How to Care for Your Newborn After ART programs. Frequently Asked Questions

07.06.2021

We have a children’s hospital at ADONIS, with a brilliant team of paediatricians, including surgical field. We also have a state-of-the-art diagnostic laboratory and other capabilities.

And today we’d like to share our experience and clarify some of the most often asked questions concerning newborn care.

 

What follows as once child has been discharged from the maternity hospital? Or anything else we should know about the discharge process.

There is a difference in how long time the baby spends in the maternity hospital after birth. If it is a normal delivery after 37th weeks, the baby stays 2-3 days before being discharged. After c-section about 5 days. If the baby was born on the period of 34-37 weeks, then it is required about 7 days to be sure the baby is gaining weight and eating well. In case the baby was born before the 34th week, then it is a very individual treatment plan.

When you leave the hospital, you should be certain that your baby is entirely independent in several essential areas, including as eating properly, gaining weight, maintaining body temperature, defecating, and breathing freely.

It’s also critical to ensure that the baby was visited by a pediatrician within three days after being released. This initial examination is critical since not all diseases can be detected during the first three days after birth.

 

What are the most important questions to consider before the baby is born?

In the event of an emergency, you should have information about who to contact and how to reach them on hand.

The type of food you will feed the infant is the next item to consider. It’s a good idea to talk to a doctor before or after the delivery, while you’re still in the hospital.

After that, you need to make a decision and prepare the place where the baby will be sleeping.

And the last important thing — is to prepare the safe transportation of the baby from the hospital to the place of residence. You should arrange a baby car seat.

 

What do we need to know about a new baby?

We need to realize that a newborn might not look as you might imagine from the movie.

The normal position of a baby is still a pose of the fetus with hands and legs near the body.

It is normal that the baby has the reddish color of the skin and swelling of eyelids and general visible areas.

During the first month, babies have very poor eyesight. It is normal that a baby does not react, smile, or recognize you when you come closer.

The hearing is also not very strong during the first month, and the baby will react only to loud sounds.

But what is the child is very sensitive to and is very receptive to and might be a good way to communicate with him/her is a touch. So stroking, holing and all touching communications are very important and very welcoming.

The most common and available language for the baby during the first month is of course the cry. It can be very loud, but it is the only language for the baby at the beginning. By the end of the first month you will be able to distinguish between types of cry: if it is hunger or a need for a diaper change, or just need attention.

The time of sleep during the first month is up to 14-18 hours. For First 4 weeks most of the time baby is spending sleeping or eating.

 

In the weeks following delivery, how does a first-time parent care for their newborn?

The first and most important factor is the feeding of the baby. It is necessary to feed the baby every 2-3 hours and you will receive a recommendation about the amount and dosage of food by your doctor.

And it is extremely important not to have breaks between feeding for more than 5 hours. Because the level of sugar/glucose can drop very fast, the baby can go from sleeping directly to a hypoglycaemic coma.

The next important thing is the amounts and types of pee and poo that baby has. The baby should change not less than 8 diapers per day. And if notice that there is a fewer number of dirty diapers, that is a reason to contact the nurse or pediatrician immediately.

When there is a need to change a diaper you will know because the baby will wake up every 1,5-2 hours to eat or to defecate.

The baby’s sleep is the next most crucial factor to consider. As you may be aware, newborns are at a greater risk of sudden death syndrome. As a result, knowing how to set up a safe sleeping place for a baby is crucial. To keep a baby’s sleeping posture under control, it’s crucial not to smoke near where he or she sleeps.

A baby crib opposite to the parents’ bed is the safest spot for him or her to sleep. There should be no pillows or toys in the crib, and it should only have a mattress. Sleeping on one’s back with one’s head turned to the side is the safest position for a baby.

If the baby is suffering from a tummy ache (which is quite common and normal), some parents like to place the baby on their chests for sleeping, but it is not a good idea. Only for a short period of time, but the safest place to sleep is always a crib.

It’s also crucial to keep the room temperature under control and outfit the infant appropriately, because at this age, the infant can’t regulate his or her own body temperature very effectively. 19-22 °C (66-72 °F) is the ideal temperature for a baby. Even though the infant appears defenseless and vulnerable, it does not require extremely high temperatures, thus it must be kept at a temperature that is beneficial to the infant’s health and immune system.A good measurement of how to dress a baby is how you are dressed yourself and maybe cover with a thin blanket while sleeping. The same thing for when you go outside, if you go outside with a jacket, you do the same for a baby. Be careful about overdressing or underdressing. Cold feet and hands is not an indication for a baby to be cold, the proper place to check the temperature of the child is the chest and neck.

Another important thing to be aware of is how to take care of the skin of a baby since it can be very dry and sensitive in the firth weeks. So it is good to use the baby lotion. And it is important to change diapers often and in time, not to have diaper rashes.

 

What type of food should we choose for the first days of a newborn from the surrogacy program? Breastmilk from a bank or formula?

Even if there are many benefits of breastmilk it is in some cases stress associated with all the processes: the logistic, storage, etc. So if there is a lot of stress involved in the process all benefits can be evaluated and it is better to start and continue with a formula.

There is a huge variety of formulas milk like powder ones as well as liquid. Both types are equal, but the powder is a bit less convenient, the liquid one is ready to use and the only thing needed is to warm it up. But at the same time, we should consider that the expiry date of liquid formula is much less and it should always be stored in a fridge.

And if the baby has any allergies or other specific reactions, then it will be only powder formula.

You should make the final decision about what type to use after the baby is born after the doctor will see the individual needs of a baby.

 

Which newborn symptoms must be reported to a doctor right once, and how can a new parent obtain help?

First, we always pay attention to the body temperature. The normal temperature is not higher than 37.5 °C / 99,5 °F. If the temperature is higher than that you should immediately lighten up the clothing of a baby because it could be a reaction to overdressing. And within 15 minutes the temperature is not dropping, it is a reason to call the doctor or emergency.

Another vital sign is the refusal of a baby to eat for 2 hours after a regular feeding schedule. It can be because of a sore throat or mouth or other deeper issues.

If you see the change of the color of the skin to blue and especially you notice the signs of breathing problems that is a reason to call an emergency immediately.

If the baby constantly crying and nothing that you are doing like feeding, holding and so on for half an hour, call a doctor.

And if the baby is in a too relaxed position and not in a fetus pose or sleeping too much and is difficult to wake him up, it is also the reason to contact a doctor.

 

What should a new parent know about vaccinating their newborn?

We can tell you what we propose in Ukraine, but you should consult your local doctor first.

In Ukraine, neonates must receive two required vaccinations: one against hepatitis and the other against tuberculosis.

However, if your country follows a different schedule or does not need tuberculosis vaccination, we will be unable to provide the vaccine.And the next vaccination is done 1-2 months depending on the country.

 

What are the baby’s regular checkups?

The next vital check-up is usually done one month after the first one at three days old. This can be done at a hospital or by having a doctor come to your home with all of the necessary equipment.