Week 1

Feeding and Digestive Issues: Vomiting

Every baby spits up, usually after a feeding, but it usually comes out effortlessly and without any noticeable discomfort. Vomiting, on the other hand, is more forceful and upsetting – but thankfully it usually looks scarier than it is. Vomiting can, however, be an indication of something much more serious, depending on the other symptoms that accompany it:

  • Vomiting (spitting up) during or after a feeding is fairly normal, due to overfeeding. If this happens, simply give smaller portions, burp the baby more often and be careful not to bounce him or her around too much after a feeding.
  • If the baby also has congestion, sneezing, coughing and a fever, this is most likely a cold. The accompaniment of more serious symptoms like diarrhea and a loss of appetite could indicate the flu. If you notice phlegm in the vomit, clear out nasal mucus with an aspirator.
  • Vomiting could also be sign of motion sickness if it happens during or after a car ride. If this is the culprit, try and make frequent stops throughout your trip to give your baby some fresh air.
  • The additions of diarrhea and a fever could mean your little bugger caught a stomach bug.
  • Vomiting after a long crying spell is fairly normal during colic or even sleep training.
  • Projectile vomiting, coughing and gagging can be signs of reflux.
  • Projectile vomiting, excessive hunger, dehydration and weight loss could be pyloric stenosis, a serious condition where the pylorus muscle in the lower part of the stomach thickens and blocks food from entering the small intestine. This needs to be addressed immediately and will only be fixed with surgery.
  • If the baby also has bloody or smelly urine, irritability, pain during urination and fever, this is probably a urinary tract infection.
  • Vomiting with a fever, irritability, diarrhea and ear pain (often indicated by pulling at the ear and/or fluid draining), possibly means the baby has an ear infection.
  • Vomiting after a head injury could be a concussion, in which the baby should be brought to the emergency room.
  • More severe symptoms like lethargy, respiratory problems, sensitivity to light, cold hands and feet, rash, jaundice and seizures warrant a trip to the emergency room immediately, as it could be anything from meningitis to a blood infection.
  • Unexplained vomiting could possibly be due to poison ingestion. Although this probably won’t apply to your newborn, keep it in mind when your little one starts to become mobile.

When to call the doctor:

  • The baby has been vomiting for more than 24 hours.
  • You see a large amount of dark blood or green bile in the vomit, of which the doctor might want a sample. (Gross, we know.) Green bile means there might be an intestinal blockage.
  • The baby vomits more than once after a head injury.
  • You notice dehydration:
    • More concentrated urine that looks darker and smells stronger
    • Six hours or more without a wet diaper
    • Dry lips
    • Unusual lethargy
    • If your baby has sunken eyes and cold, splotchy hands and feet, take him or her to the emergency room immediately.
  • The vomiting is violent and projectile.
  • The baby has a rash, jaundiced skin, seizures or any other serious problem.

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12 thoughts on “Caring for Your Newborn: A complete guide to the first week with your new baby

  1. says:

    If you plan on breast feeding, having formula in the house is an invitation to failure. Pleas consider NOT having “back up” formula. Instead have good breast feeding books (like The Womanly Art of Breastfeeding) & the number of a good lactation consultant.

  2. says:

    I agree entirely on not keeping formula in your house. Breastfeeding can take awhile to get a hang of, and that’s okay for the baby. That first week is such a vulnerable time, it’s easy to give in. If you need formula, your doctor will tell you at your one week appointment, or you can see a lactation consultant, and pick it up on the way home. It’s not that hard to stop by a drug store or get someone to stop for you if it’s needed.

  3. says:

    If you’ve decided to cloth diaper, I’d still use disposables for the first month or so. For one thing, it’s not particularly cost effective over disposables to buy that tiny size in addition to the bigger sizes or one size diapers. Also, figuring out a laundry routine for cloth diapers can take some experimentation and troubleshooting, which I think is better left for a little later on.

  4. says:

    This is a really well thought-out and written piece. Week one is so overwhelming, I’m glad it’s acknowledged and supported.

  5. says:

    I completely agree with the cloth diaper comment – and I’m glad this article pointed that out as well. While I’m a big fan of cloth diapers LATER, trying to use them in the beginning is a set-up for failure and a HUGE waste of what should have been an investment. I’d try them in a few months.

