1 00:00:00,240 --> 00:00:08,440 Speaker 1: Who baby, my baby beloved. I need you, Oh hell, 2 00:00:08,800 --> 00:00:13,800 Speaker 1: I need you. What to Expect is a production of 3 00:00:13,920 --> 00:00:18,040 Speaker 1: I Heart Radio. I'm your host, Heidi Murkop, and I'm 4 00:00:18,079 --> 00:00:20,800 Speaker 1: a mom on a mission, a mission to help you 5 00:00:20,840 --> 00:00:26,599 Speaker 1: know what to expect every step of the way. The 6 00:00:26,720 --> 00:00:31,160 Speaker 1: car seats installed, the crib assembled, the changing table stock, 7 00:00:31,480 --> 00:00:36,320 Speaker 1: the dresser drawers filled with neatly folded onesies and sleepers. 8 00:00:36,800 --> 00:00:40,200 Speaker 1: You've never been so ready to bring home the baby 9 00:00:40,320 --> 00:00:44,279 Speaker 1: you've been waiting nine months to meet, and yet, if 10 00:00:44,320 --> 00:00:48,199 Speaker 1: you're like most new parents, you're so not ready to 11 00:00:49,159 --> 00:00:51,960 Speaker 1: Babies don't come with instructions like cribs and car seats do, 12 00:00:52,120 --> 00:00:55,040 Speaker 1: which leaves first time parents with a whole lot of 13 00:00:55,120 --> 00:00:58,760 Speaker 1: questions and just a tiny bit of trepidation. To go 14 00:00:58,840 --> 00:01:02,160 Speaker 1: along with all that excite meant not to worry, We've 15 00:01:02,240 --> 00:01:06,280 Speaker 1: got you. Today. We're doing a bringing home Baby Basics 16 00:01:06,319 --> 00:01:10,600 Speaker 1: boot camp. Everything you're wondering about and maybe worrying about, 17 00:01:11,000 --> 00:01:13,839 Speaker 1: so you'll be as ready to care for your newborn 18 00:01:14,040 --> 00:01:17,600 Speaker 1: as you are to snuggle her, at least as ready 19 00:01:17,640 --> 00:01:20,400 Speaker 1: as you can be. And to help me do that, 20 00:01:20,680 --> 00:01:25,480 Speaker 1: I've invited Dr Lauren Crosby, who has talked thousands of 21 00:01:25,560 --> 00:01:30,120 Speaker 1: new moms and dads through those first weeks with their newborns. 22 00:01:30,160 --> 00:01:34,039 Speaker 1: She's a spokesperson for the American Academy of Pediatrics and 23 00:01:34,080 --> 00:01:40,639 Speaker 1: a pediatrician here in Los Angeles. Welcome Dr Crosby. Hi, hey, hid, 24 00:01:40,800 --> 00:01:43,319 Speaker 1: thank you for having me. Oh, thank you for being 25 00:01:43,319 --> 00:01:45,920 Speaker 1: on with us and answering all our questions that new 26 00:01:45,959 --> 00:01:48,800 Speaker 1: parents have. And I would say, first of all, what 27 00:01:48,880 --> 00:01:52,560 Speaker 1: are the most common questions you get from parents with 28 00:01:52,600 --> 00:01:56,160 Speaker 1: a brand, brand, brand new baby. If you get calls 29 00:01:56,240 --> 00:02:00,680 Speaker 1: on on day maybe one to three after discharge from 30 00:02:00,680 --> 00:02:04,320 Speaker 1: the hospital, what are they worrying about? So there's actually 31 00:02:04,360 --> 00:02:06,720 Speaker 1: a lot of things that they worry about it, especially 32 00:02:07,080 --> 00:02:09,440 Speaker 1: if it's the first baby. Right, there's a big difference 33 00:02:09,440 --> 00:02:11,600 Speaker 1: when it's your first baby. And as we always say, 34 00:02:11,600 --> 00:02:15,119 Speaker 1: babies don't come with an instruction manual. It's like here, 35 00:02:15,200 --> 00:02:18,799 Speaker 1: it is figured out. So hopefully you've had some time 36 00:02:18,880 --> 00:02:22,520 Speaker 1: to prepare ahead of time and read about things to prepare, 37 00:02:22,840 --> 00:02:25,480 Speaker 1: and um, it does help to to have a place 38 00:02:25,480 --> 00:02:27,360 Speaker 1: where you can look things up and then someone you 39 00:02:27,400 --> 00:02:29,720 Speaker 1: can talk to. So the questions we do get are 40 00:02:30,160 --> 00:02:32,720 Speaker 1: the baby spit up? Is that normal or not? What 41 00:02:32,919 --> 00:02:35,360 Speaker 1: is normal spit up. That's very common. Um. The other 42 00:02:35,400 --> 00:02:38,320 Speaker 1: ones are, my baby's looking yellow? What do I do? 43 00:02:38,600 --> 00:02:41,440 Speaker 1: So we talk a lot about jaundice, is what that is? 44 00:02:41,720 --> 00:02:45,680 Speaker 1: We get the baby won't stop crying, right, or the 45 00:02:45,720 --> 00:02:50,440 Speaker 1: baby has diarrhea, which often is really the normal new 46 00:02:50,440 --> 00:02:53,520 Speaker 1: boring breast milk poop coming and they don't know that 47 00:02:53,520 --> 00:02:57,119 Speaker 1: that's normal. So the poops. Is the baby peeing enough? 48 00:02:57,320 --> 00:03:00,480 Speaker 1: Are they getting enough? Is a huge concern, right, especially 49 00:03:00,480 --> 00:03:02,680 Speaker 1: if you're breast meeting. You can't see what they're getting. 50 00:03:02,960 --> 00:03:05,200 Speaker 1: So we get a lot of those questions cross side 51 00:03:05,760 --> 00:03:08,560 Speaker 1: what's normal? The baby looks crossed, the baby sneezing a lot, 52 00:03:08,639 --> 00:03:10,960 Speaker 1: Does my baby have a cold? So there's a few, 53 00:03:11,040 --> 00:03:13,720 Speaker 1: there's a lot, there's a lot. And I've heard them 54 00:03:13,720 --> 00:03:17,320 Speaker 1: all too, and you get those every day. I've always 55 00:03:17,320 --> 00:03:20,639 Speaker 1: found the and I was among these. I was afraid 56 00:03:20,680 --> 00:03:23,600 Speaker 1: of breaking the baby, right, isn't that one of the 57 00:03:23,639 --> 00:03:28,360 Speaker 1: most common concerns? Yes, I know. So they're certainly not 58 00:03:28,480 --> 00:03:33,200 Speaker 1: as fragile as you imagine, and think and think about 59 00:03:33,240 --> 00:03:37,080 Speaker 1: all the pulling and tugging that went through the delivery 60 00:03:37,120 --> 00:03:40,840 Speaker 1: process to get that baby out, even whether it wasn't 61 00:03:40,840 --> 00:03:44,080 Speaker 1: c section or a vaginal delivery. They're pulling the head 62 00:03:44,160 --> 00:03:46,400 Speaker 1: and the neck, and of course they're well trained, but 63 00:03:46,480 --> 00:03:50,160 Speaker 1: still they go through quite a bit getting smushed coming out. 64 00:03:50,440 --> 00:03:53,240 Speaker 1: So they're not out of made out of thin glass, 65 00:03:53,280 --> 00:03:56,520 Speaker 1: and they're not going to break by you moving their arm. 66 00:03:56,800 --> 00:03:59,320 Speaker 1: I often show parents because even just to put a 67 00:03:59,360 --> 00:04:02,160 Speaker 1: T shirt off or take a T shirt off is 68 00:04:02,200 --> 00:04:05,840 Speaker 1: so stressful on the first for the first time. Sometimes 69 00:04:05,880 --> 00:04:08,000 Speaker 1: I do it when I'm changing the baby at the 70 00:04:08,080 --> 00:04:10,400 Speaker 1: checkup and they're like, can you show me how you 71 00:04:10,440 --> 00:04:12,760 Speaker 1: did that, because they are so afraid to just move 72 00:04:12,800 --> 00:04:15,800 Speaker 1: the arm and pull it through a sleeve. So they're 73 00:04:15,840 --> 00:04:18,360 Speaker 1: not as breakable as you think. That being said, I 74 00:04:18,440 --> 00:04:21,800 Speaker 1: weren't every parent. Do not leave your baby on a 75 00:04:21,880 --> 00:04:24,960 Speaker 1: changing table unattended. Always have at least one hand on 76 00:04:25,000 --> 