FAQ

Baby

NURSING FAQ

1. What do I have to bring for my Byond28 stay?

Byond28 provides everything for the baby, including clothes, swaddle wraps, disposable diapers, lotions, and creams. Mothers are only required to bring their own breast pumps and storage bags. Byond28 provides everything for mothers except undergarments, nursing & breastfeeding bras and sanitary or maternity pads.  

 

We will also send a packing checklist for all mothers who have signed with us. Please discuss with us should you have any queries.

 

2. Does Byond28 have a doctor?

A visiting Paediatrician will visit all babies and mothers once a week. Your baby will be checked four (4) times during your stay.

 

3. How does Byond28 handle sick babies?

Sick babies will be separated and placed into the Isolation Room for further observation. Equipment and nursing supplies used in the Isolation Room will not be shared with other babies. If symptoms persist and require medical attention, Byond28 will immediately send your baby to a preferred hospital, or Columbia Cheras Hospital for further treatment.

 

4. Does Byond28 clean and sterilise my breast pumps or milk bottles?

Byond28 does not clean breast pumps or bottles. Although the nursing team will provide guidance for cleaning and sterilising breast pumps and bottles, it is the mother’s responsibility to clean their own breast pump or bottles. The Centre will provide a UV steriliser at the common pantry on the 1st and 2nd floor for mothers to sterilise their equipment after cleaning it. Some rooms have a private pantry with a personal UV steriliser.

 

As an exclusive breastfeeding centre, Byond28 does not recommend using baby bottles with teats.

 

5. Will my baby be mixed up in Byond28?

Byond28 will allocate a private baby trolley for each baby. These trolleys will be individually labelled based on Room number and will not be shared with any other room. In addition, Byond28 will also print unique ankle tags to identify each baby. These tags are certified to be used on the baby’s sensitive skin.

 

6. How does Byond28 handle jaundice?

Our centre is equipped with a device called transcutaneous bilirubinometer that can be used to monitor the level of jaundice. Our nursing team provides daily checks for babies who are jaundice and the readings will be informed to the visiting paediatrician. Depending on the readings, the visiting paediatrician will suggest further action, usually either scheduling a visit to see the baby sooner in the centre, or suggest the baby to be sent immediately to your preferred hospital, or Columbia Asia Hospital, Cheras for a blood test and possible phototherapy.

 

Bilirubin, the component that causes jaundice in baby, is passed out of the body via urine and faeces. Hence, jaundice will be higher if baby is not feeding enough as this will reduce the amount of urine and faeces produced. Byond28 encourages all mothers to frequently breastfeed on demand to help reducing jaundice levels.

 

7. What colour should my baby’s faeces (poo) be?

It is common to have black-coloured faeces in the first forty-eight (48) hours after birth. On the 3rd and 4th day, the colour of the faeces should be a mixture of green and brown. 

The faeces from breastfed babies are generally yellow and seedy. The faeces from formula milk fed babies are generally darker in colour. This can vary with different formulation or brand. However, bloody stools are almost always abnormal.

 

8. Why is my baby crying? 

Crying is the only way of communication for babies. Babies cry when they are uncomfortable for various reasons, including discomfort from needing to change diapers, hunger, feeling bloated, or if they are unwell. 

 

During your stay with us, Byond28 will educate mothers on various reasons baby cry, including to look for early feeding cues and the measures to take to sooth a crying baby. 

 

9. Why do I need to massage my baby?

Massaging your baby can:

  1. Stimulate the baby’s lymphatic system

  2. Improve sleep quality

  3. Calm your baby and reduce crying

  4. Improve digestion

  5. Promote blood circulation

  6. Reduce skin infection

  7. Improve growth and development

  8. Strengthen the bond between parent and baby

 

10. Should my baby drink water?

Newborn babies should not drink water, whether they are breastfeeding or bottle feeding with formula milk. 

 

There are two reasons. Firstly, water is not necessary at this point of time as both breast milk and formula milk (if prepared according to the recommended dilution) has the ideal amount of water that the baby needs. Drinking extra water does not give baby any extra benefit.

 

Secondly, baby’s kidneys are still immature and drinking too much water will burden the kidney system to pass out the excess water. When the kidneys are unable to pass out excess water, the water will be retained in the body and dilute the blood’s salt content. This can be potentially life threatening especially if baby is unwell.  

 

Babies are only recommended to drink water when they start taking solid food, usually between 4 – 6 months old. 

 

11. What to do with my baby’s umbilical cord?

The baby’s umbilical cord will dry up and fall off after 1-2 weeks. Once the umbilical cord has fallen off, mothers are encouraged to clean and dry the baby’s navel area until the healing process is complete.

 

12. How do I know if my baby is taking enough milk?

  1. Well-fed babies generally urinate (pee) 5-6 times per day

  2. Well-fed babies generally defacate (poo) 3-4 times per day

  3. Faeces colour of well-fed babies is generally yellow

  4. Urine colour of well-fed babies is clear (not concentrated and yellow)

  5. Well-fed babies generally feel relaxed and are able to sleep for 1-2 hours after feeding

  6. Well-fed babies generally gain weight after 10-14 days old

 

This generally applies to most babies, however, please be reminded that not all babies are the same. Byond28 will continue to provide support and assistance for each individual baby.

