Archive for the ‘Featured’ Category

how to give a baby a bath

When to bathe

Most babies, after a few weeks’ experiences, have a wonderful time in the bath. but how to give a baby a bath? The simple answer is don’t rush it; enjoy it with your baby. It’s usually most convenient in the early months to give the bath before the mid-morning feeding, but before any feeding is all right—not after, because you then want the child to go got sleep. By the time your baby is on three meals a day, you may want to change to before lunch or before supper. As the child becomes older still and stays up for a while after supper, it may be better to give the bath after supper, especially if she needs her supper early. Bathe her in a reasonably warm room, the kitchen, if necessary.

Sponge baths

One of the most important ways that is suggested when explaining how to give a baby a bath, Though it’s the custom in the United States to give a complete tub or sponge bath every day, it certainly isn’t necessary more than once or twice a week as long as the baby is kept clean in the diaper area and around the mouth. On the days when you don’t give a full bath, give a sponge bath in the diaper area. A tub bath is apt to be frightening to the inexperienced parent—the baby seems so helpless, limp, and slippery, especially after having been soaped. Babies may feel uneasy in the tub at first because they can’t be well supported there. You can give a sponge bath for a few weeks until you and your baby feel more secure or even longer—if you prefer. Most doctors advise avoiding tub baths until the navel is dried up. This makes sense, but nothing awful will happen if the navel gets wet.

You can give a sponge bath on a table or in your lap. You’ll want waterproof material under the baby. If you are using a hard surface like a table, there should be some padding on it (a large pillow, folded blanket, or quilt) so that the baby won’t roll easily. Rolling frightens young babies. Wash the face and scalp with a washcloth and clear warm water. The scalp may be soaped once or twice a week. Lightly soap the rest of the body when and where needed with the washcloth or your hand. Then wipe off the soap by going over the whole body at least twice with the rinsed washcloth, paying special attention to creases.

Getting ready for a tub bath

Before starting the bath, be sure you have everything you need close at hand. If you forget the towel, you’ll have to go after it holding a dripping baby in your arms. Take off your wrist watch. An apron protects your clothes. Have at hand:

  • Soap
  • Washcloth
  • Towel
  • Absorbent cotton for nose and ears if necessary
  • Lotion
  • Shirt, diapers, pins, nightie

The bath can be given in a washbowl, dishpan, kitchen sink, or plastic tub. Some tubs have sponge cutouts to support and position the baby properly. The regular bathtub is hard on a parent’s back and legs. For your own comfort, you can put a dishpan or tub on a table or on something higher, like a dresser. You can sit on a stool at the kitchen sink.

Another thing to remember while learning how to give a baby a bath is that the water should be about body temperature (90 to 100 degrees). A bath thermometer is a comfort to the inexperienced parent but isn’t necessary. Always test the temperature with your elbow or wrist. It should feel comfortably warm, not hot. Use only a small amount of water at first, an inch or two deep, until you get the knack of holding the baby securely. A tub is less slippery if you line it with a towel or diaper.

Giving the tub bath

Hold the baby so that her head is supported on your wrist and the fingers of that hand hold her securely in the armpit. Wash your baby’s face first with a soft washcloth without soap, then wash the scalp. The scalp needs to be soaped only once or twice a week. Wipe soap suds off the scalp with a damp washcloth, going over it twice. If the washcloth is too wet, the soapy water may get into the eyes and sting. (There are shampoos for babies that do not sting the eyes like ordinary shampoos). Then you can use the washcloth or your hand to wash the rest of the body, arms, and legs. Wash lightly between the outer lips of the vagina. When you use soap, it’s easier to soap with your hand than a washcloth.If the skin gets dry, try omitting soap except once or twice a week.

If you feel nervous at first for fear you’ll drop the baby in the water, you may soap her while she is on your lap or a table. Then rinse her off in the tub, holding her securely with both hands. Use a soft bath towel for drying, and blot rather than rub. If you begin giving tub baths before the navel is completely healed, dry it thoroughly after the bath with cotton balls.

