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Although hospital stays are shorter today than before, a number of important things still must occur before you leave the hospital. Medical staff will assure that your condition is stable and that your baby is progressing as expected. It`s also a good idea, if you`re breast-feeding, to meet with the lactation consultant and to discuss how you can reach her once you`re at home.
Since typical hospital stays following a birth have shortened noticeably, medical personnel - and you - may face increased pressure to accomplish the important things that need to happen before you and your baby go home. In order to leave the hospital, both your condition and that of your baby need to be stable and progressing normally. In addition, if you`re breast-feeding, you should nurse your baby numerous times before going home, although your milk supply won`t be fully in yet.
Where are they taking my baby? You may be thinking this when the nurses take your newborn away soon after birth. Don't worry. Your baby is going for his very first checkup. Some of it is done in the delivery room. The rest may be done elsewhere. This is a great time for dad to go along with camera in hand.
Hospital staff will assess your baby`s health status and provide certain routine care, including:
- Checking baby`s breathing, making sure that your baby`s airway is cleared, which usually involves suctioning fluids from his nose.
- Checking and monitoring heart rate and circulation to assure that your baby is adjusting well to being out of the protective environment of your uterus. A good indicator of circulation effectiveness is baby`s color (a blue tint indicates that baby isn`t getting enough oxygen).
- Determining an Apgar score. This quick evaluation of your baby`s health that`s done 1 and 5 minutes after delivery (top score is 10) is often given more weight by parents than by health-care providers, who find that it`s not a good predictor of long-term health. Most will not wait for that artificial score to assist your baby, if necessary.
- Take physical measurements, recording your baby`s weight, head circumference, and length.
- Place an antibiotic in your baby`s eyes to prevent newborn eye infections.
- Give a vitamin K injection to your baby to prevent serious bleeding problems that can occur in newborns, due to their initially low supply of vitamin K at birth.
- Place an ID bracelet on your baby immediately (some hospitals use one on a leg and one on an arm), before the baby is out of your sight, to prevent hospital mix-ups.
- Perform a newborn physical exam within 24 hours to assess baby`s condition and identify any early problems.
- In addition to caring for your baby, hospital staff will monitor your:
- Blood pressure and temperature - to see that they return to normal and that you don`t have an infection.
- Episiotomy - to see that it is healing properly.
- Urination - to assure that you can empty your bladder unassisted (some moms need the help of a catheter at first).
- Uterus - which needs to return to a firm state soon after delivery.
- Vaginal bleeding - which will continue - possibly for days, but should be decreasing.
- The staff also will encourage you to get up and walk to the bathroom as soon as possible - and to use the sitz bath or other fixture the hospital uses to enable you to soak your episiotomy.
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