What checks does my baby need after birth?

Newborn babies undergo several essential evaluations soon after birth to ensure their health and well-being. These initial examinations help healthcare providers monitor vital signs and assess for potential health issues. It is highly recommended to ask to have all of your baby's exams done while they are placed on your chest during the first hour after birth, if possible. This special bonding time provides comfort and warmth for your baby and encourages skin-to-skin contact, which has numerous benefits.

1. Apgar score assessment The Apgar score is typically the first evaluation your baby will undergo. This quick assessment is performed at one minute and again at five minutes after birth. It helps the medical team determine your baby's overall health and whether any immediate interventions are required. The Apgar score considers factors such as your baby's heart rate, breathing, muscle tone, reflexes, and skin color.

2. Physical examination Soon after birth, your baby will undergo a thorough physical examination. This examination includes checking the baby's weight, length, and head circumference. The doctor will also assess the baby's vital signs, such as heart rate and respiratory rate, to ensure they are within a healthy range.

3. Eye examination To check for any eye conditions, the doctor will typically administer an eye evaluation. They will look for issues like blocked tear ducts, congenital eye conditions, and ensure that the eyes are functioning well.

4. Heart examination A thorough examination of your baby's heart will be performed to rule out any congenital heart defects. The doctor will listen to the baby's heartbeat and may order additional tests if they suspect any issues.

5. Hearing evaluation Hearing evaluations are essential to detect hearing problems early. Newborns are often screened for hearing loss. Early detection and intervention can greatly benefit a child's language and speech development.

6. Reflex and muscle tone assessment The doctor will check your baby's reflexes and muscle tone to ensure their nervous system is functioning as expected. This assessment helps identify any potential neurological issues.

7. Blood tests A series of blood tests may be conducted to screen for certain metabolic and genetic disorders. Early detection of these conditions allows for prompt medical intervention and management.

8. Jaundice assessment Newborns are often assessed for jaundice, a condition caused by the buildup of a substance in the blood called bilirubin. If your baby has jaundice, your doctor will determine the severity and recommend treatment if necessary. Newborn jaundice is very common, about 60% of newborns have jaundice. Most of the time, it's mild and doesn't hurt your baby.

9. Hip Examination his examination involves gently manipulating your baby's legs and hips to verify that they are properly aligned and that there are no signs of hip dysplasia, a condition where the hip joint doesn't develop normally. Early detection and treatment of hip issues can prevent long-term problems.

10. Vitamin K administration: Your baby will receive a Vitamin K injection, which is essential for blood clotting. Newborns often have low levels of Vitamin K, and this injection safeguards them against bleeding problems.

11. Cord care and circumcision If you choose to circumcise your baby boy, this procedure is usually performed in the early days after birth. The doctor will also monitor the baby's umbilical cord to ensure it heals properly.

These evaluations are crucial for ensuring your newborn's well-being. Regular check-ups, vaccinations, and ongoing care are essential as your baby grows and develops. It's important to follow your healthcare provider's recommendations and maintain open communication about your baby's health and development.

Sources

All of the information in our Library is evidence-based and backed by information from reputable organizations.

"Introduction," (no date). The Apgar Score. American College of Obstetricians and Gynecologists.

"Newborn jaundice," (no date). March of Dimes.

Simkin, Penny, Rohs, Katie. (2018). The Birth Partner

Understanding skin-to-skin contact

Skin-to-skin contact refers to the practice of holding your newborn directly against your bare chest or abdomen, ensuring their skin touches yours. It is often initiated immediately after birth for the “golden hour” and can continue during the hours, days, and even weeks following your baby's arrival. This simple yet powerful practice offers numerous advantages:

Enhanced bonding: Skin-to-skin contact fosters an immediate emotional connection between you and your baby. The physical closeness releases oxytocin, often referred to as the "love hormone," which promotes strong emotional bonds.
Regulated body temperature: A newborn's body struggles to maintain a stable temperature. Placing your baby skin-to-skin helps regulate their body temperature, ensuring they stay warm.
Improved breastfeeding: Skin-to-skin contact enhances breastfeeding success. It encourages your baby's natural breastfeeding instincts, making it easier for them to latch and nurse effectively.
Soothing comfort: The feeling of your warmth, heartbeat, and scent provides your baby with a sense of comfort and security. This reduces stress and promotes a calm, content disposition.
Positive development: Research suggests that skin-to-skin contact contributes to improved brain development and overall health, potentially reducing the risk of health complications.

Creating skin-to-skin contact

Step 1: Be prepared

Before delivery, discuss your desire for skin-to-skin contact with your healthcare team. Ensure your chosen birthing environment supports this practice.

Step 2: Immediate contact

Whenever possible, hold your baby against your bare skin immediately after birth. If circumstances permit, let your baby rest on your chest or abdomen for an extended time.

Step 3: Stay skin-to-skin

Even after the initial contact, continue to hold your baby skin-to-skin during the postpartum period. This practice is ideal for both mothers and fathers, allowing both to bond with the baby.

Step 4: Skin-to-skin nurturing

During this time, focus on gentle interaction and bonding. Talk softly to your baby, stroke their back, or simply enjoy the serenity of this close connection.

