A New Beginning

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A New Beginning cover	I
Northside Baby Bump App & When to Call 911 for Mother	II
A New Beginning: Your Personal Guide to Mom and Baby Care	III
Welcome and congratulations to you and your family!	III
Digital Companion to Your Book	IV
Videos in This Book	1
Table of Contents	1
YOUR HOSPITAL STAY	5
Congratulations!	5
Welcome to Family Centered Care	6
Communication	6
Visitors	7
Visitor Parking	7
Nutrition	7
Patient Rights	8
Your Clinical Care	9
What to Expect from Your Clinical Care	9
Be an Active Participant in Your Care	9
Nurse Bedside Shift Report	9
Postpartum Medications	10
Your Responsibilities	10
Medications While in the Hospital	10
Medications Brought in from Home	10
Medications When You Are Discharged	10
Differences Between Allergies and Side Effects	11
Postpartum Medication	12
Postpartum Pain	13
Managing Your Pain is Important	13
Communicating Your Pain	13
Scheduled Pain Medications	13
Important Safety Information	14
Falls	14
Preventing Infections	14
CHAPTER 1: Physical Changes	15
Physical Changes	15
Postpartum Changes Beyond the First Day	16
Uterus	16
Involution and After-birth Pains	16
Vaginal Discharge (Lochia)	16
Showering	17
Perineum	17
8 Steps to Keep Your Perineum Clean	17
Bladder	18
Hemorrhoids	18
Fluid Shifts and Swelling	18
Bowel Elimination	19
Breast Engorgement	20
Muscle and Joint Discomfort	21
Skin Changes	22
Eye Hemorrhages	22
Varicose Veins	22
Hair Loss	22
CHAPTER 2: Cesarean Care	23
Bed Rest	23
Urinary Catheter	23
Deep Breathing	23
FAQs about Catheter-Associated Urinary Tract Infection	24
Cesarean Pain	25
Managing Your pain	25
Getting out of Bed for the First Time	26
While Out of Bed, You are at Risk for Falling	27
Gas	27
Your Cesarean Incision	28
Showering	28
Perineum	28
CHAPTER 3: Emotional Changes	29
Emotional Highs and Lows	29
Emotional Changes	30
Postpartum Blues	30
12 Tips for Dealing with the Baby Blues	31
Perinatal Mood and Anxiety Disorders	32
Symptoms of Perinatal Mood and Anxiety Disorders [PMADs]	33
Perinatal Mood and Anxiety Disorders: Is this normal?	34
PMADs are treatable	34
Partners Can Experience Postpartum Depression too	34
Postpartum Post-Traumatic Stress Disorder (PTSD)	35
Postpartum Psychosis	35
Speak up!	35
Edinburgh Postnatal Depression Scale	36
Edinburgh Postnatal Depression Scale Questionnaire	37
Seeking Help	38
Connect with a Therapist	38
CHAPTER 4: Mom’s Discharge	39
You’re Planning to Go Home	39
Your Hospital Discharge	40
Discharge Planning Starts when You Arrive	40
Before You Leave the Hospital	40
Baby’s Discharge	40
Important Questions to Ask About Your Discharge	40
Expected Physical and Emotional Changes at Home	41
Cesarean Incision	41
Activity	42
Discomfort & Pain	42
Family Planning & Resuming Sex	42
Emotions & Mood Swings	42
What You May Expect over the Next Few Weeks	43
My Plan for Help at Home the First Few Weeks	44
Help Your Family Transition	44
Eat Healthy to Keep up Your Energy	47
Set Realistic Expectations and Be Flexible	47
Heart Disease	48
Positive Lifestyle Changes	48
Gestational Diabetes	49
High Blood Pressure	49
Delivered Before 37 Weeks	49
Postpartum Preeclampsia	49
Warning Signs of Postpartum Preeclampsia	50
CHAPTER 5: Warning Signs for Mother & Baby	51
OB Inpatient Warning Signs	51
POST-BIRTH Warning Signs	53
Always Follow Baby’s Hospital Discharge Instructions!	55
CHAPTER 6: Your Baby’s Hospitalization	57
Your Baby’s Care	57
Hospital Routines	58
Baby’s Clinical Care Team	58
Baby’s Clinical Care Routines	58
Choosing Your Baby’s Health Care Provider	59
Newborn Identification and Security	59
Newborn Identification	59
Hospital Security Measures	59
Preventing Infections	60
Hand-washing Is Important	60
When Mother is Ill and Contagious	60
Cold Sores	60
Preventing Newborn Falls	60
Northside Hospital Circumcision Process	61
If You Choose to Circumcise Your Baby Boy	61
Newborn Pain Management	61
Routine Newborn Procedures and Medications	62
Apgar Score	62
Erythromycin Eye Ointment	62
Vitamin K	62
Hepatitis B	62
Other Newborn Medications	62
Dextrose Gel	62
Tylenol	62
Important Newborn Health Screenings	63
Jaundice	64
Risk Factors for Jaundice	64
Signs & Symptoms of Jaundice	64
Types of Jaundice	64
Screening and Testing for Jaundice	65
Treating Jaundice	65
