Feeling like an former pro at this babe-care game nevertheless? You lot may not have everything downward to a science, just you're probably a lot more confident than you were when y'all start held your baby just a few weeks ago!

In that location's certainly plenty of trial and fault to come up, but you're likely starting to feed, burp, bathe and handle baby with more ease. Style to become!

Here's more to look forward to during week 4.

Your 4-week-old baby'southward development

At a Glance

Sleeping basics

Newborns up to 3 or 4 months former need 14 to 17 hours of sleep in a 24-60 minutes period, usually waking every two to four hours to eat.

Feeding nuts

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

Did you know?

Listen carefully and you'll be able to decode his dissimilar cries. Knowing what those whimpers, wails and shrieks mean can help you lot figure out what your baby is trying to tell yous.

Your iv-week one-time will likely be able to respond to a loud noise — by startling, crying or quieting. Cooing and smile will not be far backside, and you may grab a glimpse of both toward the end of the start calendar month.

In the meantime, your baby will go on to communicate through crying. Heed advisedly and you'll be able to decode his different cries.

A brusque, low-pitched weep that has a pleading quality to it usually ways "I'm hungry." A whiny, nasal, continuous cry is baby'due south way of telling yous he'due south overtired or uncomfortable.

Bursts of crying alternate with fussy whimpers oft signal boredom. The "I'm in pain" weep starts suddenly with a loud, panicked, long wail, followed by repeated pauses and shrieks.

When baby is not crying, exist sure to encourage the development of those all-of import motor skills. The best way to get a jump start on them at present is through breadbasket time and more tum time (supervised, of form).

Baby will cramp at starting time, so start with only a few minutes a solar day. Eventually, you'll probably work up to xv- or 20-infinitesimal sessions by the time baby is 3 to four months sometime as he builds more strength.

Your four-week-onetime babe'southward growth

Babies don't grow at a steady rate, but rather in spurts. Yous may notice your little i clamoring for the chest or canteen more than often during these stages (nursing moms telephone call them cluster feedings), and this increase in demand is your little 1's style of fueling the incredible growth that his body is going through.

This actress demand may exist draining on you, but babe growth spurts usually only last 2 to three days (though sometimes they tin can go for up to a calendar week or more). A regular, more consistent blueprint of feeding is around the corner.

Your 4-calendar week-quondam babe's health

It's fourth dimension for infant's 1-month checkup! Not only volition you go to see how much your infant has grown, but you'll also get answers to the dozens of questions that accept come up up since y'all terminal saw the doctor back when baby was just a calendar week quondam.

The 1-month well-infant visit

Your baby will get a thorough head-to-toe physical exam — including a bank check of those reflexes and the healed belly button and circumcision site when applicable. Y'all'll become advice on feeding, sleeping, evolution and infant safety. Read More

Gassy infant

Gas troubles ofttimes appear within 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 tin get several days — or even a week — without pooping, whereas formula-fed babies can get a full 24-hour interval or two. Constipation poops usually wait like small, hard pellets. Read More

Understanding infant growth charts

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

Postpartum & new baby tips

Tummy time

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

But here'southward a motto yous should remember well-nigh putting into action: Back to sleep, tummy to play. Having supervised "tum time," or playtime on the belly, allows a baby to practice important large motor skills, such equally lifting his head (it'll be for only a few seconds this early on on) and moving it from side to side.

Information technology has to be only a few minutes a day this early on, just earlier you lot know it, he'll exist on his tummy for xv or xx minutes at a fourth dimension.

And speaking of lifting that head — which is still pretty heavy — side by side time your infant is in the car seat or infant seat, cheque out whether he can hold it up unassisted for a little while (you can assist a bit by positioning supportive head rests along the sides).

Nursing sore nipples

Sore, tender or even cracked nipples are common battle wounds of the newbie nursing mom. But take centre — your nipples will eventually "toughen upwardly."

To ease soreness and heal whatsoever cracking at present, y'all can liberally apply an ultra-purified, medical-grade lanolin (such as Lansinoh ointment) to your nipples afterwards each feeding.

Chilled wet tea bags can too feel extremely comforting. And modify your nursing pads oft to keep bacteria at bay. It might have a week or more to fully heal, and so exist patient, Mama.

In the meantime, it'south really best to keep nursing your baby through the discomfort. Y'all tin start with the less sore chest, but don't repeatedly favor it over the more painful i; sometimes information technology's easier to switch breasts after the letdown, when your milk is flowing.

Attempt to avoid skipping or restricting nursing sessions, though. Not merely can the resulting engorgement add together to your soreness, but milk that doesn't flow can clog ducts. And that'southward a setup for mastitis — a breast infection marked by fever and flu-like symptoms, along with farthermost hurting, hardness or reddening of the breasts.

Mastitis can be treated simply with antibiotics, but if left untreated, it could atomic number 82 to an abscess, which would need immediate medical attention.

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

Again, if either y'all or your baby is affected, breastfeeding needn't exist interrupted, only the condition shouldn't be left untreated.

Newborn slumber patterns

The fact is that newborn infants practise not have regular sleep patterns. Information technology usually takes a good 12 weeks for them to plant a solid 24-hour schedule (fewer if yous're lucky and sometimes a flake more than), with the longest menses of sleep occurring at nighttime.

Plus, keep in listen that breastfed babies have a physical need to nurse well-nigh every two to three hours during the newborn phase and formula-fed babies about every three to 4 hours.

The good news is that daytime slumber diminishes as a babe gets older, with the near marked reduction occurring between iii and 6 months. Past the fourth dimension they're around v or half-dozen months old, most full-term, healthy infants could very well be sleeping through (a lot of) the night.

Postpartum backaches

Here are some tips on how to carry your infant to aid salve that achy back:

  1. Bend at the knees. Instead of angle at the waist to lift your piddling one, endeavour to remember to bend at the knees and go along your wrists straight.
  2. Try not to put baby on your hip. Letting your baby rest too much on your hip when he gets bigger will only atomic number 82 to hurting in that location too. Try to stop the habit before it starts (easier said than done, right?).
  3. "Wear" your baby. Instead of e'er belongings your baby, try to carry him in a baby carrier or sling. Not only will it likely be soothing to him, information technology'll probably be soothing — and liberating — to your achy arms.
  4. Alternate sides. Switch your baby back-and-forth betwixt the left arm and the correct so they each get a workout — and your body doesn't become a lopsided anguish.

Pacifier use

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

Simply what you may not have known: Pacifiers have been linked to a decreased chance of sudden baby 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 aid open up air space around a baby's oral cavity and nose, which would prevent a little one from non getting plenty oxygen.

Because of the reduced SIDS gamble, the American University of Pediatrics (AAP) now recommends that parents consider offer pacifiers to babies younger than i year sometime at naptime and bedtime, though they even so don't recommend them for breastfeeding babies younger than ane calendar month old.

Give your baby a pacifier when you put him down, but don't put it dorsum in his oral cavity once your infant falls asleep (and the paci falls out). Just make sure to cull a one-piece pacifier that can't come apart; pacifiers with multiple pieces pose a choking adventure.

Your C-section scar

If you lot gave birth via cesarean, you'll accept an incision marker that's been stapled or sewn shut and covered in a dozen little pieces of surgical tape, like a white railroad rails beyond your belly.

Don't freak out. Though information technology seems huge now, most section scars are only nearly four to half dozen inches long and are typically below your bikini line.

Merely you volition probably demand to bandage the site until at least your first postpartum appointment with your md a few weeks afterwards giving nativity.

About six weeks afterward the surgery, your scar and any incision hurting volition have improved dramatically, though it might itch every bit it heals.

Noisy baby animate

Hearing a repertoire of baby sneezes, squeaks and snorts is par for the class when it comes to a newborn baby — and more often than not cipher to exist concerned most. Your infant's symphonic breathing is perfectly fine.

Effort taking a deep "om" inhalation yourself, and acquire the lowdown when it comes to baby breathing:

  1. Variability. If you pay close attention, you'll probably find that your baby'due south breathing is every bit variable equally your own — slower when he's relaxed, faster when he's excited.
  2. Speed. When a baby's awake, he tin can take more than sixty breaths a minute — particularly if he'south coming off a crying jag. That's a lot faster than grown-ups — and it's perfectly normal.
  3. Pauses. If yous watch your babe's chest go upwards and down while he'due south sleeping — of form, you know there'due south no need to do that — you may notice that his breathing stops altogether for a few seconds. Not to worry. A sleeping newborn often holds his breath for five to 10 seconds and then starts right up again.
  4. Noises. All those snorts and grunts happen considering babies are nose-breathers. That's a proficient thing since it makes information technology possible for them to breathe and nurse at the same time ("Look Ma, no easily!"). Only nose-breathing can be problematic when something is blocking that sole air road. It doesn't occur to the typical newborn baby to open his mouth as an alternating route for oxygen.

From the What to Look editorial team and Heidi Murkoff, author ofWhat to Await When You're Expecting. What to Wait follows strict reporting guidelines and uses only credible sources, such every bit peer-reviewed studies, academic research institutions and highly respected wellness organizations. Larn how we keep our content accurate and upwards-to-engagement past reading our medical review and editorial policy.

  • What to Look the Get-go Year, 3rd edition, Heidi Murkoff.
  • WhatToExpect.com, Your Guide to Well-Infant Visits, March 2020.
  • WhatToExpect.com, Your Babe'due south First Smile: When Will My Baby Smile for the First Time?, April 2019.
  • WhatToExpect.com, Babe Growth Spurts: Here's When They Happen and What to Look For, Nov 2020.
  • WhatToExpect.com, Loss of Bladder Control Postpartum, July 2018.
  • WhatToExpect.com, The i-Month Well-Baby Visit, Feb 2020.
  • WhatToExpect.com, How to Relieve Baby and Toddler Constipation, September 2020.
  • WhatToExpect.com, Accept a Gassy Baby? What to Know About Infant Gas Symptoms, Remedies and Causes, November 2020.
  • WhatToExpect.com, Understanding Babe Growth Charts, Dec 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 Infant Sleep Basics, May 2020.
  • WhatToExpect.com, How Much Should My Baby Eat?, April 2020.
  • WhatToExpect.com, Tummy Fourth dimension for Babe, April 2020.
  • Centers for Disease Control and Prevention, Immunization Schedule for Infants and Children, February 2020.
  • American Academy of Pediatrics, Back to Sleep, Tummy to Play, January 2017.
  • American Academy of Pediatrics, Bright Futures: Nutrition.
  • Mayo Clinic, How Much Should I Expect My Baby to Grow in the First Twelvemonth?, August 2020.
  • National Library of Medicine, Moro Reflex, December 2020.

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