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New Parent Survival Guide: What to Expect in the First Weeks

Written by Zarminali Pediatrics | Jun 27, 2025 7:25:47 PM

Becoming a parent is one of life’s most profound changes. It’s joyful, yes — but also messy, exhausting, and deeply emotional. As you adjust to caring for your baby, you may feel moments of wonder followed quickly by waves of self-doubt. That’s not a sign you’re doing it wrong — it’s a sign you’re simply becoming a parent!

As pediatrician Aja Bean, MD, puts it: “Becoming a parent rocks your world in every way — and it did for me, too, even as a pediatrician.”

No one knows your baby like you will. This guide is here to help you feel more prepared and less alone as you step into this new chapter.

The First Weeks: What’s Normal, What’s Not

The first 28 days — known as the neonatal period — can feel like a whirlwind. You’re adjusting to your new normal, your baby is adapting to the outside world, and every sound or symptom may raise questions. That’s natural.

Common Newborn Concerns

  • Feeding: No matter how you choose to feed your baby, every baby — and parent — has a learning curve. Whether feeding breastmilk, formula, or a combination of the two, newborns should feed at least every 2-3 hours. When cluster feeding, they may feed even more frequently. Seek support from lactation consultants or your pediatrician as needed.
  • Wet and dirty diapers: In the first few days, expect at least one wet diaper per day old. This means that when your baby is one day old, they should pee at least once that day. On day two, they should pee at least twice, and so on. This will max out at six days old, when babies should be making six or more wet diapers a day. It’s normal for poopy diapers to look dark and tarry in the first couple of days — it’s called meconium. It will transition to green/brown then finally to normal baby poop: soft, yellow, and seedy.
  • Sleep: Newborns sleep 14–17 hours per day, often in short spurts. They should be waking at least every three hours to feed in the first couple of weeks, if not more often. It takes some time for them to get into a rhythm of sleeping more at night than during the day. They’ll sleep for longer stretches as they get older.
  • Fussiness: All babies cry — it’s how they communicate. Some fussiness is normal, but always check if your baby is trying to tell you something. If your baby is crying, see if they are hungry, tired, have a dirty diaper, or have a strand of hair wrapped around a finger, toe, or their penis. This can cut off circulation and is incredibly painful. If your baby cries nonstop, seems inconsolable, or has other concerning symptoms, call your pediatrician.
  • Spit-up: Mild spit-up is common as your baby’s digestive system develops. Call your pediatrician if it’s forceful, bloody, green, persistent, or associated with fussiness.
  • Gassiness: Babies often swallow air when feeding. Burp your baby after or even during feeds to release trapped air.
  • Skin conditions: Keep skin clean and dry. Try using a gentle baby lotion or coconut oil to moisturize. Flaky skin may clear up with time and gentle care. Call your pediatrician if a rash develops, gets worse or is associated with other symptoms, such as crusting, fluid-filled bumps, poor feeding, or fever.
  • Cradle cap: Cradle cap is also very common and shows up as scaly skin on the scalp. Apply coconut or mineral oil, gently massage the flaky area, then brush out the flakes. Reapply oil as needed to keep the area moisturized. If this isn’t working, talk about next steps with your pediatrician.
  • Umbilical cord care: Keep the stump dry and clean. You may give baby a sponge bath but avoid full baths until the stump has fallen off and the belly button looks dry and fully healed. It will usually fall off in 1–2 weeks. Contact your pediatrician if there’s swelling, redness, a bad smell, discharge, or any other concerning symptoms.
  • Bathing: Stick to sponge baths until the umbilical cord falls off. Then, 2–3 baths per week is typically enough.

When to Call Your Pediatrician

If something feels off — or you just need reassurance — reach out. That’s what your pediatrician is there for.

Feel Confident Feeding (Breastmilk, Formula & Combo)

Fed is best, and it’s up to you to make the feeding choice that’s right for your family. What matters most is that your baby is getting the nourishment they need, whether you’re breastfeeding, formula feeding, pumping, or doing a combo. While breastfeeding offers benefits, especially during the first six months, feeding your baby and keeping them healthy is the priority. 

“People are surprised at how often newborns need to feed,” says Dr. Bean. Her rule of thumb? “Aim to feed every 2–3 hours and learn to identify your baby’s hunger cues.”

Reading Your Baby’s Hunger Cues

Newborns eat every 2–3 hours... at least! In the early days and weeks, they may have periods of cluster feeding and want to feed every 30-60 minutes. This is normal and a good sign — your baby is hard at work, growing bigger!

Breastfeeding babies typically feed for 10–15 minutes on each breast, every feed. Some babies aren’t as interested in the second side, but always try offering it. If they refuse or fall asleep, start on that side the next feed.

If you’re feeding formula or pumped breastmilk, your baby may start with an ounce or less per feed in the first few days. That should quickly increase to 2–3 ounces per feed. 

