You and Your New Baby

Anna McGrail

A

NATIONAL CHILDBIRTH TRUST

GUIDE

Published by National Childbirth Trust Publishing

in collaboration with Thorsons

Copyright

Production in association with

Book Production Consultants plc,

25–27 High Street, Chesterton, Cambridge CB4 1ND, UK.

Published by National Childbirth Trust Publishing,

25–27 High Street, Chesterton, Cambridge CB4 1ND, UK.

in collaboration with Thorsons

An Imprint of HarperCollins Publishers Ltd

1 London Bridge Street, London SE1 9GF

www.harpercollins.co.uk

© 1996 NCT Publishing

First published as Becoming a Family 1996

This edition 1998

A CIP catalogue record for this book is available from the British Library.

Illustrations: Jo Dennis.

The author asserts the moral right to be identified as the author of this work

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Source ISBN 9780722536377

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Publisher’s note

ALL COMMENTS and personal accounts were given to us in confidence, so out of respect for our contributors’ privacy we have changed all the names.

We have endeavoured where possible to reproduce quotations verbatim, but where editing has been applied, the integrity of the quotation has been maintained.

Dedication

For Benjamin and Christiane.

Contents

COVER

TITLE PAGE

COPYRIGHT

NOTE TO READERS

PUBLISHER’S NOTE

DEDICATION

INTRODUCTION

CHAPTER ONE – YOU AND YOUR NEWBORN

Journey into the unknown

Caesareans

Twins or more

Looks

Vitamin K

First attempts

Your baby’s temperament

The growth of love

When things aren’t as you expected

Transition

A ‘routine’

CHAPTER TWO – LEARNING NEW SKILLS

Holding

Bathing

Changing

Dressing

Sleeping

Feeding

Wind

Weaning

Crying

Teething

Growing

Playing

Nursing

Developmental disabilities

Loving

Smiling

CHAPTER THREE – YOUR NEW SELF

Recovery

Debriefing

Caesareans

Stress and anger

Feeling down

Being yourself

Self-image

Sleep

Nutrition

Exercise

Making time for yourself

CHAPTER FOUR – YOU AND YOUR PARTNER

Expectations

Realities

Role reversal

Time

Time for you as a couple

Changes in your relationship

Sex

Difficulties

Single parents

CHAPTER FIVE – YOU AND THE WORLD

Back home

Getting about

Balancing the budget

Friends

Boredom

Relatives

Experts

CHAPTER SIX – YOU AND THE FUTURE

You are now a parent

Working

Broadening horizons

Picking up where we left off

Protecting your child

Looking forward

CHAPTER SEVEN – BECOMING A FAMILY

Ceremonies

Assisted reproduction

Adopting

Step-parenting

The next child

Being a family

DIRECTORY

A chapter-by-chapter guide to support and information

FURTHER READING

ABOUT THE AUTHOR

OTHER BOOKS BY

ABOUT THE PUBLISHER

THE NATIONAL CHILDBIRTH TRUST (NCT) offers information and support in pregnancy, childbirth and early parenthood. We aim to give every parent the chance to make informed choices. We try to make sure that our services, activities and membership are fully accessible to everyone. Donations to support our work are welcome.

Introduction

THE WORDS of the parents in this book have been drawn from the conversations and interviews I have had with parents over the past six years, eight months and twenty-five days. I can pinpoint this time so accurately as this was the date our son was born. No sooner had he arrived, than I was plunged from the relatively ordered world of singles and partners to the chaos of babies and families.

Being a parent is one of the most difficult and demanding jobs we will ever be asked to undertake. It is also one of the most rewarding. But steering a path between the difficulties to reach the rewards is sometimes harder than we would ever have dreamed possible.

Becoming a family is something most of us undertake as a couple, relying on the strength and support our partner can give. For some, choice and circumstances mean that we take the step alone, or carry most of the responsibility alone.

Nevertheless, whether you are with a partner or a lone parent, the way our society is structured, and the way the world works, means that a great deal of the shock of babies is borne by the mother. Very often the proud father can return to work, accept the congratulations, and get on with business as usual. It is the new mother who needs to negotiate her way around this new world … usually without a map.

That is how it felt to me. In fact, it felt worse. I felt like I was bobbing around on a sea without a lifeboat, and all reference points were gone. And that is why I have spent so much of the past six years, eight months and twenty-five days talking to other parents, finding out if it felt like this for them, too, finding out just what I was meant to do, and how I was meant to do it.

I live in Brighton, but not all the parents whose voices you will hear in this book do: in my role as an editor on the local NCT newsletter, and then for the NCT national journal New Generation, I have met and talked to new families from all over Britain. When I was asked to write this book, I contacted a lot more parents, many of whom have made written contributions to this final manuscript. I have them all to thank. I have them all to thank twice over, because when you are a new family, time is at its most precious.

I’d also like to thank Sue Orchard and Heather Welford who gave their time and expertise and made valuable contributions to the final typescript.

The aim of this book is to let the voices of these mothers and fathers act like beacons for all those currently adrift on the sea of parenthood: whether you are bobbing happily along on the waves and wondering where to go next, or whether you are caught up in darker currents and confusions. Now my daughter is four and safely off to school this September, I feel I have negotiated another major milestone in the path of parenthood, but still, hearing other people tell of what it’s like from their point of view continues to be one of the most valuable ways for me of defining where I want to go, even if it is just a matter of deciding – well, I don’t want to do that.

For all those brave and generous enough to talk to me so openly and generously, thank you. Your names have been changed but you know who you are.

For all those still coming to terms with being a family, this book is for you.

Anna McGrail,

September 1995.

CHAPTER oneYou and your newborn

THE MOMENT of birth may be exactly that: a moment, a joyous, unforgettable moment, or an unpleasant experience we’d rather forget. Becoming a parent, however, can take a bit of getting used to. Even if your pregnancy was planned, the baby’s room is decorated and the cupboards are well stocked, don’t be surprised if life as a parent isn’t what you thought it would be. There is a word for it: ‘babyshock’.

JOURNEY INTO THE UNKNOWN

The first twenty-four hours

WE CANNOT know what parenthood will be like until it happens. Yet many couples find that the first few months are much harder than they expected. After the elation and excitement of the birth, they are tired, stressed and bewildered. Although you are delighted that your baby is here, even those first twenty-four hours can be more difficult than you envisaged.

Katharine found both her baby and the hospital experience overwhelming: ‘It was dreadful. Max wouldn’t settle and I had a catheter in which was uncomfortable, and the room was hot and stifling and the corridor outside was noisy. I was awake most of the night and so shattered the next day I couldn’t take in all the information that people kept popping in to tell me. The room was like Victoria Station. People were in and out and I didn’t know who half of them were: midwives, paediatrician, someone bringing a bunch of flowers from my mum and then other people looking for a vase to put them in …’

COUPLES OFTEN find that with the demands of a new baby it can take a while to calm down, and discover just what it is that you do feel. Lynn found the first few days of motherhood a real eye-opener: ‘Looking back, I was very naive. I hadn’t a clue what new babies were like: the only babies I’d had much to do with before were older, about nine or ten months old, so I was used to seeing them sitting up and playing, smiling…eating biscuits, for Heaven’s sake. Just to have Adam so completely helpless, so dependent on me, was terrifying.’

Olivia kept being surprised by her daughter: ‘I don’t think I had ever pictured her, physically. I don’t think you do. You picture them more as toddlers and what they’re going to look like when they’re people. For instance, I did think that all babies looked the same and I was amazed in hospital how they didn’t. For a start, mine was the most beautiful on the ward, of course! And Robert kept saying, “You know, even objectively, I’m sure she’s the most beautiful. There’s no doubt. And I’m not just saying this because I’m her father.” And I couldn’t convince him that everyone on the ward thought the same about their own baby. So that was nice, really, that she was so lovely’

CAESAREANS

PARENTS WHOSE baby was delivered by caesarean often find that they have particular problems adjusting to the fact of the baby’s arrival. After all, at the last minute, the decisions were taken out of their hands.

Eileen had a long labour and eventually needed an emergency caesarean: ‘After what seemed like hours they finally wheeled me in to the operating theatre and the anaesthetist said, “You ‘II feel a pressure round your neck now …” and that’s the last thing I can remember before coming round. And when I did come round, neither the baby nor Mick was there, so I thought, “Oh, I haven’t had the baby yet, then,” so when Mick did walk in, I said, “What are you doing here?” Mick said they’d taken the baby up to the Unit as he wasn’t breathing properly, and I said he should be with the baby, so he went, and then the nurse came in when I was awake a bit more and said, “What are you going to call him then?” and I got terrified because I thought it meant that we were going to have to baptise the baby straight away because he was so ill with his breathing and going to die. So I wailed, “Oh, call him Michael after his father.” She looked at me very oddly because I think they just wanted to know what to write on his cot tag up in the Unit.’

Sometimes a caesarean can lessen the feeling of continuity, as it did for Sushma: ‘They brought him in about five o’clock for a feed. He was all washed then and wrapped in a white blanket, very clean, and so calm – big, dark eyes looking round. I felt like I was being introduced to a stranger, though, who had just dropped in. I was very glad to meet him and all of that, but I didn’t get the feeling that this was the little being I had laboured for so many hours to produce. I felt no connection between this baby in a blanket and the pregnancy I’d had. This baby was here, and I wasn’t pregnant any more, but they didn’t seem to coincide, somehow.’

WHEN YOU’RE preparing for the birth, it may be a good idea to read up about caesareans. That way, if things do turn out not quite the way you planned during your labour, you will be better informed to make choices about the sort of caesarean birth you want.

