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Getting to know your baby
Your baby in the first month is just adjusting to life outside the womb and your hormones are in a tail spin. This being said, in the first few weeks of life, your sleep (whenever you can get some) is critical. You will need time to get to know your baby, and schedules make this easier to do. With a schedule you are more able to distinguish a baby's reason for crying. Remember as bad as it can get (like feeling like a zombie), each month should get better and better. If each month seems to be getting worse something is not working and you need to really evaluate what you are doing. It only takes a few days to break an old routine or habit and start something new. Babies are quite flexible. Make sure that during the first month to talk to your baby as much as possible. Tell your baby what you are doing: "I am folding your laundry," "I am changing your diaper," or "I am going in the other room for a minute-be right back." The more repetition you use, the sooner your baby will understand what you are saying.

Crying

There will be some unexplained crying during the first month and sometimes into month two. If a baby is still crying after you feed them, this is a good indicator that this is a "fussy time" since most babies are content after a feeding. These times are hard! Usually you know how to comfort your baby and all of a sudden nothing works! As you get to know your baby better, you will learn more ways to comfort them. The good news is that the crying spells usually are few after the first 2 months, unless your baby truly has colic. Other reasons babies cry are if they feel too hot or too cold. Hands and feet will often be cool since that is where temperature escapes. Try feeling the baby's back. The best thing is to dress your baby like you would dress yourself. Your baby may cry when they are over stimulated by TV, music, noise, or visitors. Baby will cry when they want to be held. And of course, they will cry when hungry, tired, need a diaper change, or they are sick. It is OK to let a baby cry for a few minutes a few times a day. This is normal! Remember, the only way a baby can "talk" is by crying, so do not jump every time your baby lets out a wimper.

Attention Span

After the sleepy baby phases during month one, babies seem to have a 20-30 minute attention span in the first 2-3 months of life. After 3 months, attention span can sometimes last for 30-45 minutes. To keep baby stimulated, change their seat, view, or position many times a day.

Below is a short list of ideas on what to do with a baby who is fed:

Bath-Most babies love their bathtime
Books*-Read books or look at pictures - Read in a funny voice!
Boppy-Seat for baby
Bouncy Chair-With buzzer is nice if baby gets fussy
Crib Play *- Lay baby in crib to look at mobile and play
Music Time
-Sing, play music, or dance for baby or while holding baby
Pushing and Scooting *-Place baby on carpet or mat and hold heels and help baby scoot
Sitting Outside-Baby can get sun burned in the shade or just by running your heater a babies cheeks can get red and bumpy since skin is delicate - cover baby up - limit direct sun
Standing Time*-Hold your baby with both hands under your baby's underarms. Baby in up right position for a few minutes and walking around describing what you see
Stuffed Animals-Make them sing, dance, or talk
Swing *-Can make baby go to sleep so may not always be the best choice if baby is already tired.
Tummy Time*-place baby on tummy and watch baby lift head
Talk to Baby-You are the most interesting to your baby - use facial expressions for entertainment
Visitors
-Make dates for friends to come over but always ask if they are healthy - baby needs to be 6 months to get their first flu shot
Walks-Great time for you to return calls on your cell phone and get your exercise too
Put Down for a Nap - Remember babies need lots of sleep
Pace and Hum-When all else fails

*Ideas which will be even better in months 2 and 3

Baby Phases

Infants, toddlers and children go through tons of phases on their way to adulthood. Do not make a big deal out of these or you may actually encourage behavior by giving attention, even though it is negative attention. Kids seem to repeat behavior that they know will get them attention. Newborns are not trying to manipulate you, most crying early on is telling you how they feel inside. Later on, most crying is in response to their environment.

Pacifiers, Thumbs, and Blankets

A baby's need to suck is usually a major issue for parents in the first few months. Although there are a few babies who do not have such a strong need, most do. These infants will either suck their thumb, fingers, or a pacifier. There are pros and cons to both, but one thing I have heard from those who did have a baby who sucked their thumb/fingers, is that it is harder to break the habit since you can not take their hand away. Also, sucking a thumb can lead to buck teeth which braces can correct later. If a pacifier is going to be used, introduce it early and do not limit it for that may extend the habit. Instead give it as often as your baby wants it and s/he will probably get sick of it by 4 to 5 months. At about 5 months, we just took the pacifier away. Our daughter did not miss it but we missed it more since now we had to endure more crying. If you wait to take a pacifier away after a 6 month mark, it may be more of an issues, since baby is more aware. After one year it gets even harder, and often those are the children you see who are 2 or 3 and still have it. So ideally, use it early on and take it away before 6 months.

