One month handout

Photo by Unsplash by Ferenc Horvath

FEEDING

  •         Feed your baby only when hungry.  Avoid propping the bottle or over-feeding.
  •         Breast milk and iron-fortified formulas are 100% nutrition for babies until 4-6 months of age. Babies don’t need extra water or juice.
  •         Honey should be avoided before one year due to a risk of botulism.
  •         Babies may experience several “growth spurts” and may demand more frequent feeds.  This is normal.
  •         Not all babies stool every day. Some breastfed babies go several days without stooling.  This is normal as long as your baby is feeding normally and stools are soft when passed. Don’t worry.
  •         Continue to give Vit D.
  •         Never shake a baby as this can cause permanent brain damage.
  •         Put your baby to sleep on his BACK. Stomach sleeping increases the risk of SIDS. The crib should only have a tight-fitting bottom sheet, nothing else.
  •         Car seats should always be used and should be rear-facing and in the back seat.

DEVELOPMENT

  •         Babies develop at different rates so comparing your baby to others isn’t always helpful. Discuss with your pediatrician if you have concerns about milestones.
  •         Babies love to hear voices and see faces.
  •         You can start putting her on her stomach SUPERVISED when she is awake to strengthen her arm and neck muscles. This is called “tummy time” and is advised at least an hour a day.
  •         It is normal for babies from 4-8 weeks to cry more as they interact with their environment.

HEALTH

  •         When going outside protect your baby from the sun with a hat or blanket.
  •         Having a baby is a great time to quit smoking. Let us know if you want help quitting.
  •          If your baby has a fever over 100.4 F rectally, feeds poorly, cries unusually, is irritable or lethargic, call immediately.

POST-PARTUM DEPRESSION

  •         Happy moms mean happy babies.  Try to rest and take time for yourself.  Realize you may be tired and overwhelmed – this is normal. Accept help from family members and friends.
  •         Depression is common after childbirth. If you are feeling down let us or your doctor know so we can refer you to help.

BABY SPOTLIGHT – THE CRYING BABY

Between 3-12 weeks most babies have a fussy period every afternoon/evening. This can last 1-4 hours. Babies get over-stimulated throughout the day and then need to settle out before sleeping at night. You can check that the baby isn’t hungry and does not need a change. Then you can briefly hold and re-assure the infant and place it back in the crib. The less stimulation the better. If you continue to stimulate the infant the 1-2hr period can stretch to 4 hours. This stage of development with fussing peaks at 8 wks and is often gone at 12 weeks. No medication or treatment is needed.

Check the basics…

Is the baby hungry?

Does he need to be burped?

Is he too hot/cold?

Is he wet/soiled?

Is he bothered by room noise?

Is he bothered by something painful – eyelash in the eye, hair wrapped around a finger or toe?

If s/he continues to cry….

Try letting him settle in the bed,

changing position, patting him on the back, give soothing encouragement

Let him suck, some may prefer one pacifier over another

Try swaddling

Try a mobile over the bed

Play music

White noise—a sound machine or even just a fan

Cuddle and rock him in a rocking chair or cradle

Walk around the house with a baby carrier or sling

Put him in a swing or vibrating chair

Use a stroller, carriage or buggy even in the house

Go for a walk or a ride in the car

Try resting the baby stomach down on your forearm and gently swaying

If you’re getting too frustrated or stressed  …..ask a friend or relative to help you.

            The world may be over-stimulating to the baby. Sometimes they just need to be left alone.  Swaddle her snugly and leave her in a dark, quiet room for 10-15 minutes. Often she will fall asleep.

CALL THE OFFICE IF YOU ARE CONCERNED THAT YOUR BABY MIGHT BE CRYING BECAUSE SHE IS SICK OR IF YOU ARE AFRAID YOU MIGHT HURT THE BABY IN ANY WAY.

Happiest Baby on the Block by Harvey Karp – A famous book with techniques on soothing fussy babies discusses the 5 S’s: swaddling, stomach or side-laying, shushing, swinging, and sucking. Try 3-5 of these together

Resources

  •         Happiest Baby on the Block by Harvey Karp – A famous book with techniques on soothing fussy babies
  •         La Leche League www.llli.org Breastfeeding
  •         Domestic Violence Hotline 800-799-SAFE (7233)
  •         Food Assistance WIC 1-800-WIC-1007 and SNAP www.mass.gov/snap
  •         CDC Vaccine Page www.cdc.gov/vaccines
  •         Domestic Violence 800-799-SAFE (7233)
  •        www.healthychildren.org Site by pediatricians about variety of health topics
  •         App: Pediatric Symptom MD

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