Lotion

Lastly in how to give a baby a bath, learn about applying lotion. It’s fun to apply lotion to a baby after a bath, and the baby likes it, too, but it is really not necessary in most cases. Baby lotion may be helpful when the skin is dry or there is a mild diaper rash. Baby oils and mineral oil are less often used since they sometimes cause a mild rash. Baby powder containing talcum should be avoided because it is harmful to the lungs if inhaled. Baby powder that is pure cornstarch works almost as well and is safer.

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baby bowel movements

Meconium

For the first day or so after the birth, the baby’s movements are composed of material called meconium, which is greenish-black in color and of a smooth, sticky consistency. Then they change to brown and yellow. If a baby bowel movements hasn’t started by the end of the second day, the doctor should be notified.

The gastrocolic reflex

The baby bowel movements take place soon after a meal in most babies because the filling of the stomach tends to stimulate the intestinal tract all the way down. This hookup is called the gastrocolic reflex (gastro = stomach, colic = intestines). The movement is more apt to occur after breakfast because of the resumption of stomach and intestinal activity after the long night’s quiet.

Sometimes this reflex works very actively in the early months of life, especially in a breast-fed baby, who may have a movement after every nursing. More inconvenient still is the pattern of the occasional babies who strain soon after the start of each breast or bottle feeding, producing nothing but continuing to strain so hard, as long as the nipple is in their mouths, that they can’t nurse. You have to let their intestines quiet down for fifteen minutes, then try again.

Breast-fed babies

A breast-fed baby bowel movements may be many or few daily. Most have several movements a day in the early weeks. Some have a movement after every nursing. The movements are usually of a light yellow color and may be watery, pasty, or seedy, or they may have the consistency of thick cream soup. They are almost never too hard.

Many breast-fed babies change from frequent to infrequent movements by the time they are one, two, or three months old. (This occurs because breast milk is so well digested that there is little residue to make up bulk in the movements). Some then have one movement a day, others a movement only every other day or even less often. This is apt to alarm a parent who has been brought up to believe that everyone should have a movement every day. But there is nothing to worry about so long as the baby is comfortable. The breast-fed baby’s movement stays just as soft when it is passed every two or three days or even less frequently.

Bottle-fed babies

The baby who is fed commercially prepared formula usually has from one to four movements a day at first. (An occasionally baby has as many as six). As he grows older, the number tends to decrease to one or two a day. Movements in babies fed formula are most often pasty and of a pale yellow or tan color. However, some young babies always have stools that are more like soft scrambled eggs (curdy lumps with looser material in between). The number and color of the stools is not important if their consistency is good (soft but not watery) and the baby is comfortable and gaining well.

The common disturbance of the baby bowel movements due to cow’s milk is a tendency to hardness. (See “Constipation” in “Common Childhood Illnesses” in Section VI). A very few bottle-fed babies tend to have loose, green, curdy movements in the early months. If the movements are always just a little loose this can be ignored, provided the baby is comfortable, gaining well, and the doctor or nurse practitioner finds nothing wrong.

Straining with stools

Some babies who have infrequent movements begin to push and strain a lot when two or three days have gone by, yet the movement is soft when it does come out. This isn’t constipation: The stools aren’t hard. I think the problem arises from poor coordination. The baby is pushing out with one set of muscles and holding back with another set, so nothing happens except a lot effort. As the baby’s nervous system improves, the problem goes away.
Sometimes adding two to four teaspoons of pureed, strained prunes to the daily diet helps make the baby’s bowels more regular, even though the baby doesn’t otherwise need solid food yet. There is no call for medicine and it is better not to use suppositories or enemas, lest the baby’s intestines come to depend on them. Try to solve the problem with prunes or prune juice.

Changes in the movements

You can see that it doesn’t matter if one baby’s movements are always a little different from another baby bowel movements, as long as each is doing well. It’s more apt to mean something and should be discussed with the doctor or nurse practitioner when the movements undergo a real change. For example, green movements can occur with both breast-fed and bottle-fed babies. If the movements are always green and the baby is doing fine, there is nothing to be concerned about. If they were previously pasty then turn lumpy, slightly looser and slightly more frequent, it may be a spell of indigestion or a mild intestinal infection. If they become definitely loose, frequent, and greenish and the smell changes, this is almost certainly due to an intestinal infection, whether mild or severe.

Generally speaking, changes in the number and consistency of the movements are more important than changes in color. A bowel movement exposed to the air may turn brown or green. This is of no importance.

Mucus in the bowel movements is common when a baby has diarrhea. It just means that the intestines are irritated. Similarly, it may occur in indigestion. It can also come from higher up-from the throat and bronchial tubes of a baby with a cold or of a healthy newborn baby—some babies form a great deal of mucus in the early weeks.

When a new vegetable is added to the diet (less frequently in the case of other foods), some of it may come through looking just the same as when it went in. if the food also causes signs of irritation, such as looseness and mucus, give much less of it the next time. If there is no irritation, you can continue the smaller amount or increase slowly until the baby’s intestines learn to digest it better. Beets can turn the whole movement red.

Small streaks of blood on the outside of a baby bowel movements usually come from a crack, or fissure, in the anus, caused by hard bowel movements. The bleeding is not serious in itself, but the doctor should be notified so that the constipation can be treated promptly.

Larger amounts of blood in the movement are rare and may come from malformation of the intestines, severe diarrhea, or intussusception. The doctor should be called or the child promptly taken to a hospital.

types of diapers and cleaning a baby

Cleaning a baby

It isn’t necessary to wash your baby when changing a wet diaper. In cleaning your baby after a bowel movement, you can use plain water on cotton balls or a wash-cloth, baby lotions and tissues, or diaper wipes. Store-bought pre-moistened wipes are handy, but they often contain perfumes and other chemicals that can cause rashes. With girls, always wipe from front to back. For boys, put a spare diaper loosely over the penis until you’re ready to fasten the diaper; this will keep you from getting sprayed if he urinates before you’re done. It’s nice to let to skin air dry. It’s important to wash your hands with soap and water after changing the diaper to prevent the spread of harmful germs.

When to change

Most parents change the diapers when they pick their baby up for feeding and again before they put him back to bed. Parents who are very busy have found they can save time and laundry by changing only once at each feeding—usually after it, because babies frequently have a bowel movement while eating. Most babies are not bothered by being wet, but a few are extra sensitive and have to be changed more often. If children have sufficient covers over them, the wet diaper does not feel cold. It is when wet clothing is exposed to the air that evaporation makes it cold.

Disposable diapers

What are the types of diapers? Most parents today choose to use disposable diapers for convenience and because they absorb more fluid. Disposables can seem dry because they absorb moisture well, but they still need changing about as often as cloth. The costs of cloth and disposable diapers are similar when a diaper service is used. Cloth diapers washed at home cost less but take a lot more work. Some families choose to use cloth diapers to reduce the consumption of wood pulp and the clogging of landfills. Not surprisingly, the manufacturers of disposables have promoted the idea that disposables aren’t any worse for the environment that cloth, but their arguments have never made sense to me. Occasionally a new superabsorbent diaper splits open, releasing some of its gelling material (the stuff that soaks up the fluid). Some parents mistake this material for insects or even a rash, but it’s not at all harmful.

Cloth diapers

If you use a diaper service, you’ll get a bag of clean diapers delivered each week. If you wash your own, you’ll need at least a couple dozen, but although you save money (the cost is less than half of a diaper service), you spend a lot of time and energy doing it. Many parents choose prefolded cloth diapers which close with Velcro. If you prefer the old-fashioned type, there are two things to remember when putting them on: Position the most cloth where there will be the most urine, and don’t allow so much diaper to bunch between the legs that it keeps them widely separated. Cloth diapers are also types of diapers and really good in cleaning a baby.

