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					                                       Happy Bi rthday Baby!



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Breathing- Have you noticed tha t babies someti mes brea the funny? At ti mes they brea the fast and other ti mes
slow. This is normal. Since babies brea the through their noses, they may sound snorty and stuffy. Use some saline
(Ocean) nose drops and put one or two drops in each nostril and then gently use the bulb syringe to clear the nose.
Don’t root around in your child’s nose too much because you will only end up irrita ting the nose (and your child). If
your child sounds like there are small boogers in the nose but i s happy and ea ting and brea thing well let Mother
Na ture ta ke care of the problem.

Feedings- Babies who are breast-feeding will nurse about every 2-3 hours. Your breasts will produce enough milk
for your baby to grow. Babies on formula will nurse every 3-4 hours (about 26 to 30 ounces in 24 hours). Brea st milk
or formula is all your baby needs. Your baby is likely getting enough to ea t if he is having 6 to 8 wet diapers per
day. Breastf ed babies may need to ea t more of ten than formula fed babies. Thi s is normal. Brea st milk is digested
faster and babies will become hungry earlier than if they were formula fed. Your baby does not need cereal until
4-6 months of age. Use only iron-fortified infant formula. Avoid putting your baby to bed with a bottle of formula.
This may lead to tooth decay. Hold your baby upright when feeding. Lying a baby flat to drink a bottle may cause
choking or ea r infections. Do not force your baby to finish a bottle. When your baby gets full, he will turn hi s head
and push the nipple out of his mouth or fall asleep. In addition to being hungry, your baby may cry because he is
bored, lonely or needs a diaper change. Pacifiers are ok, some babies just want to suck all the ti me and i t is muc h
easier to wean a toddler from a binky than a thumb.

Sleeping- Babies settl e into a routine in the first month. Babies don't usually sleep all night (6 hours) until they
weigh almost 12 pounds. Babies are safer if they sleep on their back. Do not let your baby sleep on a pillow, soft
ma ttress, bean bag, water bed or fea ther bed. Do not put any pillows in your baby's bed.

Seeing- Your baby could see you when he was born. Babies can see things 1 8 to 24 inches in front of them. They
like to look a t faces and contrasting colors, like black and white. Someti mes, your baby's eyes will roll around and
cross. As your baby's eyes get stronger, this will happen less. Your baby may enjoy looking at a mobi le hanging over
his crib.

Moving- You should notice your baby lifting his head and turning i t from side to side. He can move on his tummy.
This means he could move and fall off a bed, couch or chair. If you need to turn away, keep your hand on your baby.
Always keep the side rails up on the crib. Babies tend to keep their hand s in fists. Right now, if they grab
something, like your hair, they can't let go.

Skin care- Keep your baby’s skin clean by ba thing hi m a t least every 1 to 2 days. Sponge ba the hi m until his c ord
falls off. Only use mild soap like unscented Dove or baby soap, as needed. Avoid using lotions, oils or crea m on your
baby’s skin. If your baby’s skin is very dry, you may apply a small amount of lotion suc h as Nivea, Moisturel, Curel, or
Aquaphor. Do not apply baby oil to your baby’s scalp. It blocks the skin pores and can lead to cradle cap. Avoi d using
baby powder. It can be inhaled into your baby’s lungs and cause brea thing problems.

Cord care- If the umbilical cord is still present, you can apply rubbing alcohol with a cotton ball or swab at the
base of the cord twice a day when the diaper is c hanged. Fold the diaper below the cord. This will help keep the
cord dry. When the cord falls off, continue to clean the navel with alcohol u ntil it is healed and dry. Call if there is
redness, smelly, thick yellow or green discharge or lots of bleeding from the navel area.

Diaper area/genital care- Baby girl--Clean geni talia by wiping from front to back. Gently clean between the skin
folds. Baby boy-- Remember to clean under the scrotum when changing the diaper. If you baby is uncircumci sed, it
is not necessary to retract the foreskin to clean the penis. Wash any discha rge off with soap and water. As you
child gets older, we’ll talk about cleaning under the foreskin.
Loving Your Baby- Babies need to be held. You cannot spoil a new baby (no ma tter wha t grea t aunt Tilly says). Just
think - they've been held in a womb without a view for 9 months! Pick up and cuddle your baby when they cry to le t
hi m know you are there to protect and love them. Dad also needs to cuddle and hold the baby as muc h as mom does.
When you are breast-feeding, let dad burp and cuddle baby after the feeding. If your baby ha s brothers and
sisters, show them how to pa t and hold the baby. Let them know the baby is pa rt of the fa mily, too. A new baby in
the house is a big change for everyone. Take ti me to get sleep and rest when the baby naps. Encourage everyone to
help with the chores. You should begin to see your baby smile soon. Smile a t your baby a lot to show hi m how it's
done.

Talking to Your Baby- Talk to your baby a lot. Your baby doesn't care wha t you are saying, he just wants to hear
you talk! Li sten to your baby and repea t any sound s. You should begin to hea r "OOH" and "AAH."

Safety-A ca r sea t keeps your baby safe. Place the car sea t in the back sea t of the car. It needs to face the back
of your car until your baby is 1 year of age or your baby weighs 20 pound s. A smoke detector gives you the extra 5-
minute warning in case of a fire. We recommend all houses and apartments have one on eac h level of the building.
Keep your water tempera ture 120 or less to avoid accidental scalding. Wa tc h out—even newborns can roll, don’t find
out with a “thud”.

Signs of Illness- Babies can get sick ea sily. Try to keep your baby away from people tha t are ill. Have every -one
wash thei r hands before holding your baby. You may want to stay away from crowded areas for awhile.

Crying- Babies communicate by crying. You'll soon notice a different cry for, "I'm hungry," or "I need my diaper
changed," or "I want to be held."

Spitting up- It is very common for babies to spi t up (reflux), particularly if they are formula fed. Signs of reflux
can be pulling up thei r legs like they hurt, arching their backs, c hoking, smacking lips or just plain crying a lot after
they ea t. Af ter awhile reflux can start to irri ta te the throa t and esophagus so let us know if you think this might
be happening and we can discuss some options. We are more aggressive about trea ting reflux if it causes problems
with growing, brea thing or hurting.

Immunizations- We are big proponents of i mmuniza tions. Your baby probably got thei r first shot in the hospi tal and
they routinely get addi tional shots a t 1 month, 2 months, 4 months, 6 months, 12 months, 18 months and before
kindergarten. It seems like a lot of shots, but they prevent a lot of illness a t c ri tical ti mes in life. Please ask if you
have questions about the safety or i mportance of i mmuniza tions —there is a lot of well meant hype and mis-
informa tion in the media and on the internet rela ted to i mmuniza tions —we are here to help clarify.

Remember: Breathing Cigarette Smoke is Bad For Your Baby. Cigarette smoke is a poison tha t gets into your
body. Your body tries to get rid of it by making more mucous. This sets your baby up for more colds and infections.
Babies who are around people who smoke ha ve more colds, ear ac hes, pneumonia, and other illnesses.

Pediatrics after hours nurse line (your nighttime angels)--474-5303

				
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