Congratulations! Knowing what to expect with a newborn may help to ease your fears and lessen the anxiety every new parent feels. We are here to help! Welcoming a little one into this world is challenging, rewarding, exciting and for some, a dream come true. We at Woodcreek are here for you every step of the way and below you will find information about normal growth and development for your little-one as well as information about well child checks, vaccinations and other common questions.
Your Newborn's First Visit To Their Pediatrician
So what exactly happens during the first visit to the Pediatrician?
For you, it is a time to sit down with the provider and discuss any questions you have have and to help put at ease the concerns and anxiety you may be feeling. The pediatrician will perform a evaluation of your child and make note of size, weight, and the usual vital signs as a baseline for future well-child visits and to document your little one's growth. You will be able to discuss vaccinations, feeding, sleeping among other issues.
Please see our page on Vaccinations and Immunizations for in-depth information about the recommended vaccines for newborn children.
For you, it is a time to sit down with the provider and discuss any questions you have have and to help put at ease the concerns and anxiety you may be feeling. The pediatrician will perform a evaluation of your child and make note of size, weight, and the usual vital signs as a baseline for future well-child visits and to document your little one's growth. You will be able to discuss vaccinations, feeding, sleeping among other issues.
Please see our page on Vaccinations and Immunizations for in-depth information about the recommended vaccines for newborn children.
Normal Newborn Development
Here's what you might see your baby doing between the ages of 0 and 2 weeks old.
Each child is unique. It is difficult to describe exactly what should be expected at each stage of a child's development. While certain behaviors and physical milestones tend to occur at certain ages, a wide range of growth and behavior for each age is normal. These guidelines show general progress through the developmental stages rather than fixed requirements for normal development at specific ages. It is perfectly natural for a child to reach some milestones earlier and other milestones later than the general trend.
If you have any concerns about your child's own pattern of development, check with your healthcare provider.
Each child is unique. It is difficult to describe exactly what should be expected at each stage of a child's development. While certain behaviors and physical milestones tend to occur at certain ages, a wide range of growth and behavior for each age is normal. These guidelines show general progress through the developmental stages rather than fixed requirements for normal development at specific ages. It is perfectly natural for a child to reach some milestones earlier and other milestones later than the general trend.
If you have any concerns about your child's own pattern of development, check with your healthcare provider.
Well Child Care at 2 Weeks
|
Feeding
Your baby is growing! At this age, a baby only need breast milk or formula. Breast-fed babies should usually feed about 10 minutes at each breast during feeding. Most babies take 2 to 3 ounces of formula every 2 to 3 hours now. Babies should wake up at night to feed. A baby usually starts to sleep all night between 3 and 5 months of age. If your baby wants to feed more often, try a pacifier. Your baby may need to suck but not feed. It is important to hold your baby during feeding. This is a good time to talk to your baby. Hold the bottle and do not prop it up. Mixing Formula: If you get a powdered formula, mix 2 ounces of water per 1 scoop of formula. If you use concentrated liquid formula, always mix 1 can of formula with 1 can tap water. Some liquid formulas are sold ready to eat and should not be diluted. Keep milk in the refrigerator. Development Babies are learning to use their eyes and ears. Smiling faces and gentle, pleasant voices are interesting for babies at this age. Having a new baby is a major life change. Many mothers find that the baby brings a lot of new work. Help from father, friends, and relatives is often very important at this time. A few mothers get the blues or even depression after a baby is born. This may be caused by hormonal changes or your situation. Be sure to tell someone if you are feeling this way. Ask your baby's healthcare provider for help. Babies usually sleep 16 or more hours per day. Healthy babies should be placed in bed on their backs. Sleeping on the back reduces the risk of sudden infant death syndrome (SIDS). Most babies will strain to pass bowel movements. As long as the bowel movement is soft, there is no need to worry. Ask your doctor about bowel movements that are hard (constipation). Babies usually wet the diaper at least 6 times each day. |
Safety Tips
Immunizations Immunizations protect your child against several serious, life-threatening diseases. Shortly after birth, your child should have a hepatitis B shot. Call your child's healthcare provider if:
Next Visit Your baby's next routine visit should be at the age of 1 month. At this time, your child may get a Hepatitis B vaccine. Bring your child's shot card to all visits. |
Infant Feeding Guide
Written by Robert Brayden, MD, Professor of Pediatrics, University of Colorado School of Medicine
Pediatric Advisor 2012.2 published by RelayHealth. Last modified: 2011-09-21 | Last Reviewed: 2011-09-20
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and it not a replacement for medical evaluation, advice, diagnostics or treatment by a healthcare professional.
