Text Box:

NEWBORN BABIES

Text Box: METROPOLITAN PEDIATRIC GROUP 
704 PALISADE AVE, TEANECK, NJ 07666 201-836-4301
570 PIERMONT RD, CLOSTER, NJ 07624 201-768-8811

Health and Safety Tips for Newborns

-  Sleeping Position:  We recommend that all babies sleep on their backs, to reduce the risk of Sudden Infant Death Syndrome (SIDS).

 

- When traveling in a car, the baby must be positioned into an appropriately sized infant seat securely strapped in the back seat and facing backwards.

 

- A smoke alarm and carbon monoxide detector in the baby’s room is essential. You should inquire about a “tot finder” sticker for the baby’s bedroom window.

 

- Do not put any jewelry around a baby’s neck.

 

- Do not leave an infant unattended with a family dog or cat in the room, and closely supervise toddlers around your newborn baby.

 

- Keep all visiting of relatives and friends to a minimum during the first 6 weeks.  Do not allow people to kiss or handle the young baby if they have a cold, skin rash, or other sign of illness.  Avoid contact with small children except for family members.  Insist that people wash their hands before handling the baby.

 

- Do not feed an infant honey or corn syrup, or add these sweeteners to food or water.  Infant botulism, a neurological disease, has been associated with the use of honey and corn syrup in infants under 1 year of age.

 

-  Contact our office if the baby seems excessively fretful, excessively sleepy, is feeding poorly, or has a temperature greater than 100.4 degrees rectally, especially in the first 6 months of life.

 

- Keep your home and car free of tobacco smoke at all times.

 

Newborn Baby Home Kit

- Normal Saline and Bulb Syringe - for congestion

 

- Digital Rectal Thermometer – the most accurate way to take a baby’s

  temperature.  Call us immediately if the temperature in the first

  6 weeks of life is 100.4o or higher.

 

- Infant Acetaminophen (Tylenol) – for fever or pain

 

- Neosporin, Bacitracin or Polysporin

 

- Balmex or Desitin – for diaper rash

 

- Triple Paste or Butt Paste – for severe diaper rash

 

- Pedialyte

 

- Nail scissors/grooming kit

 

We hope this introduction has been helpful. We want to provide you with the information, guidance and emotional support you will need over the coming years.  Please don't hesitate to call us with questions you may have regarding your newborn baby. For non-emergency calls, please call during our regular business hours.  If your child is ill on a weekend or holiday, there is a doctor on call for phone advice, and office visits are available on an emergency basis.  We look forward to sharing the joy of watching your child grow and to having a long-standing, warm relationship with your family.

 

 

 

Metropolitan Pediatric Group, Pediatricians, Teaneck & Closter, NJ, Bergen Co 

704 Palisade Avenue, Teaneck, NJ 07666 201-836-4301

570 Piermont Road, Closter, NJ 07624 201-768-8811

Congratulations on the birth of your baby.  As your pediatricians, we are dedicated to providing your newborn with outstanding medical care.  Our group offers 24-hour telephone coverage, continuity of care, and physician availability and accessibility.  Nights and weekends are covered by one of the pediatricians from our group.  Our offices in Teaneck and Closter are bright, cheerful and completely child-oriented.  We have admitting privileges at Englewood Hospital, Hackensack University Medical Center, and the Morgan Stanley Children’s Hospital of New York (Columbia-Presbyterian Medical Center).

 

Caring for an infant is a full-time responsibility, but it will be wonderfully rewarding.  Common sense, humor, and patience are needed to get you through the occasional rough times.  We will be available to help out during these difficult times, and look forward to sharing many joyous moments with you.   Regularly scheduled well baby  check-ups are the time to get your routine questions answered.  We will be offering advice on feeding, sleeping and toileting issues, and will evaluate your infant’s growth and development, as well as offering anticipatory guidance.  We encourage new parents to call with questions or concerns that can’t wait until the next check up.