TWINS OR MORE

ONE IN EVERY 90 births in this country is of twins, triplets or more. If this is your situation, you may find many of the problems of adjusting to life as a family doubled (or tripled). In particular, the physical demands can be exhausting, as Dawn and her husband found out: ‘Sometimes we do despair. The sheer volume of work – washing, drying, bottles, nappies – and the effort involved in lifting three of them into the bath, out of the bath, into the highchair, out of the highchair, into the cot, out of the cot … And the noise! Just when you’ve got the last one off, the other two wake up and start shouting.’

STATISTICS SHOW that unfortunately twins, triplets and other higher order births experience medical problems more frequently in the early months of life, and spend more time in special care.

Colin, whose twins did need special care, used to envy parents who only had one: ‘I just seemed to lurch from worry to worry and they had so much more time. So it was useful to be reminded occasionally just how special the twins were. Although I envied parents who only had one, I would never have swapped the twins for just one, or had them one at a time.’

MOST OF US, when we envisage ourselves with a child, envisage exactly that: a one-to-one relationship. Right from the start, therefore, if you’ve given birth to twins, you have to adjust the dream to the reality in a fairly major way.

Jess felt she was giving neither of her children the attention they deserved: ‘Other parents might have time to show their babies a book, or take them for walks, but I hardly had time to smile at them. If one was being quiet, I’d rejoice, because it meant that I could change the other one’s nappy in peace. Most of the time, though, in those first few months, I felt as if I was listening to a constant grizzle, because – except when it came to feeding – whatever I was giving one, it meant I wasn’t giving it to the other.’

PARENTING IN the way or to the standard you’d imagined may not be possible with twins or more, and individual attention may be at a premium, but twins have each other for companionship and, as they grow older, a guaranteed play partner, in ways that singletons can never know.

Widening the circle can be more difficult, however: the efforts involved in getting out and socialising are multiplied more than seems fair when you have more than one. With her triplets, Dawn found it especially complicated: ‘Sometimes it can seem like too much trouble to put on three pairs of shoes and three coats just so you can wheel them all to the corner shop. But I know from experience that if I don’t go, and if I allow Peter to bring things back from work with him at the end of the day, like milk or a loaf of bread, then I might have no reason to go out, and if I don’t have a reason, I won’t go, and if I don’t go, I’ll just stay in and get more and more miserable. So it’s worth the effort.’

HOWEVER, most parents of twins (or triplets) will confirm the old cliché: that even if the demands and problems are doubled (or tripled) so are the joys and delights.

NEWBORN NICETIES

Some of the physical features of newborns that may cause surprise or anxiety include:

 Birth marks (if it’s going to be a mark that’s permanent, someone should come to talk to you about it)

 Heads that are moulded (from labour) so that they look squashed; the bones will return to normal within days

 Spots (usually entirely harmless, however disappointing)

 Hair (either too much or too little, depending on what the parents had thought the baby would have, but any amount is normal)

 The sex organs – those on some little boys can appear out of proportion (he will grow into them), those on some little girls may be red and swollen as a reaction to the hormones in her mother’s body. Swollen breasts and even occasionally small amounts of milk are caused by the mothers’ hormones. Breast size will reduce and milk disappear over the first few days

 A squint (which often disappears as the baby learns to focus her eyes).

LOOKS

HOW MANY of us new parents were prepared for the black umbilical stump? For the blotchy skin which newborns are prone to? For the way our newborn’s hands and feet can turn blue after a long nap, a sign that the circulation is not yet efficient or mature? In fact, in many respects the picturebook baby you were expecting may bear no resemblance to the child you’ve actually got, as Lynn discovered: ‘It was only when I changed Adam’s nappy for the first time that I got a good look at the umbilical cord … which was definitely something I hadn’t been prepared for. There was this black thing, with a clip on it. What was I supposed to do? The nurse had said “Oh, sprinkle on some of this powder when you clean him”, so I stood there with this talcum powder tin trying to guess if I should move the stump to one side, or lift it up, or just sprinkle all around it. I hadn’t a clue. I was petrified of hurting him. I was convinced that whatever I did, it would be wrong: the clamp would come off, it would bleed, I’d knock it off and do him dreadful damage. Then Adam did a wee all over me and I stopped worrying about the cord and started worrying about that instead.’

THERE ARE MANY kinds of marks on your baby’s body that may worry you, although most need no worrying about whatsoever. There are two kinds of birthmarks: vascular, which are to do with the blood vessels, and pigmented, which are to do with skin colouration. Philippa’s daughter, Sophie, was born with a birthmark: ‘Sophie was born with a red mark on her forehead and at first we never gave it a second thought. The midwives said it was probably a pressure mark from the birth and we were quite happy with that explanation – and relieved. At the six- week check, the doctor was more specific: “It’s a strawberry birthmark – my daughter had one. Don’t worry – it’ll go away on its own. “We were due to go back when Sophie was six months old, but we went back long before then as the mark began to get darker and to swell and we were worried it was some sort of tumour. We saw a skin specialist in London when she was three months old. She started on steroids and almost immediately the mark stopped growing. We were lucky, they think there won’t be a permanent mark, but those first months of her life were dreadful. There was all that uncertainty, all that fear for the future, and all that guilt. Even though this wasn’t a life-threatening condition, and it didn’t mean she had any permanent disability, that mark takes away the enjoyment and all the joy of her arrival even now. I look back at photographs of her when she was newly born and I think: “I should be thinking what a beautiful baby she was”, but I’m not. I’m thinking: “Look at that red mark. Little did we know.”’

BIRTHMARKS

 A brown mark – these are present in about ten per cent of babies: sometimes dark brown, sometimes a pale, milky coffee colour. Harmless. May not fade but no treatment necessary.

 Mole – a very few babies are born with a mole; raised, flat, dark or light, of any shape. They are only a cause for concern if they suddenly get larger, itch or bleed. If this happens, see your GP.

 Mongolian blue spot – a large, blue-grey or brown mark which occurs reasonably frequently in dark-skinned babies, usually on their back or bottom. Harmless. Soon fades.

 Port wine stain – a flat, purple-red birthmark caused by blood vessels under the skin; usually harmless but can be distressing for parents, and permanent without treatment. Nowadays, laser treatment can remove these birthmarks safely and effectively in four or five treatments, which can usually be started almost immediately.

 Stork bites – small pink blotches, usually near the eyelid. Harmless. Will fade. No treatment required.

 Strawberry birthmarks – raised, red marks. Usually occur on the face or neck. They eventually stop growing – although they may initially get larger before they shrink again – and usually fade completely during childhood. May need treatment if it is near your baby’s eyes, or in an awkward place where it could cause her discomfort. In these cases, the mark can be removed with laser therapy.

 Tiny brown marks – usually round… stop panicking – it’s a freckle.

DURING THE first 24 hours after the birth, a paediatrician will visit you to check over your baby. The paediatrician will check things like:

 Your baby’s hips – to make sure they are fitting nicely in their socket and have not been slightly dislocated by the birth

 The fontanelles: your baby will have two main fontanelles – soft spots on her head where the skull bones haven’t yet grown over and fused together.

IT’S NORMAL for the fontanelles to appear slightly indented, and you may notice a pulse beating through the skin. You may worry that they are very fragile, but they are covered by toughened membranes. If they do become very sunken or raised, this is a useful warning sign that your baby is unwell, possibly dehydrated and needs medical attention.

All babies, while in the womb, are covered with a fine fuzz of hair called lanugo. Sometimes there will still be a little of this lanugo left when the baby is born – but it will soon rub off.

Some babies may be born with coarse hair, often across the shoulder blades or down the spine, which can alarm parents. Most of this will fall out – it just rubs off.

In fact, the hair your baby is born with on his head may well not last – if you look at new babies a couple of weeks old, you will notice that they have a little bald patch on the back of their heads where the hair has been rubbed away by the mattress. All the hair is gradually replaced, and the colour it will finally be cannot be judged from the colour he started out with – many babies change from fair to dark, and some vice-versa.

A blister on the baby’s upper lip concerns some parents, but it is only a ‘sucking blister’, an indication of your baby’s enthusiasm for feeding. The blister may disappear between feeds, it may not. Babies seem entirely oblivious to the blisters and they soon fade as feeding frequency decreases.

If there’s anything that worries you, ask your midwife or health visitor. They will be visiting you regularly to check things like this. If your baby has a condition which needs further treatment, you will be given further information and often the names and contact numbers of support groups. If in doubt, ask.

VITAMIN K

VITAMIN K has been much in the news the last few years as health authorities and trusts have been rethinking their policies on this issue.

A few years ago, almost every newborn baby in this country was automatically given an injection of vitamin K just after birth with the aim of preventing haemorrhagic disease – a rare but dangerous condition in which the baby’s blood fails to clot in the event of any bleeding. Vitamin K prevents this disease developing and thus the injection programme gained widespread acceptance. No one knows why babies are born with low levels of vitamin K compared to adults, but it may be a safety measure in the womb when cells are dividing very quickly.

Then a study was published which showed a possible link between vitamin K injections and childhood cancer. Although the link was never proven, many health authorities decided to err on the side of caution and replace the routine injection with an oral dose of vitamin K, which was not linked with any problems.

You will find that your baby will be offered a preventive dose of vitamin K shortly after she is born. It is up to you and your partner to decide, well beforehand, whether and how you want her to have this. The disease it prevents is rare, but possibly fatal, and it isn’t possible to predict which babies will develop the disease. Babies who develop bleeding are usually found to have an underlying liver problem. If you want more information before making your decision, discuss it with your midwife.