Feedings	65
Phototherapy	65
Blood Sugar and Car Seat Screening for High Risk Newborns	66
CHAPTER 7: Getting to Know Your Baby	67
Welcoming Baby!	67
Baby’s Appearance	68
Birthmarks	70
Baby Senses	71
Your Baby’s Behavior	72
Sleep Patterns	72
Tips for Waking a Sleepy Baby	72
Crying or Fussing	73
Temperament	73
Crying	73
Ways to Soothe a Fussy Baby	73
Overstimulation	74
What is Colic?	75
Period of PURPLE Crying	75
NEVER Shake A Baby	76
Late-Preterm Babies	77
Feeding Tips for Late-Preterm Babies	78
CHAPTER 8: Caring for Your Baby	79
Learning About Your Baby	79
How to Pick Up and Hold Baby	80
Skin-to-Skin Contact	80
If Baby Gags or Chokes	81
How to Use a Bulb Syringe	81
What to Do if Baby Gags or Spits	81
Newborn Resources	81
Umbilical Cord	82
Wet Diapers	83
Bowel Movements	83
Diaper Changes	84
How to Change a Diaper	84
Diaper Rash	84
Dressing and Swaddling	85
Rooming-In	86
Safe Sleep	87
ABCs of Safe Sleep	87
Tummy Time	88
Tummy Time Tips	88
The Power of Play	88
Tips	88
Bathing Your Baby	89
Tub Bathing Baby	90
Cradle Cap	91
Nail Care	91
Caring for a Circumcision	91
Plastibell Circumcision Procedure	91
Other Circumcision Procedure	91
Caring for an Intact Penis	91
Taking Baby’s Temperature	92
Only Digital Multiuse Thermometers are recommended for Newborns	92
CHAPTER 9: Breastfeeding	93
Welcome to Your Breastfeeding Journey	93
Physiology of the Breast	94
Milk Production	94
Colostrum	95
Exclusive Breastfeeding	95
How Do I Know My Baby is Ready to Breastfeed?	96
Newborn Tummies are Very Small!	97
Cluster Feeding	98
Normal Newborn Feeding Patterns	98
Breastfeeding Positions	99
Latch-On	100
Signs of a Proper Latch-on	100
Baby-Led Latch	100
Burping	101
How Do I Know My Baby is Getting Enough to Eat?	102
In the Early Days	103
Breastfeeding and Formula Supplementation	104
Expressing Breast Milk	104
Hand Expression	104
How to Hand Express	104
Breast Pumps and Hands-On Pumping	106
Pre-owned Breast Pumps	106
Frequency of Expressing	106
Collection of Breast Milk	107
Storage of Breast Milk	107
Thawing or Warming Breast Milk	107
Cleaning Your Breast Pump Parts	108
Optional Step	108
Store Safely	108
Cleaning Rental Pumps	108
Returning Rental Pumps	108
Care of the Breasts	109
Sore Nipples	109
Engorgement	109
Growth Spurts	109
Frequently Asked Questions about Breastfeeding	110
Marijuana and Breastfeeding	114
Breastfeeding Log	115
CHAPTER 10: Formula Feeding	123
Feeding Your Baby a Bottle	123
How Do I Know My Baby’s Ready to Eat?	123
What are Proper Bottlefeeding Techniques?	123
Paced Bottle Feeding	124
Burping Your Baby	124
How Much Should My Baby Eat?	125
Formula Feeding Your Baby	126
Choosing Formula for Your Baby	126
Formula comes in 3 forms	127
Formula Package Safety	127
How is Formula Regulated?	127
Unsafe Milk Options	127
Homemade Formulas	127
Imported Formulas	128
Counterfeit Formulas	128
Choosing Bottles and Nipples for Your Baby	128
Cleaning Bottles, Nipples and Parts	129
Preparing Formula for Your Baby	130
For Powdered Formula	130
For Liquid Concentrate	130
For Ready-to-Feed Formula	130
Normal Newborn Feeding Patterns	131
Frequently Asked Questions about Making Formula	131
Cronobacter Infection	133
Frequently Asked Questions	134
Formula Feeding Log	135
CHAPTER 11: Baby’s Discharge	139
Taking Your Baby Home	139
Planning to Take Baby Home Starts at Birth	140
While You’re in the Hospital	140
Important Questions to Ask About Your Baby	140
Get All of Your and Your Partner’s Questions Answered	140
Choosing a Car Seat	141
Get Your Car Seat Inspected	141
General Rear-Facing Car Seat Installation Tips	141
Used Car Seats	141
Car Seat Instructions and Safety Information	142
How Long Should Baby Stay in a Rear-facing Car Seat?	142
Baby’s Car Seat	143
Before Your Baby is Discharged	143
Can Hospital Staff Put My Baby Into the Car Seat?	143
Hot Car Safety	144
Look Before You Lock	144
Arriving Home	145
Pets	145
Siblings	145
Baby’s First Doctor’s Office Visit	146
Immunizations	147
Recommended Immunizations, Birth-6 Months	148
CHAPTER 12: Your Patient Experience	149
Your Patient Experience	149
We Value Your Insight and Comments	149
Thank you!	149
Press Ganey Survey Sample	150
When to Call 911 for Your Baby	151
Resources & Support Groups	151

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