Your Baby Week Ten (Two Months Old)

Breastfeeding Twins

Wide Eyed Baby
Sean Locke/Photodisc/Getty Images

People are often surprised that it is possible to breastfeed twins and higher order multiples.

However, it is not only possible, but many mothers of multiples do it every day.

And while you would think that keeping up with enough milk production for each baby would be the hard part, as with most aspects of caring for twins, your biggest problem is often having enough time to nurse and get other things done.

Breastfeeding both babies at the same time is one obvious way to save some time, but that isn't always easy to do until your babies get older.

Help Breastfeeding Twins

Even though it is possible to breastfeeding twins, that doesn't mean that it is easy.

Some tips to help while breastfeeding twins include:

  • get help from a lactation consultant as soon as your babies are born and before you have any problems, such as sore nipples or a low milk supply
  • join a twin support group, where you will likely find many other mothers of multiples who are breastfeeding or have breastfed their twin babies
  • breastfeed on demand, but if both babies don't get hungry at the same time, let whichever baby gets hungrier first determine the on-demand feeding schedule.
  • review how to boost your breast milk supply if it does go down and is not meeting the needs of your twins

Water and Juice

Babies don't need juice at this age.
Babies don't need juice at this age.. Photo by Vincent Iannelli, MD

Parents who are looking to give their younger infant water or juice are actually making things more complicated than they need to be.

Remember that according to the American Academy of Pediatrics, "During the first 6 months of age, even in hot climates, water and juice are unnecessary for breastfed infants." And there is no good reason to think that the advice would be any different for a baby who is drinking formula instead of nursing.

Water or Juice for Constipation

Is there ever a good reason to give your baby water or juice before he is six months old?

Constipation is the main condition that might lead you to give your baby a few ounces of water or juice each day to help soften his bowel movements. Keep in mind that babies who are exclusively breastfed very rarely get constipated, though. So even if your breastfed baby is only having bowel movements every few days or once a week, which is common by two or three months of age, then he likely isn't constipated if he is feeding well and eventually has a soft bowel movement.

Formula-fed babies can become constipated, though. So from time to time, your pediatrician might advise a few ounces of water or juice a day for your baby. If this becomes a routine problem, a change from a milk-based formula to a soy formula might be helpful since chronic constipation can be a sign of a formula intolerance.


American Academy of Pediatrics Policy Statement: Breastfeeding and the Use of Human Milk. Pediatrics 2012; 129:3 e827-e841

Week Ten Q&A - Baby's Eye Color

Will this baby's blue eyes stay blue, or turn green, hazel, or brown?
Will this baby's blue eyes stay blue, or turn green, hazel, or brown?. Photo © Liudmila Breusova

Q. When will my baby's eyes change color?

That is a common question from parents of infants.

Will their baby's eyes stay gray, which many babies are born with, or will they turn brown, green, or blue?

Most experts think that your baby's eye color will either stay the same or will darken over the first six to nine months of her life. So gray or blue eyes can turn brown, green, or hazel, but brown eyes likely won't lighten and become blue.

Unfortunately, you will likely just have to wait and see what they do.

Genetics and Eye Color

Another common question is how does a baby end up with blue eyes when both parents have brown eyes.

That can happen because the gene for blue eye color is recessive, which means that you need two genes for blue eyes to actually have blue eyes. On the other hand, the gene for brown eyes is dominant, so you only need one gene for brown eyes to have brown eyes. Therefore, if someone has one gene for blue eyes and one gene for brown eyes (we usually have two genes for most things like eye color, hair color, or height, getting one from each parent), the baby will have brown eyes.

But even if two parents have brown eyes, they could both have one gene for blue eyes. If they each pass this gene to their baby, then the baby will have two genes for blue eyes and will actually have blue eyes.

The gene for green eyes is also dominant over blue eye color, but is recessive to brown. So what color eyes could a baby have if one parent had green eyes and the other parent had brown eyes? Since the genetics of eye color is quite complex and poorly understood, the real answer is that the baby could have almost any eye color from hazel to blue.

Week Ten Care Tips - Sleeping

How well is your baby sleeping?

