OBGYN + Pediatrician Share Postpartum: What to Expect the 1st 24 Hours After Birth for Mom & Baby

we just had a baby and we wanted to share all of the things that happened for baby and her mom and that first day after birth yes so if this is your first time meeting us I'm Sarah I'm a board certified OB GYN I'm Kurt I'm a board certified pediatrician and we are the doctors [Music] welcome back as we said we just had a baby this past week and want to share with you kind of everything to expect in those first 24 hours after baby is born because it can be a blur and a roller coaster so next where we're kind of going to go over all the baby stuff and then the mom stuff and so we'll start with the pediatrician and the baby step yeah absolutely so right away that first hour is the golden hour this is a special time for baby to be bonding with family and so this is skin to skin time helps promote breastfeeding helps promote bonding decreases risk of postpartum depression and helps with anxiety all of these things just from that natural connection of baby with parents and that bond that happens as a skin to skin time other key things so like even Sarah you had like a special bra that just allowed you to like be a nursing bra wow special bra um yes super fancy but that skin skin time again is promoting that breastfeeding initiation and all these other good things that these baby friendly and other birth centers really are working to promote yeah so baby boy was directly on the chest it was nice if you've got some experience with breastfeeding before and and he actually like talked to it right away yeah but they didn't they didn't take him they didn't weigh him they didn't give him that they didn't do anything none of those first shots nothing for an hour because right after he was born I was like oh well do you want to weigh him and they're like no this first hour we want him on you yeah and then so then after that the nursing staff and actually the hospital around had 24-hour pediatrician in-house to do an exam right then that isn't the case in all places just sometime in the first 24 hours they're examined by pediatric staff or Family Medicine exactly um but um definitely things that need to happen right away after that hour is over is things like getting a good weight a length head circumference kind of Baseline examination measurements to make sure and see where things are at and see that there's nothing kind of out of the ordinary or severely abnormal that needs to be cared for of course we talked about that goal now or two the times in that happen is if your baby is in distress and like isn't like doing well then there may be times where that golden hour has to be cut short because baby needs extra attention but as long as things are going well like that is a very special time so what about other baby things yeah so some other things that are probably going to happen in those first couple hours of Life are certain things to prevent complications from infection um and significant bleeding that can occur in young infants so kind of first things is the first vaccine actually standardly happens in the first 24 hours of life sometimes actually like even well babies on moms like a time where babies being comforted it's a nice time and that one vaccine is Hepatitis B it always like feels a little early but the reason that that one shot is given so early is because complications of hepatitis B really early in life have a really high risk of converting to cancer later in life and so that's where the sooner that baby gets protection and this is the only vaccine in the U.S we give this early is that have to be a vaccine that's given in that first day of life and again chances of getting happy are very low very low but the complications are pretty severe pretty severe and it's just one of those things that it's we're able to prevent and we did talk about all of this in a little more detail in our video about the first what to expect in those first 24 hours for baby which we can link here yeah and then some other things so a vitamin K shot is the other shot so kind of Two Shots right away of all the things this is the one thing that could affect baby kind of the most severely right away babies don't have great clotting factors and they have a deficiency of vitamin K which helps form blood clots and so it's an increased risk especially for significant brain bleeds and so that's one of those things that we definitely didn't hesitate time to have happen and then the third kind of thing right out of the gate is oftentimes it's strongly recommended for an eye antibiotic to help prevent erythromycin ointment to prevent infections that the eye that can lead to blindness so those are kind of the three things that happen for baby kind of in the first couple hours that like if you're not ready for it you'd be like oh what's happening out a baby but just things to to expect kind of standard here in the US and there's some slightly different practices in Europe and elsewhere in the world but kind of those are standard practice here in the U.S for all babies in almost all institutions and it can kind of feel like a lot like they're checking your vitals constantly right after you give birth you've got your blood pressure cuff on it's going off like it feels like constantly um they're checking the baby's vitals you know every 15 to 30 minutes or so you know in that first hour or two they're keeping a really close eye on Mom and on baby to make sure everything is going fine and that transition happens yeah yeah speaking of transitions so babies gone from like and then really not having to do any of the