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Germ-free trips out with Baby

Beth M. Iovinelli, RN, BSN, IBCLC

11/19/2009

As a mom of a newborn, getting out of the house is a good thing when you feel up to it; a stroll or ride in the car may be just the thing to lift your mood. And as a potential added benefit, the sway and movement may put baby to sleep.

But babies can be very susceptible to germs at this time of their lives because their immune systems are not fully functioning. Babies are born with some of their moms' immunities in place and in time will develop their own, but they are not fully armed to handle many germs that can come their way.

Your pediatrician will talk to you about his or her specific guidelines, but generally keep these timeframes in mind.

Taking a Walk
Fresh air is great for Baby and Mom (and walking can be good for Mom's circulation, too), but going for a stroll on Day 2 of being home is overdoing it. If you're home for a few days and are yearning to get out, it's OK to walk around the yard and driveway. But no fitness walking! Most doctors recommend waiting until Mom's six-week postpartum checkup to begin fitness walks.

When you go outside, take it slow and easy—your body will tell you that you're overexerting yourself by increasing vaginal bleeding or making you feel tired or out of breath. You might even consider having a walking companion your first few times outside, just to make sure you feel fine. And don't worry—your time for long strolls with Baby will be here soon enough.

Going for a Drive
As far as driving is concerned, most doctors will advise waiting three to six weeks if you have had a C-section, are anemic or have had a painful episiotomy. Driving short distances is probably OK early on, but you may tire easily and you should never drive if you have taken any kind of prescription narcotic pain reliever. See how you feel and discuss with your doctor her particular guidelines.

Hitting the Mall, Park, Supermarket, etc. with Baby
The first six to eight weeks is the time period you should be careful about taking your new baby to a place like the supermarket or other crowded venue. Again, babies' developing immune systems just aren't ready to cope with the germs that may be present in crowded public areas. Minimizing your child's exposure to illness will give him a chance to get his immune system up and running, rather than asking him to fight off something he's not ready to handle.

In terms of dressing Baby for your outing, make sure the weather is not too extreme in either direction (too hot or too cold), and then choose clothes accordingly. Even if your first trip together is to the end of your driveway with Baby in her stroller, pay attention to how your body feels and don't over do it.

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