Newborn Babies care tips (June 2025):
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Essential Newborn Care Tips for New Parents: The arrival of your newborn brings immense joy and a whirlwind of new experiences. The first four weeks, the neonatal period, can be exciting and overwhelming for first-time parents. Understanding basic newborn care from the start can transform these initial days into a more enjoyable and less stressful time. While some aspects of infant care may feel intuitive, others might require guidance. You've likely anticipated your baby's arrival for months, imagining every detail. Now that your little one is here, practical advice on newborn care can be invaluable, particularly if this is your first child. Every new parent benefits from support. This blog provides essential information about your newborn, covering topics from sleep and feeding to understanding their cries and diaper changes. The following tips provide a strong foundation, helping first-time parents quickly develop confidence in caring for their newborn. |
Newborn Baby Care at the Hospital: Initial Assessment: Immediately after birth, a newborn's growth parameters and behavior are evaluated. In uncomplicated vaginal or Cesarean deliveries, this examination is typically delayed for one hour to allow for skin-to-skin contact with the mother and the initiation of breastfeeding, if desired. A pediatrician or nurse practitioner will thoroughly examine the child within the first 24 hours. A skilled team, equipped with the necessary knowledge, training, and resources, will manage any resuscitation efforts the newborn may require at birth, guided by the Neonatal Resuscitation Guidelines. APGAR Score Importance: The APGAR score, assessed 1 and 5 minutes after birth, is crucial for determining resuscitation needs. This quick assessment evaluates five factors:
The total score ranges from 0 to 10. A score of 7-10 is considered normal, indicating a healthy baby. A score of 4-6 suggests the baby may need assistance, while 0-3 indicates the need for immediate medical attention. While the APGAR score helps quickly identify newborns requiring immediate care, it does not predict future health. Physical Examination: A comprehensive physical examination, ideally using a head-to-toe approach, is performed to identify any abnormalities. This examination includes assessing the following growth parameters:
These measurements are interpreted based on the baby's sex, socioeconomic status, and race. Generally, boys are slightly heavier than girls, with an average birth weight of around 3500 grams. The average length is approximately 50 cm (20 inches), and the average head circumference is about 35 cm (14 inches), with a typical variation of +/- 2 inches. These measurements are plotted on growth curves to classify newborns as:
Dubowitz or Ballard maturational assessments can evaluate neuromuscular tone, reflexes, and physical maturity in uncertain gestational age or due date. The systematic physical exam includes:
Supplements and Vaccinations: Intramuscular vitamin K should be administered within the first hour after birth. Prophylactic erythromycin ointment should be applied to both eyes, and a hepatitis B vaccine should be given while the baby is in skin-to-skin contact with the mother. |
Newborn Home Care: |
Prepare Baby Supplies Ahead of Time: To ensure a smooth transition home, gather essential baby items a few weeks before your delivery date. Feeding:
Safety and Travel:
Clothing:
Diapering and Bath:
Safe Sleep Environment:
Important Contacts:
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Holding Your Newborn: While your newborn may seem fragile, don't hesitate to touch, handle, and hold them. Research indicates that infants held for more than two hours daily tend to thrive better and cry less. Important Note: Always support your newborn's head when picking them up, as their neck muscles are not yet fully developed. When carrying your baby, support their head against your shoulder or with your other hand. |
Infant Feeding Guide: Breastfeeding and Formula Feeding: Breastfeeding: Breast milk is generally considered the optimal nutrition for newborns. Initiate early skin-to-skin contact and breastfeeding, ideally within the first hour after birth. This helps the baby adjust, boosts milk production, and improves breastfeeding effectiveness. Aim for a proper latch within the first 48 hours. Supplementation with formula might be considered if weight loss exceeds 7% and is linked to poor sucking or feeding. Feeding volumes gradually increase during the first week, from 3-17 cc/kg/day on day one to 140-170 cc/kg/day by day seven. Key Tips for Successful Breastfeeding:
Expressing Breast Milk: Expressing milk can be helpful if your baby struggles to latch, isn't getting enough colostrum, or if you are separated. Expressed colostrum can be given via spoon or syringe in the initial days to avoid potential nipple confusion. Pumping Tips: Choose the right pump: Hand expression can be practical for colostrum, while manual or electric pumps are often preferred long-term. Hospital lactation consultants can advise on pump selection and provide access to rental pumps. Be patient and persistent. Pumping takes time to learn and becomes easier with practice. It should not be painful; adjust suction or position if discomfort occurs. Relax: Stress can hinder milk flow. Try looking at your baby or engaging in relaxing activities. Store milk safely: Use food-grade containers. Freshly pumped milk can be stored at room temperature for four hours, in the refrigerator for four days, and in the freezer for six to twelve months. Leftover milk from a feeding can be reused within two hours. Formula Feeding: Consult your pediatrician about the best formula for your baby, including whether added iron, DHA, or other nutrients are recommended. Choosing between powder, liquid, or concentrate depends on cost and convenience. Cow's milk-based formulas are generally well-tolerated, with milk protein allergy affecting only a small percentage of young children. A pediatrician may recommend hypoallergenic or soy-based formulas if an allergy or intolerance is suspected. Formula Feeding Guidelines:
Feeding Frequency and Amounts for Newborns: Newborns have small stomachs and need frequent, small feedings. Whether breastfeeding or formula feeding, expect eight to twelve feedings in 24 hours, roughly every two to three hours. Hunger Cues in Newborns:
Feed your baby every two to three hours or whenever they show hunger cues. Count the time between feedings from the start of one feed to the beginning of the next. Newborns may also engage in cluster feeding, which is frequent feeding close together, to help build milk supply during breastfeeding. While most newborns will wake for feedings, if it has been longer than three hours, gently wake your baby to offer a feeding, even overnight. Consult your pediatrician for guidance when you no longer need to wake your baby for nighttime feeds. |
Understanding and Soothing a Crying Newborn: Crying is a newborn's primary way of communicating their needs, though figuring out the exact reason can sometimes feel like detective work. All newborns experience periods of crying and fussiness, sometimes lasting for extended durations. Common Reasons for a Baby's Cry: Your baby might be crying because they:
Typically, a baby will stop crying once their need is addressed. If the crying persists, check for a fever. Contact your doctor if the baby's temperature exceeds 100.4°F. Babies can also cry due to colic, which usually starts between two and five weeks of age, peaks around six weeks, and resolves by three to four months. Babies with colic may cry for three or more hours a day, several days a week. The cause of colic is unknown, and there's no specific cure; babies naturally outgrow it. Tips for Calming a Crying Baby:
Providing Comfort: Most babies cry for about 2 hours daily during the first three months. While this may seem like a lot, it is within the normal range. To comfort your baby, start by identifying the reason for its distress. Is it hungry, gassy, needing a diaper change, or due for a nap? Is it overwhelmed by too much noise, light, or activity? Simple newborn care techniques can help you manage these situations with greater confidence. Trust your instincts as a parent; they will naturally guide you. Hold them on your shoulder while gently rocking to soothe a sleepy or overstimulated baby. Speak or sing softly and reassuringly. Gently rubbing their back can also be calming. Experiment with different holding positions to find the most comfortable for both of you. Important Consideration: In their first few weeks, babies have limited mobility and may cry if they lie uncomfortably in their cribs. Gently adjust their position to help them get comfortable. However, for safety, always ensure your baby is placed on their back when sleeping. |
Monitoring Newborn Stool (poop) and Urine: Closely observe your newborn's bowel movements (stool) and urination. Stool (poop): The first stool, meconium, is typically passed within 24 to 48 hours after birth. It has a black and sticky appearance. As the baby consumes more breast milk, the stools will gradually change to a seedy, mustard yellow or greenish color. Due to the gastro-colic reflex, infants often pass stools shortly after each feeding. If meconium passage is delayed beyond 48 hours, it is vital to have the infant evaluated for potential conditions such as imperforate anus or Hirschsprung disease. Urine: Newborns usually urinate within the first 24 hours of life. Be aware that urine can be easily missed if mixed with stool or if urination is not observed or documented immediately after birth. If you suspect the baby is not urinating at all (anuria), a thorough physical examination, including the genitals and abdomen, should be repeated to check for any overlooked abnormalities. If there are valid concerns about urination, catheterization, and ultrasound may be necessary, and a consultation with a urologist is recommended. Important Information for Parents: It is normal for newborn girls to have a vaginal discharge at birth due to the influence of maternal hormones. You may also notice reddish urine crystals resembling brick dust; these are urate crystals and can be mistaken for blood. This discharge should occur after the baby has urinated and passed stool. |