major things of life now like being out in the world disconnected from Mom and sewing key goals for that first 24 hours so of course easy breathing kind of doing all those things next key thing is feeding so this is why I kind of that golden hour is so important like establishing feeding breastfeeding that's your goal or if you're going to formula feed like making sure baby's able to feed and swallow and then the result and product of that great feeding are peeing and pooping so these are also things making sure that all of the plumbing is connected and things are working and so sometime in that first 24 hours you want to see a good pee and a good poop and your nurse is going to want to know these two so if this happens make sure you make a note of it write down the time and so that they can chart those things because those are things that must happen for you guys to go home yeah and this time I mean so with the first baby I had an app and I was putting in the peas and the poops and whatever this time wasn't doing any of those things and the nurses would come in and be like oh what time did he pee or what time did he poop or what and I'm just like I don't like I don't know um right so don't be surprised they're going to want that data um and first time Mom Sarah was like all over it second time mom was like he peed but he's fine so um but it's their job and they just want to make sure everything's okay other Pro tip for your sweet baby in the hospital and that poop that first those first poops are meconium and it's like really thick thick black Capri So Pro tip put some Vaseline or Aquaphor or some kind of barrier cream on baby's butt before they poop just when you change his diaper put some Barrier cream on so that then when they have that meconium poop over it it just like wipes off really nice and easily as opposed to that thick to Sticky tar kind of being stuck to their butts So Pro tip Aquaphor on the buns before they poop you will thank me I promise and then other big things that happen kind of right at the end of that 24 hours or the things are just kind of key Health screenings that you should expect kind of need to happen before discharge so some big things here are a hearing screen this helps look for like possible CMV infection which can cause hearing issues and just other hearing difficulties and then at that 24 hour mark there is um here in the US they do like a heel prick they get a little drop of blood from the heel and this is actually sent off for testing depending on the state you're in the number of things they test for May Vary but most States it's a few over 50 different genetic conditions that are rare but have significant complications but with treatment those complications can be prevented and so that's why it's so important that they send that testing right away usually get those results back in the first couple days yeah and that was that screening for some recessive genetic conditions yeah um and then the third thing and that happens after 24 hours is screening for cyanotic congenital heart disease which is close to my heart is Pediatric Cardiologist and this is a very simple test they actually just take the pulse ox the blood saturation oxygen saturation in the right arm and then in one of the legs and they make sure that both of those numbers are good and there's not a significant difference between the two this has been Institute instituted in the past 10 years here in the US and has done an amazing job at kind of reducing the number of children who are discharged with missing a diagnosis of congenital heart disease it is doesn't catch everything and this is why it's so important that the pediatrician still does a thorough exam that's going to happen in that first 24 hours looking for other things outside of just heart issues but they can also pick up on some of the things that this screen can't but it is a very important part of that first 24 plus hours of Life yeah and those things usually happen like are at the 24 hour mark So Bo was born at 2 49 and they came together like three to like do this screening at 24 hours they all also check a bilirubin oh yeah level at 24 hours um yeah and so that is just because babies transitioning from having sharing blood with the placenta and Mom to like being out in the world it is normal that they have some blood breakdown and then the byproduct of that blood breakdown is bilirubin which shows up as jaundice yellow skin and so the best way to treat that is for baby to eat lots and because they poop it out if the levels get too high then they need special photo therapy which then allows them to pee it out too hopefully not something you need but is not uncommon that babies need that in the US and something commonly tested for him yeah and then the final thing in my mind I don't know if you have anything else but for boys in particular this is the time for circumcision standardly for most people in the U.S if that's something you and your family are considering um usually they're able to do that in that first time period before going home some variations from this is if there's any like issues with how things have formed sometimes it needs to be done later by a neurologist but if it's done later then it needs to be done with anesthesia sedation in that first window of time actually usually local anesthetic and some sugar water is able to like help keep the baby calm and comfortable during that procedure after that time the skin actually changes and it just becomes like more difficult to do the procedure more bleeding Associated and other things too and so yeah doing it in that first couple days of life