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East Sussex Baby Guide
East Sussex Healthcare
NHS Trust
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This guide is designed to provide some helpful hints and information about going home after having your baby.
We hope you will find it useful.
Contents
Going home from hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Community Midwives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Outstanding appointments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Signs and symptoms requiring medical attention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Advice you may find useful . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Emotional well-being . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Perineal care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Lochia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Diet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Alcohol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Getting back into shape . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Pelvic floor exercises . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Stomach exercises . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Protecting your muscles and joints. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Physical problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Contraception . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Looking after your baby . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Breastfeeding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Reducing the risk of cot death . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Baby skin, bathing and cord care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
What’s in a nappy? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Jaundice. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Fever. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Meningitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Six-eight week check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
A guide to registering your baby’s birth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
How to find our Registration Offices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
When to register baby’s birth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Who can register the birth?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Registering by declaration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
What information is needed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Charges for registering births . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Documents you will receive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Adding the father’s details at a later date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Changing the name on a birth certificate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Registration and parental responsibility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Naming ceremonies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Women’s focus group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Useful contact details . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
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Going home from hospital
Depending on the type of delivery you have, and if
both you and your baby are well you can go home as
early as 6 hours after the birth or you may need to
stay 2-3 days. So that you can get home with the least
amount of delay, please make sure that you plan
ahead:
• arrange for someone to pick you up from the
hospital by car (make sure you have a car seat for
the baby). Never use a rear-facing baby seat in the
front of a car where an airbag is fitted (unless it is
switched off)
• where possible have help available to you at home
• ensure that you have everything ready for you and
your baby
• make sure you have some paracetamol in your
medicine cabinet at home
• check that the midwives know which address you
will be staying at
Planning ahead will give you more time to rest and
care for your baby once home.
You will be given a discharge envelope with leaflets
and advice for you. Additionally there will be print
outs from the hospital. There is:
• a copy for you to keep with all your Pregnancy,
Labour/delivery and Postnatal information.
• a copy for your Health Visitor – keep this with you
at home as they will be in contact with you in the
next week to 10 days.
• a copy is sent via fax to your GP by the hospital
and then stays in your Pregnancy record.
Community Midwives
A Community Midwife will usually visit you at home
the day after you leave the hospital and will discuss
with you future visits according to your specific needs.
This care will continue for at least ten days - longer if
necessary. When visits by your midwife are no longer
necessary, your care will be transferred to the health
visitor, who will continue to provide support as your
baby grows and develops, right up until your child goes
to school.
The midwife in the hospital will arrange for the
Community Midwife to visit you if you live out of the
area. If you have not had a visit by 4pm on the day
after you go home please contact the Community
Midwives office on 01424 755255 ext 6336 for the
Conquest and 01323 417400 ext 4109/4364 for the
Eastbourne site. The co-ordinating midwife will be
able to put you in touch with a midwife in your area.
If you have any problems and wish to ask advice e.g.
about breast-feeding, please phone 01424 755255
ext 6464 for the Conquest, 01323 417400 ext
4367/4364 for Eastbourne and 01892 654080 for
Crowborough Birthing Centre, at any time and speak
to a midwife for further assistance. If you are out of
the area please contact your local maternity hospital
and ask to be put in contact with your local
midwife.
In any emergency please dial 999.
GP Follow up
So you can be sure your body is recovering after
having your baby and that your baby is thriving, you
should arrange to have a 6 week postnatal check with
your GP. You will need to make the appointment
yourself. If you need to be seen here at the hospital, an
appointment will be sent to you.
If you have not had a cervical smear in the last 3 years
it is a good idea to have one 3 months after you have
had your baby. You will need to organise this with you
GP or Practice Nurse or family planning clinic.
Your baby will also need to have an appointment at 68 weeks, again to check they are well. You will need to
make this appointment with your GP.
Outstanding Appointments
Mum
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Baby
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Signs and symptoms requiring medical
attention
Although severe complications are rare after having a
baby, it is important that you are aware of when you
should call a doctor urgently, refer to your midwife for
advice, or ‘wait and see’ while taking simple measures
such as taking paracetamol.
The following list of symptoms has been put together
to guide you; your midwife will discuss these with you
within 1-3 days of your baby’s birth.
Emergency Action – see a doctor urgently
(consider calling 999 for an ambulance)
If you experience any of the following:
• sudden or severe blood loss, particularly if you feel
dizzy as well
• severe or persistent headache with visual
disturbances and/or associated with vomiting, or if
you had an epidural in labour; severe headaches
should not be ignored
• shortness of breath or chest pain
Or if you are concerned your baby is:
• limp and lethargic
• unresponsive
• jaundiced (yellow skin) but only if less than
24 hours old
of age, or lasts for more than 14 days
• not passed meconium (baby’s first stool) in the
first 24 hours of life
• constipation (if bottle-fed)
• diarrhoea
• redness around the umbilicus (cord area)
• passed blood which is seen in the nappy
Non-Urgent Action – call your midwife,
‘wait and see’ while taking simple measures,
or see your GP
If you experience any of the following:
• painful sex
• perineal pain / discomfort
• haemorrhoids
• headache or backache
• persistent fatigue
• constipation
• cracked or painful nipples
• engorged breasts, mastitis or inadequate breast
milk supply
Or if you are concerned your baby has:
• mild jaundice (yellow skin) but is over 24 hours old
• thrush
• nappy rash
• is excessively sleepy
Urgent Action – call your midwife or NHS
Direct (08454647) for advice, or see your
GP within 24 hours
If you experience any of the following:
• fever, shivering, abdominal pain and / or offensive
vaginal loss
• calf-pain in your leg with redness or swelling
• severe perineal pain
• severe haemorrhoid pain
• problems passing urine or opening your bowels,
particularly if you are unable to go to the toilet in
time or have an accident
• unable to pass any urine at all in the hours
immediately after birth
• fainting episodes
Or if you are concerned your baby has:
• jaundice (yellow skin) which has started after 7 days
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Advice you may find useful
There is a lot to adjust to when you have a baby. The
experience of giving birth can be physically and
emotionally demanding and it may take some time to
recover. At the same time you have to look after your
new baby. Here are some tips to help you adjust to
your new role.
