This information is provided to develop and build the confidence of soon-to-be or new parents as the step to parenthood begins. Learn how to care for your new baby-to-be with this comprehensive, on-line course.
You have just had your baby (or getting ready to) and you feel elated that you were able to bring such a lovely human being into this world. You feel privileged to have your mother and/or mother-in-law there to help you, as well as your partner and the help of the nurses at the hospital. Then---reality hits.
You return home and you don't know how to be a parent. You may feel overwhelmed and inadequate. You don't know where to start to become a parent!! That is what we will discuss - the transition of pregnancy to the reality of being full-time parents!! It may seem like a mystery at first, but after going through some of the information, you will be much more comfortable in your ability to parent. No two babies are alike-and you will know your baby the best, so listen to your instincts. And honestly, all new parents feel overwhelmed at some point or another.
QUICK TRIVIA QUESTION:
How many diapers do you think you will go through in a week's time with your newborn?
Be prepared with approximately 70 diapers per week or 2,000 - 2,500 per year!
CHOOSING A PHYSICIAN
You will need to choose a doctor for your baby prior to the birth. You may choose a family doctor or pediatrician, who specializes in children, such as Dr. Steven Joyce. Most clinics offer a free appointment for you to meet with your baby's doctor. You will be visiting this doctor frequently in the first few years, so take that into consideration as well as your comfort level. The well baby exams occur to monitor your baby's growth and development and a wonderful opportunity for you to ask questions.
You should try and limit the number of people (especially children) that come visit you the first few weeks you are home. This allows your baby's immunity time to develop. In some instances, this may be difficult, but remember, your baby is counting on you to take care of all his/her needs. If family/friends want to hold your new baby, insist that they wash their hands with soap and water first. It is not being rude.
"SOFT SPOTS" ON THE HEAD
Fontanels are defined as the space at the intersection sutures connecting the infant skull bones. This allows for the brain to grow. The anterior fontanel (diamond-shaped area) is the larger spot on top of the head. The posterior fontanel is on the back of the head is much smaller. Be aware of these areas and be gentle around them.
Let's talk about the newborn and what they can do:
Did you know that babies can see, hear, smell, taste and feel?
Their brains are developing every day. It is important to stimulate your baby's senses and help achieve optimal brain development. But babies don't need much at this point except love, attention, holding, and playing. They do not need expensive toys. Human contact is what they desire.
Be careful not to overstimulate your baby. Look for cues; if they start looking away when you play, or start arching their back, then discontinue the activity.
There are various games babies and parents can play in the first four months of age to encourage their development. Play is an essential part of your baby's development and a great way to bond together as a family. These games will build your baby's language, social, and motor (large and small-muscle) skills while you're having fun.
Babies go through sleep/wake cycles. A perfect time to interact with your newborn is in the quiet alert stage where they are looking around without crying, being hungry or sleepy. This state usually only lasts about 10 minutes as a newborn and will grow with time.
All babies cry, but parents usually expect to hear it only occasionally. The average newborn cries approximately 2-3 hours a day, peaking at 4-6 weeks (this does drop off significantly by the third month). Crying is normal and the baby's only way of communicating what he/she wants and needs. Soon, you will begin to learn about your baby and why he/she is crying. The sounds will differ and you will be able to determine the difference between your child's hunger cries, crying for a dirty diaper or from being tired. You will learn their schedule and that will help you determine the child's need.
Sometimes you may not figure out what the baby's needs are-this is normal. As adults, we sometimes don't know what we need either. Always respond promptly to the child. It makes them feel secure and loved - remember, you cannot spoil them with love.
First, determine why your baby may be crying. Is your baby hungry, have a wet/dirty diaper, is too hot or cold or maybe needs to be burped? If these don't seem to be the cause, try some soothing strategies:
Sometimes you need to watch what you eat if you are breastfeeding-certain foods may be irritating to your baby's system (dairy products, onions, caffeine, peppers, cabbage-to name a few). Some researchers question this theory.
Colic is often a broad term parents tend to use if their baby cries or is fussy sometimes. Realistically, there is a large difference. It often can be described by the mom as understanding what the needs are of the child and still not being able to comfort her/him. Medically, colic is defined when a baby cries more than 3 hours a day, for 3 days of the week for a period of more than 3 weeks. Approximately 20% of babies (1 in 5) have true colic. Colic generally begins at 2-3 weeks old and ends by 2-3 months, peaking at around 5-6 weeks of age.
Always talk with your physician about your concerns and let them examine the child to rule out any medical conditions. Write things down prior to the office visit such as questions and observations of the infant so you are better able to talk to them at the office. Being sleep-deprived really plays a number on your ability to recall information.
Remember to take care of yourself! Try and take a break from your baby's colic by hiring a babysitter or allowing friends and relatives to hold your baby!! Ask for help!
