The Truth About New Babies

The Truth About New Babies
Nov. 22022

The Truth About New Babies

By Dr. Golenbock

I always enjoyed explaining about the early development of babies. The first three months are critical, but surprisingly enough those three months are really more like the nine months of gestation than the subsequent months and years of child development. That's right, your baby really needs 12 months of gestation, but the last three months are outside your womb! I'm going to tell you why that's true and what is really going on.

The most important characteristic of humans, I think, is our intelligence. In simple terms, a larger brain is required for all the complex things that humans do. The problem, however, is that if a baby's head is too big, the baby may not be able to arrive safely. In the tens of thousands of years before modern medicine, there was this obvious balance between the brain growth in our prehistoric ancestors and the need for the infant to fit through the birth canal. Even today there are deliveries that require assistance – even surgery – to allow the new baby to come out without damage.

Here's where the story gets really fascinating, but you have to understand some biology first. The brain functions by making complex connections between brain cells called axons. The axons are like long wires that connect electronic machinery. Each axon can send a form of electrical current from one cell to the next. And just like with electrical wiring in our houses and machines, the current can leak out if the wire is not protected. That's one of the reasons that copper wires are coated. Now imagine you had a thousand copper wires. If you could somehow connect them correctly in a box, they might take up a lot of space. But if you had the same thousand wires that were coated to provide better connectivity, those same wires would take up a lot more space. And that's exactly what nature has done. The new baby will eventually need all of its axons to be covered with a substance called myelin to allow better impulse propagation (faster connections). But the myelination process doesn't really get going until after birth. Otherwise the baby's head would be too big. Instead this process is occurring during the first three months of life.

I'm going to explain why it is important for you to know this information in a moment. But first I want to assure you that what you do during these first three months – what all mothers have done going back to the first mothers – is still important. Holding your baby, singing to your baby, kissing your baby, using that high-pitched voice you didn't know you had. All the ways you stimulate your baby's senses is so important, and you are helping your baby's brain to develop as you do all those things. But the baby's brain abilities are quite limited during those first three months while the myelination process is going on and the head is rapidly growing. Babies recognize contrast (light next to dark), so often instead of looking at your face – unless you're nursing and your face comes into sharp focus – the baby seems to be looking over your shoulder. At first babies are either sleeping or eating, and they don't recognize you as an individual. They don't have a true sense of self-awareness. Maternal instinct keeps you working for your baby with no real reward.

And then a miracle happens. Somewhere around three months after birth, your baby sees your face and smiles. The baby really recognizes you. Congratulations on reaching this important milestone!

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How does after-hours work:

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You can call any of our office locations or 203-790-0822. You will be promoted with an after-hours message. If you select option 1 you will be connected with CPM’S after-hours answering service team. The after-hours team will gather all of your child’s information (Patient's first and last name, best contact number, and health care concern). This message will be sent to “Rainbow Babies” an experienced triage service that CPM uses to assist us with clinical after-hours calls. A trained triage nurse will call the patient back and provide the recommended clinical advice. If the triage nurse needs more assistance they will reach out to one of CPM’s on-call providers for the night. CPM’s on-call provider will call the patient directly and continue to evaluate your child over the phone. All phone call encounters are followed up with a call the next day from CPM’s triage department.

If it is a life-threatening emergency please call 911.

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