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Newborn essentials
What you’ll need for the baby Baby clothesBabies grow very quickly. All you need for the first few weeks are enough clothes to make sure that your baby will be warm and clean. You’ll probably need:
Washing your baby's clothesIf you use a washing machine, don't use washing powders with enzymes (bio powders) or fabric conditioner, as they may irritate your baby's skin. Always rinse clothes thoroughly.
BeddingFor the first few months, you'll need a crib, a carry cot or a Moses basket (a light, portable bassinet). Your baby needs to sleep somewhere that's safe, warm and not too far from you. If you are borrowing a crib or a cot, or using one that has been used by another of your children, you should ideally buy a new mattress. If you can't do this, use the cot mattress you have, as long as it is firm (not soft), flat, fits the cot with no gaps, is clean, and waterproof. You will need:
Pillows and duvetsDon't use pillows and duvets – they are not safe for babies who are less than a year old due to the risk of suffocation. Duvets can also make the baby too hot. Quilted sleeping bags and baby nests are not suitable for your baby to sleep in when you're not there because of the danger of suffocation. Cot safetyYour baby will spend many hours in a cot, so make sure it is safe. Also:
Out and aboutSpend some time looking at what's available for getting around with your baby. Think about what will suit you best before you make a choice, and ask other mums what they've found useful. Before buying a pushchair or a pram, check that:
Baby carriersBaby carriers (also called slings) are attached with straps and your baby is carried in front of you. Most babies like being carried like this because they’re close to you and warm. The back part of the carrier must be high enough to support your baby’s head. Check that buckles and straps are secure. Older babies who can hold up their heads and whose backs are stronger (at about four months) can be carried in carriers that go on your back. PushchairsPushchairs are only suitable for young babies if they have fully reclining seats so the baby can lie flat. Wait until your baby can sit up before using another type of pushchair. Consider the pushchair's weight if you use public transport, as you might have to lift it onto trains or buses. PramsPrams give your baby a lot of space to sit and lie comfortably, but they take up a lot of space and are hard to use on public transport. If you have a car, look for a pram that can be dismantled easily. Buy a pram harness at the same time, as you may need it to strap your baby securely into the pram. Carrycot on wheelsA carrycot is a light, portable cot with handles, similar to but smaller than the body of a pram and often attachable to a wheeled frame. Your baby can sleep in the carrycot for the first few months, and the cot can be attached to the frame to go out. Most modern carrycots can also be taken in a car with appropriate restraints, but check that yours can. Three-in-oneThis is a carrycot and transporter (set of wheels) that can be converted into a pushchair when your baby outgrows the carrycot. Shopping trays that fit under the pushchair or pram can also be very useful when you’re out. Car seatsIf you’ve got a car, you must have a car seat, also called a safety restraint. Your baby must always go in their seat, including when you bring them home from the hospital. It’s illegal and very dangerous to carry your baby in your arms in a vehicle.
Look for the United Nations ECE Regulation number R44.03, or a later version of this standard, when you buy a car seat. This is the standard for new seats. However, if you have car seats that conform to a British Standard or an earlier version of R44, you can continue to use them.
Washing & Bathing your baby
Baby bathtime You don’t need to bathe your baby every day but you should wash their face, neck, hands and bottom carefully every day. This is often called ‘topping and tailing’. Choose a time when your baby is awake and content. Make sure the room is warm. Get everything ready beforehand. You’ll need a bowl of warm water, a towel, cotton wool, a fresh nappy and, if necessary, clean clothes. You may find the following step-by-step guide useful:
Bathing
Babies only need a bath two or three times a week, but if your baby really enjoys it, bathe them every day.
Don’t bathe your baby straight after a feed or when they’re hungry or tired. Make sure the room is warm. Have everything you need at hand: a baby bath or washing-up bowl filled with warm water, two towels, baby bath liquid (unless your baby has particularly dry skin), a clean nappy, clean clothes and cotton wool.