Massaging your baby can enhance the emotional bond with your child and can calm him/her down, improve sleep patterns and aid with digestion. It is also a wonderful opportunity for other family members to share special time with the infant.
To prepare: Choose a point when you're relaxed and won't be interrupted. Don't plan to do it when the baby has a full stomach or is hungry.
Positioning: Make sure you are comfortable. Sit on the floor or the bed and put your baby on your lap or lay the baby on his/her back on a towel/blanket. Talk or sing to the baby throughout the procedure or use music.
Massage Oils: Natural oils are best-almond oil or a fresh bottle of vegetable oil scented with a drop of fragrance, such as lemon, vanilla, or lavender. Warm a few drops between your hands. Don't use oil on the head or face.
Watch for baby's comfort level: It is important to respect your baby's space and integrity. Ask permission, even if your baby can't give verbal consent. Stop if you sense overstimulation. A newborn may enjoy only 2-5 minutes, whereas a 2 month old might love a more elaborate one.
RUBBING YOUR BABY THE RIGHT WAY
Stroke your baby's back-first back and forth across the back, then in long, sweeping lines from shoulders to feet. You can also make little circles down either side of the baby's spine with your thumbs, while staying away from the spine area. End with a kiss to grow on.
FEEDING YOUR BABY
You will want to attend a breastfeeding class prior to your delivery to make an educated decision regarding how you will feed your newborn. The benefits of breastfeeding have largely been documented. Breastfeeding is both convenient and economical.
FEEDING WITH FORMULA
Most babies spit up. It can be a little burp to a full gusher. It may be messy, but normal. It doesn't mean there is something wrong with your baby. If it seems to be excessive or your baby is not gaining weight, talk to your physician.
Burping your baby during and after feedings will help. You can burp the baby in their sitting position, over your shoulder or lying on your lap. Also, keep your baby in an upright position for approximately 30 minutes after eating.
You will hear stories about people beginning to feed their infants rice cereal or other foods at a very early age (even within 6 weeks). You probably even have had your mom or mother-in-law telling you these things - that you started "food" at a very early age. The American Academy of Pediatrics (AAP) does not recommend this. Newborns' bodies and digestive system are not mature enough to handle this, nor are their bodies ready for it. It can lead to allergies, obesity and many other medical conditions. Some people think that if their baby is more full at bedtime, then they will sleep longer. This can backfire on you, because their system can't digest it and it makes them sick. Babies do not have the ability to digest this type of food until they are 4 - 6 months old.
Probably by now, you have heard about the back to sleep campaign. The message includes always placing your child on their backs for naps and to sleep. This is recommended over the side and stomach-lying position. This precaution significantly lowers the risk of SIDS. Other risk factors include smoking. Do not allow anyone to smoke in the baby's home or around the baby. Also, eliminate any loose crib borders, loose blankets, or stuffed animals from the crib. New research has shown that having your child suck on a pacifier while resting/sleeping also reduces the risk of SIDS.
Remember to do all of these precautions, because they significantly lower the risk. Fortunately, there is new research being done all the time to help rule out this type of death.
WEIGHT LOSS AND GAIN
The average newborn weighs approximately 7 ½ pounds. Infants typically lose weight (4-10 ounces) in the first few days of life, which usually amounts to approximately 10% of their birth weight. Most regain their birth weight by 10 days, double it by the fifth month, and triple it by one year.
Sleep patterns of infants can cause concern for new parents because they are exhausted from their lack of sleep. Newborns sleep approximately 18 hours a day, often in 3-4 hour stretches between meals. They do not care about daytime and nighttime. Most infants wake up for feedings every 2-3 hours until 6-8 weeks of age. Each baby establishes his/her own sleep patterns. Understand that due to the baby's stomach size, they are not able to develop a sleep pattern like an adult. BE PATIENT!!
TIPS FOR THE SLEEPING BABY
ALWAYS, ALWAYS place the baby on his/her back to reduce the risk of SIDS. Remove any items from the crib (pillows, stuffed animals, etc.) that could possibly cause the baby to suffocate.
Within 30 minutes or so prior to bedtime, slow the pace of infant activity and prepare your baby for the night. Play should be a quiet, avoid loud noises, and keep her/him calm. Do not try to rush.
Babies frequently have changes in the number, color, and consistency of their stools. These changes occur day to day and are of no concern as long as the newborn is eating normally and has no symptoms of an illness. Breastfed babies have more liquid, runny, mustard colored stools that are seedy in consistency. Formula fed babies generally have stools that are yellowish-tan. All babies can have stools that vary from gray, to green, to brown in color on occasion. The number of stools can vary from 6-8 each day to one every other day.
Constipation in newborns is present when stools are small, firm, and pebble-like. The number or frequency has nothing to do with constipation as in adults. Babies often grunt, strain and turn red in the face during normal bowel movements and likewise is usually not an indicator of constipation.
