To be well prepared for the delivery and the time afterwards, we advise you to already read this information in prior to the delivery.

If you are being released from the hospital during the evening or night, the maternity care starts the next morning, unless the care in the evening and/or night is medically necessary.

Going Home

You are released from the hospital and going home with your baby. If there is no (medical) indication for evening and night care, the maternity nurse will start the next morning.

Please always contact us if you’re are being release from the hospital. That way we know you’re at home and we can discuss the starting time of the maternity care in consultation with you. Off course it’s a bit exciting being at home with your baby for the first night. Therefore we have collected the most important instructions on this card so that you know what to look out for so you can get insured and well informed true the evening and night.

If you have any questions, you can always contact us. (043-4504990)

For your baby

Nausea: The first 48 hours your child can be nauseous and therefore puke a bit and doesn’t want to drink anything. Nature has equipped the baby so that he has extra energy to get through these first days. Write down all nutrition’s your baby has got for the maternity nurse.

Change:  Change the baby for every feeding. It is important to keep an eye on the urine and poop diapers. Most diapers have an indicator bar. If this turns blue, there is urine in it. If in doubt, keep the diaper until the maternity nurse is there, she can check it. Write down all diaper changes and if the diaper contained urine or feces.

Feces: Your baby loses black, sticky feces, the meconium, for the first few days. Lubricate your baby’s bottom with petroleum jelly (Vaseline), so that you can clean the buttocks more easily.

Temperature: Check the baby’s temperature immediately after coming home. Check this further with every diaper change. A normal temperature is between 36.5 and 37.5 degrees. Sometimes it is still difficult for your child to keep the temperature stable in the first days, this is why jugs are being used. You can use hot water bottles or the electric jug. If the baby’s temperature is 36.6 or 36.7 degrees, use 2 hot water bottles, or 1 electric jug.

From 36.8 to 37.1 degrees you use 1 jug. Always keep the cap on.

Jug: Place the hot water bottle in the sink. Boil water and fill the jar to the brim (water is bulging), then run a little cold water over it. Always check that the hot water bottle is not leaking. Roll the jar in a hydrophilic diaper and close the diaper with a square knot. Place the jug next to the baby (at the level of the rump) between 2 blankets with the button closure towards the baby and a hand width space (cap down). Place a second jug near the feet. Never use a jar without an enclosure. Do not put a tarp under the baby, you can put a flannel pad without a tarp under your baby.

Skin to skin: If the temperature is 36.5 or lower, start skin to skin contact. You do this by placing the baby naked with only it’s cap, socks and diaper on, in bed with one of the parents. The parent needs to be bare-chested. Make sure the head is clear and the baby can breathe properly. Stay awake and don’t sleep with the baby on your chest.

After an hour and a half you temperature your baby again. If the temperature has not risen, call the midwife.

Rest: Even if the temperature is right, your baby will love skin-to-skin contact and will become calm. Don’t let the baby go from hand to hand too much. Babies can quickly become overtired and become more crying and irritable.

Safe sleeping: your child sleeps safest on his back in a crib or own bed. Make sure that the bed is made up short so that the baby can rest with its feet against the bottom of the bed and cannot get under the blanket or sheet.

 

Important

– Write down how many times the baby has urinated & defecated

– Write down the baby’s temperature before feeding

– The baby should be fed every 3 hours

– Contact the midwife if there is too much flow

 

Nutrition for your baby

Feeding signals: Pay attention to the feeding signals of your baby. If your baby is hungry, you can tell by his behavior: sleeping less / waking up, search movements with head or mouth, sucking hands or fingers, looking around or making noises. If you notice these signals, do not wait until your baby is really restless and upset, but try to feed him when your baby asks.

A continuous supply of sugars to the brain is necessary, a baby has a small stomach capacity and will therefore often want to drink small feeds.

Breastfeeding: Try to breastfeed the baby at least every 3 hours. If your child is restless, you can always breastfeed in between. The more often, the better. Letting your baby drink at the breast and keeping your baby with you is good for getting breastfeeding going. It’s okay if your baby doesn’t drink well every time. Drinking a few minutes per breast is fine for the first 24 to 48 hours. Do not let your baby drink for longer than 10-15 minutes per breast.

Bottle feeding: Try to offer your baby a bottle every 3 hours. As with breastfeeding, you can also bottle feed your baby on request. On the first night, offer 10-15cc in the bottle. Wash your hands before preparing the bottle. Fill the bottle with cold tap water (30cc). Heat the bottle in a bottle warmer, pan with warm water or microwave. Add 1 scoop of milk powder. Gently roll the bottle back and forth between 2 hands until the powder is completely absorbed and check the temperature. Check the temperature through a drop of milk on the inside of your wrist. This shouldn’t feel warmer or colder than your wrist. Pour off excess milk, offering up to 15 cc. It is possible that your child does not drink everything, this does not matter. After use, rinse the bottle well with cold water and place it in the refrigerator.

For yourself

Rest: On the day of the birth of your child, you are tired and excited at the same time.

You are in a kind of intoxication. Probably you’d like to show your baby to everyone, but also try to rest and sleep a lot when the baby is sleeping. However, it is not surprising if you can’t fall asleep. You may be physically tired, but so much has happened that you are wide awake.

Blood loss: by releasing the placenta (placenta), a large wound is created in the uterus. Therefore, you can have significant blood loss. You cannot compare it to a menstrual period. Clots the size of a small fist are normal, don’t be alarmed. Always pass it on to the maternity nurse the next morning. Never take a bath immediately after delivery and do not use tampons, from a hygienic point of view.

When are you losing too much blood: If you feel that there is a running tap, if you need more than 2 maternity dressings per hour or if you feel dizzy and unwell, immediately call your midwife!

After-effects: The contraction of the uterus is normal, but can be painful. The more you have given birth, the more and/or more severe the after-effects. Even after a fast delivery it can sometimes be quite intense. You can always take paracetamol, even if you are breastfeeding. Talk to your midwife about the maximum dose you can take.

Urination: Make sure you urinate every 3 hours and never try to keep your urine. If your bladder is filled, your uterus cannot contract properly, and this may result in additional blood loss. Because you have just given birth and may have a swelling, cut, or stitches, urination can be scary or stinging for the first few days. Therefore try to urinate in the shower or use a bottle and pour it over your pubic area while you urinate. Always rinse and then pat dry. Use clean maternity dressings after every toilet visit.

Stool: You should also pass stool if possible. Sometimes after giving birth you feel that you have to, but nothing comes or you experience flatulence. Don’t be embarrassed. Usually it takes a few days before you really have bowel movements. You don’t have to worry about stitches breaking, this is really tightly attached.