New parents often find themselves worrying over every small sound or movement from their newborn. To help alleviate these concerns, Dr. Nivedita More, a pediatrician with Stanford Medicine Children’s Health, sheds light on three common newborn health issues and provides insights on how to manage them.
Jaundice is a widespread condition, affecting up to 60% of newborns, especially premature babies. It causes a yellowing of the skin and eyes due to high bilirubin levels, a by-product from the breakdown of red blood cells. If untreated, high bilirubin can lead to complications such as brain damage, developmental delays, or hearing loss. Doctors routinely check bilirubin levels during early pediatric visits, typically within the first week of life, as jaundice peaks at this time. Fortunately, modern diagnostic tools, similar to a forehead thermometer, can detect bilirubin levels through the skin. Treatment often involves phototherapy, where babies are exposed to special lights. In less severe cases, increasing feeding frequency can help eliminate bilirubin through the baby’s stool.
Reflux and feeding issues are other common concerns. While a slight drop in weight during the first few days after birth is normal, parents should ensure their baby is feeding enough to regain that weight quickly. Babies typically need at least eight feeds per 24 hours in the first month. Dr. More emphasizes the importance of paced feeding, particularly for breastfeeding, and recommends burping the baby during and after feedings to reduce the likelihood of spitting up. Reflux, which affects up to two-thirds of babies, usually resolves by 4 months of age. In the meantime, parents can manage the condition by maintaining a regular feeding schedule, pacing feedings, and ensuring proper burping techniques.
Diaper rash is another concern for newborns with delicate skin. While mild redness is usually harmless, more severe rashes require attention from a pediatrician. These rashes could be fungal, bacterial, or related to frequent stooling. Dr. More advises parents to change diapers frequently, apply diaper cream with zinc oxide, and use water-based wipes to avoid irritation. Allowing the diaper area to air out can also help, and any persistent or worsening rashes should be brought to a pediatrician’s attention.
Finally, Dr. More encourages parents to trust their instincts. If they feel something is wrong with their baby, they should contact their pediatrician. Early intervention and understanding these common conditions can help parents feel more confident in caring for their newborns.
Related Topics