is really helpful yeah so some circumcision care tips yes um and we can talk about more about this in our one week video but in those first you know 24 hours after they have their circumcision done their their little their penis is a little sore and raw and you have to keep a lot of Vaseline on it constantly with every diaper change you want to be putting Vaseline on their penis so it does not stick to the diaper super important otherwise you kind of don't touch it um the pro tip here that we found was even nicer is we put Vaseline on little two by two squares of gauze and then we're able to just put that over the end of the penis and that way like we ended up using a lot less vastly and it like just better protected and like he was just angry kicking with every diaper change there for the first couple days and so this just allowed us to like easily put that over the penis and then keep it from sticking yeah because they told us in the hospital just like ice cream cone it put so much vaseline on and we're going through two tubes we have to find some a better alternative so that is the pro tip for that the only other baby thing I think that happens in that first day or depending on how long you're there is you have to make sure your birth certificate gets filled out usually you have to there's usually a person at the hospital who comes and brings you information to get filled out for the birth certificate get that signed make sure they're name spelled correctly your dress all that stuff before you leave the hospital on to Mom stuff on to Mom stuff all right so you just had a baby congratulations you're a warrior labor is so much work it's it's like a marathon it is a workout you know I talk have talked about how I like want to be in a sports bra for labor because again it's really active process you're moving around all these different things so your sweet baby is born I know what do you expect in the next 24 hours and the first thing is kind of like so much joy so many emotions so exhausted because you just did so much work whether you had a vaginal delivery or a C-section they are kind of two different flavors of you worked really hard um to get that baby here so you're still exhausted yeah yeah not wrong yeah right after baby comes out there if everything's fine they're gonna throw that baby on your chest and then you're kind of just blissed out there other things that have to happen is your placenta has to be delivered um and so you may or may not notice that happening there are no bones it's much smaller so you may not notice but we expect that placenta to deliver within 30 minutes of baby being born and then after that placenta comes out usually you get pitocin for you know a bit it depends on your Hospital's protocol but we want to make sure that uterus is Contracting down um that's IV medication it's an IV medication unless you don't have an IV then we can give it IM um but that really helps the uterus contract because we need the uterus to contract down because where that placenta was is kind of an open bed of blood vessels and so we need that to contract down to stop your bleeding to keep that bleeding stopped and so that's something else you're going to notice um every time your nurse comes in after that baby's born they are going to be pushing on your fundus or the top of the uterus your belly button and Below to make sure that uterus is staying down and staying firm okay because if it isn't if it's getting bloggy we worry about bleeding so your nurse is going to be checking that fundus and checking to see how much bleeding you're having um because that is a very common thing that's happening postpartum is you are going to be bleeding we want to make sure it's not too much okay I figuring another big part of that is just like that you're fortunate not to have this time but had the first time was like a repair of any lacerations and yes so placenta comes out and then your OB is going to do a really good exam to make sure and find out what if there's anything that needs to be repaired do you need any stitches and the vagina is truly an amazing thing it heals so well and often times your OB will have to put a couple stitches just to reapproximate everything so everything heals really nicely if you are really uncomfortable and this is happening let them know again they can give you more pain medication they can give you local anesthetic to try to help to minimize that pain we don't want you to be in pain during this process it was a nice benefit of having an epidural that is another yes so that's kind of immediately other immediate things just like they're checking on that baby all the time they're going to be checking your blood pressure you know pretty frequently in that first hour or so postpartum but again it is so important you've got that baby on your chest your skin to skin if you want if breastfeeding is something that you're working on sometimes you're going to work on getting baby to latch in that first hour and just really enjoying that sweet sweet baby time if you have an epidural you're usually still pretty comfortable if you didn't they will be bringing you Motrin Tylenol whatever you need for some pain um you do depending on your hospital you may stay in that room you may go to a postpartum floor kind of someplace different usually before you go move to your postpartum room your nurse is going to take your epidural out if you have one which is a little uncomfortable and they take all that tape off your back in that postpartum in the delivery room you know your nurse is going to do a really beautiful gentle job getting everything cleaned up birth