Resources

Newborn Instructions

AllForKids, Pediatric and Adolescent Clinic

GENERAL

Congratulations on your new baby. As a clinic dedicated to providing the best care to newborns and children, we are here to try to help with problems or questions about your baby’s health, so don’t hesitate to call 0484-645 2772/ 6492772 or visit www.allforkidsindia.com .

As a Pediatric facility, we are specialists in the care of infants, children and adolescents; birth through young adulthood. Our doctors have extensive training in pediatrics. We feel that the care of children is not limited to illness care, but the total care of the child in the child in the community and the family. This includes nutrition parenting, discipline, school problems, and adolescent transition issues along with all the illnesses your child may develop. As your Pediatricians, we hope to be the primary source of medical advice about your child.

Our in-house team of doctors is headed by Dr.M. Vijayalakshmi, M.D (Peds), M.D(USA), FAAP, DAA.

FEEDING YOUR BABY

For the first few months, the only food your baby needs is Breast Milk or Formula. It sounds boring, but babies love it. No vitamins are needed for the baby since they are already in the breast milk or formula. Water is not necessary until after 4 months of age. There is plenty of “fluid” in the milk, so when your baby seems thirsty, feed him his breast milk or formula.

Many babies will continue to suck on their fists or fingers or anything that is near their mouths even when they are not hungry. Sucking is a normal Reflex and a pleasurable response for babies. Some babies don’t seem to settle down well without something to suck on, and in these babies a pacifier really seems to help.

BREAST FEEDING

In most women, it takes a few days for milk to come in. While in the hospital, nurse the baby on demand during the first few days. Make sure you and the baby are in a comfortable position with your nipple well inside the baby’s mouth so he/she is latched on well and not chewing on the nipple. After that it’s all up to the baby, so relax and let him do his thing. If you have difficulty getting the baby latched on, have your nurse assist you. Once you get home, most breast fed babies will be hungry frequently in the first few weeks. Every 11/2 to 2 hour feedings are often required for a while to meet the baby’s needs. Use a “Demand” schedule.

Nurse on both breasts at each feeding but don’t spend too long. 5 -10 minutes on each breast is usually enough. However, some babies suck longer for the joy of it.

Good signs that your breast feedings are going well are:

  • The development of several loose yellow seedy stools per day.
  • The baby seems satisfied and sleeps for a while after feeding.
  • He/she is gaining weight.
  • 6-8 wet diapers per 24 hours.

Unless it is really necessary, try not to bottle feed your baby during these first few weeks since this interrupts the breast feeding cycle. Many parents like to offer just one bottle a day of formula or breast milk to get their baby used to a bottle. Wait until breastfeeding is well established (2-4 weeks). This makes it a lot easier to use a baby sitter every once in a while.

When you are nursing, try not to take any medications or drugs. Your prenatal vitamins should be continued. Over the counter medicines are usually O.K., as are many antibiotics. Please check with us about any drugs you wish to take while nursing, or ask your obstetrician.

Your diet should be well balanced with extra fluids. You don’t have to avoid any food unless you find a certain food you eat seems to upset the baby.

Techniques for the Breastfeeding Mother

When you nurse in the sitting position, hold your baby on his or her side facing your breast, with the baby’s lower arm tucked around your waist. Hold your breast with your thumb above the areola (the dark skin around the nipple) and your other fingers below. Your baby’s face,, tummy, and knees should be facing you.

Gently touch the baby’s lips with your nipple and the baby will open her or his mouth to attach to your breast. Make sure your nipple and as much of the areola as possible are in the baby’s mouth. Pull the baby in close to a snug tummy-to-tummy position. If necessary, lift your breast with your fingers to keep it away from the baby’s nose.

Offer both breasts at each feeding. When the baby loses interest in the first breast, or after 10 to 20 minutes, stop and burp the baby. Then offer the second breast for as long as you both want. To change breasts, put your finger into the corner of the baby’s mouth between the gums, and the baby will open his or her mouth.

Let your breasts completely air-dry after nursing. Start with a different breast each time. I suggest you put a diaper pin or safety pin on your clothing to remind you which breast to begin with at the next feeding. Following breastfeeding guidelines carefully prevents or minimizes sore nipples.