Diarrhea is characterized by stools that are usually frequent and associated with excessive water. Call your doctor if diarrhea persists more than one day or if it is associated with bleeding.
All babies get diaper rash at some time or another. Diaper rash is an inflamed red, even pimply appearance on your baby's bottom, caused by the delicate skin being constantly exposed to chemical irritants in urine and feces. Most diaper rashes respond to treatment within a matter of a few days. Less frequently, the infant may be allergic to disposable diapers, laundry detergent or it may be the result of a food allergy.
Treatment and prevention:
HOW TO BATHE YOUR BABY (Giving a sponge bath)
Babies often cry at bath time not because they do not like baths, but rather they don't like to be undressed and cold. So, try and keep the baby covered as much as possible during the bath either with their clothes or a towel.
Materials you will need:
Place all of your supplies in the same area that you will be bathing the baby so you can always stay with your child.
It is recommended that you give your baby a sponge bath until the umbilical cord falls off or once a circumcision is healed. There are differing opinions on this, so feel free to ask your physician their preference. Giving a baby a bath can be very time consuming the first time you do it, but soon it will become second hand!
**Make sure and clean your baby from the cleanest part of the body to the dirtiest.**
** Make it a social time by singing "This Little Piggy" or play with measuring cups.
(Giving a tub bath) - don't put in regular tub until they can sit on their own really well - use a tub ring, once they can sit well. NEVER leave the baby unattended or even take your hand away. They easily tip over or slip through the tub ring.
**Never, ever leave them alone, not even for a minute. They can drown in a couple inches of water. Remove all distractions or take child with you if phone rings or door bell rings. ***
WASHING YOUR BABY'S HAIR
The baby will come home with a cord stump where the cord was clamped immediately after birth. This cord does not have any nerve ending, thus does not hurt the baby in any way. The area will need to be cleansed to prevent infection and help speed the drying process. The cord typically falls off by itself after 1-4 weeks.
DIAPERING YOUR BABY
It is a good idea to have a specific area to change the baby as you will be utilizing this area every 2-3 hours. In this area, have all your supplies readily available so you never have to leave the child - or cause a bigger mess!
As the parent, don't forget to take care of yourself! Since your baby relies on you for all their care, you must stay well. Also, don't feel bad if you are experiencing crying spells or crying for any reason. In fact, 80% of new moms go through some type of postpartum blues or depression. Please make sure and ask for help. Most people want to help, but sometimes do not know how to help! Have them assist with cleaning, cooking or laundry while you get used to your baby and spend one on one time with them. If you are feeling frustrated from a fussy baby (everyone feels that way at one time or another) and don't have anyone to help you, feel free to lay your baby down on their back in the crib for a few minutes as you utilize some stress-reducing activities. Do not feel guilty about this - it will not harm the baby and you will be a better parent because of it! Don't ever shake your baby. It is never safe for your baby to be shaken - it does not take much for a baby to experience Shaken Baby Syndrome.
Jaundice can be described as the yellowish discoloration of the skin and the whites of the eyes that is a common occurrence in newborn babies. In fact, 60% of normal infants develop jaundice. This condition is the result of an excess of bilirubin in the bloodstream, when the liver is not as efficient as an adult's liver to remove the bilirubin from the blood. In premature infants, because the liver is even less mature than full-term infants, the condition may even last longer. Treatment of this condition is determined by the physician based on the cause and severity of jaundice.
BABY ILLNESS WARNING SIGNS
Every experienced parent feels worried as they adjust to a new baby's habits, needs, and personality. Further anxiety occurs if the newborn starts exhibiting signs and symptoms of illness. Breastfeeding helps build the baby's immunity.
If you are in question of your baby's health, always check their temperature. Talk with you baby's doctor on their preference - whether it is by a rectal or axillary (under the arm) measurement. Often a regular digital thermometer is much more accurate than some of the thermometers on the market - and is much cheaper!
As babies get older, their bodies are better able to fight off sickness. A low fever in a newborn may be more serious than a higher fever in a 7-month old. At any age, always call your baby's doctor for advice if a sick baby seems very sleepy, doesn't want to play, eat or can not be comforted.
The six most common ailments are listed below that require a physician's attention:
RSV is very common in young children. It is caused by a virus and resembles a common cold, but can be very difficult for a child to get over.
Sometimes referred to as shots or vaccinations to protect your child against a variety of diseases that can be prevented. You can retrieve the schedule for these from your physician's office. It is important to receive and then record every shot your child receives. This record will be critical when your child enters school. Often the first immunization is for Hepatitis B, in which the first dose is administered in the hospital after birth.
There are three different forms of acceptable car seats:
The National Highway Traffic Safety Administration estimates that consumers incorrectly use or install car seats 85% of the time.
Additional Safety Tips: