INTRODUCTIONS

KEEPING YOUR BABY SAFE P. 85-87

FREE CAR SEAT CHECK 682-885-2634

Carseat Inspection safercar.gov

Check for safe positioning
 Adjust Buckling
 At/below shoulder level
 Pinch test,
 Clip at nipple line
 Maintain a good airway
 No extras-toys, mirrors
 Rearward facing for first 2
years
 Avoid bulky clothing
 Place rolled blankets along
sides of baby for positioning.
 LOOK before you LOCK.
NOT EVERY BABY NEEDS TOOLS…….
GETTING ACQUAINTED

Support the head, neck, and spine

CROSS CRADLE HOLD P. 63
GOOD FIRST HOLD - YOU CAN SEE A GOOD LATCH
 FOOTBALL HOLD P. 63
GOOD FOR CESAREAN DELIVERY- CHECK ALIGNMENT
 CRADLE HOLD P. 63
ONCE LATCH IS ESTABLISHED
BABY HAS GOOD HEAD AND NECK CONTROL
LAID BACK HOLD P. 63
GRAVITY HELPS CONTROL THE FLOW
SIDE-LYING HOLD P. 63
SUPPORT THE BABY’S BACK
PARTNERS…..ALERT!!!!
PASS YOUR BABY CAREFULLY
WHAT’S WRONG WITH THIS PICTURE?
CLOSE AND CAREFULLY

Always wash hands

Use burp cloths
Keep baby close,
never extend a baby
towards a person
Partner: “I’ve got
her/him.”
 SOOTHING HOLDS

BABY YOGA HOLD

MAGIC FOR GASSY BABIES
MELTING BABY HOLD

TUMMY PRESSURE HOLD

YOUR BABY’S CARE AT BIRTH P. 15-30
HOW MUCH SENSORY INPUT? P. 46

SIGHTS AND SOUNDS CAN BE SOOTHING

OR OVERWHELMING
 CRYING CURVE
In their first months of life,
infants often cry for no apparent reason.
MORE SOOTHING TIPS P. 47

Sleep Sack vs Swaddling

Side-lying
• Melting Baby,
Shh-ing
• White noise, music, singing
Swinging
• Jiggling, birthing ball bounce
Sucking
• Feeding, pacifier, thumb
SWADDLING, KNOW THE RISKS…..
Swaddling may decrease a
baby’s arousal
The blanket could become
unwrapped, cover the
baby’s face, and cause
suffocation
Swaddling may cause the
baby to overheat
Sleep sacks and footed
pajamas are recommended
SWADDLING WITH HANDS OUT
 INTERPRETING NEWBORN MOVEMENT:
3 ZONES OF MOVEMENT AND REFLEXES P. 16

Feeding Burping Digesting

TOP THIRD: FEEDING ZONE
 FEEDING ZONE CAN INCLUDE
SUCKING FOR SOOTHING AS WELL
AS FEEDING CUES
 MIDDLE THIRD:
UPPER TORSO BURPING ZONE

Twisting from side

to side
Arching
Making a high-
pitched grunt. “Huh-
huh!”
May need a new
position or may
need to burp.
 BURPING P.65
THIS POSITION IS LESS TRADITIONAL, BUT VERY EFFECTIVE.
 LOWER THIRD: BELLY, LEGS, AND BUM
USUALLY INDICATES A DIGESTIVE STRUGGLE THAT
NEEDS SOME SUPPORT

Kicking their legs

Holding their legs up tight to
their belly
Straightening legs out stiffly
Belly is hard
You hear a lot of sounds
moving around or out.
LEGS TUCKED IN AND BICYCLED IS EFFECTIVE.
CYCLE FIRST, THEN HOLD IN FOR 10 SECONDS.

Bicycling
Massage to stimulate
peristaltic waves: I
Love U, Over the
Rainbow
Baby Yoga Position
Pooping position
 COLIC RELIEF P. 46
Tummy Massage
The 3’s of Colic
•Starts around 3 weeks
•3 or more hours of crying (usually at night)
•3 nights or more per week
•Can last up to 3 months

Tummy Colic Routine

•Resting Hands
•Paddling Downward
•Knees to Tummy Push
•Hands of a Clock
•Knees to Tummy Push
Repeat entire cycle 3 times/2-3 times a day
WHAT DOES SAFE BABY WEARING
LOOK LIKE?
WHAT’S CORRECT?

