newborn Archives | Doulas of Baltimore

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Why is My Baby Crying? | Reasons and How to Soothe Them

The question parents everywhere have to answer: why is my baby crying? Babies cry to communicate. It’s one way they tell you they need food, warmth, or attention. Because we know a baby’s cries mean that it needs something, it can also cause us stress, concern, and frustration. Ultimately, too much crying makes us and our babies tired and frustrated. Let’s explore some common reasons why baby might be crying and some soothing tools you can try!

Why is My Baby Crying?

When babies cry, they are trying to tell us something. Figuring out what the exact reason is can prove overwhelming. Typically, the reason for baby’s distress can fall into a few common buckets.

Normal Physical Discomfort

Babies are new here! Many sensations that we would consider mild discomfort they consider extreme pain. This includes sensations like hunger, gas, and moisture. When baby appears to be in phyiscal discomfort, run through this list:

When did baby last eat? Could they be hungry?
When was their last diaper change? Could it need to be changed?
How is the temperature where we are? Could they be too hot/cold?
Is their belly tight or are they going “stiff as a board” when they cry? Could it be gas or bloating?

Tiredness or Exhaustion

Brand new babies typically spend long stretches of time asleep between wakeful periods. Being tired is a very common reason for baby’s fussing. This may not even mean phyiscal exhaustion. Remember, most stimuli is new to baby. Their brains can get tired from processing new faces, new smells, and new experiences. When they get overwhelmed, they often cry. Keep this in mind when attending family gatherings or big outings and plan naps accordingly!

Symptoms of Illness or Other Problem

Crying can be one of the first symptoms baby is beginning to get sick. Prolonged crying with no discernable reason could also be an indicator that something is wrong with baby. We recommend that you trust you intuition. If something feels off, that’s enough of a reason to call your baby’s care team. Even if it’s just a call to a nurse line or your doula, no concern is too small if it feels important to you.

The 5 S’s

Dr. Harvey Karp writes that babies are, in a sense, really born 3 months early. The newborn nervous system is not fully developed and unequipped to manage the external stimulus of the world outside the womb. It helps to think of doing what you can to recreate a womb-like environment during baby’s “4th trimester.”

The 5 S’s are for once baby’s biological needs (like eating and changing diapers) are met; a means of reducing external stimulus which generally results in baby calming down and falling asleep.

The 5 S’s are: Swaddle, Side-Stomach Position, Shush, Swing, and Suck. Swaddling helps babies through recreating a womb-like sensation and providing and can help them fuss less and sleep better. While babies should only sleep on their backs, you can help calm baby by holding them in Side or Stomach position. A baby is surrounded by sound in the womb, and a white noise shushing sound can help calm crying. A womb is also swinging as a pregnant person moves around, and babies are used to this motion. Finally, many babies can find calm in sucking–hence the popularity of pacifiers and thumbs with babies.

Baby Soothing Tools

There are also gadgets and tools that can help you with soothing techniques. In a recent post, we discussed the Snoo, which Dr. Karp developed as a smart bassinet to help with automatic calming through movement and noise. There are also other bassinets that offer movement as a way to soothe baby, and shushers that create the whooshing sounds baby was used to in the womb.

A less high-tech way of employing one of the 5 S’s is through a pacifier (for sucking) or a swaddle sack (just make sure you are swaddling your baby correctly).

Want to get prepared before baby arrives? We teach you all of this and more, including baby soothing and communication techniques, in our Baby 101 class. Get signed up for the next class here!

What is Head Molding? Caput Succedaneum in Newborns

Pregnancy

“Why does my baby’s head look like a cone?!” New parents are often confused when their new addition’s scalp features bruising, swelling, or an odd shape. Not to worry, Caput succedaneum and head molding are incredibly common (temporary!) adjustments your baby made during birth. Let’s break down what these terms mean and why there’s usually no cause for concern.

What is Caput Succedaneum?

Caput Succedaneum is a soft, squishy, sometimes bruised swelling on top of the scalp, crossing suture lines (the seams between skull bones). You can think of it as localized fluid buildup.

What is Head Molding?

Head Molding is an elongated or cone-shaped head that is caused by the overlapping of the baby’s soft skull bones during passage through the birth canal.

Why do these conditions happen?

These conditions are caused by pressure from the uterus, cervix, or birth canal while baby is being born. They can present in any delivery but are more common when labor is prolonged, membranes are ruptured early, if a vacuum is used to assist delivery, or can even be seen in first-time pregnancies. While it can be unnerving for your baby’s head to look less than normal, remember that this is a very common thing that happens and it will in most cases resolve on its own without intervention.