is so messy there's lots of blood and body fluids and so it is nothing your nurse and Doctor are at all weirded out by it's what we do there's blood everywhere um and so they will help you get all cleaned up with warm soap and water they will get you a giant pad and some mesh undies to just get you all fixed up and ready to go and then usually you go to postpartum um a few hours after delivery and when we know you know that your bleeding is okay your fundus is staying firm everything's going okay with baby your pain is pretty under control blood pressure is okay we say okay you can go to postpartum and so that moves you there so this is postpartum um if no one's warned you it's not the most glamorous time you don't quite go back to normal right away um but you're also like a warrior who just had a baby and it's a pretty cool thing so this is kind of a postpartum bathroom at least in the United States they're all going to be a little different a little different flavor but some things you'll find that I love and are kind of help me live through those that first day in the hospital so get your mesh undies there will be lots of those for you I really like a quick snap easy access nursing bra um the little guys in the diaper were kind of skin to skin all the time but it's just easy and comfy um to do that so other things big giant pads Perry bottle one of my faves the ice had sickle and my trick for this is to make them extra cold is after you open them crack them then sprinkle just a little bit of water on them and it makes them really really cold so these are nice to sit on um until they get cold a few times a day they just help with swelling big fan there um other classic Perry bottle really like these you don't necessarily want to have to wipe anything you use this to spray and clean when you're peeing it's also really nice to distract to sometimes squirt water when you're peeing because then it distracts you because sometimes urine can Sting If you have stitches or different things often other products that they'll have is some dermoplasts it's a lidocaine spray that is cooling some witch hazel and Tux pads to also help with some swelling but that is kind of first day in the hospital for Mama once you are on postpartum again all those things that happen for baby are going to be going on um but it there really is always someone coming into your room um if it's not to get your vitals it's to get babies vitals it's some it's the anesthesiologist coming to check on you to see if you're feeling okay if you're having any back pain anything like that um so just expect a lot of traffic um pediatrician comes in the OB comes in food delivery nurse comes first haircut Lady yeah it's the person coming to take babies photos like there's always somebody there so in terms of that when you're thinking about being comfortable postpartum I like easy access for boob things so like a nursing bra and then again really like to be skin to skin as much as possible in those that first day and so I just had a robe um and so if somebody came in I could buckle up the robe if nobody was around then could be skin to skin really easily with the baby um and as you saw some of the mesh undie um garb um you may have also seen that her buckling up the robe was a little challenges from talking but so things you continue to expect swelling of your perineum okay so as you you can see it took nine months to grow this baby it's going to take time for everything to go back you are going your core is going to be Jello you may have a lot a lot of pressure in your pelvic floor you may have pain if you had a tear or stitches if you had a C-section you just had major abdominal surgery and so pain control is going to be a very real and important thing um if you had a C-section often you will need more than kind of Ibuprofen and Tylenol and so there may be some kind of narcotic pain medicine oxycodone Percocet something depends on whatever your OB prefers um often vaginal deliveries you can get away with Motrin and Tylenol it is enough to help with the pain again all that swelling vulva vagina those ice pads are really nice in the first 24 hours to help with inflammation you can the Perry bottles really help keep things clean so you don't have to wipe and again especially especially especially if you are taking a narcotic like oxycodone or Percocet take be taking a stool softener Miralax is gentle it works very well um just so that you don't have to strain when you have a bowel movement I feel like the other big piece for Mom and for baby during that first period is feeding oh yeah um I haven't even gotten to the boobs yet yeah especially if you're doing breastfeeding like use all the resources available to you while you're in the hospital if you're a nurse there on postpartum has helped many many women with breastfeeding and then they often have lactation Consultants as well see them see the lactation consultant even if you think it's going perfectly have the lactation consultant come look at your latch help you through it do that when you are at the hospital it is a resource that is provided by the hospital it is easy you are there as soon as you get home and have problems which you may been there then you have to load the baby in a car go see the lactation consultant it's just more of a to do yeah and so take advantage of that resource when you're there say like hey I'd really like to see lactation today blah blah yeah your nurse will make it happen and the nurses are awesome but still the lactation Consultants have thousands of hours of training to help women learn to breastfeed and breastfeeding is so so hard