Newborn First Week Guide: Feeding, Diapers & Care

Complete guide to your baby's crucial first week including feeding patterns, diaper output, sleep schedules, and essential care tips for new parents.

What to Expect in Your Baby's First Week

Feeding Focus

Frequent feeding every 1-3 hours as baby's stomach is tiny and milk supply establishes.

Diaper Patterns

Gradual increase in wet and dirty diapers as feeding increases and systems mature.

Sleep Cycles

Lots of sleep (14-20 hours) with short wake periods, primarily for feeding.

Feeding Patterns by Day

Understanding how feeding patterns evolve during the first week helps set realistic expectations.

Day 1-2

Colostrum feeding period

Frequency: 8-12 times per day

Amount: 1-2 teaspoons per feeding

Stomach Size: Stomach size of a marble

Very small amounts are normal
Frequent feeding helps establish milk supply
Baby may be sleepy

Day 3-4

Transitional milk begins

Frequency: 8-12 times per day

Amount: 1-2 tablespoons per feeding

Stomach Size: Stomach size of a ping pong ball

Milk supply increasing
Baby more alert
Growth spurts may occur

Day 5-7

Mature milk established

Frequency: 8-12 times per day

Amount: 2-3 ounces per feeding

Stomach Size: Stomach size of an egg

Feeding becomes more efficient
Longer stretches between feeds
Weight gain should begin

Diaper Output Expectations

Monitoring diaper output is crucial for ensuring proper hydration and nutrition.

Day 1

First bowel movements are meconium

1-2

Wet Diapers

1-2

Dirty Diapers

Meconium (black, tarry)

Stool Type

Sticky, black stools
Small amounts of urine

Day 2-3

Stools begin to change color

2-3

Wet Diapers

2-3

Dirty Diapers

Transitional (greenish-brown)

Stool Type

Color changing from black to brown/green
Increasing urine output

Day 4-5

Normal newborn stool pattern established

4-5

Wet Diapers

3-4

Dirty Diapers

Yellow, seedy (breastfed) or tan (formula)

Stool Type

Yellow, seedy stools if breastfeeding
Tan, firmer stools if formula feeding

Day 6-7

Regular pattern established

6+

Wet Diapers

3-4+

Dirty Diapers

Consistent with feeding type

Stool Type

At least 6 wet diapers daily
Regular stool pattern
Good hydration signs

Sleep Patterns During Week One

Days 1-2

16-20 hours

Total Sleep

1-3 hours

Feed Interval

2-4 hours

Longest Stretch

Very sleepy
May need to wake for feeds
Short alert periods

Days 3-4

15-18 hours

Total Sleep

2-3 hours

Feed Interval

2-4 hours

Longest Stretch

More alert periods
Cluster feeding may begin
Day/night confusion normal

Days 5-7

14-17 hours

Total Sleep

2-4 hours

Feed Interval

3-5 hours

Longest Stretch

Longer wake periods
Beginning to show preferences
Sleep cycles developing

First Week Developmental Milestones

Physical Development

  • Reflexes present (rooting, sucking, grasping)
  • Umbilical cord healing
  • Weight loss of 5-10% normal
  • Regaining birth weight by day 10-14

Sensory Development

  • Can see 8-12 inches clearly
  • Recognizes mother's voice
  • Responds to familiar sounds
  • Prefers high contrast patterns

Behavioral Signs

  • Shows hunger and satiety cues
  • Different cries for different needs
  • Brief periods of alertness
  • Beginning social awareness

Warning Signs to Watch For

Feeding Concerns

Call Doctor Soon

Refusing to feed for more than 4-6 hours
Excessive spitting up or vomiting
Signs of dehydration
Poor latch or inability to suck

Diaper Output Concerns

Monitor Closely

No wet diaper for 12+ hours after day 3
No stool for 24+ hours after day 3
Blood in stool
White or clay-colored stools

Emergency Signs

Call 911

Difficulty breathing or rapid breathing
Blue lips, tongue, or skin
Lethargy or unresponsiveness
Fever over 100.4°F (38°C)
Persistent vomiting
Signs of severe dehydration

Practical Care Tips for Week One

Feeding Success

  • Feed on demand, watch for hunger cues
  • Burp baby during and after feeds
  • Keep feeding log to track patterns
  • Skin-to-skin contact helps bonding
  • Don't worry about schedules yet
  • Get help with latching if breastfeeding

Diaper Management

  • Change diapers frequently to prevent rash
  • Clean gently with warm water
  • Pat dry, don't rub sensitive skin
  • Apply barrier cream if needed
  • Track wet and dirty diapers
  • Check diaper fit to prevent leaks

Sleep Support

  • Follow safe sleep guidelines (back sleeping)
  • Room-share but not bed-share
  • Swaddle for comfort and security
  • White noise may help soothe
  • Accept that night waking is normal
  • Sleep when baby sleeps

General Care

  • Wash hands before handling baby
  • Support head and neck when holding
  • Keep umbilical cord clean and dry
  • Monitor temperature (98-100°F normal)
  • Limit visitors to reduce infection risk
  • Trust your instincts about baby's needs

Sample Daily Schedule (Flexible Guide)

Remember: This is just an example. Follow your baby's cues rather than strict schedules.

TimeActivityDurationNotes
12:00 AMNight feeding30-45 minKeep lights dim, minimal interaction
3:00 AMNight feeding30-45 minQuick diaper change if needed
6:00 AMMorning feeding30-45 minDiaper change, brief interaction
9:00 AMFeeding + tummy time45-60 minShort alert period, gentle play
12:00 PMMidday feeding30-45 minSkin-to-skin time
3:00 PMFeeding + bath60 minEvery 2-3 days for baths
6:00 PMEvening feeding30-45 minCluster feeding may begin
9:00 PMNight routine45-60 minSwaddle, dim lights, prepare for night

Common First Week Concerns

Baby seems to eat constantly

Why This Happens:

Cluster feeding is normal, especially in evenings

What You Can Do:

This helps establish milk supply and is temporary

Timeline:

Usually improves by 6-8 weeks

Baby cries a lot

Why This Happens:

Crying is baby's only way to communicate needs

What You Can Do:

Check feeding, diaper, temperature, need for comfort

Timeline:

Peak crying typically occurs around 6 weeks

Not enough wet diapers

Why This Happens:

Kidney function is maturing in first few days

What You Can Do:

Should increase daily; call doctor if concerned

Timeline:

Should have 6+ wet diapers by day 6

Baby sleeps too much/too little

Why This Happens:

Sleep patterns vary widely in newborns

What You Can Do:

Follow baby's cues, ensure feeding needs are met

Timeline:

Patterns become more predictable after 6-8 weeks

Remember: You're Doing Great!

Trust Your Instincts:

You know your baby best. If something feels wrong, don't hesitate to contact your healthcare provider.

Every Baby is Different:

These are general guidelines. Your baby may have slightly different patterns, and that's perfectly normal.

Ask for Help:

Don't hesitate to reach out to family, friends, or professionals for support during this transition.

Take Care of Yourself:

Rest when you can, eat well, and remember that recovery takes time for both you and baby.

Track Your Baby's Progress

Use our baby tracking tools to monitor feeding, diapers, and development. Continue learning with our week-by-week development guides.