If you need to be separated from your baby at feeding time, you can leave behind a bottle of milk that you expressed (pressed out) from your breasts by hand. Or you can express breast milk with the aid of a cylinder- type breast pump.

If breast milk is not available, you can leave behind a bottle of prepared infant formula. Any feeding that a breastfeed infant receives in place of a feeding at the breast is called a supplemental feeding. For supplemental feedings use a pediatrician recommended formula, these are made to perform close to mother’s milk. If your family has a history of allergy or if your baby has sensitivity to cow’s milk or a feeding intolerance, Soy based formula may be recommended.

Techniques for the Bottle-Feeding Family

When you’re feeding a bottle, your baby’s head should be slightly raised and resting in the bend of your elbow. Hold the bottle so the nipple is always filled with formula. This helps your baby receive formula instead of air. Air in the baby’s stomach may give a false sense of being full and also may cause discomfort.

Sucking is part of the baby’s pleasure at feeding time. A baby may continue to suck on a nipple even when it has collapsed. Therefore, take the nipple out of your baby’s mouth occasionally to make sure that it hasn’t collapsed. Never prop a bottle or leave your baby alone to drink. The bottle could slip and make the baby choke. Remember, too, your baby needs the security and pleasure of being held at feeding time. Face – to –face contact is very important for your baby. Sometimes, your baby will take every drop in the bottle, and sometimes not. Don’t worry - this is normal. You can usually tell when your baby has had enough when he or she stops sucking, frequently turns away, or falls asleep. You should never force your baby to finish a bottle. Throw out any formula left in the bottle.

When your baby regularly finishes every drop at each feeding-and sometimes cries for more-it may be time to increase the amount of the formula feeding. Your baby will need larger amounts as he or she grows. After feeding time, rinse the bottle with cool water and squeeze water through the nipple hole to keep it from clogging. Test nipples regularly to be sure the holes are the right size. If the nipple holes are too small, the baby may tire of sucking before getting all that he or she needs. If the holes are too large, the baby will get too much, too fast. The baby also may get so much air that she or he spits up all or part of the feeding. When the nipple holes are the right size, the liquid should drip smoothly, without forming a stream.

Remember, your baby’s diet is an essential part of good health and growth.

For example, did you know that during a baby’s first 2 years, the brain is in a once-only growth spurt? Recent research suggests that delays in language and motor development may occur in babies who don’t get enough iron during this time. Although some parents worry that iron may cause their baby to have an upset stomach (cause colic, diarrhea, constipation, general fussiness), scientific studies show that iron in infant formula and vitamin supplements do not cause any of these problems.

Burping Your Baby

During and after breastfeeding or bottle feeding, burp your baby. Burping helps remove swallowed air. To burp, hold the baby so that he or she can look over your shoulder. Be sure to support the baby’s head and back. Another way is to lay the baby across your lap on his or her stomach. Or you can sit the baby on your lap, leaned slightly forward, with your hands supporting the chest. Gently pat the baby’s back until you hear a burp. Sometimes a baby will not be able to burp, so you don’t try to force a burp. Don’t be alarmed if your baby spits a few drops when being burped.

Other Feeding Of Your Baby

According to the American Academy of pediatrics, there is no need to begin to feed a baby solid foods before 4 to 6 months of age. Juice and other drinks should be introduced when your baby can drink from a cup, usually at 7 or 8 months. Juice or milk in bottles used a as a pacifier can harm a baby’s teeth. Also, baby food should always be fed with a spoon.

Don’t give your baby honey before his or her first birthday. Certain bacteria that are sometimes found in honey may cause a serious disease called infant botulism in the young infant. Older babies don’t get this disease, so feeding them honey is not dangerous.

BATHING & CLEANING

For the first 2 weeks until the umbilical cord falls off, a brief sponge bath with warm water once a day is sufficient. After the umbilical cord area has healed, a brief bath once a day with a mild soap should keep the skin clean.

The Diaper area should be cleaned as often as the baby is wet or soiled with either plain water or using a diaper wipe. Dry the skin of the diaper area thoroughly before reapplying a new diaper. It is not necessary to use any creams, powders or oils on the baby’s skin unless skin problem or rash develops.

The scalp can be shampooed with a baby shampoo once a week. Massage the lather into the hair and scalp and don’t be afraid of the soft spot.

