at each breast. If you’re formula-feeding, your baby will most likely take about 2-3 ounces (60-90 milliliters) at each feeding.

Some newborns may need to be awakened every few hours to make sure they get enough to eat. Call your baby’s doctor if you need to awaken your newborn frequently or if your baby doesn’t seem interested in eating or sucking.

Babies often swallow air during feedings, which can make them fussy. You can prevent this by burping your baby frequently. Try burping your baby every 2-3 ounces (60-90 milliliters) if you bottle-feed, and each time you switch breasts if you breastfeed. If your baby tends to be gassy, has gastroesophageal reflux, or seems fussy during feeding, try burping your little one every ounce during bottle-feeding or every 5 minutes during breastfeeding.

Try these burping strategies:

  • Hold your baby upright with his or her head on your shoulder. Support your baby’s head and back while gently patting the back with your other hand.
  • Sit your baby on your lap. Support your baby’s chest and head with one hand by cradling your baby’s chin in the palm of your hand and resting the heel of your hand on your baby’s chest (be careful to grip your baby’s chin — not throat). Use the other hand to gently pat your baby’s back.
  • Lay your baby face-down on your lap. Support your baby’s head, making sure it’s higher than his or her chest, and gently pat or rub his or her back.

If your baby doesn’t burp after a few minutes, change the baby’s position and try burping for another few minutes before feeding again. Always burp your baby when feeding time is over, then keep him or her in an upright position for at least 10-15 minutes to avoid spitting up.