Newborn Has Breast Tissue & Milk Production (IS THAT NORMAL?) | 2 week check after birth | Dr. Paul



pick a bell dr. Paul here we're gonna go take a look at a normal two-week visit let's go see on Halloween Day it's our two-week visit yep fantastic remind me what was birth weight 77 oh my gosh we're at eight nine yeah that's more than a pound above birth weight so you've done an amazing job with weight gain tell me is that breast bottler both fantastic how much do you get when you pop okay so that's just about right parents will often ask like how much can a baby take at a time and you know the first day of life it's like half an ounce to an Alison yeah a good day is like an ounce maybe by the third day it's an ounce and a half by the fourth day a little bit more right it just keeps going up and by this point most babies will take if you take their weight and divide by two so we were at sea here we're at eight nine to eight and a half pounds divided by 2 let's just make it simple math we'll divide 8 by 2 is 4 so 4 ounces is the maximum okay right so if you're pumping 3 3 and 1/2 that's pretty close to a perfect full feed and I'm guessing you don't have a bunch of extra in the fridge okay so I mean the weight gain is amazing so your Supply has been built and I you're doing more direct nursing than something now or is it more pumping yeah I'm doing more okay good I found with my wife that when she went back to work and started pumping more her supply would go down a little bit and so that may or may not be the case for you but direct nursing is usually a little better my goodness what has goin on let's take a look at this little one so there's a little breast tissue right underneath both nipples the left a little more than the right you can almost see that bulge and what that is it's a it is breast tissue when babies are in the womb they're experiencing the same hormones that you experienced so you remember how your breasts changed get ready for breast feeding they're doing the same thing and whether they're boys or girls that can develop little breast buds and if there was any white stuff it was probably milk but but I would just leave it alone so you kind of see there's a right about there too there you could kind of see that that's a little bit of breast tissue I would just leave it alone though don't squeeze it or just totally leave it alone it's slightly uncomfortable perhaps but it'll go away I have seen this these newborn breast buds last for as long as 3 years it's usually just a matter of weeks or months but just so you know you're aware that that can last a long time and it's normal it's absolutely no big deal good morning what you doing while your eyes are open I'm gonna take a quick look at the red reflex perfect that just makes sure you don't have congenital cataracts or anything you know wrong in the eyes and they don't focus real clearly at this stage so sometimes you'll see the eyes aren't quite working together that's still fine at a two-week visit sometimes I can get I can demonstrate tracking by having them look at a light and they'll sometimes oh you're just looking at the NEEMO aren't you there we go there's the light but if you look at the reflection of this light you'll see that it's not exactly matching on each eye so on on this eye it's more centered and the right eyes a little more off to the side that's something we're gonna watch it's not something of concern yet but if we still see that at two months where the eyes aren't tracking together then oh honey I know it's good to be voi it says there their vision is just worried right now so the eyes don't always track together usually by two months they will be and if not we'll we'll go to the next stage of having that looked at more carefully the remedy in the cases where you don't track well the remedies really easy you just patch the stronger eye and it forces the weaker eye to do its job and then it normalizes bless you okay heart and lungs sound perfect so if you start at the top babies all have a soft spot right there it's no big deal and the posterior when the one back here is basically usually closed a lot of babies will have a preference to look one way or the other so here we're looking to that way and then if we come this side I've seen already that we're able to look that way so this is good we're able to look both ways the head will probably you know if you're always looking one way you'll get squished and the head will be squished one direction or another so we just feel real quick for Masse's I don't feel any messes in there by wiggling the feet it softens up the abdomen that's what I'm doing that for home just together and then I'm feeling for femoral pulses here and those are good and then I'm gonna check hips we do a little swish down and then hips are fine if you have a hip that dislocates the the femur bone fits in the socket and it'll go clunk that's happening that's bad for hip development you want it to stay in the socket and it does it stays in there fine now babies have heavy heads right so you always support their head but other than that this is a totally normal birthmark I would say thanks yeah you know it's it's called nevis flame Asst and I was about to say I think 99% of us have that yeah it's like the most common birthmark and basically every baby has it and then the other common spot is back here you'll sometimes have dark and dark spots they call them Mongolian spots or flat yeah so oh that's good so we've got perfect feet perfect hands and fingers and toes yeah perfect baby here yeah so the big thing with the two-week visit is like we have already talked about the weight gain and you're doing a great job so keep that up and if you wanted if if you've got the latch thing worked out now so as big of a struggle nurse nurse pup Mariners pump you know once you get to the point where you're not in pain anymore that pumped milk after nursing put in the fridge and then he can do a feeding once in a while yeah and let you sleep so that'd be good all right so at the two-week visit we poked the foot for the final newborn screening it screens for over 30 different conditions that are treatable if you catch them early like thyroid problems we used to call it a PKU phenylketonuria is just a rare metabolic thing that if you know about it you can change the diet and then your kids fight okay so it's definitely worth doing the thing about babies is as long as you hold star be all you got all that as long as you hold their head they're okay you can move around they're not that fragile but you have to support the head don't you okay we got a perfect perfect perfect two week old baby you guys have done an amazing job thank you

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