With a full-size newborn baby, you can fold the usual large square or rectangular diapers to fit. First fold lengthwise in thirds so that there are three thicknesses. Then fold about one-third of the end over. As a result, half of the folded diaper has six layers; the other half has three. A boy needs the double thickness in front. A girl needs the thickness in front when she’s lying on her belly (not to sleep, of course, but to play) and in back when she lies on her back to sleep. When you put the pins, slip two fingers of the other hand between the baby and the diaper to prevent sticking the child. The pins slide through the cloth more easily if you’ve kept them stuck into a bar of soap.

In the past, parents put their babies in waterproof plastic pants to protect the sheets (and themselves). Modern diaper wraps made out of high-tech, breathable materials allow more air to circulate around the baby’s bottom (a real help in reducing moisture and the resulting rashes). But they are not 100 percent waterproof, so they tend to leak a bit. An alternative is to use two diapers. The second one can be pinned around the waist like an apron or folded into a narrow strip down the middle.

Washing diapers

You want a covered pail partially filled with water to put used diapers into as soon as they are removed. If it contains one-half cup of borax or bleach per gallon of water, this will help in removing stains. When you remove a soiled diaper, scrape the movement off into the toilet with a knife or rinse it by flushing while you hold it in the toilet (hold tight). Clean the diaper pail each time you do a diaper wash. (If you use a diaper service, of course, you just toss the diaper and its contents into the plastic pail supplied by the diaper company; the company picks up the pail and leaves you a big bag of nice clean diapers.)

Wash the diapers with the mild soap or mild detergent in a washing machine or washtub (dissolve the soap well first), and rinse two or three times. The number of rinsing depends on how soon the water stays clear and on how delicate the baby’s skin is. If your baby’s skin isn’t sensitive, two rinsing may be enough. If your baby has a tendency to develop diaper rash, you may need to take additional precautions—at least at the times the rash appears and perhaps regularly.

If the diapers (and other clothes) are becoming hard, nonabsorbent, and gray with soap deposit (the same as the ring in the bathtub) you can soften and clean them by using a water conditioner. Don’t use a fabric softener—these leave a coating that reduces the cloth’s absorbency.

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why do babies cry

Why do babies cry? This is usually an important question, especially with a first baby. Crying in an infant does not have the same meaning as it does in an older child. It is the baby’s main form of communication and has many meanings, not just pain or sadness. As babies grow older, crying is much less a problem because older babies cry less and parents know what to expect and worry less.

But in the first weeks its hard to find out why do babies cry and baffling questions pop into your mind: Is she hungry? Is she wet? Is she uncomfortable? Is she sick? Does she have indigestion? Is she lonely? Parents are not apt to think of fatigue, but it’s one of the commonest causes.

It is fairly easy to answer the question why do babies cry, but a lot of fretting and crying can’t be so readily explained. In fact, by the time they are a couple of weeks old, almost all babies—especially first babies—get into fretful periods that we can give names to but can’t explain exactly. When the crying is regularly limited to one period in the evening or afternoon, we can call it colic. Colic sometimes goes along with distension of the abdomen and the passing of gas. If the baby is fussing off and on any old time of the day or night, we can sigh and say that at this stage she is just a fretful baby. If she’s unusually tense and jumpy, some use the term hypertonic baby (different from the “hyperactive” label that is often used for older children).

Fussy or inconsolable crying occurs in otherwise healthy babies all over the world during the first three months. It usually increases over the first six weeks or so, then gradually decreases. Compared with the babies in the United States, babies from less industrialized countries typically have shorter fussing bouts, but they still fuss. The period between birth and about three months is one of the adjustment of the baby’s immature nervous and digestive systems to life in the outside world. A smooth adjustment is harder for some babies to achieve than others.

Few things are more upsetting to a parent than a little baby who cries and cannot be comforted. So it’s important to remember that excessive crying in the early weeks is usually temporary, not a sign of anything serious. If you’re concerned (and who wouldn’t be?), have the doctor carefully examine your baby, more than once if need be, and reassure you. The other key thing to remember—and it bears repeating—is that it is never safe to shake a baby to make the fussing stop.

Now we know why do babies cry!

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Baby Feeding & Sleeping Habits

There is so much to say about feeding that breast-feeding and formula feeding each have their own chapter in Section II. Babies can do well with either breast milk or formula, but there are enough advantages to breast-feeding, for both baby and mother, that it’s worth thinking carefully before choosing. When you feed your baby, hold her, smile at her, and talk with her, you are nurturing her body, mind, and spirit. When it’s working well, feeding feels good for your baby and you. Some babies feed well right from the start; others take several days before they begin to catch on. If feeding problems last longer than a week, even with help from family members and experienced friends, it’s wise to get professional help.

Sorting out day and night

The first sleep problem many new parents face is a baby who has mixed up day and night. He seems to like to sleep more during the day; his wakeful hours tend to be at night. This shouldn’t be surprising. After all, he couldn’t care less whether it’s night or day, so long as he’s fed, cuddled, and kept warm and dry. In the womb, it was pretty dark anyway, and he never had the chance to accommodate to the day-night cycle.

For this reason, I give all parents the same advice. Play with your baby a lot during the daytime. Wake him up to feed him if the usual amount of time has elapsed since the last feeding. If you are going to play with him, do it when it’s light outside. Nighttime is a different story. When you feed him after dark, do it efficiently and with less fanfare. Don’t wake him to feed him when it’s dark out unless there is a medical reason to do so. Let him learn very early on that daytime is fun time and nighttime is kind of low-key and boring. By two to four months, most babies have learned to be more awake during the day and to sleep for longer periods at night.

How much should a baby sleep? Parents often ask this question. Of course the baby is the only one who can answer it. One baby seems to need a lot, another surprisingly little. As long as babies are satisfied with their feedings, are comfortable, get plenty of fresh air, and sleep in a cool place, you can leave it to them to get the amount of sleep they need.

Most babies in the early months sleep from feeding to feeding if they are getting enough to eat and not having indigestion. There are a few babies, though, who are unusually wakeful right from the beginning and not because anything is wrong. If you have this kind of baby, there’s nothing you need to do about it.

As babies get older they gradually stay awake for longer periods and take fewer naps during the day. You’re apt to notice it first in the late afternoon. In time they become wakeful at other periods of the day. Each baby develops a personal pattern of wakefulness, tending to be awake at the same times every day.

Sleep habits

Many babies easily get used to the idea that they always go to bed and sleep right after a meal. Many other babies are very sociable after meals. You can choose which routine fits best with the schedule of the whole family. Newborns sleep wherever they are. By about three or four months, it’s a good idea for babies to get used to falling asleep in their own beds, without company (unless you plan to have your baby sleep with you for a long time). This is one way to prevent later sleep problems. A baby who expects to be held and rocked before she goes to sleep may want such comfort for months, even years. Then when she awakens in the night, she may want these pleasures again.

Babies can get accustomed to either a silent home or an average noisy one. So there is no point in tiptoeing and whispering around the house in the early days. The infant and child who, awake or asleep, is used to ordinary household noises and human voices usually sleeps right through a visit of talking and laughing friends, a radio or television tuned to a reasonable volume, even somebody’s coming into the room. There are, however, certain infants who appear to be hypersensitive to sounds. They are startled easily by the least noise and appear to be happiest when it’s quiet. If you have such a baby you’ll probably need to keep the house quiet while she sleeps, or she will constantly wake and fuss.

Sleeping with your baby

Experts often have strong opinions about this, pro and con. I think it is a matter of personal choice. Parents and babies sleep together in many cultures around the world. A parent who is an unusually deep sleeper or is under the influence of medications, drugs, or alcohol, might roll over and smother her baby. But for most parents, I think the risk of this happening is extremely small. A much bigger risk is that the parent might not get a good night’s sleep because of always being aware of the baby next to her. There is no evidence that sleeping together—or not sleeping together—affects a baby’s physical or emotional health. So it makes sense to do what feels right and comfortable for you. If you do sleep with your baby, it’s important to follow the safety precautions below.

