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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 and ensuring they receive the necessary care for a healthy start in life.

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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 with 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 immediate care needs. 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

A newborn's physical assessment includes 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.

Umbilical Cord

Umbilical cords usually fall off within 1–3 weeks. Unlike a healthy one, an infected one may appear red or swollen and sometimes require medical attention.

Newborn Feeding

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

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Newborn Feeding Schedule

Newborns feed every 2-3 hours, 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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 Bonding moments

Nurture your bond by holding your baby close and using a gentle, loving touch.

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Cozy baby

Always keep your baby warm with 1 to 2 layers of clothes and a covered head.

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Hygiene matters

Make it a habit to practise good hand hygiene before holding your baby to keep them safe.

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Umbilical care 

Keep your umbilical cord stump dry and clean so you heal without any infection.
 

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Feeding routine

Feed your newborn whenever they are hungry, following their natural hunger cues

Feeding Problems in Newborns 

Feeding your baby can sometimes come with challenges, but understanding the underlying problem can help. 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 feeding position for a newborn is where you and your baby are comfortable. Common feeding positions for a newborn baby include:

  • Cradle hold: The baby lies across your chest, with its 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 C-sections.
  • Side-lying position: 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 supporting 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 sleep cycle in the first year and their 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?

Newborns have unpredictable sleep patterns, and several factors can disrupt their rest:

  • Hunger: Babies wake up frequently for feeds, especially in the first few weeks.
  • Discomfort: A wet diaper, gas, reflux, or even feeling too hot or cold can make it hard to sleep.
  • Overstimulation: Bright lights, loud noises, or too much activity before bedtime can prevent relaxation.
  • Short Sleep Cycles: Newborns sleep in shorter bursts and haven’t developed a day-night rhythm yet.
  • Growth Spurts & Sleep Regression: Sudden changes in sleep can occur around 2-6 weeks due to rapid development.

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 replenishment of nutrients lost during childbirth. A good postnatal diet should include iron-rich foods, calcium, proteins, and healthy fats. These nutrients can be found in spinach, lentils, eggs, nuts, and dairy products.

Postnatal Exercise

Gentle postnatal exercises promote healing, strengthen the pelvic floor, and help boost mood. Useful exercises include light walking, pelvic floor exercises like Kegels and gentle stretches. With medical approval, yoga or low-impact aerobics can be introduced after six weeks. These will help you safely regain physical fitness and energy levels.

Newborn Care Essentials

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Your Apollo Specialists Care Team

Discover trusted advice from experts for all stages of your parenting

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FAQs

How often should I feed my newborn?

Newborns should be fed every 2–3 hours or when they show signs of hunger, 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?

If your baby wets 6–8 diapers daily and shows consistent weight gain, it gets enough milk. 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. If it persists, consult your paediatrician.

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.