If she isn't sleeping as well as your think she should be, now would be a good time to work on your baby's sleep problems.

Expectations for Baby's Sleep

While some babies are already sleeping through the night for at least 8 or 10 hours, by the time they are 10 weeks old, most are still waking up at least once. So if your baby is only waking up once right now, you are actually right on track.

It is usually not until three or four months that most infants are sleeping though the night. And it is not until six months that almost all babies are sleeping all night.

Solving Baby's Sleep Problems

If by 10 weeks your baby is still waking up more than two or three times a night, then he is likely a poor sleeper and you might work at helping him sleep better.

Some things that may help your baby sleep better at night include:

  • talking to your pediatrician to make sure that your baby doesn't have a medical condition such as acid reflux interfering with his sleep
  • read a sleep parenting book, such as:
    • The No-Cry Sleep Solution
    • Solve Your Child's Sleep Problems (the Ferber book), or
    • The American Academy of Pediatrics Guide to Your Child's Sleep
  • try to stick to regular routines for feedings, naps, and bedtime, as even early on-demand babies are likely on more of a schedule by now
  • put your baby to bed while he is sleepy, but still awake, which means that he hasn't fallen asleep eating or being rocked in your arms
  • during the day, put your baby to sleep in his crib or bassinet (wherever he sleeps at night) and don't let him always fall asleep in his car seat, stroller or swing

Most importantly, realize that getting your baby to sleep though the night can take some time and work, and is not always something that "happens overnight."

Baby Product Safety - Babywearing and the Maya Wrap Sling

A Maya Wrap is a great way to carry your baby and still keep your hands free.
A Maya Wrap is a great way to carry your baby and still keep your hands free.. Photo © Vincent Iannelli, MD

By 10 weeks, many babies like to be carried around.

They may like to spend some time in a swing or bouncer seat, but may quickly get bored and want to be picked up. This becomes even more common at this age as your baby is awake for longer periods of time during the day.

While you could simply carry your baby in your arms all of the time, it is hard to get anything else done that way. Plus your arms will likely quickly get tired.

A Maya Wrap Sling is a great way to carry your baby around and keep your arms and hands free. It is an adjustable fabric wrap that lets you carry your baby in many different positions including the reclining newborn carry position, the vertical snuggle hold, and forward facing kangaroo carry. The last two positions are similar to what you would expect from using something like a BABYBJÖRN Baby Carrier.

Keep in mind that many other brands of slings and carriers are on the market.


Caring your baby in a Maya Wrap Sling, or any baby sling for that matter, isn't necessarily as easy as it looks, at least not the first few times you try it.

Fortunately, you can attend babywearing classes to help you use your Maya Wrap Sling.

The company that makes the Maya Wrap also provides detailed instructions and videos that make it easy to learn how to use a Maya Wrap Sling properly.

Until you feel comfortable using your baby sling carrier, it can be helpful to allow another person to assist you in getting your baby into and out of the sling, especially since there have been some reports of serious injuries associated with the use of baby slings.

Quit Smoking Reminder

Infants exposed to a caregiver that smokes are up to 4 times more likely to die of SIDS.
Infants exposed to a caregiver that smokes are up to 4 times more likely to die of SIDS.. Photo © Vincent Iannelli, MD

According to the March of Dimes, "Smoking harms your baby. When you smoke, your baby gets less oxygen. Lack of oxygen can cause your baby to grow more slowly and gain less weight in the womb. Smoking during pregnancy has also been linked to preterm labor and other pregnancy complications."

Fortunately, many pregnant moms understand this and do quit smoking while they are pregnant.

However, about 60% of women who quit smoking during pregnancy start smoking again by the time their baby is six months old.

Although women start smoking again for many reasons, there are many more good reasons to quit, or better yet, not start smoking again. Reasons include the fact that exposure to second-hand smoke is thought to increase a child's chance of ear infections, allergies, asthma, wheezing, pneumonia and frequent upper respiratory tract infections.

Smoke can also trigger asthma attacks in many children and they are often worse than in children who aren't exposed to someone who smokes.