Children can sleep in a room by themselves from the time they are born as long as the parents are near enough to hear them when they cry. An inexpensive intercom can help. If your child starts out sleeping in your room, two to three months is a good age to more her out: when she’s sleeping through the night and doesn’t need so much care. By six months, a child who regularly sleeps in her parents’ room may become dependent on this arrangement and be unwilling to sleep anywhere else. It then becomes harder to make the change to sleeping in a separate room, although it’s never impossible.

On back or stomach?

This used to be a hotly debated question. Not any more. Today’s slogan is “Back to Sleep”. All infants should be put to sleep on their backs (face up) unless there is a medical reason not to do so. This simple change in sleep position from front to back has reduced the number of sudden infant death syndromes (SIDS) deaths by 50 percent. ( Find out with your doctor or nurse practitioner if there is any reason for your baby to sleep on her stomach or side.)

Why the change? Many studies have now shown that the risk if SIDS is lessened when infants sleep on their backs. And sleeping face up seems to have no adverse effects on healthy infants. Most babies easily take to sleeping on their backs if they’ve never gotten used to sleeping the other way. Sleeping on the side isn’t as safe as sleeping on the back since side-sleeping babies often roll facedown. So from the beginning, put your baby to sleep on her back. Babies who spend all of their time lying faceup sometimes develop flat spots on the back of their heads, so it’s a good idea to give your baby time lying on her stomach when she is awake and you are watching her.

CHECKLIST

Sleep Safety Tips:

  • Always put baby to sleep on their backs (face up), unless advised otherwise by a doctor.
  • Remove soft fluffy blankets, pillows, crib bumpers, and other cloth items—they increase the risk of suffocation.
  • Use a safety-approved cradle, co sleeper, or crib (see “Help sibling cope” in section I i.e. “Before Your Child is born”). If in doubt, look for a label from a well-known testing service, such as Consumer Reports, or check with the U. S. Consumer Product Safety Commission (www.uspsc.gov).
  • Avoid overdressing or over bundling your baby; overheating increases the risk of SIDS.
  • Protect your baby from second-hand cigarette smoke, which increase the risk of SIDS, and has other harmful effects as well.

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Caring for Baby

Being companionable with your baby. Be quietly friendly with your baby whenever you are with him. He’s getting a sense of how much you mean to each other all the time you’re feeding him, burping him, bathing him, dressing him, changing his diapers, holding him, or just sitting in the room with him. When you hug him or make noises at him, when you show him that you think he’s the most wonderful baby in the world, it makes is spirit grow, just the way milk makes his bones grow. That must be why we frown-ups instinctively talk baby talk and waggle our heads when we greet a baby, even grown-ups who are otherwise dignified or unsociable.

One trouble with being an inexperienced parent is that part of the time you take the job so seriously that you forget to enjoy it. Then you and the baby are both missing something. Naturally, I don’t mean that you should be talking a blue streak at him all the time he’s awake or constantly joggling or tickling him. That would tire him out and in the long run might make him tense. You can be quiet much of the time you are with him. It’s the gentle, easygoing kind of companionship that’s good for him and good for you. It’s the comfortable feeling that goes into your arms when you hold him, the fond, peaceful expression on your face when you look at him and the gentle tone in your voice.

Your newborn’s senses. All of your baby’s senses work at birth (and indeed, were working before birth), to different degrees. Touch and motion are already well developed, which may explain why holding, swaddling, and rocking have such a calming effect. Smell is also well developed. Babies detect odors in the amniotic fluid before birth, and very early on, they come to prefer the smell of their mothers.