00:04:27,880 Speaker 1: your baby wherever your baby is, unless they're lying on 77 00:04:27,920 --> 00:04:31,279 Speaker 1: the floor on a blanket. You know, because they do that. 78 00:04:31,440 --> 00:04:33,680 Speaker 1: One second that you turn away is when they do 79 00:04:33,920 --> 00:04:36,680 Speaker 1: end up on the floor. So never on a changing table, 80 00:04:36,800 --> 00:04:39,080 Speaker 1: never on a couch, never on a chair, Never on 81 00:04:39,120 --> 00:04:41,160 Speaker 1: a bed, even in the middle of the bed with 82 00:04:41,240 --> 00:04:43,920 Speaker 1: pillows all around them. None of those things are okay. 83 00:04:43,960 --> 00:04:46,440 Speaker 1: And if you're very tired, we have head Mommies fall 84 00:04:46,480 --> 00:04:49,280 Speaker 1: asleep holding the baby and the baby drops. So you 85 00:04:49,279 --> 00:04:51,120 Speaker 1: always want to make sure that you are in a 86 00:04:51,160 --> 00:04:53,400 Speaker 1: safe place when you are holding that baby, especially if 87 00:04:53,440 --> 00:04:56,240 Speaker 1: you're very sleepy. Think about it. Put the baby safe, 88 00:04:56,400 --> 00:04:59,000 Speaker 1: make sure someone's with you. Yeah. Actually Eric did let 89 00:04:59,160 --> 00:05:02,000 Speaker 1: him a roll off the changing table at three am, 90 00:05:02,040 --> 00:05:06,360 Speaker 1: but otherwise he was amazing, right right, I mean, that's 91 00:05:06,360 --> 00:05:09,120 Speaker 1: the thing. It does happen. It happen, and people will 92 00:05:09,160 --> 00:05:11,520 Speaker 1: call us right away, and that's good. So at least 93 00:05:11,560 --> 00:05:13,640 Speaker 1: if you have somepop, call so you can talk it 94 00:05:13,680 --> 00:05:15,840 Speaker 1: through and decide how bad it is. But try and 95 00:05:15,920 --> 00:05:19,360 Speaker 1: avoid it. Always have your hand on that baby exactly. 96 00:05:19,880 --> 00:05:23,239 Speaker 1: Let's go through some of the most commonly asked questions 97 00:05:23,279 --> 00:05:25,720 Speaker 1: about new baby basics. First of all, logistics, and I 98 00:05:26,279 --> 00:05:28,880 Speaker 1: have to do a public service announcement here, which is, 99 00:05:29,600 --> 00:05:34,160 Speaker 1: don't forget to cover your baby because insurance will cover 100 00:05:34,440 --> 00:05:38,440 Speaker 1: on your plan will cover your newborn at delivery, but 101 00:05:38,600 --> 00:05:41,160 Speaker 1: only up to like thirty or sixty days, and so 102 00:05:41,240 --> 00:05:44,000 Speaker 1: it's super important. It doesn't have to be the first 103 00:05:44,040 --> 00:05:47,200 Speaker 1: call that you make after birth, but you can't forget 104 00:05:47,240 --> 00:05:49,640 Speaker 1: to make the call to make sure your baby is 105 00:05:49,680 --> 00:05:53,880 Speaker 1: covered on your insurance. Planet doesn't happen automatically. I'm glad 106 00:05:53,920 --> 00:05:56,480 Speaker 1: we got that out of the way. That's super important. Though. 107 00:05:56,520 --> 00:05:58,919 Speaker 1: We do have a little banner sign going in our office. 108 00:05:58,960 --> 00:06:01,279 Speaker 1: It says, make sure to add your baby to your insurance. 109 00:06:02,040 --> 00:06:05,200 Speaker 1: It is something that's so easy to forget. It doesn't 110 00:06:05,200 --> 00:06:08,360 Speaker 1: seem as important at the time totally. So does your 111 00:06:08,400 --> 00:06:11,600 Speaker 1: own pediatrician typically see your newborn in the hospital? And 112 00:06:11,600 --> 00:06:14,360 Speaker 1: when would that happen? Typically within the first twenty four 113 00:06:14,360 --> 00:06:17,680 Speaker 1: hours your baby should be seen by a physician. You know, 114 00:06:17,839 --> 00:06:20,680 Speaker 1: more and more there are more physicians that are hospital 115 00:06:20,720 --> 00:06:25,040 Speaker 1: based and office based. Um, we still go to our 116 00:06:25,160 --> 00:06:27,280 Speaker 1: the hospital we that I'm attending that which is Seeter 117 00:06:27,360 --> 00:06:28,920 Speaker 1: s and I in the morning, So we see our 118 00:06:28,960 --> 00:06:30,880 Speaker 1: newborns in the morning before we go to the office, 119 00:06:30,880 --> 00:06:32,839 Speaker 1: and they should be seen in the first twenty four hours. 120 00:06:32,880 --> 00:06:36,120 Speaker 1: What are some of the routine procedures that parents can 121 00:06:36,200 --> 00:06:39,320 Speaker 1: expect in the hospital. Most of the time, when the 122 00:06:39,360 --> 00:06:42,520 Speaker 1: baby's come out, you're gonna get the initial like talk 123 00:06:42,600 --> 00:06:45,160 Speaker 1: about feeding from the doctor, from the nurses to make 124 00:06:45,200 --> 00:06:47,120 Speaker 1: sure that you know what to do. They're gonna talk 125 00:06:47,160 --> 00:06:49,880 Speaker 1: about bathing the baby, which is something that used to 126 00:06:49,920 --> 00:06:52,359 Speaker 1: be done right away, and now it's actually recommended to 127 00:06:52,440 --> 00:06:54,920 Speaker 1: delay the bath even twenty four hours if you can, 128 00:06:55,000 --> 00:06:57,279 Speaker 1: but at least six hours. And so a baby bath, 129 00:06:57,279 --> 00:06:59,479 Speaker 1: are going to get a hearing screen. They're gonna get 130 00:06:59,520 --> 00:07:02,440 Speaker 1: a newborn screening tests, which is a state mandated tests 131 00:07:02,480 --> 00:07:04,719 Speaker 1: for all kinds of what are called inborn errors of 132 00:07:04,800 --> 00:07:07,560 Speaker 1: metabolism or other diseases that you would want to know 133 00:07:07,600 --> 00:07:10,320 Speaker 1: early enough that you could prevent a problem. And they're 134 00:07:10,320 --> 00:07:13,000 Speaker 1: going to have tests for what they call congenital heart disease, 135 00:07:13,000 --> 00:07:15,200 Speaker 1: which is a very simple test to check their oxygen 136 00:07:15,280 --> 00:07:18,520 Speaker 1: levels with a little quick monitor basically an upper body 137 00:07:18,560 --> 00:07:20,960 Speaker 1: and the lower body and blood pressures, so they get 138 00:07:20,960 --> 00:07:23,400 Speaker 1: a whole bunch of little vital science. They check blood sugar, 139 00:07:23,440 --> 00:07:26,280 Speaker 1: if the baby either it seems a little shakier jittery, 140 00:07:26,400 --> 00:07:28,520 Speaker 1: or if the mom had diabetes, or if the baby 141 00:07:28,600 --> 00:07:30,800 Speaker 1: maybe went under stressed. So there's a few things. But 142 00:07:30,800 --> 00:07:33,360 Speaker 1: they should always inform the parent every time something's going 143 00:07:33,400 --> 00:07:35,920 Speaker 1: to be done and why, and ask questions, and there'll 144 00:07:35,960 --> 00:07:40,680 Speaker 1: be a vitamin K shot and be vaccine environment K 145 00:07:40,800 --> 00:07:43,240 Speaker 1: for sure. The hepatitis B is given at most hospitals. 146 00:07:43,520 --> 00:07:46,080 Speaker 1: Some families still prefer to wait and have it done 147 00:07:46,080 --> 00:07:49,280 Speaker 1: at their pediatrician's office. So that does happen sometimes, but 148 00:07:49,320 --> 00:07:51,800 Speaker 1: as long as it gets done, we're good with that. Okay, 149 00:07:51,840 --> 00:07:55,000 Speaker 1: Now you're going to the first pediatrician's appointment and it 150 00:07:55,000 --> 00:07:56,920 Speaker 1: takes you like three hours to get out of the house. 