A recent article I read followed a few hundred babies and also found that pacifier use did NOT effect a baby's ability to breastfeed. But using a bottle can, since bottles make it easier on baby and they do not need to work as hard for the milk. By 6 months, the need to suck decreases so try to wean from pacifier or the habit might continue for another year or two. Try to substitute a blanket or stuffed toy or limit use to bedtime only after 6 months. Often you find your child will get attached to some comforting object. All in all, there is nothing wrong with a pacifier or a blanket. These comfort providers help sensitive babies and are a part of being a baby. If you plan to use a pacifier, introduce it during the first week of life.

Gas and Constipation

Gas is one of the most common causes of waking in babies. Babies often strain and their faces turn red, (more like what you would expect from a bowel movement) when they have gas. Unfortunately, there are not many solutions besides pumping legs, gas drops, or distraction. When choosing gas drops all brands for babies have the same active ingredients so go with the cheapest. When all else fails, their next feeding should help to get their system moving to alleviate most of the gas pain. The superb active ingredient here is liquid. You can also use a water bottle filled with warm water or a microwave gel on your babies tummy to ease the pain. Just make sure it is not too hot.

Constipation is actually rare in newborns. A newborn is only constipated if they pass a hard or formed stool (similar to an adult stool). If occasionally stool is formed, it can mean that when the the time came to pass it, they did not push. Pushing is a learned skill. The result is a dehydrated stool. But it is a "temporary constipation" that needs no treatment. This may happen from time to time and is nothing to worry about. If it happens often, or once solids are introduced, you can give a half ounce of prune or pear juice an hour before the baby has milk. Once your baby starts eating cereal and baby food, constipation is quite common while the body adjusts. If your baby has gone 3 days beyond their usual schedule call your doctor for a treatment plan.

Number of Bowel Movements

Most newborns will have a bowel movement or two each day. In the first few weeks, they could have 4-8 a day! But after a month or so, babies do not need to have a stool every day. As long as they are normal looking stools (green or yellow mess) some babies will go every two to four days. The only color stool you need to be worried about is red, white, black, or mucous streaked. The first week of poops might be black from meconium but if you see black later after the usual yellow or green, talk to your doctor. By 4-6 months your baby should have a BM on most days. To accomplish this give the baby 1 ounce of water or juice in a bottle or sippy cup twice a day between feedings. It really works. It is important at 6 months to introduce the sippy cup and work on getting your baby to take some juice or water from it. Some doctors say if you wait too long to introduce the sippy cup or regular cup your baby my get stuck on a bottle and not progress to the cup by the first b-day. My baby was done with the bottle by 10 months old. We just stopped giving it then and gave the sippy cup.

Tummy Time for Tummy Aches

Many of us have heard about the importance of tummy time in helping baby strengthen the upper body and neck so that rolling and crawling can follow. Since we no longer put a baby to sleep on the stomach, you need to make a conscious effort each day to have some tummy time. If a baby has gas, put them on their stomach, cover them with a light blanket, and you will find this often solves your problem. There are few babies that would rather lay tummy first in the crock of your arm. This helps gas too. Make sure to watch your baby since some babies will start to roll over at as young as 2 months! But most will roll over between 3-7 months.

Baby Acne

The reason that baby acne or newborn acne is such an important issue is that it is very common and it can often be mistaken for an allergy to formula or something in the mother's milk. Baby acne will often appear somewhere around 8 weeks. It looks like adult acne and starts on the face. It then usually moves down the neck and upper back and chest. It lasts on average for about 2-4 weeks, but usually returns later in a less severe form.

Just about the time when your baby is more aware and you are ready to take pictures, it seems to strike. The cause is hormones from the mother from when the baby was in the womb and also hormones passed through breast milk. There is nothing you can or should do about baby acne except just wait. If a "pimple" seems infected (center is yellow) you can put 0.5% hydrocortisone cream on it or some Dr.'s will prescribe a low dose benzyl peroxide. The best thing to do is to leave it alone altogether. The reason you will know that it is not an allergic reaction is it will not spread to the lower stomach, lower back, or legs. Whereas an allergic reaction would be all over the body and would look less like pimples and more like a rash. If your baby is having a reaction to a type of food, it could surface in various ways. Most parents look for a rash but it might be cause gas, diarrhea, vomiting, or puffy eyes. The main thing is to look for something that is out of the ordinary. If you observe a reaction report it to your doctor as soon as you can.