Newborn Baby Sleep: Newborns have different sleep patterns than adults due to frequent feeding needs (8-12 times in 24 hours, including at night). Expect short sleep stretches initially, but you can establish better bedtime habits. Sleeping Close to Your Baby: Keeping your baby close (in the same room, but not the same bed) for the first six months is beneficial. It helps regulate their heart rate, immune system, and stress levels, facilitates breastfeeding, and keeps them in lighter sleep phases, which is protective. Room-sharing (without bed-sharing) is also linked to a lower risk of Sudden Infant Death Syndrome (SIDS). SIDS Prevention Strategies:
Establishing Bedtime Rituals: Newborns often confuse day and night. To help them adjust:
Consistent sleep times are essential. Develop a daily routine of 3-4 calming activities (like infant massage, baths, lullabies, rocking, nursing, or reading) for 20-30 minutes before sleep. Predictable activities help the baby understand what to expect. Napping: Newborns typically sleep 16-17 hours daily in short bursts of one to two hours. After about three months, their nap schedule will become more apparent. By nine months, most babies naturally nap around 9 A.M. and 2 P.M. Avoid forcing a nap schedule for your convenience. Sleep Training: Sleep training is not recommended for newborns and young babies. Around 5 months old, you can cautiously explore sleep training methods, such as allowing brief periods of crying (3-5 minutes). |
Diaper Rash and Skin Care: Preventing diaper rash is key. Promptly change wet or soiled diapers. Clean the baby's bottom with warm water, dry thoroughly, and apply a diaper rash cream or petroleum jelly. Consult a doctor if a diaper rash appears painful or develops small red dots around its border. Newborns commonly experience harmless skin conditions, including:
Typically, these conditions improve on their own within days or weeks. However, if your concerns or symptoms don't improve, contact your baby's doctor. Given their delicate skin, newborns should only be bathed two or three times a week. Add baby lotion or petroleum jelly to their skin and scalp to alleviate dry skin. Gently comb out cradle cap flakes using a baby comb. |
Umbilical Cord Care: After birth, the umbilical cord is clamped and cut, leaving a stump. The clamp is removed before you go, and a dry stump remains. This stump will naturally fall off within one to four weeks. Keep the umbilical cord stump dry and exposed to air to promote faster healing. Give sponge baths only until the stump detaches. As it heals, the stump will resemble a scab; avoid picking, cutting, or pulling it off. A clear or slightly blood-tinged discharge may occur briefly after the cord stump falls off. Consult your pediatrician if:
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Car Seat Safety for Newborns and Infants: Proper installation of your chosen car seat is crucial. Aim to install it a few weeks before your baby's arrival. Consider having a certified child passenger safety expert inspect the installation for accuracy. Key Safety Guidelines:
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Newborn and Infant Care: Bathing, Cleaning, and Comfort: A newborn has unique physical characteristics. Understanding these can reduce your concerns and help keep your baby clean and comfortable. Face and Neck: Clean your baby's face and neck daily with a soft washcloth, lukewarm water, or a mild baby soap. A red, blotchy face is often just harmless baby acne. Eyes: Gently wipe around your baby's eyes with a cotton ball moistened with warm water. Yellowish discharge or crusting, usually due to a blocked tear duct, is common and can last several months. Scalp: Wash your baby's hair with a gentle baby shampoo thrice a week. Gently brush any scales daily with a soft baby hairbrush or toothbrush. Cradle cap, a scaly scalp condition, typically resolves within the first few months. Nose: Babies' narrow nasal passages easily fill with mucus. While they often clear it themselves, you can help by gently using an infant-sized nasal bulb syringe. Saline solution or a nasal spray can help loosen mucus before suctioning. Nails: Newborns' nails are soft but can scratch. Trim them with baby nail clippers or blunt-nosed scissors after a bath when they are smooth or while your baby is asleep and relaxed. Skin: It's recommended to wait 24 hours after