Common Concerns for New Moms: Pediatric Questions Answered - Pediatrics

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Baby's issues


Hello! I have some questions and would like your help in answering them.

1.
My baby sister is almost 3 months old.
Recently, she received her vaccinations and had a health check-up.
The results showed her weight is 5.5 kg, head circumference is 42 cm, and height is 58 cm, with percentiles of 75%, 99%, and 90%, respectively.
Is this normal for her?
2.
My sister's milk intake is hard to manage.
We have increased it to 120 ml every 4 hours, but sometimes she doesn't finish it, and other times she goes 5 hours without feeding.
Occasionally, she drinks less than when she was born (60 ml at birth).
Will this affect her growth?
3.
My sister's sleep duration is quite short and unstable.
I am really worried about her not getting enough sleep.
She sleeps more soundly and for longer when held, but wakes up as soon as she is placed in her crib.
Why does this happen? Also, her sleep mostly occurs during the day, and it’s hard to wake her up.
How much sleep should a 3-month-old baby get to be considered normal?
4.
My sister enjoys rubbing her face against our bodies.
Why does she do this? She also likes to rub her hands on her own face and ears, which sometimes leads to her hurting herself.
How should I handle this?
5.
My sister sweats a lot; she gets sweaty whenever she drinks milk or is active.
What should I do? Even after wiping her down, she continues to sweat, and her hair gets wet.
I feel really sorry for her, so I keep the air conditioning on.
Is this harmful to her in any way?
Thank you for your help! Best wishes from a worried new mom.
5/03

Mike Liu, 20~29 year old female. Ask Date: 2001/05/03

Dr. Shi Zhongxian reply Pediatrics


1.
The baby's growth and development are currently normal.

2.
An infant's appetite can vary from time to time; as long as growth and development are normal, there is no need to worry.

3.
There is no specific standard for an infant's sleep duration; if there are no concerns, sleeping a little less is not a problem.

4.
If there are signs of atopic dermatitis or skin itching, it is best to have a doctor take a look.

5.
Excessive sweating is often due to more developed sweat glands and is related to individual constitution; using air conditioning is fine, but the temperature should not be set too low or too strong.
Wishing you good health.

Reply Date: 2001/05/03

More Info


Hello! It's great that you're reaching out with your concerns about your baby. As a new mom, it's completely normal to have questions about your child's health and development. Let's address your concerns one by one.

1. Growth Percentiles: Your baby girl is almost 3 months old, and her weight (5.5 kg), head circumference (42 cm), and height (58 cm) are all within the normal range, with percentiles of 75%, 99%, and 90%, respectively. This indicates that she is growing well, especially in terms of head circumference, which is crucial for brain development. Percentiles can vary, but as long as your baby is following her growth curve and is healthy, there is generally no cause for concern.

2. Feeding Patterns: It's common for infants to have fluctuating feeding patterns. At 3 months, babies typically consume between 120-180 ml every 3-4 hours. If your baby sometimes drinks less than her usual amount, it may be due to various factors such as growth spurts, teething, or simply not being hungry. As long as she is gaining weight steadily and is active, occasional variations in feeding amounts are usually not a problem. Monitor her growth and consult your pediatrician if you notice significant changes or concerns.

3. Sleep Patterns: Newborns typically sleep around 14-17 hours a day, but this can vary widely. It's common for babies to have shorter, more fragmented sleep, especially during the early months. If your baby sleeps better in your arms than in her crib, it may be due to the comfort and security she feels when close to you. To help her sleep better in her crib, consider establishing a calming bedtime routine, ensuring the sleep environment is comfortable, and trying to put her down while she is drowsy but still awake. This can help her learn to self-soothe. If she continues to have trouble sleeping, discussing this with your pediatrician may provide additional strategies.

4. Self-Soothing Behaviors: Babies often explore their environment through touch, which includes rubbing their faces and ears. This behavior is normal and can be a way for them to self-soothe. However, if she is causing injury to her skin, consider using soft mittens or ensuring her nails are trimmed to prevent scratches. You can also provide her with safe toys to explore and distract her from rubbing her face.

5. Sweating: It's not uncommon for babies to sweat, especially during feeding or when they are active. Babies have immature thermoregulation systems, which means they may sweat more than adults. If your baby is sweating excessively, ensure she is dressed appropriately for the temperature and not overheated. Using a fan or air conditioning can help keep her comfortable, but be cautious of direct drafts. If you notice any signs of distress or if her sweating seems excessive, consult your pediatrician to rule out any underlying issues.

In summary, your baby seems to be developing well, but it's always best to keep an open line of communication with your pediatrician regarding any concerns. They can provide personalized advice and reassurance based on your baby's specific needs. Remember, every baby is unique, and what works for one may not work for another. Take care, and don't hesitate to reach out for support when needed!

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