you think it's supposed to be this natural thing and maybe for some women it comes easily I was not one of those people it was super hard it sucked I needed a lot of help and there's no shame anyway the second time through it like still helpful to have someone take a look yep yep also while we're on that nipple care um it's it can be very painful if it's super super super painful it's a sign that you should get some help because something's going on with the black issue it's not a deep enough latch maybe baby has a tongue tie or lip tie or something um if it's super painful definitely absolutely see lactation see them no matter what um but know that that should be a trigger to say like hey maybe something's wrong um so for nipple care there's lots of different things there are creams there are Butters there are all a variety of shells and whatever I personally like silverettes they're the silver little discs that you put you keep on your nipples kind of 24 7 unless babies eating they help with moist wound healing I love them um shake these are the like one of the things in the hospital bag we packed that like you the most loved and appreciated having yeah they they saved me the first time around I love them um there are different things that you can do for moist wound healing there's like these things called shellies that are little shells that accomplish the same thing there's a knockoff silhouette now on Amazon because they are expensive because they're silver there's lanolin there's nipple butter I didn't love those things just because I felt like it was really greasy and then was on my clothes and I just didn't like that if you do that's wonderful they had these the um I had these like gel nipple pads or something the first one that I'd like put in the refrigerator and then put them on my nipples and that was really really nice but again that was all a lot and I thought the silver ads were just simpler so that is what I have since transitioned to but nipple care is really important be doing something to help your nipples heal because those little little baby sharks um can do a lot of damage yeah yeah so you want to make sure that you have a good latch um and this is if you are work if breastfeeding is your goal it's something to think about okay if you are not going to breastfeed for whatever reason um you are going to want to wear a tight sports bra ice ibuprofen not stimulate the nipples at all to so because when your milk comes in you're going to be engorged it is very uncomfortable um and so those are some things to start doing right away if you are not going to breastfeed for whatever reason so I think the last thing to kind of think about from mom birthing person perspective is what partner should be doing and then like I feel like a thing that you needed to remind her about frequently was just like not lifting things right and I mean even like when I just make sure you're being helpful as a partner like carry all of the things um even if you had a C-section so the we don't want you to lift anything heavier than 10 pounds so that's about a gallon of milk all that being said your core is shot okay you you don't have core strength your your bottom is going to be super sore it may feel super heavy I just felt like gravity just every time I get up I could feel that on my pelvic floor um and so just be really thoughtful if it hurts don't do it for those first few weeks you really want to take it easy and give your body time to just heal and recover and so let your partner help do shifts ask for help from your family being arrested is really important also making sure you're hydrated yeah your job is to food and hydration and help with diapers yes totally that was our key things for you as partner to do yes so yes it's amazing how easy it is for you to forget to drink sometimes and eat it's so busy you're so busy and it's it's amazing so we have videos on perineal care um that you can check out and think that's kind of the first 24 hours often if you have a vaginal delivery you can go home somewhere you know after 24 to 48 hours if everything's going fine and they are ready to send baby home if you have a C-section it's usually somewhere between that two day and four day Mark depending on your insurance in your hospital and how everything's going another thing C-section mamas tend to really love is an abdominal binder you may want one even after a vaginal delivery sometimes it really helps when you don't have that core support to have an abdominal binder just to give you a little extra core support so that was our first day in the hospital with baby we were ready to escape after our 24 hours for sure remain at home maybe we got to meet big sister which we're going to show you guys next week I'm going to talk a little bit about that transition to home the first day at home we'll see y'all next week bye we're doctors but not your doctors anything we've said in this video is for education or entertainment purposes only it is not medical advice any specific medical questions you have should be directed to your provider

Channel: The Doctors Bjorkman

Views: 419,444

Keywords: pregnancy, pregnancy update, pregnant, pregnancy week by week, pregnancy vlog, fit pregnancy, healthy pregnancy, obgyn, the doctors bjorkman, pregnancy guide, first pregnancy, pregnancy tips, labor, third trimester, new mom, prepare for birth, postpartum, breastfeeding, postpartum journey, new baby, lactation, ibclc, birth videos for dads, birth vlog, labor and delivery, new baby care tips, baby's first day, healthy baby

Id: XTzkECmoX8U

Length: 29min 45sec (1785 seconds)

Published: Wed Feb 22 2023