First Few Days After Birth
Mother and baby typically spend a day or two in the hospital
during which time new parents are taught to feed, bathe, and dress the baby and
become familiar with the baby's activities, cues, and sounds.
Before being discharged from the hospital, parents are
taught about routine aspects of care regarding the umbilical cord,
circumcision, skin, urine and bowel movements, and weight.
Umbilical cord
The plastic cord clamp on the umbilical cord is removed
within 24 hours after birth. The stump should be kept clean and dry. Doctors no
longer recommend applying alcohol or other antiseptic solutions to the stump.
The stump falls off on its own in a week or two. Rarely, the umbilical cord can
become infected, so any signs of redness, swelling or discharge should be
checked by the doctor.
Circumcision
Circumcision, if desired, usually is done within the first
few days of life, often before the newborn is discharged. The decision about
having a newborn circumcised usually depends on the parents' religious beliefs
or personal preferences. The main medical reason for circumcision is to remove
an unusually tight foreskin that is obstructing the flow of urine. Although
circumcised males also have a lower risk of cancer of the penis and urinary
tract infections, these risks can be minimized with proper hygiene.
About 2 to 20 boys per 1,000 have some complication, usually
minor bleeding or local infection. However, serious infection, scarring, and,
very rarely, accidental amputation of the penis tip can occur. Some uncircumcised
males require a circumcision later in life.
Circumcision should not be done if the boy has not urinated
or has a bleeding disorder or if the penis is abnormal in any way, because the
foreskin may be used for any plastic surgical repair that may be needed later.
Circumcision must be delayed if, during the pregnancy, the mother had been
taking drugs that increase the risk of bleeding, such as anticoagulants or
aspirin. The doctor waits until all such drugs have been eliminated from the
newborn's system.
Skin
Most newborns have a mild rash sometime during the first
week after birth. The rash usually appears in areas of the body rubbed by
clothing—the arms, legs, and back—and rarely on the face. It tends to disappear
without treatment. Applying lotions or powders, using perfumed soaps, and
putting plastic pants over the diapers are likely to make the rash worse,
especially in hot weather. Dryness and some skin peeling often occur after a
few days, especially in the creases at the wrists and ankles.
Newborns who are otherwise normal may develop a yellow color
to their skin ( jaundice) after the first day. Jaundice occurs because the
newborn's liver needs to shift from functioning inside the womb to functioning
outside the womb. However, jaundice that appears before 24 hours of age is of
particular concern and may indicate more serious problems. If the newborn
develops jaundice, the doctors usually do a blood test to measure the level of
bilirubin, which is the main pigment in bile. If the level of bilirubin is
above a certain number, treatment with phototherapy, in which the newborn is
placed without clothes under special lights ( "bili" lights), is
begun. The lights may be needed for 2 days to a week.
Phototherapy or "Bili Lights"
bili-lights-2-cochran-high
Bili lights are a type of light therapy (phototherapy) that
is used to treat jaundice in newborns. Jaundice is a yellow coloring of the
skin and whites of the eyes that is caused by too much of a yellow substance called
bilirubin. Blue light shined on the skin helps break down bilirubin, and most
doctors use special commercial phototherapy units.
Urine and bowel movements
In the first 2 days, urine produced by a newborn is concentrated
and often contains chemicals called urates, which can turn the diaper orange or
pink. If a newborn does not urinate within the first 24 hours of life, the
doctor tries to find out why. A delay in starting to urinate is more common
among boys.
The first bowel movement is a sticky greenish black
substance called meconium. Every baby should pass meconium within the first 24
hours after birth. If a baby does not do so, the doctor may do tests to
determine whether there is a problem. Occasionally, for instance, a birth
defect may cause a blockage of the intestines.
Weight
Most newborns lose 5 to 7% of their birth weight during the
first few days of life, mostly because fluid is lost in urine and also because
meconium is passed. Newborns return to their birth weight in about 2 weeks if
they are breastfed and in about 10 days if formula-fed. After that, they should
gain about 20 to 30 grams (1 ounce) each day for the first few months. Infants
should weigh twice their birth weight by about 5 months of age.
Discharge From the Hospital
In the United States, infants are commonly discharged from
the hospital within 24 to 48 hours. Infants who are discharged within 48 hours
should have a check up with a doctor 2 to 3 days later (see Preventive Health
Care Visits in Children). Infants who are discharged after 48 hours have a
check up at 2 weeks of age or sooner if they have any specific problems (such
as poor feeding, constipation, diarrhea, or jaundice).
A pediatrician typically discharges infants from the hospital.
Before the infant is discharged, parents are given specific information
regarding when to call the pediatrician's office. For example, parents should
immediately call the pediatrician if their infant has fever (temperature should
be taken rectally), respiratory distress, loss of appetite, bilious vomiting
(vomiting greenish yellow material), or a blue discoloration of the skin (
cyanosis).
Once home, having a new baby in a household requires a great deal of adjustment for all involved. For a household that has had no children, changes in lifestyle may be dramatic. When other children are present, jealousy can be a problem. Preparing other children for the new baby and being careful to pay attention to them and include them in caring for the baby can ease the transition. Pets may also need some extra attention to help them adjust to the baby. In some cases, keeping pets away from the baby may be necessary.
- CORONA VIRUS
- MONKEY POX
- VAGINAL DRYNESS
- FIBROID
- INFERTILITY
- OVULATION CYCLE
- OVARIAN CANCER
- VAGINAL BACTERIA
- MALE INFERTILITY
- BEST DAYS OF CONCIEVING
- MUCUS AFTER OVULATION
- FOODS FOR ERECTILE FUNCTIONS
- PREGNANCY ANEMIA
- DO AND DONT DURING PREGNANCY
- ERECTILE DYSFUNCTION
- U.T.I IN PREGNANCY
- STROKE RISK
- EAT THIS NOT THAT
- HOOKWORMS INFECTION
- OMEGA 3 BENEFITS
- FASTING
- WEIGHT LOSS TIPS
- vitiligo
- ABORTION
- DENGUE VIRUS
- EBORA VIRUS
- FEVER
- URINARY TRACT INFECTION
- HOSPITAL INFECTIONS
- WEST NILE VIRUS
- YELLOW FEVER
- EYE DISEASE
- ZIKA VIRUS
- STRESS
- IRON DEFFICIENCE
- INSOMNIA (SLEEPING PROBLEMS)
- HEART PROBLEMS
- COMPONENTS OF BLOOD
- BLOOD DISORDER
- LABORATORY TEST OF BLOOD DISORDER
- BONE MARROW EXAMINATION
- BLOOD ANEMIA
- ANIMAL BITES
- EYE BURN
- CHOCKING
- HEAT STROKE
- SMOKE EFFECTS
- SNAKE BITE
- MALARIA VACCINE
- BEST WAY TO SLEEP A CHILD
- CHILD FEVER REDUCING
- ELEPHANTIASIS
- WOMEN BEARDS
- DATES
- PAPAYA FRUITS
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