Step 5: Breastfeeding support

If you plan to breastfeed, skin-to-skin contact can make the process smoother. Position your baby on your chest, and their natural instincts may lead them to your breast.

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Skin-to-skin contact is an invaluable practice that can be enjoyed by both parents and their newborns. From creating an emotional bond to ensuring a warm and secure environment, this practice offers numerous advantages for the entire family.

Baby care

Let's talk about something exciting—baby's first doctor's appointment! The first visit to the doctor is a significant milestone for your newborn, but it can be overwhelming for new moms. This visit usually takes place around day 4 after birth when moms are still recovering from childbirth and facing challenges like engorgement, breastfeeding problems, and general chaos. During this time, moms are super overwhelmed and need lots of support. It's important to keep in mind that the focus of the baby's first visit is feeding and weight loss. Today, we'll simplify the information to provide you with a guide specifically tailored for this initial appointment.

How will the doctor examine my baby?

During the appointment, a nurse will weigh your baby to monitor their weight loss or gain since birth. It's common for babies to lose a little weight initially, so there's no need to worry. The nurse or doctor will then conduct a thorough examination of your baby's genital area, eyes, skin, and head to check for any potential issues. They may also ask about your baby's sleeping and feeding habits to ensure their well-being.

Why is this appointment so important?

The baby's first doctor visit is crucial for identifying any health concerns early on. It allows the doctors to address any potential issues before they escalate. Additionally, this appointment presents an excellent opportunity for doctors to offer guidance on healthy practices for you and your baby. They may provide tips to help boost your baby's weight and ensure they are on a healthy growth track.

How to prepare for the appointment:

To make the most of the appointment and avoid last-minute stress, here are a few tips to help you prepare:

Know your medical history: Familiarize yourself with your own medical history and your spouse's, as the doctor may ask related questions.
Write down your concerns: Take some time to write down any questions or concerns you have. Having them written down ensures you won't forget to address them during the visit.
Arrive early: Plan to arrive at the doctor's office a little early. This will give you time to complete any necessary paperwork and avoid rushing.
Pack a baby bag: Don't forget to pack a baby bag with essentials such as diapers, a change of clothes, and milk bottles. These items will help keep your baby comfortable during the visit.

Will the doctor provide parenting tips?

Absolutely! Your doctor is a valuable resource when it comes to taking care of your baby. They will offer essential tips, debunk common myths, and address any questions you may have. Here are some topics you can expect to discuss:

Feeding guidance: Your doctor will provide advice on monitoring your baby's feeding schedule. Typically, newborns feed around 8 to 12 times in a 24-hour period.
Bathing and sleeping tips: Your doctor may advise against giving your baby regular baths and share insights on safe sleep practices, including co-sleeping at night.

When to schedule the next appointment:

After the first visit, you'll want to schedule appointments for the following months: 1 month, 2 months, 4 months, 6 months, 9 months, and 12 months. These regular check-ins are crucial for ensuring your baby grows up healthy and happy.

In a nutshell:

To summarize, your baby's first doctor visit is a comprehensive checkup that addresses feeding, weight loss, and potential health concerns. The doctor will provide essential information, and you'll have the opportunity to ask questions related to your baby's well-being. Remember, during this time, new moms are recovering from birth and facing various challenges, so it's important to offer them ample support. You've got this!

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Becoming a parent

Being a new mom changes a lot. You need to take care of yourself. This article talks about why it's important and gives easy tips.

Why taking care of yourself is important

New moms face many challenges. Your body changes, which is physically and emotionally hard. It's tough to exercise and eat healthy. Newborns need a lot of attention, so you don't get much sleep. You might feel moody or anxious. Taking good care of yourself helps manage these feelings.

New parents have lots of duties. Taking care of a baby is a full-time job. Many don't have much support and feel alone. This makes it hard to find time for yourself. It's important to address these problems so you can find out how to care for you, too!

Tips for self-care

1. Get your zzz’s: As a new mom, getting enough rest is crucial. But it can be hard to get sleep with a new baby. Try to take naps when your baby does, or get help at night. Make your sleep space cozy with blackout curtains or a white noise machine.

2. Eat healthy and drink water: Eating well and staying hydrated are key. Focus on a balanced diet with fruits, veggies, whole grains, lean proteins, and healthy fats. Drink plenty of water and other hydrating drinks like coconut water or herbal tea. Plan ahead for meals and snacks. Ask for help if you need it to make sure you eat well.

3. Move your body: Regular exercise can make you feel stronger and more energetic. Ask your doctor before trying any exercise. If it’s a yes, try Prenatal Yoga during pregnancy. Low-impact options like Pilates or Mom & Baby Yoga are great after giving birth.

4. Try to relax: Simple things like deep breathing, guided meditations, yoga, aromatherapy, and warm baths can help. These activities let you unwind and recenter.

5. Ask for support: Joining a new moms group can connect you with others going through similar experiences. Seeking professional help is important if you're dealing with postpartum depression or anxiety. Lean on family and friends for help with chores or baby care. Calling the Pacify app can help too!

Remember, asking for help is not a sign of weakness; it's a key part of taking care of yourself, which helps you care for your baby. So, reach out and make your well-being a priority.

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