Whether your baby comes home from the hospital right away, arrives later (perhaps
after a stay in the neonatal
intensive care unit), or comes through an adoption agency, the homecoming of your
little one is a major event you've probably often imagined. Here's how to be prepared.
Leaving the Hospital
Moms-to-be sometimes pack clothes for the trip home before even going to the hospital
— or they may wait to see what the weather brings and have their partner bring
clothing for both themselves and the baby. Plan to bring loose-fitting clothing for
yourself with a drawstring or elastic waist because you most likely won't fit into
your pre-pregnancy outfits yet.
Babies are often overdressed for the first trip home. Dress your baby as you would
dress yourself. So, if you'd be too warm in a knitted hat during the summer,
your baby probably will be, too.
In warm weather, dress your baby in a T-shirt and light cotton pants or a baby
blanket over bare legs. If it's cold, put footie pajamas, a hat, and warm blanket
over your baby. But be sure to keep all blankets far from your baby's face to avoid
Chances are much better that you'll bring home a calm, contented baby if you don't
spend a lot of time at the hospital trying to dress your newborn in a complicated
outfit that requires pushing and pulling your baby's arms and legs.
If you haven't already made the arrangements with your baby's health care provider,
make sure to ask when the baby's first checkup should be scheduled before you leave
the hospital. Depending on the circumstances, some premature
babies also go home with a special monitor for checking breathing and heart rate,
and you may be taught infant cardiopulmonary
But whether your baby is full-term or premature, don't feel rushed out the door
— have your questions answered before you leave the hospital. And if you
find yourself wondering about anything — from bathing to breastfeeding to burping
— ask your nurse, lactation consultant, or your baby's doctor.
The Car Trip
The most important item for the trip home is a proper child safety seat (car seat).
Every state requires parents to have one before leaving the hospital because it's
one of the best ways to protect your baby.
Even for a short trip, it's never safe for one of you to hold
your baby in your arms while the other drives. Your baby could be pulled from your
arms and thrown against the dashboard by a quick stop.
Consider buying, renting, or borrowing a car seat before your baby's born, when
you have time to choose carefully. There are two kinds of car seats for babies: infant-only
seats (which must be replaced when your baby weighs 22 to 35 pounds, depending on
the type of seat) and convertible seats that accommodate both infants and older children.
Infant-only seats are designed for rear-facing use only and fit
infants better than convertible seats. The American Academy of Pediatrics (AAP) recommends
that infants and toddlers ride in a rear-facing seat until they are 2 years old or
until they have reached the maximum weight and height limits recommended by the manufacturer.
(If your baby exceeds the weight recommended by the manufacturer before the second
birthday, you'll need to use a convertible seat designed for bigger babies.)
Some parents of newborns find that a "travel system" (which includes a stroller
and an infant-only car seat that can be attached to the stroller) makes it much smoother
to transition babies — especially sleeping ones — from the car to the
Convertible seats face toward the rear until your baby is at least
2 years old or has reached the maximum weight and height limits recommended by the
manufacturer. A child who reaches the height and weight limits before age 2 is safest
in a bigger convertible seat and kept rear facing. Kids who are small can remain in
rear-facing seats even after age 2. (Follow the manufacturer's guidelines for when
to turn the seat.)
Never put a rear-facing infant or convertible seat in the front
seat of your car — always use the rear seat. Passenger-side airbags in the front
seat cabin are hazardous for both rear- and forward-facing car seats, and most accidents
happen at the front passenger area of the car. When it's cold, strap your baby in
snugly first, then put blankets over the baby.
If you borrow a car seat, make sure that it's not more than 6 years old and was
never in a crash (even if it looks OK, it could be structurally unsound). Avoid seats
that are missing parts or aren't labeled with the manufacture date and model number
(you'll have no way to know about recalls).
Also, check the seat for the manufacturer's recommended "expiration date." If you
have any doubts about the seat's history, or if it's cracked or shows signs of wear
and tear, don't use it.
Ask at your prenatal classes, health care provider's office, hospital, or insurance
company about rental or loan programs for car seats — they're quite common.
When buying a new seat, it's important to remember that there isn't one type of
seat that's safest or best; get one that fits and can be correctly installed in your
car. And higher price doesn't necessarily indicate a seat's quality — it could
simply mean the seat has added features that you may or may not want or use. Also,
be sure to register your new seat so you can be notified of any problems or recalls.
