Feeling like an quondam pro at this baby-intendance game yet? You may not have everything down to a science, but y'all're probably a lot more confident than you were when y'all kickoff held your babe just a few weeks ago!

There's certainly enough of trial and error to come up, but y'all're likely starting to feed, burp, breast-stroke and handle baby with more ease. Mode to go!

Here'southward more to look forward to during week iv.

Your 4-week-one-time infant'southward development

At a Glance

Sleeping basics

Newborns up to 3 or 4 months old need 14 to 17 hours of slumber in a 24-hour menses, usually waking every two to 4 hours to eat.

Feeding basics

Breastfed babies should eat as much as they desire at this age, simply a general rule of thumb is roughly xvi to 24 ounces of breast milk or formula in 24 hours.

Did you know?

Heed carefully and yous'll be able to decode his unlike cries. Knowing what those whimpers, wails and shrieks mean can aid you figure out what your baby is trying to tell y'all.

Your iv-calendar week onetime volition likely be able to respond to a loud noise — by startling, crying or quieting. Cooing and smiling volition not be far behind, and yous may catch a glimpse of both toward the end of the first month.

In the meantime, your baby will continue to communicate through crying. Listen carefully and you'll be able to decode his different cries.

A short, depression-pitched weep that has a pleading quality to information technology usually means "I'm hungry." A whiny, nasal, continuous cry is babe's way of telling you he'due south overtired or uncomfortable.

Bursts of crying alternating with fussy whimpers often point boredom. The "I'one thousand in pain" weep starts suddenly with a loud, panicked, long wail, followed by repeated pauses and shrieks.

When babe is not crying, be certain to encourage the development of those all-of import motor skills. The all-time way to get a jump start on them now is through tum time and more tummy time (supervised, of grade).

Babe will balk at starting time, so starting time with but a few minutes a day. Somewhen, you'll probably work upwards to 15- or 20-minute sessions past the time infant is iii to 4 months old as he builds more forcefulness.

Your four-calendar week-old infant's growth

Babies don't abound at a steady charge per unit, simply rather in spurts. Y'all may detect your piddling one clamoring for the breast or bottle more often during these stages (nursing moms telephone call them cluster feedings), and this increase in demand is your little ane's way of fueling the incredible growth that his body is going through.

This extra demand may be draining on you lot, simply baby growth spurts unremarkably only last two to three days (though sometimes they can go for up to a week or more). A regular, more consistent blueprint of feeding is around the corner.

Your 4-week-old baby'southward health

Information technology'south fourth dimension for baby'south one-month checkup! Not only will you get to see how much your baby has grown, just you'll also go answers to the dozens of questions that have come up up since you last saw the dr. back when baby was just a week old.

The 1-month well-baby visit

Your baby volition get a thorough head-to-toe physical exam — including a check of those reflexes and the healed omphalos and circumcision site when applicable. You'll get communication on feeding, sleeping, development and babe prophylactic. Read More

Gassy baby

Gas troubles frequently appear inside a few of weeks of birth, in office because babies have immature digestive systems and tend to swallow air during feedings. Read More

Constipation in babies

Exclusively breastfed babies can go several days — or fifty-fifty a week — without pooping, whereas formula-fed babies tin can become a full day or 2. Constipation poops usually look similar pocket-sized, hard pellets. Read More

Understanding infant growth charts

Your doctor will weigh and measure your baby at every well visit and plot the stats on an infant growth chart. Although your pediatrician is on the lookout for any dramatic increases or decreases over a short period of time, it's often totally fine to accept a not-so-average growth curve. Read More

Postpartum & new baby tips

Stomach time

Chances are, your baby spends a lot of that cooing fourth dimension on his back — a position probably both of you are comfortable with (yous, because you've heard information technology's safest, and your babe considering he's become so used to it).

Simply here's a motto you lot should think about putting into activeness: Back to sleep, tummy to play. Having supervised "tummy fourth dimension," or playtime on the abdomen, allows a baby to do of import big motor skills, such equally lifting his head (information technology'll be for merely a few seconds this early) and moving it from side to side.

It has to exist simply a few minutes a twenty-four hour period this early, but earlier y'all know it, he'll exist on his tummy for xv or 20 minutes at a fourth dimension.

And speaking of lifting that head — which is still pretty heavy — adjacent time your baby is in the car seat or babe seat, check out whether he tin can hold it up unassisted for a piffling while (you lot tin assist a flake by positioning supportive caput rests along the sides).

Nursing sore nipples

Sore, tender or even cracked nipples are common battle wounds of the newbie nursing mom. Just take center — your nipples will somewhen "toughen up."

To ease soreness and heal any peachy at present, y'all can liberally utilise an ultra-purified, medical-course lanolin (such as Lansinoh ointment) to your nipples after each feeding.

Chilled moisture tea numberless can besides feel extremely comforting. And change your nursing pads often to keep leaner at bay. Information technology might take a week or more to fully heal, then be patient, Mama.

In the meantime, information technology'due south actually best to go along nursing your baby through the discomfort. You tin start with the less sore breast, but don't repeatedly favor information technology over the more than painful one; sometimes it'due south easier to switch breasts later on the letdown, when your milk is flowing.

Try to avoid skipping or restricting nursing sessions, though. Non simply can the resulting engorgement add to your soreness, simply milk that doesn't catamenia can clog ducts. And that's a setup for mastitis — a breast infection marked past fever and flu-like symptoms, along with farthermost pain, hardness or reddening of the breasts.

Mastitis tin be treated just with antibiotics, but if left untreated, it could lead to an abscess, which would need firsthand medical attention.

You should also telephone call the doctor if your nipples are pink, itchy, crusty or burning, which could exist signs of thrush — a common yeast infection that thrives in the lactose in milk and can touch on both mother and baby. Check the within of your babe's cheeks or tongue for a curd-like coating, which is often a clue.

Again, if either you lot or your baby is affected, breastfeeding needn't be interrupted, but the condition shouldn't be left untreated.

Newborn sleep patterns

The fact is that newborn infants do non take regular sleep patterns. It unremarkably takes a proficient 12 weeks for them to establish a solid 24-hour schedule (fewer if you're lucky and sometimes a bit more), with the longest period of sleep occurring at dark.

Plus, keep in mind that breastfed babies take a physical need to nurse well-nigh every two to iii hours during the newborn phase and formula-fed babies virtually every three to four hours.

The practiced news is that daytime sleep diminishes as a baby gets older, with the most marked reduction occurring between iii and vi months. By the time they're around 5 or half-dozen months former, virtually full-term, salubrious infants could very well exist sleeping through (a lot of) the night.

Postpartum backaches

Here are some tips on how to comport your baby to help save that achy dorsum:

  1. Bend at the knees. Instead of bending at the waist to lift your little 1, try to remember to bend at the knees and continue your wrists straight.
  2. Endeavor non to put baby on your hip. Letting your baby rest besides much on your hip when he gets bigger will only lead to pain there too. Try to stop the habit before it starts (easier said than washed, right?).
  3. "Article of clothing" your baby. Instead of e'er holding your baby, endeavour to conduct him in a baby carrier or sling. Not only will it likely exist soothing to him, it'll probably be soothing — and liberating — to your achy arms.
  4. Alternate sides. Switch your baby back-and-forth between the left arm and the correct so they each get a conditioning — and your body doesn't get a lopsided anguish.

Pacifier use

You've heard the drawbacks of using a binky and also seen one of the major pluses (tears disappear!).

Simply what you may not take known: Pacifiers take been linked to a decreased run a risk of sudden infant decease syndrome (SIDS).

One reason is that babies who suck on a pacifier might non sleep as deeply and may wake more easily than babies who don't, making them less susceptible.

Another is that sucking on a pacifier might help open up up air space around a baby'southward mouth and nose, which would foreclose a piddling ane from non getting enough oxygen.

Considering of the reduced SIDS hazard, the American Academy of Pediatrics (AAP) at present recommends that parents consider offering pacifiers to babies younger than i year sometime at naptime and bedtime, though they withal don't recommend them for breastfeeding babies younger than one month former.