FIRST ATTEMPTS

THERE ARE many new skills to learn, but all new parents experience this daunting realisation: just how much they have to learn. Rose, like many new mothers, had to start from the beginning: ‘“Have you fed and changed him?” the nurse said to me at six o’clock in the morning, when I’d only had him at ten the night before. And I thought, “What? Me? No.” So I went and looked for the stuff I’d need and I didn’t know where it was, and everyone had just left me. Then this other nurse came round and I was in tears. She said, “Are you alright, love?” I said, “No, I don’t know what I’m doing!” So she showed me. She was really nice. She had two little boys of her own and showed me which bits to wipe and which bits to use where…you know, all that stuff they give you in hospital, all those gauze things…you don’t know which end to use what on. The gauze was for wiping his bottom, apparently and I’d been trying to wash his face with it.’

BEING IN hospital can make things very public, as Hilary found: ‘It was awful, that first time. I felt like I was on show, like everyone was watching me. I’m sure they weren’t, they were all too busy with their own nappies, but it was a very testing time. And I felt like Lucy was made out of china. I didn’t want to fasten the nappy too tight, so it fell off, and then I did it too loose and it leaked. Mind you, you get used to it very quickly.’

Sometimes no knowledge can be a good thing, says Chloë: ‘Nobody ever came along and told us what we had to do or should be doing, because once he was born, they just left us on our own for the rest of the day and then we came home that same evening, so nobody was there to guide us. So that evening we thought we’d better change him and it was … I found it very exciting. It was very frightening, too, that first time, because he had meconium and I was worried in case he was suffering, and I kept thinking, “Is this normal?” But the most important thing was the excitement. I felt very excited to have him home and very happy. I wanted it like that.’

John reckons it’s often the simple tasks that worry you most, in the beginning: ‘There were obvious things I didn’t know. Like, I didn’t know what the cream was for. I didn’t realise it was a barrier cream. It’s obvious now but I didn’t realise then, so I put as little of it as possible on and he got very bad nappy rash. So I could have done with a bit more guidance in those early days.’

YOUR BABY’S TEMPERAMENT

ONE THING that will determine how tough or how easy you find the transition to parenthood is your baby’s temperament. Some are easier than others. Some babies actually seem to like being babies, and thus help make their babyhood a more enjoyable experience for all concerned, too; other babies seem to actively dislike being a baby. There are sighs of relief all round when they sit up, or walk, or turn into a toddler, whichever great achievement they seem to have been pining for.

Wakeful

IF YOU HAVE a baby who seems to need very little sleep – lucky you! You have an intelligent, smart child with great potential who will obviously do very well in life. At least that’s what everyone will tell you. And, if it’s any consolation, they’re probably right. Some babies are born wanting more – more of everything: more colour, more shapes, more talk, more walks in the park, more discussions over whether he’d like his bath now or later, or after the news.

If the wakefulness just lasts during the day, it’s going to mean hard work for you, but parents often find that this sort of baby, hungry for stimulation, is quite happy to be passed from friend to friend and all around the grandparents. Invite round old friends, distant relatives – anyone who’ll dandle the baby on their knee while you get on with calm and relaxing tasks like cooking dinner for 35.

Never underestimate how exhausting a wakeful baby can be. No matter how much you love someone, and no matter how much you love being in their company, it is very wearing to be 100% responsible for all their entertainment, as well as their meals, hygiene and bodily functions.

This is where partners need to be very supportive of each other. Whoever comes home from a hard day at work needs to remember that the person who’s spent all day with the baby is in far more need of a break. They should try not to show too much surprise if greeted at the door by a partner holding the baby at arm’s length.

If your baby’s wakefulness lasts late into the night as well – you have my sympathy. This is an exhausting phase. Everything you do will be coloured by your lack of sleep if you are dealing with sleepless nights. You will feel irritable, cross and desperate. But it is only a phase. For you and the baby. There are only two things which will cure your exhaustion:

 Time – all children sleep through the night eventually

 Sleep – can you have a nap when the baby does? Why not? Whatever needs doing, can’t it be put off? Your rest and your health come first.

Sad

SOME BABIES spend a lot of time crying. There’s no denying it. And there’s no denying that for much of the time in those very early days, we won’t be able to work out exactly why they are crying.

Rose never discovered what upset her son as a baby: ‘One of the most useful things anyone ever said to me, in Sainsbury’s, when Thomas had grizzled for days non-stop was, “He’s one of those that just doesn’t like being a baby. He’ll be different as a child.” That really kept me going, because, as he grew, I began to see that it was true.’

Cross

AFTER WAITING for so long to meet your baby, and being overjoyed at his arrival, it can come as something of a disappointment to find that your baby seems less than enthusiastic about the world. Some babies seem to find it very hard to come to terms with the stresses and strains of babyhood: hunger, tiredness, the need to meet strangers – think how cross all these things can make you, and you get some idea of how your baby might be feeling.

Louise’s son would scream and scream for hours at a time: ‘Nothing would calm him, nothing. No tears. Just this red face and so much anger.’

CRYING IS at its worst in the first year of life, and at its very worst in the first three months. Unfortunately, this is just the time when you are most unsure of your skills as a new parent, and the crying can sound like an unfair judgement on your ability to care for your child.

Chloë comments: ‘I used to think that I must be the world’s worst mother. He was only three weeks old and already I’d somehow got it monumentally wrong. Other women from my antenatal group had babies who’d taken regular naps practically since birth and it seemed like it was just me. It made me feel lonelier than ever when we were awake in the dark.’

IT DOES HELP if you don’t compare your baby to other people s. How can there be any comparison between, say, a breastfed baby who weighed 61b 7oz at birth, and a baby who is given a bottle every four hours and who weighed 121b at birth? How can, in fact, there be any comparison between your own highly-gifted offspring and any other baby in the universe?

CRYING CHECKLIST

If it makes you feel better, you can prepare a list of possible reasons for your baby’s crying:

 Hunger

 Wet nappy

 Temperature – too hot or too cold?

 Wind.

And it will probably make you feel better if you have a list of things to do:

 Feed the baby (and yourself if necessary)

 Change the nappy

 Add – or remove – a blanket

 Walk up and down.

You’ll find yourself pacing up and down anyway…

It is always worth trying a feed if your baby is very unhappy, especially if your baby is breastfed: breast milk is so perfectly absorbed into the body and so quickly digested that your baby may need to be fed quite often. This is also true if your baby is very tiny; his stomach capacity may mean that he had all he could hold at the last feed but he now needs a bit more. If you can, it’s worth spending some time just cuddling your baby and letting him feed whenever he wants to so that you build up your milk supply. This can also double as a time for you to replenish your reserves of energy: crying is tiring and miserable for the baby, but to listen to it can be just as tiring and unhappy for the parents.

Clingy

FOR MANY babies who cry, the answer will simply be that he wants to be held, especially in these very early days. Some babies have a very strong, instinctive desire to be held and soothed. If you have one of these, then you have the sort of baby who’s fine and happy while you are holding her, pacing the bedroom, or patting her soothingly on her back, but who starts wailing the instant you put her back in her cot. A surprisingly large proportion of these babies, with practice, develop a magic ability to know when you are moving towards the cot and start wailing in protest before you get there. A few – and this is a theory largely maintained by fathers deranged from pacing the bedroom floor once too often – after a quiet period in which they’ve lulled you into a false sense of security, know when you are just thinking that perhaps you might just move towards the cot again and instantly start howling, before you’ve so much as actually lifted a hopeful foot in that direction.

Place your baby on a folded blanket.

Tuck one side under him…

The next side over him…

And neaten the end…

You can try:

 Swaddling – see right and above, or ask your midwife or health visitor to show you how

 Doing shifts: taking it in turns to hold her.

Emerging patterns

BY ABOUT three months of age, the causes of your baby’s crying will have become much clearer: you will also have got to know her patterns and can predict or anticipate what she needs. Olivia found this made motherhood easier and more rewarding: ‘I can usually tell what’s the matter with her, yes. It surprised Robert the first couple of times I did it. I was having a bath and he was walking up and down with her because she was crying and all he could say was: “What is it?” I said, “Has she got a dirty nappy?” And of course he was most peeved to find out that she had. Now I can say, “She’s hungry”, or “She’s bored”. But the best one to learn to understand was, “She’s tired”. If Robert’s with her and she makes that cry, I can say, “She’s tired, she just wants to go to sleep. Stop playing with her, stop trying to keep her amused”. It had often happened, I realised, that we’d been waving toys in her face and all she wanted to do was to go to sleep.’

SWADDLING

Swaddling with a cotton sheet is a tried-and-tested method for calming and soothing newborns. Anyone who has watched a newborn can see the sense in it – those flailing arms and legs can’t be very conducive to sleep. It stands to reason that a baby who has been used to being warmly cushioned in the warm waters of the womb may find the sudden change to fresh air and unlimited space rather frightening. Swaddling can give a sense of security, and enables you to rock your newborn or hold him close to you gently and firmly – which babies like. The only word of warning concerns overheating, which can happen quite quickly to some babies if they are overwrapped. So swaddle your baby to sleep, but don’t overload him with blankets as well.

THE GROWTH OF LOVE

IF YOU’VE GOT a baby who’s behaving in a way you find hard to cope with – whether because she sleeps all the time, is awake all the time, is cross or clingy, you may find it very hard to love your baby. And, if you feel that way, you probably feel guilty, too. Guilt is an unpleasant, gnawing feeling, so, if you feel guilty, you probably resent the baby for having made you feel that way. And you love her less.

RELATING TO YOUR BABY

If you’re finding it hard to relate to your baby:

 Give it time … some relationships are slower than others, that’s all

 Remember that you cannot ‘spoil’ a new baby. If it’s fear of indulging her that’s holding you back, give in. Allow yourself to cuddle and kiss her as much as you want

 Share your worries with your partner, a friend or a relative. Talk it through as much as you can

 The birth of your baby may have stirred up unpleasant memories or worries about your own childhood. If this is the case, it is worth telling your GP that you’d like to talk to someone about this

 Trust your own instincts – if you feel there’s something wrong with your baby or you, keep asking for professional help until you get it.