What are the essentials to know about Caput Succedaneum and Head Molding?

Timing: These conditions will likely appear immediately or shortly after birth. Caput swelling typically resolves within hours to a few days. Head molding usually corrects itself within 1–2 weeks as bones shift back.

Appearance: Caput feels like a soft, puffy area; may have bruising. Molding makes the head look pointy or asymmetrical.

Pain Levels: Neither of these common issues are painful for your baby!

Other things to watch for: Another condition, Cephalohematoma, is similar in appearance to Caput. This condition is a hemmorhage that causes swelling under the skin but over the skull. While it typically isn’t anything to worry about, it can come with complications that are. That’s why it’s always important to work with your pediatrician to monitor and treat as needed.

FAQs

Q: Does this mean my baby’s brain was injured?
A: Absolutely not. Caput and molding are external or bone-related changes. They don’t affect the brain.

Q: Will my baby’s head stay this shape (head molding)?
A: Nope! Skull bones shift back naturally. By 2 weeks, most little heads have rounded out beautifully.

Q: Why does the swelling (Caput) move if I touch it?
A: Because it’s fluid under the scalp! Gentle pressure can temporarily displace it—this is normal.

Q: Do I need to treat these conditions?
A: Usually no treatment is needed. Just handle baby’s head gently. If bruising is present, it will fade like any other bruise.

Q: Is this the same as having a flattened head?
A: No, that’s a different type of positional head molding that can happen later on in baby’s life. Flattened heads typically occur due to prolonged time on flat surfaces and can be avoided or addressed by things like Tummy Time or a baby helmet (as prescribed by your pediatrician).

Q: When should I worry?
A: Contact your provider if:

Swelling worsens after 2–3 days.
Baby develops a fever, is excessively fussy, or refuses feeds.
Jaundice appears (bruising from caput can increase bilirubin levels).

The Bottom Line

Caput succedaneum and head molding are common, harmless, and temporary results of birth. They highlight the amazing flexibility of your newborn’s skull. While unusual head shapes can be startling, they’re rarely a medical concern. Trust your pediatrician to monitor progress—and trust your baby’s body to find its perfect shape.

Got questions? Your birth team and pediatrician are always your best resource.

Nanit Pro Baby Monitor: Essential or Overhyped?

Baby registry, Newborn care, Parenthood

With a sea of baby monitor options, it’s easy to feel like you’re drowning. The Nanit Pro Camera was named NYT’s Wirecutter Best wifi video monitor so it’s not surprising the name surfaces at the top! With promises of advanced tracking, lowered anxiety, and crystal clear images, parents often wonder, “Is the Nanit Pro Camera the best baby monitor?”. Let’s break down what it is, the pros and cons, and our final opinion.

What Exactly is the Nanit Pro Baby Monitor?

The Nanit Pro is far more than just a camera you point at the crib. It positions itself as a “do-it-all”, high tech nursery hub that includes an app connected to your phone that is analyzed by AI to offer you insignts into your baby’s growth, sleep, and development. Here’s the core idea:

With a high definition camera it streams crystal-clear 1080p HD video and audio to your smartphone (iOS/Android) or tablet, day or night (thanks to excellent night vision with illuminating LEDs). Unlike tabletop monitors, the Nanit is designed to be securely mounted above the crib (or on a floor stand), giving a top-down, unobstructed view of the entire sleep space. This perspective is key to its advanced features.

The big selling point for Nanit is its AI-powered analytics. Using sophisticated computer vision (no wearable sensors needed!), it analyzes your baby’s movements and sleep patterns. This data is then added to the Nanit app where you can also watch the live stream and receive alerts. The camera comes with a 6 month free trial to Insights which is important in unlocking the full power of the analytics (sleep tracking, trends, personalized tips). After that, it is a paid subscription with mixed reviews.

In short: The Nanit Pro is a premium, wall/ceiling-mounted smart baby monitor that uses AI to not just show you your baby, but to help you understand their sleep patterns and development.

Is the Nanit Pro Baby Monitor Safe?

We’ve all heard the stories of baby monitors being hacked on the internet. Safety has to be a top priority when it comes to baby monitors, especially internet-connected ones.

Online Safety

According to Nanit, all video streams and data transmitted between the camera, Nanit’s servers, and your app are encrypted using industry-standard protocols (TLS/SSL). This makes it extremely difficult for unauthorized parties to intercept. Additionally, access to your camera feed requires logging into your Nanit account with your credentials. Two-factor authentication is highly recommended and adds a significant extra layer of security. Unlike some older monitors, the Nanit stream isn’t discoverable on the open internet. You must be logged into your specific account.