Newborns can hear, but their brains process the nerve signals that represent sound slowly. If you whisper in a baby’s ears, it may take several seconds before the baby responds, trying to find the source of the sound. Because of the way the inner ear develops, babies hear higher-pitched sounds better and prefer speech that is slow and musical—the way parents seem naturally to talk to them.

Babies can also see, but they are very nearsighted. Their eyes focus best at nine to twelve inches, about the distance to the mother’s face when nursing at the breast. You can tell when a baby catches you with his eyes, and if you slowly move your face from side to side, his eyes may follow you. Babies prefer looking at faces. We are social creatures from the start. Babies’ eyes are very sensitive to light. They tend to keep them closed in a normally lit room, opening up when the lights go down.

Your baby is an individual. Parents who have more than one child know that newborn babies have their own personalities. Some are very calm, others more excitable. Some are regular in their eating, sleeping, and bowel habits, others are irregular. Some can handle lots of stimulation, others need a quieter, darker, less busy environment. When babies are alert, with eyes open and a look of concentration on their faces, they are taking in information about the world around them. One baby stays in this alert, receptive mode for many minutes at a time; another baby shifts in and out, alternating alertness with periods of drowsiness or fussing. As you take care of your baby, you’ll begin to figure out how to help keep the alert state going by providing enough talking, touching, and playing but not too much. You baby will also become more skillful in letting you know when he wants more and when he has had enough. You begin to work as a team. This process takes place over weeks and months.

Sex after Delivery

The process of pregnancy, labor, and delivery may interfere (for a time) with many parents’ sexual relations. Near the end of pregnancy, intercourse may become uncomfortable or at least physically challenging. Following delivery, there is a normal period of discomfort, readjustment of the body to its pre-pregnancy state, hormonal shifts, and the hard work, sleep deprivation, and fatigue of caring for a newborn. Sex may be crowded out for days, weeks, even months.

This can also be a difficult time for a man’s libido. He may simply be tired. For some men, the shift in perspective of their partner from lover to mother is difficult to reconcile with sexual feelings. All manner of deep emotional contradictions may arise. Some men, for eg., have been raised with the Madonna or whore complex. It’s hard for them to understand how a woman can be both a mother and a lover; the feelings may seem mutually incompatible (just as some of us can’t even begin to picture our parents as sexual beings, even though we are the proof incarnate of that sexuality).

If you recognize that sexual intercourse can be slow in returning, you won’t be so alarmed at its temporary absence. And just because you have put sexual intercourse on hold, that does not mean that all sexual relations must cease. Take time for cuddling, hugging, kissing, a romantic word, an appreciative glance, and unexpected gift of flowers.

Balancing parenthood with the other aspects of your life is one of the skills of successful parenting and successful marriage. Almost all parents get back on track sexually after a while. What makes the biggest difference is that, in the tumult of caring for a new baby, they don’t lose sight of how much they love and care for each other and that they make a conscious effort to express that love by word and by touch. Try reading poetry to each other, going for a walk together (without the baby), exchanging warm oil massages, meditating together, having a quiet meal together and sharing lots of hugs and kisses.

Father’s feelings in the early weeks during Baby Care

A father shouldn’t be surprised if he has mixed feelings at times toward his wife and his baby. These feelings can arise during the pregnancy, during the commotion of the labor and delivery stage, or after they are home. He can remind himself that his feelings are probably not nearly so churned up as his wife’s , especially immediately after the homecoming. She has been through an intense hormonal change. If it’s her first baby, she can’t help feeling anxious. All babies will make great demands on a mother’s strength and spirits at the beginning.

What this adds up to is that most women need a great deal of support from their partners at this time. They need help with care of the baby and any other children and with housework. Even more, they need patience, understanding, appreciation, and affection. The father’s job may be complicated by the fact that if his wife is tired and upset, she might not thank him for his efforts. Indeed, she may be critical or complaining. Even so, when fathers understand how much they are needed, they can put their negative responses aside, choosing instead to play their crucial supporting role.

