Bathing your baby and your baby’s skin

Bathing your baby and your baby’s skin

Mother supports baby with one arm while scooping water over the baby's head with the opposite hand A newborn’s skin is delicate and sensitive, and the use of any creams, lotions or cleansers should be avoided for at least the first month. Babies may have dry skin after birth, and this is nothing to worry about. When bathing, it is best to use plain water and only a very mild and non-perfumed soap if required.
How should I bath my baby?

Caring for the umbilical cord

Caring for the umbilical cord

Close up of baby's tummy button with a plastic clip on the remaining stub of the umbilical cord After your baby is born, their umbilical cord will be secured with a plastic clip. The cord will then take between three to ten days to dry out and drop off. It is normal for the cord to be slightly sticky and smelly as it dries out. The area can be cleaned with plain water if necessary and dried carefully with a clean soft cloth or muslin. If you notice any bleeding from the cord or redness on your baby’s abdomen, tell your midwife, health visitor or GP.

Dressing your baby

Dressing your baby

Close up of mother's hands dressing baby The following tips will help you plan how to keep your baby’s temperature within the normal range:

Room temperature

Try to keep the room temperature between 16-20°C.

Deciding the right amount of clothing and bedding

Indoors:

Daytime – your baby should wear the same amount of clothes as you wear plus an extra layer. Night time – your baby should wear a vest and babygro in bed plus be covered with the same number of bedding layers as parents. If your baby seems restless and fussy and the skin appears flushed and feels hot, remove a piece of clothing or blanket. It is normal for babies to have cool hands and feet. They should feel warm on their chest (same as you) but if their hands or feet feel cold and look blue and blotchy, add mittens, socks/booties, a hat and a cardigan or blanket. Babies do not need to wear hats indoor. It can lead to them overheating.

Outdoors:

Babies should wear hats outdoors in summer and winter to protect against all weather conditions. Babies under six months’ old must be kept out of direct sunlight, especially around midday. During daytime, cover exposed parts of the baby’s skin with sun creams, using the baby specific sun creams. Don’t forget to reapply it regularly throughout the day. In a heated car or on public transport, babies who are overdressed can easily become too hot. Remember to remove a layer/s of clothing or any covering blanket.

When at home

Don’t forget to take off baby’s outdoor clothes and hat when you get inside. Don’t keep the cot, buggy or car seat next to a radiator, heater or fire, in direct sunshine or near an open window.

Soothing a crying baby

Soothing a crying baby

Mother holds crying baby in her arms and kisses to the top of its head All babies cry, and some cry a lot. Crying is your baby’s way of telling you they need comfort and care. Sometimes it’s easy to work out what they want, and sometimes it isn’t, so be kind to yourself. Do remember that when you become anxious, crying babies tend to sense this and may become more distressed. So, in the initial weeks work your way systematically through the different reasons why a baby may cry.

Tips to comfort a crying baby

Try some of these ways to comfort your crying baby:
  • place your baby skin-to-skin
  • check if your baby is hungry. If so, feed your baby
  • check your baby’s nappy. If dirty, change the nappy
  • hold your baby close to you. Move about gently, sway and dance, talk to your baby or sing
  • try stroking your baby’s back firmly and rhythmically, holding her/him against you 
  • find something for your baby to listen to or look at – like music on the radio, a CD, a rattle or a mobile above the cot
  • rock your baby gently backwards and forwards in the pram
  • try a warm bath. When testing for bath temperature, a warm bath will feel comfortable against your elbow skin. Warm baths calm some babies instantly, but make others cry even more.
Babies should never be shaken in an effort to get them to stop crying. Shaking a baby can cause very serious brain injury and is considered to be a form of child abuse. Babies are vulnerable to head trauma because they have poor neck strength and have large heads compared to the size of their bodies. When the head moves around vigorously, the baby’s brain moves back and forth inside the skull which can tear tiny blood vessels and nerves causing bleeding and nerve damage. Shaking a baby can leave a baby blind, deaf and with long term learning difficulties. Read the related links for more help.

Safe sleeping and reducing the risk of cot death

Safe sleeping and reducing the risk of cot death

Diagram showing three sleeping babies. One sleeping baby is in the correct position lying on their back and the other two sleeping babies are shown in the incorrect positions of lying on their side and on their front Sudden Infant Death Syndrome (SIDS) is the sudden and unexpected death of a baby where no cause is found. This is rare but it can still happen and there are steps you can take to reduce the risk of this occurring:
  • always place your baby on his/her back to sleep
  • babies should not be swaddled when sleeping
  • place your baby so his/her feet are right at the end of the cot/moses basket, rather than in the middle, to prevent them from sliding underneath covers
  • do not use cot bumpers or quilts, only use sheets and lightweight blankets
  • ensure room temperature is between 16-20°C, as overheating your baby can be dangerous
  • the safest place for your baby to sleep is in a cot or moses basket in the same room as you, for the first six months.
Safer sleep for babies

