Birth and the First Days

Birth and the First Days

Going home: the car ride and the first evening

Coming home from the hospital is a short drive and a long evening. Set the bar low: a safe car seat, one meal, and everyone in bed early.

General research · seeking a stewardpostpartumAlso searched as: coming home from hospital, first night home

What it is

Coming home from the hospital is the first time nobody is checking on you every four hours. The car ride is short and oddly scary. The first night home is when the baby, who slept all day, wakes up. Most mothers remember this evening as harder than they expected.

What's typical

The car seat is rear-facing, straps at or below the shoulders, chest clip at armpit level, no puffy coat. Someone sits in the back with the baby. You should not be the driver. After a cesarean most providers say no driving for one to two weeks. At home your bleeding may pick up from the stairs. The baby feeds every two to three hours and may cry more than in the hospital. The pediatrician sees the baby within one to three days.

What's known

The AAP sets the car seat rules and the follow-up timing. Nurses and doulas agree on the first evening: the mother goes to bed by eight, and dinner is already made.

What helps

  • Have the car seat checked by a certified technician before the birth.
  • Walk in, go straight to bed, and let someone bring you food there.

When to call someone

  • Nowbleeding that soaks a pad an hour, trouble breathing, a severe headache, or a baby who is blue, limp, or has a fever. Call 911.
  • Todayyou have not peed in six hours, or the baby has not fed in four. If you cannot cope, the National Maternal Mental Health Hotline is 1-833-852-6262.
  • At your next visitask what the first week should look like.

Who helps

Car seat technician (CPST)PediatricianPostpartum doulaFamily and community resources

Tools: Postpartum Prep Checklist · Meal Train · Birthworker Directory

Related

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Sources

  • American Academy of Pediatrics — Car seats: information for families
  • American Academy of Pediatrics — Hospital stay for healthy term newborn infants policy statement
  • NHS — Your newborn baby: the first few days

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The Mothership Topic Wiki is general information for mothers and the people who care for them. It is not medical, legal, or mental-health advice and does not create a provider relationship. Experiences posted by members are their own. In an emergency call 911. If you are having thoughts of harming yourself, call or text 988.