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The first few weeks at home with your baby will be both rewarding and
challenging, as you learn more about one another. Give your family time to
get to know its newest member. It usually takes at least three months or so to
get settled. You’ll be creating new routines for your whole family. All of this takes
time, and energy, so it’s no wonder you’ll feel tired at the end of the day. You
may also feel overwhelmed in your new role as a parent. You’ll probably have
lots of questions about your baby and how to care for him. Remember, you’re
not alone. Your baby’s doctor, friends and family, and even baby care books
can help you find the answers you need. When you know more about how to
care for your baby, you can relax and enjoy every minute with him. And you’ll
want to treasure every moment—your baby will never be this tiny again.
Baby talk
Even though it will be some time before you hear your baby’s first words, you’ll still be
amazed at how quickly the two of you learn to communicate with each other. He may
be very tiny, but he can still let you know what he wants and needs. As you watch your
baby’s body language, you’ll see that he’s extremely sensitive to the world around him.
At first, your baby will sleep most of the time. But when he’s awake and alert, he’s ready
to “communicate” with you.
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Baby’s breathing
Your baby’s breathing patterns can change rapidly without warning. To learn what’s
“normal” for your baby, you may want to follow these tips:
• Count how many times he takes a breath each minute.
• Watch his chest as he breathes while resting, playing, crying, and while he’s upset.
This can help you identify his moods.
• Listen to the noises he makes as he breathes.
You can become more familiar with your baby’s
While your baby is
behavior so that it will be easier to recognize when
he’s acting differently. Remember, if you’re ever
tiny, he’s very aware
concerned about his breathing or color,
of his surroundings.
call his doctor right away.
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If nothing seems to work, you may want to just leave your baby alone. Many babies
can’t fall asleep without crying. Your baby won’t cry for long if he’s really tired.
If you’re frustrated because you can’t comfort your baby, try to stay calm. No matter
how angry or impatient you become with your baby’s crying, do not shake your baby.
SHAKING AN INFANT CAN CAUSE BLINDNESS, BRAIN DAMAGE, OR DEATH.
Have a family member or friend give you some relief.
Remember, newborn babies can cry from one to four hours a day as they adjust to life
outside the womb.2 Don’t expect to be able to console your baby every time he cries.
Just do your best, and be sure to enjoy him when he’s in one of his happier moods!
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Corrected age
Normally, a baby’s age is calculated from the day she was born. But for the premature
baby, a corrected age is used to help determine physical, social, and emotional
development. To find your baby’s corrected age, take her actual age and subtract the
number of weeks premature that she was born.
Sight
One of the first skills your baby will have is focusing her eyes on your face, watching the
people near her, and tracking bright objects as they move. At first, she won’t see clearly
at a distance. But as she grows, her ability to focus will improve.
Keep these tips in mind as you encourage your baby’s visual development:
• Hold your baby so your face is six to eight inches from hers. Talk gently to her. When
you know you have her attention, slowly move your head from side to side so she
can follow you with her eyes. She might not be able to track your face across her
nose until she’s a bit older.
• Bright lights can be irritating to babies. Be sure the lights are not shining directly in
her face. Then, hold her in a sitting position while looking at her so she can make
eye contact.
• The first few weeks your baby is home she’ll like simple black and white patterns.
Babies also like mirrors. Seeing herself in the mirror is exciting! Later, show your
baby bright, colorful toys or other objects. Move them slowly before her eyes so she
can learn to follow them.
• Remember, you are your baby’s whole world! Your voice, your smile, and your love
are key to her healthy development.
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Touch
With just the slightest touch, you may be able to turn your fussy baby into a calm,
content baby. Your slow, gentle touches help her feel secure and safe. Be sure to:
• Hold her often. Don’t worry about spoiling her during these early months—
you won’t.
• Watch for her signals. If she wants to be cuddled, she’ll be relaxed and snuggly.
If she seems upset, simply hold her without moving, or lay her down.
• Introduce your baby to lots of different textures—towels, diapers, stuffed animals,
water, your skin—anything that feels good to your baby.