© 2012 Relay Health and/or its affiliates. All rights reserved.
Pediatric Advisor 2012.2 published by RelayHealth. Last modified: 2011-09-21 | Last Reviewed: 2011-09-20
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and it not a replacement for medical evaluation, advice, diagnostics or treatment by a healthcare professional.
© 2012 Relay Health and/or its affiliates. All rights reserved.
|
The Infant Feeding Guide is a helpful tool for parents. It summarizes the typical feeding requirements at your child's various stages of growth from birth through their first year. As always, this is just a guide. Please discuss any specific questions you have with your pediatrician.
| ||
Should I use formula?
Breastfeeding versus formula feeding - wow, what a topic! Below we have gathered some information for you about formula feeding, but please see also our page on lactation and breastfeeding for additional information.
Breast milk is best for babies, but breast-feeding isn't always possible. You will need to use baby formula if:
Breast milk is best for babies, but breast-feeding isn't always possible. You will need to use baby formula if:
- You decide not to breast-feed.
- You need to stop breast-feeding and your baby is less than 1 year old.
- You need to occasionally supplement breast-feeding with formula (after breast-feeding is well established).
What type of formula should I use?
If your child is less than 1 year old, discuss which formula to use with your healthcare provider. Baby formulas are designed to give your baby all known essential nutrients in their proper amounts. Most formulas are made from cow’s milk. A few are made from soybeans. Soy formula is used for babies who may be allergic to or have difficulty digesting the type of protein in cow’s milk. The American Academy for Pediatrics recommends you use iron-fortified (not low-iron) formula to prevent anemia. Most formulas are available in three forms: powder, ready-to-serve liquid, and concentrated liquid. Powder and ready-to-serve liquid are best if you are using it to supplement breast milk. You must mix concentrated liquid before using. It forces you to prepare 26 ounces at a time. Powder and concentrated liquid formulas are less expensive per feeding than ready-to-serve formulas.
If your child is less than 1 year old, discuss which formula to use with your healthcare provider. Baby formulas are designed to give your baby all known essential nutrients in their proper amounts. Most formulas are made from cow’s milk. A few are made from soybeans. Soy formula is used for babies who may be allergic to or have difficulty digesting the type of protein in cow’s milk. The American Academy for Pediatrics recommends you use iron-fortified (not low-iron) formula to prevent anemia. Most formulas are available in three forms: powder, ready-to-serve liquid, and concentrated liquid. Powder and ready-to-serve liquid are best if you are using it to supplement breast milk. You must mix concentrated liquid before using. It forces you to prepare 26 ounces at a time. Powder and concentrated liquid formulas are less expensive per feeding than ready-to-serve formulas.
When can I give my baby regular milk?
Regular, whole cow’s milk should not be given to babies before 12 months of age. This is due to increased risks such as iron deficiency anemia and allergies. Skim or low-fat milk should not be given to babies before they are 2 years old because the fat in whole milk is needed for rapid brain growth.
Regular, whole cow’s milk should not be given to babies before 12 months of age. This is due to increased risks such as iron deficiency anemia and allergies. Skim or low-fat milk should not be given to babies before they are 2 years old because the fat in whole milk is needed for rapid brain growth.
How do I prepare formula?
Mix concentrated liquid formula with water in a ratio of one to one. Mix each level scoop of powdered formula with 2 ounces of water. Never make the formula for your baby more concentrated by adding extra concentrated liquid or extra powder. Never dilute the formula by adding extra water. Careful measuring and mixing ensure that your baby receives the proper mix of formula.
Mix concentrated liquid formula with water in a ratio of one to one. Mix each level scoop of powdered formula with 2 ounces of water. Never make the formula for your baby more concentrated by adding extra concentrated liquid or extra powder. Never dilute the formula by adding extra water. Careful measuring and mixing ensure that your baby receives the proper mix of formula.
Do I need to boil the water first?
Most city water supplies are quite safe. If you make one bottle at a time, you don’t need to use boiled water. When using tap water for preparing formula, use only water from the cold water tap. Let the water run for 2 minutes before you use it. (Old water pipes may contain lead-based solder and lead dissolves more in warm water or standing water.) Fresh, cold water is safe. After you prepare the formula with the cold water, you can heat the bottle to the right temperature. Ask your healthcare provider if you are not sure whether your water supply is safe for your baby.