Diapers

Here is a big secret……buy which ever diapers are on sale to see which ones you like. Then use 2 to 3 brands and rotate with each change so diaper does not rub the same area and cause irritation. I actually like some of the bargain brands better. Also, many books I have read said to try not to change your baby's diapers in the middle of the night. I found that when I did, even if my daughter was crying, once I placed her back in the crib, she would fall asleep after a few minutes.

For a baby with a diaper rash, changing the diaper more often is important. When using diaper rash ointment/cream, make sure you dry your baby after using a baby wipe. If your baby is damp and you put ointment/cream on them, it locks moisture in, (opposite of what you want) and makes the problem worse. When changing a diaper try to leave the diaper off while you talk to your baby for a few minutes on changing table. This airing out each day is good for the diaper area. Baby will occasionally wet while their diaper is off so make sure you have a few waterproof pads. When pad is wet, fold it in half and in half again with wetness inside. This can go in hamper for a few days with no smell or stain. Speaking of stains, any diaper leaks (#1 or 2) clean ASAP with cold water only. Than wash with next load - do not need to wash right away but cold water spot clean as soon as possible.

Bath Time in the Early Days

The first bath or two can be a shock to a baby. Usually after that, most babies love their bath. If the baby is crying, try not to get tense and rush. Your baby will pick up on this. Instead stay calm and take your time even if the baby is crying. Your baby looks to you for how they should act. So always take your time and smile. My daughter cried during her first bath only and has never cried since. Make sure to take a small towel, like a gym towel, and fold it down and down again. It ends up the size of a newborn and can be placed in the baby tub under your baby so they do not slip down. The first few baths are important in setting the stage for the later enjoyment of bath time. Clean entire body with wash cloth and baby soap. The only thing that should be used for the face is a cotton ball with warm water. Start with the eyes and make sure to end with the neck area where folds of fat are common. Baths are a great precursor to a good nights sleep.

Red Cheeks but no Fever?

Your baby's skin is so sensitive they can and do get burned in the shade during the first 6 months of life. Often a new baby will have red cheeks from the heater or even from very minimum sun exposure. If they are acting fine in every other way expect for red cheeks and dry skin, it is most likely nothing to worry about. Red cheeks can also be a sign of teething which usually starts after 6 months old.
To help with this, put either baby cream on face 3 times a day or aloe vera to help clear it.

Selecting and Preparing Formula

I lasted one month with breastfeeding before choosing to transition to formula. When choosing a formula there were so many choices (choose a formula with iron). After testing formulas, I found that most taste the same. But the main differences I found were in preparation time and consistency. Some did not blend well with water so the shaking method did not work and instead I had to stir vigorously to get the lumps out. Finally, I would transfer milk to vented/slanted bottle to reduce air bubbles.

Some formulas were very sticky which makes for sticky spit-up and sticky spills. Use cold water and baking soda mixture to clean spit-up so it does not smell. Also, some brands had a scooper that was larger than other brands so that less formula was made from each container. This is less cost effective.

When you are changing formulas for the many reasons people do change formulas, do it slowly so it is easy on your baby's system. Reactions can be hard to spot since babies have other skin disturbances in the first few months.

Burping and Spitting up

Small babies do best when fed sitting up with their legs between your legs facing either right or left. To burp just hold baby in a seated position. Do not burp a baby over the shoulder since the movement will cause more spit up and you can not see what they are doing if they are over your shoulder. Pat back between shoulder blades if you need to but most babies will burp if you just sit them up with there jaw bone resting between your thumb and pointer finger. If a baby spits up more than a few teaspoons of liquid, you may be over feeding them. Most babies will spit up a little bit on each feeding. Spitting up can last until a child is 2 years old but usually ends before that. My baby stopped spitting-up at about 5 months. If spit-up is more like water, it just means the milk has been digested. This is nothing to worry about.

Choosing Nipples

Use a smaller hole to go slower (if baby is eating too fast and spitting up a lot), and larger hole or faster flow (for a baby who is too tired to suck). I occasionally will even switch nipples depending on the time of day. Faster flow gives more air and that could mean more gas. That is why many nipples at stage 2 flow will say 6+ months, since by 6 months gas will usually decrease after adjusting to solids. Sometimes in the evening a baby is so tired that sucking is a challenge. You might start with a slow flow (stage 1) and end with faster flow (stage 2). This can be done on occasion.

Most bottle fed babies take 20-40 minutes to finish a bottle. If it takes longer, change to a number 2 flow nipple. If your baby gulps down their meal in less than 10 minutes, consider switching back to a number 1 flow nipple. Also nipples only last a month or two especially if you are boiling and sterilizing them. Make sure to check them periodically by sucking on them yourself to check the flow. Read directions on all bottles and nipples since some can not be used in a bottle warmer or sterilizer.