•
get enough rest - sleep when your baby
sleeps
•
put your own needs and those of your baby first
– if you don’t want any visitors, say so
•
if possible have someone at home to help in the
first few days / weeks
•
don’t try to be a superwoman - accept that
standards around the house may have to drop
temporarily while you take care of your baby
Looking after yourself is just as important as looking
after your baby. The following information may help to
answer some of your questions.
Emotional well-being
Most women experience an assortment of feelings in
the first few days after they have had a baby. These
can range from extreme happiness to mood swings of
anxiety, exhaustion and tearfulness. These feelings are
often part of the ‘baby blues’, which affect around 5080% of women. It is not known why the blues occur
but they are very common and can occur anytime
within the first 10 days after birth. These feelings are
usually short lived and most women describe feeling
more like themselves within a few hours or days.
Some women may experience severe mood changes,
often described as postnatal depression. Characteristics
may include:
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•
feeling low most days
•
lack of interest or pleasure in normal activities
•
loss of appetite
•
difficulty sleeping
•
tearfulness
•
irritability
•
anxiety
This list is not exhaustive. If you think you are
suffering from postnatal depression or have concerns
about any symptoms you may be experiencing, seek
advice from your doctor, midwife or health visitor.
Perineal care
If you need pain relief, you can take paracetamol every
4-6 hours to a maximum of 8 in 24 hours. It is safe to
use paracetamol while breastfeeding. If you are on any
other medication, please check that you are able to
take paracetamol with them. Cold compresses, for
example gel pads, can also be used to relieve perineal
pain.
It is important to keep your perineum clean especially
after you have had a baby. Daily baths or showers are
very important, particularly if you have had a tear or
needed stitches. You should ensure you change your
sanitary pads frequently and it is extremely important
to wash your hands before and after changing your
pads to avoid infection.
Fever, shivering, abdominal (tummy) pain and/or
vaginal loss, may be suggestive of an infection in the
perineum or in your uterus (womb). Bleeding from the
tear or stitches may be significant. It is important that
you seek advice about your perineum or your stitches
by your GP or midwife as soon as possible if you
experience any of those previously mentioned
symptoms.
You should not use tampons until at least 6 weeks
after the birth to reduce the risk of developing a
uterine infection.
Lochia (blood loss from your womb after
you have given birth to your baby)
The blood loss that you experience after the birth of
your baby lasts between two and six weeks and usually
varies in colour and amount over that time. It tends to
go from bright red to brownish pink to pale pink/brown
but will be different for each woman.
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Although lochia is perfectly natural after the birth of your baby, you
should seek medical help if the vaginal blood:
• soaks more than one sanitary towel an hour.
• remains heavy and bright red after the first week.
• returns to bright red four or more days after birth and does not improve
with bedrest.
• has large blood clots (bigger than a 50p piece).
• has a foul smell and you come down with a fever and/or chills.
Diet
Remember it is normal for the body to store some fat in pregnancy. The
most sensible way to lose the excess weight you may have gained during
pregnancy is to quickly settle into a routine of healthy eating and
frequent moderate exercise.
It is important that you eat well and have a good well-balanced diet. The
first 6 weeks after baby is born is not the time to go on a strict diet. Your
body needs nutrients to recover from the physical stresses of pregnancy,
labour and birth. To establish breastfeeding you will need to ensure you
keep up the calories and fluids and have a daily rest by lying down to
make up for the loss of sleep. Continuous daily activity will use up
essential calories for breastfeeding. It’s a good idea to have a drink by
your side before you settle down to breastfeed. We should all be drinking
at least 6-8 glasses (1-2 litres) of fluid every day. When you are
breastfeeding you need to drink even more than this. Water, milk and
unsweetened fruit juices are all good choices.
If you feel thirsty, this means you are already dehydrated. If your urine is
dark and has a strong smell, this is also a sign that you are not
drinking enough.
Alcohol
After the baby is born, you should still be careful about how much you
drink because it can still affect your baby if you are breastfeeding. Alcohol
can pass from your breast to the baby, making him or her too sleepy to
feed, or making your milk taste or smell different so your baby doesn’t
want to drink it. It can also reduce the amount of breast milk you are
producing. The baby may also have difficulties with digestion and
problems sleeping.
Even if you are feeding your baby using infant formula milk, the smell of
alcohol can confuse or upset your baby and make feeding difficult.
Getting back into shape
Now you have given birth, you may be wondering how to begin safely
exercising to help your body return to its pre-pregnancy condition.
It is important that after having a baby you continue to take good care of
yourself. Restarting a few simple exercises early on can increase your
energy levels and help to improve your fitness. However, it is important
that you start gently with a few safe exercises and only do what feels
comfortable. Going out for a walk with your baby in the pram is a good
way of getting exercise and fresh air for you both.
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The effect of your ligaments becoming more supple
and pliable in pregnancy means, for instance, back
problems can be made worse by excessive twisting.