 

13. Is it normal for the baby’s weight to reduce after leaving the hospital?

All babies are expected to suffer a weight loss within the first ten (10) days after birth, as they are exposed to the external environment outside of the mother’s womb. When baby is in the womb, basically everything is provided by the mother through the placenta. But after baby is born, he/she will have to breath on his own, suckle to drink milk, maintain his own body temperature etc and all these require energy. This caused their weight to drop during the first week of life but a healthy feeding schedule will allow the baby to regain the weight loss and continue growth after seven (7) to ten (10) days of birth. 

 

This generally applies to most babies, however, please be reminded that not all babies are the same. Byond28 will continue to provide support and assistance for each individual baby.

 

14. What are diaper rashes and how do I prevent them?

Diaper rashes are generally caused by:

  1. Irritants from wet/soiled diapers 

  2. Allergic reactions to the alcohols or fragrances

To prevent diaper rashes:

  1. Diapers should be changed frequently  every four (4) hours

  2. Use fragrance-free and alcohol-free baby supplies

 

15. Why does my baby’s tongue have white stains?

Babies will have white stains on their tongues due to dried breastmilk and dried formula milk. There is no need to worry, as this is a common occurrence. To remove the stains, gently wipe the tongue with your finger covered with a soft gauze.

 

However, if the stains are not cleaned regularly, oral candidiasis can occur. This means the fungus overgrowth on the tongue and inside the mouth. At this point, the white stains cannot be removed even with cleaning and require medical treatment.

 

16. My baby sleeps for a long time. Is it okay? 
Generally, a well-fed healthy baby should be able to sleep for 2 – 3 hours. This sleeping time is usually prolonged as babies grow and able to drink more milk. It is recommended that parents  check on their baby every 3 hours if baby does not wake up for feeding during the first month of life. As they grow older and feed more, they can be allowed to sleep longer.

 

17. My baby is always awake and does not want to sleep. Is it okay?

As per question No 16, a well-fed healthy baby should be able to sleep for 2 – 3 hours. If baby is not feeding or sleeping well, especially during the first few weeks of life, medical attention should be sought to ensure baby is well.

 

18. Why should I swaddle my baby?

Most babies prefer to be swaddled as this gives them a sense of security as if someone is cuddling them. They can usually sleep better when swaddled. However, there are some babies who prefers to have their arms free and not swaddled. So, swaddling is not a must. It is a way to calm baby down to sleep better but it depends on baby’s preference as well.

 

19. Why can’t I lay my baby on her belly?

Sleeping on tummy has been associated with increased risk of Sudden Infant Death Syndrome (SIDS) by at least two-fold. In 1996, the ‘Back to Sleep’ campaign has been carried out in the U.S to encourage parents to put their baby to sleep on their back and this has greatly reduced the incidence of SIDS. Following this, parents are recommended NOT to put their babies to sleep on their tummy.

 

20. My baby is sleeping sideways, is this normal?

It is quite normal for some babies to prefer to sleep on one side.

 

21. Is it okay to use Air Conditioning for mothers?

Yes, it is ok. Medically, there is no evidence to suggest that air-conditioning is harmful to the mother.

 

22. Is it okay to use Air Conditioning for babies?

Yes, air conditioning can be used for babies, as long as the temperature is not too cold. During the first few weeks of life, babies are not too efficient in maintaining their body temperature yet and hence a very cold room can cause babies’ temperature to drop. In addition, babies also need to use more energy to generate heat to maintain their temperature and this might cause unsatisfactory weight gain.

 

23. Can I wash my hair or shower during my confinement days?

Contrary to popular belief, it is perfectly fine to continue with bathing during confinement as it is important to maintain hygiene. Do bathe in warm water and dry the body and hair immediately.

 

24. What are the things that mothers should do during breastfeeding?

Generally, mothers should be eating and resting well so that their body can produce enough breast milk. Breastfeeding at regular intervals according to babies’demand is also very important to ensure the breastfeeding success. 

Byond28 provides antenatal breastfeeding classes to educate mothers on breastfeeding. KKM board-certified lactation consultants will also be supporting you during your stay.

 

25. Can I continue to breastfeed if I am sick or on medication?

Breastfeeding can be continued even when mother is having mild infection. This is because antibodies produced by mother’s body (to fight the infection) will be excreted in the breast milk. This will further protect the baby from infection. 

 

In addition, most medication for fever, flu and cough are safe to be taken during breastfeeding. Our team can consult our visiting paediatrician should such condition arise.  

 

26. How long can breastmilk be stored?

  • Room Temperature (25C)              : 4 hours

  • Chiller                                       : 3 days

  • Freezer                                      : 3 months

  • Deep Freezer                              : 6 months

25. How do I reduce swollen breasts?

  • Breastfeed regularly on babies demand

  • Use warm compression and massage breast prior to breastfeeding/pumping

  • A suitable breast pump should be able to empty your breast after each pump. Consider changing a breast pump if it is not effective to empty breast

  • Lecithin can be taken to unblock milk ducts