The most common problem involving car seats is improper installation. According
to the National Highway Traffic Safety Administration, the majority of all car seats
are installed incorrectly. LATCH (Lower Anchors and Tethers for Children) is a system
that makes it easier to install car seats. It uses built-in hooks to connect the seat
to anchoring hardware in the car. Even though LATCH is standard in the United States,
many seats are still improperly installed.
Don't trust illustrations or store displays. Follow the manufacturer's instructions
(and keep them handy). Ask your doctor or nurse about local resources where your car
seat can be checked by someone specifically trained to evaluate car seat installations.
Many hospitals, police and fire stations, and even car dealerships offer this type
of service for free. Make sure that the evaluation is done by someone trained and
If you're bringing your baby home from the intensive care unit, bring the car seat
to the hospital ahead of time, so the staff can see if it will work for your baby.
If special health concerns rule out a standard restraint, ask your child's doctor
to recommend car seats for children with special needs.
For more information on the proper use of child safety seats, read our article
on auto safety.
Don't be surprised if you have mixed emotions as you bring your baby home, especially
if this is your first child. You'll likely be nervous. In fact, you may actually feel
terrified as you realize that you've given up a certain amount of control over your
If your baby wasn't with you much at the hospital, you may not know what sort of
schedule your little bundle of joy will keep. But you'll know before long —
although babies' schedules do change a lot during those early months. You'll be less
stressed if you don't overschedule yourself and can go with the flow.
Depending upon your labor and delivery experience, you may feel physically drained
and sore. Your hormones
may be struggling to catch up, too. Meanwhile, your partner may feel a little left
out if you're totally engrossed with the baby.
You might have other kids awaiting the arrival of this newest family member. Or
you may be dealing with a pet who's wondering what's suddenly drawn everyone's attention.
And the expectations of new grandparents, competitive siblings, or friends can also
make the homecoming stressful.
Your baby's first extended crying period at home will be difficult. Remember: young
babies typically cry for 1 to 5 hours within a 24-hour period, and can't always be
calmed. Crying usually decreases gradually after the first several weeks. Although
it may seem impossible now, in a few months it will be difficult to recall your baby's
seemingly endless crying episodes.
The Home Front
Introducing your baby to others at home can be challenging. If you have other kids,
be sure to spend some quality time with each of them. Some parents bring home gifts
from the new baby for big brothers
and sisters. At first, you can expect some jealousy, especially if the main focus
of your attention for several years suddenly has new competition. Encourage siblings
to "help" you care for this newest family member.
If you have a pet, ask your partner to bring home a blanket with the baby's scent
on it and place it near the pet — even before leaving the hospital. Then, when
you come home, the pet will already be somewhat familiar with the baby. But remember
to never leave pets alone with newborns.
Family and Friends
Ask your partner to be the gatekeeper for visitors and to limit the number of guests
at first. You'll be glad later on if you take some time now to rest and become comfortable
with your new situation. Although babies typically aren't shy around strangers for
the first 3 months or so, they may become overstimulated and tired if too many people
If you have voice mail or a telephone answering machine, consider changing your
message to give the vital statistics of your new arrival. You might say something
like: "Our newest family member has arrived. Her name is Julia Marie; she was born
on Tuesday, and weighed 7 pounds, 10 ounces. We're all fine and adjusting to our new
life. If you'd like us to call you back when it's convenient, please leave your name
and number." You can also set up an automatic email response with this information.
Don't be shy about accepting visitors slowly. Ask anyone who's ill to wait until
they're feeling well and no longer contagious before they visit. You shouldn't hesitate to
ask visitors to wash their hands before holding your baby because a newborn baby's
immune system is not fully developed.
When to Call the Doctor
Your baby's health care provider expects calls from new parents on many topics,
including breastfeeding and health concerns (for more on newborn care, visit the Pregnancy & Newborns section).
They'd rather have you call than worry about something needlessly.
If you wonder whether you should call the doctor's office, do it, especially if
you see something unexpected or different that concerns you. Call if you see any of
rectal temperature of 100.4°F
(38°C) or higher (in babies younger than 2 months)
symptoms of dehydration
(crying without tears, sunken eyes, a depression in the soft spot on baby's head,
no wet diapers in 6 to 8 hours)
a soft spot that bulges when your baby's quiet and upright
a baby that is difficult to rouse
rapid or labored breathing (call 911 if your baby has breathing difficulty and
begins turning bluish around the lips or mouth)
repeated forceful vomiting
or an inability to keep fluids down
bloody vomit or stool
more than eight diarrhea stools in 8 hours
If your concern is urgent, call your doctor and take your child to the emergency
room. Remember, with young infants, minor conditions can sometimes change quickly.