The first few weeks at home, most new parents find that they are more anxious than usual and just plain exhausted. They worry about the baby’s crying and fretful spells, suspecting that something is seriously wrong. They worry about every sneeze and every spot of rash. They tiptoe into the baby’s room to see whether she is still breathing. It’s probably instinctive for parents to be overly protective at this period. I suppose its nature’s way of being sure that the millions of new parents throughout the world, some of whom may be immature, take their new responsibility seriously. A little concern might be a good thing. Fortunately, the anxiety wears off.

The blue feeling during Baby Care

It’s possible that you will find yourself feeling discouraged for a while when you begin taking care of your baby. It’s a fairly common feeling. Especially with the first one. You may not be able to put your finger on anything that is definitely wrong. You just weep easily, or you may feel bad about certain things.

A feeling of depression may come on a few days after the baby is born or not until several weeks later. The commonest time is when a mother comes home from the hospital. It isn’t just the work that gets her down; it’s the feeling of being responsible for the household plus the entirely new responsibility of the baby’s care and safety. A woman who was used to going to work every day is bound to miss the companionship of colleagues. Then there are the physical and hormonal changes at the time of birth, which will probably alter the mother’s mood to some degree.

If you begin to feel blue or discouraged, try to get some relief from the constant care of the baby in the first month or two, especially if your child cries a great deal. Go for a walk or work out. Work on some new or unfinished project—writing, painting, sewing, building; something creative and satisfying. Visit a good friend, or get your friends to come and see you. Activities like these can help lift your mood. At first you may not feel like doing anything. But if you make yourself take action, you will feel better. And that’s important for you baby and your family, as well as for yourself.

Also talk with your partner about how you are feeling, and be prepared to listen, too. It’s pretty common for a new father to feel rejected because the baby gets all the attention. A natural response—although not a helpful one—is for the father to withdraw emotionally or become whiney and critical just when the mother needs support the most. Feeling unsupported, a mother may become angry, sad, or depressed; this of course just makes the situation worse. Talking together is critical if couples are going to avoid this kind of vicious cycle.

If your mood does not lift in a few days or if it is getting worse, you may be suffering from what is referred to as postpartum depression. “Baby blues” almost always goes away by two months; postpartum depression can go on and on. Real postpartum depression may happen in as many as 10 to 20 percent of pregnancies. Rarely, it is so severe that there is even a risk of suicide. If you or your partner has a severe mood change at any time, especially after pregnancy, get medical help right away. No one knows exactly what causes postpartum depression, but women who suffered from depression before are more vulnerable.

This is not the sort of problem you can simply talk yourself out of; you need professional help. You can start by talking with your doctor, who may refer you to a mental health professional. The good news about postpartum depression is that it is treatable. Both talk therapy and antidepressant medication can be very helpful. No new mother should have to suffer with this problem alone.

Bonding with Baby and early return to Job

These days, most mothers return to their paid jobs very soon after having their babies. Financial necessity and demanding careers put huge pressure on women. Finding trustworthy child care can be very difficult. Apart from that, mothers often grieve because they feel they are losing the precious first months of their babies’ lives, and they worry about the effects of early separation on their babies.

Babies will form strong emotional bonds with mothers and fathers even when they are cared for by others during the day. Loving care provided in the mornings, evenings, weekends, and (of course) in the middle of the night is enough to cement the bond from the child’s side (see “What Children Need” in Section III for children’s feelings of attachment).

I’ve seen many mothers pull back emotionally in the first days of their baby’s life because they are getting ready for the time, all too soon, when they will have to say good-bye. This is a natural self-protective response, but it can place great strain on a mother and on her relationship with her child. Fathers usually feel these strains less, because they are used to the idea of jumping right back into their jobs.

My advice to mothers (and fathers) who feel pressured to return to jobs earlier than they feel comfortable is, Listen to your heart. If there is any way you can stretch your maternity leave, even if it means a loss of income, you may end up glad you made that choice. By about four months most mothers feel much better about heading back to their jobs, having had a chance to really connect with their babies and eager for the adult companionship of work.