At that point, the mother's supply is no longer there, but the baby's insulin levels stay high. Problems at birth may include:. Poor control of blood sugar may cause problems such as:. In the U. Babies with this problem are often diagnosed before birth.
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This measurement in centimeters usually links with the number of weeks of pregnancy after the 20th week. If this measurement is high for the number of weeks, the baby may be larger than expected. Before the baby is born, healthcare providers use the term fetal macrosomia instead of LGA. This test uses sound waves to create a picture of your baby and the inside of your body.
How to Keep Your Sleeping Baby Safe: AAP Policy Explained
It is a more accurate method of estimating the size of your baby, but it's still not exact. This can also affect your baby's size. Gaining a lot of weight during pregnancy may cause your baby to be bigger than normal. Babies are weighed within the first few hours after birth. The weight is compared with the baby's gestational age and recorded in the medical record. If ultrasound exams during pregnancy show that your baby is very large, your healthcare provider may recommend early delivery.
You may need a planned cesarean section. After birth, a baby who is large for gestational age will be carefully checked for any injuries that happened during birth. Your baby may have blood glucose testing for at least the first 12 hours to check for low blood sugar. Babies who are large for gestational age are at higher risk for a breathing problem called respiratory distress syndrome. These babies also may need to stay in neonatal intensive care because of breathing problems, low blood sugar hypoglycemia , or both.
The risks are highest for babies who weight more than 9 pounds 15 ounces 4, grams. LGA babies are more likely to have an excessive amount of red blood cells polycythemia. As these red blood cells break down, their livers may not be able to handle the increased about of bilirubin needing to be conjugated.
This may result in high levels of bilirubin in the blood resulting in jaundice. Regular prenatal care is important in all pregnancies. Tub baths.
What causes babies to be LGA?
When your baby is ready for tub baths, the first baths should be gentle and brief. If he or she becomes upset, go back to sponge baths for a week or two, then try the bath again. Undress your baby and then place him or her in the water immediately, in a warm room, to prevent chills. Make sure the water in the tub is no more than 2 to 3 inches deep, and that the water is no longer running in the tub.
Use one of your hands to support the head and the other hand to guide the baby in feet-first. Speaking gently, slowly lower your baby up to the chest into the tub. Use a washcloth to wash his or her face and hair.
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Gently massage your baby's scalp with the pads of your fingers or a soft baby hairbrush, including the area over the fontanelles soft spots on the top of the head. When you rinse the soap or shampoo from your baby's head, cup your hand across the forehead so the suds run toward the sides and soap doesn't get into the eyes.
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Gently wash the rest of your baby's body with water and a small amount of soap. Throughout the bath, regularly pour water gently over your baby's body so he or she doesn't get cold. After the bath, wrap your baby in a towel immediately, making sure to cover his or her head.
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Baby towels with hoods are great for keeping a freshly washed baby warm. While bathing your infant, never leave the baby alone. If you need to leave the bathroom, wrap the baby in a towel and take him or her with you. Immediately after circumcision , the tip of the penis is usually covered with gauze coated with petroleum jelly to keep the wound from sticking to the diaper.
Gently wipe the tip clean with warm water after a diaper change, then apply petroleum jelly to the tip so it doesn't stick to the diaper. Redness or irritation of the penis should heal within a few days, but if the redness or swelling increases or if pus-filled blisters form, infection may be present and you should call your baby's doctor immediately. Umbilical cord care in newborns is also important. Some doctors suggest swabbing the area with rubbing alcohol until the cord stump dries up and falls off, usually in 10 days to 3 weeks, but others recommend leaving the area alone.
Talk to your child's doctor to see what he or she prefers. An infant's navel area shouldn't be submerged in water until the cord stump falls off and the area is healed. Until it falls off, the cord stump will change color from yellow to brown or black — this is normal. Call your doctor if the navel area looks red or if a foul odor or discharge develops. Whether feeding your newborn by breast or a bottle , you may be stumped as to how often to do so. Generally, it's recommended that babies be fed on demand — whenever they seem hungry.
Your baby may cue you by crying, putting fingers in his or her mouth, or making sucking noises. A newborn baby needs to be fed every 2 to 3 hours. If you're breastfeeding, give your baby the chance to nurse about 10—15 minutes at each breast. If you're formula-feeding, your baby will most likely take about 2—3 ounces 60—90 milliliters at each feeding. Some newborns may need to be awakened every few hours to make sure they get enough to eat.
Call your baby's doctor if you need to wake your newborn often or if your baby doesn't seem interested in eating or sucking. If you're formula-feeding, you can easily monitor if your baby is getting enough to eat, but if you're breastfeeding, it can be a little trickier. If your baby seems satisfied, produces about six wet diapers and several stools a day, sleeps well, and is gaining weight regularly, then he or she is probably eating enough. Another good way to tell if your baby is getting milk is to notice if your breasts feel full before feeding your baby and less full after feeding.
Talk to your doctor if you have concerns about your child's growth or feeding schedule. Babies often swallow air during feedings, which can make them fussy. To help prevent this, burp your baby often. Try burping your baby every 2—3 ounces 60—90 milliliters if you bottle-feed, and each time you switch breasts if you breastfeed. If your baby tends to be gassy, has gastroesophageal reflux , or seems fussy during feeding, try burping your little one after every ounce during bottle-feeding or every 5 minutes during breastfeeding.
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If your baby doesn't burp after a few minutes, change the baby's position and try burping for another few minutes before feeding again. Always burp your baby when feeding time is over, then keep him or her in an upright position for at least 10—15 minutes to avoid spitting up. As a new parent, you may be surprised to learn that your newborn, who seems to need you every minute of the day, actually sleeps about 16 hours or more!
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Newborns typically sleep for periods of 2—4 hours. Don't expect yours to sleep through the night — the digestive system of babies is so small that they need nourishment every few hours and should be awakened if they haven't been fed for 4 hours or more often if your doctor is concerned about weight gain. When can you expect your baby to sleep through the night? Many babies sleep through the night between 6—8 hours at 3 months of age, but if yours doesn't, it's not a cause for concern. Like adults, babies must develop their own sleep patterns and cycles, so if your newborn is gaining weight and appears healthy, don't despair if he or she hasn't slept through the night at 3 months.
It's important to always place babies on their backs to sleep to reduce the risk of SIDS sudden infant death syndrome. Other safe sleeping practices include: not using blankets, quilts, sheepskins, stuffed animals, and pillows in the crib or bassinet these can suffocate a baby ; and sharing a bedroom but not a bed with the parents for the first 6 months to 1 year.
click here Also be sure to alternate the position of your baby's head from night to night first right, then left, and so on to prevent the development of a flat spot on one side of the head.