Overview Parenting and the newborn Assessment of the newborn The paediatrician’s role Adjusting to parenthood Baby blues and postnatal depression Physiological changes in the newborn Jaundice and phototherapy Sleep and SIDS Settling your baby Crying Assessment of the newborn Your midwife will perform an initial newborn baby assessment and will contact the paediatrician if there is any cause for concern. A more thorough examination of your baby will be performed by the paediatrician within 24 hours of birth unless otherwise indicated. Something to Remember Adjusting to parenthood The postnatal period is a time of enormous adjustment for new parents. Your previously predictable and organised day is suddenly disrupted by the newborn,Remember whose needs are immediate and constant. Routines develop at different stages and are always changing as your baby grows. Routine revolves around your baby’s needs of feeding, bathing, quiet and awake time and settling. Ask your midwife to assist you as required. Baby blues and postnatal depression It is normal to feel tearful around the third or fourth day (called ‘the baby blues’) due to hormonal changes and overtiredness. If you are feeling tearful, anxious and like you are not managing beyond the tenth to fourteenth day, please speak to your obstetrician, GP or child health nurse, as you may be suffering from postnatal depression. Physiological changes in the newborn Some of the physiological changes that occur in the newborn over the first five days include: • The stools will change in colour from black meconium to a mustard colour. • Your baby’s urine may become concentrated until your milk supply is established, at approximately 72 hours of age. 34 Mitcham Maternity Childbirth and Parent Education Vitamin K and Hep B Immunisation Newborn Screening Test Healthy hearing screening Circumcision Premature babies and Special Care Nursery Early childhood clinic Pelvic floor exercises The role of your paediatrician There is paediatrician on call 24 hours a day who will be contacted if there are any concerns about your baby. The paediatrician is not usually present at the birth of your baby, unless the obstetrician or midwife has concerns for your baby’s welfare, or you are having a caesarean section. The paediatrician will perform a comprehensive head to toe examination. During this time, you will have the opportunity to discuss with your paediatrician any concerns you may have regarding your baby. Helpful Hints Important Information Info to note
Mitcham Private Hospital Childbirth and Parent Ed Book
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