- Fewer than 30 or greater than 70 breaths per minute while resting.
- Labored breathing with grunting, retracting of the ribs or abdomen or flaring of the nostrils.
- Apnea: not breathing for 20 seconds or longer, especially with color changes.
- Heart rate less than 110 or greater than 160 at rest
- Color changes associated with changes in heart rate
- Any blue or dusky color located on the face or trunk
- Jaundice or yellow color is abnormal if it occurs in the first 24 hours and your baby should be seen immediately
- If your baby is lethargic, feeds poorly, has excessive weight loss, temperature instability, dark urine, light colored stools or persistent jaundice
- Axillary temperature of less than 96.8 or greater than 99 after clothing and room temperature have been adjusted.
- Or if baby’s temperature fluctuates a lot even when room temperature and clothing remain the same.
- No passage of stool or urine in the first 24 hours after birth.
- Bloody or excessively watery stools that are a change
- Blood or rusty color in urine esp after the third day
- Excessive sleepiness- sleep periods longer than 6 hrs after the first day.
- Hyperirritability or extreme reaction to ordinary activities like diaper changes or picking him up.
- Poor feeding, not at all interested in feeding or exhausted by it.
- Regular projectile vomiting
- Bile-stained vomit
- Poor muscle tone – “Spread Eagle Positioning”
- Taut, swollen abdomen
- Cord Issues
- Yellow, green or blood is noted at the base of the cord
- There is a foul odor coming from the cord
- There is redness or warmth around the base of the umbilical cord
- Fever above 100.4 after drinking lots of fluids.
- Greater than 100 beats per minute while resting, occurring twice in 1-2 hours. Call your midwife immediately if accompanied by heavy bleeding.
- If it remains soft, does not respond to massage and heavy bleeding is occurring.
- Heavy bleeding, soaking a large pad completely in less than 2 hours after the first 24 hours.
- Passage of tissue or fowl-smelling discharge.
- Persistent passage of clots larger than a lemon.
Signs of mastitis
- Pain lasts longer than 48 hours
- Fever of 101 degress or higher
- You have a hot, red, tender area on your breast
- Difficulty nursing
- Chills or flu-like symptoms
- You are not able to urinate
- You experience pain or burning with urination
- You experience urgency
- Your urine has a foul odor
- Temperature of 101 degrees or greater
- Severe headache, blurred vision, just feeling bad, hazy feeling, aura
- Severe pain in abdomen, chest or legs
- Shortness of breath
- Feelings of despair, great anxiety or inability to cope