If you have well water, you need to boil your water for 10 minutes (plus 1 minute for each 1000 feet of elevation above sea level) or use distilled water until your child is 6 months old.
If you prefer to prepare a batch of formula, you must use boiled or distilled water and closely follow the directions printed on the side of the formula can. This prepared formula should be stored in the refrigerator and must be used within 48 hours.
Most city water supplies are quite safe. If you make one bottle at a time, you don’t need to use boiled water. When using tap water for preparing formula, use only water from the cold water tap. Let the water run for 2 minutes before you use it. (Old water pipes may contain lead-based solder and lead dissolves more in warm water or standing water.) Fresh, cold water is safe. After you prepare the formula with the cold water, you can heat the bottle to the right temperature. Ask your healthcare provider if you are not sure whether your water supply is safe for your baby.
If you have well water, you need to boil your water for 10 minutes (plus 1 minute for each 1000 feet of elevation above sea level) or use distilled water until your child is 6 months old.
If you prefer to prepare a batch of formula, you must use boiled or distilled water and closely follow the directions printed on the side of the formula can. This prepared formula should be stored in the refrigerator and must be used within 48 hours.
Can I make my own formula?
If necessary, you can make your own formula temporarily from evaporated milk. (Evaporated milk formulas have some of the same risks as whole cow’s milk, namely, iron deficiency anemia and allergies.) Mix 13 ounces of evaporated milk with 19 ounces of boiled water and 2 tablespoons of corn syrup. Place this mixture in sterilized bottles and keep the bottles refrigerated until use (up to 48 hours).
If necessary, you can make your own formula temporarily from evaporated milk. (Evaporated milk formulas have some of the same risks as whole cow’s milk, namely, iron deficiency anemia and allergies.) Mix 13 ounces of evaporated milk with 19 ounces of boiled water and 2 tablespoons of corn syrup. Place this mixture in sterilized bottles and keep the bottles refrigerated until use (up to 48 hours).
What temperature does the formula need to be?
In the summertime, many children prefer cold formula. In the wintertime, most prefer warm formula. By trying formula at various temperatures you can probably find out what your child prefers. If you do warm the formula, check the temperature of the formula before you give it to your baby. If it is too hot it will burn your baby’s mouth. Be especially careful if you heat the formula in a microwave because the formula can get too hot very quickly.
In the summertime, many children prefer cold formula. In the wintertime, most prefer warm formula. By trying formula at various temperatures you can probably find out what your child prefers. If you do warm the formula, check the temperature of the formula before you give it to your baby. If it is too hot it will burn your baby’s mouth. Be especially careful if you heat the formula in a microwave because the formula can get too hot very quickly.
How often should I feed my baby?
Your healthcare provider will tell you when and how often to feed your baby. In general, your baby will probably need:
Your healthcare provider will tell you when and how often to feed your baby. In general, your baby will probably need:
- 6 to 8 formula feedings per day for the first month
- 4 to 5 formula feedings per day from 3 to 7 months
- 5 to 6 formula feedings per day from 1 to 3 months
- 3 to 4 formula feedings per day from 7 to 12 months
How much formula should I give my baby?
Newborns usually start with 1 ounce per feeding, but by 7 days they can take 3 ounces. The amount of formula that most babies take per feeding (in ounces) can be calculated by dividing your baby’s weight (in pounds) in half. For example, if your baby weighs 8 pounds, your baby will probably drink 4 ounces of formula per feeding. No baby should drink more than 32 ounces of formula a day. If your baby needs more than 32 ounces and is not overweight, consider starting solid foods. Overfeeding can cause vomiting, diarrhea, or excessive weight gain.
Newborns usually start with 1 ounce per feeding, but by 7 days they can take 3 ounces. The amount of formula that most babies take per feeding (in ounces) can be calculated by dividing your baby’s weight (in pounds) in half. For example, if your baby weighs 8 pounds, your baby will probably drink 4 ounces of formula per feeding. No baby should drink more than 32 ounces of formula a day. If your baby needs more than 32 ounces and is not overweight, consider starting solid foods. Overfeeding can cause vomiting, diarrhea, or excessive weight gain.
How should I hold the baby during feedings?
Feeding should be a relaxing time — a time for you to provide both food and comfort for your baby. Make sure that both you and the baby are comfortable:
Feeding should be a relaxing time — a time for you to provide both food and comfort for your baby. Make sure that both you and the baby are comfortable:
- Your arm supported by a pillow.
- Baby in a semi-upright feeding position supported in the crook of your arm. This position reduces choking and the flow of milk into the middle ear.