151 00:07:57,040 --> 00:08:00,640 Speaker 1: Right there. What are pediatricians it is going to be 152 00:08:00,840 --> 00:08:04,280 Speaker 1: looking for as they examine you're newborn? The very important 153 00:08:04,280 --> 00:08:06,320 Speaker 1: thing right away is the weight of the baby because 154 00:08:06,360 --> 00:08:08,440 Speaker 1: that's going to give us an indication of their general 155 00:08:08,440 --> 00:08:11,840 Speaker 1: health and hydration status right away, because whether they're on 156 00:08:12,240 --> 00:08:15,280 Speaker 1: formula or are breastfeeding, there is normal weight loss and 157 00:08:15,320 --> 00:08:18,120 Speaker 1: then there is abnormal weight loss. So there's a normal range, 158 00:08:18,160 --> 00:08:19,920 Speaker 1: and we like to calculate and make sure that the 159 00:08:19,920 --> 00:08:22,080 Speaker 1: way is okay for how old they are. And then 160 00:08:22,120 --> 00:08:25,000 Speaker 1: are they pain enough so that'll tell you the hydration status. 161 00:08:25,040 --> 00:08:26,720 Speaker 1: Are they pooping because I could tell you if they 162 00:08:26,760 --> 00:08:29,600 Speaker 1: are getting enough or not so? And what's their color? 163 00:08:29,640 --> 00:08:32,559 Speaker 1: Are they jaundice? Very very common in that first few 164 00:08:32,559 --> 00:08:34,520 Speaker 1: few days or a baby to get a little yellow, 165 00:08:34,720 --> 00:08:36,640 Speaker 1: but are they a lot yellow where you might need 166 00:08:36,679 --> 00:08:40,360 Speaker 1: to intervene with some special light treatment. So there's those 167 00:08:40,400 --> 00:08:42,360 Speaker 1: things are kind of the big things we look for. 168 00:08:42,679 --> 00:08:45,440 Speaker 1: And then we also just do a general physical examination 169 00:08:45,480 --> 00:08:48,280 Speaker 1: because sometimes baby get newborn rashes and so you want 170 00:08:48,280 --> 00:08:50,760 Speaker 1: to know are these normal newborn rashes and then tell 171 00:08:50,800 --> 00:08:53,880 Speaker 1: the parents what to anticipate. And I also always turn 172 00:08:54,000 --> 00:08:56,040 Speaker 1: to the mom and say, and how are you doing? 173 00:08:56,320 --> 00:08:59,200 Speaker 1: And are you drinking your water and your fluids every 174 00:08:59,200 --> 00:09:02,360 Speaker 1: time you nurse? And are you eating protein and oatmeal? 175 00:09:02,400 --> 00:09:04,720 Speaker 1: And you need to sleep when the baby sleeps, And 176 00:09:04,760 --> 00:09:08,000 Speaker 1: I always want to make sure she's okay because it's 177 00:09:08,040 --> 00:09:10,480 Speaker 1: a lot they're still kind of on that adrenaline at 178 00:09:10,520 --> 00:09:14,400 Speaker 1: that first visitor to but that can crash. So you know, 179 00:09:14,800 --> 00:09:18,360 Speaker 1: people can wait, Instagram can wait, and facetimes can wait. 180 00:09:18,520 --> 00:09:22,960 Speaker 1: Get a nap, take a nap? Totally so important. What 181 00:09:22,960 --> 00:09:26,640 Speaker 1: should parents be asking about at that first appointment? And 182 00:09:26,800 --> 00:09:29,880 Speaker 1: you know, I would say, write all of your questions 183 00:09:29,920 --> 00:09:32,000 Speaker 1: down and you will have a lot of them, and 184 00:09:32,240 --> 00:09:35,360 Speaker 1: there's no limit, Like you can ask all the questions 185 00:09:35,360 --> 00:09:38,000 Speaker 1: that I have, but make sure that you have them 186 00:09:38,080 --> 00:09:41,560 Speaker 1: on your phone or easy to reach place because you're 187 00:09:41,600 --> 00:09:47,160 Speaker 1: gonna have a naked, squirmy baby passibly crying, so you 188 00:09:47,160 --> 00:09:49,480 Speaker 1: don't want to forget those questions. Yeah, and I mean 189 00:09:49,559 --> 00:09:51,839 Speaker 1: when we discharge them from the hospital, I give them 190 00:09:51,840 --> 00:09:54,480 Speaker 1: a lot of the things they should expect between that 191 00:09:54,559 --> 00:09:57,120 Speaker 1: discharged day, their first night home, and when they're going 192 00:09:57,160 --> 00:10:00,280 Speaker 1: to come in. So I always talk about, like it's 193 00:10:00,320 --> 00:10:02,480 Speaker 1: normal to sneeze, to pack up, to be a little snorty, 194 00:10:02,559 --> 00:10:04,600 Speaker 1: to breathe a little fast and then slow. That's called 195 00:10:04,640 --> 00:10:07,640 Speaker 1: periodic breathing. And we talk about the diaper care and 196 00:10:07,760 --> 00:10:10,400 Speaker 1: changing and diaper rash and what the poops are gonna do. 197 00:10:10,640 --> 00:10:12,760 Speaker 1: So we kind of give them, but when you do 198 00:10:12,800 --> 00:10:14,840 Speaker 1: it at the hospital, they're not going to remember everything 199 00:10:14,960 --> 00:10:17,040 Speaker 1: all the time. And I say, don't worry if you 200 00:10:17,080 --> 00:10:19,760 Speaker 1: don't remember this, but just keep a list and then 201 00:10:19,760 --> 00:10:21,400 Speaker 1: we go through it again. So a lot of them 202 00:10:21,400 --> 00:10:23,560 Speaker 1: are gonna really want to know if the feeding is 203 00:10:23,600 --> 00:10:26,280 Speaker 1: going okay. That seems to be the biggest one. And 204 00:10:26,320 --> 00:10:29,600 Speaker 1: also visitors, they do ask always and when can I 205 00:10:29,640 --> 00:10:32,880 Speaker 1: take the baby out? You know, yeah, I was actually 206 00:10:32,880 --> 00:10:35,160 Speaker 1: going to ask you about that because new parents are 207 00:10:35,200 --> 00:10:39,600 Speaker 1: always worried about germs, and they should be, but especially now, 208 00:10:39,920 --> 00:10:43,160 Speaker 1: everybody wants to see the new baby. So what do 209 00:10:43,200 --> 00:10:46,800 Speaker 1: you want parents to know about having visitors in the 210 00:10:46,840 --> 00:10:50,559 Speaker 1: first weeks right, So I mean we're really as we are, 211 00:10:50,679 --> 00:10:52,760 Speaker 1: even for those who don't have a newborn, we're trying 212 00:10:52,800 --> 00:10:55,040 Speaker 1: to not mingle with anyone who's not leaving in our house. 213 00:10:55,600 --> 00:10:58,080 Speaker 1: And that's really your safest bet is just to face 214 00:10:58,200 --> 00:11:01,480 Speaker 1: time and even if you have zoom on all day 215 00:11:01,520 --> 00:11:04,280 Speaker 1: while you're changing the baby and feeding and talking to 216 00:11:04,559 --> 00:11:07,560 Speaker 1: your mom or your relative or whatever, unless it's someone 217 00:11:07,600 --> 00:11:11,000 Speaker 1: who maybe did a strict quarantine for two weeks and 218 00:11:11,040 --> 00:11:13,200 Speaker 1: they really didn't go to a market, which still can 219 00:11:13,240 --> 00:11:15,880 Speaker 1: be risky, and didn't eat at a restaurant even if 220 00:11:15,920 --> 00:11:19,360 Speaker 1: they ate outside, and really we're super super super strict. 