The first 24 hours after birth are filled with important moments for both
you and your baby. In this section, we'll guide you through what to expect
at Sierra View Medical Center during this time, covering everything from
feeding and bathing to essential screenings and care procedures.
Feeding
Breastfeeding is encouraged and is started soon after your baby is born.
Our International Board Certified Lactation Consultant can help you with
breastfeeding before, during, and after your hospital stay through our
Breastfeeding Resource Center. Our nurses are also trained to assist with latching and provide education
for successful feeding.
If needed, alternatives such as human donor milk or formula are available.
Bathing
Your baby will be bathed after twelve hours of birth to avoid interrupting
the skin to skin bonding time between you and your baby.
Umbilical Cord Care
Keep the umbilical cord clean and dry. Do not clean with rubbing alcohol
unless your healthcare provider instructs you to do so. When bathing the
baby at home, be sure to not place the umbilical area underwater until
the cord has fallen off. The umbilical cord typically falls off 1-3 weeks
after birth.
Newborn Screenings
Several screenings are done shortly after birth to check for various health issues:
Metabolic Screening: After 24 hours, a blood test is done to detect possible genetic or metabolic
disorders. The blood sample will be taken from your baby's heel.
Hearing Screening: A hearing screening will be done before leaving the hospital. If your newborn
does not pass the screening after two attempts, you will be scheduled
to return to the hospital for a third exam.
Blood Sugar Checks: If determined necessary by the pediatrician’s assessment, your newborn
will have their blood sugar checked.
Jaundice Screening: Newborns are routinely screened for jaundice, a condition where the skin
turns yellow due to high bilirubin levels in the blood. The screening
is done by holding a light meter over your baby's skin. If the light meter
is elevated, further testing may be necessary, like taking a blood sample
from your baby and repeating the light meter every 6-12 hours. To lower
the bilirubin levels, your baby might need phototherapy. During phototherapy,
the baby is placed under a special light, with only a diaper and eye protection,
to bring the bilirubin levels down to a safer range.
Newborn Medications
Shortly after birth, three medications are given:
Erythromycin: An antibiotic ointment to prevent eye infections.
Vitamin K: Babies are typically born with low levels of Vitamin K, which helps the
blood clot. An injection is given in your baby's thigh to help prevent bleeding.
Hepatitis B Vaccine: An injection is given in your baby’s thigh to help prevent hepatitis
B, a liver infection.
Maternal Child Health Location Details
Sierra View Medical Center
465 W. Putnam Ave.
Porterville, CA 93257 559-784-1110