Such vicious emotional cycles are sometimes easy to get into in the first few weeks of a baby’s life and hard to break out of again. The best thing to do if you’re beginning to feel like this is to tell someone about it: your midwife, your GP, your health visitor, a friend, your mum … Getting your feelings out into the open is often the first positive step we can take in admitting how we feel and then dealing with it, as Ingrid discovered for herself: ‘I could have gone on pretending everything was alright. After all, the house was immaculate, Rosie was obviously well cared for, and I had this smile plastered on my face every time the doorbell rang and someone came visiting. I think I was worried that no one would believe me if I said I felt there was something wrong. But in the end all I had to do was mention to my GP that I wasn’t feeling right and he said, “Oh, we’ll send one of the community nurses round to have a chat with you.” And she was round the next day. And said she’d come back in a couple of days. Just knowing that someone was going to come, who was interested in me, interested in how I was feeling, and wasn’t just going to ask questions about the baby all the time, made all the difference. I knew I’d get time to talk about me, and that’s what I needed.’

IT CAN TAKE time for love to grow between you and your baby, just as it takes time for love to grow between any two people. Once you realise that this is not unusual, you may be half-way to feeling better.

WHEN THINGS AREN’T AS YOU EXPECTED

Special care

IF YOUR BABY arrives early, or is poorly just after the delivery, you may find that much of the responsibility for day-to-day care is taken out of your hands, especially if she needs to be looked after in the Special Care Baby Unit (SCBU).

If your baby is in an incubator, it can be a very scary experience. Kay found it hard to relate to her premature baby at first: ‘I gave birth under anaesthetic on the Monday afternoon at 2.34pm when he was at 32 weeks’ gestation, and he was taken straight off to the SCBU. A few hours later, when I was coming round, the nurses gave me a Polaroid of him. I thought, “Oh, well, they’re looking after him there much better than I ever could here.” And I wanted to go back to sleep. My throat was very sore – they say that sometimes happens after a general anaesthetic – and all I could think about was having drinks of cool water to try to stop it burning. The rest of the time, I was very fuzzy. By Tuesday lunchtime, the catheter had been removed and, with the aid of the wonderful suppositories that they used for pain relief, I was able to shuffle down, very slow and careful, to see him. He looked very odd, all old and just-born at the same time, very cross and very winkled and slightly bluey-pink. After three days, they put some clothes on him. At one-week-old he moved into a cot with a lid. Then they started talking about when I could take him home and I started to panic. I still didn’t feel like he was my baby, and we still didn’t have a name for him.’

Susanne wasn’t sure throughout her pregnancy how well her baby would be: ‘Perhaps because there had been bleeding in the pregnancy, I had kept my emotional distance from this baby. I wasn’t going to believe the trouble was over till it was over. Even when she was born, I still found it hard to let myself get close to her. She was being looked after by so many different people and they all seemed to know much better than I did how she was doing from day to day.’

Your baby may need to go into special care if she is:

 Premature – usually if she has arrived before 34 weeks

 Small – weighing under 41b

 Having breathing difficulties or has other medical problems.

IT MAY BE impossible at first for medical staff to answer questions on quite what is the matter with your baby if he’s been whisked off to the SCBU. All they may be able to say is that he’s not breathing well, or had the umbilical cord around his neck, but they’ll let you know – trust them. Whether your baby is admitted to the SCBU for treatment or simply for observation, you will be kept informed of progress and developments every step of the way.

It can be very comforting, if your baby is taken to the SCBU immediately after delivery, for your birth partner to go up to the Unit to see your baby settled and report back to you in detail. You will be able to visit as soon as your own physical care has been sorted out.

Kangaroo care for premature babies

THE REASON THAT premature babies are looked after in incubators is that early babies are often unable to maintain a steady body temperature. An incubator provides an environment where the temperature can be kept stable easily. Now, a new method of caring, called kangaroo care, is being tried out by some neonatal units.

Babies are placed in skin-to-skin contact with their mother, against their mother’s chest, and covered with a blanket. The baby is thus close to her parent, and the mother, it has been found, is so in tune with her infant that her own skin temperature rises and falls to keep the baby’s stable. Another advantage of this form of care is that breastfeeding is easier and it encourages more women to breastfeed successfully. So, if your baby needs special care, perhaps it is worth asking the staff if anyone with an interest in kangaroo care would be willing to let you have a go. While it isn’t something that everyone will want to try, as some mothers feel much happier if their infant remains in the care of technology, for some mothers – and indeed fathers – it will be a golden opportunity to get closer to their baby sooner than they could otherwise have hoped for.

Special babies

SOMETIMES, either immediately at the birth, or in the first few days after the birth, some parents are faced with the devastating news that their child isn’t the 100% healthy being they had hoped for. There may be an illness, a disability or a learning disorder, something that won’t just disappear in a few days.

Bridget’s daughter, Lois, had a cleft lip and palate: ‘It sounds awful, but I didn’t even know what this was. I’d never seen it before. John hadn’t, either, so we thought it was something dreadful, and that she’d never be normal.’

PART OF THE insidious nature of many genetically transmitted diseases, like cystic fibrosis (CF), is that one or both parents can be a carrier of the disease and not know it. It can pass undetected from generation to generation, and only when two carriers of the defective gene have a child does the disease come to light. Vicky’s son, Anthony, was diagnosed at birth: ‘I was lucky in a way because Anthony was born with a bowel blockage, which is one of the indications of CF, so he was diagnosed early. We knew what we were dealing with right from the start.’

FOR OTHER parents, the illness or the diagnosis are more uncertain.

The doctors didn’t diagnose Mary’s daughter Katie at first: ‘They went out and told Michael, who was waiting in the corridor, that we had a little girl and everything was fine, so of course, he couldn’t wait, didn’t even wait for me to come out of theatre, he went off and called his mum and my mum, and other people who had been waiting to hear the news, and it was only the next day that they came back to us and said things weren’t so good after all. Well, we’d already suspected – nothing definite, but there was something … And then when they came hack and said she had Down’s, well, we had her by then, and we loved her, so the worst thing was Michael having to go and phone everyone back again and tell them that things weren’t quite so wonderful after all. But we knew her then, so it was different.’

Stephen’s reaction seems dramatic, but is quite typical: ‘I didn’t want to touch her, I didn’t want to pick her up. All I could think of was that there was something wrong with her heart, and I felt like she was made of glass. She wasn’t mine. That’s all I could think. She wasn’t the baby I expected to have.’

IF YOUR BABY has been born with a disability, then you may well feel confused and resentful. More: you may feel angry, bitter, cheated. You may not even know how you feel except that you don’t feel right.

During this sad time, there is no right or wrong way to feel. Allow yourself time to come to terms with your feelings, and don’t think that this will happen overnight.

One of the main things you need, if you are struggling to come to terms with the child you have rather than the child you thought you were going to have, is information. The Directory at the end of this book gives details of many organisations who are there to offer you advice and support, and will help you through any difficulties, often by putting you in touch with other parents who have been through similar experiences. Other parents are often all too willing to help; they know what it is like. They know, better than anyone else, what you are going through. Make the most of them. But take it slowly …

Mary and Vicky express their inability to see beyond their own grief and shock: ‘Yes, we needed a lot of information, but there was also so much going on, every day, that we couldn’t take all the information in.’

‘I wasn’t coping on any level – physically, spiritually, emotionally. And I couldn’t read a Factsheet, the words didn’t make sense.’

Remember: Everyone needs to take the time they need. You know your needs. Take your time.

Learning to adjust to the reality of your baby’s condition also takes time, as Stephen and Bridget discovered: ‘Sometimes I felt really protective towards her, other times, if someone had come in and asked me if I wanted her taken away, I’d have said yes. And I’d have never looked back. But they didn’t come in. And then she was mine.’

BABIES WITH DISABILITIES

There are some specific stages that most parents whose baby is born with a disability will go through:

Shock:

Nothing can prepare you for this news; expect simply to feel numb: If someone asks, you may find yourself saying, ‘I don’t know how I feel.’

Denial:

There are not many parents who won’t ask the doctor: ‘How can you be sure?’

Grief:

Many parents whose baby is born with a disability or a developmental problem find that they go through a time of sorrow and grief – just as if they were grieving for someone. And they are. Parents need time to mourn the loss of the perfect baby they dreamed of before they can whole-heartedly welcome the child they have.

Anger:

This is another natural reaction. The anger can be directed at anyone, including your partner and your friends, especially if your friend’s own child is healthy. You may find yourself saying, ‘Why us?’

Guilt:

Many parents feel guilty, even if they are told categorically it could not have been their fault. You may find yourself thinking back over the events in your pregnancy and saying, ‘What did we do wrong?’

SHARING

When it comes to sharing what has happened, remember:

 Most people will know very little about what has happened to your child. Be willing to explain as much as they need

 Choose a time for talking when you can talk privately and without hurry

 Have a positive attitude: it will help everyone be positive

 It may help to have a checklist to cover important points.

‘What was awful was never knowing what was best. Other people knew best all the time. They had experience of this, and we hadn’t. We didn’t know anything. All the time we were having to say: “Is this how you do it? Is this what you do?” I expected just to get on with it, and I couldn’t.’

ONE PARTICULAR hurdle that parents whose child is born with a disability must face is telling others. How and when you tell people is your decision to make. Most parents, though, find that telling others as soon as possible is more helpful than not, and it is the best way to prevent misunderstandings.

Bereavement

IF YOUR BABY dies either just before birth (a stillbirth) or just after being born (a neonatal death) you will feel more anguish and pain than you ever thought was possible.

Some of you who are reading this book before your baby arrives will turn past these pages, not wanting to read them. ‘It doesn’t bear thinking about.’ That would have been my reaction, too. But for some parents, they have to think about it, the hardest thing of all: a death in a place where there is no place for it, in a room where we give birth.