The umbilical cord falls off on its own in 7 – 21 days. When the cord stump falls off, there may be a little oozing of blood. This is normal. If there is redness of the skin around the umbilicus or a foul smelling discharge contact us,. Allow the umbilical cord stay dry by tucking the diaper underneath it.

The nose, ears, mouth and eyes do not have to be cleaned. Its O.K. to remove wax that comes out of the ear but don’t poke anything into the ear canals. Loose mucus may be removed from the nose with a tissue. If there is a slight discharge from the eyes, wipe the lids off with a clean tissue, but don’t put anything inside the eye itself.

CRYING AND OTHER SORROWS

All babies sneeze, yawn, belch, have hiccups, and pass gas, Cough, cry, and get fussy. These are normal behaviors. Sneezing is the only way that babies can clean their nose. Hiccups are just little muscle spasms, and they often can be stopped by giving the baby a few swallows of lukewarm water. Crying is a baby’s way of saying, “I am tired.” “I am wet”. “I want to be held.”” I am too hot”. “I am hungry.” Gradually, you will learn what your baby means when he or she cries.

It takes some time to understand your baby’s crying. Don’t be too hard on yourself the first few weeks. Relax and use common sense and you will do great. Most babies will have a few crying and fussy periods during the day (often in the evening). These periods may have no obvious cause. Crying will not hurt the baby as much as it hurts you. Some babies need a lot of holding and body contact to settle down; some need to suck on their own fist or finger; and some babies do well if left alone and will settle themselves very nicely.

Here are some other methods that you can try:

  • Carry the baby with close body contact.
  • Rock the baby with soft music on and gently sing to the baby-this will relax you also.
  • Lay the baby on his tummy across your knees and rub his back.
  • Wrap him snugly in a blanket and then rock him.
  • Take the baby for a ride in the car or stroller
  • Use a wind-up baby swing and allow the baby to fall asleep there. Don’t be in a rush to move the baby into his crib- he may wake up.

Remember, you know your baby best, so do what works for you! Holding and loving your baby “too much” is not a problem. Babies, like new parents, need lots of love and security.

HICCUPS

These are common in the first few weeks. They will usually resolve on their own. Feeding or sucking sometimes helps.

SNEEZING

This is common in newborns. Sneezing is a baby’s way of clearing the nose. Babies are nose breathers and always sound “congested”. It usually doesn’t mean he has a cold unless it affects the eating or sleeping pattern of your baby.

EYE DISCHARGE

Some babies have excess tearing or a small amount of matting of one or both eyes due to a plugged tear duct. No treatment is needed unless there is a large amount of pus, or the eye is swollen or red.

SPITTING UP

Many normal babies will spit up occasionally if they have eaten too much or too rapidly or swallowed too much air. Aside from being messy, this is not a big problem. Forceful vomiting of large amounts of milk with every feeding is not normal and should be checked out.

CONSTIPATION

Hard, infrequent and difficult to pass bowel movements sometimes develop on formula feedings. It’s O.K. if the baby does not have a stool every day as long as the stool is not real large and hard when it does come out. Breast fed babies will have loose yellow seedy mustard like stools. Many breast fed babies will have stools every 3-4 days when they are 6-10 weeks of age. These stools are very soft and this is NOT constipation.

DIAPER RASH

Use Rash-Free or any diaper rash ointment. Air dry and change diapers more frequently. Don’t overly clean the baby’s bottom-use water – gently.

JAUNDICE

A slight yellow color to the face is O.K., but if your baby looks very yellow or has yellow color on the extremities that need to checked by the Pediatrician.

RASH ON FACE AND NECK

This is frequently present during the first month or two. It often looks like acne.

Know More on Fact About Acne (AllForKids Resources)
SWOLLEN BREASTS

Both boys and girls often have swelling of the breasts especially if breast fed. Call us if one or both breasts are red and tender. This is a sign of a breast infection.

PEELING SKIN

This is normal in the first 2 weeks especially on the hands and feet. It is not due to dry skin and does not require any treatment.

VAGINAL DISCHARGE

Girls usually have a small amount of thick white vaginal secretions. Occasionally a small amount of bloody mucus is seen at 3-7 days age.