birth for your baby's first bath. Afterward, three baths a week during the first year are sufficient. Keep baths short (under 10 minutes) using lukewarm water and a mild, fragrance-free soap. Apply hypoallergenic lotion immediately after. Dress your baby in cotton clothing. Some babies develop eczema (atopic dermatitis), characterized by red, itchy patches. Dye- and fragrance-free moisturizers can help, as can topical steroids (always consult your pediatrician before using over-the-counter hydrocortisone cream). Bottom: Change diapers frequently, clean with baby wipes, and ensure the area is dry. Moisture and sensitive skin can lead to diaper rash, which can be painful and make your baby fussy. Diaper rash creams can help treat and prevent irritation. Umbilical Stump: Keep the umbilical cord stump clean and dry (using warm water and baby soap) so it can shrivel and fall off within 5 to 15 days. A foul smell is typical until it falls off. Avoid covering the stump with a diaper and give sponge baths until it detaches. Genitals: Gently clean your baby's genital area daily with warm water. In babies with a penis, prominent testicles due to maternal hormones will resolve in a few days. For circumcised babies, apply petroleum jelly to the tender tip to prevent sticking to the diaper. For uncircumcised babies, no special care is needed; do not try to retract the foreskin, as this will happen naturally later. In babies with a vulva, swelling due to maternal hormones is also normal, and a bloody vaginal discharge may occur in the early weeks, lasting only a few days. Legs and Feet: Newborns often have bowed legs and turned-in feet from their position in the womb. These will typically straighten out between 6 and 18 months. Overlapping toes and what looks like ingrown nails (but usually isn't) are also common. |
Choosing the Right Newborn Products: Selecting suitable baby products is a crucial aspect of newborn care. The ideal product should be gentle and safe for your baby's sensitive skin and eyes, prevent dryness, and protect the skin's natural barrier. Key features to look for include: Safety, Gentleness, and Mildness: Baby products must prioritize safety for delicate newborn skin. Allergy Testing: While no product can be entirely allergen-free, reputable baby products undergo testing to minimize allergic reactions and are often labeled "Clinically Proven Mild." Freshening Your Baby: Creating a bonding experience with your little one can be as simple as freshening them up after baths and diaper changes. Baby powder can absorb excess moisture, leaving the skin soft, smooth, calm, and comfortable while reducing friction. Using Baby Wipes: Baby skincare wipes offer a convenient solution for keeping your baby clean and fresh when washing hands isn't possible, such as when you are away from home. They help maintain the skin's cleanliness, softness, suppleness, and overall health. |
Infant Clothing Essentials: While adorable outfits are tempting, remember newborns under 6 months struggle to regulate their body temperature. The American Academy of Pediatrics (AAP) advises dressing babies in one more layer than what feels comfortable for adults. For convenience, pack clothing in layers and include both newborn (NB) and 0-3 month sizes to accommodate potential sizing variations. Opt for easy-to-put-on garments. Depending on the weather, remember socks or booties. Consider bringing a personal blanket instead of relying solely on the hospital's blankets. |
Baby Massage: Research supports the numerous benefits of massages for newborns and infants, including relaxation, improved sleep, and soothing irritability. Additionally, massaging your baby provides an excellent opportunity to strengthen your bond. Baby massage techniques are simple to learn and perform. Remember to use a baby-safe and mild oil. |
Weight Changes in Newborns and Infants:
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Managing Visitors: While loved ones are eager to meet the new baby, feel empowered to limit visits initially. This allows your new family private bonding time. Immediately after birth, newborns are often alert, offering a prime opportunity to connect through eye contact and talking. Your baby recognizes your voice from pregnancy and will likely find it comforting. Welcome visitors when you feel ready. |
Managing Fever and Illness in Newborns and Infants: A rectal temperature of 100.4°F or higher in newborns (or 101°F in babies 3 months and older) may indicate a serious illness and warrants a call to the pediatrician. Regardless of temperature, contact a health care provider if your baby exhibits unusual behavior, refuses to eat or drink, or appears in pain. Understanding Newborn Jaundice (Hyperbilirubinemia):
Vitamin D Supplementation:
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Essential Newborn Care Tips for Single Parents: Navigating newborn care alone presents unique challenges, especially while recovering from childbirth. These strategies can offer valuable support. Preparation is Key:
Seeking and Accepting Support:
Prioritizing Your Well-being:
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Essential Infant Care: Dos and Don'ts: Do:
Don't:
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Frequently Asked Questions (FAQs): |
How Do I Get Help After My Baby Comes Home? Caring for yourself is crucial during the demanding and overwhelming newborn period. Don't hesitate to seek assistance. While you may have differing opinions, family and friends can offer valuable support based on their experiences. To protect your baby's health, ensure that anyone interacting with them is current on vaccinations and feels well. However, it's perfectly acceptable to limit visitors if you're not feeling up to it or have other concerns; don't feel guilty about prioritizing your well-being and your baby's needs. |
How Do I Handle My Baby? Newborns may appear delicate if you lack experience with them. Keep these essential points in mind: Clean Hands: Always wash your hands or use hand sanitizer before touching your baby to prevent infections, as their immune system is still developing. Ensure everyone who handles your baby does the same. Head and Neck Support: Cradle your baby's head when carrying it. Support the head whenever you hold it upright or when laying it down. No Shaking: Never shake your baby during play or due to frustration. Shaking can lead to brain bleeding and even death. To wake your baby, try gently tickling their feet or blowing lightly on their cheek instead. Secure Fastening: Secure your baby in carriers, strollers, and car seats. Avoid any overly rough or bouncy activities. Gentle Play: Refrain from rough play with newborns, such as jiggling them on your knee or tossing them in the air. |
How Can I Bond With My Baby? The initial hours and days after birth are crucial for bonding, where parents develop a deep connection with their baby. This emotional link, often described as "falling in love," is fostered through physical closeness and is vital for a child's development. Unconditional love from a parent or caregiver allows children to flourish. Ways to Initiate Bonding: Gentle Touch: Cradle your baby and gently stroke them in varied patterns. Skin-to-Skin Contact (Kangaroo Care): Hold your diaper-clad newborn against your bare chest. This practice benefits both mothers and fathers, helping calm and soothe the baby while regulating their heartbeat. How to Practice Skin-to-Skin Contact:
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How Can I Soothe My Baby? Creating a relaxed and comfortable environment can significantly improve your baby's well-being. Here are several techniques to help soothe your little one: Gentle Touch: Massage: Infant massage, especially for premature babies or those with medical conditions, can promote bonding and healthy development. Consult books or videos for guidance, or ask your doctor for recommendations. Always massage gently, as babies are delicate. Auditory Comfort: Sounds: Babies generally respond well to vocal sounds like talking, babbling, singing, and cooing. Soft music, baby rattles, and musical mobiles can also be stimulating. If your baby is fussy, try singing, reciting poetry or nursery rhymes, or reading aloud while gently rocking them. Sensitivity: Some babies are easily overstimulated by touch, light, or sound. They may startle easily, cry frequently, sleep less than expected, or turn away from voices or singing. If your baby exhibits these sensitivities, maintain low to medium noise and light levels. Swaddling Technique: Swaddling can be a very effective soothing method for newborns in their early weeks. When done correctly, it mimics the feeling of being held securely, providing warmth and comfort and minimizing the startle reflex. How to Swaddle:
Important Note: Discontinue swaddling once your baby starts showing signs of rolling over, typically around two months. At this stage, swaddling can be dangerous and increase the risk of Sudden Infant Death Syndrome (SIDS). |
How Do I Diaper My Baby? Whether you choose cloth or disposable diapers, your newborn must be changed around 10 times daily, for approximately 70 weekly changes. Steps for Diapering:
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When Should I Bathe My Baby? Sponge Baths: For the initial weeks, newborns should receive sponge baths. Tub Baths: Once the umbilical cord stump has fallen off and any circumcision has healed, you can give your baby baths in a sink or a small infant tub. Introducing Tub Baths: The first tub baths should be short and gentle. If your baby becomes distressed, revert to sponge baths for a week or two before attempting a tub bath again. Frequency of Baths: Bathing your baby two or three times a week is sufficient during the first year. More frequent bathing can lead to dry skin. |