Requite your babe a pacifier when you put him down, simply don't put it back in his mouth once your infant falls asleep (and the paci falls out). Only make sure to choose a 1-slice pacifier that can't come apart; pacifiers with multiple pieces pose a choking chance.

Your C-section scar

If you gave nascence via cesarean, yous'll accept an incision mark that'south been stapled or sewn close and covered in a dozen little pieces of surgical tape, like a white railroad track across your abdomen.

Don't freak out. Though it seems huge now, most section scars are but about iv to half-dozen inches long and are typically below your bikini line.

But you lot will probably need to bandage the site until at to the lowest degree your get-go postpartum date with your doctor a few weeks after giving nativity.

About half dozen weeks after the surgery, your scar and any incision pain will have improved dramatically, though it might crawling as it heals.

Noisy baby breathing

Hearing a repertoire of baby sneezes, squeaks and snorts is par for the course when it comes to a newborn baby — and generally nothing to be concerned about. Your baby'due south symphonic breathing is perfectly fine.

Try taking a deep "om" inhalation yourself, and larn the lowdown when information technology comes to baby breathing:

  1. Variability. If you pay close attending, you'll probably notice that your baby's breathing is as variable equally your ain — slower when he'due south relaxed, faster when he's excited.
  2. Speed. When a baby'due south awake, he can take more than 60 breaths a infinitesimal — especially if he'south coming off a crying jag. That'south a lot faster than grown-ups — and information technology'southward perfectly normal.
  3. Pauses. If you watch your babe'south chest go up and down while he'south sleeping — of course, you lot know there's no demand to do that — you may notice that his breathing stops altogether for a few seconds. Non to worry. A sleeping newborn oftentimes holds his jiff for five to 10 seconds and then starts right up again.
  4. Noises. All those snorts and grunts happen because babies are olfactory organ-breathers. That's a expert thing since it makes it possible for them to exhale and nurse at the same time ("Look Ma, no easily!"). But olfactory organ-breathing can exist problematic when something is blocking that sole air road. It doesn't occur to the typical newborn baby to open up his mouth as an alternate road for oxygen.

From the What to Await editorial team and Heidi Murkoff, writer ofWhat to Expect When Yous're Expecting. What to Look follows strict reporting guidelines and uses only credible sources, such as peer-reviewed studies, bookish research institutions and highly respected health organizations. Learn how we keep our content authentic and up-to-date by reading our medical review and editorial policy.

  • What to Expect the Kickoff Year, 3rd edition, Heidi Murkoff.
  • WhatToExpect.com, Your Guide to Well-Baby Visits, March 2020.
  • WhatToExpect.com, Your Baby'south Starting time Grin: When Will My Baby Smile for the Showtime Time?, April 2019.
  • WhatToExpect.com, Babe Growth Spurts: Here's When They Happen and What to Look For, November 2020.
  • WhatToExpect.com, Loss of Bladder Command Postpartum, July 2018.
  • WhatToExpect.com, The 1-Month Well-Baby Visit, February 2020.
  • WhatToExpect.com, How to Save Baby and Toddler Constipation, September 2020.
  • WhatToExpect.com, Have a Gassy Baby? What to Know About Infant Gas Symptoms, Remedies and Causes, November 2020.
  • WhatToExpect.com, Understanding Baby Growth Charts, December 2018.
  • WhatToExpect.com, Hepatitis B (HepB) Vaccine for Babies, December 2019.
  • WhatToExpect.com, Hither's How Much Sleep Babies Need, June 2020.
  • WhatToExpect.com, Newborn and Baby Sleep Basics, May 2020.
  • WhatToExpect.com, How Much Should My Baby Eat?, April 2020.
  • WhatToExpect.com, Tummy Time for Baby, April 2020.
  • Centers for Affliction Control and Prevention, Immunization Schedule for Infants and Children, February 2020.
  • American University of Pediatrics, Back to Sleep, Tummy to Play, January 2017.
  • American Academy of Pediatrics, Bright Futures: Nutrition.
  • Mayo Dispensary, How Much Should I Expect My Babe to Abound in the First Year?, August 2020.
  • National Library of Medicine, Moro Reflex, December 2020.

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