After childbirth, most new mothers focus on feeding, cleaning, and caring for their baby. However, some struggle to understand their newborn’s signals and real needs during the first month, such as sudden pain or prolonged crying. Knowing how to respond is crucial to prevent potential complications.
In a discussion with Nadormagazine, Obstetrics and Gynecology Specialist Dr. Salwa Al-Mursi explains the key needs of newborns and how to respond effectively.
Why the First Month is Critical
1. Frequent Breastfeeding
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Newborns have very small stomachs and need to feed every 2–3 hours, about 8–12 times per day.
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Breastfeeding provides essential nutrition and immunity. Newborns do not need water or juice in this stage.
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Mothers should wash their hands thoroughly before handling the baby to prevent infection.
2. Umbilical Cord Care
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Keep the cord area clean and dry. Fold the diaper below the cord to allow air circulation.
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Dry it gently with sterile gauze after sponge baths.
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Bathing can be done with a wet sponge until the cord falls off, then 2–3 times per week afterward.
3. Emotional Interaction
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Speak in a soft, calm voice and maintain eye contact to build bonds and stimulate development.
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Avoid strong perfumes or deodorants that may disrupt breastfeeding.
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Seek help from family or friends to reduce stress in the first weeks.
4. Monitoring Weight and Temperature
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Expect up to 10% weight loss in the first 3 days; weight usually returns within 7–10 days with adequate feeding.
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Check the baby’s temperature and overall color regularly to detect any early signs of illness.
When to Visit the Doctor
Seek immediate medical attention if the newborn shows:
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Lack of response to sound, touch, or voice
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Cessation of breathing or irregular breathing
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Persistent coughing or choking
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Blue, purple, yellow, or pale skin
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Dry body or lips
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Continuous fever or crying
Other Danger Signs
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Excessive crying, refusal to feed, little or no sleep, weight loss
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Constipation or difficulty breathing
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Seizures: sudden muscle contractions may indicate fever, infection, hypoxia, or low blood sugar. Watch for unusual facial movements, stiff or shaking muscles, and breathing difficulties.
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Rapid breathing or chest retractions: may indicate underdeveloped lungs or respiratory issues. Observe for sunken chest during inhalation.
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Abnormal muscle tone or asymmetry: may suggest nerve issues such as facial or limb paralysis.
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Temperature issues:
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Fever above 37.5°C may indicate infection, metabolic issues, or serious illness
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Low temperature below 35°C is also a warning
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Jaundice: yellowing of skin is common but requires monitoring.
Signs of a Healthy Newborn
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Feeds regularly every 2–4 hours, breast or formula
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Wet 4–6 diapers and 2–4 dirty diapers daily, total 8–10 diaper changes
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Skin color is pink; mild yellowing on day 3 is normal
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Adequate sleep and consistent weight gain
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Cries appropriately for hunger, discomfort, or sleep, and stops once needs are met
This guidance helps mothers recognize newborn needs early, respond appropriately, and seek medical help when necessary, ensuring a healthy start for their baby.
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