5

Five Week Visit

Please take a moment to congratulate yourself on getting through the first 5 weeks of parenthood. At your appointment, we introduce tummy time and show you how your baby’s weight, length, and head are progressing. We will also take a moment to make sure you are feeling healthy as well.

Is my baby constipated?

Your baby is not constipated unless he is producing “little pebble” stools. Typically, at this age, infants will lose the reflex that causes them to stool after each feed. Especially with breast fed five week olds, they will use most of the nutrients they are consuming and, therefore, stool less frequently. Some babies, will stool only once a week. It is not a reason to be alarmed unless it is accompanied by vomiting, inconsolable irritability, or decreased urine output.

Should my infant begin tummy time?

Your child should begin tummy time around 5 weeks to strengthen his/her neck. Start with you baby lying on the floor and shoot for 4 sessions of approximately 5 minutes each. Over the coming weeks, increase the amount of tummy time to 30-60 minutes per day. If your little one does not enjoy it, do not push the issue. Wait a week and try it again.

When can I introduce a bottle?

If you are breastfeeding, it is a good idea to introduce a bottle at this point. Allow someone other than the breast-feeding mother to provide the bottle during a mid-day feed. The introduction of a bottle will free up some time for mom and give the child experience with a new way of feeding. By this point, the risk of nipple confusion has decreased dramatically.

What should my five week old be doing?

All babies develop at different rates. Please do not be discouraged or worried, if your child has not achieved the following milestones by 5 weeks. At this age, your child should:

  • Lift chin for a few seconds when lying on tummy
  • Cannot support head without assistance
  • Grasps whatever placed in hand
  • May follow some moving objects with eyes
  • Make sounds that are not crying
  • Cries when left alone; usually stops when picked up
What vaccines and/or screening tests should I expect at this visit?

At this visit your child will receive the Hepatitis B vaccine. All mothers will also receive a 2 question postpartum depression screen.