Nanit Pro Camera Safety

Physical safety is also important, nobody wants a camera falling into the crib! The provided mounting system is excellent when installed correctly according to instructions. Like all items, ensure it’s securely attached well out of baby’s reach.

When it comes to privacy, there are also many features. The Nanit Pro has a physical, sliding shutter you can close when the camera isn’t in use, physically blocking the lens if you choose. There is also an audio-only mode where you can choose to stream only audio for times when video isn’t necessary. Privacy zones are able to blur chosen areas within the camera’s view in the app.

Data Safety

When it comes to your private data, Nanit states they prioritize user privacy. While sleep data is processed to provide insights, they claim not to sell personal user data to third parties. We suggest you review their Privacy Policy for full details.

The Verdict on Safety and Privacy: Nanit takes security and privacy seriously, employing strong industry-standard measures. No system is 100% unhackable, but Nanit is considered one of the more secure options. Practicing good security practices that you’d use for any online data (strong, unique password, enabling 2 factor authentication, closing the shutter when not in use) further minimizes risks. To date there haven’t been major, widespread security breaches reported for Nanit.

What Are the Benefits of Using the Nanit Pro?

This isn’t an inexpensive device and there are many options out there that offer video directly to your phone. What sets Nanit apart?

Nanit App

Personalized insights do require a premium subscription (a new device comes with a 6 month free trial) and reviews overall are mixed on whether it’s worth if or not. Some parents say these premium features helped their peace of mind while others say there’s no point. Nanit accurately and automatically tracks when your baby falls asleep, wakes up, and duration of sleep sessions/naps. For data nerds and new parents alike, these are excellent details and can also work well for those who are sharing night duties with their co-parent, family, or Postpartum Doula.

Data collected can create charts and graphs over time (nights, weeks, months) identifying patterns, regressions, and improvements. These can help you understand total sleep, night wakings, nap consistency, and sleep efficiency. Nanit also offers data-driven suggestions tailored to your baby’s age and sleep patterns to help improve their sleep (and yours!).

Using a special patterned band worn on baby’s pajamas or sleep sack Nanit can monitor breathing motion and alert you if no motion is detected for a set period (e.g., 20 seconds). Some parents find this helped their peace of mind.

Nanit Pro Baby Monitor Camera Features

The top-down, wall-mounted view eliminates blind spots and gives a perfect view of the entire crib. 1080p HD video is sharp, and the night vision (with its own LEDs) is among the best.

The camera also features two-way audio that allows you to talk and soothe your baby clearly through the app. The audio stream can continue playing on your phone even when the app is minimized or your screen is off. You can also choose to be notified on your phone if your baby is crying or there’s significant movement.

With other features like temperature & humidity sensor, nighlight & white noise, and multi-user access, Nanit Pro offers a host of features that many parents will find useful.

The Bottom Line: The Nanit Pro Camera is an exceptional, feature-rich smart baby monitor for parents who value deep sleep insights, top-notch video quality, and high-tech peace of mind. The AI-powered sleep analytics (via the Insights subscription) are a great feature if you’re data-driven and want to analyze your baby’s sleep without manual recording.

What Should I Consider Before I Purchase?

Before making a purchase, it’s important to consider how it might impact your family! We think you should consider the following items before diving in:

The first is the price. This camera is a significant investment, both for the hardware and the required Insights subscription for full functionality. On the topic of Insights, the best features (sleep tracking, breathing monitoring alerts, personalized tips) live behind a paywall. This increases the overall cost of the device as you’ll need to factor in the ongoing fees.

The camera also requires installation (drilling for wall/ceiling mount). This is not ideal for renters or those who want portability as the primary setup. While travel mode does exist, it adds limits to the function of the camera and may impact the data collected.

The final thing to consider in our opinion is the limitations of generalized sleep suggestions. While an app may be able to use an algorithm to deliver you a set of suggestions, there truly isn’t anyhing that can replace an expert’s touch when it comes to addressing sleep or safety concerns.

Let’s put a bow on this! If you want the most advanced insights into your baby’s sleep and well-being and prioritize crystal-clear monitoring with strong security, the Nanit Pro Camera is a great option. For simpler, audio-only monitoring or basic video, it’s overkill. It also lacks the personalized touch of a sleep expert and the promise of “eliminating sleep training” seems a little far-fetched. If you want a high-tech partner in navigating baby monitoring, the Nanit delivers impressively.

Ways to Help Your Older Child Adjust to the New Baby

Newborn care, Parenthood

Welcoming a baby into your family is a joy, but it’s natural to have concerns too. If you’re expecting baby number two, you might be worried about how your older child will adjust to a new sibling. Jealousy is a natural emotion for kids, especially during the ages when they are particularly attached to their parents. They’ll notice you are taking time to care for baby and that people are excited about baby. Are there ways to ease this transition?