221 00:11:19,760 --> 00:11:21,960 Speaker 1: Still if they come over, they need to mask and 222 00:11:22,000 --> 00:11:24,560 Speaker 1: they need to stay six feet away. So we always 223 00:11:24,559 --> 00:11:26,560 Speaker 1: are like, don't have a ton of visitors. Nobody's sick. 224 00:11:26,600 --> 00:11:28,520 Speaker 1: Everyone has to wash their hands, make sure they've had 225 00:11:28,520 --> 00:11:30,640 Speaker 1: their flu shot right, make sure they've had their tea, 226 00:11:30,679 --> 00:11:33,920 Speaker 1: DAP vaccine for whooping cop so all of those things 227 00:11:33,920 --> 00:11:36,200 Speaker 1: are important. In those shots take two weeks to work anyway, 228 00:11:36,240 --> 00:11:38,920 Speaker 1: So get those and then quarantine for two weeks technic, 229 00:11:38,920 --> 00:11:41,720 Speaker 1: because you really want to be safe, especially right now 230 00:11:41,760 --> 00:11:46,199 Speaker 1: because of COVID ninety and taking baby out even for walks. 231 00:11:46,280 --> 00:11:48,760 Speaker 1: I mean, you know what, I always say, where your baby, 232 00:11:48,760 --> 00:11:51,880 Speaker 1: because if you're wearing your baby, less exposure to germs, 233 00:11:52,360 --> 00:11:54,760 Speaker 1: and some parents even worry about taking their baby to 234 00:11:54,840 --> 00:11:58,480 Speaker 1: the pedia fish And so usually the first visit is 235 00:11:58,520 --> 00:12:00,400 Speaker 1: to our office and then I say, you know, once 236 00:12:00,440 --> 00:12:03,040 Speaker 1: they're about five days old, it's good for everybody to 237 00:12:03,080 --> 00:12:05,200 Speaker 1: get fresh air right now for a lot of reasons. 238 00:12:05,240 --> 00:12:08,520 Speaker 1: But it's good for mommy to start moving her muscles 239 00:12:08,600 --> 00:12:11,679 Speaker 1: and getting the circulation going, and that can help get 240 00:12:11,760 --> 00:12:14,800 Speaker 1: rid of that extra fluid that's on board and you'll 241 00:12:14,840 --> 00:12:17,800 Speaker 1: feel better. So getting out is good. You can throw 242 00:12:17,920 --> 00:12:20,600 Speaker 1: receiving biket over the baby if they're in the little stroller, 243 00:12:20,920 --> 00:12:22,840 Speaker 1: because you know, you can wear them, and some of 244 00:12:22,840 --> 00:12:24,560 Speaker 1: them are too young to be worn if it's that 245 00:12:24,679 --> 00:12:27,360 Speaker 1: first few weeks because the carriers they have to they 246 00:12:27,360 --> 00:12:30,040 Speaker 1: have weight restrictions and things like that. So it is 247 00:12:30,040 --> 00:12:32,640 Speaker 1: good to get out, to come to our office, you know, 248 00:12:32,800 --> 00:12:36,960 Speaker 1: check the office policies. Pediatricians are so careful always with 249 00:12:37,000 --> 00:12:41,880 Speaker 1: newborns anyway, so we have extra things because of COVID. 250 00:12:41,960 --> 00:12:44,440 Speaker 1: So we have nobody in our waiting room anymore. We 251 00:12:44,640 --> 00:12:47,959 Speaker 1: literally schedule the appointments so you come in, say your name, 252 00:12:48,000 --> 00:12:50,960 Speaker 1: I'm here. We click you in. You're escorted immediately to 253 00:12:51,000 --> 00:12:53,360 Speaker 1: a room after we check your temperature, make sure you 254 00:12:53,400 --> 00:12:55,720 Speaker 1: have the right mask on, and squirt your hands with 255 00:12:55,760 --> 00:12:58,640 Speaker 1: some hand sanitizer. These are the important things to leave 256 00:12:58,679 --> 00:13:01,160 Speaker 1: your house for. Is really key being your baby's vaccines 257 00:13:01,200 --> 00:13:04,040 Speaker 1: up to date, keeping your babies well checkups up to date. 258 00:13:04,120 --> 00:13:06,800 Speaker 1: So that's the one thing I would do, is do 259 00:13:06,960 --> 00:13:27,959 Speaker 1: that if you're going anywhere totally. Okay, let's talk about babies, 260 00:13:28,080 --> 00:13:30,880 Speaker 1: what they look like. And I know babies are always 261 00:13:30,920 --> 00:13:34,679 Speaker 1: beautiful to their parents when we love babies, but they 262 00:13:34,760 --> 00:13:37,679 Speaker 1: don't look the way that they do in commercials or 263 00:13:37,720 --> 00:13:39,880 Speaker 1: in movies, like and what to expect when you're expecting 264 00:13:39,960 --> 00:13:43,439 Speaker 1: movie they use I'm not kidding a three month old 265 00:13:44,080 --> 00:13:46,320 Speaker 1: as the newborn who's supposed to be coming out of 266 00:13:46,360 --> 00:13:50,400 Speaker 1: Cameron Diaz, right and not only three months old and 267 00:13:50,480 --> 00:13:53,480 Speaker 1: beautiful and rounded and you know, super cute. But no 268 00:13:53,679 --> 00:13:59,520 Speaker 1: fluids on this baby, like not completely dry, firstly washed hair, 269 00:14:00,200 --> 00:14:03,640 Speaker 1: um not possible. So let's go over some of the 270 00:14:03,720 --> 00:14:07,240 Speaker 1: things that might surprise a new parent about their baby's appearance. 271 00:14:07,679 --> 00:14:11,280 Speaker 1: The cone head. Okay, tell us about cone head the 272 00:14:11,440 --> 00:14:14,520 Speaker 1: code head, especially vaginal birth, but sometimes you'll have a 273 00:14:14,520 --> 00:14:16,360 Speaker 1: cone head from a C section because they were in 274 00:14:16,360 --> 00:14:18,240 Speaker 1: the canal a long time and didn't get to come out, 275 00:14:18,320 --> 00:14:19,880 Speaker 1: didn't make it out. So you can have a cone 276 00:14:19,920 --> 00:14:22,200 Speaker 1: head either way. But the code heads go down, even 277 00:14:22,200 --> 00:14:25,080 Speaker 1: in twenty four hours. That goes down, the head gets smushed. 278 00:14:25,120 --> 00:14:27,640 Speaker 1: It's meant to be smushed. That's why we have openings 279 00:14:27,640 --> 00:14:29,680 Speaker 1: and joints in the skulls as we call them. So 280 00:14:30,120 --> 00:14:33,800 Speaker 1: it can look quite puffy and bloody and gooey and 281 00:14:34,200 --> 00:14:37,080 Speaker 1: it's normal. So and it gets better fast. All about 282 00:14:37,280 --> 00:14:41,520 Speaker 1: that's one so totally. And the puffy eyes, the swollen eyes. 283 00:14:41,800 --> 00:14:44,280 Speaker 1: Swollen eyes and puffy eyes. And I always say you're 284 00:14:44,320 --> 00:14:48,880 Speaker 1: puffy too to the delivering woman, you're puffy, baby's puffy. 285 00:14:48,920 --> 00:14:51,560 Speaker 1: You both have extra fluid on board. That extra fluid 286 00:14:51,560 --> 00:14:54,120 Speaker 1: on board also helps the baby stay hydrated until your 287 00:14:54,120 --> 00:14:57,160 Speaker 1: milk comes in, so it's not a bad thing, you know, so, 288 00:14:57,280 --> 00:15:01,280 Speaker 1: and it will go down as well yours. So sometimes 289 00:15:01,280 --> 00:15:05,880 Speaker 1: babies have swollen genitals. One of my sons did. We 290 00:15:05,920 --> 00:15:08,960 Speaker 1: were like, whoa, yeah, So it's also part of that 291 00:15:09,080 --> 00:15:11,560 Speaker 1: extra fluid on board. As well as hormones too that 292 00:15:11,640 --> 00:15:14,160 Speaker 1: can do that, especially in the girls, like the labia, 293 00:15:14,440 --> 00:15:17,800 Speaker 1: the clitterest that those areas can definitely be puffy. Also 294 00:15:17,920 --> 00:15:20,560 Speaker 1: hormone effects. Speaking of girls and the hormone effects in 295 00:15:20,560 --> 00:15:23,560 Speaker 1: the vagina, besides normal vaginal mucus that can look kind 296 00:15:23,600 --> 00:15:25,920 Speaker 1: of clear or snotty or milky, it can even look 297 00:15:25,920 --> 00:15:28,400 Speaker 1: a little pink or blood tinge like a period and 298 00:15:28,480 --> 00:15:31,000 Speaker 1: that first week or two and that's normal. So when 299 00:15:31,000 --> 00:15:32,760 Speaker 1: they have a girl, I always warned them about that 300 00:15:32,840 --> 00:15:35,480 Speaker 1: and talk about how to how to change the diaper properly. 