These effects may continue for several weeks after
birth and if you return to high impact or inappropriate
exercise you can put your body at unnecessary risk of
injury. It is a good idea to leave anything that creates
‘impact’ on your body until at least 5 months after
giving birth. Impact can be defined as taking both feet
off the floor at the same time.
Pelvic floor exercises
In women, pelvic floor muscles support the bladder,
bowel and womb and therefore have been affected
both by the pregnancy and the birth regardless of how
your baby was born. It is important that these muscles
are exercised following the birth of your baby in order
that they continue to support these organs in later life.
Women with strong pelvic floor muscles are less likely
to suffer from prolapse or leakage from their bladder
or bowel. Toning these muscles in the short term can
also reduce swelling and soreness. They can be started
even if you had stiches after your baby’s birth.
DO NOT:
Try to stop the flow of urine
Hold your breath
Tighten your tummy excessively
Tighten your buttocks
Squeeze your legs together
REMEMBER:
Start gently and increase the strength and frequency
of the exercises, as feels comfortable. Try to repeat
these exercises 4-6 times every day, you can do them
whilst breastfeeding.
Stomach exercises
The deep stomach muscles are the most important
stomach muscles to exercise in the first 6 weeks after
your baby is born. They help to support the spine and
pelvis and exercising them will help to flatten your
tummy.
•
Lie on your side with a pillow or cushion
between your legs and your knees slightly bent
•
First relax and let your tummy sag, then breathe
in gently
•
As you breathe out again, gently pull in the
lower part of your tummy and your pelvic floor
together and then release
Pelvic floor exercises are quick and simple and can be
done anywhere as long as you are comfortable.
•
•
Imagine that you are trying to stop your flow of
urine or stopping yourself from passing wind.
You should feel a gentle lift and squeeze around
your front and back passages. This is the basic
exercise that will tone these muscles.
Every woman is different and it is important
that you don’t strain yourself. Start gently by
holding this ‘squeeze’ for a few seconds as you are
able.
•
Rest and repeat the exercise up to 10 times.
•
Gradually increase the length of time you can
hold it for (up to a maximum of 10 seconds) as
the muscles become stronger over the next few
weeks.
•
Next try to squeeze and lift more quickly and
release immediately (up to 10 times). This will
help to reduce leaking urine when you cough,
sneeze or laugh. It is important that if you have
any problems with your bladder that you
discuss it with your GP.
Rest for a few seconds and then try again. Repeat 4-5
times with a short rest in between each one. Build up
until you are able to hold each one for a maximum of
10 seconds and only repeat up to 10 times.
You can choose a different position. Try lying on your
back with a pillow underneath your head.
Sometimes due to hormonal changes and muscle
stretching, the tummy muscles (rectus abdominis
muscles) may separate. If the gap between the muscles
is more than 2.5cm then certain exercises should be
avoided – your midwife should check these muscles
postnatally on day 3-4 and advise you accordingly.
Protecting your muscles and joints
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Make sure that you are very careful in the first few
weeks at home. As much as possible, avoid lifting
anything heavier than your baby. Avoid leaning down
to pick objects up off the floor, bend your knees and
keep your back straight instead. As you pick things up
tighten your pelvic floor and stomach muscles to
help you.
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When feeding your baby make sure you sit in a supportive chair with your
back straight. Use a pillow or footstool underneath your feet if needed.
Also use a pillow underneath baby to help support him/her so that you
are comfortable.
Physical problems
Consult a GP for advice if you experience any of the following problems:
• persistent back, pelvic, pubic bone, groin or abdominal pain
•
a stomach that remains bulging and floppy more than 6 weeks
after giving birth
•
any problems with loss of bladder or bowel control – such as
wetting, soiling or having to rush to the toilet or
constipation/haemorrhoids(piles).
•
difficulties with sexual intercourse
•
Deep Vein Thrombosis: if you start to develop calf pain, redness or
swelling of one or both legs, shortness of breath or chest pain,
you must seek help immediately from your GP.
Contraception
Contraception may be the last thing on your mind when you have just had
a baby, but it is something you need to think about if you want to delay
or avoid another pregnancy soon after this baby. A lot of unplanned
pregnancies happen in the first few months after childbirth, so even if
you’re not interested in sex at the moment, it is better to be prepared.
How soon can I have sex again?
You can have sex as soon as you and your partner want to. However,
having a baby causes many physical and emotional changes for both
partners, and it may take some time before you feel ready to have sex. It
is common to feel nervous, but there is usually no reason why you should
not enjoy sex just as much as before. It can help if you and your partner
talk about any worries you have. If you have any discomfort which might
affect your enjoyment of sex, such as stitches which have not healed,
discuss this with your midwife, GP, practice nurse, or Health Visitor.
Certain lubricating jelly can help for example KY. But only use once your
stitches have healed.
When will my periods start again?
If you bottle-feed, or combine bottle and breastfeeding, your first period
could start as early as 5-6 weeks after the birth. If you are breastfeeding,
your periods may not come back until you stop. However, you can be
fertile before you get your first period. This is because you ovulate (release
an egg) about two weeks before a period so you are able to become
pregnant without having had a period.
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How soon do I need to use contraception?
You can become pregnant again quickly after the birth
whether you are breast or bottle feeding, therefore you
must use contraception every time you have sex. Don’t
wait for your periods to return, or until you have your
postnatal check before you use contraception as you
could become pregnant again before then.
When can I start to use contraception?
You can use male and female condoms as soon as you
want to. Other methods of contraception will need to
be discussed with your GP.
Which contraceptive method will be
suitable for me?
