Day 5 of 60 · Week 1
The checkup
Last reviewed · 3 min read · 10 sources · Plain-text version
What the first pediatrician visit looks for, the diaper counts that show your baby is eating enough, and the questions to ask about yourself.

Today or very soon, you'll meet the person who will know your baby for years. The first visit is short and practical. Bring the diaper count, the question list, and yourself.
Heart
You've been doing this without feedback for days. The checkup is where someone weighs your baby and tells you how it's going. Keep a running list of questions between visits; the 3 a.m. ones count (AAP, 2025). No question is too small for a 5-day-old.
Head
The 3-to-5-day visit checks weight, feeding, and jaundice, and offers breastfeeding support (AAP, 2025). Immunizations are reviewed at every visit (AAP, 2025), so ask which shots your baby needs, and which the adults around them should have (AAP).
One thing to ask about today: vitamin D. Breastfed and partially breastfed babies need 400 IU a day, starting in the first few days. Babies who drink less than 32 ounces of formula a day need the 400 IU supplement too (AAP).
Body
Diapers are the evidence. By 5 to 7 days old, a breastfed baby should have 6 or more wet diapers a day with pale urine, at least 3 to 4 yellow, loose stools, and should seem satisfied for 1 to 3 hours between feeds (AAP). A tally on your phone or a scrap of paper is enough.
Your baby also hasn't finished losing and regaining weight; the loss should be no more than 8 to 10% of birth weight, and your pediatrician tracks the climb back (AAP).
Try today

The narrated diaper change, with a count
Time: Every diaper change · The narrated diaper change in the guide
Look at your baby's face and say what you're doing: "Tabs open. Here comes the cool wipe."
Say out loud what you see: "Wet one. That's four today." Then write it down.
Pause after you speak, as if waiting for a reply. Newborns respond slowly.
If they coo, squeak, or stare, answer back.
Make it work:Back-and-forth talk is the heart of serve-and-return brain building (Harvard Center on the Developing Child). The count is for the pediatrician; the chatter is for your baby.
Watch for
Normal
6 or more wet diapers a day by days 5 to 7.
Call your pediatrician right away
if there are fewer than expected (AAP).
Normal
at least 3 to 4 loose, yellow stools a day.
Call right away
if fewer stools come with poor feeding or fewer wet diapers (AAP).
Normal
a soft spot that looks flat or a little sunken and may pulse with each heartbeat.
Call right away
for a bulging soft spot, or a deeply sunken one in a baby who isn't acting well (AAP).
For you

The visit is about the baby, but you're in the room. The AAP recommends pediatricians screen mothers for depression at the 1-month visit (Earls et al., 2019); you don't have to wait for it to be asked. If something feels off in your mood or your body, say so today.
Your own warning signs count as much as the baby's. Seek care immediately for a fever of 100.4°F or higher, a headache that won't go away, chest pain, trouble breathing, or heavy bleeding, and tell any provider you see that you gave birth recently (CDC).
Your own postpartum visit is about six weeks after birth (Office on Women's Health). Put it in the calendar now, while the baby's appointments are fresh.
If you're the partner: drive, carry the seat, and hold the list. Ask the questions she forgets.
Sources
- American Academy of Pediatrics and Bright Futures. "Recommendations for Preventive Pediatric Health Care" (Periodicity Schedule). 2025. https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf
- American Academy of Pediatrics Section on Infectious Diseases. "How to Cocoon a Newborn: Family & Friends Can Protect Baby From Germs." HealthyChildren.org. https://www.healthychildren.org/English/safety-prevention/immunizations/Pages/How-to-Cocoon-a-Newborn-Only-an-E-Mail-Away.aspx
- American Academy of Pediatrics Section on Gastroenterology, Hepatology and Nutrition. "Vitamin D for Babies, Children & Adolescents." HealthyChildren.org. https://www.healthychildren.org/English/healthy-living/nutrition/Pages/vitamin-d-on-the-double.aspx
- American Academy of Pediatrics. "How to Tell if Your Breastfed Baby is Getting Enough Milk." HealthyChildren.org. https://www.healthychildren.org/English/ages-stages/baby/breastfeeding/Pages/How-to-Tell-if-Baby-is-Getting-Enough-Milk.aspx
- Center on the Developing Child at Harvard University. "Serve and Return." https://developingchild.harvard.edu/key-concept/serve-and-return/
- American Academy of Pediatrics. "Baby's First Days: Bowel Movements & Urination." HealthyChildren.org. https://www.healthychildren.org/English/ages-stages/baby/Pages/babys-first-days-bowel-movements-and-urination.aspx
- American Academy of Pediatrics. "Newborn Appearance Questions" (symptom checker). HealthyChildren.org. https://www.healthychildren.org/English/tips-tools/symptom-checker/Pages/symptomviewer.aspx?symptom=Newborn+Appearance+Questions
- Earls MF, Yogman MW, Mattson G, Rafferty J. "Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice." Pediatrics, 2019. https://pubmed.ncbi.nlm.nih.gov/30559120/
- Centers for Disease Control and Prevention. "Urgent Maternal Warning Signs and Symptoms." HEAR HER campaign. https://www.cdc.gov/hearher/maternal-warning-signs/index.html
- Office on Women's Health. "Recovering from birth." U.S. Department of Health and Human Services. https://womenshealth.gov/pregnancy/childbirth-and-beyond/recovering-birth
This guide is general education that summarizes published research and guidance from groups like the American Academy of Pediatrics, the CDC, and the WHO. It isn’t medical advice, and every child develops on their own timeline. Your pediatrician knows your child; if something feels wrong, call them. In an emergency, call 911.
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