- The bottle tilted so that the nipple and the neck of the bottle are always filled with formula. (This prevents your baby from taking in too much air.)
How long should I feed my baby?
Gently remove the bottle from time to time to let your baby rest. A feeding shouldn’t take more than 20 minutes. If it does, you are overfeeding your baby or the nipple is clogged. A clean nipple should drip about 1 drop per second when the bottle of formula is turned upside-down.
Gently remove the bottle from time to time to let your baby rest. A feeding shouldn’t take more than 20 minutes. If it does, you are overfeeding your baby or the nipple is clogged. A clean nipple should drip about 1 drop per second when the bottle of formula is turned upside-down.
Do I need to burp my baby?
Burping is optional. It doesn’t decrease crying. Burping helps your baby spit up less. Air in the stomach does not cause pain. If you burp your baby, be sure to wait until your baby reaches a natural pause in the feeding process. Burping two times during feeding and for about a minute is plenty. More burping may be needed if your baby spits up a lot.
Burping is optional. It doesn’t decrease crying. Burping helps your baby spit up less. Air in the stomach does not cause pain. If you burp your baby, be sure to wait until your baby reaches a natural pause in the feeding process. Burping two times during feeding and for about a minute is plenty. More burping may be needed if your baby spits up a lot.
How long can I store formula?
Prepared formula should be stored in the refrigerator. It must be used within 48 hours. Prepared formula left at room temperature for more than 1 hour should be thrown away. At the end of each feeding, throw away any formula left in the bottle.
Prepared formula should be stored in the refrigerator. It must be used within 48 hours. Prepared formula left at room temperature for more than 1 hour should be thrown away. At the end of each feeding, throw away any formula left in the bottle.
Does my baby need to drink water?
Babies do not need extra water. Even when they have a fever or the weather is hot and dry, formula provides enough water. Giving extra water to babies before 6 months of age can cause a seizure.
Babies do not need extra water. Even when they have a fever or the weather is hot and dry, formula provides enough water. Giving extra water to babies before 6 months of age can cause a seizure.
Do I need to give my baby vitamins?
No. Baby formulas contain all the vitamins and minerals your baby will need.
No. Baby formulas contain all the vitamins and minerals your baby will need.
Do I need to give my baby fluoride?
From 6 months to 16 years of age, children need fluoride to prevent cavities. If the water supply where you live contains fluoride and your child drinks at least 1 pint of formula made with water each day, this should be enough. Otherwise, fluoride drops or tablets should be given. Formula-fed infants should receive fluoride supplements without vitamins. You can get a prescription for fluoride drops from your child’s healthcare provider.
Another way you can help your baby’s teeth is by making sure your baby does not sleep with a bottle. Milk, juice, or any sweetened liquid in the mouth can cause severe decay of your baby’s first teeth. Liquids tend to pool in the mouth during sleep. The sugar in these drinks is changed to acid by bacteria in the mouth. The acid then etches the tooth enamel and causes decay.
Prevent tooth decay by not using the bottle as a daytime or nighttime pacifier. If you cannot stop the nighttime bottle or replace it with a pacifier, fill the bottle with water.
From 6 months to 16 years of age, children need fluoride to prevent cavities. If the water supply where you live contains fluoride and your child drinks at least 1 pint of formula made with water each day, this should be enough. Otherwise, fluoride drops or tablets should be given. Formula-fed infants should receive fluoride supplements without vitamins. You can get a prescription for fluoride drops from your child’s healthcare provider.
Another way you can help your baby’s teeth is by making sure your baby does not sleep with a bottle. Milk, juice, or any sweetened liquid in the mouth can cause severe decay of your baby’s first teeth. Liquids tend to pool in the mouth during sleep. The sugar in these drinks is changed to acid by bacteria in the mouth. The acid then etches the tooth enamel and causes decay.
Prevent tooth decay by not using the bottle as a daytime or nighttime pacifier. If you cannot stop the nighttime bottle or replace it with a pacifier, fill the bottle with water.
Written by Barton D. Schmitt, MD, author of “My Child Is Sick”, American Academy of Pediatrics Books.
Pediatric Advisor 2012.2 published by RelayHealth. Last modified: 2010-06-04 Last reviewed: 2010-06-02
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
Pediatric Advisor 2012.2 published by RelayHealth. Last modified: 2010-06-04 Last reviewed: 2010-06-02
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
More information about breastfeeding and lactation can be found on our Lactation and Breastfeeding page.