• Baby is in a holding
position
• Chin off chest
• See baby’s face
• Baby’s spine is
straight
• Baby is high and tight
• Product is designed
for safety. (no recalls)
BABY WEARING SAFETY
 Day 1 Day 3 One Week 10-14 Days
Size of Cherry Size of Walnut Size of Apricot Size of Large
Egg +
5-7 ml 22-27 ml 45-60 ml 80-150 ml
1 tsp .75-1 oz. 1.5-2 ozs. 2.5-5 ozs.
BREASTFEEDING P. 57-74
 8-12 times in a 24 hr period
 On demand (rather than
timing every 1-3 hrs)
 May cluster feed
 Watch for hunger cues p.63
 iBaby app-Baby activity
tracker-by iMob
 Breastfeeding Solutions-
Mohrbacher-All Phones
 Baby Connect-iPhones
 Milk Storage – Page 71
 • Wet 6-8 times a day
DIAPERING P. 39 • Stools: 2+ a day
• Make eye contact, talk, coo
to your baby
• Have supplies ready and
always use a pad
• Clean with wipes or wet
paper towels from front to
back
• Observe skin condition
 DIAPER RASH P. 40
• Check diapers frequently
• Wash hands before and after
each diaper change
• Heat , moisture, and red skin
increases the risk of diaper rash
• No Powders
• Call if rash persists or gets
worse after 1 day
• Call if urine is dark yellow or
orange.
• Remove diaper 10 minutes 2-3
times a day
 CIRCUMCISION CARE P. 41
• Gently clean with warm,
clean water every day and
when the diaper is soiled.
• Usual healing time takes
about a week.
• Call your HCP for signs of infection:
Swelling
Foul odor
Bleeding
Oozing
plastibell

*If the foreskin was surgically removed, place

a Vaseline gauze over the tip of the penis to
keep from sticking to the diaper.
 Day 1
Umbilical cord is cut
Week 1
and clipped
Clip can be removed
and umbilical cord
will slowly dry up
turning into a dark,
dry stump,

Week 2
Stump slowly
starts to loosen
and come off.
Note: belly button
shouldn’t look red.
Month1-2
Belly button should
completely heal
Week 2-4
Belly button slowly
closes up.

CORD CARE P. 37
 SLEEP TIME P. 94
• Alone
• Back position
• Crib: Firm mattress, No toys,
bumpers, positioners,
or loose bedding
• Smoke free environment
• Avoid overheating: fan,
1 extra layer than parents
• Breastfeed and pacifier usage
www.firstcandle.org

AAP 10.11
BACK TO SLEEP, TUMMY TO PLAY P. 51
• Awake, tummy-time
allows baby to
develop different
muscles.
• Tummy time helps to
avoid “flat head”.
• Always supervise
tummy time.
• Pathways.org
HEAD RIGHTING

“Tummy time is hard!”

“My baby doesn’t like it.”
TUMMY TIME AT 4-6 WEEKS

Add a bolster or rolled towel to

encourage more range of motion.
 NAKED OR DIAPER OFF

• Allows the range of

motions that reflexes
crave.
• Make sure baby is warm.
• Get down on their level
and really encourage
them.
 SKIN TO SKIN CONTACT P.57
•Babies stay the perfect
temperature
•Their breathing is regulated
•Their heart rate is more
stable
•They sleep more deeply
•They cry less
•They feed better

THE BEST TOY FOR BRAIN GROWTH………..YOU!

CHOOSING A DOCTOR P. 11
The Essentials P.81

• Nasal Aspirator
• Saline Drops
• Digital Thermometer
• Acetaminophen
(know your baby’s
dosage)
• Humidifier
• Diaper Cream
WHEN TO CALL YOUR PEDIATRICIAN
FOLLOW YOUR DISCHARGE INSTRUCTIONS

Is eating fewer than 7 times in a 24 hr. period

Loss of appetite: refuses 2 feedings in a row
Skin color: yellow
Less than 6 wet or 3 poopy diapers
Axillary Temperature of 99.3+ or less than 97.6
Excessive drowsiness: unusually hard to rouse
Difficulty breathing: panting, frequent coughing
 WHEN TO CALL YOUR PEDIATRICIAN

 Diaper rash that doesn’t clear up

 Projectile vomit
 Irritability or cries inconsolably
 Foul odor from cord or circumcision
 Dehydration: dark yellow-orange urine or dry, sticky
mouth, lethargy, increased sleepiness or irritability
 Trust your instincts!
BATH TIME
Sponge Bath P. 36

Tub Bath P. 42

Nail Care P. 37

Cradle Cap P. 30

Massage P. 43
PROGRESSIVE BATH
RELAXING BATH
“When you look back, you don’t regret the nurturing
you gave your baby, but you might regret the way
you neglected yourself.” KIMBERLY BEPLER

To ask for help is to share the joy of your new little baby.
 BOOK RESOURCES
 The Baby Book, William Sears, MD
 The Happiest Baby on the Block, Harvey
Karp, MD
 Nursing Mother’s Companion , Kathleen
Huggins, R.N., M.S.
 Touchpoints, T. Berry Brazelton, MD
 Feeding Baby Green, Alan Greene, MD
 Secrets of the Baby Whisperer, Tracy Hogg
 Heading Home With Your Newborn: From
Birth to Reality, Laura Jana, MD and Jennifer
Shu, MD
 Baby 411 , Denise Fields
INTERNET RESOURCES

Healthychildren.org
Kellymom.com
Firstcandle.org
Purplecrying.info
 Prepared Childbirth Class
 Infant CPR for new parents,
grandparents, and nannies
 Breastfeeding Class
 Breastfeeding Support
Group Rockin’ Momma’s
1st Thursdays 10:00-11:30am
3rd Thursdays 10:00-11:30am