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February 28, 2025
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301-279-6750
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15204 Omega Drive
Suite #100 Rockville, MD 20850
Contact us online now
Phone
Suite #100 Rockville, MD 20850
Breastfed babies generally feed every 1-3 hours in the first few weeks and should be woken up at the 3-hour mark overnight until they are back to their birth weight, or until cleared by the pediatrician. You will know your baby is getting enough milk if they continue to urinate at least 4 times a day and act satisfied and content after each feed.
All breastfed infants are recommended to take Vitamin D supplement, 400 IU daily.
If formula feeding, we recommend iron-fortified formula for infants. After birth babies can drink anywhere from 1-3 ounces per feed. In the first 8 weeks we recommend giving your baby Ready-to-Feed Formula and starting powdered formula only after 2months of age. If you have no option other than to use powdered formula, please follow the instructions on the can for safe and proper techniques.
You can store opened, unused Ready-To-Feed formula in the fridge for 24 hours. It is important to discard any leftover USED formula not consumed within one hour. It is important to wash bottles after each use but it is not necessary to sterilize your bottles. All infants receiving <32 oz of formula daily should take Vitamin D supplement, 400 IU daily.
Check-up: Your provider will complete a comprehensive history and physical exam, review growth curves, answer any questions, and provide age appropriate guidance.
Vaccines: Your provider may discuss Beyfortus for RSV prevention if your child has not already received this. There are no other scheduled vaccines at this visit.
Labs: We will perform the second metabolic screening test today (a heel poke). The first was done in the hospital. This test detects some rare but serious genetic or metabolic disorders. If the result is abnormal, we will call you. We will not call if the result is normal.
We strongly encourage pairing the 2-week check-up with a Feeding Support Visit with out Lactation Consultant, Maureen Mills.
We also encourage all new mom’s to check out one of our Newborn Support Groups!
For more information on these services, follow the link below!
ALWAYS... keep one hand on your baby when on a changing table. Never leave a baby unattended unless they are in a bassinet, crib or playpen. Babies can roll and fall off easily, even when you think they cannot move.
ALWAYS…be careful leaving toddlers and pets alone with the baby. Their actions are unpredictable.
ALWAYS... ensure safety in your environment. Check the smoke detectors in your home and make sure that your hot water heater is set to 120 degrees Fahrenheit.
ALWAYS… put the baby in a car seat while driving. The American Academy of Pediatrics recommends that children remain facing backwards in the center of the back seat until age 2. Never place a car seat in the front seat. Do not place any loose blankets or clothing in the car seat.
ALWAYS… ensure your baby sleeps on their back, in their own space, without any stuffed animals, toys or blankets. Never co-sleep.
ALWAYS… practice water safety. Keep one hand on your baby during bath time at all times. Never leave them alone in shallow water in a bathtub or infant tub. Fence in backyard pools.
A rectal temperature of 100.4 or greater in an infant less than 2 months old is considered a medical emergency. Please call immediately if your baby has a temperature this high. To check a rectal temp: with baby lying on their back, insert the tip of a rectal thermometer about ¾ of an inch into the anal opening, and wait until you hear the signal that the temperature is ready to be read.
Babies can have a bowel movement as frequently as every feed or as infrequently as once every day or two. Yellow, green, and brown stools can all be normal. It is normal for them to grunt, strain, and make loud noises while attempting to stool. The following stool changes are not normal: red, white or black colored stools, or hard/round balls of stool. Please call us if noting any of the above.
Safe sleep is extremely important at this age, due to the risk of Sudden Infant Death Syndrome (SIDS). Babies should sleep in their own space such as a bassinet or crib, on their backs, on a firm, flat surface without toys or blankets, and in the same room as the parent.
A newborn infant’s most important job is to feed and sleep at this age. To help them further their development, you can engage them with black and white toys, read and sing to them, take them on walks weather permitting and show them the outside world! We encourage tummy time whenever your baby is awake. Place them on their bellies on a soft activity mat for a few minutes, a couple times per day.
Gassiness can start as early as two weeks of age. It is common for babies to grunt, strain and produce excessive gas before, during or after feeds, as their intestinal system is going through a growth cycle of its own. Doing simple maneuvers such as bicycling the legs, gently massaging the belly, and trying tummy time can be helpful. Gas drops can be started after two weeks of age. If your baby remains fussy and inconsolable despite doing all of the above, and you are worried – please give us a call.
Fussiness and colic peak between the ages of 3-6 weeks for babies. It is common for babies to have a “witching hour” during which they cry and are harder to console, often in the evenings. Speak to your doctor if there are other red flag symptoms you have noticed (such as complete inconsolability, excessive spit up impacting weight gain, blood in the stools or spit up, or other concerns).
Potomac Pediatrics will always be fully focused on helping your child and you to overcome any healthcare hurdle, with innovative, comprehensive and compassionate care.
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