The First Few Weeks

1) Feedings:  For those who are breast feeding, we suggest a modified demand schedule of approximately every 2-3 hours.  Wake the baby during the day to feed if the infant has slept more than 3 hours.  If the baby has nursed well but wants to suck for prolonged periods, you may offer a pacifier.  This will help to satisfy the baby’s “non-nutritive” sucking urges.  Your breasts need time to replenish the milk consumed by your baby.  On the first day, let the baby nurse for 5 minutes on each breast.  Each day, increase by 1-2 minutes on each side until nursing is well established.

 

If you are feeding with formula, an every 3-4 hour schedule is usually effective.  By 2 weeks of age, most infants are taking 2-4 ounces per feeding.  Bottles do not need to be sterilized.  Wash the bottles and nipples in the dishwasher or hand wash with hot, soapy water.  Water does not need to be boiled.  Tap water or bottled water is fine.

 

Please do not heat bottles in the microwave as it can result in “hot spots” and burn the baby’s mouth. Instead, we recommend heating bottles in a bowl of hot water.

 

2)  Stool and Urine:  Breast fed infants tend to have frequent, loose, yellow-green, sweet-smelling bowel movements, often following each nursing.  Formula fed infants may also have loose yellow-green bowel movements, but their stools tend to be a little firmer than those of breast fed infants.

 

The frequency of bowel movements may vary widely.  Some infants have bowel movements with every feeding, and others may go for several days without a movement.  Additionally, it is normal for a baby to pass gas frequently.  Please notify us if there is a significant change in your infant’s routine.

 

You should also watch your baby urinate.  Urination should occur several times a day, should be effortless, and there should be a good stream of urine.

 

3)  Bathing:  Mild soaps (Dove, Basis, Neutrogena, Cetaphil) or liquid baby cleansers are recommended.  You may bathe your baby daily or every other day.  Dry, peeling skin is normal in the first few weeks.  Lotions are not necessary for maintaining a baby’s healthy skin.

 

4)  Cord Care:  The umbilical cord usually falls off after 1-2 weeks of life and the area may remain moist for several more days. Once the area is dry, you may give your baby a regular bath.  Until then, sponge bathing is recommended.  Cleansing the umbilical cord is unnecessary. If the umbilical area remains moist or if there is drainage or a foul smell, please contact the office.

 

5)  Diaper rash preparations:  A & D ointment and Vaseline are effective in preventing diaper rash.  Creams that contain zinc oxide are better for healing when a diaper rash is already present.  The best prevention, however, is frequent diaper changes and not allowing your baby’s skin to be in contact with urine or stool for prolonged periods of time.  Baby powders are not usually needed.  If you do use one, shake it on your hand and then apply to the baby’s skin.  This will prevent the baby from inhaling powder into the lungs where it can be very harmful. Persistent diaper rashes warrant a call to the office and an office visit.

 

6) Boys:  If your baby boy has been circumcised, apply Vaseline or A & D ointment to the circumcised area with every diaper change for 3-5 days.  Occasionally, a collection of yellow serum will accumulate on the healing tissues.  This is normal healing tissue and requires no special treatment.  If your boy is not circumcised, gentle cleansing of the penis and foreskin is all the care that is necessary.  At birth, and for months afterwards, the foreskin is adherent to the head of the penis and cannot be pulled back.

 

7)  Girls:  The external genitalia should be well cleansed at least once daily.  This is usually at the time of bathing.  The labial folds can be gently separated and cleansed with cotton or a soft washcloth.  Wiping should be from front to back.  Normally, white secretions tend to accumulate between the labial folds.  A normal mucousy vaginal discharge mixed with blood often occurs towards the end of the first week.  This “withdrawal period” results from the effect of maternal hormones on the female infant’s uterus.  The bloody discharge lasts only a few hours, does not recur and should not alarm you.  These same female hormones can also cause some temporary breast development in newborns, both girls and boys.

 

8)  Vitamins:  Vitamins will be discussed at your first visit.  There is no fluoride added to New Jersey water, so a fluoride supplement will be started at 6 months of age.

 

9)  Immunizations:  Vaccinations start at 2 months of age and will be discussed at each visit.  You will be given written information on each immunization for you to review.  We strongly believe that a complete immunization program is an essential part of preventive pediatric care.

 

10) Dose Chart: You can use our dose chart to check the proper dose of Tylenol (acetaminophen) or Motrin/Advil (Ibuprofen).