This depends on what you and your partner prefer, your
medical history, any problems you had in the
pregnancy and if you are breastfeeding. Your GP should
be able to advise you on this. There are
three main methods of contraception:
•
Hormonal methods, such as oral contraceptive
pills, patches, implants, and injections.
•
Barrier methods include the diaphragm and
condoms. Male and female condoms are easy
over the counter choices.
•
The IUCD, intrauterine contraceptive device.
Will breastfeeding act as a contraceptive?
Breastfeeding is not 100% effective in avoiding
pregnancy.
Can I use emergency contraception after
the birth?
Yes. If you have unprotected sex you can use
emergency contraception. If you are breastfeeding,
using the emergency pill will not harm the baby or
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affect the breast milk. Your GP or pharmacist will be
able to provide further information on this.
Where can I get advice?
You and your partner can visit your doctor, practice
nurse, family planning clinic or sexual health clinic.
Will contraception protect me from sexually
transmitted infections?
Most methods of contraception do not protect you
from sexually transmitted infections. However male
and female condoms, when used correctly and
consistently, can help protect against sexually
transmitted infections. Diaphragms and caps may also
protect against some sexually transmitted infections.
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Looking after your baby
Breastfeeding
Breastfeeding gives your baby all the nutrients needed for the first six
months of life. It helps to protect your baby from infection and other
diseases. Breastfeeding also helps you and your baby to feel closer,
physically and emotionally.
You may need to seek advice or support on fullness of the breast (when
your milk has come in), nipple pain mastitis (Infection in the Breast),
expressing and storage of breast milk. Don’t be afraid to ask for support or
advice to make breastfeeding work for you and your baby and to
overcome any problems and challenges you may encounter. Speak to your
midwife or health visitor, or contact one of the voluntary organisation
breastfeeding helplines in the Useful Contact Details pages of this guide.
Before you go home you will be given the joint UNICEF and NHS leaflet
‘Off to the best start – Important information about feeding your baby’,
which should answer many of your questions.
East Sussex Health Care NHS Trust has a full time Infant Feeding
Specialist Midwife called Jayne Collins. She is available for advice and
can be contacted on 07753584689 where you can leave a message and
Jayne will get back to you as soon as possible. Jayne is a qualified
Lactation Consultant and has many skills and advice to impart to any
mother and her family experiencing difficulties in infant feeding. Jayne
also offers a flexible responsive service for separation of Tongue ties.
Tongue ties can contribute to delay in your baby establishing
breastfeeding. If you have any concerns ask your midwife to check
your baby.
Reducing the risk of cot death
Jayne Collins
In a small number of cases, babies die suddenly for no apparent reason
from what is called cot death or Sudden Infant Death Syndrome (SIDS).
There are some factors that are associated with SIDS and the advice listed
below provides guidance on how you can help to reduce the risk to your
baby. The advice below should be followed at all times.
• Place your baby on its back to sleep. This is the safest position
for your baby to sleep in.
• Never sleep with your baby on an armchair or sofa.
• Do not let anyone smoke in the same room as your baby. Better
still, do not permit any smoking in the house. Ideally, encourage
those concerned to give up smoking altogether!
• Keep your baby’s head uncovered - place your baby with their feet to
the foot of the cot, to prevent wriggling down under the covers.
• When you check your baby, if they are sweating or their
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tummy feels hot to the touch, take off some of the
bedding. Don’t worry if hands or feet feel cool, this
is normal.
• Use lightweight blankets. If your baby feels too
warm, reduce the number of layers. Do not use a
duvet, quilt or pillow for babies under twelve
months.
• Babies should never sleep with a hot water bottle
or electric blanket, next to a radiator, heater or
fire, or in direct sunshine.
• Remove hats and extra clothing as soon as you
come indoors or enter a warm bus, train or shop,
even if it means waking your baby.
• Do not share a bed with your baby if you have
been drinking alcohol, have taken drugs, are very
tired or if you smoke.
• Do not let your baby get too hot or too cold.
Ideally room temperature should be between 16
and 20 degrees centigrade, (See table below).
Baby skin, bathing and cord care
Babies are born with very delicate skin and are less
able to withstand the sensitising effects of modern
detergents. Maintenance of the skin’s natural
protective barrier is paramount. In order to do this you
should use water only for baby skincare for at least the
first month of life. When carrying out any baby care
you should wash your hands before and after.
It is currently advised not to overload your washing
machine as this will help to avoid a build up of
chemical residues on clothing from washing powders.
You should use non-biological washing powder and
make sure that your baby’s clothes are thoroughly
rinsed. If you use a fabric conditioner, try to use
products that are free from colours and perfumes.
You may be considering using cloth nappies for your
baby. They are just as efficient as disposables and do
not present a higher risk of nappy rash. They are also
kinder to the environment. You may also be concerned
about your baby having dry skin. This can be resolved
by using vegetable based oils - not nut - which are
free from minerals, perfume and colours.
Bedding guidelines for babies wearing a nappy, vest and babygro.
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Your baby’s cord will dry and fall off between five and ten days after birth.
There are some basic rules to follow to reduce the risk of problems:
• hand washing before and after all baby care
• leave the cord open to air or cover with clean, loose clothing
• fold nappies down below the cord until it falls off
• leave the cord alone unless contaminated by faeces or urine
• clean, if necessary with plain water
• contact your midwife if you have any concerns about the cord area
Please note it is normal for the cord stump to look a bit ‘mucky’ or appear
to have pus at the base as it dries up and heals. This does not mean it is
infected. It is also normal for the cord to smell slightly offensive as it
separates. This is because the cord separates by a process of dry gangrene
and is effectively dying tissue. Ask your midwife to check your baby’s cord
stump if you are worried about its appearance or smell.