It is beyond the scope of this book to support families through the loss of their baby. Only talking and specialised support can do that, and for this reason we include the names and addresses of specific organisations that can help in the Directory.

What we can also do here is to let parents think in advance of how they might cope with the loss of their baby, and to let you know some positive ways in which you can help each other through such a difficult and distressing time.

George speaks for many other grieving fathers: ‘People somehow expected me to be affected less than Anita. I was the one making the funeral arrangements, going to see the Registrar, all of that. It was as if I just had to get all that done and then I could go back to work and forget about it.’

Anita expresses her own anguish: ‘I was going to be a mother…and then I wasn’t… and then I realised I was a mother, and always would be, even if I didn’t have my baby with me any more.’

THERE ARE MANY local support groups run by and for parents who suffer a bereavement. They will allow you and your partner the opportunity to talk about how you both feel, express your feelings and grief and to share ways of coping.

REASONS

If you and your partner suffer a bereavement:

 Find out as much information as you want and need as to the causes. This will help you to understand and to come to terms with what has happened

 Do talk about the baby to each other. One of the saddest things about losing a baby near the time of birth is that no one else has had the chance to get to know this new little person. You know her better than anyone and can share your knowledge with each other

 Give yourself plenty of time to grieve. Do not expect to pick up the threads of life again as if nothing had happened

 Give your baby a name. This will help you to talk about her and see her as a person in her own right

 Ask for a photograph of your baby. This will help you to remember her

 Don’t blame each other – you are both angry: you have a right to be angry, but you need to find other ways of expressing that anger

 Support each other – remember that your partner has also lost a child.

TRANSITION

IF YOUR BABY has been born in a hospital, you may find that leaving what feels like absolute safety, where there are experts and paediatricians on call 24 hours a day, and returning home, is a daunting experience. Parents whose baby has been born at home often feel something similar when the last of the midwives finally leaves and they are on their own – at last, with their new arrival. Although there is a physical journey involved in the transition from hospital to home, for all parents there is an emotional journey to be made. When you left, there were two of you, now there are three.

The reality may not hit you until you are actually back at home, as it did Kay: ‘I was in hospital for a week and all that time I kept thinking at the back of my mind that they’d never really let me leave with this baby because he wasn’t really mine. Of course, I’m saying all this, I knew he was mine, I knew it rationally, but deep down … I just kept having this niggling doubt that I’d have to hand him hack before I got in the lift to go home. It was a bit of a shock that I didn’t!’

Darren thought going home would be a time of rest and peaceful ‘daddyhood’: ‘Even before we left the hospital, on our way down in the lift, the nurse who was carrying the baby down for us was saying to Maureen, “Oh, it’s lucky you’ve got your husband at home for a few days, that’ll be a help,” and I was thinking, “What can I possibly do to help?” I had no idea of the work involved. I imagined that Maureen would breastfeed, the baby would sleep a lot, smile at me from time to time … and I would help, I’d change the odd nappy or two. But that was all. I had no idea.’

HOME MAY be the place you most want to be in the first few days, but even so, it can take some getting used to.

Naomi had been in hospital for quite a long time: ‘Although there are compensations, like you get your medicines brought round, and the meals just appear, there are still so many constraints; like, if your baby’s crying when the meal arrives, your dinner just goes cold – no one’s going to pop it in the oven for you because there isn’t an oven.’

Rowena’s husband began to long for some privacy, even at home: ‘People were in and out all those first few days and it seemed like we’d never get any peace and quiet. People kept saying things like, “Oh it’s so lucky you’ve got Peter here to help for a bit”, and I was getting cross because all I was doing to help was making them tea.’

David found himself impressed by Tina’s growing knowledge and let himself be guided by her: ‘We’d been living with Tina’s parents and had only moved into our own flat three or four weeks before and there were still things in boxes that we hadn’t got round to unpacking. We’d borrowed a cot from Tina’s sister and put it up in the bedroom, next to our bed, and Tina put the baby in there when we got back from the hospital because the baby was asleep, and he looked so small and lost in there I wanted to take him straight out again. But Tina had put him in, so I didn’t. She already seemed to know what was best because she’d been with him all the time in the hospital and I hadn’t.’

First days

YOU MAY BE new to the job and feel that you’re dependent on ‘experts’ but no one knows your baby as well as you already do. It is surprising how quickly we learn to read our baby’s signals, even when we may have had little to do with babies before. It is astonishing how much our instincts are right, and perhaps in itself this may give us confidence.

Philippa’s baby’s umbilical cord hadn’t quite healed properly: ‘So the midwife didn’t discharge us at ten days like she was supposed to and I was really disappointed by that. I wanted to move on, and I felt this was holding us back in some way. I wanted the reassurance that everything would be alright, but I also wanted to take on the responsibilities myself.’

With that responsibility, though, however much it is wanted and welcomed, can come uncertainty, as Sally clearly knows: ‘My brain has gone. It sometimes feels like a big empty space in my head where I used to do thinking. I don’t even look at newspapers any more because they don’t make sense. Or if I do pick up a newspaper, I always seem to find things in there that upset me, and more and more things upset me now. I end up crying over news stories. It feels much safer, in a way, just having me and Kevin in our little world.’

Umbilical clip.

THIS INSTINCT to nurture and protect, almost to make a ‘nest’, is very strong in many parents in the first weeks of their baby’s life. For some people, this ‘nesting’ instinct began to manifest itself in late pregnancy with an urge to repaint the spare bedroom. If, during late pregnancy, your nesting instinct prompted you to do something slightly more practical, like freeze a month’s worth of nutritious dinners, then you will be more thankful now than you could ever have believed. This is because, when your baby arrives, something odd seems to happen to time.

For Gillian the change was dramatic: ‘Life is so slow now, that’s the thing I can’t get used to. It takes all day to do anything. It’s ten in the morning and I’m still in my dressing-gown and the baby’s having her third feed of the day and I’m wondering if I’m ever going to be able to get dressed and get to the shops. And yet, because there’s never a moment to do anything or finish anything, it’s all packed in so tight and the time rushes by. What happens to it? This is the thing they don’t tell you.’

The rhythm of life is very different in these early days. Some parents adjust to it almost at once; others find the change of gear much more difficult to accept. Rose felt nothing could prepare her for how she would feel: ‘I found the first few weeks very difficult. Life was so different to how I imagined it was going to be, and so different to everything I’d ever experienced before, that I felt like I’d been thrown in the deep end and was going to drown, while all the time I smiled and everyone thought I was paddling along happily. I loved him, I loved him but I wasn’t enjoying him.’

As Yvonne points out, your daily pattern does change but sometimes it can seem slow to do so: ‘At about three months I thought I’d start giving Andrée some carrots mashed up or something, potato, things like that, and I gave her tiny amounts on the end of a teaspoon and she would spit some out and enjoy others, and I liked that, watching her decide. But more than anything I liked having something different to do. It felt like every day was going to be the same. Baths, feeds, nappy changes, showing her books … apart from the baby clinic, where they had a mother-and-baby club afterwards, there was nothing to make one day different from another. I might do a trip to the shops one day, a walk to the woods another. But that was it. I needed to feel that we were going to move on, that Andrée wasn’t always going to be totally dependent on me in this way, and I think those first teaspoonfuls of carrot were one way of reminding myself of that.’

For some parents, the surprise is how much they take to parenthood, as Rachel happily remembers: ‘The one thing that I wasn’t prepared for is how lovely it would be. And I didn’t realise how happy I would be. People just don’t tell you that. When you’re a mother, you don’t find yourself saying to other mothers, “Isn’t this wonderful?” You find yourself saying, “Are Pampers or Boots nappies better?” So I didn’t know how absolutely wonderful it would be. There is a negative side, because I also didn’t realise how much my life … well, how unselfish you have to become. You always have to put the baby before yourself. You stop doing things you enjoy doing because the baby comes first. But I enjoy feeling that she depends upon me. It makes me feel very special.’

Amanda likes parenthood too: ‘People always seem glad to see you when you’ve got a baby. When you’re out shopping, people come over and talk to you and can be really friendly. I enjoy the days, just me and the baby.’

OTHER PARENTS will be surprised at how unhappy they suddenly feel, often for reasons they cannot quite articulate.

Beverley had a difficult delivery, forceps, 23-hour labour, pethidine: ‘It was really awful, and that did make a difference to how I felt afterwards, without a doubt. At least for the first, I should think the first four weeks, although I wouldn’t have been considered clinically depressed, I was suffering from some sort of depression, shock, whatever. I just couldn’t relate to Josh at all. People would say, “Oh, isn’t he lovely? Doesn’t he look great!” And I’d think, “Well, no.” It wasn’t until he was about four weeks old that I wanted to spend any time cuddling him, and then I did start to feel better. Also, because it was a traumatic birth, he was quite a whingey baby, and I didn’t really like him. I kept wanting to put him down. I think my husband got very depressed around that time as well. He used to say, “I don’t feel the way I thought I’d feel about Josh.” And I’d say, “Neither do I.” It was quite weird, and really horrible.’

DIFFERENT PEOPLE will tell you different stories about parenthood, but only you can know how you really feel: ‘People kept saying to me when she was tiny, “Oh, make the most of it, this is the best time.” And I thought it was the most dreadful time of my life. I thought, “If this is the best time, how am I going to cope when things get worse?” Then I met someone else who felt the same way, and her baby was slightly older, and she said to me: “This isn’t the lovely time, this is the horrible time. Things do get better.” And that was such a relief. Not everyone thinks it’s good, that very early bit, though you get so wrapped up in it.’