Getting your baby to sleep Your baby's sleepBaby sleep adviceSome babies sleep much more than others. Some sleep for long periods, others in short bursts. Some soon sleep through the night and some don’t for a long time. How can I get my baby used to night and day being different?It’s a good idea to teach your baby that night time is different to daytime from the start. During night feeds you may find it helpful to:
Where should my baby sleep?For the first six months your baby should be in the same room as you when they're asleep, both day and night. Particularly in the early weeks, you may find that your baby only falls asleep in your or your partner's arms, or when you're standing by the cot. Is it important to have a routine from the beginning?Newborn babies will sleep on and off throughout the day and night. It can be helpful to have a pattern, but you can always change the routine to suit your needs. For example, you could try waking your baby for a feed just before you go to bed in the hope that you’ll get a long sleep before they wake up again. Establishing a bedtime routineGetting your child into a simple, soothing bedtime routine when they're a baby can help prevent sleeping problems later on. The routine could consist of having a bath, changing into night clothes, feeding and having a cuddle before being put to bed.
How much sleep is enough?Just as with adults, babies’ and children’s sleep patterns vary. From birth, some babies need more sleep or less sleep than others. This list shows the average amount of sleep that babies and children need during a 24-hour period, including daytime naps.
Coping with disturbed nightsDisturbed nights can be very hard to cope with. If you have a partner, ask them to help. Sleep problemsIf your baby is having problems sleeping or you need more advice about getting into a routine, speak to your doctor. Reducing the risk of cot death (sudden infant death syndrome)It's not known why some babies die suddenly and for no apparent reason from what's known as cot death or sudden infant death syndrome (SIDS). Experts do know that placing a baby to sleep on their back reduces the risk and that exposing a baby to cigarette smoke or overheating a baby increases the risk.
Place your baby on their back to sleepPlace your baby on their back to sleep from the very beginning, for both day and night sleeps. This will reduce the risk of cot death. It's not as safe for babies to sleep on their sides as on their backs. Healthy babies placed on their backs are not more likely to choke. The risks of bed sharingThe safest place for your baby to sleep for the first six months is in a cot in a room with you. Don't share a bed with your baby if you or your partner:
The risks of bed sharing are also increased if your baby:
There's also a risk that you might roll over in your sleep and suffocate your baby. Or your baby could get caught between the wall and the bed, or roll out of an adult bed and be injured. Never sleep with a baby on a sofa or armchairIt’s lovely to have your baby with you for a cuddle or a feed, but it’s safest to put your baby back in their cot before you go to sleep. Don’t let anyone smoke in the same room as your babyBabies exposed to cigarette smoke after birth are at increased risk of cot death. Nobody should smoke in the house, including visitors. Don’t let your baby get too hot (or too cold)Overheating can increase the risk of cot death. Babies can overheat because of too much bedding or clothing, or because the room is too hot.
Don’t let your baby’s head become coveredBabies whose heads are covered with bedding are at increased risk of cot death. To prevent your baby wriggling down under the covers, place them in the ‘feet to foot’ position. This means that their feet are at the end of the crib, cot or pram.
Soothing a crying baby How do I calm my crying baby?Coping with cryingAll babies cry, and some cry a lot. Crying is your baby’s way of telling you they need comfort and care. Sometimes it’s easy to work out what they want, and sometimes it isn’t. The most common reasons are:
There may be times of the day when your baby tends to cry a lot and can’t be comforted. Early evening is the most common time for this to happen. This can be hard for you as it’s often the time when you’re most tired and least able to cope. Try some of the following ways to comfort your baby. Some may be more effective than others:
Crying during feedsSome babies cry and seem unsettled around the time of a feed. If you’re breastfeeding, you may find that improving your baby’s attachment helps them settle. You can go to a breastfeeding or drop-in centre and ask for help, or talk to your peer supporter or health visitor. It may be that something you’re eating or drinking is affecting your baby. Some things will reach your milk within a few hours, while others may take 24 hours. All babies are different, and what affects one won’t necessarily affect yours. You might want to consider avoiding dairy products, chocolate, fruit squashes, diet drinks and drinks containing caffeine. If this doesn’t work, try keeping a note of when the crying happens to see if there’s a pattern. Sometimes, crying during feeds can be a symptom of reflux (acid indigestion), which is relatively common in babies. Excessive cryingThere are several reasons that can cause a baby to cry excessively. It can be exhausting if you've tried everything and nothing seems to comfort your baby. Colic
Excessive crying could be a sign that your baby has colic. Everyone agrees that colic exists but no one knows what causes it. Some doctors think it’s a kind of stomach cramp. The crying sounds miserable and distressed, and stops for a moment or two, then starts up again, which suggests it could be caused by waves of stomach pain.