How can I help my older child adjust to a new baby?

One of the ways that parents can help older children adjust to a new baby is by involving siblings in newborn care, to the extent that they want to be involved. If they are a little older, they might want to help with feeding or bathing. If they’re younger, you can have them get a pacifier or a diaper.

Especially for toddlers, it can be helpful for parents to acknowledge the difference between them and the baby. You might find yourself telling the older child to wait while you feed baby or change a diaper. On occasion, you can tell baby that they have to wait while you do something with your older child. You can also remind your older child that they are a big kid and doing something or have something that baby can’t. Emphasizing that they are special can help with feelings of jealousy.

How do I keep my older child from feeling overwhelmed by the new baby?

Having a baby can throw everyone’s schedules off, from sleep to meals. One tip to help your older child adjust to a new baby is by keeping their schedule as consistent as possible. If they go to daycare three days a week, keep them at daycare even if you or your partner are home with baby.

Babies do need a lot of attention! This can create feelings of jealousy in your older child or a certain level of unpredictability. When you feed your baby it can help to find something calm and special that the older child can do. While you are trying to have a calm moment for feeding, you can let your older child watch a special show or read a book.

How can friends and relatives help with the adjustment?

One of the easiest things friends and relatives can do to help your older child or children adjust to baby is acknowledge the sibling first. When they come over to meet baby, have visitors prioritize the sibling. It is so easy for everyone to get excited about the new baby, and your other child can notice this excitement. Have friends and family ask the older sibling if they want to introduce baby or share something special about their new sibling.

If you have someone who can help you during the postpartum period–whether it is a doula, a family member or friend–you have a great opportunity to prioritize each child on their own. They can take care of baby so that you have quality time with the older sibling. Or, they can take care of the older sibling so you can either rest or take care of baby.

RSV Vaccine during Pregnancy | The Evidence

Pregnancy

We all want to keep our newborn babies safe. When looking at common illnesses, RSV is a frequent concern amongst new parents. The latest recommendation? Recieve the RSV Vaccine during pregnancy. If your doctor has made this suggestion you may be curious how it works. Let’s take a look at what RSV is and what you can do before your baby is even born to protect them from it.

What Is Respiratory Syncytial Virus (RSV)?

Respiratory syncytial virus (RSV) is a leading cause of hospitalization in infants, responsible for 58,000–80,000 annual hospitalizations in children under 5 in the U.S. Babies under 6 months are especially vulnerable, as RSV can lead to severe lung infections like bronchiolitis and pneumonia. We’ve done a deep dive on the specifics of RSV in babies, you can check that out here!

It’s important to remember that while RSV is dangerous for infants and the immunocompromised, it can present as a common cold in healthy individuals. This means even if someone’s only symptom is a runny nose, they could spread the illness.

How does getting the RSV vaccine during pregnancy work?

The Abrysvo vaccine, approved by the FDA and recommended by the CDC, is given to pregnant individuals between 32 and 36 weeks of gestation. It works by transferring protective antibodies to the fetus, providing passive immunity that shields infants during their most vulnerable early months.

Is it safe and effective?

Yes! Clinical trials show impressive results:

81.8% efficacy against severe RSV within the first 90 days of life.
69.4% efficacy through 6 months of age.

Safety data from over 7,000 participants revealed no significant risks to pregnant individuals or babies. The most commonly seen side effects are mild such as injection site pain or fatigue and they were reported to be short-lived.

What else should I know about the RSV Vaccine during Pregnancy?

Timing: CDC recommends vaccination at 32–36 weeks, ideally before RSV season (typically fall/winter).

Who should get it? Most pregnancies without contraindications. This could be something such as an allergy to the vaccine’s components.

Alternative option: For those unable to receive the vaccine, there is an option that can be given to infants post-birth.

The American Academy of Pediatrics (AAP) and World Health Organization (WHO) endorse RSV vaccination during pregnancy as a safe, effective way to reduce infant complications due to RSV.

Take Action

The most important thing you can do when considering healthcare decisions is to talk to your trusted healthcare provider. You can practice using the BRAIN acronym during your prenatal visit by asking the following questions:

Benefits – What are the benefits of recieving the RSV vaccine during pregnancy?
Risks – What are the known risks? What are the risks of RSV to a newborn?
Alternatives – What alternatives do I have?
Intuition – What am I feeling now that I know the science-based answers to my questions?
Nothing – What happens if I do nothing about RSV?

By vaccinating during pregnancy, you’re offering your baby a strong first defense against a potentially serious illness.