Early signs a baby is getting hungry include: 

  • Rooting (turning their head and opening their mouth)
  • Sucking motions or lip smacking
  • Hand-to-mouth movement

As babies get hungrier, they may become more alert and fidgety before crying. Noticing early hunger cues is a good way to feed your baby before they reach the crying stage.

Feeding Tips

If you’re breastfeeding, it can be challenging at first. Latching issues, sore nipples, and milk supply concerns are common. It helps to stay hydrated, nourished, and rested. Keep a water bottle on nearby, grab snacks between meals if you’re hungry, and take naps when you can. Skin-to-skin contact with your baby can also help with milk supply. 

Learning to breastfeed is a new skill you’ve never developed before — so be patient and know it may take some time to “master” it. Take advantage of help from a lactation consultant or your pediatrician.

When bottle feeding, babies tend to eat faster. If this is causing more gassiness or reflux, talk to your pediatrician about feeding techniques to try.

When to Call: If your baby isn’t gaining weight, isn’t waking to feed every 2–3 hours, is extra fussy, has blood in their stool, isn’t producing enough wet diapers (one per day the first 6 days, or 6+ per day after that), or other concerns, contact your pediatrician.

Sleep, Soothing & Surviving the Witching Hour

Newborn sleep is unpredictable and often fragmented. When you want to soothe your baby or encourage sleep, try the Five S’s from Dr. Harvey Karp. 

Soothing Strategies (The Five S’s):

  1. Swaddling: Mimics the snugness of the womb. You can also try putting baby in a carrier that is safe for their age and weight.
  2. Side/Stomach Hold: Only for calming while awake — always place your baby on their back to sleep.
  3. Shushing: A steady “shhh” mimics the sounds your baby heard before birth.
  4. Swinging/Swaying: Gentle motion helps regulate and soothe. You can rock them, hold them while bouncing on a birthing ball, or put them in a baby swing (only while supervised and never for overnight sleep).
  5. Sucking: A breast, pacifier, or their fingers can offer comfort.

Remember: You know your baby best. If they’re fussier than usual or something doesn’t feel right, trust your instincts and call your pediatrician.

Well-Child Visits

Regular well-child visits monitor your baby’s growth, development and health. They’re also a great time to bring up any questions — no topic is too small. 

“Nobody knows a child better than the parent,” says pediatrician Scott Moore, MD. “You are part of the treatment team, too.”

Vaccines in the First Year

Immunizations protect against serious diseases that can be prevented. The AAP provides a trusted vaccine schedule to follow with your pediatrician. If you have any concerns about vaccines, bring them up with your pediatrician, who knows the latest evidence-based recommendations. 

Parental Confidence & Mental Health: You’ve Got This

Even the most confident parent has moments of doubt. That’s part of the journey.

Finding trusted sources of parenting and health information can help ease some of your worries. Resist the urge to simply search symptoms on the internet — this can bring more anxiety than clarity. Instead, stick with reliable information from your pediatrician, the AAP, and websites like healthychildren.org, which is run by the AAP.

Your Mental Health Matters

There is a natural change in hormones for birthing parents. Feeling weepy or overwhelmed in the first couple of weeks is common (often called the “baby blues”). Baby blues symptoms — worry, sadness, tiredness — usually resolve in a few days. 

If these feelings persist or worsen, you may be experiencing postpartum depression or anxiety. This could look like crying more often than usual, feeling angry, or feeling distant from your baby. Please seek help through your pediatrician, primary care provider, OB-GYN, or therapist — you deserve support.

Embrace Support Systems

Accept help in ways that feel comfortable: a meal drop-off, a trusted visitor, a postpartum doula, or just a nap.Connecting with other new parents can make a big difference. Parenting is less overwhelming when you have someone to share it with, whether that’s a parenting or mom group, or other friends with kids. 

When to Call the Pediatrician

You don’t need to wait for an emergency to call your pediatrician. If you’re unsure about something, it’s okay to ask.

Here are some signs you should call your pediatrician: 

  • Fever of 100.4°F (38°C) or higher in babies under two months
  • Limpness, excessive sleepiness, or difficulty waking to feed
  • Decreased wet diapers (at least one in the first six days, then six or more a day after that)
  • No bowel movement for over 24 hours in the early weeks

Call 911 or go to the nearest emergency department for life-threatening symptoms, such as trouble breathing or persistent vomiting. 

Find Your Pediatrician

Choosing a pediatrician is one of the most important decisions you’ll make. They’re not just your baby’s doctor — they’re part of your parenting team. Look for someone you feel comfortable with: someone who listens, answers questions, and respects your parenting style.

You don’t have to do this alone. With a supportive pediatrician by your side, you can feel more confident and less overwhelmed as your baby grows.

You’re doing better than you think. Your baby doesn’t need perfect — they just need you.

Let this guide be a gentle reminder that parenting is a learning curve, not a test. And you’ve already taken the most important step: caring enough to seek answers.

Expecting? Find a Zarminali pediatrician who can answer all your first-time parent questions.