Birth to week 2
The first days with your newborn
In the first days, most of your time may go into feeding, settling and recovering from birth. Your baby sleeps in short stretches and uses crying to ask for care. They can already notice close faces and familiar voices. A small early weight loss is common, and health professionals will check that weight begins to rise again.
Try this together
Hold your baby close enough to see your face. Speak softly, then pause to see how they respond. If they look away or fuss, give them a break.
Open or share this chapterDevelopment & perceptionYour newborn sees best at close range and may turn towards a familiar voice.
Your newborn can see you up close
What may be changing
Being held, hearing familiar voices and receiving a response help your newborn feel safe and begin to learn.
A newborn may respond to sound or a close face with a small movement, a change in expression or stillness.
What to notice
Notice which voices, faces or everyday sounds bring a small change in gaze, movement or stillness.
Try this
Hold your baby close enough to see your face. Speak softly, then pause to see how they respond. If they look away or fuss, give them a break.
When to ask for support
If a skill is missing at its stated age, your child loses a skill, or you are worried, speak with a health professional. You do not need to wait for the next chapter.
Sources
Responsive interaction and everyday talking can begin from birth.
- World Health Organization, UNICEF and World Bank GroupResponsive caregiving and opportunities for early learning · checked 2026-08-28
- NHSLearning to talk and Activities; linked age-specific play and talking guides · checked 2026-09-05
From birth to 3 months, babies begin recognising important voices and may react, calm, smile or change feeding in response to sound. These are broad observations, not a one-response home test.
- National Institute on Deafness and Other Communication DisordersYour baby’s hearing and communicative development checklist: Birth to 3 Months · checked 2026-09-05
In the early weeks, babies can notice light, shapes, faces and movement, while distance vision remains blurry and the clearest focus is roughly 20 to 30 centimetres away. Visual focus develops gradually over the first months.
For babies born before 37 completed weeks, corrected age may help with this developmental note. This timeline shows correction until the second birthday; your care team may use it for longer.
- American Academy of PediatricsNewborns section under ‘Infant Vision Development: What Can Babies See?’ · checked 2026-09-05
- NHS‘Eyes in newborns’ · checked 2026-09-05
Responsive interaction, supervised floor play and age-appropriate games offer opportunities to learn. Suggested activities do not test or guarantee a developmental outcome.
- US Centers for Disease Control and PreventionAge-specific “How to Help Your Baby Learn and Grow” pages, printed pages 5–34 · checked 2026-09-05
- World Health Organization, UNICEF and World Bank GroupResponsive caregiving and opportunities for early learning · checked 2026-08-28
A missing milestone at the stated age, loss of a skill or another developmental concern is a reason to seek professional advice without waiting. CDC checklists are not diagnostic tests.
- US Centers for Disease Control and Prevention“You know your child best” below each checklist; printed pages 51–52 · checked 2026-09-05
- US Centers for Disease Control and PreventionAbout milestones and milestone checklists · checked 2026-09-05
Crying & regulationCrying is one way your newborn tells you they need care, even when the reason is not clear.
Crying asks for care
What may be happening
Hunger, tiredness, a wet nappy, wind, temperature, closeness and overstimulation can all lead to crying. Sometimes the cause remains unclear.
What to notice
Start with immediate needs such as feeding, warmth, a clean nappy and closeness. Notice whether the cry sounds different from usual or comes with poor feeding or signs of illness.
How to help
Try a feed, a clean nappy or a cuddle. If nothing seems to help, ask someone you trust to take a turn while you rest.
If crying worries you
Get medical advice if your baby’s cry is unusual, they cannot be consoled or they seem unwell. In the UK, call 999 for breathing difficulty or unresponsiveness; use local emergency services elsewhere.
When you need a break
If you feel overwhelmed, put your baby safely in their cot, take a brief break and return. Ask someone you trust for help if you can. Never shake a baby.
Sources
Crying communicates a need for care, although its cause is not always identifiable. Responsive caregiving means noticing and responding appropriately to signals.
- NHSOpening guidance, common reasons, soothing, illness and safe-pause sections · checked 2026-09-05
- World Health Organization, UNICEF and World Bank GroupResponsive caregiving and opportunities for early learning · checked 2026-08-28
Unusual or inconsolable crying and signs of illness warrant medical advice. In the UK, breathing difficulty or unresponsiveness requires an emergency call to 999.
