Baby's First Bowel Movements

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What does a newborn's first bowel movement look like?

The first bowel movement, known as meconium, appears black and tarry. This is completely normal and sterile, lacking any odor. It signifies the absence of bacterial colonization in the intestines. However, over the first few days, the color transitions from black to dark green and eventually to yellow.

What are the potential risks if a baby passes meconium before birth?

Passing meconium before birth, known as meconium aspiration syndrome, can occur due to physiologic stress such as infection or a difficult delivery. This condition can lead to lung disease in newborns. If you suspect this has happened, it’s essential to consult a doctor promptly.

Is it concerning if a newborn's stool is green instead of yellow?

No, it’s generally not concerning. Stool colors can vary from yellow to green to brown, and all earth tones are considered normal. The transition from dark green to yellow is typical as the baby continues to feed and the digestive system develops.

What stool colors should prompt a call to the doctor?

Two colors warrant immediate attention: white or red. White stools can indicate serious liver disease, while red stools may signify blood. Although blood in a baby’s stool might be benign, it’s crucial to have a medical professional assess the situation.

How can one differentiate between breastfed and formula-fed baby stools?

Breastfed baby stools typically resemble Dijon mustard (dhuli moong daal-like), being watery with small, whitish, seedy-looking bits. Conversely, formula-fed baby stools tend to be less watery, often pasty in consistency, and yellow or tan in color. These variations are normal and depend on the baby’s diet.

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