Hiccups

Babies get the hiccups often! Sometimes they last for more than an hour. It really bothers parents more than the child but still you want to know what you can do. Right? I have found by feeding your baby a bottle of milk or water hiccups go away. I also found by letting my baby cry a bit, hiccups would sometimes resolve themselves as well since crying gives you more air. You can actually continue doing whatever you were doing before hiccups hit. Ignore them after you have given a drink and let baby cry if needed for a few minutes. They are more of a nuisance to you then they are to your baby.

Reading Books

Although reading to a small infant is not as exciting as reading to a small child who has more understanding and interest, it is a way to start the love for books. By 5 months your baby will be laughing with you as you read a book. The most you can do for your child is read one book a day which will only take you 5-10 minutes. This will give your child a jump start on their education and academics. They are hearing the sounds and registering them. Babies also find a lot of enjoyment looking at pictures and listening to the change of tones in your voice. In the end, that story each day will be another indicator for the love and caring you have for your baby and/or child.

Rattles and Toys

As early as one to two months you can help your baby hold a rattle. If you do it each day, by four to five months they will hold it for an extended period of time on their own. I always thought kids had too many toys. Now I know why toys are so great. They entertain children so you can get some work done. When I placed a toy with many activities that hangs off the side of the railing in my baby's crib, I found I could leave her in there for an hour while I did things around the house. The same goes for the mat toys where baby lays on the floor and looks up at hanging fish or shapes. These toys are great to introduce a bit of independence into your baby's day and help you get a break. Many toy manufacturers seem to ignore the sound decibel level limits and make electronic toys too loud. To solve this problem find the speaker on the toy and put tape over it, if baby is not at the age to pull tape off and eat it.

TV and Videos

Television can over stimulate a baby and make them more fussy. They are visually taking it all in and then when you want them to be satisfied sitting outside and looking at the flowers, it is harder to entertain them. I admit I love Sesame Street and Mister Rogers for babies and toddlers but keep it to a minimum.
Try to limit TV to 30 minutes. Do not just turn on cartoon network, but instead shoot for educational type programs you have on DVD or VHS. Exposing baby to commercials on TV is setting the stage for a toddler who is dependent on TV and has a hard time being imaginative. Studies also show it influences how they think and what they eat. Commercials for junk food are common on TV.

Showering when you have a New Baby

A bath might work better since you can put the baby in the bathroom next to you in a bouncy chair and if he/she gets fussy, use a pacifier or buzzer to help calm your baby. A shower in the first 3 months is harder to accomplish than a bath if you are alone with your baby. After 3 months a shower is no longer an issue since most babies by then will entertain themselves for longer periods.

Massage

For a baby massage, you can get creative and experiment with what your baby likes. One way to massage your baby is after a bath while putting lotion on if the weather is warm enough. Another way is when baby is dressed laying on their back take both your hands (one on each side) under the back with thumbs in front and use an upward motion to gently massage your baby. You can also help your baby stretch their arms and legs.

Relationship Problems due to differing ideas on how to care for your baby

It may be even harder for career couples vs. traditional couples due to the attempt at a 50/50 split. In traditional couples since the women would tend to most baby and household chores, at least the couples accept this arrangement and know who does what. Whereas in the career couple, lines are fuzzy between what really is 50/50 and not mapping out specifics can cause quiet resentment.

Also, another issue is your spouse and you may quickly realize you have different views on certain issues that you had never even thought of, or knew would exist. It is important to let go of some control since if you do not, you will have constant battles. Many women and some men will criticize their spouse's or partner's way of doing things or always "redoing" things. This can actually cause your spouse to start lacking confidence which then causes them to help less. Make suggestions calmly such as "You might want to put the baby in long sleeves today since it is supposed to rain" or sometimes it is just best to have your spouse learn the consequences without your input as long as it does not jeopardize the baby's health or safety.

In a recent article, I read it stated that in a long term survey of many couples, almost 70% had conflict, hostility, and alienation after having a baby, which this article states "starts many couples down the road to divorce". It went on to say 50-80% of mothers suffer from depression and 30% of men suffer as well. Mothers were also the first to experience a "drop in relationship satisfaction". It also stated that 35% of couples will divorce 5 years after a baby in the US alone. Finally, the article stated that depending on how well you get along and communicate with your spouse before your baby arrives will predict how much a baby cries, smiles, likes dad, and can self soothe. My solution to relationship strain in the first few months was making sure to get a baby-sitter or family member to watch my baby at least once a week. This will make a big difference so you do not neglect your relationship with your partner.

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