Baby blues

BABY BLUES do seem fairly universal. That is to say, they have been suffered by women in all cultures and all times when their baby is very tiny – usually around three or four days after delivery, when hormone levels drop and milk production kicks in. They are often linked with a sense of physical and emotional anticlimax after the birth. Nurses will often dismiss your tears with the label ‘three-day blues’, which is of no help when you can’t stop crying.

This is something Helen tried to explain: ‘The day Jo and I came out of hospital was very exciting. I was so glad to be home, and so pleased to sleep in my own bed again. But the next morning my breasts were enormous and solid, Jo was fretful, and everything just seemed to fall apart. I started crying and crying and didn’t really know why. I felt odd but I didn’t feel sad. The tears just came out of nowhere.’

THE FACT that these blues are so common, and always happen at around the same time, leads many experts to think that one of their causes is hormonal, though this explanation may not be much comfort.

‘I was sobbing and sobbing, though if someone had asked me why I’d have been hard pushed to tell them, and the nurse said, “Oh, a lot of you go through this – you’ll feel better tomorrow, believe me,” and that just made it worse. I thought, “How do you know?” I felt so unhappy, I couldn’t see myself ever smiling again. It all just seemed so pointless.’

Baby blues, whatever their cause, are usually all over by Day 10 at the latest. Few women find that this unusual sadness persists for longer. If it happens to you, it will help if not only you but your partner and perhaps other members of your family are prepared for the possibility. That way people will be able to reassure you that everything will be all right again, and with their reassurance and support, and patience, it soon will.

Helen has an extra remedy of her own, however: ‘I was so sad, so sad and Kieron was flapping about not knowing what to do, so partly to get him away from me because I wanted to be able to cry in peace, I’d say, “Oh, I could just eat a Marks & Spencer prawn sandwich”, and off he’d pop to Hammersmith to bring one back. And then he ran me a bath, and then he took Jo for a long walk … And none of it made the slightest difference at the time. It only lasted a couple of days, this weepiness, but it seemed eternal, and then it was gone, without me even noticing. But a long time afterwards I thought: what loving things to do. Everything Kieron could do, he did. And whenever I was feeling down with the baby, that thought would help.’

Puerperal psychosis

WITHOUT WANTING to alarm people, it didn’t seem fair to write a book about becoming a family and not mention this acute illness. Puerperal psychosis is an illness completely different in kind to the usual ‘baby blues’. It is different to ordinary depression, too. Puerperal psychosis is an illness that makes its sufferers feel totally alienated from reality, as Denise explains: ‘I was overjoyed when my baby girl was born … and the joy and excitement of those first few days did not wear off Instead, I became more and more elated. For someone who is generally reserved, this was a change in personality. This powerful feeling of joy was one I had never felt before – nor have I since ever felt so happy. I literally could not stop talking – I felt that I had so much I wanted to say, so much to do, that I didn’t feel the need for sleep. I lost all inhibitions and said whatever came into my head without pausing to think. My mind had gone into overdrive. I no longer had any control. I knew that something was wrong, and told the midwife who visited me at home that I was worried I was too “high” and might come crashing down. She just gave me a strange look. My GP thought it was good that I was enjoying motherhood so much. And I was. Being a mother was the most wonderful thing that had ever happened to me. And then everything fell apart. I began having involuntary thoughts about harming my baby – not so much thoughts as real pictures of causing her harm. What bewildered me was that I adored her…so why was my mind repeatedly trying to bash her brains out?’

There is no mistaking puerperal psychosis – it is qualitatively different to other forms of ‘depression’ following childbirth. Its onset is rapid, there is no slow build up, and it seems to be a reaction to the sudden changes in hormone levels that occur after labour. It may help partners and supporting relatives to know that this is an illness completely outside the woman’s control. She cannot ‘snap herself out of it’ and she cannot ‘be reasonable’. She needs medical help.

Sadie saw visions and was more concerned to alert her friends and family to the meanings of these than to look after her baby: ‘I saw God and then Jesus, who was telling me I had done wrong. And I knew my child would be taken by the Devil if I didn’t protect her.’

Most women with this illness will need to be hospitalised as they are unable to function effectively, and many take several months to recover as Denise continues: ‘I spent four weeks on an Acute Admissions ward, then four weeks in a Mother-and-Baby Unit in the psychiatric hospital. By the time I went for my postnatal check with my GP at eight weeks, I was starting to get back to normal. I felt very vulnerable, sitting there in the waiting room. I watched another mother come in and very capably start to change her baby’s nappy. The tears came suddenly and violently as it came home to me just how different I was to “normal” mums. I came home at ten weeks, but it took the best part of a year before I felt ‘myself again and not just going through the motions.’

But women who have puerperal psychosis do recover, although it may take a long time and the demands upon partners and family will be very great. Often relatives will need to care for the child and, depending on the medication and state of mind of the mother, breastfeeding may not always be possible.

Research continues into the causes and the reasons why some women get this rare and distressing illness, and the most effective treatments, but there are no definite answers yet. The work done by Dr Katarina Dalton on the use of progesterone injections as a means of prevention is gaining coverage and acceptance. Although its preventive role cannot help a first-time sufferer, it can be of great reassurance to those who have suffered that they do not need to go through this again.

A ‘ROUTINE’

CHANCES ARE, at least one health professional or relative will have advised you how desirable a routine is for your baby, although very young babies may not respond well to being ‘put into’ a routine. However, it can be helpful to establish an evening routine of supper, bath, story, bed (or similar). This sort of routine, if established early, can reduce bedtime problems in toddlerhood. Indeed, it gives most children a feeling of safety and security if roughly the same things happen at roughly the same time every day. It helps to give a sense of pattern and reassurance. And it can help you, too, if you’re finding the demands of parenthood overwhelming: a routine can bring everything down to more manageable proportions.

Beverley felt she needed to get her new life into some sort of order: ‘I think my idea of a “routine” came from my mum. Also, it came from me in the first three months trying not to have a routine. I remember thinking, “I want Josh to be a really flexible baby. I’m going to take him out with me whenever I need to go, feed him whenever he’s hungry, put him to sleep when he’s tired, and he’s just going to adapt and be really flexible and it’ll be great.” And it was a nightmare. He ended up not having a sleep in the day, and then he wasn’t sleeping well at night… it was just terrible. And I found that once I started doing things in this very strict routine – which I really resented, I didn’t like having to do it at all – things got better. I thought, “Right, ten o’clock, he’ll have a morning nap. Three o’clock, he’ll have an afternoon nap,” and I put him in his cot and he just started having them. It made a difference because I could say to people, “Oh, come round then because I know he’ll be asleep”, or whatever. I know where I stand, now.’

YET, NO MATTER how desirable a ‘routine’ may be, one thing many parents resent is the lack of spontaneity in their lives. Whether you intended to carry on as before or not, you’ll soon find you can’t.

Deirdre’s mental planning will sound familiar to you if you’ve already had your baby: ‘I’d think, right, she’s due for a feed in the next hour or so, and afterwards she’ll probably fill her nappy, so if I change her then, we could go out after that and she’ll probably have a sleep in the pram, but that means I won’t have had my lunch … Okay, if I have my lunch now – it’s about ten o’clock in the morning – that might do it. And if we spend longer there than I planned on, I’ll be in trouble if I don’t have what she needs, so I’ll have to take wipes, nappy cream, dummy, bottle of water … And then I have to organise all these and then she wakes up and I still haven’t had my lunch and this is all just to go round and have a cup of tea with a friend. How women go out to work every morning when they have babies, I just don’t know. This is what I can’t stand, not just being able to pop out and have a cup of tea when I feel like it.’

Olivia’s comments ring true too: ‘There’s a picture in a book of a father typing and this baby sitting in a bouncy chair watching him. It’s got this cheerful caption like “Let the baby join in family life!” I can just see Beatrice sitting in her chair watching while Robert studies engineering. I think images like that can build up a false picture. Especially if your baby’s not conforming to that image.’

WHEN YOUR BABY arrives, images are what you have to forget. In the mother-and-baby magazines, those are models you are looking at, with their shiny hair and their designer outfits in their polished kitchens. They aren’t real mums. Real mums have mysterious stains on their jumpers and a permanently quizzical expression, as if they’ve just forgotten which day of the week it is … which is usually because they have. And real mums have real babies.

Coping with that reality, with all its stresses and strains as well as its joys and delights, is what becoming a family is all about.

CHAPTER two Learning new skills

ONCE YOU’RE home, it often feels like people are relying on you to be the expert:

‘How is he sleeping? Good or bad?’ What’s ‘good’? What’s ‘bad’?

‘Are her feeds regular?’ What’s ‘regular’?

‘Are his nappies normal?’ How can a nappy be normal? Should I be saving it to show them, perhaps? Then they could decide whether it was normal or not.

People look on you as the expert because already, even when your baby is very tiny, no one knows him or her as well as you do. You may feel you have an impossible amount to learn, but don’t forget you have instincts, too, and these are for listening to, not ignoring.

Whatever is right for you, your partner and your baby, if it makes you all happy, then you’re being exactly the kind of parents your baby needs you to be.

HOLDING

SOME PARENTS find it hard to get used to handling their new babies, feeling they’re very fragile, others find it hard to put them down.

You will notice that your baby will respond much more cheerfully if you keep him held close to you and don’t lurch him from one position to another very suddenly. It’s an instinctive reaction in most of us to stroke and cuddle our babies, but keep it gentle. Save games when you hurl him madly through the air for later on in life. If it’s a toddler saying: ‘Throw me up to the sky, Daddy’, you can join in the fun. But shaking or throwing a small baby is never fun. The baby will hate it and you could seriously harm him.

Ways to pick up and hold your baby.

Remember to support his heavy head.

Baby massage

AS AN EXTENSION of the stroking and cuddling that new parents find babies love, you might like to try baby massage as a way of soothing and relaxing your baby. A massage with a bath can be very beneficial – both for parent and baby, establishing a bond between them and allowing loving non-verbal communication.