What’s in a nappy?
For the first couple of days after birth your baby will pass meconium. This
is the earliest stool and is made up of materials ingested during the time
your baby spent in the womb. Meconium is a black, sticky, tar-like
substance that has no odour. Its appearance is a good sign that your
baby’s bowels are working properly.
After a day or two, as feeding is established and the last of the meconium
passes out, the stools will turn a browny-green colour. They will be looser
and have a grainy texture. After about three days, once feeding is fully
established, your baby’s stools will gradually change to a mustard yellow
colour. It is not unusual for breastfed babies to have several mustardcoloured, loosely formed or even watery, stools a day, sometimes after
each feed. If you notice any inconsistencies or problems with your baby
bowl movements like consipation (hard stools) or diarrhoea (watery stools)
speak to your midwife., health visitor or GP for advice.
Your baby will normally pass urine 2 or more times during the first day.
The amount and frequency of urine passed gradually increases with the
quantity of feed taken during the first week and the bladder may empty
up to 20 times a day during the second week.
You may notice an orange or red brick-dust coloured stain in your baby’s
nappy in the first couple of days after birth. Often mistaken for blood, this
stain is from urate crystals; a sign of over-concentrated urine, which is
normal at this time. As your baby increases their feeds the urine will
become less concentrated and the staining will disappear.
It is also common for girls to have vaginal discharge in the first few days
after birth. At times this may be slightly blood stained and is due to the
presence of your hormones in your daughter’s body. This is entirely normal
but if in any doubt please check with your midwife.
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If your baby seems to be suffering with nappy rash, the
following possible causes should be considered:
• Hygiene and skin care.
• Sensitivity to detergents, fabric softeners or other
chemical products that have contact with the skin.
• Presence of infection.
If painful nappy rash persists, it is usually caused by
thrush, and treatment with antifungal medication
should be considered. If after a course of treatment the
rash does not disappear, contact your Health Visitor.
Jaundice
‘Physiological’ jaundice occurs in approximately 60%
of babies born around their due date and 80% of
babies born early or premature. It is caused by
immature liver function which isn’t working fast
enough to cope with the by-products of breaking down
red blood cells. Jaundice typically presents at two to
three days old, begins to disappear by the end of the
first week and has normally completely disappeared by
the tenth day.
How to identify Jaundice
Apart from the yellowing of the skin and eyes, most
babies are otherwise unaffected by mild/moderate
physiological jaundice. If your baby has signs of
jaundice, encourage your baby to breastfeed
frequently, and at least three hourly.
If a baby is significantly jaundiced in the first 24 hours,
appears unwell or your baby becomes poor at sucking /
feeding, is sleepy, and / or has dark urine or pale stools,
develops jaundice after seven days or jaundice remains
after 14 days, it is important that you seek advice from
your midwife, health visitor or GP straight away so
your baby can be assessed and the causes investigated.
Early symptoms of meningitis can be like other
childhood illnesses, but can be difficult to diagnose in
a baby. A baby with meningitis will usually
become ill quickly with a rapid deterioration in the
baby’s condition.
Watch out for tiny red or brown pin prick marks which
can change to purple blotches or blisters. If your baby
has a rash, you need to do the glass test.
The Glass Test
Spots or a rash will still be seen when the side of a
clear drinking glass is pressed firmly against the skin.
If this happens, get medical help immediately.
Remember a very ill baby needs medical help even if
they have only a few spots, a rash that fades or no
rash at all.
Other symptoms that may be evident
Fever
•
If you think your baby is unwell, their temperature
should be measured using electronic devices that have
been properly calibrated and are used appropriately.
tense or bulging soft spot (top of your
baby’s head)
•
high temperature / cold hands and feet /
extreme shivering
•
very sleepy / staring expression / too sleepy to
wake up
•
breathing fast / difficulty breathing
A temperature of 38°C or more is too high for your
baby and the cause of this should be assessed
immediately. A full assessment, including a physical
examination, should be undertaken. Contact your GP or
NHS Direct straight away.
18
Meningitis
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•
sometimes diarrhoea / vomiting / refusing to feed
•
irritable when picked up with a high pitched cry
•
blotchy skin getting paler or turning blue
•
a stiff body with jerky movements or else floppy
and lifeless
•
pain / irritability from muscle aches or severe
limb / joint pain
If your baby demonstrates any of the above symptoms,
do seek emergency help.
If you need advice regarding this subject these are the
national contact numbers:
• Meningitis Research Foundation - Freephone
24 hour helpline 080 8800 3344,
01454 281811 or via their website,
www.meningitis.org
If you are ever concerned about the health of your
baby do not hesitate to seek advice or help.
Six - Eight week check
At the end of the postnatal period you will have a six
to eight week check to ensure that you are physically,
emotionally and socially well. Screening and medical
history should also be taken into account. This is
usually done with your GP.
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A guide to registering your baby’s birth
Babies must be registered in the district in which they are born. If your
baby was born in East Sussex, you should phone one of our registration
offices to make an appointment to register the birth.
How to find our registration offices and outstations
Crowborough Registration Office
Beaconwood,
Beacon Road, Crowborough,
East Sussex TN6 1AR
Phone: 01892 653803
Fax: 01892 669884
Email: [email protected]
Further information
The registration office is not accessible from Beacon Road. Turn into Mill
Lane and left into Pine Grove, then first left and down to the end.