Sharing a bed with your baby

Sharing a bed with your baby

Mother takes a nap on a bed lying on her side with her baby sleeping in the curve of her body There are many things to consider when creating your baby’s sleep space to ensure it is safe. The following links provide detailed information to support your decisions about which is the right choice for your family. It is useful to think which sleep environment you intend for your baby to sleep: a flatbed pushchair, a Moses basket, a cot, or in your bed. There are safety considerations for all of the above environments such as where to lay in the cot/bed and what bedding to use. There are times when it is not recommended that the baby be in your bed.

Key points to remember

Regardless of sleep space the following should be followed:
  • Your baby sleeps in the same room as you for all sleeps for at least the first 6 months.
  • Always place your baby on their back to sleep, not their front or side.
  • The bedding is not able to cover baby’s face and head.
  • The sleep space should in a clear, no toys or bumpers.
  • The mattress should be flat and firm with no raised or cushioned areas.
  • Soft beds, bean bags, pillows, pods, nests, sleep positioners; sagging mattresses are not suitable sleep environments.
  • Avoid the baby becoming too hot, the room environment should be between 16-20°C and head should not be covered with a hat. If the weather is hot, the amount of clothing and bedding will need to be adjusted to avoid overheating.
  • Keep baby’s environment smoke-free before and after birth.
  • Breastfeeding is protective, the more you feed the greater the protection.
  • Never sleep with your baby on a sofa or armchair.
  • If your baby is sleeping flatbed pushchair, Moses basket or cot, place your baby’s feet to the foot end.
If you decide to, or think you may share the bed with your baby, it is important to consider the following points:
  • Keep your baby away from the pillows.
  • Make sure your baby cannot fall out of bed or become trapped between mattress and wall.
  • Make sure the bed clothes cannot cover your baby face or head.
  • Remain with your baby, even very healthy babies can wriggle into a dangerous position if left alone.

When it isn’t safe to share a bed with your baby:

  • It is not safe to bed-share in the early months if your baby was born very small or preterm.
  • Do not sleep with your baby when you have been drinking any alcohol or taking drugs that may cause drowsiness (legal or illegal).
  • Do not sleep with your baby if you or anyone else who shares the room is a smoker.
You can get further information from your midwife or health visitor and read the links below.

What is normal sleep?

What is normal sleep?

Baby in sleep suit sleeps with legs relaxed and head to one side Your baby will have his/her own pattern of waking and sleeping, and it’s unlikely to be the same as other babies you know. Please note that newborn babies do not need a routine. However, over a course of several months you will have a routine established. Normal sleeping patterns from nought to three months:
  • most newborn babies are asleep more than they are awake
  • their total daily sleep varies, but can be from eight hours up to 16-18 hours
  • babies will wake during the night because they need to feed.

How to bottle feed your baby

How to bottle feed your baby

Mother bottle feeding newborn baby
  • hold your baby close in a semi-upright position, in skin-to-skin contact if possible and maintain eye contact by turning baby inwards towards your body
  • rub the teat gently over the upper lip, this will encourage them to open their mouth and draw in the teat
  • hold the bottle horizontally with a slight upright tilt to prevent both air entering the teat and the milk flowing too fast
  • allow your baby to set the pace of the feeding, enabling your baby to pause frequently
  • towards the end of the feed remove the teat and wind (burp) your baby
  • if your baby shows continued feeding cues, offer the remaining milk
  • don’t try and force your baby to take more than they want
  • limit the number of people who feed your baby to yourself and one or two others – this helps with building a relationship and bonding with your baby
  • never leave your baby alone with a bottle.

Look out for signs of stress when bottle feeding:

  • pushing the bottle away
  • back arching
  • grimacing, frowning, or crying
  • gagging, spitting up.

Formula feeding advice

Formula feeding advice

Close up of hand emptying a measuring spoon filled with formula milk powder ino an open baby's bottle Key facts about formula feeding:
  • always use a first infant formula in the first year of your baby’s life
  • make up feeds one at a time as your baby needs them
  • never warm up formula in the microwave
  • the water needs to be above 70°C in order to kill any bacteria in the milk powder, as it is not sterile
  • always put the water in the bottle first, then add the powder
  • only use the scoop enclosed in the packaging, as they can differ in size between brands
  • follow manufacturer’s specific instructions on how many scoops of powder to volume of water ration, to make sure the milk is not too diluted or concentrated
  • ensure to measure a level scoop of formula as instructed on the packet
  • before giving to your baby, check the formula is cool by dripping a few drops on the back of your hand
  • throw away any unused formula when your baby has finished feeding.