- NHSCrying and illness · checked 2026-09-05
An overwhelmed caregiver can place their baby safely in a cot, take a brief break and return. A baby must never be shaken.
- NHSGetting help with a crying baby; Never shake your baby · checked 2026-09-05
SleepNewborns sleep in short stretches throughout the day and night.
Sleep comes in short stretches
What is typical
Newborns do not follow a set schedule. Feeding and sleep can change from one day to the next.
Look at the full day
Look at sleep across the full day and night, including short dozes during or after feeds.
What may help
Keep night feeds and changes quiet and dim. By day, open the curtains and use your usual voices.
Safer sleep
UK NHS advice: place your baby on their back in a clear cot with a firm, flat mattress. Share a room for at least the first 6 months. Never sleep with your baby on a sofa or chair.
Sources
Newborn sleep is distributed across day and night and varies substantially.
- NHSNewborn and 3-to-6-month sections · checked 2026-09-05
From birth, contrasting ordinary daytime light, activity and noise with a quieter, dimmer night can provide consistent day-night cues.
- NHS‘How can I get my baby used to night and day?’ · checked 2026-09-05
NHS safer-sleep advice includes back sleeping on a firm, flat mattress in a clear cot, room sharing for at least six months, and never sleeping with a baby on a sofa or chair.
- NHSHow to reduce the risk of sudden infant death syndrome; co-sleeping precautions · checked 2026-09-05
Simple, familiar bedtime routines can help with settling. Caregivers can seek practical support when nights are disrupted.
- NHSEstablishing a baby bedtime routine; Coping with disturbed nights · checked 2026-09-05
FeedingNewborn feeds are often frequent and uneven. Follow your baby's cues rather than waiting for a set time.
Feed when your baby shows they are hungry
What feeding may look like
For breastfeeding, NHS guidance gives 8 to 12 feeds or more in 24 hours as a rough guide during the first weeks, not a quota. Bottle-fed babies also tend to feed little and often. Paced feeding lets them pause and stop. Follow any individual clinical feeding plan you have been given.
Look for these cues
Watch for rooting, hand-to-mouth movement, pauses and turning away rather than waiting for the clock.
What you can do
Bring your baby close at early hunger cues and let pauses or fullness end the feed. Follow any individual feeding plan you have been given.
Individual feeding advice
Follow any feeding plan from your care team. Ask about vitamin supplements and, if your baby was born early, when to introduce solid foods.
Sources
In the first weeks, feeding is typically frequent and cue-led. NHS describes 8 to 12 or more breastfeeds per 24 hours as a rough breastfeeding guide. Bottle-fed babies also feed little and often and should control pauses and fullness.
NHS guidance advises individual help with starting solids after premature birth. Some babies need vitamin supplements; requirements depend on feeding, age and local guidance.
- NHSWhen to start introducing solid foods; Vitamins for babies · checked 2026-09-05
GrowthA small early weight loss is common. Most babies are back to their birthweight by 3 weeks.
Weight is checked in the first weeks
How growth is assessed
A small weight loss is common after birth. NICE says it usually stops after 3 or 4 days, and most babies return to their birthweight by 3 weeks.
What to look at
Tell your midwife or health visitor about poor feeding, fewer wet nappies or anything else that worries you.
When to ask
Ask for feeding help if your baby's weight has not started to recover as expected.
Ask about early weight loss
Ask your care team for assessment and feeding support if early weight loss is more than 10% or birthweight has not returned by 3 weeks. Ask sooner if feeding or your baby’s health worries you.
Sources
Some weight loss is common in the first days, usually stops after 3 to 4 days, and most infants regain birthweight by 3 weeks.
- National Institute for Health and Care ExcellenceRecommendations 1.1.1–1.1.4 · checked 2026-08-29
- NHS‘How often should my baby be weighed?’, ‘Understanding your baby's weight chart’ and ‘What centile lines mean’ · checked 2026-09-05
Growth is interpreted as a trajectory on centile charts. One measurement or a small centile movement does not define the pattern.
- NHS‘How often should my baby be weighed?’, ‘Understanding your baby's weight chart’ and ‘What centile lines mean’ · checked 2026-09-05
NICE recommends assessment and feeding support for early weight loss over 10%, and consideration of further assessment or referral if birthweight has not returned by three weeks.
- National Institute for Health and Care ExcellenceRecommendations 1.1.1–1.1.4 · checked 2026-08-29