The first week of having a new baby is full of surprises, but it's important that you know what to expect. In this episode, Dr. Carole Keim MD talks about what she wishes she knew the first week of having a new baby. She walks you through what is normal and what can be scary for a new mom. She also goes into detail on what moms can expect for themselves after welcoming home their adorable little one!Dr. Carole Keim MD covers hormones, postpartum depression and the use of the Edinburgh Postnatal Depression Scale. From the first diaper change, breastfeeding, skin care, right up to your baby's first doctor's visit, there is a lot of information in this episode.  However, you are going to be glad to have it to make that first week less scary. Also, remember that it’s normal to feel a little sad, overwhelmed, and exhausted.At this age, your baby is doing a lot of things that seem scary but are actually normal.Emotions: (00:32)Bonding with babyBaby bluesSigns of postpartum depressionPooping: (01:33)MeconiumTransitional stool colorsSeedy yellow - what are the seeds?Number of poops: 1 in first 48h of life, a few times on days 3-4, then every feed once milk surgesPeeing: (02:35)Brick dust / rusty pipesPee once in the first 24h, 2-4x until milk surges, then by 1 week of age with each feedConcentrated urine x 3 daysNormal peeEating / breastfeeding:  (03:22)Painful x 2 weeksTakes baby 2 weeks to really learn how to do itTongue ties, lip ties, cheek ties - when to fix them, baby has to re-learn how to eatFix if W shaped tongue, can’t stick out tongue past lips, inadequate weight gain. Some people fix due to nipple painSkin:  (07:10)Bath x 9 mos, they’re going to peelCan use aquaphor/vaseline/unscented baby lotionNormal newborn rashDiaper rash: (08:32)Uncommon at first but can happenUse wipes for poop only, not for peeIf baby has a rash, could be irritation from wipes or diaper brandBaby girls vs. boys: (09:11)PseudomensesCircumcision after careIntact careBreathing patterns: (12:03)Fast then slowBelly button care and when it falls off: (12:30)The first two checkups: (13:19)Typically 2-3 days after going home, or DOL 3-5, f/up 1 week (earlier if concern for weight or jaundice)First Hep B vaccine if they didn’t get it in the hospitalCheck weight; often down from BWCheck if mom’s milk is in yet and what color poops are to assess jaundice riskCheck for signs of PPDPE: Look at skin for jaundice, rashes (some normal, some deadly). Heart, lungs, organs, eyes, genitals, sacral dimple, spina bifida, hip clicks, fontanels, sutures mobileNeuro/devel: grasp reflex, rooting/suckling reflex, moro reflex, turns towards parents voice, communicates needs (hungry/wet), fixes briefly on faces, lift head when prone / on parent’s chestAnticipatory guidance: (18:15)Eating - nothing but breast milk or formula for 4-6 monthsMom should eat a wide variety of foods and take PNV while breastfeedingSupplement with 400 IU of vit D daily, or mom can take 6400 IUSleep: back to sleep, nothing else in the crib.  ABC = Alone, on Back, in CribFever and how to take tempJaundice precautions, why jaundice happens, when it’s dangerousNever leave baby on high surfaceRear facing car seat til age 2Avoid secondhand smokeBathing baby - wait til umbilical stump falls off; then once/wkSkin care / peeling skinTummy timeResources discussed in this episode:The Baby Manual - Available on AmazonEdinburgh Postnatal Depression Scale - Downloadable--Dr. Carole Keim MD: linktree | tiktok | instagram Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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