How Do I Care for the Umbilical Cord and Circumcision Area? Umbilical Cord Care:
Circumcision Care:
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How Often Should I Feed My Baby? It is generally advised to feed newborns on demand, meaning whenever they show signs of hunger. These signs can include crying, putting their fingers in their mouth, or making sucking sounds. A newborn needs to be fed every 2 to 3 hours, regardless of whether they are breastfed or bottle-fed. Signs of Adequate Feeding: For Breastfed Babies:
For Formula-Fed Babies: You can visually assess the amount of formula consumed. Consult a doctor for any concerns regarding your baby's growth or feeding schedule. Burping Your Baby: Babies frequently ingest air during feedings, which can lead to fussiness. To minimize this, burp your baby often. |
What Should I Know About My Baby's Sleep? Newborns typically sleep around 16 or more hours daily, in stretches of 2 to 4 hours. While many babies start sleeping through the night (6-8 hours) by 3 months, it's normal if yours doesn't. Similar to adults, infants establish their sleep patterns and cycles. Safe Sleep Practices:
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When to Contact a Pediatrician? It is generally recommended to consult a doctor for any fever in a newborn as a precautionary measure. While you may become less concerned about mild fevers as your baby grows, the following signs in infants require medical attention:
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Summary of the blog: Caring for a newborn is a significant responsibility that can feel overwhelming, particularly for new or single parents. Numerous questions about their care, safety, and health will arise upon bringing your baby home. The first four weeks of a baby's life, known as the neonatal period, involve substantial physiological adjustments and interactions with new stimuli, requiring continuous and effective care. Essential aspects of newborn care include assessing the need for resuscitation, conducting a thorough physical examination, administering preventative medications and vaccines, ensuring adequate feeding, promoting safe sleep practices, maintaining hygiene, and addressing other crucial factors for the baby's well-being. During the first three years, a child's brain undergoes remarkable development, with 85% formed by age three. Every experience during this period contributes to shaping their brain. Repetitive, consistent, predictable, and nurturing multisensory experiences are vital for healthy development. Therefore, it is more important to spend quality time engaging your newborn's senses of touch and smell, fostering bonding and nurturing their growth, rather than worrying excessively about doing everything "perfectly." Clinical Significance: Healthcare providers present during delivery should be well-versed in Neonatal Resuscitation Guidelines, have access to necessary resuscitation equipment, and be proficient in using the Apgar scoring system for newborn evaluation. They must also be capable of delivering timely interventions to optimize the baby's health. Enhancing Healthcare Team Outcomes:
Safety:
Sleep Habits:
Bowel and Bladder Function:
Observing Baby's Poop:
Diaper and Skin Care:
Umbilical Cord Care:
Bathing: Until the umbilical stump falls off, sponge baths are recommended to keep the cord dry, and frequent bathing is unnecessary. Soaps contain surfactants that can remove natural skin oils, potentially irritating the skin. Bathing a newborn is often a significant concern for new mothers. Learning to wash a baby and having all necessary supplies ready beforehand ensures a smoother experience and more time to bond with the baby. Choose a gentle cleanser specifically formulated for babies. If the baby has more hair, use a gentle shampoo. It's safe to gently wash the soft spots (fontanels) on the baby's head. |
Disclaimer: This blog post offers information on newborn and infant care compiled from online sources. It is not medical or legal advice and should not replace professional consultation with healthcare or legal experts. The author is not a medical professional and cannot provide medical guidance. Consult a qualified healthcare provider for personalized advice. This information is not for medical emergencies or diagnosis; seek immediate medical help. No warranty is provided for third-party translations, and accuracy should be verified. While efforts are made to ensure accuracy based on cited open sources, the author is not responsible for errors, completeness, or correctness. Always consult a medical expert before using this information, as the author is not liable for any consequences. |
References: https://kidshealth.org/en/parents/guide-parents.html https://www.johnsonsbaby.in/preparing-for-baby/first-10-days-baby-basics https://www.parents.com/baby/care/american-baby-how-tos/newborn-baby-boot-camp/ |
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