Newborn baby sleeping

Newborn Essentials: What You Actually Use in the First Month

Baby registry lists run to hundreds of items, and the shelves at the big baby stores are designed to make you feel underprepared. In the first month, though, a newborn’s life is mostly sleeping, eating, getting changed and being held. The list of things you will reach for every single day is a lot shorter than the marketing suggests.

This is the list we would hand a friend.

For sleep

  • A crib, bassinet or play yard with a firm, flat mattress and a fitted sheet. Pediatric safe sleep guidance is clear that babies should sleep on their backs on a flat surface, with nothing else in the sleep space: no pillows, blankets, bumpers or stuffed toys.
  • Two or three fitted sheets. Middle-of-the-night changes happen.
  • Swaddles or sleep sacks. A wearable blanket keeps a baby warm without a loose blanket. Stop swaddling once your baby shows signs of trying to roll.

For feeding

What you need depends on how you feed, so it is worth waiting before buying a cupboard full of bottles.

  • If you are breastfeeding: a few burp cloths, nursing pads and, if you plan to pump, a breast pump. In the US, most health insurance plans cover a pump, so call your insurer before you buy one.
  • If you are using formula: four to six bottles to start, a bottle brush and the formula your pediatrician recommends. (Around the first birthday, most babies move from formula to plain milk; our post on toddler milk covers that switch.)
  • Either way: more burp cloths than seems reasonable. Plain cloth diapers make great burp cloths and cost less.

For diapers and changing

  • Diapers in newborn and size 1. Newborns go through a lot of them, but many babies outgrow the newborn size within a few weeks, so buy one or two packs of newborn and more of size 1.
  • Wipes, or soft cloths and warm water for the first days.
  • Diaper cream.
  • A changing pad. It can sit on a dresser or the floor. A separate changing table is optional.

For clothes

  • Six to eight bodysuits or sleepers with zips or snaps. Zips are faster at 3 am.
  • A few hats and pairs of socks.
  • One or two outfits for going out, and that is plenty. Newborn clothes get outgrown fast, and you will likely be given more.

For bath time and care

  • A small baby bathtub or a sink insert. Until the umbilical cord stump falls off, sponge baths are usually recommended.
  • A soft towel and washcloths.
  • Baby nail clippers or a nail file. Newborn nails are sharp and grow quickly.
  • A digital thermometer. Ask your pediatrician which type and method they want you to use for a newborn, and when a temperature means you should call.

For getting around

  • A rear-facing infant car seat, installed before the birth. Many hospitals check that you have one before you go home. Many fire stations and hospitals offer free car seat checks.
  • A stroller or a baby carrier. You do not need both on day one. Plenty of parents find a carrier more useful in the first weeks.

What can wait

A high chair, toddler cups, a play mat, a baby monitor with every feature and a full nursery setup can all wait a few weeks or months. You will know much more about what you actually need once the baby is here.

What to skip

  • Crib bumpers, positioners and sleep wedges. They go against safe sleep guidance, and padded crib bumpers can no longer be sold in the US.
  • Inclined sleepers for overnight sleep, for the same reason.
  • Wipe warmers and bottle sterilizers you will not use. Room temperature wipes are fine, and most bottles can be washed with hot soapy water or in the dishwasher.

A last tip

Pack a small bag for the car with a spare outfit, a few diapers, wipes and a burp cloth, and refill it every time you get home. It saves more stress in the first month than any gadget on a registry.

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