301 00:15:35,560 --> 00:15:38,000 Speaker 1: You're like, I'm not ready for the period yet, right, 302 00:15:38,040 --> 00:15:40,760 Speaker 1: And even little boobs, right, we can even show up 303 00:15:40,880 --> 00:15:43,400 Speaker 1: in the first few days. But also from hormones, even 304 00:15:43,400 --> 00:15:46,640 Speaker 1: in boys, they can have a little breasty, firm breast tissue. 305 00:15:47,080 --> 00:15:50,520 Speaker 1: So you mentioned the soft spots that allow a baby's 306 00:15:50,560 --> 00:15:53,960 Speaker 1: head to mold and fit through the birth canal. What 307 00:15:54,160 --> 00:15:57,400 Speaker 1: can you reassure parents about that? Well, so there's there's 308 00:15:57,440 --> 00:16:00,160 Speaker 1: two main ones. The one in the back, which will 309 00:16:00,200 --> 00:16:02,640 Speaker 1: really don't notice because it's pretty small and it closes 310 00:16:02,680 --> 00:16:05,920 Speaker 1: so fast. And then the anterior soft spot called font nail, 311 00:16:06,560 --> 00:16:08,880 Speaker 1: is much bigger, and some babies have one that is 312 00:16:08,920 --> 00:16:11,240 Speaker 1: even bigger than other babies. So if you might see 313 00:16:11,240 --> 00:16:13,200 Speaker 1: your friend's baby has a small one, your said it's 314 00:16:13,200 --> 00:16:15,080 Speaker 1: a bigger one, it's all good. Your doctor will tell 315 00:16:15,080 --> 00:16:17,800 Speaker 1: you they're varying shapes and sizes. But the bottom line 316 00:16:17,800 --> 00:16:20,800 Speaker 1: with that is it's very very thick, thick, dense scalp 317 00:16:21,160 --> 00:16:23,760 Speaker 1: as well as very thick, thick, dense tissue that is 318 00:16:23,760 --> 00:16:26,760 Speaker 1: still covering that brain and keeping the bones together, so 319 00:16:27,120 --> 00:16:29,280 Speaker 1: it's not as fragile as you think. I have had 320 00:16:29,320 --> 00:16:32,480 Speaker 1: people say the sibling hit the baby's head, you know, 321 00:16:33,240 --> 00:16:35,440 Speaker 1: you know, and whacked the soft spot, or by accident, 322 00:16:35,440 --> 00:16:38,360 Speaker 1: I bumped it. I have never ever seen a trauma 323 00:16:38,440 --> 00:16:41,080 Speaker 1: to the soft spot that has been any significance or 324 00:16:41,120 --> 00:16:43,640 Speaker 1: caught of any you know, custom problem. They're built to 325 00:16:43,680 --> 00:16:46,440 Speaker 1: take it. They are built to take it, thank goodness. Yes, 326 00:16:46,560 --> 00:16:48,840 Speaker 1: But when it pulsates, that's something I warn people. You 327 00:16:48,920 --> 00:16:51,320 Speaker 1: might see a little pulsation there, and that's normal too. 328 00:16:52,040 --> 00:16:55,560 Speaker 1: Now what might not be normal, though, is if it's sunken. Yes, 329 00:16:55,640 --> 00:16:58,680 Speaker 1: if it's very sunk and especially consistently, if you see 330 00:16:58,680 --> 00:17:01,400 Speaker 1: it's down and you also have there's signs of dehydration, 331 00:17:01,440 --> 00:17:03,360 Speaker 1: because that's what that could mean So if your baby 332 00:17:03,640 --> 00:17:06,600 Speaker 1: is not urinating at least three times in twenty four hours, 333 00:17:06,680 --> 00:17:08,840 Speaker 1: and the baby's lips are very dry and the skin 334 00:17:08,920 --> 00:17:11,840 Speaker 1: looks extra dry and the fontanel is really sunken in, 335 00:17:11,880 --> 00:17:14,680 Speaker 1: that could be a problem definitely. Now those little hands 336 00:17:14,680 --> 00:17:18,000 Speaker 1: and feet, you've counted all the fingers and toes um, 337 00:17:18,040 --> 00:17:20,720 Speaker 1: but sometimes they look a little bluish or or baby 338 00:17:20,720 --> 00:17:24,200 Speaker 1: skin looks modeled. Do parents need to worry about that now? 339 00:17:24,359 --> 00:17:26,360 Speaker 1: But when they come out, as we know, they can 340 00:17:26,359 --> 00:17:29,600 Speaker 1: be kind of red red red ruddy, or they can 341 00:17:29,640 --> 00:17:33,000 Speaker 1: be reddish purplely and the hands and feet definitely, because 342 00:17:33,000 --> 00:17:36,520 Speaker 1: the circulation is still immature. Often in that first week 343 00:17:36,760 --> 00:17:39,160 Speaker 1: you can definitely see that the body may even be 344 00:17:39,359 --> 00:17:41,439 Speaker 1: more pink, but the hands and feet may on and 345 00:17:41,480 --> 00:17:44,000 Speaker 1: off be a little bit blue, and that is normal. 346 00:17:44,200 --> 00:17:46,879 Speaker 1: There are other things on the body that I always 347 00:17:46,880 --> 00:17:49,320 Speaker 1: show parents during exam. Now they have sort of a 348 00:17:49,359 --> 00:17:54,560 Speaker 1: new name from genital dermal melano cytosis. Especially in certain ethnicities, 349 00:17:54,640 --> 00:17:57,000 Speaker 1: you really will see these sort of they look like bruises, 350 00:17:57,160 --> 00:17:59,359 Speaker 1: especially on the butt or the lower back, but you 351 00:17:59,359 --> 00:18:02,040 Speaker 1: can sometimes plum on an armor lead and so I 352 00:18:02,040 --> 00:18:04,080 Speaker 1: always point them out and go this isn't a bruise. 353 00:18:04,320 --> 00:18:07,840 Speaker 1: This is a type of temporary birthmark seen in certainly 354 00:18:07,880 --> 00:18:10,639 Speaker 1: people who have darker pigmented skin more but not only. 355 00:18:11,080 --> 00:18:13,640 Speaker 1: And it goes away over time and usually totally gone 356 00:18:13,640 --> 00:18:16,480 Speaker 1: by age four, but sometimes four years, but sometimes you 357 00:18:16,520 --> 00:18:20,720 Speaker 1: can see it even a little longer. Lennox had them, 358 00:18:20,040 --> 00:18:24,560 Speaker 1: so thou and they have faded, yes, and those little 359 00:18:24,640 --> 00:18:29,160 Speaker 1: white heads you expect baby skin perfection, but not so 360 00:18:29,240 --> 00:18:32,560 Speaker 1: much you though, those little millia we call them. They're 361 00:18:32,600 --> 00:18:36,159 Speaker 1: so so cute though, and they're also very very temporary, 362 00:18:36,280 --> 00:18:39,640 Speaker 1: and they go away in the first few weeks usually. Um, 363 00:18:39,760 --> 00:18:41,960 Speaker 1: so those are also normal, and we tell people there's 364 00:18:42,000 --> 00:18:44,679 Speaker 1: nothing to put on them or nothing to do exactly. 