Johnson Center for Pregnancy and Newborn Services Newborn Discharge Instructions Gardner Packard Clinic Redwood City (650) 362-2500 Ravenswood Family Health East Palo Alto (650) 330-7400 Feeding: For the first few days, your baby should feed as often as possible, with 8 or more feedings in 24 hours. By the fourth day, feedings should become more regular, usually every 2-3 hours during the day and every 3-4 hours at night. Your baby will probably wake when hungry, but if more than 4 hours pass between feedings you should wake the baby to eat. You can know that you baby is getting enough milk if by the fourth day your baby is full after a feeding, if the stool is bright yellow, and if there are 4 or more wet diapers each day. Diapers: By the fourth day of life your baby should have a 4-8 wet diapers in a 24 hour Belle Haven Clinic Menlo Park (650) 321-0980 Fair Oaks Clinic Redwood City (650) 364-6010 San Mateo Children’s Clinic San Mateo (650) 573-3602 MayView Clinic Palo Alto (650) 327-8717, ext 1012 MayView Clinic Mountain View (650) 965-3323, ext 1041 MayView Clinic Sunnyvale (408) 746-0455 period. If your baby has fewer than 4 wet diapers, he or she may not be getting enough to eat or may be getting ill. If this happens, call your doctor for advice. Over the first few days, your baby will have dark black or green stool, called meconium. Later the stool will become green, and later yellow and runny with some clumps of solid material. Stool patterns are variable: Some babies go after every feeding while others may go every other day. All are considered normal if the stool is nice and soft. Infections: Newborn babies don’t have the same symptoms as grown-ups when they are sick. They may act more fussy, sleep more or less, refuse to eat, or have fevers. The rectal thermometer is the best way to take your baby’s temperature. A fever is 38 Celsius (100.4 Fahrenheit) degrees or higher. If your baby has a fever or is acting differently, call your doctor immediately. To prevent infections, limit your baby’s exposure to crowded environments and to other sick people, and always practice good hand washing. Jaundice: Some babies will get yellow colored skin in the first few days of life. This is called jaundice, and it usually begins in the face and progresses downward to the legs. A small amount of yellow color in the face is normal at 3-4 days of life. If your baby appears yellow colored down to the chest, stomach, or legs, you should notify your doctor. Also if your baby seems lethargic or is feeding poorly, call your doctor immediately. Sleep: Babies should be placed on their backs to sleep. This is the safest position for the baby and decreases the risk of Sudden Infant Death Syndrome (SIDS). Planned Parenthood Mountain View (650) 948-0807 Cord Care: The umbilical cord requires no special care and will dry and fall of in 1-2 LiveWell Clinic San Bruno (650) 873-3338 Bathing: Babies really don’t get all that dirty. Bathing your baby 2-3 times per week is all South San Francisco Clinic South San Francisco (650) 877-7027 Circumcision Care: If your son had a circumcision, you should watch for bleeding and Daly City Clinic Daly City (650) 301-8600 Coastside Clinic Half Moon Bay 6/10 (650) 573-3941 weeks. If you wish, you may clean the stump with alcohol or saline. If the area around the cord looks red, begins to bleed, smell, or drain pus, call your doctor immediately. that is needed. In between baths, spot clean your baby’s face, hands, and diaper area. Until the cord falls off, the baby should only receive sponge baths. apply petroleum jelly and sterile gauze for 24 to 48 hours after the circumcision. The area of the circumcision may swell slightly, as the skin heals. The healing skin may also have a whitish coating and the rim may appear slightly yellow. After the first few days the child can be bathed normally, but you should not “scrub” the penis, nor should the skin be pulled back for 10 to 14 days. Call your doctor immediately if your son’s urine comes out in dribbles, if the head of the penis begins to turn blue, if the incision line bleeds more than a few drops, or if the circumcision looks infected. 04/14