Como cuidar de um RECÉM NASCIDO? | Dicas ÚTEIS para os primeiros meses de vida | Dra. Jannuzzi

Summary

In this insightful video, Dr. Ana Bárbara Januzzi, a pediatrician with expertise in childhood sleep, shares practical advice for new parents caring for their newborns. The video covers essential topics such as preventing diaper rash, effective breastfeeding techniques, the importance of colostrum, formula feeding organization, managing reflux, and proper umbilical care. Dr. Januzzi emphasizes the importance of drying the baby’s skin to prevent rashes, the role of lactation consultants, and the need for patience and observation in the early days. This video provides valuable tips to make the challenging early stages of parenthood smoother for new families.

Takeaways

• 😀 Properly prevent diaper rash by keeping the area dry, increasing diaper changes, and using protective barrier creams during nighttime.
• 😀 Avoid using antifungal creams like Nystatin unless necessary for treating fungal infections; instead, use preventive creams to protect the skin from moisture.
• 😀 If diaper rash persists or worsens, seek pediatric evaluation as it could be linked to issues like a milk allergy.
• 😀 Pain during breastfeeding is common but not normal; if it causes severe discomfort or injury, consult a lactation consultant or a pediatrician.
• 😀 Use free milk banks or lactation consultants to improve latch and breastfeeding technique if there are difficulties.
• 😀 Colostrum, the yellowish, transparent fluid produced in the first days of breastfeeding, provides essential nutrients and antibodies and is sufficient for the baby until the mature milk comes in.
• 😀 Keep essential feeding supplies close by when using formula to avoid unnecessary stress, and make sure all caregivers (including the father) help organize these items.
• 😀 Never let your baby sleep more than 3-3.5 hours without waking for a feeding unless the pediatrician confirms the baby is gaining weight properly.
• 😀 Reflux can be common in newborns due to an immature esophagus. Elevate the baby after feeding to reduce the risk of reflux and aspiration.
• 😀 Proper care of the umbilical cord involves keeping it clean and dry; avoid alcohol, oils, or other substances, as they can delay healing and increase infection risk.

Q & A

What is the first tip for preventing diaper rashes in newborns?

The first tip for preventing diaper rashes is to keep the baby's genital area dry. This can be done by thoroughly drying the area with a towel after cleaning or washing the baby, and by increasing the frequency of diaper changes to avoid prolonged exposure to urine or stool.

When should parents use diaper rash creams, and which type is recommended?

Parents should use diaper rash creams as a preventive measure, especially during the night when the baby wears a diaper for a longer period. The recommended creams are those that form a protective barrier between the skin and the diaper contents, but not those containing antifungals like Nystatin, which are for treating fungal infections.

What should parents do if a baby's diaper rash doesn't improve?

If a diaper rash persists or worsens despite all preventive measures, it may indicate an underlying issue, such as a milk protein allergy. In this case, it's important to consult a pediatrician for further evaluation and care.

Is it normal for breastfeeding to cause pain, and what should be done about it?

It is normal for breastfeeding to cause some discomfort, especially in the beginning, due to the increased demand on the mother's breasts. However, it should not lead to pain, open wounds, or bleeding. If this happens, the baby’s latch should be evaluated by a lactation consultant or a healthcare professional to ensure proper technique.

What is colostrum, and why is it important for newborns?

Colostrum is the first milk that a mother produces, typically yellowish or clear, in the first few days after birth. It is rich in antibodies and nutrients, making it crucial for newborns in the early stages of life. Despite old misconceptions, colostrum is sufficient to nourish the baby until the mature milk comes in.

What should parents do if they need to supplement with formula?

When supplementing with formula, parents should ensure that feeding supplies, such as bottles and water, are within easy reach to avoid unnecessary stress or delays during feeding. It's important to plan ahead to make things easier, and both parents should be involved in the process.

How often should a newborn be fed, and when should they be awakened for a feeding?

A newborn should not go more than three to three and a half hours without being fed, especially if there is uncertainty about their weight gain. Parents should monitor the baby's feeding patterns, and if weight gain is not yet confirmed by a pediatrician, waking the baby for regular feedings is recommended.

What causes reflux in newborns, and how can it be managed?

Reflux in newborns occurs because the lower esophageal sphincter is still developing, allowing milk to flow back into the esophagus. To manage reflux, it’s important to keep the baby in a more vertical position after feeding to help the milk stay down and avoid regurgitation, which can also reduce the risk of aspiration or choking.

What is the best way to care for a newborn's umbilical cord stump?

The best way to care for a newborn's umbilical cord stump is to keep it dry. It is not necessary to apply alcohol or other substances to the stump, as this can interfere with healing. Simply clean it with water and ensure it is completely dry before dressing the baby.

Are there any common myths or misconceptions about caring for the umbilical stump?

Yes, some common myths include applying substances like alcohol, salt, or herbs to the stump. These are unnecessary and can actually hinder the healing process. The key to proper umbilical cord care is to keep it dry and let it fall off naturally.