There is limited free car parking available to registration office visitors at
the front entrance to Beaconwood.
The nearest train station is Crowborough station. This is approximately 40
minutes walk away, so you may wish to take a taxi.
Buses 28, 29, 196 and 227 stop nearby.
Uckfield Civic Centre
A registrar usually attends the registration office on the first floor of
Uckfield Civic Centre, Uckfield, TN22 1AE, on a Tuesday and Thursday
morning each week to register births. Please phone the Crowborough
registration office (01892 653803) to arrange an appointment at
Uckfield.
East Sussex Register Office
Town Hall,
Grove Road, Eastbourne,
East Sussex, BN21 4UG
Phone:
Fax:
Email:
01323 464780
01323 464781
[email protected]
Further information
The Register Office is situated on the ground floor of the Town Hall.
There is no car parking provision available. On-street metered parking
may be available nearby. The nearest town centre car park is the Railway
Station Car Park, which has designated disabled spaces.
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The nearest train station is Eastbourne station.
East Sussex
Registration
Service
Hailsham Town Council
A registrar usually attends an office on the ground
floor of Hailsham Town Council, Inglenook, Market
Square, Hailsham, BN27 2AE, one morning each week,
from 9.30am to 2.30pm to register births. Please phone
the Eastbourne register office (01323 464780) to
arrange an appointment at Hailsham.
You can get more information
about our services for new parents
in our leaflets A welcome addition ~
registering the birth of your child
and A pledge of love and commitment ~
a naming ceremony. We also offer leaflets
about our full range of services.
Phone your nearest
registration office
for copies or
download them
from our website
at eastsussex.gov.uk/registration
Hastings Registration Office
Summerfields,
Bohemia Road, Hastings
East Sussex TN34 1EX
Phone: 01424 721722
Fax: 01424 465296
Email: [email protected]
Further information
The registration office is in the Summerfields complex
(comprising the Horntye Park Sports Complex, Law
Courts and Police Station). To enter from Bohemia
Road, turn off by the Firestation and take the second
small feeder road on the left. Continue to follow this
road up to the office.
There is limited free car parking available to
registration office visitors at Summerfields. Additional
parking spaces are also available in the Pay & Display
car park at the Horntye Park Sports Complex (first
feeder road on the left once you have entered the
Summerfields complex).
The nearest train stations are Hastings and St Leonards
Warrior Square. You may wish to take a taxi from the
station, as the registration office is up a long,
steep hill.
Further information
The registration office is situated on the first floor of
Southover Grange, an Elizabethan Manor House, which
has no lift available.
There is no car parking provision available. On-street
metered parking is available on Southover Road or
Grange Road.
The nearest train station is Lewes.
Buses 123, 125, 128, 166 and 824 stop nearby.
When should I register my baby’s birth?
Buses 20B, 21B, 23, 71, 76, 99 and 100 stop nearby at
Hastings Court or the Leisure Centre.
You must register the birth within 42 days.
Lewes Registration Office
The following people can register the birth:
Southover Grange,
Southover Road, Lewes,
East Sussex, BN7 1TP
•
•
Phone: 01273 475589
Fax: 01273 488073
Email: [email protected]
Who can register the birth?
•
•
baby’s mother
baby’s father who was married to the baby’s
mother at the time of the birth
both parents together, if they are not married to
each other and they want the father’s details to
be recorded in the register.
baby’s female parent if at the time of fertility
treatment she was in a civil partnership with the
child’s mother.
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Please remember that one of the parents must register
the birth in person. They cannot ask a friend or relative
to register the birth on their behalf.
•
•
•
In extenuating circumstances, other individuals may be
able to register the birth. Please contact a registration
office for further information.
If the father's or second parent’s details are to be
included, the registrar will need to know:
If the parents were not married and the father cannot
attend, the mother can register the birth but only her
details will be added to the register. The mother can
however still give the baby the father’s surname or
another surname of her choice. The father’s details can
be added later through a re-registration process. See
below for more information.
Registering by declaration
If your baby was born outside East Sussex (e.g.
Brighton, Haywards Heath, Pembury or one of the
London hospitals), you can still make an appointment
at your nearest registration office, where they will take
all the details from you and send them to the
registration office covering the district where your
baby was born. We call this registering the birth by
declaration. If you require a full certified copy of the
birth entry you will also need to take to the
appointment a cheque or postal order, made payable to
the county council that covers the district where the
birth occurred. As payment needs to be sent through
the post, we are unable to accept a cash payment. The
birth certificate will then be sent by post to your home
address, and you should allow a few days for it to
reach you.
What information or documents are
needed?
The registration office will already have had
notification about the birth of your baby. You do not
need to produce any documents at all. However, if you
are a foreign national it is helpful if you take your
passport along with you.
The registrar will see you in private and record the
baby and parents' details. You will be asked for the
following information about your baby's birth:
•
•
•
•
•
•
22
the date of the birth
where the baby was born
the baby’s full name
the mother's full name
the mother's surname before she was married
any other names used now or previously
•
•
•
•
•
the mother's date and place of birth
the mother's occupation
the mother's address
their full name
any other names used now or previously
their date and place of birth
their occupation
their address
If the parents are married to each other or in a civil
partnership, the registrar will also ask for the date of
their marriage or civil partnership registration and the
number of any other children.
You will also be asked some questions requested by the
Office of National Statistics, concerning your date of
birth, date of marriage (if applicable) and the industry
in which you work. This information is confidential and
will not appear on the register page.