And infants who are exposed to a caregiver that smokes or a mother who smoked while she was pregnant are up to 4 times more likely to die of Sudden Infant Death Syndrome (SIDS).



March of Dimes. Smoking: Tips to Quit.

American Academy of Pediatrics: Tobacco's toll: implications for the pediatrician. - Pediatrics - 01-Apr-2001; 107(4): 794-8.

Childhood Infections - RSV

Parents often worry about infections caused by RSV or the respiratory syncytial virus.

These parents have likely heard of babies who have got RSV and developed wheezing, trouble breathing, and may even have needed to be hospitalized. Fortunately, many kids who get RSV, especially older children, get simple cold symptoms like a runny nose, cough, and fever.

Younger children, especially newborns and infants, are more at risk for more severe RSV infections though. These children can develop worsening RSV symptoms after about 2 to 4 days of having regular cold symptoms and after their fever may have gone away including:

  • irritability and poor feeding
  • lethargy
  • worsening cough
  • difficulty breathing, with retractions and nasal flaring
  • fast breathing
  • wheezing
  • hypoxemia (low oxygen levels), although cyanosis, is not common
  • apnea, although this is most common in infants under 6 weeks of age

Be sure to call your pediatrician or seek other medical attention if your child's cold seems to be worsening and you think he is developing more severe RSV symptoms.

Preventing RSV

Synagis is a monthly injection that can be given to high risk children, especially premature babies, to prevent them from getting RSV. Since RSV season typically runs from November until March, Synagis shots are usually started in October and are given until the end of RSV season.

Health Alert - Cold Medicines

Experts warn against giving cough and cold medicines to young children.
When giving medicine to your kids, remember that experts advise against giving cough and cold medicines to younger children.. Spencer Platt / Getty Images

Cold symptoms, including a runny nose, sneezing, and cough, are common in children, especially younger children who are in daycare.

Unfortunately, as tempted as you might be to give your baby a cough and cold medicine to try and help her feel better, no over-the-counter cold medicines are FDA approved for younger infants or have been proven to actually improve cold symptoms.

In fact, in discussing cough and cold medicines, the FDA reports that "questions have been raised about the safety of these products and whether the benefits justify any potential risks from the use of these products in children, especially in children under 2 years of age."

Most reports of problems with these medicines come from parents giving too much or giving the medicine too often. So it is not necessarily that anything is the medicines are dangerous when they are used correctly. It is a problem that no one really knows the correct dosage of these medicines are for younger children, which is a good reason why they should be avoided.

There are even warnings on the label that they shouldn't be given to children under age 4.

Another mistake parents make is giving two medicines with the same ingredients, which can also lead to overdoses, even if each medicine is given at the right dosage. For example, if you give your child Infants' Tylenol and Triaminic Cough & Sore Throat at the same time, then you would be doubling up on the dose of acetaminophen (Tylenol), since they are present in each medicine.

To be safe, talk to your pediatrician before giving any over-the-counter cold and cough medicines to your younger infant, especially if they are under four to six months old.


FDA Public Health Advisory. Nonprescription Cough and Cold Medicine Use in Children. August 15, 2007.

Week Ten To Do List - Emergency Info Checklist

Parents of younger infants rarely feel totally comfortable leaving them alone with anyone.

Providing your babysitting or caregiver with complete emergency medical information about your baby may put you more at ease though.

Collecting the following information and keeping it in a handy place, such as by the phone, will help ensure that your babysitter or caregiver has the right information in case of an emergency.

  • how to activate your area's emergency medical services, especially if it isn't done by calling 911
  • the number for Poison Control - (800) 222-1222
  • your emergency contact information, including work and cell phone numbers and any additional numbers and contacts
  • your child's doctor's name and phone number
  • your child's dentist's name and phone number
  • health insurance information, including your plan and policy number
  • your child's full name and date of birth
  • your child's medical history including all allergies, food allergies, medications he is taking, and any medical problems he has, especially chronic medical problems such as asthma, seizures, or diabetes
  • any special instructions you have
  • any other emergency information you think is important, including the address and number for your home

To be complete, especially if you are going to be away overnight or in another city, you might also authorize your child's caregiver to seek medical attention if your child gets sick.

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