Poo, poop, faeces, tūtae, bowel motion, doo-doo, kaka, poonami – there are nearly as many names for it as there are versions of normal in a baby and infant. You will be astonished at how important the contents of your baby’s nappy becomes in your parenting journey, so find out what is ‘normal’ and when you should seek advice about your baby’s poo.
The first poo will be dark and sticky and is known as meconium. Almost odourless, meconium is made up of a materials baby has ingested during gestation including mucous and amniotic fluid. Most babies pass the meconium after they are born, but some may during labour or delivery. This does not usually cause the baby any problems although your LMC will aspirate the meconium from your baby’s nose and mouth once born.
The colour of the poo will change over the first week, gradually lightening to a khaki greenish colour, as your baby’s digestive system starts processing his first feeds.
The breastfed baby
Poo from exclusively breastfed babies is yellow/green, looks a bit curdled and may have wee white flecks in it. It has a mild, almost pleasant smell. Don’t be surprised if your breastfed newborn does a bowel motion every time she is fed – as it goes in one end, the other end empties out!
Also don’t worry if the colour changes a bit (if everything else is normal). It might be that you ate something different. Similarly, don’t be concerned if your baby is grunting and straining when they do a poo – this is totally normal.
If your breastfed baby is not having a bowel movement at least three times a day, or several are green and frothy, have a chat with your LMC or health professional. If your baby has diarrhoea – frequent, watery and green poo (especially if accompanied with vomiting) seek medical advice.
As your baby gets older they will poo less frequently. Sometimes they will not go for days and then will present you with what many parents call a ‘poonami’ – a flood of poo right up the baby’s back!
If they have more than one or two bowel motions in a row that are like firm pebbles or their poo is accompanied by a tinge of blood, your first step is to seek advice from your GP. If you have had bleeding nipples you may notice little black flecks of old blood in your baby’s nappy however it is still worthwhile confirming with your GP that this is the source. If there is any blood in your baby’s nappy, or there is a dramatic change in your baby’s poo, seek medical advice.
The formula fed baby
The poo of a formula fed baby is thicker and creamier (similar to smooth peanut butter) than a breastfed baby’s. The normal colour is somewhere on the brown spectrum – yellowy/tan usually but sometimes greenish. It will smell a bit stronger than a breastfed baby’s but won’t be pungent like an adults. You will get to know what is ‘normal’ for your baby.
A change in your baby’s poo – such as frequent and watery, a strong odour or a change in colour – may indicate an allergy, infection or other problem. Consult your GP.
As your baby gets a bit older, it is likely their bowel movements will become less frequent and that they might learn to grunt and strain. Neither of these is of concern, unless the bowel motions are small and pebble like as this means they might be constipated. It is not uncommon for formula fed babies to get constipated from time to time and something as simple as a change of formula to one that is designed to specifically aid babies suffering from constipation may be a solution. Have a chat with your health professional or GP. Don’t offer a young baby water or any other remedy without first seeking advice.
If there is ever blood in your baby’s nappy, or you are concerned about what you find in your baby’s nappy, seek advice from your GP.
The introduction of solids will change your baby’s bowel motion consistency, frequency and odour. The change won’t be so much at first as but as you introduce things like meat and green vegetables you will notice the poo becomes much smellier.
The colour of the poo will change according to what your child has eaten – as they get older and their diet changes it can even be slightly alarming! Food colouring can pass through seemingly unchanged. You may even find some undigested bits of food in it! This is normal – however if it becomes a regular feature, chat with your GP.
For more information about what’s normal and what’s not, visit Nutricia Careline.
This article was written by Kidspot NZ for Nutricia Careline.
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