If you’re interested, you might find ads for baby massage courses in your local NCT newsletter or GP practice, as these will enable you to find out more about the techniques involved and the most soothing oils to use. Or try an introductory video as a guide.

BABIES LIKE TO BE HELD

 Close to you

 With their head and neck supported

 Upright, looking over your shoulder

 Cradled in your arms – perfect for talking

 In a baby carrier or sling

 Gently but firmly

 With your arm around his tummy and his back against your body – it widens his horizons

 A lot.

STEP BY STEP TO BATHING YOUR BABY

 A calm, warm environment is essential. Choose a time when you will not have to rush, when you aren’t likely to be interrupted, and where you can get on with things in your own way and in your own time.

 Make sure it’s the right time for your baby, too; that she has been fed so she isn’t screaming with hunger, and definitely do not try a bath when your baby would much rather be having a nap: she’ll scream with tiredness throughout, you’ll both end up exhausted and your baby will probably be sick in the bath-water, she’s so cross.

 Baths are meant to be enjoyable for all concerned. If your baby hates them, you can probably get away with topping and tailing for a week. If your baby loves them, you can give her one every day.

 Have everything ready beforehand:

  - warm dry towel

  - a spare warm, dry towel

  - sponge

  - baby shampoo If you like

  - a jug containing warm water to rinse your baby’s head – don’t use the bath-water to do this – it could leave shampoo residue on your baby’s scalp and this can cause irritation.

 You’ll need a small baby bath. Prepare this beforehand, too, so that everything’s ready when you undress your baby – make sure the water’s not too hot. After a couple of months, when your baby’s neck Is stronger and she’ll enjoy it more, you may like to take her in the bath with you. If you do this, have someone on stand-by to lift her out. Don’t attempt to manoeuvre her and yourself out simultaneously with both of you wet and one of you wriggly. Again, the temperature of the water should suit the baby, not you.

 Most babies hate getting their heads wet, so the hair-washing part of the bath should be done as quickly as possible. If she starts to scream as soon as she feels the first drop on her scalp, don’t persevere; just quickly wipe over her head with the dampened sponge and try again another day.

BATHING

YOUR NEWBORN will seem so fragile, you might well feel nervous handling her at first. Her head might be an odd shape if it has been moulded as she passed down the birth canal (for more information on this and other physical features of your newborn, see Chapter One) and you may be worried about touching the fontanelles. Nevertheless, you can’t let this stop you washing her – you’ll have to get round to this eventually and in many ways, once you’re over the immediate aftermath of the birth, the sooner you do it the better it is for you and your baby. It will make her feel more comfortable if you can gently wash away any blood or dried fluids remaining after labour; and a successfully washed infant, all fluffy and warm, will boost your confidence as a parent no end.

Your hand isn’t always an accurate gauge of temperature. Your elbow is much more reliable.

Undress your baby in a warm room. Talking to her while you undress her can reassure you both.

Wrap your baby in her towel and gently wipe her eyes from corner outwards, and clean the rest of her face – all with damp cotton wool.

Then wash your baby’s hair while she is still wrapped in the towel.

Hold your baby securely If you are confident, she will be, too.

You don’t have to jump in with both feet straight away and embark on a fully-fledged bathtime, unless this is what you want. You can just ‘top and tail’ her – i.e. clean only the bits that really need it. Ask your midwife or one of the nursing staff to show you how, and this will keep the baby happy and comfortable.

Washing your baby’s hair

1 Undress your baby and wrap her in a towel, folded over at the back so you can easily cover her head with it afterwards.

2 Hold your baby firmly but gently. Hold her under one arm with her body against yours and her head over the water. Support her head with the hand of that arm. Tip your baby downwards slightly so that the water won’t run into her eyes.

3 Use your other hand to wet her hair with a sponge.Let her enjoy the warm water and freedom to splash.Don’t leave her in the water for too long. End the hath while you are both still enjoying it and you’ll both look forward to the next one.

4 Rub in the shampoo gently then wash it off again.

5 Rinse with clear water left ready nearby.

6 Pat her head dry and wrap her warmly in the towel.

7 If you want to brush her hair, use a very soft-bristled brush.

Cradlecap

WHEN SHE IS between about a month and six months old, you may notice, underneath your baby’s hair, a yellowish crust on her scalp. This is cradlecap, a condition so common almost every baby has it. It does your baby absolutely no harm whatsoever and, left to its own devices, will disappear completely as your baby grows. That said, if it is very thick or very noticeable, you will probably find yourself wishing you could do something about it. If so, don’t be tempted into picking or trying to brush it off – you could pull the baby’s hair out or cause an infection.

Some suggested remedies are:

 Massaging a tablespoon of almond oil or olive oil into your baby’s scalp, leaving it for an hour then shampooing and rinsing thoroughly. You’ll have to endure your baby smelling like a salad though

(If you adopt this approach, you will have to keep the oil away from your baby’s eyes while you’re applying it, and make sure her fingers don’t touch the oil, as she may then get it in her eyes.)

 Trying a bicarbonate of soda rinse: dissolve a teaspoonful in 500ml of warm water and dab it on with a cotton wool pad. Shampoo and rinse thoroughly. You will need to do this once or twice a week

 Combing her hair gently little and often – this will help to loosen the flakes.

No matter which recipe you try, cradlecap won’t disappear overnight, but it will disappear.

Other things to check for:

IF YOU NOTICE patches of redness or soreness on your baby’s neck or behind her ears, then it may be eczema; ask your health visitor for advice.

CHANGING

WHAT’S IT TO be? Terries or ‘disposables’? Perhaps more importantly, who’s going to do it? Especially when it’s the middle of the night, your baby has completed an extraordinary performance, and it’s a repeat show of the one she did two hours ago.

Nappy changing is one of the skills you will become surprisingly adept at over the next couple of years.

Disposables

Advantages

 Undoubtedly easier in general. This is why they are so popular.

 They are very absorbent and can see a baby through the night without you having to face a cotful of wet bedding every morning.

Remove old nappy on a waterproof surface. Accidents will happen.

Clean your baby thoroughly with warm water. Allow him to dry in the air if possible.

Barrier cream can help prevent nappy rash.

Lift your baby’s bottom up, put the nappy underneath and then pull the nappy through to the front.

Vests with poppers that fasten underneath can do wonders for keeping lop-sided nappies in place.

Disadvantages

 You may have trouble finding some that suit your baby. Every baby has a unique shape and yours may not fit into one of the standard ‘nappy sizes’, so that you’re always running the risk of leaks or pulling the adhesive tapes so tight your baby can scarcely breathe

 If you get cream on the tape, the tape loses its stickiness. This tends to happen at awkward moments

 Cost. Although the pence-per-nappy price might not be exorbitant, the amount that you will pay out in total over the years your baby is using nappies is stunning

 They are not earth-friendly; the raw materials they require, the processes used in their production, and the fact that they are not truly easy to ‘dispose’ of except in landfill sites, which are rapidly filling up, are not easy issues for new parents to ignore, if they are keen to preserve the planet for the next generation.

IF YOU ARE A committed disposable-user, you may find the new nappy-delivery services a great boon, especially in the early days when it’s more difficult to get out with your baby, you’re getting through the nappies at a great rate, and they are a very bulky item to carry home. Some shops will bring a month’s worth, with no charge for delivery, direct to your door.

Terries

Advantages

 They are environmentally friendly

 They are comfortable, soft, and have no hard edges to irritate babies’ skin

 Cheaper in the long run (see old editions of Which? in your library for comprehensive studies on this topic)

 Easier these days so long as you have a washing machine and preferably a tumble dryer.

Disadvantages

 Learning the origami necessary for successful nappy adherence

 Safety pins

 Soaking

 Buckets (smell)

 Washing

 Guilt – although the washing and drying of reusable nappies demands only a fraction of the energy used by disposables, the chlorine, bleach and washing powder may help to destroy the ozone layer.

AVOIDING NAPPY RASH

 Change your baby’s nappy frequently

 Clean and dry your baby’s bottom and all the creases thoroughly

 Allow your baby some nappy-free kicking time on the mat at as many changes as you can manage

 Use a barrier cream to help prevent the skin getting too damp

 At the first sign of redness, change nappies even more frequently

 Witch hazel and camomile creams are both helpful if a rash does develop. There is a variety available and you may like to try one or two before finding one that suits

 The best cure is letting your baby kick naked on a blanket on a waterproof mat for as long as he likes

 Severe nappy rash may be caused by thrush which needs suitable treatment. Consult your doctor or health visitor; if you are breastfeeding, you may need treatment too.

ALSO (FORGET the stories of women taking their nappies down to the river – that wasn’t in North London), you have to have a washing machine these days to be a sane terry-user.

There are now many cotton-nappy delivery and laundry services around. These involve ‘fitted’ nappies that don’t require major folding techniques. You order up the correct size nappies for your baby – from newborn to toddler – which are then delivered to your door. You also get a bin with a liner, in which you place the used nappies until they are collected by the service, who simultaneously provide you with clean nappies. The laundered nappies are thermo-sterilised before being reused, so not only do you not have to wash them yourself, you can feel virtuous about not making any contribution to the landfill sites.

Or you could use terries to start with, disposables on holiday and cotton nappies later. The permutations are endless. Whatever you choose, make sure you’re happy – those first few weeks can seem like nothing more than an endless round of nappy changing and feeding at times, so make it as easy and enjoyable as you can.

DRESSING

IF YOU HAVE infinite leisure and infinite ready cash, you can go round the shops ticking off those suggested ‘layette’ lists: three nightdresses, four vests… but you’ll find that the baby can get through three nightdresses in one morning. And what sort of vest do you want? What sort of sleepsuit is best? Front opening? Back opening? Poppers down each leg or not?