You will be asked to check the information recorded
very carefully and sign to say that it is correct. It is
important that the registration is accurate, as any
correction of errors discovered after the register has
been signed may cause you a lot of inconvenience to
put right.
Please consider carefully the names in which you will
register your child. This is particularly important if you
are a foreign national or if the mother and father have
different surnames as the surname given at the time of
registration cannot be changed at a later date other
than by re-registration, adoption or by Change of
Name Deed.
Charges for registering the birth
There is no charge for registering a birth.
Documents you will receive
When a birth is registered, the registrar will give you a
Short Birth Certificate free of charge. This certificate is
needed in order to claim child benefit.
You may wish to purchase a Full Birth Certificate,
which is a replica of the entry in the register. Many
organisations, including the UK Passport Agency and
some banks, now require this type of birth certificate
for a passport or to open a bank account for your
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child. The fee for a full certificate is currently £3.50 on
the day of registration and £7.00 from the next day.
You can purchase any number of certificates.
We offer commemorative certificates for purchase.
Many parents buy a commemorative certificate as a
treasured keepsake of their baby's birth or as a gift for
proud grandparents. Please ask the registration office
for further details.
Adding the father’s details at a later date
If your baby's birth was registered without including
the natural father's details in the register, you can
apply at a later date for the birth to be re-registered.
There are two ways this can be done:
If you are unmarried and would like the natural
father’s details added to the birth record you can apply
for a re-registration to be made by completing a form
GRO185, which is available from the registrar or can
be downloaded from the DirectGov website.
www.direct.gov.uk/en/Governmentcitizensandrights/
Registeringlifeevents/Birthandadoptionrecords/Registering
orchangingabirthrecord/index.htm
Both parents must sign this form and attend together
to sign the new birth registration. If circumstances
mean that one parent cannot attend, there is a facility
for that parent to complete a statutory declaration
witnessed by a solicitor or Justice of the Peace. The
other parent must bring this to the appointment.
If you and baby’s father have married each other since
the baby’s birth, you are legally required to re-register
the birth so that a new birth record can be created to
show your son or daughter as a child of your marriage.
To do this, you will need to complete a form LA1,
which can be obtained from the registration office.
Once completed, you should make an appointment for
either parent to visit the registration office to sign the
new birth registration. You will need to bring a copy of
your marriage certificate along with you when you
attend. If you are doing this by declaration to another
district you will also need a full birth certificate for
the child.
After the birth has been re-registered you can obtain
birth certificates from the new registration on payment
of the appropriate fee.
There is a useful website called "Married or Not" which
can be found at www.marriedornot.org.uk that
provides at-a-glance information on the legal
differences between married and unmarried couples. It
also has direct links to other sources of information
and expert advice. It was created as part of the
Government-backed campaign, Living Together, to
better inform cohabiting couples in England and Wales
of their legal rights.
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Changing the name on a birth certificate
You can change or add to your child's forename(s) on
the birth registration within 12 months of the date of
the original registration. You will need to complete a
simple form that is available from the registrar. The
new forename(s) will appear in space 17 of the Birth
register entry and on future certificates.
registration. An unmarried father can also obtain
parental responsibility by later marrying the child’s
mother, by making a parental responsibility agreement
with her or through a court order. For further
information on this please call Parentline Plus on
0808 800 2222
Naming ceremonies
Alternatively, if the child has been baptised in the
Christian faith within 12 months of the date of the
original registration you can obtain a form from the
registration office to take to the Minister of the
Church in which the child was baptised. Once this form
has been completed the registrar will add the new
name(s) to space 17. This process can be done only if
the baptism takes place within 12 months of the
registration. You can then purchase certified copies
from this amended registration.
Please remember that surnames (Family Name) cannot
be changed except through re-registration, adoption or
by Change of Name Deed.
A Naming Ceremony is a very special way of
celebrating the birth of your baby or welcoming an
adopted or stepchild into a new family.
It is an opportunity to declare publicly, before family
and friends, your love for and commitment to the
child’s welfare, and for supporting adults, friends and
relatives to confirm the special relationship they hold
within your family.
Each ceremony is individually designed with your input
and participation welcomed. You can discuss your
personal needs with the celebrant. Although
predominantly non-religious, ceremonies may include
a prayer.
Registration and parental responsibility
If baby’s parents were married to each other on the
day of the birth, both parents will automatically have
parental responsibility. Where parents are not married
to each other, the father will acquire parental
responsibility if he is named on the child’s birth
24
Ceremonies may be held at any of our registration
offices, in one of the venues licensed by East Sussex
County Council for civil ceremonies, or in a venue of
your choice. To arrange a ceremony, please contact one
of our registration offices.
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Women’s Focus
Group
In 2001 it was decided to start a Women’s Focus Group
so that women – and their families – could help shape
the care provided by the Maternity Staff birth at the
DGH and in the Community.
Since that time that Group has worked alongside the
Maternity Unit staff to give support, encouragement
and comment to ensure that the service offered is
focused on meeting the needs – and expectations of
women and their families.
The All-Party Parliamentary Group on Maternity has
given the midwifery team at the Trust a special
commendation in the Involvement of women in
improving local maternity services category for their
work on the Women’s Focus Group.
So who is in the Group?
The Focus Group is made up of women who have had
their babies here, Midwives who work both in the
Units from Eastbourne, Conquest, Crowborough
Birthing Centre and the community, occasionally any
of the Clinical Matrons.
The Women on the Focus Group come from a range of
backgrounds and experiences. Their children and their
birth experiences vary.
Members of the Trust’s Midwifery team and Focus
Group with their certificate.