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So, your baby takes three fluid ounces • Constant or inconsolable crying.
of formula at every feeding, then • Unable to wake your baby.
falls off to sleep. You’re wondering if • Consistent feeding refusals.
you should wake him and offer him
• Persistent coughing,
another ounce.
choking, or breathing
The best way to tell if your baby’s problems.
getting enough to eat is to check
• Noticeably fewer wet or
his growth. Your baby should be
soiled diapers.
gaining about an ounce a day in
the first few weeks home from the Understanding your
hospital. His doctor will watch his baby’s bottom line
weight gain carefully during the
You can learn a lot about your
first few months to make sure it’s
baby from what’s in his diaper!
increasing steadily. Also, if your baby
Occasional changes in the
has six or more wet diapers a day, and
color and consistency of your
seems pretty happy between feedings,
baby’s stools are normal.
When your baby he’s probably getting plenty to eat.
Breastfed babies usually have
is finished eating, Your baby may give you signs when
yellow stools. Formula fed
the nipple will fall he’s had enough to eat. He may fall
babies usually have yellow,
out of his mouth and asleep, or close his mouth and turn
brown, or green stools.
his whole body will away from his bottle. He may also bite
Those babies fed Enfamil®
become relaxed. or play with the bottle nipple, or even PREMIUM™ may have softer
fuss if you keep trying to feed him. stools, more like a breastfed
The important thing is to follow baby. But if you have changed
your baby’s lead. He’ll let you know his formula, there may be
how hungry he is and how much he a change in his stool color.
wants to eat. And if you’re feeding your
baby an iron-fortified formula
like Enfamil® EnfaCare®, or
if your baby is taking an iron
supplement, he may be more
likely to have green stools.
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Your baby’s doctor will track your baby’s progress based on necessary exams and
testing, and on the information that you provide about your baby. It’s helpful to have
your questions and concerns ready each time you visit or call your baby’s doctor.
When you visit your baby’s doctor:
• Don’t be afraid to ask questions—there’s no such thing as a silly question.
• Make sure you understand the doctor’s instructions. Your doctor will gladly explain
any information that you don’t understand.
• Tell your baby’s doctor about what’s happening with your baby. Describe her
activities, her attention level, how she sleeps and eats, and her personality.
• Keep all appointments with your baby’s doctor who is the expert when it comes to
your baby’s growth and development. The care your baby receives during these first
few months of life will lay the foundation for later childhood.
How to tell if your baby is sick
Most babies get sick at one time or another. It’s a good idea to know a few warning
signs of sickness. Just because your child has one or more of these signs doesn’t mean
she has a severe illness. But, let your baby’s doctor know if your child has any of these
warning signs that might indicate she’s sick:
• Rectal temperature of 100.4°F or higher.
• Vomiting—not just spitting up.
• Refusal to take feedings.
• No energy.
• Diarrhea, especially if there’s mucus, blood, or an unusually bad smell.
• Hard crying—with no obvious cause.
• Inability to see or hear normally.
• Unusual rash.
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• If the rectal reading is over 100.4°F, • Use a car safety seat without a shield. Shields often are too high and
your child may have a fever.4 too far from the body to fit correctly. A small baby’s face could hit a shield
in a crash.6
Let your baby’s doctor know if she has a
fever so you can receive instructions on • An adult should ride where they can watch your premature baby breathing.
whether you should give your baby any Never place a rear-facing car seat in the front seat with a passenger side
medicines, or other steps you should air bag.
take to reduce the fever. • Talk to your baby’s doctor about ordering a car seat test before discharge
to make sure the semi-reclined position doesn’t cause or add to breathing
problems.
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3. Clandinin MT, Van Aerde JE, Merkel KL, et al. Growth and development of preterm
infants fed infant formulas containing docosahexaenoic acid and arachidonic acid.
J Pediatr. 2005;146:461-468.
4. American Academy of Pediatrics. Shelov SP, Hannemann RE, eds. Caring for Your
Baby and Young Child, Revised Edition: Birth to Age 5. New York: Bantam Books;
2004:448-449.
6. American Academy of Pediatrics. Shelov SP, Hannemann RE, eds. Caring for Your
Baby and Young Child, Revised Edition: Birth to Age 5. New York: Bantam Books;
2004:22.
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