If you’re at all sensible, you will borrow twice as many newborn-size clothes as you think could possibly need. Babies are newborn-size for such a short time, the clothes hardly have a chance to get worn, never mind worn out, though some of them can develop rather startling stains. Also, what suits you and your baby may not be the sort of garments generally in use, as Lynn recollects: ‘Somebody once told me that she’d used the tie-across-the-front vests for her premature baby in the SCBU and would recommend them to me. So when I was in Boots one day and I saw some, I thought, “Oh, well, they might just be the ones that suit”, even though most vests on sale were the pull-over-the-head and button-underneath sort. And they were the best thing I bought. They didn’t last long because they were small, but in those early days when I was frightened to touch him, practically, it was such a relief to be able to put him in clothes that I didn’t have to wrench over his head. One arm in, roll over slightly, other arm in, fasten…and then he looked so sweet with this little bow! They were brilliant.’

Another piece of advice from Hazel: ‘Don’t buy anything that comes off over the head for the early days. Not pleasant if there’s a nappy leak.’

OF COURSE, while you will want to buy clothes that are practical, express your baby’s innermost personality, are well-made and yet relatively cheap, many of us hesitate before buying clothes when we are pregnant. It is as if we don’t dare to tempt fate.

Yet, even though we might like to, we can’t leave it all to chance. So when you’re packing your suitcase for the hospital or filling the bottom drawer, you will need to make sure that you have a selection of the following items:

 Vests

 Nightdresses (useful in the early days as there aren’t so many poppers to undo every time you need to change a nappy – not so useful if your baby is short-limbed and her arms keep falling out of the sleeves!)

 Sleepsuits (all-in-one stretch suits)

 All-in-one padded suit for the first outing (if you have a winter baby)

 Hat

 Mittens if you have a winter baby

 Cardigans for layering.

A shawl is also a useful item – you can wrap your baby in it for warmth and comfort. You will also need whatever sort of nappies you have chosen to use and a variety of sheets and blankets for the cot/basket/pram. Many of the blankets graduate to the higher role of ‘cuddly’ and will be trailed round lovingly for years.

Jennifer often thinks back to the first outing that she made with her mother to Brent Cross to buy all the baby’s stuff in one fell swoop: ‘I was about eight months pregnant, and it was a warm day, and I couldn’t believe I’d ever need all the blankets and mittens she was handing to me. But I do remember picking up this yellow cotton blanket and saying: “What a beautiful sunny colour, I’m sure the baby will love this”, and he did. He still takes it to bed with him at night. It’s not quite so yellow now, of course, and not quite so fluffy, but I find it a useful connection between the world of when he wasn’t here and I chose something for him, and when he was here and he chose it for himself’

DRESSING YOUR baby can feel at first like you’re taking part in one of those competitions where you have to keep all the plates spinning in the air at once. If you choose a warm room so your baby won’t become chilled, you will be able to take your time, and you will both be able to use the time for a chat.

Although dressing your baby is an art rather than a science it will soon become second nature – fortunately, as it will be many months yet before your baby can co-operatively manoeuvre all her limbs in the desired directions to make life easier for you.

DRESSING YOUR BABY

1. Place your baby on her changing mat or other comfortable surface. Put on your baby’s nappy. Talk to your baby while you dress her, telling her what you ‘re doing, the names of things, perhaps counting the poppers.

2. The vest. Gather up the vest around the neck opening. Stretch this opening wide and place it at the back of the baby’s head.

3. Use the fabric of the vest to gently lift your baby’s head and slide the fabric over. Pull the fabric down at the back of the head first, and then, without taking your fingers from the neck opening, lift the vest over your baby’s face. Stay calm if she starts to wriggle and don’t try to rush – you’ll frighten her more.

4. Gather up one arm opening. Reach through it, find your baby’s hand, and enclose her tiny fingers in your own. With your other hand, pull the sleeve downwards over your baby’s arm. This way, you won’t bend or hurt her fingers. Settle the sleeve over your baby’s shoulder. Repeat with the other arm.

5. Hold your baby’s ankles in one hand, with a finger between her feet so that her feet aren’t pressed uncomfortably together. Lift her legs up so that her bottom is raised slightly up from the mat and you can pull the vest down underneath it.

6. Pull the vest down in front and fasten the poppers.

7. The sleepsuit. Put the sleepsuit down flat on the mat, open, with all the poppers undone. Put the baby on top of the sleepsuit.

8. Gather up one sleeve and open the cuff of the sleeve with one thumb and forefinger. Stretch the cuff wide and guide it over your baby’s fist. Hold her hand in yours as you pull the sleeve up her arm. Repeat with the other sleeve.

9. Guide the first leg into the sleepsuit’s leg opening and gently pull the fabric up her leg until her toes reach the foot of the suit. Make sure all the toes are comfortably in and not bent. Repeat with other leg.

10. Fasten the poppers – either from the top down or the bottom up. If you start in the middle you can be guaranteed to have an odd popper left over at either end.

11. Smile. You’ve done it!

SLEEP FACTS

 Newborn babies do need a lot of sleep, 18 hours a day is not unusual. If your baby seems to be having less than this, it may be because she is having it in short bursts rather than long naps

 Sleep is good for babies. Growth hormones reach high levels while they sleep, and your baby needs time to rest and recuperate from the constant new stimulus of the world

 Babies need feeding at night. She needs food at frequent intervals, so you have to expect her to ask for it at least until she is three or four months old

 Babies’ sleep patterns will change radically during the first six months of life. By the time your baby is six months old, she may well be sleeping between 10 and 12 hours each night (even if this is broken) with two or three hours during the day, often in two distinct naps, morning and afternoon.

SLEEPING

BEFORE YOUR baby was born, he could wake and dream and sleep at will, at whatever hours suited him. There was no one else to take into account. In the first days and weeks after the birth, your baby will try to persist with this individual pattern, sleeping whenever it suits him. This is why the subject of sleep is such a hot issue for new parents, because, as soon becomes obvious, a baby who sleeps whenever it suits him will come into conflict with the pattern adopted by most adults: namely, doing the greater part of their sleeping during the hours of darkness.

While you cannot expect your baby to adopt a pattern of eight hours of sleep every night from Day One, equally you do not have to let your baby dictate when you sleep ad infinitum. Playtime at 3am is bound to cause conflict with wider society eventually.

And sleep deprivation is so profound a problem that it has been used as a method of torture for centuries. If you don’t get enough sleep, the whole family will suffer.

So, although you may have got through the first days or weeks in a fog, sleeping when the baby sleeps, what can you do to establish the pattern and routines that will suit everybody?

How much sleep?

THIS IS A burning question mainly for those parents who feel their child isn’t getting enough sleep. If pressed further, and if they are being honest, those same parents might admit that in fact they are more worried about themselves not getting enough sleep.

Worrying about sleep can make matters worse, as it did for Hazel: ‘I looked at a book and it said he should be sleeping around 18 to 20 hours a day – this was when he was about two weeks old. And he wasn’t sleeping anywhere near that. And I’d read somewhere else that babies only grew when they were asleep so I thought he’d end up being tiny. I was trying to make him go to sleep all the time so he’d grow and this drove me to distraction.’

A sleepy state can be perfectly natural for some babies, as Jennifer tells: ‘I couldn’t even tell whether he was asleep or not. He ended up in this permanent half-doze, especially in those early days when I was so keen for him to suckle and build up my milk supply.’

Encouraging your child to settle

 Have a definite ‘winding down’ routine for the evenings: for example: looking at a book, bath, feed, change and donning of ritual ‘nightclothes’ (even if these are indistinguishable from the day clothes as your baby only wears sleepsuits)

 Don’t get your baby used to falling asleep only in certain situations (like in the car or the pram or at the breast) as she will come to associate these circumstances with sleep and you will find yourself driving round the block at 3am

 Keep the room at a comfortable temperature: 18 degrees C (65 degrees Fahrenheit) is ideal

 Let your baby settle herself to sleep if she can; for example: don’t rush to her and pick her up the instant her eyelids flutter open – she may want to gently drift off again

 Keep the atmosphere in the house as calm and relaxed as you can, but don’t tiptoe round her and feel you have to stay quiet; the womb is one of the noisiest places on earth – heartbeats, gurglings, joint movements, hearing people talking – and your baby fell asleep there.

YOU MAY FIND that one frequently asked question about your baby is: ‘Is he settled yet?’ This idea of the ‘settled’ baby is quite prevalent, and implies a magical transformation from the unpredictable bundle of the newborn to a well-organised, easily manageable baby with regular feeds and hours when you know she will probably nap. This magical transformation is expected to occur somewhere between six weeks and three months.

Some make this magical transformation a little later; some a lot later (although most parents find that by the time their child starts school things have been more manageable for quite a while). Some ‘settle’ spontaneously. Others will if you guide them in the right direction, providing them with stable and secure patterns that mean your baby can predict from one day to the next what will be happening.

When your baby is born, short spells when she is awake will alternate with sleeps which can be a few hours or only several minutes long. Day or night makes no difference to your baby – sleep patterns are something we are socialised into. You may long for your baby to sleep 12 hours straight through at night, for example, but if you were living in Spain, perhaps, you might prefer her to have a long afternoon sleep during the heat of the day and only eight or nine hours at night. Whatever pattern you choose, that will be the one you will be trying to guide your baby into – and there is nothing wrong with that. Patterns make life easier for everyone. Therefore, if your baby hasn’t ‘settled’ by three months of age or so, you may like to help her find a pattern of sleeping and waking that suits her, and whose hours and predictability suit you.

OWN ROOM/PARENTS’ ROOM

Own room

Advantages

 Parents have their own space

 The baby starts off in his own room and won’t have the trauma of transfer at a later stage