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<h1><strong>Newborn Care&nbsp;</strong></h1>

Newborn Care 

Welcoming your newborn baby also brings many questions and a heightened sense of responsibility. However, taking care of essentials such as a feeding routine, safe sleep, hygiene, and monitoring growth helps lay the foundation for a healthy start. Let's understand that.

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Newborn Assessment

Newborn assessment is important for evaluating a baby’s physical, neurological, and developmental health.

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Birth Weight

A baby’s birth weight is an important indicator of their overall health. Some babies may have a low birth weight but proper care can help their healthy growth and development.

 

ClassificationWeight
Normal birth weight2.5–4.0 kg (5.5–8.8 lbs)
Low birth weight baby (LBW)Less than 2.5 kg (5.5 lbs)
Very low birth weight (VLBW)Less than 1.5 kg (3.3 lbs)
Extremely low birth weightLess than 1.0 kg (2.2 lbs)

 

Apgar

Apgar is a quick evaluation of a newborn right after birth to determine their health and need for immediate care. Let's understand it in detail. 

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What is it?

Apgar stands for the five criteria for newborn assessment: Appearance (skin colour), Pulse (heart rate), Grimace (reflexes), Activity (muscle tone), and Respiration (breathing effort). The score, ranging from 0 to 10, is represented on an Apgar score chart.


Apgar score

  • 7–10: Normal, indicating the baby is in good health.
  • 4–6: Requires intervention, such as stimulation or oxygen support.
  • Below 4: Immediate resuscitation is needed to stabilise the baby.

Newborn physical assessment

Key aspects of a newborn's physical assessment include checking their temperature and bilirubin levels and examining the fontanelles.

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  • The normal temperature for a newborn is 36.5°C–37.5°C  
  • Normal bilirubin level should be below 5 mg/dL on the first day.
  • Fontanelle, or soft spot on the baby’s head, is examined to ensure it is flat and soft. A bulging fontanelle may signal fluid buildup. 


Newborn neurological assessment

It evaluates the baby's brain and nervous system health through reflexes like sucking and grasping. Muscle tone, head control, and responsiveness to stimuli are also observed.

Neonatal jaundice

It may occur due to high bilirubin levels caused by an immature liver, infections, or blood type incompatibilities. Treatment often involves phototherapy and frequent feeding.

Newborn feeding

Proper feeding does more than just support growth and development in babies. It also helps the baby bond with parents, especially the mother. Let's have a look.

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Newborn feeding schedule

Newborns feed every 2-3 hours which is about 8-12 times daily. You can also feed on demand by watching for hunger cues like rooting or sucking. The goal is consistent weight gain.
 

Top tips for your Newborn's Care

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Baby’s routine

Try building a daily schedule for your baby's feeding, napping, and bath times.

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Newborn care 

Give your baby a warm bath to help relax their bowels.

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Vaccine shots

Try distracting your baby with a toy, song or breastfeeding during their vaccine shot.

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Portion size 

When your baby starts eating, feed small portions and encourage them to chew their food.

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Develop immunity

Discuss routine care & immunisations with your pediatrician to build your baby’s immunity

Feeding problems in newborns 

Feeding your baby can sometimes come with challenges, but understanding the underlying problem can help you out. Baby feeding problems may include:

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  • Tongue-tie (ankyloglossia), where a band of tissue under the tongue makes latching difficult.
  • Infantile colic, where the baby cries excessively due to gas or stomach discomfort.

Newborn Feeding Position

The best position to feed a newborn is one where both you and your baby are comfortable. Common feeding positions for a newborn baby include:

  • Cradle hold: The baby lies across your chest with their head resting in the crook of your arm for close, supportive breastfeeding.
  • Football hold: The baby is tucked under your arm like a football, ideal for mothers recovering from a C-section.
  • Side-lying position: Both you and the baby lie on your sides, allowing for comfortable night feedings and rest.

Newborn Sleep

Sleep is a fundamental part of your baby’s life as it supports their growth and development. Make sure you provide them with a safe and comfortable sleep environment. 
 

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Sleep is a fundamental part of your baby’s life. It is vital to their growth and development. You may find their newborn sleep patterns to be highly unpredictable initially. Make sure you provide them with a safe and comfortable sleep environment to promote healthy sleep. Remember, every baby is unique, and it takes time to settle into a routine.

Sleeping Time for Newborn Babies

Newborns take time to adjust to life outside the womb.  Here’s what you need to know about their newborn sleep cycle and habits:

  • Newborn sleeping pattern: Sleep occurs in short cycles of naps throughout the day. They spend more time in light (active) sleep and wake up often for a feed or comfort. Gradually, these cycles will lengthen as your baby grows.
  • Best sleeping position: Always place your baby on their back while sleeping to reduce the risk of Sudden Infant Death Syndrome (SIDS). Avoid letting them sleep on their side, as this can increase the risk of rolling onto their stomach.

Understanding your newborn's sleep hours and habits can help you get some much-needed sleep as well.

Why is My Newborn Not Sleeping?

If your baby isn’t sleeping as much as expected, it may be due to hunger, a wet diaper, or even overstimulation from the day. Don't worry, it'll stabilise over time.

 

Newborn Milestones

Your baby’s first few weeks will be filled with exciting accomplishments. Tracking these milestones helps you celebrate their growth and understand their needs. 

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Major developmental milestones

Some of the important milestones in the newborn stage include:

  • Reflexes: Grasping, rooting, and Moro reflexes (startle response).
  • Vision: Recognising faces and following objects within 8–12 inches.
  • Hearing: Responding to familiar voices and soothing sounds.
  • Movement: Jerky arm and leg movements, gradually becoming smoother.
  • Emotional development: Comforted by skin-to-skin contact and cuddles.

Postnatal Care

Postnatal care is essential for your recovery and your baby’s health. It includes monitoring physical and emotional health, establishing a feeding routine, and promoting bonding.

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Postnatal diet

A balanced postnatal diet is crucial for your recovery, milk production and replenishing nutrients lost during childbirth. A good postnatal diet should include iron-rich foods, calcium, proteins, and healthy fats. These nutrients can be found in foods such as spinach, lentils, eggs, nuts, and dairy products.

Postnatal exercise

Gentle postnatal exercises promote healing, make you stronger, and help boost your mood. Useful exercises include light walking, pelvic floor exercises like Kegels and gentle stretches. After six weeks, yoga or low-impact aerobics can be introduced with medical approval. This will help you regain physical fitness and energy levels safely.

FAQs

How often should I feed my newborn?

Newborns should be fed every 2–3 hours, or whenever they show hunger cues like rooting or sucking on their hands. This ensures proper nutrition and hydration.

How to soothe a fussy baby?

Swaddle your baby in a light blanket, use gentle rocking motions, or play white noise to mimic the womb environment. These techniques often help calm a crying baby.

How do I tell if my baby is getting enough milk?

Your baby is getting enough milk if they wet 6–8 diapers daily and show consistent weight gain. A content baby after feeding is another good sign.

How do I know if my baby has a fever?

Check your baby’s temperature using a thermometer. A temperature above 99.5°F (37.5°C) indicates a fever. You should consult your paediatrician if it persists.

How much sleep do newborns need?

Newborns typically need 14–17 hours of sleep daily, broken into short naps. This helps support their rapid growth and development.