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Dear Sir/ Madam, We Are First Time Parents, Could You

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Posted on Mon, 22 Mar 2021
Question: Dear Sir/ Madam,

We are first time parents, could you please help me with what are the things we should know as first time parents wrt baby care and mothers health.
doctor
Answered by Dr. Diptanshu Das (55 minutes later)
Brief Answer:
Congratulations

Detailed Answer:
Thanks for using the Ask a Doctor service.

I have gone through your query and understand your concerns. Let me emphasize on the fact that breast milk is the best possible milk for a baby and there can be no alternatives for the same. Most formula milks are cow milk based and hence difficult to digest. Moreover they make the child more prone to complications and infections. Mother's breast milk is produced on the demand of the baby. Hungrier the baby, more vigorous is the suck. More is the suck, more is the amount of breast milk produced. Giving formula automatically reduces the demand of the baby and thereby the production of breast milk. All you need to do is to switch back to exclusive breast feeding and the production will increase automatically. All you need to do is to monitor the urine output. If the frequency is more than 6 times in 24 hours, you would know that the amount of feeding is adequate. If the amount of passage of urine is less or if the child is lethargic you would need to take the child to a doctor without delay.

For a baby of this age, it is normal to pass stool several times a day or even after each feed. Alternatively the child may pass stool once in 10 days and that is normal too. Unless the stool is hard and pellet like, you need not grow concerned. It is also normal to pass green stool or a combination of yellow stool. The green colour occurs due to rapid transit through large intestine where the bile pigments do not get adequate time to convert to the yellow colour of stool. It is OK for some mucus to be there in the stool.

Breast milk also takes care of immunity against common ailments like cough and cold, and diarrhea. So, automatically your worries would be reduced. For a baby of this age, it is normal to pass stool several times a day or even after each feed. Alternatively the child may pass stool once in 10 days and that is normal too. Unless the stool is hard and pellet like, you need not grow concerned. You need not use suppositories but in case you use, it would not be harmful.

If the child seems to have nasal blockage, applying saline drops (like Nasoclear) in each nostril should take care of it. So long as the baby is active and playful, you need not worry.

Let me first ask whether the baby is exclusively breast fed or whether formula feeds are being given. Babies often get colics especially when on formula feeds. In such a case switching back to breast milk should provide relief. You should burp the baby for at least 15-20 mins after each feed. All you need to do is to hold the baby head end elevated for this duration. The extra air taken causes distention and hence colics. Proper burping will ensure its escape and the milk will not regurgitate back from the stomach to the food pipe, thus providing relief. You can otherwise give Coliaid Drops when needed. You need not give it on regular basis. It is a safe medicine and you need not worry about any disadvantage of giving it.

Let me know if you have further queries.

Regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Diptanshu Das (1 hour later)
Thanks a lot for such a descriptive explanation. We very happy to hear very quickly from you. Thanks again.

He is fed only the breast milk so far. He is 24 days old (DOB=10th February 2021).

We are burping him, but we usually put him in cradle after he burps once, is it necessary to continue burping till 15-20 mins?

And while sleeping he makes few noises which sounds like he is struggling to breath, but he won't wakeup immediately anyway. Is this a something we need be careful about or is it part of reflexes babies do?

He was awake and crying in between yesterday for almost 3-5 hours we used colic aid EZ and he became clam.

We also regularly giving him vitamin D3 drops every morning.

One last question regarding burping, do we have to burp if he falls asleep while drinking milk?
doctor
Answered by Dr. Diptanshu Das (6 minutes later)
Brief Answer:
Burping is essential

Detailed Answer:
Thanks for writing back. You need to burp him even if he falls asleep and do not put immediately on the cradle. In fact, burping will hopefully take care of the colics. Otherwise continue Colicaid and Vit D3. Do not worry about the sounds he makes.

Regards
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3877 Questions

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Dear Sir/ Madam, We Are First Time Parents, Could You

Brief Answer: Congratulations Detailed Answer: Thanks for using the Ask a Doctor service. I have gone through your query and understand your concerns. Let me emphasize on the fact that breast milk is the best possible milk for a baby and there can be no alternatives for the same. Most formula milks are cow milk based and hence difficult to digest. Moreover they make the child more prone to complications and infections. Mother's breast milk is produced on the demand of the baby. Hungrier the baby, more vigorous is the suck. More is the suck, more is the amount of breast milk produced. Giving formula automatically reduces the demand of the baby and thereby the production of breast milk. All you need to do is to switch back to exclusive breast feeding and the production will increase automatically. All you need to do is to monitor the urine output. If the frequency is more than 6 times in 24 hours, you would know that the amount of feeding is adequate. If the amount of passage of urine is less or if the child is lethargic you would need to take the child to a doctor without delay. For a baby of this age, it is normal to pass stool several times a day or even after each feed. Alternatively the child may pass stool once in 10 days and that is normal too. Unless the stool is hard and pellet like, you need not grow concerned. It is also normal to pass green stool or a combination of yellow stool. The green colour occurs due to rapid transit through large intestine where the bile pigments do not get adequate time to convert to the yellow colour of stool. It is OK for some mucus to be there in the stool. Breast milk also takes care of immunity against common ailments like cough and cold, and diarrhea. So, automatically your worries would be reduced. For a baby of this age, it is normal to pass stool several times a day or even after each feed. Alternatively the child may pass stool once in 10 days and that is normal too. Unless the stool is hard and pellet like, you need not grow concerned. You need not use suppositories but in case you use, it would not be harmful. If the child seems to have nasal blockage, applying saline drops (like Nasoclear) in each nostril should take care of it. So long as the baby is active and playful, you need not worry. Let me first ask whether the baby is exclusively breast fed or whether formula feeds are being given. Babies often get colics especially when on formula feeds. In such a case switching back to breast milk should provide relief. You should burp the baby for at least 15-20 mins after each feed. All you need to do is to hold the baby head end elevated for this duration. The extra air taken causes distention and hence colics. Proper burping will ensure its escape and the milk will not regurgitate back from the stomach to the food pipe, thus providing relief. You can otherwise give Coliaid Drops when needed. You need not give it on regular basis. It is a safe medicine and you need not worry about any disadvantage of giving it. Let me know if you have further queries. Regards