The Group Meetings are informal and are focused on
‘Making a Difference’. Although our meetings have an
agenda, each Group member is free to raise issues for
discussion. We work on the basis that everyone’s
views count and all are listened to!
The Group meets regularly throughout the year in the
evening in a meeting room at the DGH in Eastbourne
and a newly formed group has started at Crowborough
Birthing Centre. Date for these meetings are decide by
the Group.
How do I join?
For more information on when the Group meets, call
Gayle Clarke, Specialist Midwife in Practice
Development on 01323 417400 ext 4889. You are free
to come along to a meeting just to observe with a
view to joining us.
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Useful Contact Details
NHS Direct
www.nhsdirect.nhs.uk
0845 46 47
Ameda Egnell breast pump hire
www.ameda.com
01823 336 362
Association of Breastfeeding Mothers
www.abm.me.uk
0870 401 7711
Association for Postnatal Depression
www.apni.org
020 7386 0868
BLISS Premature Baby Charity
www.bliss.org.uk
01933 318503
Breastfeeding Network
www.breastfeedingnetwork.org.uk
0870 900 8787
Child Benefit
www.hmrc.gov.uk/childbenefit
0845 302 1444
Children’s Centres
Battle Children’s Centre
Market Road
Battle
TN33 0HQ
01424 777109
Churchwood Children’s Centre
Church in the Wood Lane
St Leonards on Sea
East Sussex, TN38 9PB
01424 853334
Devonshire Children's Centre
43 Seaside
Eastbourne
East Sussex
BN22 7NB
01323 749780
Dunbar Children's Centre
Hailsham Resource Centre
Dunbar Drive
Hailsham
East Sussex
BN27 3UW
01323 444888
26
East Hastings Children’s Centre
‘Ore Valley Children’s Centre’
46-48 Chiltern Drive
Hastings
TN34 3PZ
01424 448143
Egerton Park Children’s Centre
Egerton Road
Bexhill
TN39 3HL
01424 210550
Hailsham East Children's Centre
Vega Close
Hailsham
BN27 2JZ
01323 444888
Hampden Park Children's Centre
Hampden Park Health Centre
Brodrick Close
Eastbourne
BN22 9NQ
01323 464160
Hastings Town Children’s Centre
Waterworks Road
Hastings
TN34 1RT
01424 460112
Langney Children's Centre
Langney Primary School
Redford Close
Eastbourne
East Sussex
BN23 7EF
01323 761874
Polegate Children's Centre
Polegate County Primary School
Oakleaf Drive
Polegate
East Sussex
BN26 6PT
Rye Children’s Centre
The Grove
Rye, TN31 7ND
01797 224878
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Shinewater Children's Centre
Shinewater Primary School
Milfoil Drive
Eastbourne
East Sussex BN23 8ED
01323 464170
St Leonards South Children’s Centre
66 London Road (Entrance off Clyde Road)
St Leonards on Sea
East Sussex TN37 6AS
01424 2005604
West Rise Children's Centre
West Rise Community Infant School
Chaffinch Road
Eastbourne
East Sussex BN23 7SL
01323 761574
Willingdon Trees Children’s Centre
Oakwood Primary School Campus
Magnolia Drive
Eastbourne BN22 0SS
01323 464160
Child Maintenance
www.csa.gov.uk
0845 713 3133
Page 27
La Leche League GB
www.laleche.org.uk
0845 120 2918
Maternity grant
www.jobcentreplus.gov.uk
0845 606 0234
Maternity/paternity rights
www.direct.gov.uk/parents
0800 88 22 00
Medela breast pump hire
www.medela.co.uk
0161 776 0400
Meet A Mum Association
(MAMA)
www.mama.co.uk
0845 120 3746
National Childbirth Trust
www.nct.org.uk
0870 444 8707
NICE postnatal guidance
www.nice.org.uk
Real Nappy Network
07768 916 276
Child Trust Fund
www.childtrustfund.gov.uk
0845 302 1470
Rights and return to work
www.acas.org.uk
0845 747 4747
Child & Working Tax Credit
www.hmrc.gov.uk/home.htm
0845 300 3909
Twins and Multiple Birth Association
(TAMBA)
www.tamba.org.uk
0800 138 0509
Cry-sis
www.cry-sis.org.uk
08451 228 669
Expressions Breastfeeding
0153 838 6650
Family Planning Association
www.fpa.org.uk
0845 310 1334
Foundation for Sudden Infant Deaths
www.sids.org.uk
020 7233 2090
Giving up smoking
www.smokefree.nhs.uk
0800 022 4332
Healthy Start Vouchers
www.healthystart.nhs.uk
0845 607 6823
Unicef UK Baby Friendly Initiative
www.babyfriendly.org.uk
Remember there are always staff members available at
the maternity unit at Eastbourne District General or
The Conquest Hospital in Hastings or Crowborough
Birthing Centre for advice and reassurance if necessary.
Conquest Hospital
Buchanan Delivery Suite, The Ridge,
St. Leonards-on-Sea, East Sussex TN37 7RD
01424 755255
Crowborough Birthing Centre
Southview Road, Crowborough, East Sussex TN6 1HB
01892 654080
Eastbourne District General Hospital,
Kings Drive, Eastbourne
East Sussex BN21 2UD
01323 417400
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Page 5
Going Home
After Your Baby
Is Born
Published by Burrows Communications Limited
Publicity House, 106 Stafford Road, Wallington,
Surrey SM6 9AY
Tel: 020 8773 3000 • Fax: 020 8773 8888
[email protected] • www.burrows.co.uk
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support of all the firms whose advertisements
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5