Week by Week

What do you need to know to care for your 4 week old baby?


Development & Behavior

How should my baby be developing?

Your baby is four weeks old. Baby loves and needs to suck, so don’t discourage it. In fact, you may have already discovered that a pacifier works wonderfully in helping your baby calm down. In some cases, your baby may even be able to find his thumb or fingers to suck.

At week 4, your baby may have better vision and can focus on distant objects in the range of 20-35 cm.

How to support my baby?

Be sure you’re continuing to put your baby down on his back, even when he’s awake. His head is at risk of concave, so always put baby on their back to prevent this situation.

Try putting your face in front of your baby’s eyes to encourage them to hold up their head to look at you. You can also roll up a towel or blanket and put it under their chest to help them start with their push-up. Soon, their nervous system and muscle control will mature.

Health & Safety

What should I discuss with doctor?

In this phase, you should take your baby to take the examination in accordance with the schedule your doctor suggested. Your doctor may perform:

  • Baby blood taken from the heel with rapid test strip to check whether the baby has urinary disease like phenylketonuria or hypothyroidism or not. Blood tests can help doctors examine the problems of metabolic disorders. Also, you can suggest doctors perform tests in-depth examination to detect disorders or other health conditions they might have.
  • In some cases, they may be required to get vaccinated against hepatitis B. It is more important in case you had checked and are diagnosed with hepatitis B. If you do not have hepatitis B, you can give your baby hepatitis B vaccine at any time during the first two months of life, or you can give them a shot synthetic vaccine diphtheria – pertussis – tetanus with two-month-old infant. The baby born hard can also have a synthetic vaccine and be injected more vaccines to prevent hepatitis B. Always consult your doctor if you decide that your baby need to get
  • Conduct a hearing test. Your baby’s doctor will check to make sure the baby doesn’t suffer any impairment of hearing.

What should I know?

The first months of life are the time baby cries the most. Colic is extended frantic crying in an infant. It’s thought to affect about 10 to 25 percent of babies under 3 months of age. All infants cry more in the first three months of life than at any other time in their lives, but colic is different. Some doctors define it by the rule of threes: three hours of crying at a time, at least three times a week, for at least three weeks in a row – usually starting between the third and sixth week of life. The “colicky” episodes often come on suddenly in the evening hours. Many babies will cry intensely, unable to be soothed, clenching their fists and drawing up their legs. Every baby is different, but colic usually fades away by around 3 months.

Some people theorize that it due to a baby’s immature digestive system or food allergies. Others believe the cause may be a still-developing nervous system or a baby’s temperament that allows them to be easily overstimulated. Although colic can make parents feel helpless and guilty, it’s temporary – and it’s not a sign of a long-term problem.

Each baby is different and is comforted by different measures, so you may need to experiment with a few techniques to find what works best for your baby. Here are some suggestions:

  • Try to create a calming environment that mimics what life was like in your uterus: snug, warm, and calming. Swaddle your baby firmly in a blanket. Rock him in your arms or in a rocking cradle.
  • Some babies are soothed by loud repetitive sounds, such as a vacuum, dishwasher, clothes dryer, all of which are probably reminiscent of the sound of your internal organs. Other ideas area warm bath, a warm hot – water bottle or towel placed on your baby’s stomach, or a pacifier. Some parents report that their baby’s colicky symptoms improve with an over-the-counter medicine called simethicone, which may reduce intestinal gas.
  • Hearing a baby cry can be frustrating and exhausting. It’s helpful to have someone who can take turns with you for holding and pacing with your baby. If you have to set your baby in his crib or another safe place for a few minutes to use the bathroom, rest assured that leaving him alone for a few minutes, even if he’s crying, is not going to hurt him. Do let your doctor know if the cry sounds shrieking and painful, if your baby stops gaining weight, if they have a fever, or if the colicky symptoms go beyond age 3 months – as these may be signs of health problems.

My Concerns

What I am concerned about?

At this stage, you need to note about your baby’s health and smoking. If you or your partner smokes, you may want to put an end to your puffs. Secondhand smoke can be extremely dangerous for your baby – it weakens the lungs, makes babies more prone to ear infections, increases snoring and sleep – disordered breathing. It is a proven cause of health, behavior, and learning problems and doubles the risk of sudden infant death syndrome . Even if you don’t smoke when your baby’s in the room, the harmful chemicals still travel throughout your house in a matter of minutes.

Ask your doctor how to quit smoking, or if you or a family member cannot quit immediately, ask your doctor how to take care of baby and not to let the smoke affect your baby.

You have made through week 4. Don’t worry. You are not alone. We will be here to give you support next week, in week 5.

Hello Health Group does not provide medical advice, diagnosis or treatment.

msBahasa Malaysia

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