365 00:18:45,480 --> 00:18:48,000 Speaker 1: One thing you're going to notice about your newborn is 366 00:18:48,040 --> 00:18:51,639 Speaker 1: that the head is so big. The body is so tiny, 367 00:18:51,680 --> 00:18:56,360 Speaker 1: and the head is so disproportionately large. How comparisons make 368 00:18:56,400 --> 00:19:00,560 Speaker 1: sure that they're supporting that head. Well, yeah, and I 369 00:19:00,600 --> 00:19:02,639 Speaker 1: always I try and show them, like even when I 370 00:19:02,680 --> 00:19:04,720 Speaker 1: picked the baby up at the hospital, iously I grabbed 371 00:19:04,720 --> 00:19:07,080 Speaker 1: the head in the butt because those are like then 372 00:19:07,119 --> 00:19:10,160 Speaker 1: you've got that baby and and scoop it up that way, 373 00:19:10,359 --> 00:19:13,399 Speaker 1: but also scooping it up with like a receiving blanket 374 00:19:13,480 --> 00:19:15,400 Speaker 1: over them too, which kind of helps. So the arms 375 00:19:15,400 --> 00:19:18,600 Speaker 1: and lens aren't flailing around. Just hold that head, support 376 00:19:18,680 --> 00:19:20,960 Speaker 1: that head, and you should be fine. Once in a 377 00:19:20,960 --> 00:19:23,199 Speaker 1: while it will get away from you when you're not 378 00:19:23,280 --> 00:19:26,600 Speaker 1: used to it. But I've also not seen any problem 379 00:19:26,680 --> 00:19:29,199 Speaker 1: from once in a while a little extra wiggle of 380 00:19:29,280 --> 00:19:32,960 Speaker 1: that neck or head exactly. And so it does make 381 00:19:32,960 --> 00:19:35,560 Speaker 1: it easier feet swaddle because when they're in the hospital, 382 00:19:35,640 --> 00:19:38,400 Speaker 1: they're in this neat little package you can scoop right up, 383 00:19:38,680 --> 00:19:41,600 Speaker 1: and then you get home and you forget how to swaddle. 384 00:19:41,640 --> 00:19:44,920 Speaker 1: But there's lots of ways to cheat it. So yeah, exactly, 385 00:19:44,920 --> 00:19:46,880 Speaker 1: but yeah, it keeps them secure, it does, and you'll 386 00:19:46,920 --> 00:19:49,200 Speaker 1: just feel better picking them up if they're a little wrapped. 387 00:19:49,960 --> 00:19:53,520 Speaker 1: So we talked a little bit about poop, but never enough, right, 388 00:19:53,760 --> 00:19:58,520 Speaker 1: So can you want because through the first few days 389 00:19:58,560 --> 00:20:02,439 Speaker 1: and weeks of poop go blow by blowout. Literally, I 390 00:20:02,480 --> 00:20:05,200 Speaker 1: was gonna say blowout for sure. I remember that with 391 00:20:05,240 --> 00:20:08,280 Speaker 1: my first Then to like milk came in and I 392 00:20:08,320 --> 00:20:11,360 Speaker 1: took the diaper off and it hit the wall. Right. 393 00:20:12,040 --> 00:20:13,520 Speaker 1: This is why we need to have a sense of 394 00:20:13,600 --> 00:20:16,040 Speaker 1: humor even though we're a little bit tired and stressed 395 00:20:16,040 --> 00:20:18,280 Speaker 1: out with our new babies. It's all you've got to 396 00:20:18,320 --> 00:20:21,040 Speaker 1: have a sense of humor. So the first poops are 397 00:20:21,040 --> 00:20:23,639 Speaker 1: called maconium. You'll hear that word a lot of maconium 398 00:20:23,680 --> 00:20:27,119 Speaker 1: is black, icky, sticky tar that starts for me in utero, 399 00:20:27,200 --> 00:20:31,440 Speaker 1: even at about five months gestation. It's it's desquamated dead 400 00:20:31,520 --> 00:20:34,160 Speaker 1: skins and oils and things that baby has swallowed from 401 00:20:34,160 --> 00:20:36,440 Speaker 1: the amniotic fluid, and so it builds up in there 402 00:20:36,480 --> 00:20:38,719 Speaker 1: and has to make its way out eventually, and it 403 00:20:38,760 --> 00:20:41,359 Speaker 1: does after the baby is born, sometimes a little bit before, 404 00:20:41,400 --> 00:20:44,320 Speaker 1: but that's something else. So after that poop starts to 405 00:20:44,359 --> 00:20:47,240 Speaker 1: come out, comes what's called a transition poop, which is 406 00:20:47,240 --> 00:20:50,040 Speaker 1: when you've been feeding breast milk or formula, depending what 407 00:20:50,119 --> 00:20:52,080 Speaker 1: the baby is getting, the poops are going to change. 408 00:20:52,080 --> 00:20:55,120 Speaker 1: So a little lighter brown than then green and then seedy, 409 00:20:55,200 --> 00:20:57,560 Speaker 1: and then the breast milk poops are I tell people 410 00:20:57,600 --> 00:21:01,520 Speaker 1: it's like water yellow mustardy diary. Yeah, and that's normal. 411 00:21:01,920 --> 00:21:03,920 Speaker 1: And you might have ten a day, eight a day, 412 00:21:04,000 --> 00:21:07,240 Speaker 1: some big, some small, so and they can shoot out 413 00:21:07,280 --> 00:21:09,879 Speaker 1: and you can hear quite the explosion even while feeding. 414 00:21:09,880 --> 00:21:14,000 Speaker 1: You're here and you'll laugh because it's fun and funny, 415 00:21:14,080 --> 00:21:16,160 Speaker 1: and then you'll change and it will happen again after 416 00:21:16,200 --> 00:21:18,879 Speaker 1: you just spend all that time changing your baby and 417 00:21:18,920 --> 00:21:20,960 Speaker 1: getting the taper rush creme on and getting them nice 418 00:21:21,000 --> 00:21:22,440 Speaker 1: and dry, and you put them on the other breath 419 00:21:22,840 --> 00:21:27,080 Speaker 1: and they do another load, so it's all normal. What's 420 00:21:27,119 --> 00:21:30,200 Speaker 1: the minimum poop number for breastfed baby in the first 421 00:21:30,200 --> 00:21:33,000 Speaker 1: few weeks, you know, and it goes up because in 422 00:21:33,040 --> 00:21:34,760 Speaker 1: the first day, we just want one pop in the 423 00:21:34,760 --> 00:21:37,240 Speaker 1: first twenty four hours, and then even if one to two, 424 00:21:37,320 --> 00:21:40,280 Speaker 1: but once the milk's in, if their breastfed, you know, 425 00:21:40,359 --> 00:21:42,640 Speaker 1: we always want at least one a day because sometimes 426 00:21:42,640 --> 00:21:45,879 Speaker 1: it might be a massive, big explosion, and that's fine. 427 00:21:46,160 --> 00:21:48,080 Speaker 1: It's pretty rare that they skip a day in those 428 00:21:48,119 --> 00:21:50,560 Speaker 1: first couple of weeks. A formula fed baby will poop 429 00:21:50,640 --> 00:21:52,800 Speaker 1: usually at least once a day as well. If they 430 00:21:52,840 --> 00:21:57,000 Speaker 1: do skip one day and they're eating fine and feeding fine, 431 00:21:57,040 --> 00:21:59,280 Speaker 1: I'll usually say give it one more day, and usually 432 00:21:59,280 --> 00:22:00,920 Speaker 1: the next day name make up for it, and then 433 00:22:01,000 --> 00:22:05,640 Speaker 1: tons come out. And as long as they're gaining way anyway, peeing, well, yes, 434 00:22:22,880 --> 00:22:26,040 Speaker 1: what about keeping your baby clean like it's not like 435 00:22:26,119 --> 00:22:29,480 Speaker 1: they're getting into a lot of dirt at birth. But 436 00:22:30,200 --> 00:22:33,639 Speaker 1: the umbilical site, how do you clean it? Do you 437 00:22:33,680 --> 00:22:35,560 Speaker 1: need to clean it? How do you keep it dry? 438 00:22:36,359 --> 00:22:38,479 Speaker 1: Usually it comes off by the two week check up 439 00:22:38,600 --> 00:22:40,359 Speaker 1: or is pretty loose at the two week check up. 440 00:22:40,400 --> 00:22:42,480 Speaker 1: It can come off even some babies, it dries up 441 00:22:42,560 --> 00:22:45,240 Speaker 1: very quickly. For five days it falls off um and 442 00:22:45,280 --> 00:22:47,639 Speaker 1: I usually tell parents once that's dry and it's not 443 00:22:47,720 --> 00:22:51,000 Speaker 1: oozygooey and has come off, you can start getting that 444 00:22:51,080 --> 00:22:53,399 Speaker 1: area wet, but until then we keep it dry. We 445 00:22:53,480 --> 00:22:55,720 Speaker 1: found it actually falls off faster if you leave it alone, 446 00:22:56,080 --> 00:22:58,920 Speaker 1: so we fold the diaper down so that it isn't 447 00:22:58,960 --> 00:23:02,480 Speaker 1: rubbing against it causing friction, but accidentally sometimes it does 448 00:23:02,520 --> 00:23:04,520 Speaker 1: and it will dig a little little bit um and 449 00:23:04,560 --> 00:23:06,200 Speaker 1: you might see a little bit of dry blood on 450 00:23:06,240 --> 00:23:09,119 Speaker 1: the baby's clothes, especially as it's starting to loosen, But 451 00:23:09,200 --> 00:23:11,639 Speaker 1: it typically isn't going to be dripping red blood. That 452 00:23:11,680 --> 00:23:14,080 Speaker 1: would be abnormal. So if you see a tiny bit 453 00:23:14,160 --> 00:23:16,919 Speaker 1: and it stops, that's okay. As it's loosening. It might 454 00:23:16,960 --> 00:23:19,679 Speaker 1: even be a little stinky when it's coming off. People 455 00:23:19,720 --> 00:23:21,840 Speaker 1: also you can have a little bit of a smell. 