OTHER COMMON QUESTIONS

TAKING YOUR BABY”S TEMPERATURE

User a thermometer under baby’s armpits. Normal temperatures range from 97.5 to 100oF.

VISITORS

It’s perfectly fine for friends and family to come see the baby. Just be careful about exposing the baby to illness. Anyone with coughs, runny nose, sore throat or fever should stay away from the baby. Hand washing is the best way to avoid infection.

GOING OUT WITH THE BABY

Again, there is nothing wrong with having the baby outside. In fact a little sunshine is healthy and helps and helps stimulate Vitamin D. However, during the first few weeks, we advise that you avoid crowded places like shopping malls, grocery stores of functions like weddings etc..

CLOTHING

Dress the baby with about the same amount of clothes as you use for yourself. Babies like it a little warmer, but don’t overdress and overheat them.

ROOM TEMPERATURE

The room temperature should be about 68-72o F– comfortable for you. Air conditioning is fine.

WASHING CLOTHES

Use mild detergent and make sure the detergent is being rinsed out well.

POSITION FOR SLEEP

The recommendation from the American Academy of Pediatrics is that your baby sleep on his/her back. Your baby should not sleep on its tummy for the first few months. The baby can also sleep in a car seat or carrier for long periods of time. This position doesn’t hurt the neck or back. Don’t use Pillows or thick blankets at this age.

SIGNS OF SERIOUS ILLNESS
  • Acts “sick”, lethargic or very irritable.
  • Refuses several feedings in a row.
  • Has labored or difficult breathing.
  • Has a temperature of 100.4oF or 38oC or more in the first two months (After 2 months of age, fever alone is not as serious a symptom)
  • Persistent, Profuse vomiting or marked diarrhea ( 6 or more watery stools a day)
Regular Visits to Your Baby’s Doctor

Bring your baby to us regularly for medical examinations, even though he or she appears well. These visits will give us a chance to check on your baby’s growth and development and to talk with you about the care of your baby. Vaccinations (shots or drops) against diseases such as whooping cough, diphtheria, tetanus, polio, measles, rubella, H influenza, and hepatitis will be given at proper times. During these visits, we will discuss with you my recommendations for handling any problems such as fever, vomiting, diarrhea, or excessive crying for no apparent reason.

When you need to call our office, get ready as directed below:

  • Write down what seems to be wrong.
  • Take a temperature reading.
  • Have the names and amounts of any medicines you are giving your baby.
  • Your baby’s first medical checkup should be at 2 to 4 weeks of age unless it is needed sooner. Please call our office for an appointment

Your Baby’s Safety

The kinds and numbers of injuries a baby may receive change with age, so continually need to consider and adjust your safety efforts. No one can protect a baby from all hazards: but there is a lot you can do, starting the day your baby comes home from the hospital.

Always use an approved car safety seat, on the first and every ride. In an accident, a baby held in passenger’s arms can strike parts of the inside of the car or be thrown from it. Make sure that there is NO air bag protecting the seat where your baby is placed. Ask me about information available to help you buy, rent, or borrow an approved car safety seat.

The crib for your baby must have slats no more than 2 3/8 inches apart, no unsafe designed features, and a snug-fitting mattress. To avoid blocking your baby’s breathing, don’t have pillows, large and floppy toys or loose plastic sheeting in the crib. Healthy infants should be placed on their side or back when put down to sleep. Always be with your baby while he or she is on a flat surface above the floor, to avoid injury from falls.

Early in life, babied prefer simple black-and-white shapes: but soon they are attracted to colorful and shiny objects. Keep small objects such as buttons and pins out of the baby’s reach so he or she cannot pick them up and swallow them.

Smoking cigarettes while in proximity to the baby is harmful to the baby’s lungs.

Also, don’t hold the baby while cooking. Hot food could splatter on the baby, or he or she could touch hot pans or their contents.

SAFETY RULES
  • Never leave your baby unattended
  • Keep the guardrails on the crib up.
  • Do not leave a baby on a bed unattended even for a minute
  • Lock up all medications, chemical cleaners, etc., around your house.
  • Choose toys that are safe; no toy should have a removable part that is small enough to be swallowed or chocked on.
  • Do not use any painted toys.
  • Use an approved automobile safety seat for your baby when driving.
  • Do not feed the baby honey for the first year of life.