Neonatal care is very important as a lot of newborns suffer from several issues in this critical age. The mother's health, consciousness, education, and mothering abilities all play a role in the health and wellbeing of the newborn child. Dr. Sindhura Munukuntla, Consultant Paediatrician, Yashoda Hospitals, Hyderabad talks about numerous newborn issues that are common and how to prevent them.
Routine care includes exposure to air and help the cord dry.It usually separates within a week after birth. If delayed it should be discussed with your pediatrician as it may be due to immunodeficiency or infection.
In the womb fetus is under the influence of mother’s hormones. After delivery due to withdrawal of these hormones newborns may have vaginal discharge,bleeding from vagina,swelling of breast ,milk production from their breast.New parents need not worry about these symptoms as they are temporary and no active interventions are required.
Physiological jaundice is common in newborn and is harmless. When a newborn has yellowish discoloration of skin and eyes, newborn should be taken to your pediatrician to see whether jaundice is normal or abnormal.Keeping newborn baby in Sun is not recommended as it is not effective in reducing jaundice and baby has risk of having dehydration and sunburn.
Any fever (temp >100.4F) in newborn is abnormal.If newborn has fever,baby should be immediately reviewed with your pediatrician as the newborn has less immunity and the infection can easily spread to important organs like brain and cause risk to baby’s life.
Hiccups, Sneezing And Yawning
These physiological body responses are normal for healthy newborn babies.New parents should see the presence of these as positive attributes of healthy baby rather than worrying.
Eyes should be cleaned daily with sterile cotton swabs soaked in sterile water using one swab for each eye.The practice of applying kajal in the eyes is not recommended because it may transmit infection and may also cause lead poisoning in newborn.
These are the teeth which are erupted at birth.Usually lower jaw teeth. These teeth at birth has to be removed by your doctor if loose as it may cause problems in breast feeding and also risk of aspiration if they dislodge.
As their nasal airways are very small, newborns are more prone to nasal obstruction, especially at night. New parents should rest confident that the nasal blockage is typical if it does not interfere with the baby's ability to feed and the infant is otherwise healthy.
These are clear blisters seen on lips,fingers,hand or wrist. It is caused because of friction due to repeated sucking.It usually resolves spontaneously.
Its normal for baby to be tense,angry,red faced while crying and draw up legs and hands with tense abdomen.Reason for crying can be simple issues like hunger,soiled diaper,too hot or too cold environment,tired,overstimulated or serious issues like infection etc.
Sudden unexplained inconsolable crying usually lasting for 1-2 hours. When a baby is sobbing intermittently but generally acting normally, parents should feel comforted. After excluding medical causes,during episodes baby should be held and soothed,prone across lap and rub back,swaddle.Cycling movements of the legs and gentle massage by mother may soothe baby.
Also known as Nappy Rash is due to exposure of the newborn to urine and stools. This can be prevented by frequent diaper changes,exposure of diaper region to allow drying and if severe application of creams containing zinc oxide.
Common Queries By Parents
Can I Feed Water To My Baby?
No. Baby should be exclusively breast fed for first 6 months including summer season.Breast milk is sufficient to meet the hunger and thirst needs of baby for first 6 months.
My baby doesn’t burp easily and how long to burp?
Baby’s should be burped after feed to remove the swallowed air during feeding.It is unnecessary to persist burping if baby doesn’t burp after a 20 minutes.
Is My Babies Weight Gain Adequate?
Newborn babies lose 6-10% of birth weight in initial days and regain birth weight by 10 days of life.By 1 month they approximately gain 1 kg and subsequently 20gm per day till 5 months and 15gm/day from 5 to 12 months.Babies usually double weight by 4-5 months and triple birth weight by 1 year.
Why My Baby Passing Green Stools?
During first 48 hours baby passes sticky thick dark green or black stools called meconium. With onset of feeding stools gradually change colour to yellow and becomes softer.
Infrequent stools is not a sign of constipation as long as stools are soft ,baby feeding well and gaining weight.
Mother is the best doctor for her baby. She has the advantages of instinct,concern and interest to take care of her baby.Early involvement of the mother in taking care of her baby is the best way to promote breastfeeding.As the mother constantly and closely watches her baby she can identify even minor issues with her baby,there by getting the best for her baby.
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