456 00:23:21,880 --> 00:23:24,080 Speaker 1: But to keep it dry and sponge babe the baby 457 00:23:24,160 --> 00:23:26,560 Speaker 1: until that cord is off and it's looking all dried up. 458 00:23:27,400 --> 00:23:31,159 Speaker 1: What about the circumcised penis and the uncircumcised penis. So 459 00:23:31,200 --> 00:23:34,560 Speaker 1: the care for the uncircumcised its super easy because you 460 00:23:34,640 --> 00:23:38,120 Speaker 1: just clean it like gently with your little baby fragrance 461 00:23:38,119 --> 00:23:40,879 Speaker 1: free sensitive baby wipes, get the skin really dry, and 462 00:23:40,920 --> 00:23:43,880 Speaker 1: you're done. The circumcision can take a week to fully heal, 463 00:23:44,359 --> 00:23:47,160 Speaker 1: so I usually tell parents, you know, there's different people 464 00:23:47,280 --> 00:23:49,479 Speaker 1: who care for them different ways. I usually wait for 465 00:23:49,520 --> 00:23:52,640 Speaker 1: that to be submerged. I usually say, once that's all 466 00:23:52,680 --> 00:23:54,919 Speaker 1: healed and the cords off, that's a kind of a 467 00:23:54,920 --> 00:23:57,040 Speaker 1: good time to then start the bath because I have 468 00:23:57,119 --> 00:24:00,240 Speaker 1: found that they worry about getting the circumcision why and 469 00:24:00,240 --> 00:24:02,720 Speaker 1: then by accident I got it too wet or it's 470 00:24:02,760 --> 00:24:04,800 Speaker 1: starting to look weird, or I like them to be 471 00:24:04,880 --> 00:24:07,600 Speaker 1: nice and healed and lots of gauze and basiline until 472 00:24:07,680 --> 00:24:10,399 Speaker 1: it's healed and then you can submerge. Until then, we 473 00:24:10,520 --> 00:24:12,760 Speaker 1: like to kind of just sponge babe. And then the 474 00:24:12,840 --> 00:24:14,679 Speaker 1: parents are like, oh my god, I really have to 475 00:24:14,680 --> 00:24:19,000 Speaker 1: give them an actual back, right, Yes, I know it's 476 00:24:19,040 --> 00:24:25,520 Speaker 1: a two person job. What babies are slippery, slippery. They're slippery, 477 00:24:25,560 --> 00:24:27,960 Speaker 1: so it is good to just put just a very 478 00:24:28,040 --> 00:24:30,640 Speaker 1: little amount of warm water in at first. So as 479 00:24:30,680 --> 00:24:33,280 Speaker 1: you get comfortable, you'll feel comfortable putting more water in. 480 00:24:33,359 --> 00:24:36,040 Speaker 1: But you might be worried about the baby being so slippery. 481 00:24:36,160 --> 00:24:38,080 Speaker 1: So yes, and it's good to have, of course, a 482 00:24:38,600 --> 00:24:43,119 Speaker 1: tub that is already recommended for safety Consumer Product Safety 483 00:24:43,119 --> 00:24:46,480 Speaker 1: Division little bathtubs. Baby can lay back a little bit 484 00:24:46,840 --> 00:24:48,760 Speaker 1: and just always have the hand on the baby right 485 00:24:48,800 --> 00:24:51,040 Speaker 1: touch supervision, we call it. Whether they're swimming or in 486 00:24:51,080 --> 00:24:54,440 Speaker 1: any water, one hand is always holding that baby. So 487 00:24:54,760 --> 00:24:57,760 Speaker 1: what's a quick overview of how many times the day 488 00:24:58,040 --> 00:25:01,600 Speaker 1: a newborn will lead or how often how much time 489 00:25:01,640 --> 00:25:06,399 Speaker 1: between feedings. Typically it's eight to ten feeds per twenty 490 00:25:06,400 --> 00:25:09,720 Speaker 1: four hour period, so it's about every two to three hours, 491 00:25:09,920 --> 00:25:12,400 Speaker 1: and depending how the baby is doing. Sometimes I will 492 00:25:12,480 --> 00:25:14,920 Speaker 1: let the parents after a few days say okay, you 493 00:25:15,000 --> 00:25:18,520 Speaker 1: can have one four hour stretch at night, especially after 494 00:25:18,520 --> 00:25:20,040 Speaker 1: they've come in and I see where they are. But 495 00:25:20,080 --> 00:25:22,840 Speaker 1: if the baby is very jaunda is or the way, 496 00:25:22,840 --> 00:25:25,240 Speaker 1: it isn't where we want it yet. We even tell people, 497 00:25:25,280 --> 00:25:27,240 Speaker 1: please wake up that baby and make sure you get 498 00:25:27,240 --> 00:25:30,320 Speaker 1: in that feed and now something else that babies are 499 00:25:30,359 --> 00:25:34,000 Speaker 1: known for um is crying. How much crime can you 500 00:25:34,040 --> 00:25:37,879 Speaker 1: expect and how much just too much? And just as importantly, 501 00:25:38,119 --> 00:25:41,639 Speaker 1: if a baby doesn't cry, isn't that something to be 502 00:25:41,720 --> 00:25:45,359 Speaker 1: concerned about? Yeah, I mean most babies do cry, but 503 00:25:45,440 --> 00:25:47,760 Speaker 1: they tend to cry for a reason. At least in 504 00:25:47,800 --> 00:25:50,080 Speaker 1: the first two weeks. The calls I get is like, 505 00:25:50,160 --> 00:25:52,080 Speaker 1: it's my first night at home with the baby, and 506 00:25:52,119 --> 00:25:56,320 Speaker 1: the baby won't start crying, So that is ninety plus 507 00:25:56,359 --> 00:25:59,080 Speaker 1: percent of time. They're hungry at the beginning. The milk 508 00:25:59,160 --> 00:26:01,600 Speaker 1: is not in yet, the baby's super, super hungry. And 509 00:26:01,600 --> 00:26:04,119 Speaker 1: then we talked about what they can do. Try everything right. 510 00:26:04,160 --> 00:26:07,200 Speaker 1: You always change them and rock them, bounce them, wash 511 00:26:07,240 --> 00:26:10,000 Speaker 1: your hands up and stuck on your finger, and and 512 00:26:10,160 --> 00:26:13,479 Speaker 1: try burping again, because it's hard to burpet baby if 513 00:26:13,480 --> 00:26:15,280 Speaker 1: you're not used to burping a baby and you don't 514 00:26:15,280 --> 00:26:17,679 Speaker 1: know how and something. It's like different positions. So we 515 00:26:17,800 --> 00:26:21,520 Speaker 1: try everything. And if you've tried everything, they're still fussy, 516 00:26:21,560 --> 00:26:24,200 Speaker 1: and you have a new born, they're probably hungry. So 517 00:26:24,240 --> 00:26:26,600 Speaker 1: then we make a plan for what we should feed 518 00:26:26,600 --> 00:26:29,320 Speaker 1: when and how and how much to just calm them down, 519 00:26:29,680 --> 00:26:33,000 Speaker 1: and and that usually works at the beginning, but we 520 00:26:33,040 --> 00:26:35,160 Speaker 1: also do say just to make sure the baby isn't 521 00:26:35,160 --> 00:26:37,760 