👶 Newborn · 0–28 Days
Newborn Care in Warora — First Paediatrician Visit & Beyond
The first month of your baby's life is a critical period for health, nutrition, and development. Dr. Chanda Haryani provides newborn paediatric care at Shiv Clinic, Warora — from the first check-up through the first year and beyond.
What Happens at the First Newborn Check-up
A newborn visit with Dr. Haryani covers all the key health checks critical in the first days and weeks of life:
- Weight check — expected weight loss and regain tracking
- Jaundice assessment (skin and eye colour)
- Umbilical cord care and belly button check
- Feeding assessment — breastfeeding latch, formula feeding guidance
- Birth vaccination record review (BCG, OPV-0, Hep B-1)
- Physical examination: heart, lungs, abdomen, hips, reflexes
- Hearing and vision initial assessment notes
- Temperature assessment and normal range guidance
- Sleep position safety (back to sleep — always)
- Vitamin D and iron supplementation advice if needed
- Guidance on when to seek help between appointments
- Next vaccination due date and schedule plan
Newborn Visit Checklist — What to Bring
- Hospital discharge summary
- Vaccination card (Mother Child Protection card) — note which birth doses were given
- List of any concerns: feeding patterns, stool/urine colour, crying, sleep
- Temperature record if baby felt warm
- Note any family history of jaundice, genetic conditions, or allergies
Newborn Red Flags — Seek Care Immediately
The following signs require prompt medical attention. Do not wait for a scheduled appointment:
Breathing
- Fast or laboured breathing
- Grunting sounds with breathing
- Nostrils flaring or skin pulling in at the chest
- Blue colour around lips or fingernails
Feeding & Weight
- Not feeding or refusing breast/bottle for more than 4 hours
- Significant weight loss (more than 10% of birth weight)
- Fewer than 6 wet nappies per day after day 5
Jaundice
- Jaundice appearing within first 24 hours of birth
- Very deep yellow/orange colour
- Jaundice lasting more than 2 weeks in a term baby
- Baby very sleepy, difficult to wake for feeds
Umbilical Cord & General
- Redness spreading around the umbilicus, pus discharge
- Fever (temperature above 38°C / 100.4°F in a newborn)
- Seizures or abnormal movements
- Bile-green or blood-stained vomiting
नवजात शिशु की देखभाल — वरोरा
- शिशु के जन्म के बाद पहली बाल रोग विशेषज्ञ जांच कब होनी चाहिए?
- आदर्श रूप से अस्पताल से छुट्टी मिलने के 24–48 घंटे के भीतर। यदि घर पर प्रसव हुआ हो तो 3–5 दिन के भीतर। इससे वजन, पीलिया, और स्तनपान का मूल्यांकन किया जा सकता है।
- नवजात शिशु में पीलिया (jaundice) कब चिंताजनक होता है?
- यदि पीलिया जन्म के पहले 24 घंटे में दिखे, बहुत गहरा हो, 2 सप्ताह से अधिक रहे, या शिशु बहुत सुस्त हो और दूध न पी रहा हो — तो तुरंत डॉक्टर को दिखाएं।
- जन्म के समय कौन से टीके लगाए जाते हैं?
- जन्म के समय BCG (टीबी), OPV-0 (पोलियो) और हेपेटाइटिस B-1 सरकारी कार्यक्रम के तहत निःशुल्क दिए जाते हैं। अपना टीकाकरण कार्ड अवश्य लाएं।
Newborn Care FAQs — Shiv Clinic, Warora
- The first paediatric visit should ideally be within 24–48 hours of discharge from the hospital or nursing home. If there was a home birth, aim for a visit within the first 3–5 days. Early checks allow the doctor to assess weight, jaundice, feeding, and confirm birth vaccination was completed.
- Physiological jaundice (yellowing of skin and eyes) is common in newborns, typically appearing on days 2–4 and usually resolving by day 14 in term babies. It becomes a concern if it appears within the first 24 hours, is very severe, lasts more than 2 weeks in a term baby, or the baby is feeding poorly and very sleepy. Always have a doctor assess newborn jaundice. This is educational — consult the doctor for your baby's specific situation.
- Signs of adequate feeding: 8–12 feeds per day for breastfed infants; 6–8 wet nappies per day after day 4–5; weight regain to birth weight by 2 weeks; settled between feeds. Signs of concern: fewer than 6 wet nappies, significant weight loss (more than 10% of birth weight), poor latch, very sleepy or difficult to wake for feeds. Consult the doctor if concerned.
- At birth, the national schedule recommends: BCG (tuberculosis), OPV-0 (oral polio), and Hepatitis B-1 — ideally within the first 24 hours or before leaving the facility. These are provided free under the Government UIP programme. Bring your vaccination card (Mother Child Protection card) to the newborn visit so the doctor can verify which doses were given.
- Premature babies and NICU graduates need tailored follow-up care that differs from term babies. Vaccination timing is adjusted based on corrected age. Growth, development and feeding milestones are monitored on a corrected-age basis. Please contact Shiv Clinic to discuss your premature or NICU-graduate baby's specific care needs. You may also visit our AANSH Families page for more information on care for preterm and high-risk babies.
- Keep the umbilical cord stump clean and dry. Do not apply any substances to it unless advised by the doctor. It usually falls off within 1–3 weeks. Signs to watch for: redness spreading on the surrounding skin, swelling, foul smell, active bleeding, or pus discharge — see the doctor promptly if these develop.
- Place babies on their back (supine) for all sleep — on a firm flat surface, without loose bedding or soft objects. Side-sleeping is not considered safe. Once the baby can roll over on their own, they can find their own sleep position. Always discuss sleep safety with the paediatrician at the newborn visit.
Related Guides & Services
Medical Disclaimer: Information is for general educational guidance only. All newborn health decisions should be made with a qualified paediatrician. Never delay seeking medical care for a newborn showing concerning signs.
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