Caring for a Newborn in the Summer Heat
Summer can bring extremely hot weather that lasts for months. The heat can be humid with rain or dry with wind and no rain. Whatever kind of summer you experience the effects of hot temperatures can be stressful for you and dangerous for newborns. Keeping cool yourself helps babies feel relaxed and comfortable; try cooling down with frequent quick showers and regular cold drinks.
Newborns are unable to regulate their body temperature like adults do, which leaves them at risk of overheating and dehydrating. Babies can become too hot internally when lost liquids are not adequately replaced. Newborns lose fluids regularly from weeing, pooing, vomiting and perspiring and the lack of liquid causes little bodies to dehydrate and overheat. When dehydration is severe the risk of heat-stroke and Sudden Infant Death Syndrome (SIDS) is increased. Keep an eye on the bottom end. Newborns need to have at least six wet diapers in a twenty-four hour period-less than six is an indication that babies are becoming dry. Newborns may poo after every feed or only every few days or so. Poo should not be hard pebbles as this is constipation and a sign of not enough fluid. Offer babies extra liquid at regular intervals during the day. Nurse more often or if using infant formula give cooled boiled water in between milk feeds.
Humid, hot, and airless environments cause fungal infections to thrive. Keep a check on places such as the diaper area, under baby’s chin, between creases and folds, as well as your nipple area. You can reduce the risk of thrush developing by regularly exposing these areas to air and keeping them clean and dry; if you are nursing, eating yoghurt and reducing your yeast and sugar intake can also help. When reddened areas won’t go away with these measures seek professional advice.
Skin-to-skin contact is important for newborn development but it can make you both hot and sticky. When nursing on steamy days, if you place a wet cloth under your arm or around the back of your neck, and a small cotton cloth between you and your baby it can make feeding a little more comfortable.
Water is cooling. Ensure babies have a sponge down with a wet cloth, bath or shower at least daily. Wet your hand or a washer with lukewarm water and regularly wipe over babies’ head on really hot days. If infant skin is dry, add a little natural oil to the bath water or moisturize the skin after a bath.
While feeling hot can make anyone irritable, the heat can also make it particularly difficult for newborns to settle and go to sleep. But don’t worry, there are some things that you can do to help keep them cool. Increase airflow in the crib by using a firm cotton mattress and remove any waterproof protectors, as these hold in heat. Spread a towel over the mattress under the sheet to absorb perspiration and be sure to remove any unnecessary bedding, toys and bumpers from the crib. Use natural cotton or bamboo fabric for clothes and bedding as synthetic materials trap heat and can cause babies to overheat.
For additional cooling, if you don’t have the luxury of air-conditioning, drape wet towels and a dish of water in front of an oscillating fan. Dress babies in only a diaper and light cotton wrap to sleep. When regulating an air-conditioner, take into account their fat layers, prematurity and general health, and set temperature to around 24°C. At this heat, babies would need a loose sleep-suit and swaddling wrap and perhaps another cotton blanket over the top. If baby is too hot his head will be sweaty as this is where newborns loose heat. Because babies loose heat from the head, place their feet at the end of the crib, which allows air flow around the head-this is also in line with SIDS safe sleeping recommendations.
If your house is hot, escape in an air-conditioned car or to an air-conditioned shopping centre or library for a break. When going for a walk, avoid going between 10am and 3pm as this is when the sun is most harmful. Avoid having babies in a stroller for too long as these tend to be hot and airless. This also applies to the car restraint when the car is stopped. These contraptions can heat up very quickly and cause body temperatures to rapidly rise, which can put babies at risk of a febrile convulsion. It is also important to use UV protectors on windows and over strollers to stop the sun’s strong rays from burning delicate skin.
Enjoy summertime with your newborn but remain alert to the hazards of heat. Seek professional help if your baby has less than six wet diapers in a twenty-four hour period, has dark circles under dry eyes, hot dry skin, sunken fontanels (soft spot on his head) a dry mouth and tongue or is floppy and difficult to arouse.