The crying can go on for some hours. There may be little you can do except try to comfort your baby and wait for the crying to pass. Crying and illnessAlthough all babies cry sometimes, there are times when crying may be a sign of illness. Listen for sudden changes in the pattern or sound of your baby’s crying. Often, there’ll be a simple explanation. For example, if you’ve been going out more than usual your baby might be overtired. If they seem to have other symptoms, such as a high temperature, they may have an illness. Your baby may have something minor, such as a cold, or something treatable, such as reflux. If this is the case, contact your doctor. Get medical attention as soon as you can if your baby:
Getting helpIf you’ve decided to talk to your doctor it can help if you keep a record of how often and when your baby cries. For example, this might be after every feed or during the evening. This can help your doctor to work out whether there is a particular cause for the crying. Keeping a record can also help you identify the times when you need extra support. You could also think about possible changes to your routine. There may be times when you’re so tired and angry you feel like you can’t take any more. This happens to a lot of parents, so don’t be ashamed to ask for help. If you don't have anyone who can take care of your baby for a short time and the crying is making you stressed, put your baby in their cot or pram, make sure they’re safe, close the door, go into another room and try to calm yourself down. Set a time limit (for example, 10 minutes) then go back. Never shake your babyNo matter how frustrated you feel, you must never shake your baby. Shaking moves their head violently, and can cause bleeding and brain damage. NappiesHow to change a nappySome babies have very delicate skin and need changing as soon as they wet themselves, otherwise their skin becomes sore and red. Others can wait until before or after every feed to be changed. All babies need changing as soon as possible when they've passed a stool (poo) to prevent nappy rash and stop them from smelling.
Getting organised Get everything you need in one place before you start. The best place to change a nappy is on a changing mat or towel on the floor, particularly if you have more than one baby. That way, if you need to see to another child for a moment, the baby can't fall. Sit down so that you don’t hurt your back.
Getting started If your baby’s nappy is dirty, use the nappy to clean off most of the poo from your baby’s bottom. Then use the cottonwool and warm water (or baby lotion or baby wipes) to remove the rest and get your baby really clean.
Nappy hygiene
Put as much of the contents as you can down the toilet. If you’re using nappies with disposable liners the liner can be flushed away. Don’t flush the nappy as it can block the toilet.
Baby poo Your baby’s first poo (or stool) will be made up of something called meconium. This is sticky and greenish/black. After a few days the poo will change to a yellow or mustard colour. Breastfed babies’ poo is runny and doesn’t smell. Formula fed babies’ poo is firmer, darker brown and more smelly. Some infant formulas can also make your baby's poo dark green. If you change from breast to formula feeding, you’ll find that your baby's poos become darker and more paste-like.
How often should my baby do a poo? Some babies fill their nappies at or around every feed. Some, especially breastfed babies, can go for several days or even up to a week without a bowel movement. Both are normal. It’s also normal for babies to strain or even cry when passing a poo. Your baby isn’t constipated as long as their poos are soft, even if they haven’t passed one for a few days.
Is it normal for my baby’s poos to change? From day to day or week to week your baby’s poos will probably vary. If you notice a marked change of any kind, such as the poos becoming very smelly, very watery or harder, particularly if there’s blood in them, you should talk to your doctor. Pale poos may be a sign of jaundice. If you're worried, speak to your doctor.
Nappy rash Most babies get nappy rash at some time in the first 18 months. Nappy rash can be caused by:
Most babies get nappy rash at some time in the first 18 months. Nappy rash can be caused by:
There may be red patches on your baby’s bottom, or the whole area may be red. The skin may look sore and feel hot to touch, and there may be spots, pimples or blisters. teps will help:
If your baby gets nappy rash you can treat it with a nappy rash cream. Ask your health visitor or pharmacist to recommend one.
Washable (reusable) nappies There are several types of washable nappies. Some have a waterproof backing and others have a separate waterproof cover. They fasten with either Velcro or poppers. Biodegradable, flushable nappy liners can be useful as they protect the nappy from heavy soiling and can be flushed away.
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