Speaker 1: crying because maybe they're coming down something and getting sack. 522 00:26:38,040 --> 00:26:41,160 Speaker 1: I do also tell them take the baby's temperature because 523 00:26:41,160 --> 00:26:42,760 Speaker 1: if it is a hundred point four or more in 524 00:26:42,800 --> 00:26:46,320 Speaker 1: a new born and sending them to the hospital. And parents, 525 00:26:46,520 --> 00:26:50,600 Speaker 1: no matter how many times they're calling, they panic a lot, right, 526 00:26:51,119 --> 00:26:55,000 Speaker 1: And because I know I've been now it's twice, they're 527 00:26:55,000 --> 00:26:57,760 Speaker 1: going to call the pediatrician a lot. And I always 528 00:26:57,880 --> 00:27:00,720 Speaker 1: encourage them to do that, as I'm sure and I 529 00:27:00,760 --> 00:27:03,840 Speaker 1: know you do. When they're worried about something, they should 530 00:27:03,840 --> 00:27:08,200 Speaker 1: call because there's no such thing, wouldn't you say as 531 00:27:08,200 --> 00:27:12,560 Speaker 1: a silly question, correct or concern? And you want parents 532 00:27:12,640 --> 00:27:16,040 Speaker 1: to call when they're worried, Oh, we definitely do. We 533 00:27:16,160 --> 00:27:19,399 Speaker 1: often it's something that to them is super scary, and 534 00:27:19,440 --> 00:27:22,280 Speaker 1: then we can go through and answer questions and go, 535 00:27:22,400 --> 00:27:25,000 Speaker 1: you know what, this is actually totally fine, and you 536 00:27:25,119 --> 00:27:27,880 Speaker 1: don't need to go to the e er or stay 537 00:27:27,960 --> 00:27:30,600 Speaker 1: up all night watching your baby. So it's much better 538 00:27:30,640 --> 00:27:33,200 Speaker 1: to just call and just just take that off of 539 00:27:33,280 --> 00:27:35,400 Speaker 1: your chest and make a plan and figure it out. 540 00:27:35,440 --> 00:27:37,280 Speaker 1: We always right when we know what to expect we 541 00:27:37,359 --> 00:27:42,720 Speaker 1: feel better exactly. Finally, what would your message be too 542 00:27:43,440 --> 00:27:46,840 Speaker 1: soon to be? Our new parents who are heads over 543 00:27:47,119 --> 00:27:50,760 Speaker 1: heels in love with their babies but also feel in 544 00:27:50,920 --> 00:27:56,520 Speaker 1: over their heads, how long does it typically take for 545 00:27:56,640 --> 00:28:02,320 Speaker 1: parents to feel some simple of confidence you know, I'd 546 00:28:02,320 --> 00:28:05,399 Speaker 1: say the first two weeks are really the hardest because 547 00:28:05,440 --> 00:28:09,480 Speaker 1: you're just trying to get the feeding down and getting 548 00:28:09,520 --> 00:28:12,639 Speaker 1: to know your baby. And then I usually find then 549 00:28:13,160 --> 00:28:15,359 Speaker 1: because crying off and does peek at about sixty eight 550 00:28:15,400 --> 00:28:17,520 Speaker 1: weeks old by the time they come for the two months, 551 00:28:17,520 --> 00:28:20,399 Speaker 1: and they're getting nice positive feedback from the baby, and 552 00:28:20,440 --> 00:28:23,040 Speaker 1: the baby smiling and cooing, and you have some really 553 00:28:23,080 --> 00:28:26,920 Speaker 1: good then you kind of feel like, you know it's 554 00:28:26,960 --> 00:28:29,280 Speaker 1: worth it, and I'm getting reward for it, and my 555 00:28:29,400 --> 00:28:31,920 Speaker 1: baby likes me, and you know, it just feels good. 556 00:28:32,240 --> 00:28:34,679 Speaker 1: And then I found it's even for me because I 557 00:28:34,720 --> 00:28:37,600 Speaker 1: had my first one when I was a pediatric resident 558 00:28:37,640 --> 00:28:43,280 Speaker 1: and training. By four months, I definitely felt, uh, you know, 559 00:28:43,600 --> 00:28:46,200 Speaker 1: so it gets better every couple of weeks and chunks 560 00:28:46,240 --> 00:28:48,720 Speaker 1: I feel like and if it doesn't get better, you 561 00:28:49,040 --> 00:28:51,600 Speaker 1: definitely need to check in. We do at the two 562 00:28:51,640 --> 00:28:55,200 Speaker 1: weeks check up. We do a postpartum depression screening questionnaire 563 00:28:55,200 --> 00:28:57,320 Speaker 1: and we have them fill it out and I always 564 00:28:57,320 --> 00:28:59,360 Speaker 1: review it with them and kind of go, okay, how's 565 00:28:59,400 --> 00:29:01,800 Speaker 1: this and what do you think about this? Or compared 566 00:29:01,840 --> 00:29:05,080 Speaker 1: to your last pregnancy? Does this feel worst better? Same 567 00:29:05,160 --> 00:29:07,360 Speaker 1: to you? Know, so we can kind of screen them 568 00:29:07,360 --> 00:29:09,480 Speaker 1: and make sure that they're okay. But a lot of 569 00:29:09,520 --> 00:29:12,720 Speaker 1: the times it's their sleep deprived, and that's a good 570 00:29:12,720 --> 00:29:16,000 Speaker 1: time to just go okay. Here I am now, at 571 00:29:16,040 --> 00:29:18,600 Speaker 1: two weeks old, allowed to do a one bottle of 572 00:29:18,600 --> 00:29:20,520 Speaker 1: a day of pumped milk. So my baby learned how 573 00:29:20,560 --> 00:29:23,480 Speaker 1: to take a bottle. So I will have my partner 574 00:29:23,880 --> 00:29:26,800 Speaker 1: maybe do one night feed and I can get one 575 00:29:27,040 --> 00:29:29,240 Speaker 1: four hours stretch of sleep and you feel like a 576 00:29:29,240 --> 00:29:32,000 Speaker 1: new person. It really makes a big difference. It does 577 00:29:32,160 --> 00:29:35,160 Speaker 1: make a huge difference. Well, I can't thank you enough 578 00:29:35,240 --> 00:29:38,080 Speaker 1: for coming on and walking are soon to be a 579 00:29:38,160 --> 00:29:41,000 Speaker 1: new parents through these first weeks with a new baby. 580 00:29:41,440 --> 00:29:49,880 Speaker 1: Oh my pleasures, baby, my baby love. I need you, 581 00:29:50,240 --> 00:29:56,160 Speaker 1: Oh how I need you. Thanks for listening. Remember I'm 582 00:29:56,200 --> 00:29:59,280 Speaker 1: always here for you. What to expect is always here 583 00:29:59,320 --> 00:30:02,720 Speaker 1: for you. We're all in this together. For more on 584 00:30:02,800 --> 00:30:05,960 Speaker 1: what you heard on today's episode, visit what to Expect 585 00:30:06,000 --> 00:30:09,240 Speaker 1: dot com slash podcast. You can also check out what 586 00:30:09,360 --> 00:30:12,400 Speaker 1: to Expect when You're Expecting, What to Expect the First Year, 587 00:30:12,640 --> 00:30:16,000 Speaker 1: and the What to Expect app. And we want to 588 00:30:16,120 --> 00:30:19,760 Speaker 1: hear from you. Connect with us on our community message 589 00:30:19,760 --> 00:30:22,800 Speaker 1: board or on our social media. You can find me 590 00:30:23,200 --> 00:30:27,000 Speaker 1: at Heidi Murkoff and Emma at Emma Being w t 591 00:30:27,200 --> 00:30:31,640 Speaker 1: E and of course at What to Expect. Baby Love 592 00:30:31,720 --> 00:30:35,240 Speaker 1: is performed by Riley Biterer. What to Expect is a 593 00:30:35,280 --> 00:30:38,680 Speaker 1: production of I Heart Radio. From more shows from I 594 00:30:38,800 --> 00:30:43,080 Speaker 1: Heart Radio, check out the I heart Radio app, Apple Podcasts, 595 00:30:43,280 --> 00:30:48,600 Speaker 1: or wherever you listen to your favorite shows. In my Arms, 596 00:30:48,640 --> 00:30:57,719 Speaker 1: what Don't Just Stay? Nija Nieda Baby, Baby