Your Baby and You - page 47

Newborn Blood Spot screening
Between days 5 to 8 following the baby’s birth you will be offered a blood
spot screening test for your baby. The newborn blood spot screening
identifies babies who may have rare but serious conditions; thyroid disease,
sickle cell disease, cystic fibrosis and six inherited metabolic disorders.
Screening means that early treatment can improve the health of these babies.
The midwife will take a small amount of blood from your baby’s heel using a
special device to collect some drops of blood onto a card. You can find more
information about this test in the information leaflet ‘Screening Tests for
You & Your Baby’ given to you in early pregnancy or you can discuss this test
further with your midwife.
The content of your baby’s nappies will change during the first week. These
changes will help you know if feeding is going well. Speak to your midwife if
you have any concerns.
Baby’s age Wet nappies
Dirty nappies
1-2 days old 1-2 or more per day
1 or more dark green/black ‘tar
(urates may be present*) like substance’ called meconium
3-4 days old 3 or more per day
2 or more, changing in colour &
nappies feel heavier
consistency - brown/green/yellow,
becoming looser (‘changing stool’)
5-6 days old 5 or more heavy wet** 2 or more yellow;
may be quite watery
7-28 days old 6 or more heavy wet
2 or more at least the size
of a £2 coin, yellow and watery,
‘seedy’ appearance
Urates are dark pink/red substances that many babies pass in the first couple of days. At this age
they are not a problem, however if they go beyond the first couple of days you should tell your midwife
as that may be a sign that your baby is not getting enough milk
** With new disposable nappies it is often hard to tell if they are wet, so to get an idea if there is
enough urine, take a clean nappy and add 2-4 tablespoons of water. This will give you an idea of what
to look/feel for.
It is common for baby girls to have some mucus and blood from the vagina;
this is like a mini period and is due to the changes of her hormones, you do
not need to worry as this is completely normal.
your baby and you
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