  6. says:

    Give yourself complete permission to do nothing that isn’t crucial to your infant’s (and your) survival in those early weeks. This probably means feeding the baby and yourself, changing the baby, and getting as much rest as possible. I am one of those people who can’t easily fall asleep, no matter how exhausted I am, so napping while my newborn took 30-minute “naps” just was not possible (and the people who cheerfully told me “just sleep when the baby sleeps!” became very irritating). Between that and breastfeeding every 90-120 minutes, exhaustion got me quickly and probably set me up for a few very rough months. So rest if you can, even if you can’t sleep, and ignore the guilt that might come along with seeing the laundry stack up.

  7. says:

    I breastfed my infant for over a year, but those early weeks were tougher than I ever expected. As much as I agree with not “caving in” by giving the baby formula early on, recognize that for some people, this *may* be a much-needed bridge to full-blown breastfeeding. In my case my milk didn’t come in for 6 full days and my lactation consultant from La Leche League didn’t get back to me for almost 36 hours, which is a lifetime when your baby is hungry and crying constantly and no one is sleeping. At day 5 we decided to use some formula and this covered us until my milk arrived. I beat myself up over this repeatedly (as did so-called “friends” who viewed using formula as practically the equivalent of giving the baby red Kool-Aid). Formula isn’t poison; try not to add guilt to everything else you’re probably feeling in those weeks.

  8. says:

    Excellent article Babble – bravo! I am mixed with the formula in the house debate. I only have one can and one bottle that someone gave me – low and behold a month later and I’m being rushed to the ER with a serious intra-uterine infection. My neighbors took our daughter and gave her her first bottle. They kept asking him how much she took and we were like “we have no idea!” we went right back to BFing when I got home from the hospital. but if we hadn’t had that one little can and lone bottle we would have really been up a creek and inconvienced our neighbors.

    I totally agree with the comment of don’t do anything that you don’t HAVE to. I am about as earthy as the come….but the first two weeks solid..we used paper plates and cups. It’s just a “pass” I gave myself. I threw all the laundry into the machine together and went to bed at 7 when the baby went “down for the night”

    DON”T FEEL GUILTY and DON”T LET ANYONE ELSE MAKE YOU FEEL GUILTY for doing whatever you need (within reason obviously!!!) to get by! This is even more true with subsequent babies

  9. says:

    I was so relieved at how easy it was to switch back and forth between breastfeeding and formula. I had been told that my baby, given a bottle, would never go back to the breast and that was absolutely not the case. It saved my health and sanity for my husband to be able to feed the baby overnight — and gave him (and my parental visitors) a chance to bond with her as well. If you must use breastmilk only, you can always pump, but I highly recommend getting used to not being the sole feeder early on. You will be grateful for the rest and your partner will be grateful to share such an important role.

  10. says:

    I agree with most of the advice in this article, however breastfeeding mothers should NOT keep formula in the house “just in case”. Breastfeeding can be hard in the beginning and having an easy out right under your nose is counter-productive. If the baby isn’t gaining well and you need to supplement, it can be easy enough to pick some up on the way home from the pediatrician’s office, as someone already pointed out. Also, pumping a little milk from engorged breasts will not make your body produce even more milk. It’s *emptying* the breast that signals the brain to produce more milk. Pumping or hand expressing a little to soften the breasts and allow the baby to latch easier, relieve the mother’s discomfort and prevent a plugged duct is absolutely fine.

  11. Jane says:

    I disagree with many of these comments. You should absolutely have a good formula on hand (organic!) even if you plan on exclusively breastfeeding. I had to go to the ER for postpartum hemmorhage when my son was just 10 days old, and I was there for 18 hours (had to have a D&C). I didn’t have time to pump before I went (obviously) and if I hadn’t had formula on hand at home, it would have been a lot more difficult for my sister to deal with at 3am in the middle of the night. And I’d rather have the best formula on hand than have someone run out and buy the crappy stuff, not to mention having a screaming hungry newborn who has to wait for them to go to the store and back and then make a bottle. Anyway, I believe in having formula on hand for other emergency situations (storms, earthquakes, etc). Be prepared! If you really want to breastfeed, you can do it and a bottle of formula in your pantry won’t deter you.

  12. Hi,

    Thanks for your valuable tips about Parenting. I am also a mother of 2 year old daughter and I know how naughty she is. Your tips is really helpful to calm in irritating situations as well

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